During the discussion I was reminded of another podcast from May 2019 @NEJM - Haunting to listen to now "Emergence & spread of new infectious diseases and ensuring swift, coordinated action in the face of threats." podcasts.apple.com/ca/podcast/nej…
And the accompanying editorial "Stopping the Gaps in Epidemic Preparedness" nejm.org/doi/full/10.10…
And linked to an article in @NEJM 2015 with Stanley Plotkin & the inspirational Adel Mahmoud (who sadly passed away in 2018). nejm.org/doi/full/10.10…
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It is reasonable & understandable for countries to roll out vaccines to vulnerable people & #HCW within country. But at the same time ensure that vaccines are made available urgently & equitably globally through ACT-A, @WHO, @GAVI & @CEPIvaccines
That needs intense planning, manufacturing at scale, trust, communication, logistics, people & teams, regulation, approvals, cold chains. That does not happen overnight. Urgent planning now for when vaccines are available is crucial.
An honour to give opening remarks & join @UN Govt @Canada @CIHR_IRSC & colleagues around world on launch of Research Roadmap & Science for Development in Context COVID19. Remarks from inspirational @AminaJMohammed DSG @UNun.org/webcast/schedu…
COVID-19 has exposed stark global inequities, fragilities & unsustainable practices that pre-date this pandemic & have intensified its impact. Please see full report un.org/en/coronavirus…
This @UN Research Roadmap for COVID-19 Recovery provides a framework for leveraging the power of science in support of a better socio-economic recovery and a more equitable, resilient and sustainable future.
World needs to know. A text this evening from colleague in middle income country. "We have a disaster here. Hospitals overwhelmed, critical oxygen shortages, soaring COVID numbers. New variant SARS- COV-2 highly transmissible"
"Know vaccines not magic bullet but are critical part of pandemic response. We need them now. #HCW exhausted, on their knees. Need vaccine urgently & are watching in despair as vaccines rolled out across parts of world. Need global access for vaccines."
"We are facing a humanitarian disaster. Please do what you can to change this now"
Decisions & actions matter, in summer, Sept,Nov, early Dec. Data is in rear view mirror,hospitalisations,severe illness & tragic deaths lag behind community transmission & cases. Data,messages & messengers questioned/not believed in Sept, decisions delayed, these are consequences
Finland detects UK & SA variants. As immune pressure on virus grows, evolution will speed up & any variants that escape that immunity will have selective advantage. Both variants huge worry, variant described SA, may already evade mAbs, variant UK more transmissible
We have to reduce transmission through physical distancing, public health measure, masks, handwashing, behaviour, infection control, plus T-T-I, treatments & vaccines. And these tools available globally. theguardian.com/world/live/202…
Making Tests,Treatments,Vaccines available globally is a moral imperative. It is a scientific imperative.If not variants that may escape immune control via infection/vaccination that arise in one part world will reverberate everywhere. Truly no one is safe until we are all safe
Agree with most of this article “issue with Covid19 is that when you should act, you appear mad & when you have to act, it is too late, as fatalities are sky-high & gross damage has already been done to healthcare system” hospitalisations and deaths spectator.co.uk/article/if-tie…
“This is because of the in-built delays in infections leading to hospitalisations and deaths.”
Statement I don’t agree with is “This makes Covid a guessing game: working out how today’s infections translate into tomorrow’s hospitalisations & deaths”. It’s not a guessing game. Mid-predictions based on data & lessons Feb/March made impact autumn/winter entirely predictable