Vaccine news that may not be covered outside of Australia:

The University of Queensland/CSL #covid19 vaccine trial has reportedly been abandoned for really interesting reasons, with one less potential vaccine for global COVAX Facility pool.

Quick thread:
smh.com.au/politics/feder…
The UQ/CSL vaccine (V451) uses a molecular clamp vaccine platform with the COVID-19 spike protein: the clamp "locks" the spike protein to be more stable for purification & manufacture. It contains a small component derived from HIV that cannot infect people & poses no health risk
However, this component resulted in some participants (out of 200 volunteers inc. placebo & vaccine) in Phase 1 trial producing "a partial antibody response" which interfered with HIV screening tests (which detect HIV antibodies, not virus) resulting in false positive HIV tests.
This is a disappointing outcome as the article reports that data so far had apparently indicated a strong immune response for COVID19, however the risk that this could impact public's trust in all COVID19 vaccines or impact HIV screening may have been deemed too high (for now).
The Australian government has reportedly terminated their Advance Purchase Agreement for the vaccine, and has moved to secure additional supply of the Oxford/Astra Zeneca vaccine: it's unclear if all 51 million doses under the UQ/CSL APA are covered by this new deal.

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More from @alexandraphelan

9 Dec
With the vaccine Executive Order now up, President Trump has ordered that "Americans" have priority to "US Govt COVDI19 Vaccines".

I want to push back on some arguments dismissing the risk of this as there are very concerning impacts.

whitehouse.gov/presidential-a…
United States Government COVID-19 Vaccines are defined in the EO as "COVID-19 vaccines developed in the United States or procured by the United States Government"

This does not limit the scope of the EO to those purchased under APAs, but includes vaccines developed here.
That said, implementation of EO will likely start w vaccines purchased by US Govt under APAs. This alone is concerning:

US govt has bought signif. number of global mRNA vaccines:
– Moderna: 100m doses/266m in APAs + 400m option
– Pfizer: 100m doses/590m in APAs + 500m option
Read 6 tweets
1 Dec
This is a huge drop of China #COVID19 documents from @npwcnn. Unfortunately, this leak confirms points I & other China, health, law folks have said since Jan.

I'm going to summarize some of the key findings in 🧵below

Here's full report:
edition.cnn.com/2020/11/30/asi…
Finding 1: Hubei (Wuhan's province) had 20 times increase in "influenza cases" in Dec. High number of "unknown cause" is flag: flu relatively easy to confirm if tested. Also not clear how many confirmed influenza, & if so, if/what samples or GSD was shared w @WHO GISRS.
🧵2/10
Finding 2: signif underreporting of daily new cases & deaths in Feb & Mar. If you recall, this was a live issue at that time w reclassification of case definitions by Chinese health officials, but report indicates deliberate politicization of data to present optimism.
🧵3/10
Read 10 tweets
29 Nov
Lovely piece from @guardian on our recent publication in Proc @royalsociety B "What would it take to describe the global diversity of parasites?"

It may not be apparent but this is also a story of rectifying colonial "exploration narratives".

🧵1/6

theguardian.com/environment/20…
To follow the article, here's a great explainer thread about our piece by @wormmaps about the science of estimating how many uncounted parasites there may be (including the Brothers Grimm & uncountable things):

🧵2/6

https ://twitter.com/wormmaps/status/1329070889372176384?s=20
In the @guardian piece, I love this quote about entire unknown worlds:

🧵3/6
Read 7 tweets
15 Nov
Failures in US leadership mean Americans face tough decisions with Festive Season. In Jan, China faced similar choices but w more uncertainty).

A short thread comparing & drawing lessons between:
– January China 🧧Lunar New Year🧧
– November United States 🦃Thanksgiving🦃

1/13
Starting with some case count comparisons between Lunar New Year in China & now in the US:

– 254.3 cases per day: China (Jan 25)
– 135,714.3 cases per day: US (Nov 12)

2/13
Much focus on China's success has been on lockdowns: a time when we didn't know much, didn't have widely available testing & govt support to ensure socio-economic protections. Now, lockdowns can be avoided with strong public health & health systems.

But...

3/13
Read 13 tweets
13 Nov
Weekend Reading?

🌎New Publication🌏
The first in the ILIAID Consortium White Paper series on IHR Reform:

"Reforming the Declaration Power for Global Health Emergencies" by @clarewenham @alexandraphelan @MarkRTurner Sam Halabi.

Available here: georgetown.box.com/s/w0u7k6dwb740…

(1/7) Image
Why did we write this? In light of COVID19, suggestions to reform the mechanism for declaring a public health emergency of international concern (PHEIC) have gained renewed attention & political will. Any substantial reform of PHEICs will likely require amendment to the IHR (2/7)
Already, multiple international and regional processes to review global COVID-19 response, including the operation of the IHR, are underway, including @TheIndPanel, @WHO Health Emergency Program IOAC & the IHR Review Committee.
(3/7)
Read 7 tweets
4 Nov
We've warned of pandemics (inc. CoV) but govts have failed to act.

Special Rapporteur Prof David Boyd "Human rights have been a catalyst for the types of transformative changes that scientists are saying that we need"

(THREAD)
#PandemicRecovery @Cambridge_Uni @BennettInst
"The achilles heel of international environmental law... is a lack of enforcement mechanisms, and human rights overcomes [that challenge]" David Boyd
#PandemicRecovery @Cambridge_Uni @BennettInst

I completely agree & have written more about this here:
opil.ouplaw.com/view/10.1093/l…
Dame Barbara Stocking: "What about the next pandemic?"
"We are pressing to have a UN Convention on Pandemics as @WHO does not have the mandate: Member States do not allow it to have an inspector function or doing what is needed to be done"
#PandemicRecovery @Cambridge_Uni
Read 4 tweets

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