There are no ventilators in Cox’s Bazar District, home to more than three million people including one million Rohingya refugees. Save the Children is calling for a single global plan to help confront one of the biggest threats to global health and security in modern times. This plan must be underpinned by debt relief, increased financing for public health, liquidity and safety nets for the most vulnerable, and effective coordination.

Without access to intensive care facilities in Cox’s Bazar, patients in critical condition may have to be transported to neighboring Chittagong district 150 kilometers away, further increasing the risk to them and others. Ventilators and people trained to operate them are urgently needed to protect the host communities and Rohingya refugees to avert a humanitarian disaster if we start to see community-level transmission of COVID-19. Children are at serious risk of contracting the virus, but also of being orphaned or neglected if family members become infected or die.

Athena Rayburn Save the Children’s Rohingya Response Advocacy Manager

Save the Children is urgently calling for international assistance to help Bangladesh meet a surge in demand for ventilators to cope with the COVID19 outbreak and to help avert a humanitarian disaster in the country. Most of the country’s intensive care beds and ventilators are in the major urban centres including the capital Dhaka, making it difficult for remote communities to access. There are reportedly 1,769 ventilators in Bangladesh at this moment or in the pipeline, which means an average of one ventilator for every 93,273 people.

Save the Children is also concerned for the estimated 3.3 million people who live in Cox’s Bazar District in southeastern Bangladesh, one million of whom are Rohingya refugees living in cramped conditions with limited access to adequate hygiene and health facilities. The acute scarcity of ventilators in the district means lives will be lost when COVID-19 starts to spread more widely in the community.

At present it is difficult for Bangladesh to meet the expected surge in demand for ventilators to help respond to the COVID-19 outbreak. We are in this together - no single country can confront COVID-19 alone, even the richest and most powerful among us. It is therefore essential that world leaders – in particular the G20 countries – commit to a coordinated global plan under-pinned by debt relief. We also urge the Bangladesh government to engage the public and private sectors urgently to secure ventilators for COVID-19 patients.