A chilling headline but realistic and honest assessment from @WHO. The only way to change this is to combine all the tools - Public Health, Diagnostics, Treatment, O2, PPE & Vaccines. But will only work if these tools are equitably available everywhere. theguardian.com/world/2021/apr…
Very small group countries can make this happen globally. Pandemic will continue if those countries who can do not share all tools. New variants will arise-it is enlightened self-interest,needs political leadership, an economic imperative as well as scientific, public health wise
History will not be kind on those who chose not to share, who created a world of have & have nots, of growing inequality - and a protracted pandemic in which new variants arise and spread. We face a choice. What sort of world do we want?
It will take more than money, unless a very small group of countries make available contracted vaccine doses, then money alone cannot access them. UK could, if it chose to, with majority adult population with some immunity, give a timetable to sharing doses it has under contract
In doing so it would stake a claim for a degree of global leadership. Without that in the ‘post-COVID’ world many will ask where were countries with access to COVID tools when many needed them.
Others may exploit that & any future ability to build a global coalition to address future pandemics,climate change, #AMR, or other global challenges 21stC will be severely hampered. This is an issue of statecraft, of leadership & of a diplomatic vision of how the world could be

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More from @JeremyFarrar

9 Apr
Clinical syndrome rare blood clots temporally associated vaccination but not proven to be causally related must be taken seriously & investigated with an open mind. ft.com/content/45cb34…
Meanwhile follow guidance of independent regulators @MHRAgovuk @EMA_News @WHO who in my view rightly recommend continued vaccine use in all adults
A hypothesis to be tested with studies & data. The rare clinical syndrome temporally related to vaccination is remarkably similar to a clinical syndrome of central venous thrombosis seen after SARS-COV2 infection reported in multiple case reports & series ajnr.org/content/early/…
Read 7 tweets
18 Feb
Audio Interview: Viral Variants and Covid-19 | NEJM nejm.org/doi/full/10.10…
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…
Read 4 tweets
31 Jan
Until we are all safe, no one is safe. Covid is a global problem ⁦@RobinMcKietheguardian.com/world/2021/jan…
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.
Read 8 tweets
29 Jan
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 @UN un.org/webcast/schedu… Image
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.
Read 6 tweets
2 Jan
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"
Read 4 tweets
29 Dec 20
Heartbreaking - two reports. mol.im/a/9096257
NHS could face 'horrendous choices' over coronavirus care
theguardian.com/world/2020/dec…
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
Read 4 tweets

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