We’re already barreling toward the next pandemic: Ed Yong

‘This one is far from over, but the window to prepare for future threats is closing fast...

“To be ready for the next pandemic, we need to make sure that there’s an even footing in our societal structures,” Seema Mohapatra, a health-law expert at Southern Methodist University, in Dallas, told me. That vision of preparedness is closer to what 19th-century thinkers lobbied for, and what the 20th century swept aside. It means shifting the spotlight away from pathogens themselves and onto the living and working conditions that allow pathogens to flourish. It means measuring preparedness not just in terms of syringes, sequencers, and supply chains but also in terms of paid sick leave, safe public housing, eviction moratoriums, decarceration, food assistance, and universal health care. It means accompanying mandates for social distancing and the like with financial assistance for those who might lose work, or free accommodation where exposed people can quarantine from their family. It means rebuilding the health policies that Reagan began shredding in the 1980s and that later administrations further frayed. It means restoring trust in government and community through public services. “It’s very hard to achieve effective containment when the people you’re working with don’t think you care about them,” Arrianna Marie Planey, a medical geographer at the University of North Carolina at Chapel Hill, told me. 

Read here (The Atlantic, Sept 29, 2021)

OECD urges rich nations to share vaccines to even-up growth

‘A leading international economic watchdog urged developed countries to put more effort into providing low-income countries with coronavirus vaccines in order to ensure that the global recovery from the pandemic is more even.

‘In its latest assessment of the state of the global economy, the Paris-based Organization for Economic Cooperation and Development said Tuesday that the global recovery from the shock of the pandemic is faster than it anticipated a year ago. Though the global economy has more than recouped the 3.4% output lost in 2020, it cautioned that the recovery is “uneven.”

Read here (Associated Press, Sept 21, 2021)

Considerations in boosting Covid-19 vaccine immune responses

‘In an expert review published September 13 online in the peer-reviewed journal The Lancet, a group of US and international scientists claim current evidence does not support providing booster doses of SARS-CoV-2 vaccines to the general public. The group—including 2 departing US FDA officials and WHO experts—said that any decision to provide additional vaccine doses should be evidence-based, concluding that despite a small drop in protection against symptomatic disease caused by the Delta variant, authorized vaccine regimens continue to provide high levels of protection against severe disease and hospitalization for all major SARS-CoV-2 variants. The authors acknowledged that some additional doses might be needed immediately for certain elderly and immunocompromised populations, but they encouraged prioritizing primary immunizations over booster shots for the general public.

‘The authors also acknowledged that booster doses might be necessary in the future due to waning immunity or the emergence of a vaccine-resistant variant but that current evidence does not warrant additional doses now because “efficacy against severe disease remains high.” The authors noted that currently available vaccine doses could save more lives and provide better protection against the emergence of new SARS-CoV-2 variants if used in previously unvaccinated populations, especially those in low- and middle-income countries.’

Read here (The Lancet, Sept 13, 2021)

End vaccine apartheid

‘Vaccine costs have pushed many developing countries to the end of the COVID-19 vaccination queue, with most low-income ones not even lining up. Worse, less vaccinated poor nations cannot afford fiscal efforts to provide relief or stimulate recovery, let alone achieve Agenda 2030.’

This story is well argued and contains several relevant and informative links under the following subheadings:

• Excluding by appropriating:
• Profits booster
• Profits over science
• Apartheid booster
• Vaccine equity necessary

Read here (IPS News, Sept 7, 2021)

European duplicity undermines anti-pandemic efforts

‘Despite facing the world’s worst pandemic of the last century, rich countries in the World Trade Organization (WTO) have blocked efforts to enable more affordable access to the means to fight the pandemic. Everyone knows access for all to the means for testing, treatment and prevention – including diagnostic tests, therapeutic medicines, personal protective equipment and vaccines – is crucial.’

This story is well argued and contains several relevant and informative links under the following subheadings:

• European deceit
• Big Pharma law
• European deceptions
• Inflexible ‘flexibilities’
• Bogus claims

Read here (IPS News, Jul 20, 2021)

Rich country hypocrisy exposed by vaccine inequities

‘No one is protected from the global pandemic until everyone is’ has become a popular mantra. But vaccine apartheid worldwide, due to rich countries’ policies, has made COVID-19 a developing country pandemic, delaying its end and global economic recovery.

This story is well argued and contains several relevant and informative links under the following subheadings:

• Systemic inequities
• Leftovers now charity
• European hypocrisy
• New North-South divide
• Reject new apartheid, cooperate

Read here (IPS News, Jul 13, 2021)

WHO panel against requiring vaccination proof for travel

‘The World Health Organisation’s emergency committee said Monday (April 19) it was against international travellers being required to have proof of vaccination, partly on grounds such a measure would deepen inequities.

“Do not require proof of vaccination as a condition of entry, given the limited (although growing) evidence about the performance of vaccines in reducing transmission and the persistent inequity in the global vaccine distribution,” the committee said in a statement summarising its April 15 meeting, the results of which were only published on Monday.

“States Parties are strongly encouraged to acknowledge the potential for requirements of proof of vaccination to deepen inequities and promote differential freedom of movement,” the committee added.’

Read here (Straits Times, Apr 19, 2021)

Covax: A global multistakeholder group that poses political and health risks to developing countries and multilateralism

‘This report concentrates on the political and economic repercussions on the global South and how COVID and the multistakeholder structure of COVAX is driving a transformation of global governance. Multistakeholder governance is not the way to govern vaccine distribution, vaccine production, or the delivery of the vaccine to the peoples around the globe.

‘Multistakeholderism is premised on marginalising governments, inserting business interests directly into the global decision-making process, and obfuscating accountability. There are no standards of responsibility, obligation or liability for multistakeholder bodies. The multiple layers of the bodies ‘overseeing’ the multistakeholder COVAX program obscures any moral obligations, even while COVAX makes profound life decisions for hundreds of millions.

‘Probably no other commercial product has been produced that in its first years expects to have the entire world as its consumer base. COVAX as a multistakeholder body provides a gathering spot for business interests which otherwise may not be allowed to jointly plan marketing, productions, investments, and distribution in what is for them a major evolving vaccine global market. There is significant potential for commercial self-interest to be injected inappropriately into Covax decisions.’

Read here (Friends of the Earth International, Apr 7, 2021) 

The threat that Covid-19 poses now

‘After a year of waves and surges, the pandemic is entering a “tornado” phase in America...

‘The United States is entering a new phase of the pandemic. Although we’ve previously described the most devastating periods as “waves” and “surges,” the more proper metaphor now is a tornado: Some communities won’t see the storm, others will be well fortified against disaster, and the most at-risk places will be crushed. The virus has never hit all places equally, but the remarkable protection of the vaccines, combined with the new attributes of the variants, has created a situation where the pandemic will disappear, but only in some places. The pandemic is or will soon be over for a lot of people in well-resourced, heavily vaccinated communities. In places where vaccination rates are low and risk remains high, more people will join the 550,000 who have already died.’

Read here (The Atlantic, Apr 6, 2021)

IMF, World Bank must urgently help finance developing countries

‘Covid-19 has set back the uneven progress of recent decades, directly causing more than two million deaths. The slowdown, due to the pandemic and policy responses, has pushed hundreds of millions more into poverty, hunger and worse, also deepening many inequalities.’

Read here (IPS News, Mar 30, 2021)

End vaccine apartheid before millions more die

‘At least 85 poor countries will not have significant access to coronavirus vaccines before 2023. Unfortunately, a year’s delay will cause an estimated 2.5 million avoidable deaths in low and lower-middle income countries. As the World Health Organization (WHO) Director-General has put it, the world is at the brink of a catastrophic moral failure.’

This story is well argued and contains several relevant and informative links under the following subheadings:

• Vaccine apartheid
• Suppressing vaccine access
• Big Pharma’s price gouging
• Hypocrisy
• Biden must act
• Sharing knowledge crucial

Read here (IPS News, Mar 23, 2021)

World Bank support for Covid-19 vaccination fails to ensure equitable access

• World Bank rolls out $12 billion programme to support global Covid-19 vaccination
• New report finds that wider Bank pandemic programme does not ensure free access to health care
• World Bank fails to address key challenges to universal and equitable access to vaccines in Global South

Read here (Bretton Woods Project, Mar 23, 2021)

Analysis: How for-profit health care worsened the pandemic

‘The U.S. remains the only one of the 25 wealthiest countries to not provide universal health care, and the health care system’s focus on profits and not health has cost Americans their lives. Despite having less than 5% of the world’s population, the U.S. has had 25% of the world’s confirmed cases and 20% of the deaths. Public Citizen’s new report demonstrates how:

• Before the pandemic, approximately 87 million Americans were uninsured or underinsured. About one-third of COVID-19 deaths and 40% of infections were tied to a lack of insurance;
• About half of Americans receive their health care through their employer. With more than 22 million Americans losing their job during the pandemic, millions have lost their health insurance;
• Racial health disparities, including access to care, have led to disproportionate deaths in communities of color;
• We have the highest rate of unmet need of any comparably wealthy country, with one-third of Americans reporting that they or a family member has avoided going to the doctor when sick or injured in the past year due to cost;
• Americans are significantly more likely to die of chronic respiratory disease, cardiovascular disease, diabetes or cancer than people in comparably wealthy countries with universal health care systems; and
• A lack of essential funding led to insufficient hospital capacity. The U.S. had only around half the hospital beds per capita of peer nations and far fewer than countries like Japan or Germany.’

Read here (Public Citizen, Mar 16, 2021)

Nobel prize economists Joseph Stiglitz and Michael Spence call for vaccine equity and debt relief

‘Nobel Prize-winning economists Joseph Stiglitz and Michael Spence are spearheading calls for urgent action to help poorer countries recover from the economic ravages of the coronavirus pandemic, including measures to advance vaccine equity, debt relief, and bolstering fiscal resources for cash-strapped nations.

‘The proposals were outlined in a new interim report released on Thursday – the one-year anniversary of the global pandemic – by the Institute for New Economic Thinking’s Commission on Global Economic Transformation, co-chaired by Stiglitz and Spence.‘

Read here (Aljazeera, Mar 11, 2021)\

The pandemic and the economic crisis: A global agenda for urgent action

Read full text here (Institute for New Economic Thinking, March, 2021)

The scientist who’s been right about Covid-19 vaccines predicts what’s next

‘[Hilda] Bastian — an expert in analyzing clinical trial data, founding member of the Cochrane Collaboration, and a former National Institutes of Health official — has gone down rabbit holes before. There was the time she traveled the US on her own dime to research and take historical photos for a Wikipedia list of African American mathematicians.

‘But her obsession with vaccines in this pandemic has been especially fruitful: She’s called the race right at just about every turn...

‘Nearly a year into her project, I caught up with Bastian to ask where our blind spots are now and how she predicts the vaccine story — and the pandemic — will unfold. She talked about the need for health officials to acknowledge that coronavirus vaccines have potentially “big differences in efficacy and adverse events,” a time in the future when we may need Covid-19 vaccine boosters every year, and the problem of people in rich countries like the US shamelessly hogging vaccines.’

Read here (Vox, Feb 24, 2021)

Covid vaccines: G7 increase support for Covax scheme

‘G7 leaders have pledged to intensify co-operation on Covid-19 and increase their contribution to the Covax vaccine-sharing initiative. In a joint statement released after a virtual summit on Friday, G7 leaders raised their overall commitment to $7.5bn (£5.3bn). Wealthy countries are facing growing pressure to make sure lower-income nations get fair access to vaccines.’

Read here (BBC, Feb 20, 2021)

Rich nations stockpiling a billion more COVID-19 shots than needed: Report

‘Rich countries are on course to have over a billion more doses of COVID-19 vaccines than they need, leaving poorer nations scrambling for leftover supplies as the world seeks to curb the coronavirus pandemic, a report by anti-poverty campaigners found on Friday. In an analysis of current supply deals for COVID-19 vaccines, the ONE Campaign said wealthy countries, such as the United States and Britain, should share the excess doses to “supercharge” a fully global response to the pandemic.

‘The advocacy group, which campaigns against poverty and preventable diseases, said a failure to do so would deny billions of people essential protection from the COVID-19-causing virus and likely prolong the pandemic. The report looked specifically at contracts with the five leading COVID-19 vaccine makers - Pfizer-BioNTech, Moderna, Oxford-AstraZeneca, Johnson & Johnson, and Novavax.’

Read here (Reuters, Feb 19, 2021)

‘Wildly unfair’: UN boss says 10 nations used 75% of all vaccines

‘The United Nations chief has sharply criticised the “wildly uneven and unfair” distribution of COVID-19 vaccines, pointing out that just 10 countries have administered 75 percent of all vaccinations. Addressing a high-level meeting of the UN Security Council on Wednesday, Antonio Guterres said 130 countries have not received a single dose of vaccine.’

Read here (Aljazeera, Feb 17, 2021)

Malaysia’s National Covid-19 Immunisation Plan: The missing details — Ezzaty Hasbullah

‘The Malaysian Government has recently published its National Covid-19 Immunisation Programme (NIP) outlining its strategy to achieve coverage by February of 2022. Though the document gives a good overview of the country’s vaccination plan from procurement to vaccination, it omits the minute execution details on several aspects along this value chain. The missing details:

• Trust building and outreach
• Ensuring equity in access
• Task-shifting and training
• Strengthening digital infrastructure

‘What the NIP gives is a general overview of the immunisation efforts in the months to come. What it does not give are the particulars in each step towards achieving this goal. More information on the actual particulars in realising this strategy has to be made available for public scrutiny — if such particulars are even available. These details could be the differentiating factors in determining Malaysia’s success or failure to achieve its 2022 immunisation targets because, as always, the devil is in the details.’

Read here (Malay Mail, Feb 17, 2021)

IP, vaccine imperialism cause death and suffering, delay recovery

‘Vaccine developers’ refusal to share publicly funded vaccine research findings is stalling broader, affordable vaccinations which would more rapidly contain COVID-19 contagion. The pandemic had infected at least 109 million people worldwide, causing over 2.4 million deaths as of mid-February.

‘Avoidable delays in preventive vaccination are imposing terrible burdens on the world economy and human welfare, with economic disruption demanding more relief and recovery measures. They have cost US$28 trillion in lost output globally, with developed countries contracting by 7% in 2020.’

Read here (IPS News, Feb 16, 2021)