Why use emergency when we freely offered help? Asks medical group

‘Galen Centre for Health and Social Policy CEO Azrul Mohd Khalib said the proclamation of an emergency appeared to involve harnessing the resources of the private sector, based on Prime Minister Muhyiddin Yassin’s speech on Tuesday. He said this could mean some private hospitals and medical facilities being requisitioned to increase the public health sector’s capacity for intensive care, beds and specialised personnel.

‘However, he told FMT that private healthcare stakeholders, particularly hospitals, had been trying to get some form of a public-private operational framework for Covid-19 and non-Covid-19 cooperation and funding since early 2020. “However, there has been limited movement on this issue. The latest decision must come as a shock, as the government seems to want to use emergency legislation to get what was willingly offered,” he said.’

Read here (Free Malaysia Today, Jan 14, 2021)

Vaccines were a chance to redeem failures in the US coronavirus response. What went wrong?

‘The delayed and disjointed vaccine rollout is the product of poor coordination between the federal government and the 50 states and additional jurisdictions tasked with carrying out the most ambitious immunization campaign in history, likened by officials to the effort to turn back the Nazis in 1944.

‘With these problems thwarting the rollout, it is clear the United States has not learned from its fractured pandemic response and risks repeating some of the same errors.

“My peers in infectious-disease medicine and public health are all looking around saying, ‘How are you all handling these issues? What happens when we get airdropped vaccines? Who gets it first? How do we do it equitably?’ ” said David Aronoff, director of the division of infectious diseases at Vanderbilt University Medical Center.’

Read here (Washington Post, Jan 12, 2021)

Big Pharma is not willing to help us defeat Covid-19

‘For months, experts have repeatedly told us that no one is safe from coronavirus until we are all safe. If that is true, we should be going all out to ensure the world’s resources are used to bring treatments and vaccines to the whole world as soon as possible. Several initiatives have attempted just that, but efforts have been stymied by the self-interest of big business, and by the leaders of rich countries who are terrified of undermining rules designed to keep their countries at the top of the pecking order.

‘A recent ground-breaking proposal by India and South Africa could change all that. Those governments have lodged a proposal at the World Trade Organization (WTO) to suspend international patent laws for an extended period, allowing countries to share technology and produce their own versions of patented medicines, treatments and protective equipment without being held to ransom by the corporations which own those patents. It is a game-changer, which challenges one of the most shameful aspects of modern trade rules.’

Read here (Aljazeera, Oct 18, 2020)

Decentralise to manage increasing cases of Covid-19 — MMA

‘Now is the time to decentralise communication channels, ensure that each state take ownership of the exploding pandemic and are able to act independently with speed in their own jurisdictions’. MMA (Malaysian Medical Association) suggests the following:

1. State Crisis Command Centres to coordinate all activities and ensure needs of the state are met on all fronts.
2. NGOs and public are coordinated to assist the state efforts.
3. All relevant data including equipment, manpower, bed strength, testing capacity etc are displayed on the State Command centre dashboard for stakeholders to coordinate, in particular to include data on shortages and needs.
4. Private sector hospitals, clinics and doctors are engaged in the fight against the pandemic.
5. For federal government to channel all support urgently including funds, resources and manpower.

Read here (Malay Mail, Oct 8, 2020)

China delayed releasing coronavirus info, frustrating WHO

‘Throughout January, the World Health Organization publicly praised China for what it called a speedy response to the new coronavirus. It repeatedly thanked the Chinese government for sharing the genetic map of the virus “immediately,” and said its work and commitment to transparency were “very impressive, and beyond words.”

‘But behind the scenes, it was a much different story, one of significant delays by China and considerable frustration among WHO officials over not getting the information they needed to fight the spread of the deadly virus, The Associated Press has found.’

Read here (Associated Press, June 3, 2020)

Covid underdogs: Mongolia -- ‘The best response in the world’

‘Starting in January, Mongolia executed a perfect public health response, and they have never let up the pressure since. COVID-19 did not just leave Mongolia alone. Mongolia kicked its ass. For this all this hard work, however, they get little credit. Nobody’s talking about the ‘Mongolian example’. Instead, we talk about total failures like Germany or Sweden. Like I’ve said, success is ZERO, and Mongolia is as zero as you can get...

‘...they don’t have a time machine. They just saw what was happening in Hubei, they coordinated with China and the WHO, and they got their shit together fast. That’s their secret, not the elevation. They just weren’t dumb.’

Read here (Medium, May 18, 2020)

The fable of the Chinese whistleblower

‘While initial contact between the two CDCs [of the US and China] was interrupted by the New Year holiday, the coordination between the two countries’ public health officials was much closer – and, as WHO Disease Outbreak documentation verifies, the time lags were considerably shorter – than is widely believed in the West. The contrast with America’s response is striking. Whereas 27 days passed from Zhang’s initial report to the Wuhan shutdown on January 23, the US took exactly twice as long (54 days) to go from its first official diagnosis of COVID-19 (January 20) to Trump’s declaration of national emergency (March 13).’

Read here (Project Syndicate, March 18, 2020)

World Health Assembly: what is it, and what is the coronavirus inquiry proposal?

‘A key conference paper, already filed ahead of the assembly, and supported by 122 countries, including the members of the European Union and the African Group, the UK, Russia, Canada, Australia and New Zealand, calls for a systemic review of the world’s response to Covid-19. “Initiate, at the earliest appropriate moment, and in consultation with member states, a stepwise process of impartial, independent and comprehensive evaluation ... to review experience gained and lessons learned from the WHO-coordinated international health response to Covid-19.”

‘The draft motion does not mention China or Wuhan (the city where the virus was first detected) by name. But it urges the global health community to: “... identify the zoonotic source of the virus and the route of introduction to the human population, including the possible role of intermediate hosts, including through efforts such as scientific and collaborative field missions.”

And the paper argues the response to the pandemic must be global. The motion: “… calls for the universal, timely and equitable access to and fair distribution of all quality, safe, efficacious and affordable essential health technologies and products including their components and precursors required in the response to the Covid-19 pandemic as a global priority.”

Read here (The Guardian, May 18, 2020)

Download the 73rd WHA, Agenda Item 3, ‘Covid-19 response’ draft resolution here

‘Advance market commitment for Covid-19 vaccine’ by Gavi, the vaccine alliance

‘If the world is to beat COVID-19, we will need to develop one or more vaccines to protect us from it. And with thousands of people dying each week, not to mention an estimated US$ 2 trillion per year in lost economic activity, the pressure to protect the population and return life to normal has never been greater.

‘The positive news is that the global response in terms of vaccine development has been historic. Today, over 80 preclinical candidates are in development and seven have already progressed to human trials. This could well give us a better chance of getting more than one COVID-19 vaccine introduced in record-breaking time. However it also shines a light on another critical challenge: how to ensure that once a vaccine is available, it is accessible to everyone that needs it. We can only stop the pandemic if it is under control everywhere.’

Read here (Gavi, May 4, 2020)

Read more about Gavi here

US and Chinese researchers team up for hunt into Covid origins

‘Professor Ian Lipkin, director of the Centre for Infection and Immunity at the Mailman School of Public Health at Columbia University, said he was working with a team of Chinese researchers to determine whether the coronavirus emerged in other parts of China before it was first discovered in Wuhan in December. The effort relies on help from the Chinese Centres for Disease Control and Prevention (CDC).’

Read here (Financial Times, April 29, 2020)

UrbanFutures: The marathon fight against Covid-19 and beyond

• ‘By all accounts, it looks highly probable that the pandemic and its direct consequences will be with us for a while, possibly for another 12 to 18 months, and its social, cultural and economic impact will be felt many years after...
• ‘To face this challenge, unified public health strategies should be implemented so that risks can be managed and, with a degree of regularity, brought into everyday life...
• ‘The Covid-19 crisis is going to redefine our lives, our economy and our future. We are in the early phase of a protracted slowdown and there is discussion in the international media about the possibility of global depression. The challenge is managing the economic shock and slowdown...
• ‘We should all be thinking about and having conversations around the type of future we want — not just for ourselves and our children, but for our friends, neighbours and fellow humans. More importantly, we need to have this conversation today, even as we manage the complexity of the first wave and its fallout.’ 

Read here (The Edge, April 23, 2020)

David Nabarro underscores and defends WHO's role in the pandemic

With nation states across the world struggling to contain the coronavirus pandemic, there is an urgent need for an internationally coordinated response. That is where the UN agency the World Health Organisation should have a vital role to play, but right now the WHO is at the centre of a political storm. Donald Trump has withdrawn US funding, accusing the agency of being China-centric. Stephen Sackur speaks to WHO special envoy for Covid-19 David Nabarro. Is his organisation failing its greatest test?

View here (BBC, Youtube, April 20, 2020)

Is China winning? Economist special on China & Covid-19

‘China’s rulers combine vast ambitions with a caution born from the huge task they have in governing a country of 1.4bn people. They do not need to create a new rules-based international order from scratch. They might prefer to keep pushing on the wobbly pillars of the order built by America after the second world war, so that a rising China is not constrained.

‘That is not a comforting prospect. The best way to deal with the pandemic and its economic consequences is globally. So, too, problems like organised crime and climate change. The 1920s showed what happens when great powers turn selfish and rush to take advantage of the troubles of others. The covid-19 outbreak has so far sparked as much jostling for advantage as far-sighted magnanimity. Mr Trump bears a lot of blame for that. For China to reinforce such bleak visions of superpower behaviour would be not a triumph but a tragedy.’

Read here (The Economist, April 16, 2020)

Behind Trump’s failure on the Covid-19 virus

‘An examination reveals the president was warned about the potential for a pandemic but that internal divisions, lack of planning and his faith in his own instincts led to a halting response…

‘During the last week in March, Kellyanne Conway, a senior White House adviser involved in task force meetings, gave voice to concerns other aides had. She warned Mr. Trump that his wished-for date of Easter to reopen the country likely couldn’t be accomplished. Among other things, she told him, he would end up being blamed by critics for every subsequent death caused by the virus.

‘Within days, he watched images on television of a calamitous situation at Elmhurst Hospital Center, miles from his childhood home in Queens, NY. where 13 people had died from the coronavirus in 24 hours.’

NOTE: On April 13, when NY Governor Cuomo said the ‘worst is over’, the total cases in New York was 195,031 with 10,056 deaths (NYT report of April 13)

Read here (New York Times, April 11, 2020)

WHO initiates a SOLIDARITY trial for vaccine

‘Recognising the critical importance to world health of the rapid availability and deployment of effective vaccines against COVID-19, this large, international, multi-site, individually randomised controlled clinical trial will enable the concurrent evaluation of the benefits and risks of each promising candidate vaccine within 3-6 months of it being made available for the trial.

‘Its goal is to “coordinate evaluation of the many preventive candidate SARS CoV-2 vaccines under development, to evaluate promptly, efficiently and reliably their safety and efficacy, enabling assessment of whether any are appropriate for deployment to influence the course of the pandemic”.’ 

Read here (WHO, April 9, 2020)