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US and Kenyan diplomatic and intelligence officials tell Declassified UK why the CIA set up a covert paramilitary counter-terror team, how it flies recruits to the US for special training, and why Britain helps gather intelligence on targets. A CIA-backed paramilitary police unit uncovered by Declassified UK – known as the Rapid Response Team (RRT) – is at the heart of US efforts to combat terrorism in Kenya.

The revelations come as deaths of US military personnel in an attack by the al-Shabaab terrorist group earlier this year on a base in northeast Kenya, are refocusing attention on America’s expanded military and intelligence footprint in Africa. The story behind the RRT’s development, from a nascent force initially designed to undertake renditions of high-value or high-risk terror suspects, to the go-to tactical counter-terror team in Kenya behind a number of controversial killings, has been recounted to Declassified by US and Kenyan diplomatic, intelligence and paramilitary personnel.

The RRT team’s establishment dates back to 2004, long before Kenya had become embroiled in Somalia’s civil war and al-Shabaab had begun attacks inside Kenya. Henry Crumpton, who served as deputy chief of operations at the CIA counterterrorism center and retired as State Department counterterrorism coordinator in 2007, said the “imperative” to take a more aggressive stance against Islamist extremists in East Africa emerged in the late 1990s. “We [the CIA] didn’t really get a wake-up call until August 1998,” Crumpton told Declassified, referring to the twin bombings that month at the US embassies in Kenya and Tanzania that killed over 200 people, including 12 US citizens.

“I think it’s important to note what happened in August of ‘98 because Kenya has been on the frontline. If you go back further; if you look at the attacks against US forces in Somalia [in 1993] and before that even, I think that US policymakers and leaders and certainly citizens don’t remember or know or appreciate the role Kenya has played going back to the nineties,” Crumpton said. Michael Ranneberger, the US ambassador to Kenya during 2006-2011, agreed the country was and remains a pivotal player in the fight against al Qaeda-aligned militants.

“Kenya is a strategically very important country for the United States. Not just in terms of the fight against terrorism, but its location on the East African coast – with the largest [US] embassy in Africa and one of the largest in the world – and that’s because we do a lot of our regional activity from that embassy,” he said.

After the 1998 bombings, the director of the CIA’s new counterterrorism centre, Cofer Black, began taking “a much more aggressive view” of the agency’s approach to its relationships with African law enforcement agencies, Crumpton said. “If you look at how the CIA approaches liaison relationships, in the late ‘90s it really accelerated beyond just gathering information, and rapidly evolved into integrated operations,” said Crumpton, who led CIA operations in Afghanistan in 2001-2002.

By 1998, Crumpton had been seconded by the CIA to deputy chief of the FBI’s international terrorism operations section. Facing a terror case in the US involving a Somali suspect, he recalled reaching out to his Kenyan partners for help. “They sent us a Kenyan policeman – ethnic Somali – who was integrated into the FBI investigation, which was of enormous help.

And that was just a small step in what would become a rapidly intimate relationship among intelligence and law enforcement officials, where it’s not just sharing information, it’s really integrated operations,” Crumpton explained. “There are hundreds if not thousands of examples of this type of deep cooperation.” One key US figure tasked with developing the diplomatic groundwork for the integrated operations in Kenya was William Bellamy, US ambassador to the country from 2003-2006.

The covert Kenyan Rapid Response Team (RRT) was established as part of the CIA’s “intimate integration” programme to train and manage local paramilitaries in terrorism hotspots around the globe Bellamy recalled arriving in the Kenyan capital Nairobi feeling that the country was “a high-value target for al-Qaeda in East Africa”. Increasingly concerned about the possible spread of terrorism across the region, the US government set aside a “large pot of money” for counter-terrorism assistance, Bellamy told Declassified.

However, he added that efforts to persuade the Kenyan government’s law enforcement and military agencies to buy into America’s war on terror proved “a real hard sell”. The police and military agencies were beset by “too much interagency rivalry and suspicion” and, to the former ambassador’s “biggest frustration”, a proposed multi-agency centre for counter-terrorism never got off the ground. Another former senior CIA official with knowledge of Kenyan counter-terror operations at the time recalled: “Western governments were throwing a lot of resources at the Kenyans.

That [extremism] was something we were all trying to get ahead of and not allow al-Qaeda or any other successor groups to get a foothold there.” The former official added: “We were definitely trying but I think the Kenyans were a little reluctant, and I think that was just because they knew it would be a rough fight… Now it seems it’s like a whole government strategy.” Former Kenyan Foreign Minister and Vice President, Kalonzo Musyoka, explained: “Kenya’s positioning, when I was foreign minister [2003-2004], was that of absolute neutrality in the regional conflicts… that’s why we were trusted with the role of mediation.

We had taken a view that as a frontline state with a 1,800km border with Somalia, which is unpatrolled, we would be making a mistake to engage directly by sending our troops into Somalia.” Despite the difficulty faced by former ambassador Bellamy in dealing with his Kenyan counterparts, their National Intelligence Service (NIS, then known as NSIS) was nonetheless eager to develop counter-terrorism collaboration, and was the CIA’s liaison for the development of integrated operations.

Establishing the covert team The unit that would later become the Rapid Response Team (RRT) was a product of this outreach. Part of a secret CIA programme to train and manage local paramilitaries in numerous hotspots around the globe, from Afghanistan to Georgia, the team began with just 18 officers – dubbed ‘Team 18’ – who were selected by Kenyan police and intelligence to receive elite training in the United States.

A former senior US government official with knowledge of the RRT’s establishment said, “On something of this sensitivity and this importance… we would need to run it through the Agency [CIA] and through [Kenya’s] NIS.” NIS, with extensive links to Britain’s MI6, were “professional, capable, serious people. And they were our best partners, the most reliable partners”, the former senior official said.

The new recruits to the RRT, who would become Kenya’s first paramilitary police squad dedicated primarily to counter-terrorism operations, were then flown to training facilities in the US. Landing at Dulles International Airport in Washington DC, the CIA handlers advised the RRT trainees to tell immigration officials they were visiting the country on a sports scholarship. From there, the men were flown to a further destination and driven in buses with blacked-out windows so the trainees could not determine the location.

Though the recruits never found out where they were being trained, multiple RRT officers said they believed their initial training, and successive courses, took place at Annapolis Naval Academy in Maryland. One former senior US official with direct knowledge of the programme told Declassified it was also likely that, at one point, trainees were taken to the CIA’s training facility at Camp Peary, near Williamsburg in Virginia, also known as ‘The Farm’.

One former RRT officer recalled asking his CIA handler why they did not want the trainees to know their location in the US. “We have good intentions and do not act in bad faith. But the United States is not prepared to repeat its errors with Osama bin Laden,” the CIA handler is said to have responded, referring to mistakes made in providing covert assistance to Afghan mujahideen in the 1980s. On arrival at the facility, the men received training from CIA contractors, former special operations forces and SWAT team members of the US police, in tactical operations, close-quarter combat, weapons handling, reconnaissance, surveillance and intelligence gathering.

RRT commandos have been flown to Maryland, US, for SWAT-style training, under cover of sports scholarships Following their first and second courses in 2004, titled “Renditions Operations Training” and “Disruption Operations”, the commandos were formalised as the Rapid Response Team. But by then the new unit’s nickname – the “Renditions Team” – had already stuck among the few who knew it existed.

RRT members are part of the special operations-oriented Recce Company of the Kenyan paramilitary police’s General Service Unit (GSU). At their headquarters in Ruiru near Nairobi, they enjoy privileged status. Exclusive training facilities, such as ‘Michelin House’ – a mock terrorist hideout used for conducting entry drills – were financed by their US embassy liaison, multiple RRT officers said.

However, owing to the sensitivity of their operations, RRT officers were not permitted to reside in the same quarters as other teams in the GSU’s Recce Company. This included other ‘special teams’, such as the US State Department and FBI-supported Crisis Response Team (CRT), which specialises in surveillance and hostage rescue, and which sometimes supports the RRT on tactical operations. “Specialised units are needed to deal with extraordinary situations, such as hostage-taking and terrorist activity,” former US ambassador Michael Ranneberger said.

He added, “We do that in a lot of countries, where we will identify a GSU [RRT]-like unit, a special unit [to work with]. Or if they don’t exist, we sometimes help establish such units and then provide the training.” Target development In the first few years after its founding, the RRT carried out relatively few offensive counter-terror operations. Although Kenya’s intelligence service, the NIS, and Kenya’s  Anti-Terrorism Police Unit (ATPU) “knew they had some bad people” in Kenya, as one former CIA official put it, political leaders were initially reluctant to be drawn into the US war on terror.

Former US ambassador William Bellamy agreed, noting, “When I was in Kenya we probably spent 70% of counter-terrorism [work] on good intelligence work with the Kenyans.” Explaining why the RRT was relatively dormant in its first few years, the former CIA counter-terrorism official said that targets were often operating below the radar. “We try to stick, on certain levels, on many levels, within the law. I think that’s why you didn’t see much [action from RRT], because certain targets were either very deep cover and you weren’t able to make a case on them, and once you started getting a little more clarity on the cases and being able to take these suspects down for violations, that’s when you started seeing the Rapid Response Team get more active.”

The few counter-terror operations undertaken by the RRT in its first years were focused on the capture and subsequent rendition of terror suspects. RRT officers would be summoned to Wilson Airport in Nairobi, briefed by CIA paramilitary liaison officers on their objectives, and then flown to their destination, which was often in Kenya but, on some occasions, included Somalia, former RRT officers and US officials confirmed. The former senior CIA official recalled watching Kenyan clerics becoming radicalised by videos emerging from Iraq, particularly those of the then leader of al-Qaeda in Iraq, Abu Musab al-Zarqawi. “When the Zarqawi videos started popping up in Kenya, I was like ‘oh shit… here come the takfiris,” he said, referring to militant jihadists.

By 2006 Kenya’s NIS had developed intelligence liaison cells dedicated to working with the CIA, Britain’s Secret Intelligence Service (SIS, also known as MI6) and Israel’s external spy agency, Mossad, multiple US and Kenyan intelligence sources told Declassified. In later years, Mossad would assist in forming, training and providing weapons to a separate Recce squad ‘special team’, composed partly of former RRT and CRT officers, known as the Special Anti-Terror Team (SATT), a team dedicated to VIP protection and covert patrols of Kenya’s five-star hotels.

Alongside the CIA, MI6 helped Kenya’s NIS with target development, bringing together and analysing the various sources of intelligence to prioritise the greater threats. The former CIA counter-terrorism official said the four pillars of the CIA and MI6 relationship with Kenyan intelligence were “training, mentorship, lead by example… and pressing”. “When we talk about pressing a liaison partner, that is together [as the CIA and MI6]. We are working together with our liaison partner [NIS] to get things done. We’re meeting with SIS [MI6] and saying, ‘Hey here’s what we’re doing on this case’, you know, this is how we’re trying to push them, ‘we’re giving them this’ and they [MI6] would respond in kind.”

The former official added: “There were British-centred cases, there are US-centred cases, and I think on both sides, and in parallel, we’re all giving them training, equipment and money etc – I won’t talk about the amounts – to try and get it done, and then have oversight.” One of the RRT’s major coups occurred in August 2009 when Kenyan and Western intelligence agencies detected a plot to stage simultaneous attacks on three hotels in Nairobi, one of which was to be visited by then US Secretary of State, Hillary Clinton. A subsequent operation, driven by the CIA and NIS, pinpointed the location of suspects who were then captured by the RRT.

Out of gratitude to Kenyan intelligence, and “to bolster what we thought was already a pretty good relationship”, five months later then CIA chief Leon Panetta paid a secret visit to Kenya to meet with Michael Gichangi, then NIS director, a former US official familiar with the meeting recalled. “Gichangi was absolutely a world-class spymaster. He did a great song and dance. A very polished guy, very glib. He gave a great presentation,” the former official said. With a successful meeting for the visiting CIA director, the former official continued, “The outcome was, let’s push ahead, let’s try to deepen this, let’s try to do more.”  

‘Let’s go get ‘em’ Less than six months after this meeting, the US would come to heavily rely on its Kenyan intelligence partner, and the RRT commandos, amidst fall out from one of the worst terrorist attacks to hit the region in recent history. On 11 July 2010, football fans had gathered to watch a World Cup match in Uganda when militants bombed a restaurant and rugby club, killing 74 people. Somali militant group Al-Shabaab publicly claimed responsibility, calling the attacks retaliation for Uganda’s involvement in a UN-backed military mission to protect the Somali Transitional Federal Government.

In response to the attack, Kenyan intelligence and police snatched multiple suspects across the Horn of Africa. Press coverage of these operations tended to pinpoint Kenya’s Anti-Terrorism Police Unit (ATPU) as being responsible. But while the ATPU was involved in some operations, those deemed high-risk or high-value were led by the RRT, at times with CRT support, officers from both teams confirmed. A plot to kill Hillary Clinton was foiled by the CIA-backed Kenyan paramilitary team Around 2010, al-Qaeda-inspired militants began targeting tourist sites in Kenya, killing civilians and abducting tourists, and the political barriers to taking action evaporated. “I think that’s when the Kenyans said ‘this isn’t just about America. We have to do something because they’re hitting us too’,” the former CIA counter-terrorism official said. Former Kenyan vice president, Kalonzo Musyoka, said that at the time, “The position was taken by the NSC [Kenya’s National Security Council] to exercise the right of ‘active pursuit’, because that [terrorism] was seen to harm our tourism industry,” he added, having served on the Council as deputy president during 2008-2013.

As Kenya waged war against al-Shabaab outside its borders, domestically its covert war on terror suspects was also ramping up, the former CIA counter-terrorism official said. “Once they [Kenya] got on board [with the war on terror], the Recce [RRT] team gets busy… People that were long time targets; they get taken down.” He added: “Remember, you’ve been building this capacity since ‘02 and in some cases the first work started after ’98. They [RRT] have got some of the best training in the world, some of the best tools, so they start getting active. In some cases they did, some of those targets were cross-border and some of them were inside Kenya.”

The former official continued: “They [RRT] have got the discipline, they’ve got the techniques… and then you’ve got your US advisors [to the RRT], your British advisors [to NIS] and now it’s like ‘hey guys, let’s go get ‘em’. That’s what you started seeing in terms of ‘let’s go get ‘em’.” But when a target travels into Somalia, “that’s his ass”, the former official added, referring to the deadly US programme of drone strikes, backed by special force raids. ‘Less constraint’ Kenya’s burgeoning role in regional counter-terrorism in this period was shown most clearly by one target who was eventually captured by RRT operatives and is currently serving a jail sentence. Brought up Catholic in western Kenya, Elgiva Bwire Oliacha converted to Islam in 2005, changing his name to Mohamed Seif.

Though Bwire’s journey into radicalisation is not extensively known, in 2009 he made his first attempt to join militants in Somalia, only to be thwarted by Kenyan police. Reports claim that he eventually reached Somalia two years later, and received training from militants on how to use small arms and stage terrorist attacks. Two months after his return to Kenya, Bwire is said to have recruited others to conduct those attacks. On 24 October 2011, after receiving intelligence that Bwire had led a grenade attack on a bus stop in Nairobi, killing six and injuring dozens more, RRT commandos descended on Kayole, one of Nairobi’s densely populated neighbourhoods.

They captured Bwire, along with a cache of grenades, assault rifles and over 700 rounds of ammunition. But ATPU officers failed to claim the arrest, as was normal practice, an RRT officer familiar with the operation recounted, forcing personnel from the paramilitary unit to make a rare appearance in court and testify that they had captured Bwire. Unused to appearing publicly, and fearing cross-examination, an RRT officer recalls anxiety at seeing someone from the unit having to make the court appearance. “Nobody knew [about] our existence, which was good [for] us”, the officer said.

However, even though RRT officers appeared in court, few questions were asked about the RRT itself. There are US laws governing which foreign security services US government bodies can partner with. These include the Leahy Law, which requires human rights vetting of units slated for assistance, training or equipment. But the law only applies to the US military, the State Department and law enforcement agencies, former Washington director at Human Rights Watch, Sarah Margon, said. Robert Etinger, former deputy general counsel at the CIA, told Declassified in an email that the law does not apply to the intelligence community.

A former senior US official based in Africa, who had knowledge of Kenyan counter-terrorism operations, explained that programmes such as those supporting the RRT are run through the CIA, in part to avoid domestic legal restrictions. “The Leahy amendment prevents the US from training anybody [we want] that’s going to be useful to us in [offensive] anti-terrorism endeavours,” said the former official. But “friends from across the aisle, the intelligence community, don’t have similar restrictions”. Had the CIA been required to vet the Kenyan RRT under the terms of the Leahy Law, it may have faced difficult questions about the General Service Unit, the RRT’s parent police unit from which its commandos are selected. One leaked US diplomatic cable from 2009 noted allegations that the GSU “is involved in committing serious human rights abuses, including extrajudicial killings”.

The classified RRT programme is run through the CIA in part to avoid legal restrictions, it is claimed Former CIA deputy Crumpton disagreed that Leahy Law-related “bureaucratic reasoning” was why the CIA leads counter-terrorism operations in Kenya. Instead, he said, “this conflict, against al-Qaeda and ISIS [Islamic State] and affiliates, is fundamentally driven by intelligence”. The CIA’s relationship with the RRT endures under Donald Trump’s presidency, US officials and RRT commandos confirmed. A senior State Department official with knowledge of the CIA-RRT liaison explained: “The relationship goes back some way and we keep reinvesting in them because of that perception that we have, that they are somewhat more professional than the rest of the police.”

But under Trump, its operations are even less constrained than before, according to US officials. The CIA, and the paramilitary teams it supports, would encounter little criticism from the White House, a former senior CIA counter-terrorism official said. “At the end of the day, Trump is not going to castigate them for violating human rights.” He added: “You can brief Trump and tell him ‘the Kenyans just went and killed five targets unilaterally’ and Trump’s going to be like ‘and your point is? These are bad guys right?’ “So I think that if you’re the Agency [CIA], you’re going to keep working and hope the Kenyans keep trying to take down your targets in a way that is palatable.”

A former senior State Department official based in Africa agreed. “I would certainly think the Kenyans would feel under much less constraint, in terms of how they operate, than they ever did before under previous administrations.” Grant Harris, a former special assistant to former president Barack Obama and senior director for African affairs between 2011-2015, told Declassified: “What we’re seeing now in the Trump administration is… less emphasis on governance, on human rights, on economic growth and development and a greater emphasis not just on security issues, but specifically counterterrorism and security tools.” He added: “I’m very concerned this is militarising US-Africa policy, across the continent, in East Africa and elsewhere.” Declassified UK/Elephant

Analysis of UK inhaler medicine use and carbon footprint presented at the British Thoracic Society Winter Meeting

AstraZeneca, UK, Luton: 17 February 2021New analysis of respiratory inhaler medicine use in the UK shows that 83% of all short-acting beta-2-agonist (SABA) relievers for asthma are prescribed to patients who are potentially overusing their reliever medication (prescribed ≥3 inhalers/year).1 The overuse of SABA relievers represents 9.24 million SABA prescriptions and is responsible for 250,000 tonnes of CO2 equivalent annually.1

The prescription of three or more SABA asthma inhalers per year is associated with poor asthma control and approximately twice the number of attacks

These findings will be presented at the British Thoracic Society Winter Meeting and are based on SABA prescription and use data extracted from the UK study in the SABA Use IN Asthma (SABINA) global programme of harmonised, large-scale observational studies collected between 2007-2017.2

The prescription of three or more SABA inhalers per year is associated with poor asthma control, approximately twice the number of exacerbations compared with low SABA users (prescribed 0-2 inhalers/year) and increased asthma-related healthcare utilisation.2,3 Asthma is a chronic, variable, inflammatory disease affecting 5.4 million people in the UK (4.3 million adults) and can cause asthma attacks and symptoms including breathlessness and wheezing.4,5 Every 10 seconds someone in the UK has a potentially life-threatening asthma attack with, on average, three people dying from asthma every day.5

Alexander J K Wilkinson, Consultant in Respiratory and General Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK and lead author of the study said: “Overuse of reliever inhalers in asthma is widespread in the UK and associated with an increased risk of exacerbations for patients, highlighting the importance of adopting strategies to improve disease control and reduce short-acting beta-2-agonist overuse. This new analysis shows that reliever overuse is also a major contributor to greenhouse gas emissions in respiratory care, similar to driving an average diesel car for about 900 million miles. These findings are important for informing clinical guidelines and healthcare policies to support improvements in asthma care while also realising carbon savings.”

Alex de Giorgio-Miller, Vice President, Medical & Scientific Affairs, AstraZeneca UK, said: “We know that the overuse of SABA ‘reliever’ inhalers is associated with an increased risk of severe asthma attacks, but this analysis highlights the scale of the problem we face in the UK, both in terms of poor health outcomes and the corresponding greenhouse gas burden. By reducing over-reliance on SABA inhalers and improving asthma outcomes, we can also have an important positive impact on the environment.”

Further results from the analysis showed that SABA inhaler use drives 70% of greenhouse gas emissions (GHG) from inhaler devices in the UK.1 The per capita use of all SABA reliever inhalers in the UK was approximately treble or more than that observed in other large European countries, resulting in even higher GHG emissions.

A health worker wearing a protective suit takes a nasal swab sample from a baby through a window during COVID-19 mass testing in Slovakia. (SOPA Images/Sipa USA)

Months after becoming the first country in the world to test its entire population, Slovakia now has the highest coronavirus death rate in the world.

The nation currently has the highest seven-day rolling average of COVID deaths per 1 million people in its population compared with any other country.

As of 15 February, there were 17.82 new coronavirus deaths per 1 million people, according to Our World in Data.

This was followed by Portugal with 14.81, Montenegro with 12.63, San Marino with 12.63 and Czechia with 12.23.

Read: The underlying health conditions that allow people to get a vaccine sooner

The UK, which has seen more than 117,000 deaths since the pandemic began, came in sixth with 9.70 deaths per million as of 15 February.

It comes after Slovakia tested its entire population in October as part of a scheme that was widely praised and was understood to have brought down infections.

A man walks through the empty downtown, amid the spread of the coronavirus disease (COVID-19),  in Nitra, Slovakia January 11, 2021. REUTERS/Radovan Stoklasa
A man walks through the empty downtown of Nitra in Slovakia in January. (Reuters/Radovan Stoklasa)

Cases in the country were reduced by more than 60% in one week, according to a preliminary analysis by the London School of Hygiene & Tropical Medicine.

However, just months later, Slovakia's rate of new COVID deaths are the highest in the world. So what went wrong?

What went wrong in Slovakia?

Slovakia has fared much worse during the second wave of coronavirus compared to the first, with cases skyrocketing since October.

Between the start of the pandemic in early 2020 and August that year, the rate of new infections in Slovakia did not rise above 10.96 per million people, according to Our World In Data.

Meanwhile, other European countries like the UK, Spain, Italy and France were seeing hundreds of people dying from the disease every day, especially during the peak around April.

Cases steadily began to rise in Slovakia from August before a sharp drop at the beginning of November, just after the entire nation was tested.

Watch: Slovakia starts testing entire population after surge in COVID-19 cases 

 
Scroll back up to restore default view.

Just before Christmas, Slovakia entered a tough national lockdown that included a round-the-clock curfew in a bid to curb the spread.

Case numbers peaked on 6 January at 597.08 cases per million people, and although they have since fallen, the figures are far off the low rates seen during the first wave.

The Slovakian government has blamed the UK variant of the virus for the recent rise in cases and deaths.

Earlier this month, it announced the fast-spreading strain had become dominant.

Health authorities reportedly sequenced all samples that tested positive in the country in a single day and found the British variant was detected in 74%. Health minister Mark Krajci called this an “unbelievable high number”, according to AP.

What's going on in Eastern Europe?

Like Slovakia, the majority of Eastern Europe was praised for its handling of the first wave after most countries locked down early and citizens appeared to stick to the harsh rules.

Aron Ecsenyi, center right, the protest organizer, stands behind a police line while his ID is checked in Budapest, Hungary, Sunday, Jan. 31, 2021. Protesters gathered at a central square in Hungary's capital of Budapest on Sunday demanding a rethinking of the country's lockdown restrictions. As the lockdown limiting restaurants to take-away service approaches the three-month mark, many business owners complain that they have received little to none of the government’s promised financial assistance while other businesses like shopping malls and retail stores have been permitted to remain open. (AP Photo/Laszlo Balogh)
Protesters gathered at a central square in Hungary's capital of Budapest demanding a rethinking of the country's lockdown restrictions. (AP)

But the whole region’s pandemic experience has been dramatically different since the autumn, when cases and deaths began to rise across the board.

This week, Slovakia was not the only Eastern European country in the top five for the highest death rates in the world – Montenegro and Czechia have the third and fifth highest rate respectively.

Meanwhile, on Friday, total COVID cases in Russia, Poland, Czechia, Romania, Hungary, Slovakia and Bulgaria together surpassed 10 million and total COVID deaths in the region topped 214,000 deaths, according to Reuters tally.

Several of the countries are also dealing with huge anti-vaccination movements, which are threatening their path to recovery.

A woman wearing a facemask as a preventive measure against the spread of coronavirus, walks on the iconic Charles Bridge. Heavy snowfall across the Czech Republic has disrupted rail, road and public transport. (Photo by Tomas Tkacik / SOPA Images/Sipa USA)
A woman wearing a facemask as a preventive measure against the spread of coronavirus walks on Charles Bridge in Prague, Czechia. (SOPA Images/Sipa USA)

Vaccine sceptics in countries like the Czechia, Serbia, Bosnia, Romania and Bulgaria have included former presidents and doctors. Even Serbian tennis star Novak Djokovic said he did not want to be forced into getting a vaccine.

The hesitancy comes on the back of conspiracy theories like claims that coronavirus is a hoax or that vaccines are being used to inject microchips into people.

According to the AP, a recent Balkan study warned there is a direct link between support for conspiracy theories and scepticism toward vaccination.

“A majority across the region does not plan to take the vaccine, a ratio considerably lower than elsewhere in Europe, where a majority favours taking the vaccine,” it reportedly said.

People rest and are watched to control possible side effects after receiving a dose of a Covid-19 vaccine in the Belgrade Fair turned into a vaccination centre on February 12, 2021. - Inside the dome of Belgrade's fairgrounds, dozens of nurses in protective suits inject Covid-19 jabs into young and old alike, working with an efficiency that has turned Serbia into continental Europe's fastest vaccinator. The small Balkan country has inoculated more than 500,000 of its seven million population in almost two weeks, a rate that exceeds all countries in Europe outside the United Kingdom, according to the scientific publication Our World in Data. (Photo by Andrej ISAKOVIC / AFP) (Photo by ANDREJ ISAKOVIC/AFP via Getty Images)
In Servia, inside the dome of Belgrade's fairgrounds, dozens of nurses in protective suits inject COVID-19 jabs into young and old alike. (AFP via Getty Images)

Elsewhere, Germany has recently ramped up border controls with Czechia and Austria’s Tyrol region amid fears over outbreaks of COVID variants strains.

Read more:

First travellers fined £10,000 under new COVID travel quarantine rules

What you can and can't do under current lockdown rules

The country has recently seen a drop in daily infection rates but the spread of new variants in neighbouring countries, like France, threaten to undo those gains, Reuters reported.

One explanation for why Eastern Europe fared much better in the first wave than the rest of the continent is that countries locked down fast when infection numbers were still low, according to The Conversation.

The publication’s analysis showed the region then failed to introduce stringent measures when cases first began to soar in October. Yahoo  News

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