The #covid19 pandemic has set back immunization efforts around the world leaving children "more vulnerable to killer diseases like polio, measles and pneumonia”, says @drtedros at @WHO presser. “Now we’re starting to see outbreaks of these diseases."
@DrTedros@WHO WHO and @UNICEF are launching an emergency appeal to rapidly boost measles and polio vaccination, says @drtedros. "This is a global call to action for all donors to stay the course and not to turn their backs on the poorest and most marginalized children in their hour of need."
@DrTedros@WHO@UNICEF An estimated $655 million are needed to address immunization gaps in countries not eligible for @gavi funds, says @drtedros. "We need to turn the tide quickly and ensure no child is left behind."
@DrTedros@WHO@UNICEF@gavi “Evidence-based response is important to ensure that science leads everything”, says South Africa’s minister of health @DrZweliMkhize in an overview of the country’s intra-action review on #covid19 response.
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize "The concerns that you have to take into account at this point ... pandemic fatigue in the population with low adherence to public health measures, exhaustion and fatigue in the frontline workers …”, says @DrZweliMkhize.
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize Also talks about plan for resurgence: “#COVID19 is still within us, and therefore we need to remain vigilant, to continue to fight together. We are quite, quite clear that it needs an all-community, all-government and everybody's participation to fight”
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize Q about possibility of reducing quarantine from 14 days to 10 days
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“Our guidance for incubation period is 14 days and that's based on the amount of time in which most individuals, 95% of individuals, will develop symptoms after exposure”, says @mvankerkhove.
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize@mvankerkhove "What we understand from a number of countries is that if they do reduce that 14 day period, they're considering adding testing as part of that”, says @mvankerkhove. Reducing quarantine comes with risk of missing some cases, she says.
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize@mvankerkhove Q: should countries close mink farms, cull the herds? What about other animals?
"different countries have different farming traditions and in some countries the farms are easier to protect in terms of biosecurity measures and so on than in other countries”, says @Peterfoodsafety.
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize@mvankerkhove@Peterfoodsafety Much less risk in food animals for two reasons, says @Peterfoodsafety: 1. Pigs, chicken, cattle seem less susceptible to the virus 2. "the way we produce pigs and chickens in particular in modern farming systems allow us to keep these environments totally isolated and secured"
@DrTedros@WHO@UNICEF@gavi@DrZweliMkhize@mvankerkhove@Peterfoodsafety Thailand does plan to reduce quarantine from 14 days to 10 days, says Tanarak Plipat from Department of Disease Control. But will be done for low-risk areas first and only limited travel will be allowed after the ten days, large gatherings and travel to some places prohibited.
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Unsurprisingly, there is a sense of relief today across the political spectrum in Germany and I thought I’d give you a flavor of sentiments here:
“We want the West to play as a team again. Only as a team will we effectively assert our shared values worldwide and have the necessary clout.” Foreign Minister @HeikoMaas
“Joe Biden’s declaration as President-elect has sparked enormous relief, hope & joy in the US, in Germany & around the globe! ... Congrats America!” @peteraltmaier, Minister for Economic Affairs and Energy.
I suspect we can all use a tiny break from refreshing our browsers and since we’re thinking a lot about vaccines and vaccine delivery these days, let me share sth with you that I learnt recently about the world’s first vaccine, the smallpox vaccine and that kind of blew my mind.
Many of you know the story of Edward Jenner. In 1796 he took some liquid from a cowpox blister and scratched it into the arm of eight-year old James Phipps. Jenner later inoculated the boy with smallpox and Phipps did not get sick. This is usually seen as the first vaccination.
The reality is a bit more complicated. (For one it was probably horsepox not cowpox that Jenner used.) But that’s not the point. It’s how do you get from that one vaccination to vaccinating millions of people given that cowpox/horsepox was actually quite rare?
Across Europe #covid19 cases are surging and the continent is shutting down again. Germany‘s second shutdown began yesterday, Austria‘s starts today, England is following on Thursday. How did we get here? What‘s the plan? Quick thread and my story here: sciencemag.org/news/2020/11/e…
First: What went wrong? Many ways to think about this. But to be clear: It was always going to be hard. I wrote about Europe‘s „dangerous“ path out of the lockdowns in April (science.sciencemag.org/content/368/64…). Consensus was it would be trial and error. We erred, but did we really try?
In April, @gmleunghku explained 3 dials governments had to keep transmission in check:
test, trace, isolate -TTI
border restrictions
physical distancing
TTI worked reasonably well in some European countries. Border restrictions: meh. Backbone of strategy was #physicaldistancing
“I have been identified as the contact of someone who has tested positive for #covid19”, says @drtedros who is joining @WHO presser remotely today from his quarantine. “At this time, it's critically important that we all comply with health guidance."
@DrTedros@WHO “While many countries have brought #COVID19 under control cases in some countries in Europe and North America, continue to spike”, says @drtedros. “This is another critical moment for action, another critical moment for leaders to step up..."
@DrTedros@WHO "It's not too late”, says @DrTedros. "We all have a role to play in suppressing transmission. And we have seen across world, that it's possible."
“What’s clear is that this is not just a virus that kills people. To a significant number of people, this virus poses a range of serious long-term effects”, says @drtedros at @WHO presser on #covid19. "While people do recover, it can be slow, sometimes weeks or months…"
@DrTedros@WHO Exact numbers of #COVID19 long-haulers are not clear yet, says @drtedros. “WHO will continue to do more research to establish best standards of care to accelerate recovery and prevent such complications."
@DrTedros@WHO “For months, I went through cyclical bouts of dreadful fatigue, sweats, headaches, unable to move, mood swings, and that went on for months. And then I had another three months, completely exhausted”, says @PaulGarnerWoof, himself an infectious disease epidemiologist @LSTMnews.
It’s 5 and like most Fridays I’m waiting for @WHO presser to start. That’s not a criticism, these are some of the busiest people on the planet these days. But to turn the wait into something productive, I’ve decided, I’ll try to answer some questions myself.
@WHO So feel free to ask questions with hashtag #waitingforWHO. And if I don’t get any questions (preferably on #covid19, journalism or the color blue), I’ll just answer my own questions. 🤷♂️
@WHO Really good question. I think the obvious one is leaders willing to act on evidence and then communicate clearly and consistently. Since our only weapon for now is changing our behaviour, that is a huge part of tackling this pandemic.