Hlasa says that the top priority for Riders since the pandemic began has been upgrading the sample transport system for the specific needs of addressing COVID-19, training riders to use PPE, and safe sample handling. “For this we have needed more equipment, which allows for uninterrupted refrigeration, covering the storage and transport of samples,” she explains.
As of May 3, 2021, the country had officially recorded 10,733 COVID-19 infections and 318 deaths, while only 0.4 percent of the population has been fully vaccinated.
“The spread of COVID-19 is alarming for a country like ours,” Hlasa says. “Our people have so many pre-existing conditions that make it hard to survive this kind of disease. They already suffer from a high prevalence of TB and HIV, and that can be a death sentence combined with the virus.”
And because Lesotho is encased inside South Africa, the virus is especially insidious there. “The borders are very porous, and it is impossible to tell if you are from here or there,” Hlasa says. “Most of the people who first tested positive in Lesotho came from South Africa. There is no fence or wall. People go back and forth all day from both countries because they work in the other country or have family there. In some parts, it’s easier and closer to do your shopping across the border, rather than try to navigate the impossible mountains in the other direction.
“So, contract tracing in this region has been very, very hard.”
Once the South African variant was discovered, the situation became even more difficult, and the fact that few people have a radio, much less a television, made it that much more of a challenge when healthcare centers began to shut down, “which has had a dramatic effect,” Hlasa says. For example, fewer women have been able to come to the clinics for HIV testing and treatment, which is even more troubling for HIV-positive expectant mothers, who require consistently administered medication with no interruptions to keep from passing HIV to their babies in utero.
Not to mention the effects of isolation, which inaccessible villages understood long before the pandemic. “So many times, when a sample courier or healthcare worker’s engine can be heard from miles away, people come outside and start singing to welcome them,” Ajayi says. “The rider is greeted like an old friend, and there is real happiness to see them.”