News reports are chilling as the pandemic continues to expand globally. This may seem far away, almost abstract in countries where transmission is now lower & vaccine available & equitably accessible. Reality is very different in many parts of the world. theguardian.com/world/2021/apr…
This very personal experience was shared by a friend today. It brings home the reality of the global situation and the impact of continued transmission and an inequitable access to vaccines.
“My dad told me that in our village - 12 people died Covid related deaths over the weekend. Those are the ones we know of. Today my uncle died - my dad’s brother. He is the 5th member of my immediate and extended family to die in the last few months."
"Two of them a husband and wife in their 50s are survived by young children. It all feels like a losing battle. I understand countries cite economic reasons for not enforcing lockdowns and in the richer countries the priority is vaccinating nationals over the rest of the world."
"In between these points of view - there are so many needless death. Please don’t stop talking to the international community about vaccine roll out, sharing knowledge, access & resource."
"It may feel hard and thankless but please don’t stop. Your voice has meaning and sway and you are speaking for people who don’t have a voice on this issue.”
This is the reality globally. Science has provided the tools to end this pandemic, science from all over the world. Yet that science is only available to a very small number of countries. Science that is equitably accessible to the world is the exit strategy for all of us.
This is a personal, public health & a scientific imperative. It is also an economic & financial imperative & a moral, social justice & ethical imperative. Whatever your perspective, all these align. There is no end to this pandemic until science is equitably available to all.
‘Science is the exit strategy” the comment of 2020 should be updated as was always intended to – “Science that is available to the world is the exit strategy”
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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?
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/…
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…
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"