Kuala Lumpur/Delhi, 16 April 2021–A humanitarian calamity is engulfing South Asia as COVID-19 skyrockets across several countries setting new records, with more than 200,000 people infected per day. South Asia is fast becoming the new global epicentre of the COVID-19 pandemic. This deadlier and more infectious new wave is overwhelming hospitals and social systems, heaping more distress on hundreds of millions of people already experiencing poverty and hardship. On 15 April 2021 India recorded more than 200,700 cases in a day, more than double the country’s previous peak and the highest of any country in the world right now. Bangladesh is recording almost 50 per cent more deaths per day than its previous peak in June 2020. Pakistan’s daily cases are spiking, with the highest ever COVID-19 daily death rate. Udaya Regmi, International Federation of Red Cross and Red Crescent Societies (IFRC) Head of Delegation, South Asia, said: “The speed with which the virus is spreading in our region is truly frightening. Over 1.5 million people are sick with COVID-19 in India, Bangladesh and Pakistan combined and that’s 50 times how many were sick one month ago. “Thousands of lives are being lost, this is a tragic warning to all countries, that every effort must be maintained and we cannot afford to relax in containing this deadly Coronavirus. “The impact on frontline workers is catastrophic. Thousands of Red Cross and Red Crescent volunteers have stepped-up efforts to help the elderly and those most at risk with access to lifesaving medical care, testing and vaccinations. Millions already face extreme poverty and we’re helping with food, water and other relief.” There is growing evidence from health authorities that more virulent COVID-19 variants are fuelling this current surge in South Asia. Dr Abhishek Rimal, IFRC’s Asia Pacific Coordinator for Emergency Health, said: “Several countries in South Asia have already reported the B.1.1.7 and B.1.351 variants of concern from the UK and South Africa, which are more infectious and are increasing hospitalisation, putting a massive burden on the health system. “As we enter the second year dealing with the pandemic it’s understandable that many people are sick of the restrictions and want to resume normal life. We must redouble our efforts to contain this disease as too many lives are at stake. “We must place every effort to resource health workers and hospitals so people who are suffering receive the healthcare they need. This is a wakeup call to the world. Vaccines must be available to everyone, everywhere, rich and poor to overcome this terrible pandemic.”

Kuala Lumpur/Jakarta/Dili, 13 April 2021 –Urgent measures are needed to prevent COVID-19 outbreaks, while providing relief to thousands of people hit by record floods and mudslides that have claimed more than 200 lives, according to authorities in eastern Indonesia and Timor Leste. Timor Leste is in the grip of a new wave of COVID-19 infections after a year of keeping the virus under control. The official number of cases has surged ten-fold from just over 100 to almost 1,000 in the past month, threatening the country’s fragile health system. More than 33,000 people have been directly affected by floods and landslides described by authorities as the worst to hit Timor Leste and parts of eastern Indonesia in more than 40 years. President of Timor-Leste Red Cross, Madalena da Costa Hanjan Soares, said: “It’s heartbreaking to see people making a choice between having a safe shelter, adequate food and water, or trying to avoid the spread of this deadly COVID-19 virus. “Our Timor Leste Red Cross volunteers have been specially trained and they’re doing everything possible to prevent COVID-19 from spreading. This is a race against time. The longer people have to stay in these temporary shelters, the higher the risk of a mass outbreak.” Red Cross rescue teams in Timor Leste and Indonesia have been searching for survivors, evacuating people to safety, and distributing relief including food, blankets, tarpaulins, clothing and hygiene supplies. Efforts have been ramped up to provide safe water for drinking and hygiene, to help prevent disease outbreaks. Indonesia is the second-worst affected country in Asia, with more than 1.5 million cases of COVID-19 recorded and more than 4,000 new infections a day. The Secretary General of Indonesian Red Cross, Sudirman Said, said: “The loss of life has been tragic and comes as a brutal blow to families already exhausted and overwhelmed by this COVID-19 pandemic. Our teams are working all hours to search for survivors, providing critical food, water and other relief while keeping people safe.” Jan Gelfand, Head of the Indonesia and Timor Leste Delegation, International Federation of Red Cross and Red Crescent Societies (IFRC), said: “COVID-19 is stretching the health systems in Indonesia and Timor Leste to breaking point. Further COVID-19 outbreaks or other deadly diseases, such as cholera, dysentery and dengue fever, could push them over the edge. “In many parts of the world, clean water, soap and face masks may seem like small things but if COVID-19 has taught us anything, it’s that they save many lives. Every effort must be made to race these essentials to people so they can be protected after surviving these deadly floods.”

Kingston / Panama City, 11 April 2021 — The International Federation of Red Cross and Red Crescent Societies (IFRC) is working alongside the St. Vincent and the Grenadines Red Cross (SVGRC) to provide humanitarian aid to the population affected by the eruption of La Soufrière volcano. Within 48 hours after the volcanic eruption, people’s most immediate needs include maternal and childcare for those staying in the high-risk areas; shelter, hygiene items, water, and items for COVID-19 prevention for those who have been evacuated. The SVGRC is assisting the National Emergency Management Organization (NEMO) with evacuation sites and transport points, working to ensure even the most reluctant are evacuated for their safety. Needs assessment teams have been deployed to 100 shelters and in over ten communities, Red Cross volunteers have responded to assist those impacted. “In addition to assisting with evacuation and shelter management, we are also doing contact tracing to ensure that family members who are displaced, are reconnected with their families. We are encouraging persons who aren’t in government shelters to register with the St. Vincent and the Grenadines Red Cross,” said Harvey Farrell, SVGRC Vice President. At evacuation centres, the Red Cross is also distributing hygiene kits, blankets, mattresses and water; and will continue to deliver messages about how to stay safe and healthy from COVID-19, and to avoid contracting dengue. Since early 2020, a dengue outbreak is hitting all health districts of the island. IFRC’s Disaster Relief Emergency Fund (DREF) will allow the Red Cross network to ensure 700 sheltered families are receiving immediate support, including jerrycans, cleaning kits, hygiene kits, kitchen sets, COVID-19 prevention kits and first aid. Safe spaces for children in shelters will also be enabled in coordination with other organizations. Upon returning to their homes, persons would need support in recovering their livelihoods. The Red Cross will conduct an assessment to adequately determine those in need of this kind of assistance. “This is a very difficult time to be relocating so many people as the island continues to battle COVID-19 and dengue. Red Cross volunteers and staff, many of whom are from the same affected communities and left their homes behind as well, are working tirelessly in these early days of the eruption,” said Ariel Kestens, IFRC Head of Delegation for the Dutch- and English speaking Caribbean. Effective preparedness and early action in disaster saves lives and livelihoods. Since before the eruption, SVGRC has worked with communities to ensure they are ready to evacuate and had emergency go-bags packed with key documents and necessary supplies.

Kuala Lumpur/Yangon/Geneva,1 April 2021 - Two months following the military takeover in Myanmar, the International Federation of Red Cross and Red Crescent Societies (IFRC) is deeply concerned about the escalating violence and mounting casualties amongst the civilian population and is warning of a deepening humanitarian crisis. Alexander Matheou, IFRC’s Asia Pacific Regional Director, said: “The levels of violence and the use of lethal force that have resulted in so many casualties and grave injuries amongst the population is deeply shocking. Myanmar Red Cross first aid teams working on the frontlines of this emergency have provided care to over 2,000 people, often at great personal risk.” “In some instances, Myanmar Red Cross first aiders and medics have been wrongfully arrested, intimidated or injured and Red Cross property and ambulances have been damaged. This is unacceptable. Health workers should never be a target. They should be granted unrestricted humanitarian access to people in need.” With major disruptions to emergency medical services, Myanmar Red Cross is one of a few organization’s currently able to help across the country, thanks to their nationwide network and levels of acceptance with local communities. Close to 2,000 Red Cross volunteers are working at 246 first aid posts set up in 175 townships across the country. The Red Cross also operates a fleet of 142 ambulances which have been used to treat and evacuate the seriously ill or wounded. On its part, the IFRC released funding from its Disaster Relief Emergency Fund (DREF) to help the Myanmar Red Cross sustain nationwide reach of its emergency first aid and medical transport services to aid an estimated 22,500 people until June, 2021. Longer term plans are rapidly being developed in line with escalating humanitarian needs in the months ahead. The current state of unrest poses a significant threat to efforts to contain the COVID-19 pandemic in Myanmar where testing, tracing and treatment capacity has been markedly reduced in the past two months. “In the coming months we could be facing a perfect storm in Myanmar where another wave of COVID-19 infections collides with a deepening humanitarian crisis spreading across the entire country.” “As basic services such as health care, banking, transportation and logistics suffer major disruption, we inevitably see rising prices, food insecurity, increased population movements and a range of acute medical needs emerging,” said Mr Matheou. The IFRC is also worried that the current political crisis could destabilise ongoing humanitarian programmes in Myanmar. “With significant disruptions to banking services we could soon be struggling to support Myanmar Red Cross programmes in several parts of the country. This includes planned cash assistance to help families recover from COVID-19. Vulnerable people already suffering terrible hardships face greater risks”, said Mr Matheou. Notes to Editors: According to the World Health Organization, between 1February and 24March, 2021, there were 31 attacks on health-care facilities and staff, resulting in two deaths and six injuries. Dozens of facilities and several ambulances have been affected in 12 states and regions.

Geneva, 30 March 2021 In response to a common call for an International Treaty on Pandemics by the WHO and world leaders today, Jagan Chapagain, Secretary General of the International Federation of Red Cross Red Crescent Societies, said: “We are encouraged by this commitment from the WHO and world leaders today to develop a new treaty on pandemic prevention and response. The COVID-19 response has been hugely impaired by gaps in global cooperation and inequities affecting some of the most vulnerable of our societies. This treaty is an opportunity to address these for the next time. “We need bold new solutions – both in international and domestic laws – to avoid the same mistakes. These must include a firm commitment to preparedness at all levels of society, including at the community level, and equitable access to testing, vaccines and treatment for all at greatest risk. We must also ensure that health and emergency staff and volunteers are supported to operate safely to provide life-saving aid, and access communities in need. And we must guard against the economic ruin of the poorest and most vulnerable as a result of pandemic responses. “With our experience in supporting states to develop and implement disaster law and policy around the world, IFRC and its members stand ready to provide their expertise and advice to governments and to support such a treaty to not only be powerful on paper but transformative in reality.”

Geneva, 24 March 2021 (ICRC/IFRC) – The International Red Cross and Red Crescent Movement has today launched a new plan that aims to tackle “deep and pervasive” inequities in the global response to the COVID-19 pandemic. While no one has been spared from the effects of COVID-19, the consequences of this pandemic have not been equally felt. This crisis has been defined by profound and persistent inequities both in terms of who is most at risk, and how the world has responded. The new Red Cross and Red Crescent analysis released today shows that, although present in all countries, these inequities have been particularly pronounced and damaging for people living in countries affected by humanitarian crises. According to this analysis: Countries that are not dealing with humanitarian crises have reported carrying out nearly 48 times more COVID-19 tests per capita than countries facing “severe” or "very severe" humanitarian crises. People living in countries facing either no humanitarian crisis or crises that are considered “low” in severity are more than three times as likely to be supported with contact tracing for COVID-19. Less than 2 per cent of COVID-19 vaccine doses globally have reportedly been administered in the 32 countries currently facing “severe” or “very severe” humanitarian crises. Jagan Chapagain, Secretary General of the International Federation of Red Cross and Red Crescent Societies (IFRC), said: “Since the start of the outbreak, we have seen the virus discriminate through its impacts on the elderly, on people with pre-existing conditions, and on people who do not have the economic resources to isolate and protect themselves. What our data shows is that the response to COVID-19 also discriminates. These deep and pervasive inequities mean that, no matter where they are, people in vulnerable settings are more likely than the general population to be infected, are more likely to die once infected, and are least likely to be appropriately supported through the response, including through vaccination campaigns. The same is also true for vulnerable groups in non-crisis settings.” Robert Mardini, Director-General of the International Committee of the Red Cross (ICRC), said: “Communities affected by armed conflict have been among the hardest hit by COVID-19, including those who have been displaced, people separated from their families, those deprived of their livelihoods and people in detention. That is why the ICRC is supporting National Societies, vital health infrastructure, access to health care, efforts to prevent the spread of disease in places of detention, access to clean water, and the safe and dignified management of human remains in places experiencing conflict and violence.” The revised International Red Cross and Red Crescent Movement plan is designed to counter some of the more severe inequities by expanding care, treatment and support for people in all countries, including those affected by humanitarian crises such as conflict and disasters. The plan also includes a range of measures designed to support and extend COVID-19 immunization campaigns so that marginalized and isolated groups -- including people living in conflict zones, migrants and displaced people, people living in urban slums, and isolated communities in non-crisis affected countries -- can access vaccines. In all, the revised International Red Cross and Red Crescent Movement appeal seeks 2.729 billion Swiss francs. IFRC’s Chapagain said: “The inequitable distribution of COVID-19 vaccines is only one part of a response that has consistently and unfairly disadvantaged the poor, the elderly, migrants, those living with disabilities, Indigenous and racialised communities and other socially disadvantaged groups. In many contexts, the people who are most likely to be infected and to die of the virus are also the least likely to be counted, leading to a distorted understanding of where the risks and impacts are greatest. The Red Cross Red Crescent Movement plan focuses on reaching the last mile and ensuring that no one is left behind.” ICRC’s Mardini said: “A top concern of ours is ensuring equitable access to vaccines, and particularly for people in conflict-affected areas. An estimated 65 million people live in areas controlled by non-state armed groups – people excluded from basic state services like health care. They deserve to be vaccinated -- from COVID-19 and all preventable diseases. It keeps them safe and helps keep the rest of the world safe, too.” The International Red Cross and Red Crescent Movement has been at the frontline of the pandemic response. Present in nearly every country, Red Cross and Red Crescent community-based volunteers and staff help the world’s most vulnerable people, including those living in countries with under-resourced health and social welfare systems; people recovering from recent disasters; migrants and displaced people; those in conflict zones and who face ongoing violence; people in urban slums; detainees; and people suffering from the socio-economic impact of COVID-19. To read the revised Movement plan, click here.

The verdict is in: COVID-19 worsens mental health. So there can be no excuse and no delay in stepping up now to prevent a worsening and chronic catastrophe. There is no health without mental health, therefore recovery from the pandemic needs to factor in mental health and psychosocial interventions. Let’s step back and view the evidence. No group is immune from COVID-19’s insidious effects on mental health: from school children, to those of us working remotely, to the elderly. Studies have documented the extreme negative impact of the isolation caused by school closures which, at one point, saw 90 per cent of the world’s children locked out of school. A study of children in China found elevated rates of depression and anxiety. Similarly, another study found 86 per cent of Italian and Spanish parents noticed changes in their children’s emotional states and behavior during home confinement. Sadly, children at home can be more at risk of abuse and neglect, as stressors on families increase, and the structure of the school day is taken away. There is also evidence of increased risk of suicide and self-harm among young people during the pandemic. Other studies have pointed to negative consequences of increased screen time . For the wider population, the suicide risk has also climbed . And new research co-led by the International Federation of Red Cross and Red Crescent Societies (IFRC) has found older people become sicker and poorer and feel more alone as a result of living through the pandemic. To bridge the gap between ballooning mental health care needs and services, traditional mental health care systems will not be the only answer. The IFRC and its network of 192 Red Cross and Red Crescent National Societies is already part of this solution. Mental health and psychosocial support is a core part of our work. Following commitments we made to the state parties of the Geneva Conventions at the International Conference of the Red Cross and Red Crescent in 2019, we are making mental health and psychosocial support an even bigger part of our work. Globally we have provided mental health and psychological support to 7.16 million people affected by COVID-19 since the pandemic started. Volunteers and staff have taken to telephone hotlines, new digital forms of support such as webinars, videos and SMS chats. Our support comes alongside a wider expansion in new ways of reaching out to people suffering depression, anxiety, and PTSD, such as videoconferencing, online forums, smartphone apps, text-messaging, and e-mails, which evidence shows have been found to be effective ways of delivering treatment. In Armenia, Red Cross psychologists provide psychosocial support services to people and assign volunteers to those identified as struggling to provide extra help with household chores. Danish Red Cross set up a phone service for volunteers to chat with people who are home alone. A new form of support was seen in a project run by Serbian Red Cross, which published a collection ofcreative writingabout peoples’ experiences of living through the pandemic. The French Red Cross has set up Croix-Rouge Chez Vous (Red Cross at Home), combining a national call centre and the dispatch of aid to all parts of France, both mainland and overseas territories. It targets any socially-isolated person who has no connections or support from family, friends or neighbours, who are able to call in and receive a listening ear, and receive a follow-up delivery of goods if needed. Bulgarian Red Cross operates a telephone-based psychology service, where people can book free sessions online with qualified psychologists. And Italian Red Cross psychologists are on board quarantine ships for migrants, to support the mental health and protection of the most vulnerable migrants, including minors, trafficked women, pregnant women and victims of discrimination. They also support the wellbeing of Red Cross personnel. In a partnership with the IFRC, British Red Cross psychologist Dr Sarah Davidson has featured in a successful social media video series to reach new audiences. Global action With the pandemic’s effects expected to extend well beyond the current year, it’s clear more action needs to take place now if we are to be serious about preventing the deteriorating mental health of millions of people. We are recommending three key steps: A serious scaling up of mental health and psychosocial services. High attention to widening national societies’ access to new digital and other innovative means is needed. The IFRC network is well placed to facilitate sharing new practices and learning, and to work towards narrowing the digital divide. Governments and major donors should step up investment in addressing mental health problems to enable individuals, families and communities to meet the challenges brought by the pandemic. Early and effective access to mental health and psychosocial support is key to creating sustainable and healthy local communities. More care for the carers. Red Cross and Red Crescent people, who have worked through the pandemic, often when responding to other disasters, are immensely tired. We have become a more flexible workplace with increased support systems and monitoring of staff and volunteers’ wellbeing, and encourage wider formal supports for these often invisible responders. Sadly, the full effects of this pandemic will only emerge much later, robbing many people of their future dreams. Now is the time to invest more in mental health care and psychological support that works. Even a small investment can have big results. Our movement is uniquely placed to scale up engagement through the variety of new platforms and services with our networks of trained volunteers in every community. Together with our partners, we can meet increased demand with expanded and integrated services and supports.

Geneva, 10 March 2021 – Nascent efforts to ensure fair and equitable distribution of COVID-19 vaccines will fail unless a “deadly gap” in global immunization policy and funding is quickly filled. This is the stark warning issued today by the International Federation of Red Cross and Red Crescent Societies (IFRC). Much of the focus of governments and other donors has been on procuring and distributing vaccines between countries, including via the COVAX facility. While the procurement and international distribution of vaccines is crucial, too little thought is being given to how those vaccines will be distributed within countries, including how isolated and hard-to-reach communities will be included in immunization campaigns. IFRC President, Francesco Rocca, said: “Efforts to procure and distribute vaccines between governments are clearly crucial and must be supported fully by donors. However, it is not enough just to focus on this side of the equation. Initiatives like COVAX ensure that vaccines will reach the tarmacs of airports in the capital cities of participating countries. They are inarguably important. “However, they need to be complemented by initiatives designed to get those vaccines off the tarmac and out into the arms of all who need them.” Last month, in a bid to fill this gap, IFRC launched a 100 million Swiss franc plan designed to support the vaccination of 500 million people. However, support for this plan has yet to materialize, with only about 3 per cent of necessary funding received so far. IFRC’s Rocca said: “Our plan focuses on ensuring that, once received, vaccines reach those who need them most. This involves a range of important actions, including efforts to counteract vaccine hesitancy and to build community trust in vaccines. It also involves our teams going out and identifying high-risk individuals who might, for any number of cultural, linguistic or social reasons, be ‘invisible’ to authorities.” National Red Cross and Red Crescent Societies are already working with governments to vaccinate at-risk and isolated communities. For example, in Brazil, Red Cross volunteers and staff are vaccinating extremely isolated communities in the Amazon. In the Maldives, the Red Crescent has supported the vaccination of unregistered migrants, while similar efforts are underway in Greece and in the Czech Republic. IFRC’s Rocca said: “Our message today is simple: we need urgent funding so that we can continue and expand vaccination efforts into all communities. Without this funding, a gap will remain between the vaccines that will ultimately end this pandemic, and some of the most vulnerable and isolated people in the world. Such a gap means that the virus will continue to circulate and mutate, and that people will continue to get sick and die.” The IFRC also released a summary of its progress and achievements over the first 12 months of the pandemic. According to this report, the IFRC and its network of National Red Cross and Red Crescent Societies has supported tens of millions of people over the year, adapting and expanding its services to meet the needs created by the unprecedented crisis. For example, in response to the virus, Red Cross and Red Crescent water, sanitation and hygiene services almost tripled – rising from an estimated 38 million people reached in 2019 to more than 106 million people reached since the start of the pandemic. To read the full report on IFRC progress during COVID-19, click here.

Geneva, 9 March 2021 – A new report released today documents an “invisible wall” which has blocked migrants from accessing basic services since the start of the COVID-19 pandemic, and is now preventing them from accessing vaccines. The report – Locked down and left out? Why access to basic services for migrants is critical to our COVID-19 response and recovery – draws on research carried out across all regions by the newly established Red Cross Red Crescent Global Migration Lab, hosted by Australian Red Cross and supported by the International Federation of Red Cross and Red Crescent Societies (IFRC) and the International Committee of the Red Cross (ICRC). Jagan Chapagain, IFRC Secretary General said: “Our research reveals what we are calling an ‘invisible wall’ that has blocked migrants – particularly those undocumented or in an irregular situation – from accessing basic services. Interestingly, this wall isn’t built mainly of policies designed to exclude migrants. Instead, it is made up of inadvertent exclusions, as well as the unintended consequences of efforts to contain and control the pandemic.” The report shows that – while lockdowns and other measures were designed to control the spread of COVID-19 – in many contexts they inadvertently increased suffering among migrants. As a result of these restrictions, many migrants lost jobs and livelihoods and were subsequently unable to meet their most basic needs, leading to worrying levels of food insecurity, homelessness due to inability to pay rent, and worsening mental health conditions. The research also found that, even in situations where migrants had been included in COVID-19 policies, their actual ability to access basic services was often constrained. For example, in some countries, migrants have been unable to access COVID-19 testing or treatment because they do not have a national identity or social security number. This is likely to also affect access to COVID-19 vaccinations, even if eligibility in law exists. In other situations, migrants reported being hesitant to consult a doctor, seek treatment or, more recently, register for the COVID-19 vaccine due to fears of disclosing private information which may be shared with immigration authorities to arrest, detain or deport them. The fact that, in some countries, migrants need to register online to get COVID-19 vaccinations also contributes to exclusion, due to some migrants’ limited internet access or digital literacy and language barriers. Jagan Chapagain, IFRC Secretary General said: “The inclusion of migrants into national COVID-19 policies does not necessarily translate into inclusive and effective access in practice. It is not only a humanitarian imperative to ensure inclusion of all migrants, irrespective of legal status, into national COVID-19 vaccination programmes, but it is also in every country's interests to do so. “COVID-19 doesn't care about a person's migration status, and neither should we. Unless everyone is included, the virus will continue to circulate and mutate, potentially undermining the efficacy of all vaccinations efforts.” Ensuring all migrants are included in COVID-19 vaccination policies and rollout strategies is key to ending the pandemic. For more information: For more information about the research and to download the report in several languages, visit the Global Migration Lab web page.

Budapest/Almaty, 19 February 2021 – A social media chatbot has been launched in an innovative bid to share accurate, trusted information to counter vaccine hesitancy. The chatbot was developed by the Red Crescent of Kazakhstan and the International Federation of Red Cross and Red Crescent Societies (IFRC). It followed research undertaken late last year by the IFRC and the Red Crescent that found high numbers of people saying they would refuse the coronavirus vaccine for themselves or their children. The study also found people’s most trusted sources of information about coronavirus infection were social media and television, with these channels far ahead of more formal sources, including medical personnel. Yerkebek Argymbayev, President of the Red Crescent Society of Kazakhstan, said: "Creating a chatbot is an opportunity to keep up with the times and simplify many processes. With this bot people will be able to learn what they are interested in; from the myths associated with the coronavirus and vaccines, to the opportunity to enroll in first aid courses. “We have also provided food and vouchers to more than 14,000 people since the beginning of the pandemic so the bot will relieve some of the burden on employees and allow them to perform their tasks more effectively,” Dr Argymbayev said. The chatbot is a computer program that interacts with people through social media. When people ask it a simple question or a comment the chatbot automatically provides an answer, directs people to the service they want, or passes on the comment to the best person. This hugely increases the ability of the National Society to provide people with direct access to accurate, reliable information, while freeing up staff and volunteers who would otherwise be responding. Bayarmaa Luntan, Head of the IFRC’s Central Asia office, said the IFRC is supporting the Red Crescent of Kazakhstan in investing in online and social media communication to ensure people can access credible and reliable information about the disease and vaccines. “People are telling us that social media networks and messaging apps - and the platform Telegram in particular - are their main sources of information. “While there was high recognition among people of the need to take preventative measures (90%) the research also pointed to knowledge gaps; for example, only one in three people reported respiratory droplets or contact with an infected person as a way for COVID-19 to be spread.” Further research supported by IFRC is ongoing in Kazakhstan and nearby Tajikistan, listening to people’s fears, doubts, hopes and needs, and using this knowledge to support people through this crisis. IFRC is also supporting Georgia Red Cross Society to develop a chat bot to respond to questions, feedback, misinformation and rumours on COVID-19. Since the start of the COVID-19 outbreak, the Red Crescent of Kazakhstan has provided food and vouchers to vulnerable people across the country including older people living alone, people with disabilities, single parents and large low-income families.

New York, 17 February 2021 –The chief executive of the world’s largest humanitarian network has warned world leaders of the consequences of high levels of mistrust and persistent inequity in the distribution of COVID-19 vaccines. In a briefing to a UN Security Council high-level meeting on COVID-19 vaccines, Jagan Chapagain, the Secretary General of the International Federation of Red Cross and Red Crescent Societies (IFRC), spoke first of the impact of mistrust on virus response efforts. He said: “When communities do not understand health interventions, they will not accept them. Instead, they are likely to see these health measures as threats, which can lead to violence. We saw this many times during(recent)Ebola outbreaks and we have all seen this many, many times during the COVID-19 pandemic. “Put simply: mistrust kills. When science is not only ignored but derided, when the decision to wear masks becomes controversial and when the web is filled with absurd rumours, trust in the tremendous efforts to stop the pandemic is severely undermined. When mistrust prevails, it stops people from getting the help they need, and it prevents us from ending public health emergencies. It can even lead to people incorrectly blaming ‘others’ – foreigners, migrants or other minority groups – for the spread of an illness.” Mr Chapagain went on to share the IFRC’s deep concerns about pervasive inequality and inequity in the distribution of COVID-19 vaccines worldwide. According to IFRC analysis,less than 1 per cent of COVID-19 vaccine doses globallyhave been administered in the 32 countries currently facing severe or very severe humanitarian crises. Mr Chapagain said: “People trust us for our actions. They look at what we do, and they judge us for what we do not do. They see, clearly, the current high levels of vaccine inequity and inequality. “Equity is not something that happens on its own. History tells us this. Just as we need to ensure that all countries can access vaccines, we also need to make sure that those vaccines reach the arms of all the people who need them. “Underserved, alienated, or isolated communities,including those living in areas not under the control ofStates,as well as detainees, IDPs and refugees,must be integrated in national vaccination efforts.Strong involvement ofthe InternationalRed Cross and Red CrescentMovementand other local impartial organizations in vaccination activities can help ensure that these communities are not left behind. Earlier this month, the IFRC announced a 100 million Swiss franc plan to support the equitable distribution of COVID-19 vaccines. If fully funded, the plan will support the immunization of 500 million people against the virus. Under the plan, Red Cross and Red Crescent Societies will support national vaccination efforts, including through activities designed to build trust and awareness of vaccines. Red Cross and Red Crescent volunteers will also seek out communities and individuals that are economically, socially or geographically isolated to ensure their involvement in vaccine efforts. And trained personnel will, in many countries, be responsible for the physical delivery of vaccines to at-risk and vulnerable groups.

Beirut, February 12, 2021 — The World Bank and the International Federation of Red Cross and Red Crescent Societies (IFRC) have signed today an agreement for the independent monitoring of Lebanon’s COVID-19 vaccination campaign. Under this agreement, IFRC acting as the Third Party Monitoring Agency (TPMA), will be in charge of independently monitoring the compliance of the vaccination deployment with national plans, international standards and World Bank requirements in order to ensure safe handling of the vaccines, as well as fair and equitable access to all. According to the agreement, IFRC’s oversight and supervision will cover COVID-19 vaccine supply chain management as well as vaccine administration at vaccination sites from the technical, environmental and social safeguards perspectives. This includes but is not limited to storage, stock and temperature maintenance across the supply chain, service delivery at vaccination sites, eligibility of vaccine recipients and capturing client perspectives and feedback. The agreement will extend through December 2021 and may be prolonged as needed. This agreement will cover the roll-out of vaccines to be procured under World Bank financing made possible through the re-allocation of US$34 million under the existing Lebanon Health Resilience Project to help Lebanon as it faces an unprecedented surge in COVID-19 cases. This re-allocation was the first World Bank-financed operation to fund the procurement of COVID-19 vaccines and will cover over 2 million individuals. In a first phase, this financing will cover the purchase of 1.5 million vaccines (750,000 individuals) from Pfizer, and the first batch is expected to arrive to Lebanon on February 13, 2021. “Lebanon is embarking on an unprecedented large-scale acquisition and deployment of COVID-19 vaccines with its health system already under severe strain from the COVID-19 pandemic, a deep and prolonged macroeconomic crisis and lastly the devastating Port of Beirut explosion,” said Saroj Kumar Jha, World Bank Mashreq Regional Director. “The World Bank’s partnership with IFRC aims to ensure fair, broad, and fast access to COVID-19 vaccines to help save lives and support economic recovery while ensuring strict compliance with the safeguards in place.” In preparing for vaccine deployment, the Government of Lebanon, with the support of the World Bank and other partners, has conducted the COVID-19 vaccine readiness assessment, established a National COVID-19 Vaccine Committee, and prepared a National COVID-19 Deployment and Vaccination Plan (NDVP). The NDVP has all the key elements recommended by the World Health Organization (WHO) and represents a central part of Lebanon’s vaccination readiness. According to the NDVP, Lebanon seeks to vaccinate 80 percent of the total population (citizens and non-citizens residing in the country). Vaccination will prioritize high risk populations through a multi-phase roll-out plan in line with WHO recommendations: high risk health workers, population above 65 years of age, epidemiological and surveillance staff, and population between 55-64 years with co-morbidities. By prioritizing these groups, the country’s vaccination program has the potential to reduce the consequences of the pandemic. Any exception to these priorities will jeopardize the efficiency, transparency and credibility of the vaccination plan. “As a neutral independent international organsiation, we look forward to working with the World Bank on this important project to monitor the vaccine implementation plan and enable the public health authorities to ensure safe handling of the vaccines, as well as fair and equitable access to all,” said Dr. Hossam Elsharkawi, IFRC MENA Regional Director. “Only through strong partnerships, we can overcome the multi-layered crisis in Lebanon.” IFRC will use mixed methods for data collection including the monitoring of mobile data platforms to ensure real time data collection and analysis, in person observations and monitoring using checklists, in person monitoring, reporting and reconciliation of daily stock count. In addition, IFRC teams will monitor social media and analyze the data from the call center set up by the Ministry of Public Health as part of the Grievance Redress Mechanism established under the project. In addition to the TPMA, the WB has established, in consultation with WHO, UNICEF, IOM, UNHCR and UNRWA, an international Joint Monitoring Committee to engage in the monitoring of the vaccination process, identify measures to enhance the quality of the campaign, and ensure joint advocacy throughout the process, based on findings from the TPM and other sources. The World Bank reiterates its commitment to ensure the strict enforcement of the vaccination plan and the continuous and stringent monitoring of its implementation to help Lebanon contain the pandemic as promptly and efficiently as possible. -------- The World Bank, one of the largest sources of funding and knowledge for developing countries, is taking broad, fast action to help developing countries respond to the health, social and economic impacts of COVID-19. This includes US$12 billion to help low- and middle-income countries purchase and distribute COVID-19 vaccines, tests, and treatments, and strengthen vaccination systems. The financing builds on the broader World Bank Group COVID-19 response, which is helping more than 100 countries strengthen health systems, support the poorest households, and create supportive conditions to maintain livelihoods and jobs for those hit hardest. The International Federation of Red Cross and Red Crescent Societies (IFRC) is the world’s largest humanitarian network, comprising 192 National Red Cross and Red Crescent Societies working to save lives and promote dignity around the world.

Addis Ababa/Nairobi/Geneva, 10 February 2021 – The President of the world’s largest humanitarian network has ended a visit to Ethiopia’s Mekele city in Tigray region with a plea for increased humanitarian response to better meet the needs of people affected by recent fighting. Speaking at the end of his five day visit to Ethiopia, Francesco Rocca, President of the International Federation of Red Cross and Red Crescent Societies (IFRC), said: “I am very concerned about the conditions that I saw during my visit, including people internally displaced by the fighting, especially children, their mothers and the elderly. It was clear to me that people in Tigray need much more support than they are currently receiving. “While there have been positive announcements by a small number of aid organizations in recent days in this regard, it is my hope that more aid can begin to arrive consistently. We need to scale up humanitarian operations. We need to do much more to bring help to those who desperately need it.” In particular, President Rocca raised concerns about the impact of the fighting on medical services, noting that hospitals he visited were lacking even basic medical supplies. He also shared serious concerns relayed by local health officials about rising levels of serious malnutrition. An assessment by the Ethiopian Red Cross Society, found that more than 2.6 million people in Tigray and the adjacent regions of Amhara, Afar, Benishangul-Gumuz and SNNPR need humanitarian assistance. According to the Ethiopian Red Cross, primary needs among affected people in Tigray include food and basic relief items, water and sanitation, medical supplies and technical assistance for mobile clinics. Mr Rocca also spoke of the compounding impact that the Tigray crisis has had on other vulnerabilities in Ethiopia, as well as in neighbouring countries. By the end of January 2021, an estimated 200,000 people had been internally displaced in Ethiopia alongside 60,000 people who have fled into Sudan. In addition, there are at least 230 Ethiopian refugees in Djibouti. Mr Rocca further mentioned the heavy humanitarian caseload that was already confronting Ethiopia and surrounding countries, and the subsequent need for coordinated and comprehensive action by aid organizations: “The Horn of Africa is facing chronic multiple crises, including widespread and severe food insecurity, and massive locust swarms that have contributed to further crop losses. “The region is also grappling with the COVID-19 pandemic which, among other impacts, has led to the closure of schools. More than 6.4 million children are now without school meals and this has worsened malnutrition considerably.” In response to the situation in Ethiopia and surrounding countries, the IFRC, the Ethiopian Red Cross, the Sudanese Red Crescent and the Red Crescent Society of Djibouti are jointly appealing for 27 million Swiss francs. This funding will allow Red Cross and Red Crescent volunteers and staff to assist 660,000 people, including the Ethiopians who are internally displaced and those who have fled into Sudan and Djibouti. The operation will focus on supporting families to maintain their livelihoods and meet basic needs, the provision of clean water and improved sanitation facilities, the delivery of health and psychosocial support services, and efforts to strengthen local Red Cross and Red Crescent capacities to prepare for and respond to future emergencies.

The past hurricane season in the Atlantic has been one of the worst for Honduras since Hurricane Mitch, which caused more than 5,000 deaths in 1998. Hurricanes Eta and Iota, category 4 and 5 respectively, made landfall last November and entered through the Department of Paraíso, the area where Carlos Colindres, National Risk Manager of the Honduran Red Cross, usually lives. "When I confirmed that the situation could become very serious, I began to worry about my family. We were already designing contingency plans for the population, when I remembered that I had to talk to my father to warn him. I explained to him there were going to be days of heavy rain and strong winds and it was necessary to be prepared, to have provisions and to keep warm... he answered me that he had already lived similar situations throughout his life, but now he felt calmer because according to him, they were handled in a more efficient way. That's what it's all about, I told him, be prepared for giving the best response, and try to minimize the impact and save lives”. Responding during a pandemic Colindres, manager since 2014, says the COVID-19 pandemic has hindered the response of the institutions to the disaster caused by the two hurricanes, due to mobility problems and limited product procurement, among others. "The Honduran Red Cross has a lot of experience in facing endemic epidemiological situations in the area, such as dengue or zika, and we are prepared to act in adverse meteorological situations such as hurricanes or floods, but not with a pandemic of such magnitude at the same time... a country is never prepared for a situation like this." There were challenges to being able to provide quality care in a timely manner, according to Colindres. Many things failed, such as early warning systems, because there is no adequate technology available in the country to make an accurate projection and forecast. "Despite everything, our response was adequate, we arrived at the right time. The volunteers of the Honduran Red Cross, together with the national security forces under the Humanitarian Response Units UHR, were evacuating people and transferring the population to shelters and other safe places from the beginning. The Red Cross saved the lives of more than 4,900 people through water and air rescues. They also provided psychosocial support, first aid, and house cleaning... but the second hurricane, Iota, made everything worse, leaving 1.2 million people exposed to the disaster," he recalls. Being prepared Being able to respond in the most effective way to a catastrophe like this it takes many years of hard work and training beforehand. It is essential to be prepared at all levels, from institutional to local level. The key is to have adequate training and resources, as well as ongoing volunteer training. "Having a clear national response plan, which is part of strengthening our operational capacity, has helped us to plan our response. In addition, volunteers have been trained to deal with emergencies, including epidemics. Many National Societies, with the support of the IFRC, are implementing an approach we call PER (Preparedness for Effective Response) that allows us to improve our disaster response mechanism. This approach is the result of experience and best practices learned from many years responding to emergencies around the world". The passage of hurricanes Eta and Iota triggered a humanitarian crisis aggravated by the COVID-19 pandemic, which has left more than 100 dead in Honduras, millions displaced, as well as the destruction of homes, bridges, roads, crops and economic losses in the millions, which will take years to recover.

Geneva, 4 February 2021 – The overwhelming majority of COVID-19 vaccine doses administered so far have been delivered in high-income countries, according to analysis by the International Federation of Red Cross and Red Crescent Societies (IFRC). Nearly 70 per cent of vaccine doses administered so far have occurred in the world’s 50 wealthiest countries. In contrast, only 0.1 per cent of vaccine doses have been administered in the 50 poorest countries. The IFRC is warning that this inequality is alarming and could potentially backfire to deadly and devastating effect. Mr Jagan Chapagain, Secretary General of the IFRC, said: “This is alarming because it is unfair, and because it could prolong or even worsen this terrible pandemic. Let me be clear: In the race to end this pandemic, we are all rowing the same boat. We cannot sacrifice those at highest risk in some countries so that those at lowest risk can be vaccinated in others. “The equitable distribution of COVID-19 vaccines between and within countries is more than a moral imperative: It is the only way to solve the most pressing public health emergency of our time. Without equal distribution, even those who are vaccinated will not be safe.” The IFRC is warning that, if large pockets of the globe remain unvaccinated, the COVID-19 virus will continue to circulate and mutate. This may lead to the emergence of variants that do not respond to vaccines, allowing the virus to infect people that may have already been vaccinated. In a bid to support equitable vaccine distribution, the IFRC has announced today a new, 100 million Swiss franc plan that aims to support the immunization of 500 million people against COVID-19. Under the plan, Red Cross and Red Crescent Societies will support national vaccination efforts in a range of areas and across the planning and implementation phases. This will include efforts to build trust in vaccines and to counteract misinformation about their efficacy – an intervention that is increasingly important as vaccine hesitancy rates climb around the world. Red Cross and Red Crescent volunteers will also seek out communities and individuals that are economically, socially or geographically isolated to ensure their involvement in vaccine efforts. And trained personnel will, in many countries be responsible for the physical delivery of vaccines to at-risk and vulnerable groups. Already, 66 National Red Cross and Red Crescent Societies are or will be involved in vaccine campaigns, with dozens more in discussions with their governments. IFRC’s Chapagain said: “Equality does not just happen. The history of the world tells us that. This is clearly also true for vaccine distribution. It needs to be engineered and planned for, right from the start.” “Our plan is about making sure that those vaccines make it out of capitals and into the arms of vulnerable, at-risk and isolated individuals and communities.”

The Lebanese Red Cross (LRC) and the International Federation of Red Cross and Red Crescent Societies (IFRC) appeal for continued global solidarity with the Lebanese people who are suffering from a multi-layered humanitarian crisis. Six months after the Beirut Port Explosion, people have become poorer and sicker, as well as are in urgent need of humanitarian support to cover basic necessities such as food and healthcare. In addition to the economic crisis and civil unrest, Lebanon is witnessing high numbers of COVID-19 infections. Currently, the LRC hotline receives more than 4,000 calls every day, related mostly to coronavirus patients. While the number of people infected by COVID-19 keeps increasing, hospitals are reporting near-full occupancy in beds and intensive care units. In response to this situation, LRC has launched an initiative to provide home oxygen machines to COVID-19 patients who suffer from respiratory difficulties but can’t find a place in a hospital. “We call on donors to support our life-saving services, as we have lost more than 50% of our funding as a result of the economic crisis and the devaluation of the local currency,” says Georges Kettaneh, LRC Secretary General. “LRC already had a major responsibility in providing ambulance and blood services throughout Lebanon, and now we have been called upon to do more and more. Our volunteers and staff are rising to the challenge, but for us to continue doing it, we need support from partners and donors. We need all the support possible – now more than ever,” urges Kettaneh. IFRC is working closely with Lebanese Red Cross who is witnessing a large increase in the demand for its life-saving services. “Every day, the number of Lebanese people who need assistance is increasing. The needs are immense, and many are unmet,” says Cristhian Cortez Cardoza, Head of IFRC Lebanon Country Office. “The solidarity with Lebanon has been most appreciated, but more support is still needed,” Cardoza concludes. Since the explosion, Lebanese Red Cross has provided food parcels, hygiene kits, primary healthcare services, blood units and ambulance services to more than 250,000 people. In addition, Lebanese Red Cross committed 20.5 million USD to support 9,800 most vulnerable affected families by providing them monthly 300 USD financial assistance for 7 months to manage their basic needs. By the 20th January 2021, the affected families had received the third round of direct financial assistance. The explosion at Beirut port rippled through several areas of the capital, damaging homes of more than 300,000 people, killing more than 200 and wounding thousands. Donations to Lebanese Red Cross can be made here.

For the field team of the Guyana Red Cross, responding to COVID-19 has meant time away from families, thousands of miles by car, plane and boat, and arranging logistics for tons of cleaning and hygiene supplies destined for people living in remote corners of the country. “We have a lot of small communities that do not necessarily have internet, they are usually reached by radio or by people travelling into the community themselves to share information,” said Andrea Phillips, Guyana Red Cross COVID-19 project manager and the team lead. So that is what the Guyana Red Cross does. They work with indigenous communities, in migrant settlements, and at the markets in transportation hubs, sharing information about COVID-19 and how to stay safe and healthy. Helping people stay safe For some people their interaction with the four women that make up the team will be their only opportunity to ask questions about the disease that they have been hearing about from others. “We have found that communities are very receptive to people who take the time to come into the community, share the information … give time for them to ask questions to ensure they are clearly able to understand,” Phillips said. In St. Aslems, in Region 1, Joan Webber asked about how she would know if she or her family had come in contact with the virus. The team had come to her community by power boat and Webber sat in her small dugout canoe as she learned about symptoms. She then received a bag with hand sanitizer, soap, laundry detergent, bleach, and other supplies she could use to protect herself and her family. “People are pretty thankful for the activity and the fact that Red Cross is coming to the [river-based] communities to assist them,” said Samesta Martin-Forde, a Guyana Red Cross field officer. “It has gone far, especially in these communities where, you have a lockdown, so they cannot access [sanitation supplies], or you have poor communities where they may not be able to supply themselves,” Phillips said. Leaving no one behind Getting to St. Aslems was no easy task. Alana Prescod, who handles logistics, oversaw moving everything from toothpaste to toilet paper from Guyana’s capital Georgetown, to Mabaruma about 250 kilometers away. But there are no roads, the tons of equipment had to be flown on two separate charter flights, before being trucked to the motel room where the team slept and that served as a temporary warehouse. In the small, hot, and humid room the team worked with their masks on to pack the bags that would be given away. “I am very happy with the team that we have. It’s a small team, but a hard-working team. Each person has a role on the team and we have been able to complement each other in a way that we’ve been able to deliver the service that’s required by working together,” said Phillips. The bags were trucked to the docks to be loaded on to the boat that would take the team upriver. Over a two-day period, the team reached 80 families, moving up and down along a river. A community leader and a boat captain guided them in and out of the tight mangroves to people’s homes. The mornings were hot and sunny, but on the trip back to town the first day, it began to pour rain. The drops were hitting like needles as the speedboat raced to get them back and off the water. When they completed the work, the immediately starting meeting with other leaders in the area, to see what was needed next and by who. “I love helping persons, it always puts a smile on my face when you can give something to someone and they appreciate it, whether it is something big or something small and it makes me feel happy and I would say that’s why I am doing what I am today,” Prescod said.

By Radostina Karageorgieva, IFRC The IFRC is providing support to the Armenian Red Cross Society and Azerbaijan Red Crescent Society, in coordination with International Red Cross and Red Crescent Movement partners, to assist those affected by the Nagorno-Karabakh conflict. In many regions in Azerbaijan, houses, shops, and public buildings show the devastating impact of a 30-year-old war. After the escalation of the Nagorno-Karabakh conflict on 27 September, cities, towns and other populated areas in the country were shelled, leaving behind destruction and loss. What was once a quiet residential area is now scattered pieces of debris that families are rummaging through to recover some of their old possessions. Residents of the houses share their stories of being awoken in the middle of the night by explosions and rushing to save their loved ones. "My granddaughter screamed at the sound of the explosion", one resident recalls as he points to the place where his bedroom once stood. "All I could do was grab her and get out as soon as I could. I passed her through the window to my wife." The escalation of the Nagorno-Karabakh conflict in September has resulted in many injuries and deaths of civilians including women, children and elderly people. According to public authorities, during that time, a total of 93 Azerbaijani citizens were killed, 407 injured, and more than 40,000 households had their homes and livelihoods affected. Many of them had to leave their houses and stayed at temporary shelters such as schools, civic halls, kindergarten buildings, unheated basements or the homes of relatives or friends. Fighting also had an impact on peoples’ income and ability to earn. Farmers had difficulty reaching their fields. What’s more, this escalation had taken a heavy toll on the mental health of the population, who have already lived with the impact of this conflict for almost 30 years. Then the arrival of the COVID-19 pandemic only brought additional physical and mental health impacts. With people left without shelter and basic necessities as the winter conditions worsen, the Azerbaijan Red Crescent Society has been working with Movement partners to provide humanitarian assistance to people in need. Together, they deployed relief items to assist vulnerable households affected by the conflict. Since October, over 125,000 people in the country have received aid items, including winter clothing, bedding, kitchen sets, hygiene items, and personal protection equipment. With an agreement to end the conflict signed on 10 November 2020, many are hoping that they can start healing and rebuilding what they have lost as a result of the conflict. "We've all been through so much stress. Thank God that the war is over. Now we are getting treatment."

By Robert Kaufman, Head of Philippines Country Office, International Federation of Red Cross and Red Crescent Societies. Imagine getting hit by six typhoons during a deadly pandemic. For millions of people in the Philippines, this is their reality as 2020 comes crashing to a close. Predictions of the increasing severity and frequency of emergencies have come true. It’s heart-breaking, exhausting, and scary. But most of all it’s frustrating as much of this human and economic toll can be prevented. We have known about the brutal effects of climate change for a long time, yet we haven’t been doing enough to fix it. Debates about the effects of climate change or whether partners should support more preparedness are failing people. If your roof blows off three times in one month and this extreme weather happens with relentless certainty, there’s nothing to debate. It is time to prepare more for what’s coming. We know that the Philippines is one of the most disaster-prone countries in the world, topping the charts with the most disasters of all countries the past two years. It’s number two for the past decade just behind China. We know the number of climate-related disasters has risen almost 35% since the 1990s. The stuff of Hollywood movies has become a reality for tens of millions of people around the world, as they face bigger, more violent storms and more disease outbreaks. For decades we anticipated another pandemic. Hollywood blockbusters told horror stories of contagious diseases. Since 2008, we’ve seen fantasy become reality with several pandemics, the H1N1 flu virus, SARS and now COVID-19. Yet somehow, the world has been taken by surprise. Let’s make no mistake, we have made inroads. Governments, humanitarian agencies and countless communities deserve credit for helping to save lives. Just seven years ago, the most destructive typhoon to hit the Philippines on record, Haiyan, killed close to 7,000 people. When Typhoon Goni hit in 2020, a storm as strong as Haiyan, less than 70 lives were lost. Still, I’m frustrated. Early on in management, I learned that when you spend significant time and money on something, it is a priority. Most of the time and money in the aid sector is still spent on response, as if we don’t know what’s coming; neither the humanitarian community, the policymakers, nor the big donors. Why are we not using our extraordinary capacity to anticipate crises to prioritize our time and money? What price do we need to place on the lives of people who have died or had their livelihoods ripped apart by disease and disaster before we change our priorities? Today, we largely know the types of risks we are going to face, where they are going to hit and even in many cases, when. Many of the answers are clear as day.Typhoons strike the Philippines every November and December. Floods always follow drought in East Africa. We know the risks and we know what to do about it. The latest study on the value of preparedness confirms what we already knew. Every dollar invested in reducing risks from climate-related disasters saves us $6 when we are fixing up the mess, according to the United States Institute of Building Sciences and the United Nations. Super Typhoon Goni packed the most powerful winds of any storm in the world last year. Together with typhoon Vamco and other major storms, they came at a huge cost, seriously affecting the lives of more than 8.1 million people. More than 425,000 homes have been damaged or destroyed. Among the millions whose livelihoods were disrupted, at least 200,000 farmers and fishermen lost their only source of income. The cost of agricultural damages totalled more than ₱12.3 billion (US260m) according to the Philippines Department of Agriculture. Together, the storms were considered the secondmost expensive typhoons on record, costing more than $US 1 billion. Money normally reserved for responding after disasters strike needs to be made available earlier and for longer-term solutions. We need to stop soil erosion, plant trees and improve drainage. We need to avoid crop wastage with better grain storage and irrigation. We need to build safer houses with stronger and more permanent foundations. We need to protect land rights and strengthen economic development and social protection programs so that people are not dependent on aid when disaster strikes. There needs to be a public accounting of how well resource allocation aligns with scientific prediction and the lessons we have learned. We must put our money where our mouth is. Failing is a dereliction of our responsibility to those most at risk and to ourselves. This past year, millions have faced often insurmountable hardships and heartache. We have a duty to protect the hope and dignity of those we pledge to support by ensuring everyone has a fair chance of a decent life. There just can’t be any more excuses.

International Day for the Elimination of Violence against Women reminds us that for tens of millions of women and children around the world, ‘home’ is a place of fear and violence. Evidence suggests COVID-19 is making things worse. We cannot wait for the full picture. We must plan, invest and act now to increase services that support survivors. In ‘ordinary’ times, 40 per cent of women in South-East Asia over one third (37%) of women in South Asia and more than two thirds of women in the Pacific experience violence at some time in their lives, at the hands of people who claim to love them. Eleven months into this COVID-19 pandemic, early reports in Asia and the Pacific reveal rates are skyrocketing. Police reports in China indicate a 30 per cent increase in reported cases of violence during lockdown. Family violence hotlines are reporting surging numbers of calls, including increases of 137 per cent in Singapore, 150 per cent in Samoa, and 30 per cent in Melbourne. It’s even more horrifying that these statistics are the tip of the iceberg. The majority of violence against women goes unreported and COVID-19 restrictions are forcing many women and children already in abusive situations into closer quarters with their abusers. Many support services are overwhelmed, not operating or harder to access. Making matters worse, communities across Asia have been battered by a devastating string of disasters. Millions have been forced to live in temporary shelters with limited access to basic services, adding to the risk of violence. There are more than 7.6 million Red Cross and Red Crescent volunteers in Asia and the Pacific and our teams are reporting increases in family violence, sexual abuse and violations of child rights. It is critical that we collect more accurate data and rapidly adapt our approaches. We must provide accessible information and effectively support anyone needing help. Trained community volunteers have unparalleled links with communities. They play a crucial role in understanding, monitoring and preventing increased risks of violence against women by identifying people who are most vulnerable, potential violations, and taking appropriate action to help people. It’s our combined responsibility to prevent gender-based violence and respond effectively when it occurs. These efforts must be integrated at all levels by governments and humanitarian agencies into pandemic response plans and activities. We cannot let COVID-19 undermine our hard-won progress. Too many lives are at stake.

The moment the first coronavirus case was reported in Europe – on 24 January 2020, in Bordeaux, France– no one could have possibly imagined the monumental scale of the year of loss and struggle ahead. Nor could they have foreseen how Red Cross and Red Crescent National Societies stepped up their activities across Europe and Central Asia, enabling them to be at the heart of the response. Staff and volunteers from the movement have been running first aid tents, delivering critical supplies to the elderly, caring for the sick and dying, at the end of the phone for people unable to leave home. They’ve provided food, shelter, a kind word and a friendly face, supported those who fall through the cracks – the migrants, people on the move, people who are homeless. They’ve provided trusted information. The numbers are staggering. More than 12.5 million people across the region have received food and other material aid from Red Cross Red Crescent[1]. More than 2.8 million people have received direct cash or voucher assistance and 1.3 million more received psychosocial support to help them through the tough times. Red Cross Red Crescent ambulances carried more than 325,000 COVID-19 patients to hospitals. Accurate information was shared to help inform people about the virus and how to stay safe, and an estimated 60 million people in the region have been reached with this messaging. The breathtaking spread of the virus With Italy the centre of the first wave, and the first country to go into lockdown, it remained the hardest hit country in Europe for months. Italian Red Cross was the first National Society in Europe to deliver food and medicine to people in quarantine, and ramped up their ambulance service to cope with the escalating number of people infected. By March Europe was the epicentre of the COVID-19 pandemic, so much so that on 18 March more than 250 million people were in lockdown in Europe. And now, nearly 12 months after the first case, sadly by 19 January 2021, 30.8 million cases were confirmed and 674,00 people in the region had died. [2] The Red Cross Red Crescent response needed to be swift. On 30 January the World Health Organisation (WHO) declared the COVID-19 outbreak a public health emergency of international concern and the following day the International Federation of Red Cross Red Crescent Societies (IFRC) allocated funds for a Disaster Relief Emergency Fund (DREF) and a preliminary Emergency Appeal. With its long experience in health emergencies it anticipated COVID-19 could develop into a pandemic with a devastating humanitarian impact and sadly it has shaped up to be one of the world’s most challenging crises, affecting every corner of the region with everyone vulnerable to contracting this virus. In line with Red Cross Red Crescent’s unique role as auxiliary to government, and as a community-based and widely-trusted organization, in Europe region the Red Cross movement came up with innovative responses. The Austrian Red Cross developed a contact tracing app. British Red Cross surveyed people on their loneliness and pivoted to provide extra support for those newly alone. The Czech Red Cross trained volunteers to work in hospitals that had become overwhelmed. The Turkish Red Crescent researched people’s knowledge and attitudes towards the virus and pivoted to fill the gaps they discovered. Swedish volunteers helped children with their homework. The Red Crosses of the countries of Italy, Slovenia and Croatia worked together to get supplies across their borders to people in an isolated part of Croatia. Extra support was given to people with HIV in Eastern Europe and Central Asia whose treatment was disrupted by the pandemic. With the rapid surge in prevention activity, while case numbers grew at an alarming rate, by the end of Spring the situation had improved somewhat. By summer as numbers plateaued government restrictions relaxed. The movement urged people to stay the course and maintain prevention measures in the face of pandemic fatigue and a sense the worst was behind us. Second wave Sadly conditions deteriorated, leading to a second wave. From late July case and death numbers steadily worsened again. By October, the Europe region accounted for the greatest proportion of reported new cases globally, with over 1.3 million new cases in the last week of October, a 33% leap in cases in a week. The national societies doubled down. Many had by now switched to remote and on-line support, however 23 National Societies continued to deliver COVID-safe clinical and paramedical services, including those in Germany, Italy, Israel, Spain and the UK. As well they ran quarantine and testing stations, triage facilities and outpatient fever clinics to support the public emergency medical service, and provided mobile care services. Some National Societies also supported experimental treatments by collecting plasma from patients who recovered from COVID-19 and had antibodies, and in turn provided this plasma to hospitals to treat very sick patients. Countless training and guidance sessions for staff and volunteers on COVID-19 were helped across the region, on the proper use of personal protective equipment and ambulances cleaning and disinfection. Vaccines – a potential game changer By the start of December, the future started to look brighter. Countries started to plan for the possible arrival of vaccines, but this was taking place against a background of a relentless resurgence in the number of people infected with COVID-19. In the WHO Europe region, there had been more than 4 million new cases in November alone, with the region accounting for 40 % of new global cases and 50% of new global deaths. [3] The vaccine results have come to be seen a large part of the solutions to containing the virus, but it has brought with it the challenge of countering misinformation and building trust in vaccines, as well as managing expectations that they will bring about a quick end to the pandemic. IFRC has supported local efforts to educate communities about their safety and efficacy. Those hardest hit In January more evidence came to light of the disproportionate impact the coronavirus was having on older people when the IFRC’s Europe office published the results of a survey[4] which found older people had become sicker, poorer and more alone as a result of the pandemic. It added to a growing body of evidence that coronavirus had harmed the poor and most vulnerable the most, pushing millions more into poverty. [5] Sadly, migrants were also identified in new IFRC research as those least protected and most affected by the pandemic. [6] And now, as we enter the start of the second year of the pandemic under ongoing harsh lockdowns, many countries are starting to see cases stabilise and even reduce. This emergency has had significant challenges, including global flows of misinformation and disinformation, response fatigue and system-wide impacts of multiple waves of cases. The Red Cross Red Crescent movement is well-placed to do its part in the regional response given its extensive history with disease outbreak. And planners in the movement acknowledge that vaccines will not be the silver bullet to end this pandemic alone. Red Cross will continue to work with communities to ensure they are informed about the virus, how it spreads and what to do to keep safe. It’s continuing to advocate for tracing and isolation of people who are ill as a central part of the response. To keep in the fight against COVID-19, the entire population must stick to the preventative measures which have been proven to help stop the spread of the virus – even as a vaccine becomes more widely available. [1] https://go.ifrc.org/emergencies/3972#actions [2] https://covid19.who.int/ [3] https://www.euro.who.int/en/about-us/regional-director/news/news/2020/12/whoeuropes-year-in-review-2020 [4] https://www.ifrc.org/press-release/new-study-finds-coronavirus-has-left-older-people-poorer-sicker-and-more-alone [5] https://blogs.worldbank.org/voices/2020-year-review-impact-covid-19-12-charts [6] https://www.ifrc.org/press-release/migrants-and-refugees-least-protected-most-affected-covid-crisis-warns-ifrc-president

Budapest/Geneva, 13 January 2021 – The COVID-19 pandemic is having catastrophic health, social and financial impacts on older people in Europe’s South Caucasus region, according to a new study led by the International Federation of Red Cross and Red Crescent Societies (IFRC). The study, which was carried out in Armenia, Azerbaijan and Georgia, shows that the consequences of COVID-19 are being borne disproportionately by poor and older people who have become poorer, sicker and more isolated. The research involved 2,200 older people, as well as health care workers and Red Cross and Red Crescent volunteer aged-care workers. Olga Dzhumaeva , the head of the IFRC’s Country Cluster delegation for the South Caucuses, said older people make up a growing proportion of society in all three countries, and were already facing diverse and complex challenges before the onset of COVID-19. “In all three countries, access to appropriate care among older people was found to be deficient. Key findings from the report include: The ability of older people to cover basic expenses has dropped significantly since the beginning of the COVID-19 outbreak due to decreased family support. The report sets out short and long-term recommendations for those involved in older people’s health and social care to ensure better coverage, targeting and quality of services so the risks to older people are reduced in the current pandemic and future crises. These include improved coordination, guidance and support to public bodies and service providers engaged in older people’s health and social care to ensure better coverage, targeting and quality of services. The report can be found on the IFRC website. It was carried out in collaboration with the Armenian Red Cross Society, the Red Crescent Society of Azerbaijan, the Georgia Red Cross Society, the Austrian Red Cross, the Swiss Red Cross, and the UN Population Fund. Worsening of older people’s health was registered as a secondary effect of COVID-19, along with negative impacts on mental health and spiritual wellbeing, physical activity and nutrition and diet, mostly due to pre-existing emotional instability, lower self-esteem and limited mobility. Access to health care services has become significantly more difficult for those not receiving home-based care, due both to the lock-down and the shift in focus of health care facilities to the control of COVID-19 cases. Social contact with neighbours, family and the broader community has decreased. This, combined with limited mobility brought on by COVID restrictions and, hence, even greater dependence on support from neighbours, relatives and community, has adversely affected older people’s emotional states, especially in urban areas. COVID-19 restrictions have limited older people’s access to most public services and infrastructure, posing a challenge on top of the digital divide between the young and older generations. Ageism along with physical and financial abuse was reported in all three countries, particularly in urban areas, and that discussion of these forms of abuse was taboo. Caregivers were under increased pressure despite changes in their own personal and family situations but they continued to provide care regardless.

Geneva, 11 January 2021 – With COVID-19 vaccines rolling out across many countries, the world’s largest humanitarian network is once again warning that vaccines alone will not end the pandemic. People need to remain vigilant and continue to adhere to basic preventative measures that include physical distancing, wearing masks and handwashing.Francesco Rocca, President of the International Federation of Red Cross and Red Crescent Societies (IFRC), said:“The humbling reality is this pandemic is only gaining momentum, a stark reminder that vaccines alone will not end this fight. We all need to make sure that, in our optimism about vaccines, we do not forget the dangers of this virus or the actions we all need to take to protect ourselves and each other. “COVID-19 is still killing thousands of people every single day. We each have a responsibility to stay vigilant and to practice the preventative measures that will curb the spread. “All people, even those who have received a COVID-19 vaccine, must continue to physically distance, stay home as much as possible, wear a mask to protect themselves and their communities and thoroughly wash their hands. Patience is key, and commitment is essential. The ability to keep each other safe and healthy is literally in our hands.”A second variant, 501Y.V2, which was recently discovered in South Africa, has been detected in at least six additional countries, and comes at a time when the African continent is in the grips of its worst-ever COVID-19 period. Over the past four weeks, Africa has experienced a continuous increase in new cases and deaths.The IFRC is also bracing for a further surge in cases following the holiday period, which saw millions of people around the world travel and gather with relatives and friends. A proven, consistent driver of the pandemic has been the gathering of people indoors from different households without face coverings or masks. The IFRC warns that countries should be prepared to see a possible increase in infections soon.Emanuele Capobianco, IFRC’s Director of Health, said:“We are very concerned about this convergence of a potential false sense of security due to the rollout of vaccines, the emergence of new variants, and the impact of holiday-season travel. Our first line of defence against the virus remains our individual behaviour. Beyond this, the ability of Governments to take swift actions based on scientific evidence is also key to slowing down the pandemic.“Vaccines will help, but unless we all remain vigilant, and unless their deployment is accelerated across the world in a fair and equitable manner, the entire world remains at risk.”

After a brutal year dominated by the coronavirus, 2021 at last promises hope. When mass vaccination campaigns roll out, it will mark a critical turning point in the pandemic. However, vulnerable communities – especially migrants and refugees – run the risk of being left behind again. COVID-19 has exposed and magnified inequalities, destabilized communities, and reversed major development progress made over the past decade. For the 80 million people who remain forcibly displaced in 2020, the pandemic has exacerbated existing challenges and pushed them into more devastating, vulnerable and exploitative situations. About 66% of migrants and refugees have lost access to work due to COVID-19, with many losing the sole income they rely on. Many have experienced ballooning debts, which forces many to cut spending on essentials, including health, education or food to survive. People on the move too often fall through the cracks when it comes to accessing essential health services and we worry the same could happen for the vaccine. People in particularly fragile settings, like displacement camps, have access to fewer basic health care services. Many barriers exist, including direct exclusion, laws restricting access based on migration status, language barriers and lack of culturally-accessible and appropriate information about the vaccine. The health and socio-economic impacts of COVID-19 will have a lasting effect on millions of refugee and migrant families for years to come. We must address the many barriers to universal health coverage and ensure that migrants are fully included in national vaccination campaigns. The International Red Cross and Red Crescent Movement has been at the center of the pandemic, stepping up our support to migrants, refugees and asylum seekers, providing access to critical information, health services, psychosocial support as well as helping to mitigate COVID-19’s socio-economic impacts and strengthen the resilience of vulnerable groups. In Greece and Spain where there have been large number of people arriving, Red Cross has for several years been supporting individuals and families by providing food, water and other practical support so they’re treated with dignity and respect along their journeys. Through the Emergency Social Safety Net (ESSN), funded by the European Union and implemented by the Turkish Red Crescent and IFRC, 1.8 million refugees receive cash assistance every month to help cover their essential needs such as rent, transport, bills, food and medicine. Additional financial support was provided from June to July to help people cope through particularly tough months. All migrants, irrespective of status, should be protected from harm and have access to health care and the vaccine without fear of arrest, detention or deportation. This includes ensuring COVID-19 testing, tracing, treatment and the vaccine are available and accessible to everyone. The inequitable distribution of vaccines globally not only threatens to leave the most marginalised behind but also risks undermining our shared health if the virus is left to continue among unprotected communities. The vaccination roll-out must work in parallel with access to critical public health preventative measures. We ask governments, the private sector, international organisations and civil society to unite towards “a people’s vaccine.” A people’s vaccine should equally protect the affluent and the poor, those in cities and in rural communities, older people in care homes and those living in refugee camps. A global social contract for a people’s vaccine against COVID-19 is a moral imperative that brings us all together in our shared humanity. We must take concrete action to prevent the exclusion of groups at significantly higher risk of severe disease or death, such as refugees, migrants, internally displaced persons, asylum seekers or those affected by humanitarian emergencies. Migrants and refugees must not be left behind while the rest of the world recovers: none of us are safe until all of us are safe. *This opinion piece was originally published on Thomson Reuters Foundationon December 24, 2020. This article covers humanitarian aid activities implemented with the financial assistance of the European Union. The views expressed herein should not be taken, in any way, to reflect the official opinion of the European Union, and the European Commission is not responsible for any use that may be made of the information it contains.

In the Americas, Red Cross volunteers have proven to be the cornerstone for responding to communities in the region: carrying out inter-hospital transfers to COVID-19 patients in Mexico, working to rescue people affected by hurricanes Eta and Iota in Honduras, Guatemala, and Nicaragua, and more. The International Federation has witnessed unprecedented humanity and goodness throughout 2020: Hundreds of thousands of volunteers have signed up to volunteer in their national societies, proving that even in these darkest times, there are incredible stories of hope. Volunteering in times of COVID-19 In Mexico, more than 6,641 volunteers have worked in the response to the emergency created by COVID-19 in inter-hospital transfers, patient care, health education campaigns, and more in the 32 states of the country. In the relief area, many of the paramedic volunteers have decided to isolate themselves from their families, to continue helping in the emergency response, and avoid infecting their loved ones. "I've been living in a rental house for three months with other colleagues," says Diego Arcos, head of the motorized section of the Mexican Red Cross. "I think the most complicated thing for us in caring for COVID patients is that you don't see what you're fighting against, and you don't see the end of it." “I understand the desperation of being at home, the desperation of being locked up, but what we want is to go home, and we are only going to achieve it if people take care of themselves and follow safety protocols: wearing masks, washing hands, using antibacterial gel. If we all follow the instructions that are being put forth by the health sector, not just in Mexico, but also worldwide, we are sure that sooner we will be able to go outside or go home for us working in the response.” Volunteers like Diego, during this pandemic, have made a selfless, supportive, and humanitarian effort to combat COVID-19: their work has been fundamental in education and prevention tasks, as well as in treating patients suspicious or positive. Volunteering in Emergencies: Responses to Hurricanes Eta and Iota Climate-related disasters have not stopped in times of COVID-19: 28 of the 35 countries in the Americas are classified as medium, high, or very high risk in terms of exposure to climate-related disasters according to the latest World Report from Disasters, and hurricanes Eta and Iota that hit Central America and Colombia in November, are an example of the risk in the region. Volunteers from the Americas have been an example of solidarity action in the response to the emergency caused by hurricanes Eta and Iota. During the month of November, the tropical phenomena ETA and IOTA made landfall in Nicaragua, and then caused floods, landslides, damage to infrastructure, homes and crops in Central America and Colombia, with great damage especially in Nicaragua, Honduras and Guatemala. In Nicaragua, more than 180 people have been volunteers in Operation Eta and Iota, supporting more than 33,000 people in the North Caribbean areas of the country: Prinzapolka, Bilwi, Waspan, Rivas. As part of the response to the hurricanes, the volunteers carried out tasks for the preparation prior to the impacts of Eta and Iota and humanitarian actions after the passage of both storms, such as: psychosocial support, water and sanitation, and hygiene promotion. In this way, the volunteers of the Nicaraguan Red Cross continue to demonstrate the true commitment of humanity in the movement. “To help others, it is important to stay united, have a positive mind, be persistent and empathetic. We do everything with love and always committed to health for everyone,” explains one of the psychosocial support volunteers from the Nicaraguan Red Cross. Volunteers in the Americas, and around the world, have witnessed unprecedented humanity and goodness: they are the engine of humanity, perseverance, and solidarity of the Red Cross movement in every corner of the continent. -- For more information, visit the Volunteering Development Platform (VODPLA), where an interactiveVolunteering mapof activities and projects displays the humanitarian initiatives, activities and projects carried out by volunteers in the region.