{"id":50691,"date":"2021-07-19T18:17:40","date_gmt":"2021-07-19T17:17:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=50691"},"modified":"2021-08-03T14:21:25","modified_gmt":"2021-08-03T13:21:25","slug":"myanmars-covid-19-vaccines-the-latest-military-strategy-to-undermine-resistance","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/07\/19\/myanmars-covid-19-vaccines-the-latest-military-strategy-to-undermine-resistance\/","title":{"rendered":"Myanmar\u2019s covid-19 vaccines: The latest military strategy to undermine resistance"},"content":{"rendered":"<p><span style=\"font-weight: 400\">P<\/span><span style=\"font-weight: 400\">eople in<\/span> <span style=\"font-weight: 400\">Myanmar, from healthcare workers to the vulnerable, <\/span><a href=\"https:\/\/www.frontiermyanmar.net\/en\/anti-military-defiance-slows-covid-19-vaccination-to-a-trickle\/\"><span style=\"font-weight: 400\">have rejected vaccinations for covid-19 to refute the military regime that offers them<\/span><\/a><span style=\"font-weight: 400\">. As a <\/span><a href=\"https:\/\/www.theguardian.com\/world\/2021\/jul\/14\/battle-for-oxygen-as-coup-hit-myanmar-faces-its-most-severe-covid-outbreak\"><span style=\"font-weight: 400\">huge wave of covid-19<\/span><\/a><span style=\"font-weight: 400\"> arrives in Myanmar, the healthcare system has ground to a halt, healthcare workers are on strike, ministry officials have resigned, and laboratories have been closed. The impact on people\u2019s health will be severe.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The healthcare sector has been at the centre of the people\u2019s response to the coup. Two days after the military coup,<\/span><a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n368\"><span style=\"font-weight: 400\"> workers at 70 hospitals and clinics in 30 towns went on strike<\/span><\/a><span style=\"font-weight: 400\">. <\/span><a href=\"https:\/\/phr.org\/news\/phr-condemns-myanmar-militarys-arrest-of-former-head-of-covid-19-vaccine-roll-out\/\"><span style=\"font-weight: 400\">The head of the Expanded Program on Immunization (EPI) team within the Ministry of Health and Sports, along with much of the rest of the ministry, resigned in protest<\/span><\/a><span style=\"font-weight: 400\">. Many others remain on leave or absent. \u201c<a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n368\">We refuse to follow any order from the illegitimate military government that showed no respect for our sick patients,<\/a>\u201d the medical resistance organizers said in a statement.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In the face of huge protests that will have exacerbated the pandemic\u2019s spread, the military decided to give up on prevention. It officially lifted almost all covid-19 restrictions, re-opening bars and restaurants, opening up internal travel and permitting all but the largest public events (though there remains a curfew to prevent protests, and the mask mandate has been used to punish protestors against whom the military could not find any other crime). As a result of reduced testing, the weekly total number of positive cases identified collapsed: from 2,766 up to 25 Jan 2021 to 50 as of 10 May 2021 (though this has now increased again, despite low testing rates, to 4,047 on Tuesday 13 July 2021).<\/span><\/p>\n<p><span style=\"font-weight: 400\">The one carrot the military have left to generate support is the outstanding vaccine stock, which will be expiring soon (assuming that the vaccines have been adequately stored). Myanmar has been one of the few places in the world where anyone can receive the vaccine if they want it.<\/span><\/p>\n<p><span style=\"font-weight: 400\">But this carrot comes with an inbuilt stick: one must submit to receiving the vaccine<\/span> <span style=\"font-weight: 400\">from the military. The military is monitoring those who come for vaccines and some recipients are photographed. People fear these images will be shared publicly to show the military\u2019s successful campaign and implicit popularity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The military are trying to use the vaccine as a lever to break the unity of the resistance, by offering citizens the possibility of safety in return for compliance. Linking vaccine acceptance to political acceptance\u2014particularly with a regime as distrusted as this one\u2014may have negative consequences for years to come.<\/span><\/p>\n<p><span style=\"font-weight: 400\">So far many healthcare workers are refusing to cooperate: they refuse the vaccines and continue<\/span> <span style=\"font-weight: 400\">to risk their lives by<\/span> <span style=\"font-weight: 400\">refusing to work with the military, whose actions they say are the <\/span><span style=\"font-weight: 400\">real public health concern. Some people have already received their first dose of the vaccine, but as the effects of the first dose<\/span> <span style=\"font-weight: 400\">tail off, these healthcare workers (and vulnerable populations) are having to choose whether to enroll for their second dose or to run the risks of contracting<\/span> <span style=\"font-weight: 400\">covid-19. In a very direct way, through this lack of immunity, healthcare workers will embody the vulnerability that the military has wrought on Myanmar.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Meanwhile routine vaccinations are also on hold, with <\/span><a href=\"https:\/\/www.theglobeandmail.com\/world\/article-number-of-people-living-in-poverty-in-myanmar-has-doubled-in-last-year\/\"><span style=\"font-weight: 400\">1 million jabs due for infants<\/span><\/a><span style=\"font-weight: 400\">. The health system is not delivering routine vaccines. In order to get back to even the most essential service provision this regime will have to completely rebuild both the system and trust in it; so far they have shown no capacity or willingness to do so.<\/span><\/p>\n<p><span style=\"font-weight: 400\">When the loss of human life as a result of this military coup is counted, the<\/span> <span style=\"font-weight: 400\">more than<\/span> <span style=\"font-weight: 400\">700 people killed at the hands of the military during the protests will be easily counted. Those who die as a result of covid-19, preventable diseases, and poverty (experts <\/span><a href=\"https:\/\/www.theglobeandmail.com\/world\/article-number-of-people-living-in-poverty-in-myanmar-has-doubled-in-last-year\/\"><span style=\"font-weight: 400\">estimate<\/span><\/a><span style=\"font-weight: 400\"> that the share of people living in poverty in Myanmar has doubled in the last year to over 50%) will be less easily numerated<\/span> <span style=\"font-weight: 400\">and remembered. Yet, their deaths will also be the direct impacts of the military occupation and their deaths may often be the direct result of their refusal to accept this coup.<\/span><\/p>\n<p><span style=\"font-weight: 400\">One year ago, <\/span><a href=\"https:\/\/www.frontiermyanmar.net\/en\/a-tatmadaw-enforced-lockdown-is-no-answer-to-covid-19\/\"><span style=\"font-weight: 400\">some were concerned that the military would step in to \u201ctake control\u201d of the covid-19 response<\/span><\/a><span style=\"font-weight: 400\">. Today, we are seeing exactly what \u201ctaking control\u201d means. Far from making the tough decisions needed to defeat covid-19, the military\u2019s response has demonstrated its willingness (<\/span><a href=\"https:\/\/www.theguardian.com\/world\/2009\/feb\/27\/regime-blocked-aid-to-burma-cyclone-victims\"><span style=\"font-weight: 400\">again<\/span><\/a><span style=\"font-weight: 400\">) to put its own power before all other considerations\u2014including the health of its citizens.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Meanwhile, the Myanmar people and its health workers embody the struggle against this domination. The Tatmadaw has forced Myanmar\u2019s nurses, doctors, and basic health staff to choose between freedom, safety, and health. Through protests, the rejection of militarised vaccinations, and the ongoing civil disobedience movement, they are choosing freedom.<\/span><\/p>\n<p><em>This piece was written by healthcare workers in Myanmar, who wish to remain anonymous to protect their safety.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>People in Myanmar, from healthcare workers to the vulnerable, have rejected vaccinations for covid-19 to refute the military regime that offers them. As a huge wave of covid-19 arrives in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/07\/19\/myanmars-covid-19-vaccines-the-latest-military-strategy-to-undermine-resistance\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":50692,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263],"tags":[],"class_list":["post-50691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-global-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Myanmar\u2019s covid-19 vaccines: The latest military strategy to undermine resistance - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/07\/19\/myanmars-covid-19-vaccines-the-latest-military-strategy-to-undermine-resistance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Myanmar\u2019s covid-19 vaccines: The latest military strategy to undermine resistance - The BMJ\" \/>\n<meta property=\"og:description\" content=\"People in Myanmar, from healthcare workers to the vulnerable, have rejected vaccinations for covid-19 to refute the military regime that offers them. 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