Tunisia is home to an ever-growing migrant population. And yet many migrants remain in an irregular situation. In the absence of a complete legal framework for refugees and asylum seekers, access to health services for this heterogeneous community is not only inadequate, but in some cases even non-existent. For certain migrants, their inability to seek proper treatment is a disadvantage with potentially fatal consequences.
La Tunisie est devenue une terre d’accueil pour des migrants de plus en plus nombreux. Cependant, beaucoup parmi eux sont en situation irrégulière. En l’absence d’un cadre législatif complet, ils rencontrent des difficultés pour se soigner. Certains peuvent même y laisser la vie tant l’accès à la santé demeure lacunaire ou parfois même inexistant.
On Saturday, October 30, around 30 people in downtown Tunis protested the President’s new decree mandating vaccination passes for all public spaces. It’s one of several small protests that have occurred around the issue in both Tunis and other cities.
Late last June, when it was the region hardest hit by Covid-19, Meshkal/Nawaat went to Kairouan. The tragic situation there foreshadowed what the rest of the nation has since been living through: a sharp spike in cases made much worse by a lack of basic State services, personnel, and supplies. Without enough doctors, ambulances, vaccines or vaccination teams, protective gear or nurses, many in Kairouan faced their spike by relying on family for care, exacerbating the spread of the virus. Meanwhile, medical personnel themselves were unable to get vaccines and many worked without receiving salaries promised in their contracts.
As Tunisians celebrated Eid on Tuesday, crowds of people took to the newly opened, walk-in vaccination centers across the country. The centers—offering vaccinations to anyone over 18-years-old for the first time—had been announced only one day earlier for a limited two-day period. But with the limited time frame, limited vaccine supplies, unclear directives from officials, and short notice given to volunteer organizers, many centers were overwhelmed with some witnessing disruptions, overcrowding, clashes, or the total freezing of operations.
As a new wave of Covid-19 infections hits Tunisia, health workers say that the vaccine roll out is beginning to overcome some initial hesitancy and skepticism. Some of this skepticism has been of the vaccine itself -even among health workers- but also of governing institutions and their communication.
Hundreds of healthcare staff and workers, including doctors, nurses, medical students and other staff held a protest march on Tuesday, December 8, which they dubbed a ‘day of rage’ for the Tunisian public health sector. The focus of protesters demands was on public investment in healthcare facilities, equipment and infrastructure following the death of 27-year-old surgical resident, Badr Eddine Aloui. Aloui fell to his death on December 3 from the fifth floor in the Jendouba Regional Hospital due to an elevator dysfunction.
The government began raising donations from Tunisians to help fight Covid-19 in March, but now many are concerned about how that money—just over 200 million Tunisian Dinars (TND)—has been spent. Several high level officials have issued statements that appear to contradict each other regarding how the money has been spent or whether it has been spent at all. Activists and civil society groups claim that officials are providing little transparency on this issue, and some have alleged that Covid-19 funds have been misappropriated and stolen.
Suddenly my hands were red. Thick, glass shards—which moments earlier had been a smooth bowl—lay scattered across the tabletop. Small pools of blood followed me like shadows on the kitchen floor before my wife reached me with a towel and instructions to apply pressure. As she gathered car keys, my spinning head brought me to the floor. Seated there, queasy and cold, two strangers—architects my wife had been meeting—helped me wearshoes. They closed the door behind us as we sped to the hospital.
Much like the governments of other countries, the Tunisian government was hesitant in taking drastic measures to stop the spread of the disease. To its credit, it acted faster than some other countries, though some actions such as closing air and maritime routes with Italy should have been taken much sooner. My observations below are based on collecting public data applied to the specific context in Tunisia, and using some of my training as a data scientist and predictive modeler. Below I’ve provided graphics, data, and alternative models in response to some pressing questions.
Since it first surfaced in China in December 2019, the Coronavirus has quickly spread across the globe. Over 90 thousand cases have been reported, resulting in three thousand deaths. In Tunisia, the first case of contamination was identified on March 2nd, a Tunisian national who had arrived by boat from Genoa on February 27. In Italy, the first death caused by the virus was announced on February 22. Since then, 2,502 deaths have been reported. In Algeria, the first case of the virus was announced on February 25, with eight more cases reported since. What is Tunisia doing to prevent the spread of Coronavirus?
Eight kilometers south of Tunis is Borj Chakir, a town that has become infamous for a landfill that has had damaging effects on the surrounding environment and quality of life of locals. Over the years, a population of 50,000 -including the residents of El Attar/Borj Chakir, Jayara, and Sidi Hassine- has suffered from compromised health and sanitation as a consequence of the waste collection site that has contaminated air, water, and soil. Report on the landfill and stakeholders, the region and inhabitants of Borj Chakir.
