IMO, there is a 70% chance that Trump will issue an America-first executive order on $PFE and $MRNA vaccines soon after FDA EUA on $MRNA vaccine.
2/ should that happen, PFE and MRNA would not be able to export COVID vaccine to other countries. until the need in the US is met.
This means most countries in the world, except for UK, Canada, Germany and China, would be denied access to COVID vaccines until March 2021.
3/ UK and Canada gambled by approving PFE vaccine faster than US FDA, to rush ahead of Trump export ban. This probably is the right decision, given the political dynamics.
Germany and China have their own productive capacity, but are unlikely to supply RoW by March 2021.
4/ As a result, the economic recovery of 2021 will be very uneven next year, until the wider availability of vaccine after April 2021.
5/ Also, expect travel bans/restriction from unvaccinated countries against vaccinated counties (US, UK, CA, DE, CN) between April and July 2021, after outbreaks of COVID (e.g. on cruise ships) due to asymptomatic spread of SARS-COV2 from vaccinated people to non-vaccinated folks
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Also, reportedly Ant wanted to issue consumer-debt backed ABS in China, which made regulators even more nervous.
3/ It seems that the regulators believed that Ant has the ambition to be a commercial bank, an investment bank, and maybe a shadow central bank in CNY.
The most optimistic timeline: FDA EUA at EOM Nov to the earliest.
Rolling out to 65+ yo in general public in mid-Dec to the earliest.
2nd shot administered in early Jan to the earliest.
Recipient developing protective level of antibodies in mid Jan to the earliest.
Thus, most 65+ yos will still need to social distance for Thanksgiving and Christmas.
And i still expect covid cases to peak in late Dec and early Jan, at a scale many times bigger than we have today.
more sophisticated Ab cocktails are probably needed 1 year from now. There will be an ongoing evolution of new antibodies and new vaccines in response to new mutations.
We definitely need more on-going genetic sequencing of new COVID cases.
In the mean time, anything that makes COVID milder helps us get through this pre-vaccine, pre-Ab period:
People ask me how Chinese managed to control COVID for the last few months.
Well, people there have to run mobile tracing apps on their cell phone 24/7, which generates a pass for them to access any transportation, restaurants, malls, hotels etc.
A relative of mine recently did a sight-seeing trip in China, and ended up having to run 4 tracing app on her phone.
One from China CDC
One from the cdc of the province she lives
One from the cdc of the destination province
One from the Hubei CDC for her 5hr layover in Wuhan
If any lab-confirmed covid cases has came in close proximity of her, the tracing app will turn red automatically as soon as the lab report comes out. And anybody who contacted her would have the tracing app turning orange.
Fasten your seat belt. Covid19 is going to explode in the US from now through the new year.
The worst of all, i am hearing a lot of anecdotes of primary-care physicians in smaller cities/rural areas managing covid symptoms as if it is flu.
Very little thoughts being put into anti-inflammatory and anticoagulant.
When its-just-flu bros get treated by its-just-flu physicians,
That's what I call a shitshow.
Death lags inflections by 4-6 weeks. Right now is not the time to be complacent.
A lot of lab resources and personalized care are needed to navigate the 2nd-3rd week of covid (hyperinflammatory and hyper-coagulation phase). Just imagine that big post Thanksgiving and post Christmas flux of elderly patients rushing the hospitals at the same time