Su Myat Han1,2, Kaung Suu Lwin3, Khin Thet Swe4, Stuart Gilmour5, Shuhei Nomura6,7. 1. Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan. 2. Institute of Tropical Medicine, London School of Hygiene & Tropical Medicine, London, UK. 3. Department of Global Health Policy, The University of Tokyo, Bunkyo-ku, Japan kaungsuulwin@gmail.com. 4. Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Kunitachi, Tokyo, Japan. 5. Graduate School of Public Health, St. Luke's International University, Chuo-ku, Tokyo, Japan. 6. Department of Global Health Policy, The University of Tokyo, Bunkyo-ku, Japan. 7. Department of Health Policy and Management, Keio University, Tokyo, Japan.
The world has witnessed Myanmar’s ongoing military coup and detainment of President Win Myint and State Counsellor Aung San Suu Kyi.This coup is setting back Myanmar's transition to democracy and federalism and posing a threat to national health and human security.While global community has been fighting COVID-19, Myanmar citizens need to focus on fighting for their freedom from oppression.Protesting against the military coup is a civil right, however, the political instability caused disruption in management of COVID-19 which will impact international health security.The military coup of February 1st 2021 is setting back Myanmar’s transition to democracy and federalism and posing a threat to national health and human security. Many healthcare workers and other civil servants have stopped working, as part of a ‘Civil Disobedience Movement’ (CDM) as a peaceful, non-violent protest against the military coup.1The global pandemic of COVID-19 has already disrupted Myanmar’s existing fragile health systems and affected the country’s many health services. As of February 2021, there were 140 600 COVID-19 confirmed cases and 3100 deaths in Myanmar, one of the highest death rates in the region.2 The CDM has spread throughout the health workforce, resulting in closure of public hospitals, leading to a health system suddenly in crisis.3 Furthermore, the military takeover is leading to increased violence, further persecution of ethnic minorities and further difficulties for humanitarian access already hampered by the COVID-19 pandemic.3 4 While the global community has been fighting COVID-19, Myanmar citizens are also fighting for their freedom from oppression.3 This necessary response to protect their human rights risks increasing the spread of COVID-19 at a time when coordinated efforts to manage COVID-19 are hampered by political restrictions.3 Now it has been almost 2 months since the day of coup d'état, many peaceful protestors have been killed, injured or threatened,4 and the planned COVID-19 vaccination programme was disrupted by the coup d'état.3 Will Myanmar reach herd immunity through vaccination and win the democracy during this dual fight? Or will many lives be lost either by COVID-19infection or by military’s violence suppression and Myanmar fail to achieve democracy and surrender to the injustice of another military regime?This military coup is an internal affair, but its impact goes beyond the borders of Myanmar. The military coup threatens the health and human security of Myanmar and the wider region, due to the danger of a possible COVID-19 pandemic wave. We urge the global community to step in together with us, taking a strong stance to apply diplomatic pressure against the military coup, while maintaining their commitment to development aid in Myanmar at this critical time. Without help from the global community, the people of Myanmar risk losing the battle against COVID-19, and their long fight to emerge from military rule and oppression.