On Moderna/NIH Vax & Access: Currently can make only about 1 billion does by 2021, 75% or more claimed by rich countries. But Moderna could be a leader--pay attention to past pandemics & make the science open. Moderna already promised first steps... 🧵 sciencemag.org/news/2020/11/j…
Last month @moderna_tx said would not enforce COVID-19 related patents & are willing to license to others. Good first step. But it's only the first step--without tech transfer it's not yet meaningful... leadership would include... healthgap.org/moderna-respon…
1) Announce a plan for open tech transfer: With a highly effective vaccine there are multiple high-quality manufacturers that could come online to supply world at affordable prices; put out a call, can ensure quality while also building access by partnering with govts...
Moderna IS publicly funded science: $2.48 billion for vaccine. Biden @Transition46 just announced consultations with makers--put demands for open access at the top of the list, show the world US govt will exercise its power to expand access, not hoarding. msfaccess.org/msf-government…
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Community-led monitoring tools: check out new @RitshidzeSA resources. Proud to be working with SAfrica PLHIV sector to build data & accountability & now support in growing list of countries
Data + Community Insight + Advocacy can fill #GlobalHealth accountability gaps [THREAD🧵]
Accountability gap in many health systems btwn health services & users/communities undermines QUALITY--particularly acute for criminalized & stigmatized populations. Aid-funded efforts, even bigger gap. Community-led monitoring like @RitshidzeSA aims at that gap/2
Community-led monitoring like @RitshidzeSA & WAfrica @ITPCglobal learn from past efforts & have innovated! Communities use surveys, focus groups, etc, gather info from users & staff of #HIV services. THEN
↪️generate solutions
↪️advocate for change
↪️hold officials accountable
/3
...Across sub-Saharan Africa, fewer women coming to clinics for #HIV diagnosis. 6 month disruption in access to drugs that prevent Parebt to child transmission could increase HIV in kids 139 percent in Uganda and 162 percent in Malawi, according to @UNAIDS
... short of diagnostic capacity, gene Xpert machines are being used to find #COVID19 INSTEAD of #TB... “very stupid from a public health perspective,” said @LucicaDitiu. “You should actually be smart and do both.
Clear @WHO is the target of a coordinated media strategy to shift #COVID19 attention, blame. Public health leaders should call it out 1) Why is it news @DrTedros giving graduation speech in China? Of course--he did at Columbia U, Emory, and CUNY too... nytimes.com/reuters/2020/0…
2) "leaked" house GOP report makes a host of false claims, including that WHO ignored information & evidence. This is a willful mis-reading of the publicly available information. nationalreview.com/news/house-gop…
3) A series of republican members of congress have taken every opportunity to try to attack the WHO and it's leader for doing their job amidst a pandemic.
[new thread] *Democracy, Capacity & Coercion in Pandemic Response—COVID 19 in Comparative Political Perspective* out today in @JHPPL where @Renu_Singh_ & I look at three big questions that #COVID19 is raising for comparative health politics and policy... read.dukeupress.edu/jhppl/article/…
1. What does "capacity" to respond to pandemics mean? The highest scoring 30 countries on the #GlobalHealthSecurity Index have performed very differently--they turn out to have very *different* actual capacity to respond to COVID... This figure shows huge variation👇
Why??
1a.The #GHSInex and broader measures of "state capacity" align closely--so what are they actually measuring? A similar group of wealthy states in the global North are often judged to have similar capacity...