📍NEW—We now know why US cannot share its #COVID19 vaccines with the world—Trump WH had forced legal contracts that blocks US doses by Pfizer, Moderna, AstraZeneca, J&J from being donated. Hence 🇨🇦&🇲🇽 only got “loans”, despite >45 mil dose US surplus. 🧵
2) “The contracts the Trump administration signed with the vaccine manufacturers prohibit the U.S. from sharing its surplus doses with the rest of the world. According to contract language VF has obtained, the agreements with Pfizer, Moderna, AstraZeneca, & Janssen state:
3) ““The Government may not use, or authorize the use of, any products or materials provided under this Project Agreement, unless such use occurs in the United States” or U.S. territories.
4) “The clauses in question are designed to ensure that the manufacturers retain liability protection, but they have had the effect of projecting the Trump administration’s America First agenda into the Biden era.
5) ““That is what has completely and totally prohibited the U.S. from donating or reselling, because it would be in breach of contract. It is a complete and total ban. Those legal parameters must change before we do anything to help the rest of the world.”
6) “In a statement to Vanity Fair, a Defense Department spokesperson acknowledged the contract restrictions, saying: “DoD did attempt to negotiate terms that would allow the use of vaccine doses outside the U.S., but in some cases, the vaccine manufacturers refused.”
7) a small request to @POTUS Biden & @WHCOS:

📌Please consider modifying the contracts with vaccine makers to allow US to donate its excess vaccines to the world.
8) “The impasse is especially frustrating because the Biden team’s global ambitions go beyond donating money or surplus vaccines. [Biden WH] is quietly considering plans to have the U.S. serve as a major manufacturer of affordable, high-quality COVID vaccines for the entire world
9) “The effort began in plain sight on March 2, when the administration announced that, under the Defense Production Act, Merck would repurpose two of its U.S. manufacturing plants to begin producing the Johnson & Johnson vaccine.
10) “The partnership, pairing two traditional rivals, could yield as many as one billion doses a year.
The immediate goal was to “vastly increase” America’s supply, but the extra doses could also be used to supply the world, said a senior Biden official:
11) “Just connect the dots. There’s a real ability for the U.S. to become a major supplier” of COVID vaccines.”
12) My take—what I’m reading here is—the new additional doses added via DPA production by the Biden WH likely aren’t restricted by the Trump WH’s ban on overseas use. (Hence maybe it’s faster way than renegotiating contracts). But those new batch of doses are likely coming later.
13) so was Trump WH at fault? Yes, says experts. “Experts say the Trump administration—which, after all, was in the position of doling out billions of dollars in development funds—was not required by any law to roll over for the vaccine makers.”...
14) Sam Halabi said the U.S. had been in “a very good position to call the manufacturers’ bluff: ‘if you want the billions in procurement dollars then we want the flexibility to send’” doses overseas.
15) “But U.S. negotiators likely “didn’t have any interest in sharing outside of U.S. territory.” (TRANSLATION: Trump admin negotiators likely had no interest in helping other countries)
16) Is the US currently in a surplus situation? Yes, we already have >45 million currently available doses (notice how it’s rising) and hundreds of millions more doses on order in excess of US population need.

(HT to whoever made this graph)
17) “The result of Operation Warp Speed’s acquiescence is yet another manifestation of Trump’s nativist, “America First” agenda. The contracts, said one Biden health adviser, reflect the “whole ethos” of the Trump administration.”

➡️ “America first” basically = let others die.
18) maybe another idea is to authorize sharing of US surplus vaccines at US embassies and military bases abroad that are under US sovereign control.
19) And there is precedence for the US Embassy vaccination approach for use abroad.

We should expand it.
20) We urgently need to send vaccines to also Latin America where, besides Chile, there is an extreme lack of enough vaccines. Especially Brazil 🇧🇷 and Mexico 🇲🇽

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More from @DrEricDing

8 Apr
⚠️Over 1 in 7, or 1.1 million people now suffer #LongCovid in the U.K. 🇬🇧

📌~14% who got #COVID19 in UK study suffer persistent symptoms at 12 weeks.

📌29% of all #LongCovid are under age <35

📌Top 2 occupations: healthcare workers & teachers.🧵

statista.com/chart/amp/2456… ImageImage
2) Frontline healthcare workers are among the largest group affected. Teachers are the next largest group.
3) To be clear, although 4.3 mil UK residents have confirmed #COVID19, & 1.1 mil have #LongCovid symptoms, it’s not 25% because the 1.1 mil were picked up via a survey captureing asymptomatic cases, hence 14%. That said, #LongCovid in symptomatic cases is likely higher than 14%. Image
Read 10 tweets
8 Apr
New 50% efficacy study of Brazil-predominant vaccine CoronaVac (by Sinovac) in Manaus 🇧🇷 among healthcare workers when #P1 ~75% dominant. Not a trial, but the study found a 1st dose >=14-days efficacy of 50% on symptomatic #COVID19, ~32% if +asymptomatic. medrxiv.org/content/10.110… Image
2) Sorry I meant ~35% if asymptomatic included with the symptomatics. But it’s not significant. Wide CIs.
3) Sinovac’s CoronaVac efficacy is all over the board. It was 50% for 2 dose efficacy in a Brazil trial, but it had 91% efficacy in early Turkey trial, and 65% in an Indonesia trial.

Read 7 tweets
8 Apr
Let this sink in—over **half of all intubated young adults** on ventilators now dies from #COVID19 in Brazil 🇧🇷. What’s odds last spring 2020? 1 in 3.

That is likely an effect of #P1 variant—not just ICU capacity because March 2021 wasn’t included yet. 🧵

(HT @terrence_mccoy) Image
2) What about overall chance of dying if intubated in Brazil 🇧🇷 hospital recently? 72.8%. Last spring—60%. Image
3) Brazil’s crisis is almost unimaginable. Brazil’s 4000+ deaths a day is significant - even though Us is 50% larger in population, Brazil 🇧🇷 is much much younger in age distribution compared to a much more elderly US pop. Thus it’s not just equal to 6k US—Brazil likely worse.
Read 10 tweets
8 Apr
🏒New—25 hockey players and staff of NHL Vancouver @Canucks team are now confirmed positive for #COVID19. All cases traced to a single source, which is an variant awaiting formal confirmation which type (previously #P1 mentioned by multiple reporters). 🧵 nhl.com/canucks/news/c… Image
2) “An ongoing investigation by Vancouver Coastal Health and club contact tracing staff attributes the source infection to a single individual obtained in a community setting, which has since been identified by public health as a public exposure location.
3) “The Canucks are grateful for the continued support of local public health officials, the NHL and NHLPA and encourage everyone to help prevent the spread of COVID-19 by following health orders. COVID-19 infections are rising in BC.
Read 12 tweets
7 Apr
Disgusting—While Brazil 🇧🇷 had 4000+ #COVID19 deaths yesterday, Bolsonaro today decided to bash LGBT on HIV, claims there’s no vaccine for all the world, none in Africa (false—many vaccine trials done in 🇿🇦), & continues to push unproven drug therapies.

#Sosbrazil #Sosbrasil
2) There is a reason why I said “Brazil is like a Fukushima, it can put the whole world at risk”. theintercept.com/2021/04/05/ent…
3) I agree with @MiguelNicolelis — Brazil’s COVID crisis is like a Fukushima disaster that is going out of control.
Read 4 tweets
7 Apr
Michigan confirmed new hospitalizations for #COVID19 has soared an alarming +43% in just one week!

It’s now more than double the national US per 100 bed rate (12 vs 5).

Nursing home staff cases also up +8% in one week. Positivity up 4% points in one week. Not good. Image
2) Moreover, hospital admissions among 18-39 year olds are also up substantial % in the last 2 weeks (see dark orange below).

healthdata.gov/Community/COVI… Image
3) Here is Michigan cases now versus one month ago... huge surge. #COVID19 Image
Read 4 tweets

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