April 25, 2021
3 mins read

Nepal seeks India’s medical assistance to fight virus

The list of requirements includes oxygen, Remdesivir and intensive care unit beds….reports Asian Lite News

The Nepal government has sought assistance from India for the supply of oxygen, antiviral drugs and intensive care unit beds, as the countrys healthcare system is cracking under the pressure of the rising coronavirus caseload.

According to officials, a request to that effect was made to New Delhi by the Ministry of Health through the Ministry of Foreign Affairs. The Nepali embassy in New Delhi has already started taking up the matter with concerned Indian government agencies, officials said.

“We have received a list of requirements from the government and have forwarded them to relevant (Indian) government agencies,” a senior Nepali diplomat at the Nepali embassy in Delhi told the Post over the phone.

The list of requirements includes oxygen, Remdesivir and intensive care unit beds, the Kathmandu Post reported on Saturday.

The request, however, has come at a time when India itself is struggling to contain the lethal second wave of the coronavirus, with the daily count of infections soaring over 300,000 and the number of daily deaths hitting a record 2,263.

Public health experts say the request to India at this time exposes the government’s lack of preparedness against the looming second wave about which they had consistently warned.

That the second wave of the coronavirus was going to strike was evident when India, after a decline in the number of infections, which many termed “miraculous”, started reporting a sudden resurgence of the virus. The daily count started to shoot up at an exponential rate. Concerns had grown in Nepal, but authorities by and large made no moves, while governance took a backseat as politicians, including Prime Minister K.P. Sharma Oli, engaged in a bitter political fight.

Also read:Tough times ahead for Oli

Nepal too had seen a sudden decline in the number of cases after the daily count hit the highest ever on October 21 last year at 3,439. But from less than 100 new infections on March 12, the country on Thursday reported 2,365 new cases.

The Ministry of Health said on Friday the number of new cases in the past 24 hours hit 2,449, with five deaths.

Officials say the country’s health facilities are already overwhelmed, with hospitals running out of intensive care beds, oxygen and Remdesivir.

How remdesivir can save lives in nations with lower hospital capacity.

About a few weeks ago, when India decided to impose a ban on exports of Remdesivir, Nepali officials said that Nepal won’t be impacted much by the decision, and it was importing the antiviral drug from Bangladesh as well.

Public health experts, doctors and analysts say India is no doubt a friendly country but extending a begging bowl at a time when the neighbour itself is struggling to deal with one of the biggest humanitarian crises of its own just does not make sense.

“Why not procure some items like Remdesivir from Bangladesh, as it is manufactured there as well,” said Baburam Marasini, former director of the Epidemiology and Disease Control Division. “The government can purchase small oxygen concentrations also from East Asian countries like Thailand and Malaysia.”

As the coronavirus cases are swelling, there are concerns about hospitals running out of oxygen. Out of 185 hospitals across the country, only 26 have oxygen plants and not all of them are in operation.

As far as intensive care unit beds are concerned, their number currently stands at 1,486 throughout the country. The number of general beds which can be allocated for coronavirus patients stands at 18,917.

“Until now, as far as I understand, we have a fairly good stock of oxygen, but we might need more. However, there is a need to preserve what we have, as there are chances oxygen, which is in high demand in India, could be smuggled out.”

Also read:Nepal to begin inoculations with Chinese vax

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Pakistan Risks Overstretching Itself in Yemen War

Pakistan’s expanding military role in Saudi Arabia amid the Yemen conflict could strain its defence resources and fragile finances…reports Asian Lite News Desk Pakistan’s military involvement in the war in Yemen may prove unsustainable because of mounting financial pressures and competing security demands, according to a new report. Islamabad’s growing military presence in Saudi Arabia risks stretching its defence resources while exposing the country to greater strategic and economic challenges. An article by Andrew Wilson in One World Outlook describes Pakistan’s involvement as a case of “fiscal and strategic overreach”, arguing that the country lacks the financial flexibility to sustain an expanded military commitment. Pakistan’s external finances depend heavily on an International Monetary Fund (IMF) programme, financial support from Gulf countries and remittances from Pakistani workers in the region. The report argues that deeper military involvement in the conflict could place additional pressure on these sources of financial stability. It also warns that deploying troops and military equipment abroad could weaken Pakistan’s capacity to address security challenges along its eastern border and deal with two domestic insurgencies. The move could also draw Islamabad into a conflict it has sought to approach cautiously. A Reuters report in May, citing Pakistani security and government sources, said Islamabad had deployed around 8,000 troops, a squadron of approximately 16 aircraft, mostly JF-17 fighter jets, two drone squadrons and a Chinese HQ-9 air-defence battery to Saudi Arabia. According to those sources, Riyadh was financing the deployment, with Pakistani personnel operating the equipment. The sources also said a confidential agreement contemplated the possibility of deploying up to 80,000 troops. Islamabad has not confirmed those figures, although it has acknowledged its military presence in Saudi Arabia, including the deployment of fighter jets at King Abdulaziz Air Base from April. The One World Outlook article argues that Saudi financial support can cover allowances and operating expenses but cannot easily replace military equipment needed elsewhere or resolve the political and strategic challenges of participating in the Yemen conflict. Pakistan’s defence budget is another concern. For the 2026-27 financial year, the federal government allocated PKR 3 trillion, or approximately $10.8 billion, to defence services. The allocation represents an 18 per cent increase from the original PKR 2.55 trillion provision and amounts to around 2.1 per cent of projected gross domestic product (GDP). Defence spending accounts for approximately 16 per cent of the federal government’s PKR 18.8 trillion expenditure. Military pensions are budgeted separately at PKR 822 billion, while debt servicing costs stand at approximately PKR 8 trillion, more than two-and-a-half times the defence allocation. The report argues that these competing financial obligations leave little room for additional military expenditure without placing further pressure on public finances. Pakistan’s reliance on IMF assistance also limits its fiscal flexibility. The country must meet the conditions attached to the programme, including a primary budget surplus target of 2 per cent of GDP and continued restraint on development spending. According to the article, these requirements make it difficult for Islamabad to finance an additional military commitment without compromising other budgetary priorities. Pakistan’s economic indicators offer limited reassurance. Economic growth for the 2025-26 financial year is estimated at between 3.6 and 3.7 per cent, while inflation reached approximately 10.3 per cent in September following an energy price shock. Foreign exchange reserves stood at around $21.5 billion at the end of September. Although this marks an improvement from the low levels recorded in 2023, the report notes that the reserves cover only a few months of imports. Financial assistance from Gulf partners remains central to Pakistan’s external stability. The article says Islamabad holds approximately $8 billion in Saudi deposits at its central bank. In July, the State Bank of Pakistan said Riyadh had extended the maturity of $5 billion in deposits to December 2028, easing the country’s immediate external financing requirements. A further $3 billion deposit was also extended in the spring. However, the article argues that these arrangements provide temporary relief rather than long-term financial independence, particularly as regional conflict threatens the stability of the Gulf economies on which Pakistan relies. The report concludes that Pakistan faces a difficult balance between supporting Saudi Arabia militarily and preserving the financial and military resources needed to address its domestic and regional challenges.

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