Coronavirus

Europe's Deadly Cocktail Of Bad Policy And Vaccine Hesitancy

If you compare vaccination rates in European countries, you immediately notice huge differences. And this is despite the fact that the EU has provided all members with sufficient coverage. There are clear reasons of culture, history and attitudes for the gap.

Europe's Deadly Cocktail Of Bad Policy And Vaccine Hesitancy

Germany is not among the rapidly vaccinating countries of the West

Melanie Loos

-Analysis-

BERLIN — The next wave of infection is rolling into Europe. Some countries, including Germany, are already in the middle of it. The differences are considerable: While the situation in some Western European countries, such as Spain, Italy or Portugal, is still relaxed with comparatively low numbers of COVID, the situation in Eastern Europe is quite different.

There, infections have been rising rapidly for the past several weeks. Some countries have even recorded significantly more COVID-19 cases than a year ago, when the second and third waves hit the continent. In Latvia, Bulgaria and Romania, hospitals are now completely overloaded.


One reason for the escalating crisis is obvious: Eastern Europe is the region with the lowest vaccination rates in Europe. A map from the European Centre for Disease Prevention and Control (ECDC) shows a real gap between East and West.

And Germany, unfortunately, is not among the rapidly vaccinating countries of the West, such as Ireland, Spain or Denmark, but remains only in the middle with 67% of the population fully vaccinated. With an extra lag on the rate of first-time jabs, there is probably not much left to do on the vaccination front.

Risk of infodemic

The EU vaccination champion is Portugal, with 81%; the lowest vaccination rate is in Bulgaria, where only 22% of people are fully immunized — and Bulgaria has Europe's highest COVID-19 mortality rate.

On the one hand, according to the ECDC, the large differences are due to the pandemic management of individual governments, including the different speeds of vaccine delivery and the type of vaccine supply. The EU had jointly taken the vaccine order for the member states. On the other hand, beliefs and lifestyles have a major influence on whether someone gets vaccinated or not.

Decades of Communist rule have weakened trust in state institutions.

Even before the pandemic, the World Health Organization (WHO) ranked vaccine skepticism or even rejection of vaccines as one of the greatest threats to global health. Since the outbreak of the coronavirus, the problem has intensified; the WHO speaks of an "infodemic" — that is, a worldwide wave of disinformation and false reports about the virus and vaccines.

Many people are confused, citing a lack of clear information about the efficacy and safety of COVID-19 vaccines. And although doubts about vaccines are a worldwide phenomenon, experts consider people in Central and Eastern Europe to be particularly skeptical.

Decades of Communist rule have weakened these citizens' trust in state institutions and left behind ailing, underfunded health systems, the WHO reports.

People are queueing in front of the hospital of the Military Medical Academy in Sofia, Bulgaria, to get the coronavirus vaccine

Denislav Stoychev/NurPhoto/ZUMA

A matter of trust

Recent Eurobarometer surveys show that at least one in three people in eastern EU countries have no confidence in the public health system. It's notable that this disgust is particularly pronounced in Bulgaria, with 40% — the worst ratio in the EU, to match Europe's lowest vaccination rate.

Spain, on the other hand, where trust in the public health system is particularly high, shows that the willingness to be vaccinated may have grown historically. Since the end of the Franco dictatorship in the mid-1970s, healthcare has been seen as a symbol of the country's modernization, which went hand-in-hand with the transition to democracy. Even before COVID-19, trust in vaccination was already high on the Iberian Peninsula. And that is now paying off; Spain could "vaccinate" its way out of the pandemic.

In the latest episode of the NDR Info podcast "Coronavirus Update," German virologist Christian Drosten, referring to Spain's high vaccination rate, explained that by next spring there will be a group of European countries that should be largely through with the pandemic — and a group that won't be.

Political mismanagement can fuel vaccination skepticism among the population

"I don't think Germany will be through by then," he said. That's because the willingness to vaccinate in Germany can hardly be increased any further, as surveys have shown. The low number of additional initial vaccinations also speaks for itself.

Political mismanagement to blame

A global study by Imperial College London has examined attitudes towards vaccination and trust in the state and healthcare system in selected countries. According to the study, trust in COVID-19 vaccination is highest among vaccinated people in Spain and Italy; German and French people have the least amount of trust in vaccines and healthcare among those not vaccinated. Eastern European countries were not included in the study.

"Concerns about side effects and the effectiveness of vaccination have the greatest impact on willingness to vaccinate everywhere," says Sarah Jones of the Institute of Global Health Innovation at Imperial College London, who collaborated on the study. "Particularly striking is the gap between the unvaccinated and the vaccinated in terms of their personal perceptions of whether vaccination protects them from COVID-19."

It's also interesting to note that the better people rate their government's handling of the pandemic, the higher their willingness is to be vaccinated. Three-quarters of immunized Danes think their government handled the COVID-19 situation well. In Germany, only half of the vaccinated see it that way. Among unvaccinated Germans, only 14% are convinced of the German government's pandemic management.

The fact that political mismanagement can fuel vaccination skepticism among the population is particularly drastic in Eastern Europe. In Romania, the pandemic was declared over at the end of summer, even though the vaccination campaign was already stalling at that time. It wasn't until infections surged again in September that the government resorted to measures such as COVID-19 certificates for access to hotels, restaurants, and movie theaters, as well as nighttime curfews. But by then it was too late.

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January 22-23

  • Navalny saga & Putin’s intentions
  • COVID’s toll on teenage girls
  • A 50-year-old book fee finally gets paid
  • … and much more!

🎲 BUT FIRST, A NEWS QUIZ!

What do you remember from the news this week?

1. Which two words did U.S. President Joe Biden use about possible scenarios in the Russia-Ukraine standoff that upset authorities in Kyiv?

2. What started to mysteriously appear on signs, statues and monuments across Adelaide, Australia?

3. What cult movie did U.S. rocker Meat Loaf, who died Friday at age 74, star in?

4. What news story have we summed up here in emoji form? 🇬🇧 👱 💬 💼 ❌ 🥳 🦠

[Answers at the bottom of this newsletter]

⬇️  STARTER

Toxic geopolitics: More than ever, we need more women world leaders

The world is watching the Russian-Ukrainian border. Russian President Vladimir Putin threatening an invasion finds an ally in Iran’s Ebrahim Raisi, united against their common enemy: the United States. Back in Washington, U.S. President Joe Biden — marking his first year in power with painfully low approval rates (higher only than Donald Trump’s) — sends his Secretary of State, Antony Blinken, to Kyiv to reassure President Volodymyr Zelensky who worries that France’s Emmanuel Macron might undermine Ukraine. And we haven’t even mentioned Xi Jinping!

It’s an endless theater of world leaders beating their respective chests — and they have exactly one thing in common: they’re all men. It’s by now a decades-old question, but worth asking again: What would happen if women, and not men, were running the world? Would there be less conflict, more prosperity? More humanity?

In 2018, the World Economic Forum released a study that showed that “only 4% of signatories to peace agreements between 1992 and 2011 were women, and only 9% of the negotiators.” The report shows that in several conflict zones in the world in recent decades, citing Liberia, Northern Ireland and Colombia, women have been instrumental in achieving peace.

In Colombia, where 20% of peace negotiators for the 2016 peace treaty were women, Ingrid Betancourt, herself a victim of the 50-year conflict, has announced her candidacy for the May presidential elections. Differently from previous bids, where she focused on fighting environmental abuses and corruption, Betancourt now is putting gender issues at the center of her political agenda. Bogota daily El Espectador questions whether the former hostage will be able to ride this important political wave, with feminist movements flexing their muscle around the region demanding more rights.

In Italy, next week’s elections for the head of state are monopolized by infamously misogynous former Prime Minister Silvio Berlusconi, who is hoping to be elected for the seven-year, honorary function. There is no official candidacy, but Berlusconi’s name and that of current Prime Minister Mario Draghi are the two getting the most attention. Italian feminist writer and intellectual Dacia Maraini writes in La Stampa that, yes, the very fact of electing a female president will be progress for the country — and by the way, there are plenty of women qualifed for the job.

There was also a woman politician making the news this week for actually getting elected: Maltese conservative politician Roberta Metsola, became the new European Parliament President after the death of Italy’s David Sassoli. And yet the election of the first female president of the EU’s legislature since Nicole Fontaine in 2001 has been widely criticized by female politicians — primarily for Metsola’s stance against abortion rights. "I think it is a terrible sign for women's rights everywhere in Europe," French left-wing member of the European Parliament Manon Aubry told Deutsche Welle.

The women who have risen to power in history (Margaret Thatcher, anyone?) don’t necessarily make the case that gender is the silver bullet to fix politics. Still, after watching all the toxic masculinity on the world stage this past week, we can rightfully demand fewer men.

Irene Caselli

🎭  5 CULTURE THINGS TO KNOW

• Record-breaking online concert of Mahler’s “Symphony of a Thousand”: More than 100 musicians from around the world will take part today in a performance of Mahler’s epic 8th symphony consisting of 1,200 elements, including a double chorus, children’s choir, a full orchestra and an organ. The event is a culmination of a year of work; all artists recorded their parts in isolation besides the children’s choir. Tickets can be purchased here.

Yearly Japanese festival will set a mountain on fire: Today, the grassy hillside of Mount Wakakusayama in Japan will go up in flames as fireworks go off in the background as part of celebrations for Wakakusa Yamayak. The origin of the festival isn’t totally clear, but might relate to border conflicts between the great temples in the region or to ward off wild boars.

• New insights into antiquities taken by the Nazis: Scholars are looking into how German forces during World War II looted artifacts such as on the Greek island of Crete. Nazi officials pillaged these valuables for their own personal gain, but many were also destroyed, which is why researchers around the world are hoping to gain greater insight into this often overlooked aspect of German occupation.

Exhibition of Beirut’s restored artwork: The Beirut Museum of Art has inaugurated the exhibition “Lift” featuring 17 paintings by Lebanese artists that had been damaged by the port explosion in 2020, and have since been restored as a result of a UNESCO initiative.

The world’s first vegan violin tunes up: Berries, pears and spring water are just some of the natural ingredients relied on for the construction of the instrument by English violin-maker Padraig O'Dubhlaoidh. Traditionally, animal parts like horsehair, hooves, horns and bones are used, especially to glue pieces together. The £8,000 instrument is sure to be music to some animal lover’s ears.

🇷🇺  NAVALNY SAGA & PUTIN’S INTENTIONS


One year ago anti-corruption lawyer and politician Alexei Navalny was detained in Russia, marking the effective end of domestic opposition to Russian president Vladimir Putin. In the time since, more than half of the former coordinators of Navalny's headquarters fled Russia. Even Navalny's name is forbidden: Putin never says his name, calling him "this citizen."

At the same time, Navalny’s imprisonment and the de facto end of the opposition have changed Russia. The fear of persecution, the lack of alternatives and the total censorship and propaganda have caused Putin's ratings consistently downward.

An aging leader with no successors, no enemies and dwindling popular support is finding it increasingly difficult to explain why he must continue to rule forever. In such a situation, there’s nothing quite like an external threat to fuel the raison d’être of the authoritarian regime. In Putin’s eyes, the perfect threat right now is NATO expansion, and the perfect enemy is its neighbor Ukraine and its attempts to join the military alliance. Whether Russia's president is ready to engage in a real war is the great unknown, but its aggressive and uncompromising foreign policy — like his disposing of Alexei Navalny — is the latest legitimization of his increasingly absolutist rule now into its third decade.

Read the full story: What The Alexei Navalny Saga Tells Us About Putin’s Intentions On Ukraine

🇨🇴  FROM HOSTAGE TO POTENTIAL HEAD OF STATE


Íngrid Betancourt spent more than six years as a prisoner of the Revolutionary Armed Forces of Colombia (FARC) terror group in Colombia, an experience that is sure to play a role in her recently announced presidential campaign. Betancourt, who is 60, is running as part of the Verde Oxígeno and is the only woman in the Centro Esperanza Coalition (CCE), a centrist alliance.

Betancourt could be a boost for the coalition and embody its goals of transforming, overcoming polarization and, as its name indicates, giving hope to Colombia. In particular, the centrist candidate who in the past has been largely focused on anti-corruption and environmental protection, has said she will make women’s rights a cornerstone of her campaign.

Read the full story: Ingrid Betancourt, A Hostage Heroine Reinvented As Feminist For President

♀️ 😔  YOUNG WOMEN FACE THE BRUNT OF THE COVID-19 MENTAL HEALTH CRISIS


A growing number of studies around the world show that COVID-19 and lockdown restrictions have prompted a disproportionate increase in mental health illness among teen girls. These include rising suicide rates among adolescent females in the United States, Germany and Spain and a higher prevalence of anxiety and eating disorders in Israel. But why are women being disproportionately impacted?

There’s a range of reasons. In India, for example, young women had increased difficulty accessing education resources when schools went online and shared a disproportionate burden of household tasks as opposed to their male peers. Around the world, social media also played a significant role; without access to in-person socialization and hobbies, young people spent more time online, often comparing themselves to others, impacting feelings of self-worth. The situation is particularly dire given the challenges of accessing mental health support resources during the pandemic.

Read the full story: Why The COVID-19 Mental Health Crisis Is Hitting Teenage Girls The Hardest

💡  BRIGHT IDEA


Norwegian mobility company Podbike has announced that Frikar, its four-wheeled enclosed electric bike, will soon hit bike lanes on home turf. The futuristic-looking vehicle does require the user to pedal, which powers a generator and drive-by-wire system that keep the Frikar running — with a speed limited to 25 km/h.

#️⃣ TRENDING

“Mãe De Bolsonaro” is the top query on Twitter in Brazil, after news that Brazilian President Jair Bolsonaro’s mother Olinda Bonturi Bolsonaro had died at age 94.

😄📚 SMILE OF THE WEEK

Photo of the new President of the European Parliament Roberta Metsola

New President of the European Parliament Roberta Metsola

Philipp Von Ditfurth/ZUMA


London’s legendary bookshop Waterstones Gower Street tweeted a photo of a letter from an anonymous user confessing to having forgotten to pay for their books some 48 years ago. Owing approximately £100 ($136), adjusted for inflation, they had sent through £120 ($163) to make up for their tardiness. Touched by the kind gesture, the bookshop reciprocated by donating the money to the largest children’s reading charity in the United Kingdom.

👉   OTHERWISE ...

Dottoré! is a weekly column on Worldcrunch.com by Mariateresa Fichele, a psychiatrist and writer based in Naples, Italy. Read more about the series here.

Bucket of tears

I’ve been thinking and thinking about a patient of mine since yesterday. His name is Giovanni.

Psychiatrists, you might not know, are quite often asked the same unanswerable question: "Why does one become insane?”

When I was younger, I searched and searched for an answer, losing myself in scientific explanations about synapses, neurons and neurotransmitters.

By the end of my studies, I’d realized that the only thing that was clear was that I’d been clutching at straws to justify my work and give it a semblance of scientific dignity. In the years since, I’ve forced myself, in defiance of the authority of my position, to reply with a laconic but honest: "Sorry, but I don't know."

So when Giovanni asked me that same question, he was not happy at all with my answer. “Dottoré, how’s it possible that you don't understand why I became crazy?”

When he tried to ask me again one day, I tried a different response:

"Giová, do you cry?"

"No. Why?"

"Imagine that the tears that you don't shed, that you force yourself not to shed, because that's what you've been taught to do, all end up inside your heart. The heart is an organ that pumps blood, which brings nourishment and oxygen to the whole body. But over time those diverted tears accumulate to the point that the heart begins to pump them instead of your blood. Slowly your body becomes sick, but the part that suffers the most is your brain. Because tears don't contain oxygen and nourishment, just sadness."

I expected a reaction to this fanciful explanation, but instead Giovanni kept quiet and eventually left.

The next time I saw him, he said: "Dottoré, I've thought about it. I know you told me about the tears to make me feel better, but maybe you’re right. Because sometimes I feel that I have a lake, more than a heart. But it takes a very powerful pump to pump out all that water, and my heart alone cannot do it. And now that you've explained to me how I became crazy, can you also tell me if I'll ever get better?"

"Do you want another story or do you want the truth?”

"This time, I’d rather have the truth!”

"The answer is always the same then. I'm sorry, Giová, but I don't know this either. But I can tell you one thing for sure. I'll help you slowly, slowly with just a bucket. Because the truth is, not even I have that pump."

⏩  LOOKING AHEAD

• Italy's parliament will convene Monday to begin the process of voting for a new president to succeed Sergio Mattarella for a seven-year term.

• Qualification games for the 2022 FIFA World Cup will be held from Jan. 27 to Feb. 2 for South, North and Central America as well as Asia. Argentina’s national team will not be able to rely on superstar Lionel Messi, still recovering from COVID-19.

• Next Thursday will mark 100 years since Nellie Bly died. The American journalist is known for her record-breaking 72-day trip around the world in 1889, inspired by Jules Vernes’ book Around the World in Eighty Days


Keep reading... Show less
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