Vaccinating Asia: How does world's largest continent immunise 4.5 billion people in shortest time possible?

‘It is a critical issue as the world rushes to achieve herd immunity against the coronavirus. How does the largest continent in the world immunise 4.5 billion people in the shortest time possible? The Straits Times bureaus find out in this special report.’

• Grappling with myriad challenges on path towards Covid-19 immunity
• Midwives and soldiers in Indonesia mobilised to support country's inoculation drive
• Millions of undocumented migrants in Malaysia keen on Covid-19 jab but wary of arrest
• Filipinos in search of coveted 'Covid-19 passport'
• India's greatest challenge lies in vaccinating rural villages
• Quality and quantity of Covid-19 vaccines in China hamper inoculation drive
• Hong Kong's Covid-19 vaccination drive zips ahead despite woes
• South Korean govt draws flak for not mandating Covid-19 vaccine holiday after roll-out delay
• South Korean man, Singaporean fiancee inoculated ahead of May wedding
• Japan's chequered past with vaccines raises fresh fears
• No rush for Covid-19 jab in Taiwan, given fears over side effects
• Religious, community groups, experts clear doubts about Covid-19 jabs in Singapore
• Church webinar in S'pore convinces senior to take Covid-19 jab
• Tapping TikTok videos and social media influencers to spread information on vaccines in Singapore
• MCI officers create skits, dances on TikTok to debunk Covid-19 myths
• Foodcourt chat to allay fears about Covid-19 shots among Singaporeans

Read here (Straits Times, Apr 2, 2021) 

Everything you need to know about “vaccine passports”

‘Countries with digital vaccine certificates in the works include Israel, China, Japan, United Arab Emirates, the Philippines, Denmark, Sweden, Iceland, the UK, Estonia, Australia, France, and Singapore. Other projects are more international in scope. The EU Commission hopes to launch a Digital Green Certificate that will allow travel between EU countries by summer. Airlines and various international consortia are in the process of developing passes that would work across borders and facilitate international travel. (These include the IATA travel pass, the CommonPass, American Airlines’ VeriFly, the ICC AOKpass, and IBM’s Digital Health Pass.) 

‘Elizabeth Renieris, a technology and human rights fellow at Harvard’s Carr Center for Human Rights Policy and former policy counsel for Evernym, points out that governing bodies like the EU Commission have never rolled out technology close to this before—no interoperable digital passports, ID cards, or driver’s licenses. “How can there be such an accelerated rollout for something that has never been done before for any other purpose?” Renieris asks. “To attempt this for the first time, and to do it at such high stakes with such potentially severe risks to very fundamental freedoms, just feels like a very rash move.” 

Read here (Mother Jones, Apr 2, 2021)

How Covid can change your personality

‘I don’t know about you, but I’ve found the latest stage of the pandemic hard in its own distinct way. The cumulative effect of a year of repetition, isolation and stress has induced a lassitude — a settling into the familiar, with feelings of vulnerability. The shock of a year ago has been replaced by a sluggish just-getting-to-the-end.

‘I’ve got the same scattered memory issues many others in this Groundhog Day life describe: walking into a room and wondering why I went there; spending impressive amounts of time looking for my earbuds; forgetting the names of people and places outside my Covid bubble.

‘My extroversion muscles have atrophied while my introversion muscles are bulging. If you tracked me on a personality chart, I suppose “liveliness” would be down and “reserved” would be up; “carefree” down and “anxious” up.’

Read here (New York Times, Apr 1, 2021) 

How Covid can change your personality

‘I’m trying to describe a year in which we’ve all been physically hunkered down but socially and morally less connected. This has induced, at least in me, a greater fragility but also a great sense of flexibility, and a greater potential for change.

‘I’ve found I’ve burned out on my screens, burned out about the politicization of everything, and have rediscovered my love for the New York Mets. People who have endured an era of vulnerability emerge with great strength. I’m also convinced that the second half of this year is going to be more fantastic than we can imagine right now. We are going to become hyper-appreciators, savoring every small pleasure, living in a thousand delicious moments, getting together with friends and strangers and seeing them with the joy of new and grateful eyes.’

Read here (New York Times, Apr 1, 2021)

The hidden toll of remote work

‘Switching to Zoom forever might be convenient, but it’s a recipe for loneliness.

‘Between one-third and one-half of American employees worked in person throughout the pandemic, with or without a say in the matter, and some at great personal risk. Most of the rest of us were forced to work from home, also without necessarily wanting to. And in fact, almost two-thirds of people in a poll last fall felt that the cons of working from home outweighed the pros, and nearly a third said they had considered quitting their jobs since being banned from the workplace. In another poll, about 70 percent said that mixing work and other responsibilities had become a source of stress, and about three in four American workers in the early days of the pandemic confessed to being “burned out”.’

Read here (The Atlantic, Apr 1, 2021) 

The pandemic’s wrongest man [in the US]

‘In this crowded field of wrongness, one voice stands out. The voice of Alex Berenson: the former New York Times reporter, Yale-educated novelist, avid tweeter, online essayist, and all-around pandemic gadfly. Berenson has been serving up COVID-19 hot takes for the past year, blithely predicting that the United States would not reach 500,000 deaths (we’ve surpassed 550,000) and arguing that cloth and surgical masks can’t protect against the coronavirus (yes, they can).

‘Berenson has a big megaphone. He has more than 200,000 followers on Twitter and millions of viewers for his frequent appearances on Fox News’ most-watched shows. On Laura Ingraham’s show, he downplayed the vaccines, suggesting that Israel’s experience proved they were considerably less effective than initially claimed. On Tucker Carlson Tonight, he predicted that the vaccines would cause an uptick in cases of COVID-related illness and death in the U.S...’

Read here (The Atlantic, Apr 1, 2021)

The Caribbean's skilful vaccine diplomacy

‘Many of the Caribbean's sovereign states have enough vaccines to cover their populations. They knew how to profit from international competition

‘For the small island states of the Caribbean, vaccine diplomacy is crucial to managing the Covid-19 pandemic. Even if their population is barely that of a district of São Paulo, countries like Grenada and Antigua & Barbuda are sovereign states, and as such they have a seat and vote at the United Nations – just like Brazil or Mexico. The 15 states in the Caribbean Community  (CARICOM) together have more voting power than the whole of South America. And the current crisis shows how this sovereignty can be converted into a supply of vaccines that larger states can only dream of.

‘Take, for example, Dominica (not to be confused with the far larger Dominican Republic). With its 70,000 inhabitants, the island had already received 70,000 vaccine doses from India at the beginning of February – not just promised or planned, but actually there on the island, ready to be used. In the meantime, China has stepped forward and flown in more vaccine doses. Dominica has the epidemic under control like no one else: so far, there’s not a single death on the island. The number of infected people is 161 – not per week, as on the neighbouring islands of Guadeloupe and Martinique belonging to France, but in total.’

Read here (IPS Journal, Mar 31, 2021)

World leaders, WHO push for pandemic preparedness treaty

‘Global leaders and the World Health Organisation (WHO) are pushing for an international treaty that would boost the world's ability to respond to a future pandemic, saying it is a matter of time before the next infectious pathogen emerges.

‘The goal is to prevent a recurrence of the missteps that have dogged the global response to the Covid-19 pandemic - from the scramble for personal protective equipment at the start to current issues over the distribution of vaccines.

‘The call to establish a framework to share information, diagnostics, technology and essentials like vaccines and personal protective equipment comes as a WHO-led team published its highly anticipated findings after a mission to Wuhan, China, and concluded that Covid-19 most likely originated from bats and not a laboratory.’

Read here (Straits Times, Mar 31, 2021)

Data withheld from WHO team probing Covid-19 origins in China: Tedros

‘Although the team concluded that a leak from a Wuhan laboratory was the least likely hypothesis for the virus that causes COVID-19, Tedros said the issue required further investigation, potentially with more missions to China. "I do not believe that this assessment was extensive enough," he told member states in remarks released by the WHO. "Further data and studies will be needed to reach more robust conclusions."

‘The WHO team's leader, Peter Ben Embarek, told a press briefing it was "perfectly possible" the virus had been circulating in November or October 2019 around Wuhan, and so potentially spreading abroad earlier than documented so far. "We got access to quite a lot of data in many different areas, but of course there were areas where we had difficulties getting down to the raw data and there are many good reasons for that," he said, citing privacy laws and other restrictions.’

Read here (Reuters, Mar 31, 2021)

Thromboembolism and the Oxford–AstraZeneca COVID-19 vaccine: Side-effect or coincidence?

‘When making decisions on the use of drugs based on pharmacovigilance, it is important to take into account the natural incidence of illnesses, such as venous thromboembolisms, that might be interpreted as serious adverse events. Here, based on pre-pandemic incidence rates from the entire Danish population, we report that the number of venous thromboembolisms reported in relation to the Oxford–AstraZeneca COVID-19 vaccine does not seem to be increased beyond the expected incidence rate. Nevertheless, recent reports of thrombocytopenia-associated cerebral venous sinus thrombosis, multiple thrombosis, and bleeding within a short timeframe after receipt of the vaccine are concerning and are receiving due attention from health authorities. On March 18, 2021, with reference to the Oxford–AstraZeneca COVID-19 vaccine, the EMA concluded that “benefits still outweigh the risks despite possible link to rare blood clots with low blood platelets”.’

Read here (The Lancet, Mar 30, 2021) 

Opioid deaths in America reached new highs in the pandemic

‘Last year (2020) was a woeful time for people suffering from a drug addiction. Government shutdowns brought job losses and social isolation—conditions that make a transportive high all the more enticing. Those who had previously used drugs with others did so alone; if they overdosed, no one was around to call for help or administer naloxone, a medication that reverses opioid overdoses.

‘Fatal overdoses were marching upwards before the pandemic. But they leapt in the first part of last year as states locked down, according to provisional data from the Centres for Disease Control and Prevention. Deaths from synthetic opioids—the biggest killer—were up by 52% year-on-year in the 12 months to August, the last month for which data are available. Those drugs killed nearly 52,000 Americans during the period; cocaine and heroin killed about 16,000 and 14,000, respectively (see chart). Once fatalities are fully tallied for 2020, in a few months’ time, it is likely to be the deadliest year yet in America’s opioid epidemic.’

Read here (The Economist, Mar 30, 2021)

‘I’m scared’: Top US official shares sense of ‘doom’ as Covid cases rise

‘The US faces “impending doom” from a resurgent coronavirus pandemic, the head of the federal Centers for Disease Control and Prevention (CDC) warned on Monday. “Right now I’m scared,” Rochelle Walensky said in an emotional and unscripted moment during a White House briefing. “I’m speaking not necessarily as your CDC director, and not only as your CDC director, but as a wife, as a mother, as a daughter to ask you to just please hold on a while longer.”

Read here (The Guardian, Mar 30, 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)

How many anti-vaxxers does it take to misinform the world? Just twelve

‘A majority of anti-vaccine propaganda can apparently be traced back to a handful of people. While de-platforming them is sometimes appropriate, there is a bigger, better solution...

‘Misinformation is never going to go away; it isn’t just a Big Tech problem, it’s an education problem. Instead of just yelling at tech companies, politicians should be focusing on what Taiwan’s digital minister calls “nerd immunity” – the government should be investing in education so people have the skills to identify fake news...

‘Finland, which was rated Europe’s most resistant nation to fake news last year, is one model of how you do this. In 2014, after an increase in disinformation from Russia, the government embedded media literacy in the national curriculum. Starting in primary school, kids learn the critical thinking skills needed to parse the modern information ecosystem. Students learn how easy it is to manipulate statistics in their maths lessons, for example. They learn how to distinguish satire from conspiracy theories in their Finnish lessons. They look at how images can be used for propaganda in art class. And this sort of education isn’t just given to children: Finnish civil servants, journalists and NGO workers are also trained in digital literacy skills.’

Read here (The Guardian, Mar 30, 2021)

With great caution, scientists seek Covid treatments in old drugs

‘After two small studies, a cheap drug shows promise. But scientists still feel burned by hydroxychloroquine.

‘Repurposing is a long shot, yet compared to creating drugs and vaccines, the approach has clear advantages during a fast-moving pandemic. “If it works and it’s on the shelf, you don’t have any development time,” said Lisa Danzig, a specialist in infectious diseases who consults with companies, investors, government and philanthropies. One of the best treatments in the Covid arsenal — the common steroid dexamethasone — is a repurposed drug. But it is recommended only for hospitalized patients who are seriously ill.

‘Danzig was “very excited” last April by news that a team led by University of California-San Francisco researchers had identified 69 possible drugs that, when used early on, might counteract infections with SARS-CoV-2, the virus that causes Covid. “I’m thinking, if we can rapidly test some of these in clinical trials, we can have answers by October.”

‘Yet these studies struggled to get off the ground...’

Read here (Undark, Mar 30, 2021)

A city in Brazil’s Amazon rain forest is a stark warning about Covid to the rest of the world

‘Manaus and cities like it will continue to generate dangerous viral variants if vaccination campaigns are not expanded to broadly reach all nations, rich or poor...

‘Manaus was devastated by a first wave of COVID cases beginning last March. Excess deaths—the 3,457 people in the city who died above the expected mortality figures between March 19 and June 24, 2020—represented 0.16 percent of Manaus’s relatively young population. And 7 percent of men older than 75 died at the peak of the spread.

‘Infections were so prevalent that researchers at the University of São Paulo and their colleagues concluded that Manaus was the first city in the world to reach herd immunity—the point at which enough people are immune to a virus that the spread of new infections is hindered. Their preliminary preprint study estimated that 66 percent of the population had been infected with SARS-CoV-2 (they later revised their figure to 76 percent as of October). The threshold for COVID herd immunity is unknown, but projections often cited range from 60 to 90 percent. Similarly high rates of infection have also been found in the Peruvian and Colombian Amazon...

‘In December 2020 a second wave did hit. And by January the city’s health system, which serves communities across the Amazon, had collapsed. ICUs were full to bursting, and oxygen supplies became exhausted. Some patients were airlifted to other regions of Brazil. But many died of asphyxiation on makeshift beds in hospital corridors or their home, doctors say.

‘More severe than the first one, the new wave took Manaus by surprise. Wearing masks and practicing social distancing had been discarded in the belief the city had reached herd immunity. Caseloads surged out of control, and bleak milestones from last year were surpassed. In January alone more than 3,200 excess deaths were logged, Orellana says.’

Read here (Scientific American, Mar 29, 2021)

Covid-19 variants: Five things to know about how coronavirus is evolving

The Sars-CoV-2 virus is changing in ways that are making it more transmissible, increasing the severity of disease it causes and allowing it to infect people who should have immunity. These variants are causing concern among global health experts, particularly as there are signs that some vaccines may be less effective against them. 

Here are five things to know about the new Covid-19 variants:

1. The virus is always changing but occasionally makes an evolutionary leap
2. These are variants of SARs-CoV-2, not new strains
3. Chronic infection cases and higher levels of population immunity may have enabled the virus to evolve
4. Sequencing has played a crucial role in tracking new variants
5. Vaccines are already being changed to deal with variants

Read here (Horizon, Mar 29, 2021)

WHO says Covid-19 likely passed from bats to humans through another animal

‘The coronavirus probably spread from bats to humans via another animal, with the likelihood it was leaked from a lab in China “extremely unlikely”, according to the long-awaited results of a joint World Health Organisation-China study into the origins of Covid-19 reported by the Associated Press. 

‘The findings align with what researchers said last month, at the end of their mission to Wuhan, the central Chinese city where the first Covid cases emerged at the end of 2019, and in their subsequent public comments, including to Bloomberg News.

‘The scientists proposed further research in every area except the lab leak hypothesis, the AP reported on Monday (March 29), citing a draft copy of the report, which it said left many questions unanswered.’

Read here (Straits Times, Mar 29, 2021)

Khairy: Next phase of Malaysia’s Covid-19 vaccine plan to start April 19, eligible recipients to get two weeks’ notice for appointments

‘Phase two of the National Covid-19 Immunisation Programme (PICK) will kick off on April 19, with appointment reminders sent out to eligible recipients two weeks ahead. Minister of Science, Technology and Innovation Khairy Jamaluddin said a total of 2 million people — senior citizens, high-risk groups, the chronically ill, and people with disabilities — have so far registered for vaccination under the second phase.

“We will begin issuing appointment notices through instant messaging, phone calls and MySejahtera to those who have been chosen to be listed under this second phase on April 5,” he told a press conference here. The second phase of the National Covid-19 Immunisation Programme is expected to be carried out from April to August.’

Read here (Malay Mail, Mar 29, 2021)

Malaysia to allow private hospitals to procure Covid-19 vaccines, run parallel vaccination drive in second half of 2021

‘Malaysia will allow its private healthcare providers to open negotiations to procure their own Covid-19 vaccine supplies, the government said on Monday (March 29).

‘However, the country's coordinating minister for its immunisation programme, Mr Khairy Jamaluddin, tempered expectations by warning that a private sector vaccine roll-out - which would allow individuals to pay for their own Covid-19 vaccine - might take place only in the second half of 2021.

‘Mr Khairy said that he would hold discussions with private hospitals about allowing them to procure vaccines, following a request by the Association of Private Hospitals of Malaysia (APHM) to run a parallel vaccination drive along with the government's free vaccination programme to help the country achieve herd immunity against the coronavirus.’

Read here (Straits Times, Mar 29, 2021)

The politics of stopping pandemics

‘As the world nervously watches the rollout of the various covid-19 vaccines and surveys the human and economic cost of the pandemic, this period of optimism is hard to imagine. Yet Hotez, a pediatrician and a specialist in tropical infectious diseases at Baylor College of Medicine who co-directs a vaccine-development center at the Texas Children’s Hospital, shows that pandemics had been rebounding well before the first covid-19 cases emerged in Wuhan. His book draws lessons from the field of tropical infectious diseases, and also from his international work as a science envoy—a position created jointly by the State Department and the White House—during Barack Obama’s Presidency. 

‘Hotez is perhaps uniquely positioned to expound a broad vision that marries science with geopolitics. (In the past year, he has been a prominent TV expert on the pandemic.) We learn not only about familiar scourges such as polio and diphtheria but also about a host of so-called neglected tropical diseases, including dengue, leishmaniasis, schistosomiasis, and Chagas. He melds an account of their biology with documentation of the social and political factors that enable them to spread, and passionately insists that we cannot prevent pandemics in isolation from wider global currents. He identifies a cluster of non-medical drivers of deadly outbreaks—war, political instability, human migration, poverty, urbanization, anti-science and nationalist sentiment, and climate change—and maintains that advances in biomedicine must be accompanied by concerted action on these geopolitical matters.’

Read here (The New Yorker, Mar 29, 2021)

The “unvaccinated” question

‘So, the New Normals are discussing the Unvaccinated Question. What is to be done with us? No, not those who haven’t been “vaccinated” yet. Us. The “Covidiots.” The “Covid deniers.” The “science deniers.” The “reality deniers.” Those who refuse to get “vaccinated,” ever.

‘There is no place for us in New Normal society. The New Normals know this and so do we. To them, we are a suspicious, alien tribe of people. We do not share their ideological beliefs. We do not perform their loyalty rituals, or we do so only grudgingly, because they force us to do so...

‘No, the Unvaccinated are not the Jews and the New Normals are not flying big Swastika flags, but totalitarianism is totalitarianism, regardless of which Goebbelsian Big Lies, and ideology, and official enemies it is selling. The historical context and costumes change, but its ruthless trajectory remains the same.

‘Today, the New Normals are presenting us with a “choice,” (a) conform to their New Normal ideology or (b) social segregation. What do you imagine they have planned for us tomorrow?’

Read here (Off Guardian, Mar 29, 2021)

How mRNA technology could change the world

‘mRNA’s story likely will not end with COVID-19: Its potential stretches far beyond this pandemic...

‘But mRNA’s story likely will not end with COVID-19: Its potential stretches far beyond this pandemic. This year, a team at Yale patented a similar RNA-based technology to vaccinate against malaria, perhaps the world’s most devastating disease. Because mRNA is so easy to edit, Pfizer says that it is planning to use it against seasonal flu, which mutates constantly and kills hundreds of thousands of people around the world every year. The company that partnered with Pfizer last year, BioNTech, is developing individualized therapies that would create on-demand proteins associated with specific tumors to teach the body to fight off advanced cancer. In mouse trials, synthetic-mRNA therapies have been shown to slow and reverse the effects of multiple sclerosis. “I’m fully convinced now even more than before that mRNA can be broadly transformational,” Özlem Türeci, BioNTech’s chief medical officer, told me. “In principle, everything you can do with protein can be substituted by mRNA”.’

Read here (The Atlantic, Mar 29, 2021)

How do faithless people like me make sense of this past year of Covid?

‘Many of us yearn for meaning. But in our individualistic, secular society we lack even the flimsiest of narratives to guide us...

‘Long before Covid’s arrival, it was clear this was something too many people were losing touch with. Through decades of secularisation, cheered on by irreligious liberals, not nearly enough thought was ever given to what might take on the social roles of a church. The demise of the factory and the collectivised lives that went with it marked another loss. And now, long years of cuts have obliterated many of the shared spaces we had left, from libraries and Sure Starts to community centres.

‘The pandemic has shone unforgiving light on the consequences. A British Academy report on “the long-term societal impacts of Covid-19” found that the age group most likely to experience loneliness during the first lockdown was 16- to 24-year-olds. In the past decade, spending in England and Wales on youth services has been cut by 70%. As life after Covid unfolds, such choices will look not just reckless but downright cruel.

‘Three years ago, Anthony Costello – a former director of maternal and child health at the World Health Organization – published a book titled The Social Edge, focused on the so-called “sympathy groups” that sit between the state and the individual. “Religious or therapy groups have always offered solace and peace and relaxation and friendship,” he wrote. “They help us in our spiritual quest for meaning and wellbeing.” Church groups, choirs, sport and dance clubs, he went on, “bring harmony and relaxation to tired minds” and give people “a greater sense of being alive”.

‘Costello proposed using similar structures to tackle loneliness in old age, prisoner recidivism, “stress in motherhood” and much more. Now, in the context of Covid and its long-term social effects, this sounds like something millions of us might sooner or later need. Whatever our experiences, what we have all been through is huge. And as an act of post-pandemic healing, encouraging the growth of such initiatives would surely not be too hard. Fund and create public spaces – parks, halls, arts venues, meeting rooms – and revive the most grassroots aspects of local government, and you would create roughly the right conditions.’

Read here (The Guardian, Mar 28, 2021)

Covid-19 is different now: Our response to Covid-21 cannot be myopic

‘We are at an inflection point that will change the reality of this disease. The most insidious future is one in which we fail to change our moral benchmarks, and end up measuring the danger of COVID-21 by the standards of 2020. If wealthy countries with early access to vaccines abandon continued, global coronavirus-vaccination efforts as their cases fall or when the disease becomes milder for them, a still-severe disease could haunt the world indefinitely—and lead to rebounds everywhere.

‘Avoiding this myopia is the central challenge of COVID-21. It extends to the systemic problems highlighted by this pandemic. Much of the damage the virus has wrought has come indirectly, by exacerbating food and housing insecurity, for example, or restricting access to medical care. The Biden administration has elevated science and begun to focus on comprehensive approaches to prevention. No longer is federal leadership hawking hydroxychloroquine, suggesting injections with “disinfectant,” or stoking xenophobic sentiment. But this sudden sense of order is a beginning, not an end.’

Read here (The Atlantic, Mar 27, 2021)

Did former CDC director offer a ham sandwich theory of Covid-19? Maybe. Maybe not.

‘As Robert Redfield awoke Friday morning, he found himself transformed in his TV into a gigantic target of viral scorn.

‘The former director of the Centers for Disease Control and Prevention (CDC) lifted many expert eyebrows from their microscopes, telling CNN’s Sanjay Gupta he believes the coronavirus responsible for COVID-19 originated in a lab in China. In clips CNN aired from an upcoming special this Sunday (which Gupta dubbed an “autopsy” of the pandemic), Redfield dismissed the possibility that the virus could have evolved sufficiently on its own to have “somehow jumped” quickly from bats to humans. “I just don’t think this makes biological sense,” Redfield told Gupta, arguing it’s easier to conclude that the virus gained greater efficiency at infecting humans inside a lab.

Read here (Bulletin of Atomic Scientists, Mar 26, 2021)

Long Covid affects most hospital patients, two UK studies find

‘Most patients treated in hospital for Covid-19 are still suffering a wide range of symptoms five months after discharge — and middle-aged women are even more likely to have long Covid than other groups — according to two UK studies released on Wednesday.

‘The larger study, led by the University of Leicester and called Phosp-Covid, analysed 1,077 people discharged from hospitals across the UK and found that only 29 per cent were fully recovered.

‘The remainder had an average of nine persistent symptoms each. These covered a wide range, including muscle pain and fatigue, breathlessness, pain, joint pain or swelling, weakness, short-term memory loss and “brain fog”.’

Read here (Financial Times, Mar 25, 2021)

China’s exotic farms may be a missing link behind the pandemic’s leap to people

‘Given that more than a year passed between late 2019, when the disease was linked to the market, and December 2020, when China says it shut down all its food-supplying wildlife farms, acquiring such evidence may prove impossible. Still, filling in gaps about how the virus may have leaped to humans is essential for understanding the COVID-19 pandemic and combating future zoonotic diseases.

‘Yunnan, the southern Chinese province where many of the now-shuttered wildlife farms are located, is also where virologists found a bat virus almost identical to the coronavirus circulating in humans. Some wildlife farms sold animals that can be infected with other coronaviruses, including civets, so scientists suspect that these species may also be susceptible to SARS-CoV-2, the virus that causes COVID-19. “Potentially, some of these animals were infected at those farms and then brought the virus into the market,” Peter Ben Embarek, the Danish food safety scientist heading WHO’s delegation, told Science in February, after he and the WHO team returned from China, adding that more testing was needed.’

Read here (National Geographic, Mar 25, 2021)

What it will take to vaccinate the world against Covid-19

‘A special report outlines the challenges — from unleashing the power of mRNA vaccines, to the battle for temporary relief on intellectual-property rights...

‘In the long term, argues Friede, every region needs a facility that fully owns the production know-how and can produce vaccines. The gap is most egregious in Africa, a continent that imports 99% of its vaccines, says Nkengasong. It has only three big vaccine manufacturers. “Can a continent of 1.2 billion — projected to be 2.4 billion in 30 years, where one in four people in the world will be African — continue to import 99% of its vaccines?” Nkengasong asks.’

Read here (Nature, Mar 25, 2021)

From the pandemic, a roadmap for lowering the costs of medicine

‘To speed Covid-19 treatments, federal officials adopted a new, nimbler regulatory posture. The change was long overdue...

‘In recent decades, for example, the FDA — scarred by episodes like the Vioxx debacle and buoyed by scientists’ increased understanding of the body — has pressed drug makers to demonstrate increasingly rigorous understanding of the mechanisms by which their medicines work. Yet, one might argue that these guidelines reflect either hubris or naivete: The vast majority of safe and effective drugs were approved despite uncertainty about their mechanisms of action. Even today, scientists do not completely understand how acetaminophen works, yet the world is a far healthier place for having this drug...

‘In some high-profile cases during the pandemic, the FDA leaned less on mechanistic proof of effectiveness and more on empirical indicators, such as patient survival rates. For instance, when objective data revealed that the steroid dexamethasone helped severely ill patients survive what might otherwise have been deadly coronavirus infections, the FDA was quick to support the drug’s use, despite scientists having only a speculative understanding of how the steroid works against the disease. To be sure, the FDA must continue to prioritize its mandate to protect patients and clinical trial volunteers. But the pandemic has shown that safety and speed need not be an either-or proposition.’

Read here (Undark, Mar 25, 2021)

Covid-19 in the classroom: Over 2,000 infected in three months

‘The Health Ministry has reminded educational facilities nationwide to take precautions to prevent Covid-19 infection, after three of the eight new clusters reported today involved learning institutions. Its director-general Dr Noor Hisham Abdullah said 41 such clusters have been reported to date since the beginning of the year, infecting 2,228 people so far.

‘Most of the cases (1,058 cases; 47.5 percent) involved tertiary educational institutions, although they comprised only 15 of the 41 clusters. This was followed by 631 cases (28.3 percent) involving 13 secondary school clusters, and 419 cases (18.8 percent) involving 10 primary school and preschool clusters. Other educational institutions account for three clusters, totalling 120 cases (5.4 percent).’

Read here (Malaysiakini, Mar 25, 2021)

The coronavirus variants don’t seem to be highly variable so far

‘No doubt you’ve heard about the novel coronavirus variants that are evolving around the world. There now appear to be more than a dozen versions of SARS-CoV-2, which are of varying degrees of concern because some are linked to increased infectivity and lethality while others are not. It’s easy to be overwhelmed by this diversity and to fear that we’ll never achieve herd immunity. Yet evidence is growing that these variants share similar combinations of mutations. This may not be the multifront war that many are dreading, with an infinite number of new viral versions.’

Read here (Scientific American, Mar 24, 2021)

Greed is the problem, not the solution, for vaccine woes

‘On the anniversary of the United Kingdom’s first lockdown of the coronavirus pandemic, as candles were lit in doorways and the country mourned 125,000 deaths, the prime minister was in the mood for gloating. “The reason we have the vaccine success is because of capitalism, because of greed my friends,” Boris Johnson reportedly told Conservative MPs, before pleading “forget I said that”.

‘The AstraZeneca jab was actually developed by scientists from the University of Oxford, a publicly-funded institution, working with scientists from a range of backgrounds, including many educated in state schools. Those scientists had initially wanted to make their vaccine patent-free, before AstraZeneca entered the scene, effectively privatising the research.

‘The vaccines have been brought to market thanks to tens of thousands of trial volunteers who risked their health by putting themselves forward, not out of greed, but out of a desire to end this pandemic and help their families and communities. And the rollout is being managed by the UK’s National Health Service (NHS), a world-class public healthcare system that, despite market-driven reforms in recent years, exists entirely outside the logic of the market.

‘Greed, however, drove Big Pharma companies to privatise vaccines developed with public resources, and patent lifesaving medicines, in an effort to keep a grip on their monopolies. As a result, pharmaceutical giants sold these jabs almost exclusively to rich countries, allowing the UK to secure enough doses to vaccinate its population three times over.’

Read here (Aljazeera, Mar 24, 2021)

These moms work as doctors and scientists. But they've also taken on another job: Fighting Covid-19 misinformation online

‘While experts throughout the U.S. are trying to tackle misinformation and persuade Americans to get their shots when they become eligible, these doctor-scientist moms believe they are uniquely positioned to make the case. Not only do they have the expertise to answer medical questions and clear up misperceptions, but they can relate to the people they encounter on social media as fellow parents who also want what’s best for their families and communities. They film video Q&As and explain how the safety standards were met in the development of currently authorized COVID-19 vaccines. They interview one another to reach a wider audience through Instagram and YouTube. They warn each other about strategies that trolls may use to drag them into arguments.’

Read here (Time magazine, Mar 24, 2021)

The doomsday prophecy of Dr Geert Vanden Bossche

‘The COVID-19 pandemic has attracted a swarm of vocal contrarians like little else in the recent past. These public commentators, often bedazzled with advanced degrees, have painted themselves as brave mavericks escaping from the mainstream herd to denounce the cataclysmic consequences of public health measures. The latest example of this phenomenon comes in the form of Dr. Geert Vanden Bossche, who recently published an alarming manifesto. In it, Dr. Bossche makes a number of incorrect or exaggerated claims about the use of mass vaccination during a pandemic and urges international health authorities to stop the current crop of COVID-19 vaccines or else risk unleashing “a global catastrophe without equal.” This is scary stuff, but it’s all quite misguided.’

Read here (McGill Office for Science and Society, Mar 24, 2021)

Sinovac Covid-19 vaccine appears safe, triggers antibodies in trial in children: Researcher

‘Sinovac Biotech's Covid-19 vaccine appears to be safe and able to trigger immune responses among children and adolescents, according to preliminary results from early and mid-stage trials, the company said late on Monday (March 22). The preliminary data was from Phase I and II clinical trials involving over 500 people between the ages of three and 17 who received two shots of either medium or low dosage of vaccine, or a placebo. Most adverse reactions were mild, Zeng Gang, a researcher with the company, told an academic conference in Beijing.’

Read here (Straits Times, Mar 23, 2021)

Covid-19 recovery: Science isn’t enough to save us (Nature publication, Mar 23, 2020)

‘Policymakers sometimes talk about science as if it has superhero powers. When it comes to COVID-19, they often sound as though they hope vaccines will bring life back to how things were before. There will be no such luxury.

‘One key issue is who is being called on to aid recovery. Governments have sought expert advice from the beginning of the pandemic, but that expertise tended to come from people in science, technology, engineering and maths (STEM) — despite it being clear from the start that human behaviour, motivations and culture were key to an effective response. There are more than 80 people who have sat on the UK Scientific Advisory Group for Emergencies — yet only a narrow range of social scientists, and a single person representing the humanities, are included.

‘This approach needs to change. Science gave us vaccines, but SHAPE (social sciences, humanities and the arts for people and the economy) disciplines help us get to social realities, such as vaccine hesitancy. Humanity’s insight is more robust when STEM and SHAPE come together.’

Read here (Nature publication, Mar 23, 2020)

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)

Covid-19: Dangerous dance with complacency – P Gunasegaram

‘Early signals of rising rates of Covid-19 infection should be taken seriously, and appropriate measures enforced to prevent a resurgence in the pandemic. Stronger moves may have to be imposed, such as quickly closing schools when there are cases and delaying giving the green light to interstate movement ahead of and beyond Hari Raya, if necessary. Complacency is perilous.

‘A close look at the figures indicates that we are at a dangerous inflection point, where a wrong premature move in favour of lifting restrictions may send the number of new infections skyrocketing again.’

Read here (The Vibes, Mar 23, 2021)

Cuban socialist internationalist medicine puts capitalist countries to shame: Black Agenda Radio with Margaret Kimberley and Glen Ford

‘So few of its own citizens have [died from] Covid-19 – less than 300 — that Cuba must test its vaccines in other countries, said Dr Layla Brown-Vincent, professor of Africana Studies at the University of Massachusetts at Boston and author of “The Pandemic of Racial Capitalism: Another World is Possible.” Cuba “is helping control this global pandemic in ways that none of the capitalist countries attempt to do,” said Brown-Vincent.’

Listen here (Defend Democracy Press, Mar 22, 2021)

Covid: The countries that nailed it, and what we can learn from them

‘I have reported on Covid for the past year - now my mission was to find out from global leaders and senior health officials across four continents what their priorities were in tackling the virus.

‘What has emerged strongly for me are four key areas which have been most effective in containing the spread of the virus and preventing deaths.

• Early and effective action to control borders and monitoring of arrivals
• Testing, tracking and tracing everyone suspected of being infected
• Welfare support for those in quarantine to contain the virus
• Effective leadership and consistent and timely public messaging

Read here (BBC, Mar 22, 2021)

Yuval Noah Harari: 'The world after Covid'

Yuval Noah Harari interviewed by Alec Russell, FT Weekend editor, in the session, 'The World after Covid', during the FTWeekend Digital Festival 2021

View here (FTWeekend Digital Festival 2021, Youtube, Mar 22, 2021)

How Taiwan triumphed over Covid as the UK faltered

‘Taiwan’s leaders, helped perhaps by having an epidemiologist as vice-president, perhaps by its experience of the outbreak of the Sars coronavirus in 2003, recognised the terrible threat posed by Covid-19, even as the earliest data trickled in. They decided the only way to protect their country, its people and economy, was to keep the virus out.

‘Britain, by contrast, made the catastrophic decision to treat the disease as akin to flu, aiming to limit its spread rather than stamp it out, said Jay Patel, a Covid-19 researcher at Edinburgh who studies comparative approaches to the pandemic worldwide. “Their playbook to begin with was different,” he said.’

Read here (Defend Democracy Press, Mar 21, 2021)

Why you can't compare Covid-19 vaccines

‘In the US, the first two available Covid-19 vaccines were the ones from Pfizer/BioNTech and Moderna. Both vaccines have very high "efficacy rates," of around 95%. But the third vaccine introduced in the US, from Johnson & Johnson, has a considerably lower efficacy rate: just 66%.

‘Look at those numbers next to each other, and it's natural to conclude that one of them is considerably worse. Why settle for 66% when you can have 95%? But that isn't the right way to understand a vaccine's efficacy rate, or even to understand what a vaccine does. And public health experts say that if you really want to know which vaccine is the best one, efficacy isn't actually the most important number at all.’

View here (Vox, Youtube, Mar 20, 2021)

Vaccine makers say coronavirus could be stopped around the globe in months rather than years. Here's how

‘[Bangladhesh's] drug makers say they could produce hundreds of millions of doses in a quick timeframe, if only they could secure a vaccine blueprint... Incepta Pharmaceuticals lies on the outskirts of the Bangladesh capital Dhaka, in an industrial neighbourhood. Fitted out with the latest technology from Germany, the company already produces vaccines to fight a wide array of diseases such as hepatitis b, typhoid, the flu, tetanus, measles, meningococcal and rabies.

‘Mr [Abdul] Muktadir [chairman of Incepta Pharmaceuticals] said the company had plenty of capacity to produce more drugs and could manufacture between 600 to 800 million doses of COVID-19 vaccines annually. "If we get the ready-to-fill material or antigen, instead of waiting until 2023, we can make this vaccine available to our entire nation population within two to three months' time," he said.’

Read here (ABC News, Mar 20, 2021)

We need social science, not just medical science, to beat the pandemic

‘The polio pandemic of the 1950s is another often-ignored “teachable” moment. On the surface, it would seem that it was a scientific, medical and policy success story. But the reality is closer to what we are seeing with COVID.

‘In 1954, when polio was at its most virulent, the Eisenhower administration declared that every child should receive the polio vaccine being developed at that time. But there was no cohesive plan at the federal level to make that happen, so the mandate was not a success. In addition, lack of oversight regarding the quality of the vaccine manufacturing process led to some children becoming sick or dying. Limited resources to administer the vaccine on a national scale were another problem, and it was not until Eisenhower’s signing of the Polio Vaccination Assistance Act in 1955 that there were enough federal funds available for a national public inoculation program. Such massive confusion resulted in public distrust that took years to abate.

‘When the sociologist Alondra Nelson was named as the new deputy director of the Office of Science and Technology Policy [in 2021], she noted that the pandemic had “held up a mirror to our society, reflecting … the inequality we’ve allowed to calcify.” She also noted that “science is a social phenomenon.” This implies not just that science requires real insight into the society with which it interacts, but also that it is forged in relationship to social forces and meanings. Social science can assist us in understanding social reactions to scientific knowledge, as well as in ensuring that science becomes aware of its own social biases and interests.’

Read here (Scientific American, Mar 20, 2021)

Rare Covid reactions might hold key to variant-proof vaccines

 ‘Some people mount an immune response able to fend off a menagerie of coronavirus variants...

‘Some of the vaccines that have been administered to millions of people might already be triggering variant-resilient immune responses. In another March preprint, a long-running COVID-19 study in Seattle, Washington, reported that after receiving a single dose of an mRNA vaccine, participants who had previously been infected with SARS-CoV-2 produced heaps of antibodies that can neutralize B.1.351, as well as an earlier circulating variant8. Those people also produced much higher levels of antibodies than typically seen even in those who have received two vaccine doses.

‘Leonidas Stamatatos, an immunologist at the Fred Hutchinson Cancer Research Center (FHCRC) in Seattle who co-led the study, suspects that a single vaccine dose boosted the levels of pre-existing antibodies that were capable of recognizing diverse variants. It’s not clear how to mimic this response in people who haven’t had COVID-19. One possibility is that a lag of several months between infection and vaccination was responsible, and that its effect could be replicated with another vaccine dose, given six months or a year after the first two, says Andy McGuire, an FHCRC immunologist who co-led the study.’

Read here (Nature, March 19, 2021)

AstraZeneca Covid-19 vaccine is ‘haram’, but permissible due to urgent situation: Indonesia Islamic body

‘Indonesia’s most influential Islamic organisation said AstraZeneca’s COVID-19 vaccine is “haram” or forbidden for Muslims, but its use can be temporarily permitted due to a lack of alternatives. The Indonesian Council of Ulema or MUI said it has conducted studies on the vaccine to see if it is “holy and halal” for Muslims to use.

‘The studies, said head of the council’s fatwa department Asorirun Niam Sholeh, showed that the AstraZeneca vaccine uses pork-derived trypsin – which is needed to break down proteins – in its production. Pork is considered unclean by Muslims.’  

Read here (Channel News Asia, Mar 19, 2021)

EU states to resume AstraZeneca vaccine rollout

‘The EU's leading states are to restart their roll-out of the Oxford-AstraZeneca Covid-19 vaccine after Europe's medicines regulator concluded it was "safe and effective". The European Medicines Agency (EMA) reviewed the jab after 13 EU states suspended use of the vaccine over fears of a link to blood clots. It found the jab was "not associated" with a higher risk of clots. Germany, France, Italy and Spain said they would resume using the jab.’

Read here (BBC, Mar 19, 2021)

Europe is lashing out like a wounded animal but its injuries are self-inflicted

‘As if banning the shipment of 250,000 AstraZeneca doses to Australia earlier this month didn’t set a bad enough precedent, the EU went even further on Wednesday by threatening to take over AstraZeneca’s factories and strip the company of its intellectual property rights unless the pharmaceutical giant delivered more doses over the coming months.

‘European Commission president Ursula von der Leyen has grounds to be upset: while Pfizer and Moderna have delivered on their first quarter commitments and pledged to deliver a combined 235 million doses in the second, AstraZeneca is dragging the chain. The firm will give the bloc only 100 million doses over the first six months of 2021 when the EU was expecting 270 million...

‘AstraZeneca certainly bears no blame for the week’s other baffling decision by some EU members to suspend the jab over unfounded safety fears.’

Read here (Sydney Morning Herald, Mar 19, 2021)

Covid hollows out the middle class everywhere, pushing millions into poverty, new research finds

‘The COVID-19 pandemic has eroded living standards around the globe, shrinking the global middle class and swelling the number of people in poverty amid a historic collapse in economic activity.

‘Analysis from Pew Research Center found that the global economic recession brought on by the pandemic shrank the worldwide middle class by 54 million, and increased the number of people in poverty by 131 million.

‘The middle-class falloff was most evident in South Asia, East Asia, and the Pacific, where the expansion seen over previous years came to a virtual halt. But it could have been worse: “The erosion in the middle class might have been deeper if not for the fact that China—which is home to more than one-third of the global middle class—evaded an economic contraction, even though growth there was slower than anticipated,” the Pew study said.’

Read here (Fortune, Mar 18, 2021)

Five reasons why Covid herd immunity is probably impossible

As Covid-19 vaccination rates pick up around the world, people have reasonably begun to ask: how much longer will this pandemic last? It’s an issue surrounded with uncertainties. But the once-popular idea that enough people will eventually gain immunity to SARS-CoV-2 to block most transmission — a ‘herd-immunity threshold’ — is starting to look unlikely.

• It’s unclear whether vaccines prevent transmission
• Vaccine roll-out is uneven
• New variants change the herd-immunity equation
• Immunity might not last forever
• Vaccines might change human behaviour

Read here (Nature, March 18, 2021) 

Covid-19 vaccination: Can we achieve herd immunity? ― Amar-Singh HSS

‘To achieve herd immunity against Covid-19, a substantial proportion of a population would need to be vaccinated but we are currently uncertain as to what this percentage is. In some diseases like measles 90-95 per cent of a population need to be vaccinated to achieve herd immunity; in others like polio we require about 80 per cent.

‘It is very likely that for Covid-19 we will require at least 75-85 per cent of the population to be vaccinated. This can be supplemented by those who had prior infection with Covid-19.’

Read here (Malay Mail, Mar 18, 2021)

March 18, 2020 and beyond: One year with Covid-19 and life under lockdown in Malaysia

‘A year has passed since Malaysia first went into a partial lockdown after the Covid-19 pandemic hit. This saw the public forced into complying with numerous unprecedented measures introduced by the government to contain the virus’ spread. Here is a recap of some of the ups and downs that the nation has survived.’

Read here (Malay Mail, Mar 18, 2020)

Michael Yeadon: The ex-Pfizer scientist who became an anti-vax hero

‘Late last year, a semi-retired British scientist co-authored a petition to Europe’s medicines regulator. The petitioners made a bold demand: Halt COVID-19 vaccine clinical trials. Even bolder was their argument for doing so: They speculated, without providing evidence, that the vaccines could cause infertility in women.

‘The document appeared on a German website on Dec.1. Scientists denounced the theory. Regulators weren’t swayed, either: Weeks later, the European Medicines Agency approved the European Union’s first COVID-19 shot, co-developed by Pfizer Inc. But damage was already done.

‘Social media quickly spread exaggerated claims that COVID-19 jabs cause female infertility. Within weeks, doctors and nurses in Britain began reporting that concerned women were asking them whether it was true, according to the Royal College of Obstetricians & Gynaecologists. In January, a survey by the Kaiser Family Foundation (KFF), a non-profit organization, found that 13% of unvaccinated people in the United States had heard that “COVID-19 vaccines have been shown to cause infertility.”

‘What gave the debunked claim credibility was that one of the petition’s co-authors, Michael Yeadon, wasn’t just any scientist. The 60-year-old is a former vice president of Pfizer, where he spent 16 years as an allergy and respiratory researcher. He later co-founded a biotech firm that the Swiss drugmaker Novartis purchased for at least $325 million.’

Read here (Reuters, Mar 18, 2021)

The scene from Cuba: How it’s getting so much right on Covid-19

‘As the COVID-19 pandemic disproportionately harms underprivileged people globally, Cuba’s “people over profit” approach has been saving many lives — both on the island and abroad. From the onset, Cuba’s approach has been holistic and integrated.

‘Its response is among the most respected in the world. Widespread confidence in the Cuban government’s science-based policies, public service media messaging and volunteerism are key reasons as to why Cuba has been able to control the viral reproduction rate until mass vaccination begins.

‘The cash-strapped Caribbean island risked opening to holiday visitors at the end of 2020 and is currently managing higher COVID-19 caseloads than ever before. Its health experts are combining international clinical trials of its vaccine candidates with mass production. Cuba is the only Latin American country with the capacity to manufacture a vaccine domestically other than Brazil, which is not doing so. Cuba aims to protect its populace, then give away or sell its vaccines abroad.’

Read here (The Conversation, Mar 17, 2021)

Lab leak: A scientific debate mired in politics — and unresolved

‘More than a year into the SARS-CoV-2 pandemic, some scientists say the possibility of a lab leak never got a fair look...

‘As it stands now, pandemic preparedness faces two simultaneous fronts. On the one hand, the world has experienced numerous pandemic and epidemic outbreaks in the last 20 years, including SARS, chikungunya, H1N1, Middle East Respiratory virus, several Ebola outbreaks, three outbreaks of norovirus, Zika, and now SARS-CoV-2. Speaking of coronaviruses, says Ralph Baric, an epidemiologist at the University of North Carolina, Chapel Hill, “it’s hard to imagine there aren’t variants” in bats with mortality rates approaching MERS’ 30 percent that also have “a transmissibility that is much more efficient. And that is terrifying.” Baric is emphatic that genetic research with viruses is essential to staying ahead of the threat.

‘Yet according to Richard Ebright, a molecular biologist at Rutgers University, lab-release dangers are growing as well. The risk increases in proportion with the number of labs handling bioweapons and potential pandemic pathogens (more than 1,500 globally in 2010), he says, many of them, like the Wuhan lab, located in urban areas close to international airports. “The most dramatic expansion has occurred in China during the last four years — driven as an arms-race-style reaction to biodefense expansion in the U.S., Europe, and Japan,” Ebright wrote in an email to Undark. “China opened two new BSL-4 facilities, in Wuhan and in Harbin, in the last four years,” he added, “and has announced plans to establish a network of hundreds of new BSL-3 and BSL-4 labs.”

Read here (Undark, Mar 17, 2021)

Covid: From boom to bust - Why lockdown hasn't led to more babies

‘For those who thought that lockdown would leave couples with little else to do than procreate, there was a surprise - not a baby boom but a baby bust. Research shows that the US is facing the biggest slump in births in a century and in parts of Europe the decline is even steeper. For those who study population the baby bust was not a revelation. "Having seen how bad the pandemic was I'm not surprised," says Philip N Cohen, professor of sociology at the University of Maryland. "But it is still just shocking to see something like this happen in real time."

‘In June last year economists at the Brookings Institute in the United States estimated that US births would fall by 300,000 to half a million babies. At the same time a survey of fertility plans in Europe showed 50% of people in Germany and France who had planned to have a child in 2020 were going to postpone it. In Italy 37% said they had abandoned the idea altogether. A US Centers for Disease Control and Prevention (CDC) report indicates an 8% drop in births in the month of December.’

Read here (BBC, Mar 17, 2021)

Covid-19: EU warns UK over vaccine exports

‘Ursula von der Leyen, president of the European Commission, has said that if Covid vaccine supplies in Europe do not improve, the EU "will reflect whether exports to countries who have higher vaccination rates than us are still proportionate". Post-Brexit disagreements between the EU and the UK have been heightened by the diplomatic row over the export of the vaccines.

‘The European Council president, Charles Michel, claimed last week that the UK had imposed an "outright ban" on the export of vaccines and their components - there is no ban though, and his claim was dismissed by the government as "completely false". But Mrs von der Leyen says the EU is still waiting for exports from the UK, and it wants reciprocity.’

Read here (BBC, Mar 17, 2021)

Malaysia PM Muhyiddin unveils RM20 billion economic stimulus package

‘Malaysian Prime Minister Muhyiddin Yassin announced a new economic stimulus package worth RM20 billion (US$4.8 billion) on Wednesday (Mar 17), one year after Malaysia first imposed a lockdown to curb the spread of COVID-19. This is the sixth package unveiled since the start of the COVID-19 pandemic.’

Read here (Channel News Asia, Mar 17, 2020)

Why the pandemic experts failed: We’re still thinking about pandemic data in the wrong ways

‘Not until early May, when the CDC published its own deeply inadequate data dashboard, did we realize the depth of its ignorance. And when the White House reproduced one of our charts, it confirmed our fears: The government was using our data. For months, the American government had no idea how many people were sick with COVID-19, how many were lying in hospitals, or how many had died. And the COVID Tracking Project at The Atlantic, started as a temporary volunteer effort, had become a de facto source of pandemic data for the United States.

‘After spending a year building one of the only U.S. pandemic-data sources, we have come to see the government’s initial failure here as the fault on which the entire catastrophe pivots. The government has made progress since May; it is finally able to track pandemic data. Yet some underlying failures remain unfixed. The same calamity could happen again.

‘Data might seem like an overly technical obsession, an oddly nerdy scapegoat on which to hang the deaths of half a million Americans. But data are how our leaders apprehend reality. In a sense, data are the federal government’s reality. As a gap opened between the data that leaders imagined should exist and the data that actually did exist, it swallowed the country’s pandemic planning and response.’

Read here (The Atlantic, Mar 16, 2021)

Traveling to China just got easier—if you take a Chinese Covid-19 vaccine (Wall Street Journal, Mar 16, 2021)

‘After a year of barring entry by most foreign citizens, China’s government plans to ease restrictions for those who have been inoculated against Covid-19. The hitch for now: Only vaccines made in China will qualify.

‘Chinese embassies in the U.S., Italy, India, the Philippines and other locations say they will provide “visa facilitation” to foreign applicants who can certify that they have received a Chinese shot. To enter China, most travelers also still need to prove they have tested negative for Covid-19, obtain an antibody test, and quarantine upon arrival, according to statements Tuesday.’

Read here (Wall Street Journal, Mar 16, 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)

BioNTech and Fosun Pharma form Covid-19 vaccine strategic alliance in China

• BioNTech and Fosun Pharma will jointly conduct clinical trials of BNT162 in China, leveraging BioNTech’s proprietary mRNA vaccine technology and Fosun Pharma’s clinical development and commercialization capabilities in China
• Fosun Pharma will commercialize the vaccine in China upon regulatory approval, with BioNTech retaining full rights to develop and commercialize the vaccine in the rest of the world
• Fosun Pharma will pay BioNTech up to USD 135M (EUR 120M) in upfront and potential future investment and milestone payments; the two companies will share future gross profits from the sale of the vaccine in China

Read here (BioNTech press statement, Mar 16, 2021)

Moderna begins study of Covid-19 vaccine in kids

‘Moderna Inc has begun dosing patients in a mid-to-late stage study of its COVID-19 vaccine, mRNA-1273, in children aged six months to less than 12 years, the company said on Tuesday (Mar 16). The study will assess the safety and effectiveness of two doses of mRNA-1273 given 28 days apart and intends to enrol about 6,750 children in the United States and Canada.’

Read here (Channel News Asia, Mar 16, 2021)

Molnupiravir: A new hope for prevention and treatment of Covid-19 and other dangerous viruses

‘The positive results of Molnupiravir represent an emerging hope for more Covid-19 therapies to come. Its oral administration indicates a potential drug that could come before hospitalization and perhaps even prevent severe symptoms. Were a pill-based treatment for Covid-19 available, many lives would be easily saved and many hospital beds could be opened for those who need them. 

‘In addition to its reduction of Covid-19 transmission, Molnupiravir is likely to be useful against influenza, ebola, and a large swath of other viruses as well. Its development appears to be a major advancement in virus control and should be active against Covid-19 variants and variants of other viruses. However, we caution Molnupiravir should be administered in conjunction with other therapies to avoid viruses rapidly developing resistance, which all these viruses are well-equipped to do. 

‘Though, as these results are preliminary, we eagerly await the full release of the phase two data and the drug’s eventual full trial outcomes. This could be a real winner.’

Read here (Forbes, Mar 16, 2021)

What’s the best Covid vaccine? Why it’s not so simple: Quick take on seven issues

‘A range of vaccines with different efficacy results now has given rise to worries that some people may refuse the shot on offer in hopes of getting a “better” one later. In reality, comparing efficacy numbers isn’t necessarily the best way to measure a vaccine’s value. And as suppliers struggle to meet global demand, experts say the best vaccine for you is probably whichever one you can get now.’

Bloomberg's Quick Take answers seven questions:

1. What does efficacy mean?
2. What efficacies are being reported?
3. Are the numbers reliable?
4. Why isn’t efficacy all that counts?
5. So numbers may be misleading?
6. What matters beyond the efficacy number?
7. What’s the bottom line?

Read here (Bloomberg, Mar 15, 2021)

Covid-19: Only 0.11% of 300,000 vaccine recipients so far are govt officials, elected reps, says Khairy

‘Only 0.11% of the 300,000 Covid-19 vaccine recipients in Malaysia so far are government officials and elected representatives, says Khairy Jamaluddin. The coordinating minister of the National Covid-19 Immunisation Programme said the 0.11% constituted 302 people, while the rest are mostly healthcare workers.

“Based on the breakdown of the 292,104 people who have been vaccinated as of March 13, they comprise 23.86% nurses, 22.23% doctors and 23.4% other healthcare workers such as medical assistants, X-ray specialists and ambulance drivers. Another 21.33% are frontline workers from the armed forces, police, civil defence force, Rela (people’s volunteer corps) and Customs officers, among others. Another 5.62% are dentists while 3.45% are pharmacists.”

Read here (The Star, Mar 15, 2021)

UK clinical trial confirms SaNOtize’s breakthrough treatment for Covid-19

• Patients with a self-administered nasal spray application found to have reduced SARS-CoV-2 log viral load by more than 95% in infected participants within 24 hours of treatment, and by more than 99% in 72 hours
• Trial concluded that treatment accelerated clearance of SARS-CoV-2 by a factor of 16-fold versus a placebo
• Randomized, double-blind, placebo-controlled trial evaluated 79 confirmed cases of COVID-19, the majority heavily-infected with the UK variant
• No adverse events were recorded in the group
• Submission for Emergency Use in the UK and Canada for the treatment and prevention of COVID-19 is planned immediately

Read here (Business Wire, Mar 15, 2021)

Mark Zuckerberg announces Facebook's plans to help get people vaccinated against Covid-19

‘Today we're launching a global campaign to help bring 50 million people a step closer to getting Covid-19 vaccines. 

‘We've already connected over 2 billion people to authoritative Covid-19 information. Now that many countries are moving towards vaccinations for all adults, we're working on tools to make it easier for everyone to get vaccinated as well. 

‘First, we're launching a tool that shows you when and where you can get vaccinated and gives you a link to make an appointment. This will be in the Covid Information Center, which we'll show people right in their News Feed. We've already seen people use Facebook to find vaccination appointments, so this should enable millions more people to do the same.

‘Second, we're bringing the Covid Information Center to Instagram, and we'll show it to people prominently there too. 

‘Third, we're working with health authorities and governments to expand their WhatsApp chatbots to help people register for vaccines. More than 3 billion messages related to Covid have already been sent by governments, non-profits and international organizations to citizens through official WhatsApp chatbots, so this update will help with the vaccination effort as well.’

Read here (Facebook, Mar 15, 2020)

Coronavirus vaccine: China can meet demand ‘at home and abroad’

‘China is giving priority to coronavirus inoculation campaigns at home but will still be able to honour promises of vaccines for other countries, according to a senior official in charge of producing the doses. Tian Yulong, chief engineer with the Ministry of Industry and Information Technology, said domestic needs had taken precedence but with expanded production of four approved vaccines, he was confident that China would be able to meet the combined demand of domestic inoculation, foreign aid and exports.

“We have successfully met demand to give out more than 64 million doses at home. We have also had good feedback about our exports and foreign aid,” Tian said in Beijing on Monday.

Read here (South China Morning Post, Mar 15, 2021)

Khairy set to be first recipient of Sinovac Covid-19 vaccine this Thursday

‘Malaysia will start using the Sinovac Covid-19 vaccine this Thursday, with the Coordinating Minister for the National Covid-19 Immunisation Programme, Khairy Jamaluddin, becoming the first recipient of the Chinese-produced vaccine.

‘Announcing the matter in a press conference on the development of the National Covid-19 Immunisation Programme here today, Khairy said that he would receive the Sinovac vaccine at the Rembau Hospital, Negri Sembilan.’

Read here (Malay Mail, Mar 15, 2021)

Khairy: No charges for Covid-19 vaccination at private facilities

‘Individuals who get an appointment for Covid-19 vaccine injection at private hospitals or clinics involved in the National Covid-19 Immunisation Programme will not have to pay any charges, said National Covid-19 Immunisation Programme Coordinating Minister Khairy Jamaluddin. 

“The charges are borne by the government,” he told a press conference on developments involving the progamme here today. 

‘Elaborating, Khairy, who is Minister of Science, Technology and Innovation, said Covid-19 vaccination centres (PPV) are set based on the address registered by the individual through the MySejahtera application. 

“If the vaccination centre near the address given is a private hospital, then they will go to that private hospital. Everything is based on location because we want to facilitate this immunisation programme,” he said.

Read here (Malay Mail, Mar 15, 2021)

‘A can of worms’: Experts weigh in on the vaccine passport debate

‘From Israel to Iceland, several governments around the world are adopting so-called coronavirus vaccine passports as they bid to safely reopen borders, unfreeze economies from costly lockdowns and restore a semblance of normality to social life. 

‘Supporters of the vaguely-defined certificates argue they have a critical role to play in ending restrictions imposed to curtail the spread of the pandemic, at least in countries with widescale access to vaccines.

‘But sceptics say they present insurmountable scientific, legal, and ethical issues – at least for now – and should not be used either within individual countries or as a tool to unlock international travel. As the debate continues, Al Jazeera asked five United Kingdom-based experts for their opinions.’

Read here (Aljazeera, Mar 14, 2021)

After a year of MCO, recovery is in sight

‘On March 18, 2020, the first Movement Control Order (MCO) was imposed and there was much uncertainty among the public and business community over what would happen next. One year on, the SARS-CoV-2 virus has taken 1,177 lives and infected 314,989 people in the country (as at March 10). Despite the grim circumstances, many see light at the end of the tunnel as Malaysia rolls out its National Covid-19 Immunisation Programme (NCIP).

‘Speaking to experts, we identify three main areas that beckons attention — healthcare, economy and last but not least politics. Covid-19 is still raging on globally, and the challenge is to vaccinate the community as quickly as possible so as to not allow the more transmissible variants to get a foothold in the community. Meanwhile, vaccine effectiveness is seen as one key driver for economic recovery. When that has effectively been executed, the focus should be on repairing the damage that has been caused by the pandemic.

‘Many also believe that political stability is one challenge Malaysia will face. There is a need to exit from the emergency rule and for the country to be given a clear mandate from a stable government.

‘In the accompanying stories, we take a look at the winners and losers in the post-pandemic era. Will pandemic winners such as the glove and technology players continue to prosper? Will the tourism, retail, hospitality and manufacturing industries as well as small and medium enterprises move away from the dire conditions brought on by Covid-19 anytime soon?

‘Nonetheless, it has been a fruitful year for local equities since the pandemic outbreak, with healthcare and technology stocks being the top gainers. What can we expect for the rest of the year after stock prices for most sectors rebounded significantly from their lows last year? We speak to heads of research to find out what they think about the market direction.’ 

Get the full story in this week’s issue of The Edge Malaysia.

Read here (The Edge, Mar 13, 2021)

'Covid is taking over': Brazil plunges into deadliest chapter of its epidemic

‘[André] Machado saw several explanations for the torrent of cases he and other doctors are now seeing, including political mismanagement and the slackening of social distancing measures, principally among the young. In recent months such containment efforts have largely collapsed, with schools and businesses reopening and Bolsonaro’s tourism minister even urging citizens to start holidaying again.

‘But the doctor suspected a third, more troubling element was also at work: an enigmatic and apparently more contagious variant called P1 that is thought to have emerged in the Amazon region in late 2020 but is now circulating across Brazil, including in the southern state of Rio Grande do Sul, where Machado works.’

Read here (The Guardian, Mar 13, 2021)

WHO approves J&J's COVID-19 vaccine for emergency listing

‘The World Health Organization on Friday (Mar 12) approved the emergency listing of Johnson & Johnson's COVID-19 vaccine, giving its seal of approval to expedite use especially in countries with weaker regulatory agencies. It is the third COVID-19 vaccine after the two-shot regimens of Pfizer/BioNTech and AstraZeneca to receive backing from the WHO, and the first requiring just a single injection.’

Read here (Channel News Asia, Mar 13, 2021)

Coronavirus economic relief: Are we getting value for the money thrown at the pandemic? - Andrew Sheng

‘The US fiscal deficit rose from 6.4 per cent of GDP in 2019 to 17.5 per cent in 2020. This is an increase of 11.1 percentage points in GDP fiscal support to defend a decline of 5.8 percentage points in GDP growth...

‘The Biden administration is betting that the largest US stimulus package since World War II will restore American competitiveness and heal the nation. But much of this is not funded by domestic savings, such as taxing the rich, but by borrowing on the US dollar. 

‘The rest of the world will not fund the dollar forever, certainly not at near-zero interest rates. And if interest rates rise, the fiscal costs would be substantially higher. So bet on the Fed doing more to keep rates low. The truth of US debt is that it is not debt, but the rest of the world’s equity. America is the world’s too-big-to-fail borrower. If Biden fails, we will lose.’

Read here (South China Morning Post, Mar 13, 2021)

US and allies (India, Australia and Japan) promise one billion jabs for South East Asia

‘The leaders of the US, Australia, India and Japan have agreed to deliver one billion doses of coronavirus vaccine to much of Asia by the end of 2022. The joint commitment was made following the first leaders' meeting of the so-called Quad - a group formed in 2007. The vaccines - expected to be the single-dose Johnson & Johnson product - are set to be manufactured in India.’

Read here (BBC, Mar 13, 2021)

Defying rules, anti-vaccine accounts thrive on social media

‘Efforts to crack down on vaccine misinformation now, though, are generating cries of censorship and prompting some posters to adopt sneaky tactics to avoid the axe. “It’s a hard situation because we have let this go for so long,” said Jeanine Guidry, an assistant professor at Virginia Commonwealth University who studies social media and health information. “People using social media have really been able to share what they want for nearly a decade.”

‘The Associated Press identified more than a dozen Facebook pages and Instagram accounts, collectively boasting millions of followers, that have made false claims about the COVID-19 vaccine or discouraged people from taking it. Some of these pages have existed for years. Of more than 15 pages identified by NewsGuard, a technology company that analyzes the credibility of websites, roughly half remain active on Facebook, the AP found.’

Read here (APNews, Mar 12, 2021)

On the psychology of the conspiracy denier

‘We know, without question, that politicians lie and hide their connections and that corporations routinely display utter contempt for moral norms – that corruption surrounds us. We know that revolving doors between the corporate and political spheres, the lobbying system, corrupt regulators, the media and judiciary mean that wrongdoing is practically never brought to any semblance of genuine justice. We know that the press makes noise about these matters occasionally but never pursues them with true 

‘So exactly what is it that conspiracy deniers refuse to acknowledge with such fervour, righteousness and condescension? Why, against all the evidence, do they sneeringly and contemptuously defend the crumbling illusion that ‘the great and good’ are up there somewhere, have everything in hand, have only our best interests at heart, and are scrupulous, wise and sincere? That the press serves the people and truth rather than the crooks? That injustice after injustice result from mistakes and oversights, and never from that dread word: conspiracy?’

\Read here (OffGuardian, Mar 12, 2021)

Has the pandemic changed public attitudes about science?

Has the pandemic changed public attitudes about science?

‘These results [of surveys] show clear evidence that scientific and medical experts are enjoying a surge in public support on top of their already high levels of public trust. With some variation from country to country and among different groups within countries, the overall picture of pandemic-era public opinion is a success story for science’s status amidst this crisis.

‘The impacts from COVID-19 will be with us for years to come. However, questions remain as to how this re-affirmed trust might be built on. How can the increased levels of trust in science be maintained? What proactive steps can scientific institutions take to ensure that they continue earning this trust? How might support for science be used to focus further public engagement on other global challenges such as climate change? Framed in these terms, moves such as the UK government’s decision to invest in a new research agency (ARIA), may indicate more widespread changes in the direction of science policy.

‘At a structural level, the public faith in science’s trustworthiness and value can also be ‘future proofed’ through ongoing initiatives to make scientific research open and transparent, enhanced efforts to ensure a more diverse and inclusive scientific workforce and other efforts to improve science from within. Initiatives working in this direction include increased adoption of open science policies by research funders and global public policy that promotes more socially responsible research and innovation. Indeed, this moment of strong public support may be the perfect opportunity for long-needed structural reforms to make research more socially responsible and sustainable. In other words, it’s time to fix the roof while the sun is shining!’

Read here (LSE Blog, Mar 12, 2021)

Fake news law is government’s attempt to silence voice of every citizen — National Union of Journalists Peninsular Malaysia

‘The National Union of Journalists Peninsular Malaysia (NUJM) expresses its grave concern over the  government’s move to gazette an ordinance purportedly to combat “fake news” relating to Covid-19 or  the Emergency proclamation. NUJ Malaysia is not agreeing to this kind of step backwards action taken as it seems like the ruling  government is trying to silent the voice of every citizen regardless of their race, religion or various  background.

‘We called on the government’s plan of setting up the Media Council to be revived and accelerate just to tackle any issues regarding to media practitioners especially journalists who are in the frontline. The union is in the view that Media Council can also be in charge of looking into the alleged fake news crime committed instead of the government having to gazette new laws to tackles this. This in turn will  display transparency over the alleged crime committed.’

Read here (Malay Mail, Mar 12, 2021)

There is no one pandemic anniversary

‘Disaster anniversaries are powerful in part because they’re communal. The bomb went off in an instant. The tornado tore through town in an afternoon. The earthquake rocked the whole region at once. The pandemic, though, did not come to everyone on the same day, or even in the same month, and nor will its anniversary. In this way, as in so many others, this is not an ordinary disaster.

‘For each of the country’s more than 526,000 dead, nine people grieve. Hundreds of thousands have spent time in the ICU, an experience that can bring its own unique trauma. And then there are the smaller losses, the ones that did not threaten lives but still changed them. Today is the day I missed my mother’s funeral. The day I would have gone to prom. Met my grandson. Gotten married.’

Read here (The Atlantic, Mar 12, 2021)

Waiver from certain provisions of the TRIPS agreement for the prevention, containment and treatment of Covid-19: A compilation of resources

‘On 2nd October India and South Africa made a joint submission (IP/C/W/669) to the World Trade Organization seeking a waiver from certain provisions of the TRIPS Agreement (patents, trade secrets, copyright and industrial designs) in relation to the containment, prevention and treatment of COVID-19. This proposal is now co-sponsored by 57 developing countries including the Africa Group and the Least Developed Country Group and has received global support from most of the other developing countries and the international community. Technical Briefing by Médecins Sans Frontières (MSF) as well as this video provides information on the importance of the waiver from TRIPS obligations.

‘Below is a list of interventions by the co-sponsors, statements and op-eds supporting the waiver proposal and news reports about the proposal...‘

Read here (Third World Network, ongoing work)

Strong support for TRIPS waiver amidst opposition by Big Pharma

‘More than 100 countries have upped the stakes for text-based negotiations on the TRIPS waiver proposal that seeks to temporarily suspend certain provisions of the WTO’s TRIPS Agreement in combating the COVID-19 pandemic, amidst attempts by Big Pharma to kill the waiver proposal, said people familiar with the development.

‘Ahead of the WTO’s TRIPS Council meeting on 10 March, the representatives of Big Pharma wrote to President Joseph Biden that the “US government has stood alongside other governments, including the European Union, United Kingdom, Japan, Canada, Switzerland, Brazil, and Norway to oppose this waiver.”

“We urge your administration to maintain this longstanding support for innovation and American jobs by continuing to oppose the TRIPS waiver,” said the CEOs of Pfizer, AstraZeneca, PhRMA (Pharmaceutical Research and Manufacturers of America), Eli Lilly, Bristol Myers Squibb, Gilead Sciences, Merck, Sanofi, Takeda Pharmaceuticals, Novartis, Abbvie, Bayer AG, Amgen Inc, and Biogen among others.

‘The CEOs of these companies, who constitute the powerful Big Pharma, decried the waiver proposal, saying that “in requesting the waiver, India and South Africa argued without evidence that the intellectual property is hindering the global response to the pandemic and that the waiver would help scale up research, development, manufacturing and supply of needed products.”

Read here (Third World Network, Mar 12, 2021)

Bar council slams ‘disturbing’ new fake news law

‘The latest clampdown on fake news comes as a shock for lawyers, with Bar Council president Salim Bashir describing the powers the government has given itself to clamp down on such news as “disturbing”. Speaking to FMT, he also said the “imprecise definition” of fake news that includes anything related to Covid-19 and the proclamation of emergency, was “worrisome.”

‘Gazetted today, the Emergency (Essential Powers) (No. 2) Ordinance 2021 penalises those who create, publish or distribute fake news with a fine of up to RM100,000, a jail term of up to three years or both. If they fail to apologise after being ordered to do so by the court, they can be fined an additional RM50,000, and those who pay to “create” such news can be fined up to RM500,000. All fines come with jail terms as well.’

Read here (Free Malaysia Today, Mar 12, 2021)

Home Ground: Ethical issues in Covid-19 vaccine roll-outs

‘A principled and pragmatic approach to securing and allocating Covid-19 vaccines works best... ‘Every vaccination programme carries with it ethical concerns over, among other things, safety, efficacy and how to distribute and allocate the vaccine when there are limited supplies...

‘A vaccine programme in the middle of a global pandemic is even trickier. On the one hand, speedy access to the vaccine can make the difference between life and death. On the other hand, the vaccines for Covid-19 are new and relatively untested: The world is learning of side effects as millions more get jabbed; and while we know the short-term efficacy, no one knows how long the protection lasts.

‘As Prof Lim said at the webinar, rolling out vaccination in the middle of a public health emergency is like chasing after a moving target. This requires constant monitoring and updating of rules and plans.’

This account also discusses, in the Singapore context: (1) The race to get hold of supplies (2) Who gets jabbed first and why (3) Why giving a choice of vaccine is not a good idea.

Read here (Straits Times, Mar 12, 2021)

Covid: Asthma drug 'speeds up recovery at home'

‘A cheap drug, commonly used to treat asthma, can help people at home recover more quickly from Covid-19, a UK trial has found.

‘Two puffs of budesonide twice a day could benefit many over-50s with early symptoms around the world, said the University of Oxford research team.’

Read here (BBC, Mar 12, 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 catch to ‘free’ Covid-19 vaccination by private hospitals – P Gunasegaram

‘I read with great interest the story that private hospitals are prepared to help the government inoculate people against Covid-19 – and here’s the curious part – by disseminating the vaccine without charge. Yes, you read that right. But if the government is not careful, it may end up giving private hospitals windfall gains of over half a billion ringgit, as we shall show.

‘It was reported that this will be for vaccines procured by the government, with private hospitals appointed as implementers of the free jabs...’

Read here (The Vibes, March 11, 2021)

How the US pandemic response went wrong — and what went right — during a year of Covid

‘Among the biggest shocks was that the U.S. fared worse than most other countries, with more than 29 million cases and nearly 530,000 deaths as of this writing. “We absolutely can’t say that we had the most robust response to the pandemic, up till this point, because we have had a higher death rate per capita than so many other places,” says Monica Gandhi, a professor of medicine at the University of California, San Francisco.

‘As the country raced to react to this new and terrifying scourge, mistakes were made that together cost hundreds of thousands of lives. Yet the tireless efforts of health care workers, along with an unprecedented vaccine push, have saved countless others. Scientific American interviewed scientists and public health experts about the biggest mistakes in the U.S.’s response, some of the key successes and the lingering questions that still need to be answered.’

Read here (Scientific American, Mar 11, 2021)