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Tuesday, April 6, 2021

When you run into a vaccine, do not wait

When you run into a vaccine, do not wait

The notification came in late.  As late as night time during the Easter Monday holiday.  Who even checks official email during the holiday?  And at night for that matter!?

Anyway, that is when the information that there would be a free vaccination camp was disseminated.  It would be held on the very next day, if anything, in just a few hours’ time.  It was a voluntary jab, but it was available… for free.  It was a moment of reflection and decision.  

The official vaccine in Kenya is the Astra-Zeneca release.  The same AZ that had gotten bad publicity in Europe and South Africa, leading to the stoppage of its administration for some time before resumption in Europe, with SA not reusing it thereafter.  The claim against AZ was that there were cases of blood clot manifestation observed on those who had taken it.  The SA people had accused the jab of not being effective at all.

I had followed the story to the conclusion that there was no correlation between the particular jab and the clots.  The clot was just an observation that could be observed on any jab anyway.  The SA twist was due to change of virus variant.  However, that episode had already given AZ a bad nametag.  Even the motherland that had received the first batch of one-million doses had not survived the vaccine hesitancy.  

Many weeks later, since the arrival of the vaccines in early March, and the government was still convincing the seemingly reluctant front-line workers to be vaccinated.  The elderly were also getting reluctant.  A colleague even confessed to me that her elderly mum had said a big ‘No’ when presented with the opportunity for the vaccine.  Her rejection was because she did not ‘trust’ the vaccine, a vaccine, any vaccine.

I had only a few hours to decide whether I shall partake of this jab or not.  The vaccine was surely AZ, as the only free jab authorized for public use in Kenya.  It was a two-shot regime, meaning that once you get into the first jab, then you are stuck in the mix, and must be available for the next jab some four to eight weeks later.  

I had woken up on this decision day Tuesday with a decision to make.  Should I, or should I not?  I kept juggling the dichotomy in my mind for the first hours of the morning.  I would later observe the camp already setup and a few people already on queue.  An ambulance parked next to the tents and the vaccination exercise was surely a real thing.

My decision was made around ten, when I saw myself walk to the vaccination tent.  The decision was partly made due to a ‘friendly reminder’ that the boss had given to his staff.  Telling them that when a vaccine comes your way – whichever the name – so long as it is an approved WHO COVID19 vaccine, then do not even think about it.  Take it! (Ask later).  

I have known the boss with those ‘friendly’ ones.  They usually mean compulsion.  When there is no compulsion then the reminder is usually just a ‘reminder’.  So, when he gave that ‘friendly’ one just last week, I knew that there was no thinking much about this.  This was the direction and I knew that very soon even employment terms of service would have something to do with vaccine-compliance.  I know how these things work.  When cloudy, prepare for rain.

I would soon be registering my name and telephone number on an attendance sheet.  Then I would be soon seated with a social-distanced group of about fifty.  We just sat and waited, not knowing what to expect.  Just ahead was a fully covered tent, with an entrance fleece, and there must have been an exit on the other end, since those who went in did not come out.  

On this front entrance stood a staff who would call two names at a time into the tent.  What was going on there?  I imagined that going through the tent would lead to another ‘proper’ registration process, followed by the vaccine administration somewhere ahead.  I kept waiting.  We kept waiting.  It took about an hour before my name was called to that tent.  I had my temperature taken with a handheld thermo-gun as I got into that tent.

“Keep that temperature, it shall be required later on,” the staffer who had taken the temperature reminded me, even as I took one of the two seats in that tent.  Straight ahead were two medics in white, with two other people seated next to them.  These two people were now just getting up to leave.

I was taken aback, since I was immediately called to that opposite side of this open internal space and asked to take one of those now vacant seats.  The lady in white then proceeded to state that she was about to administer the vaccine and wanted me to roll over my left sleeve.  It was so soon!  So unexpected!  It was it!  These two medics were doing the vaccinations right here and right now on this very tent!  I was not yet ready!  I thought that I would still be getting through the hula-hoops before I ‘finally’ get to the vaccination thing.  

I unrolled my left sleeve as the lady went ahead to prepare whatever she was preparing.  I was not even looking at her actions when I felt nothing on my arm, apart from the piece of cotton that she pressed on the upper outer arm for some five seconds, before throwing it away onto a bin.  I was still seated, when she reminded, “I am done, you can pass through and register your details at the next tent”

That was the most unfelt prick ever!  I would have sworn that she did not even inject the arm, had it not been for the used syringe and needle that I observed her dispose on a bin together with that cotton bud.  I had even felt the arm kind of ‘fill-up’ during the yellow fever jab many years ago, being the last time I had an adulthood injection, but this one, nada!  Having survived the unfelt injection that had come and gone so soon, I was full of relief and ready to join in the chatter that was ongoing on the other side of the vaccination booth.  That ‘other side’ meant for the registrations was full of life.  People must have really ‘enjoyed’ their shots, judging by their moods and high spirits.  Everyone was as jovial as never before.

We would soon face another queue of about fifty as we waited for the people operating the four or so computers on the tables centrally located on the big tent to register us.  The movement along the queue was slow!  But who cares!  The vaccination thing that was taking the world by storm was now already done.  The very AZ vaccine that was under bad publicity and hesitancy was now in my system, our systems.

I was finally seated at the registration desk some thirty minutes or so later.  The details being recorded on the computer system were personal details and those of next of kin, followed by being informed to be ready for the next shot ‘on June 1’.

“Hey, WB, do not leave,” someone drew my attention, just as I was getting up from the registration desk about to exit and leave the camp.
I looked around and saw a familiar face, “We want you to help in the registration.  Sit there and get started,” she pointed to the slot just next to where I had been registered.

I took the seat and faced a registration screen full of blanks.  A staffer of the vaccination team gave me an orientation on how to navigate the screens.  From there on it was a breeze… and this strategy of having many people participate in the registration saved the day.  It was not long before we had cleared the once full tent.  

Having seen the registration system, my only barb to the government was their ‘love’ for data duplication!  We had to re-record everything that is already on the national ID cards!  Wasn’t Huduma number the solution to all these data duplication mess!  Imagine typing the same same info that is on the ID, instead of just querying the central Huduma system to population all these!  

Every re-keying in of data introduces wasted times and the new data is prone to errors, especially telephone numbers, email addresses, spellings of names and even ID numbers being recorded incorrectly.  This Huduma project seemed to have been another ‘ghost’, in the increasing items on the list, though it was a noble project with a good intention.  But do not just take my word for it.  You could have seen the time wasted when we had to confirm and reconfirm details that are already with the government central database anyway.

Whether there is vaccine hesitancy or not shall remain to be seen.  Maybe I was just at a vaccine ‘friendly’ camp, since the doses claimed to be four-hundred would soon be finished even before the expected four-o’clock closure… with many more people still queueing.  With global COVID19* infections standing at 132,800,387 with 2,878,681 deaths, with Kenyan numbers being 139,842 and 2,258 respectively, it is a no-brainer that ‘anything that helps’ is better than nothing.  And that ‘anything’ is the COVID19 vaccine, be it AZ, Johnsons and Johnsons, Pfizer-Biontech or Moderna.  
*source: worldometers website

Even Sputnik V, already available in some Kenyan private medical facilities ‘for emergency use’ should be taken wholehearted within a second thought.  Even our southern neighbour, TZ, under a new leader has now acknowledged that ‘uviko-kumi-na-tisa’ is a real thing and any tools in our arsenal to conquer corona is one more conquest for humanity.  The speech of the new leader even elicited praise from the citizens, as I saw on that news ticker at the bottom of TBC news… ‘wananchi waifagilia hotuba ya rais…’  This was a complete U-turn from the denial tendencies that had been the modus operandi of our southern neighbour for long.

Vaccines have and have always had debates, issues, pros, cons and theories of conspiracy.  I would join the boss in a ‘friendly’ persuasion for those who are still hesitant.  The vaccine may not prevent you from contacting the corona virus and getting COVID19.  However, you have almost a guarantee that you shall not suffer adverse effects that would usually call for hospitalization need the related complications that can include the need for induced oxygen intake and ventilator life support.  The vaccine shall enable you just probably experience mild COVID19 symptoms and survive at home, without much ado, should you be unfortunate to contract the corona virus.  The choice remains yours but… when you run into the vaccine, do not wait, go for it.

WWB, the Coach, Nairobi, Kenya, April 6, 2021

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