Time for the unfolding global crisis to be discussed & immediate collective action at the @UN Security Council. The public health & humanitarian crisis in India will not stop at the borders & risks a regional & global wider catastrophe. ft.com/content/ad200d…
The pandemic is increasing in scale & impact in multiple regions, very fragile health systems, recent conflict, millions of displaced people - we are watching a regional & potential global public health & humanitarian disaster unfold. google.co.uk/amp/s/amp.theg…
The situation in many regions is worse than awful, the health system has collapsed or is in imminent danger of collapse and with it sectors of society, the situation in parts of middle east are heading in the same direction.
There is very real risk that this will now ripple out, west of India, Pakistan, Afghanistan, north to Nepal, east Myanmar & hence South East Asia. There are many links between South Asia into East Africa and hence a continued risk to the continent despite massive efforts to date.
In all these areas immunity may still only about 10-20% (natural infection & vaccination) too low to control transmission.
This is more than the health sector can solve on its own this is now, was predictable & has been for some time a humanitarian disaster unfolding & needs a broader than health response – this is also a security issue of course.
Also heading towards world of countries linked by COVID immune status essentially rich world able to travel & trade within an ‘groups of countries” & much world effectively no go areas with implications for health,economies,trade, debt,politics,future shared action, inequality
All issues which the @UN Security Council could now debate and coordinate action.

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More from @JeremyFarrar

1 May
Two pandemics: as we ease up, virus sweeps the world theguardian.com/world/2021/may…
While in some parts of the world it is easy to hope the worst is almost over, Covid-19 is now charting a catastrophic course globally. The world ignores the unfolding disaster at its peril.
“No-one,either individual country or through collective global leadership, is acting on scale needed right now. Public health & humanitarian crises are escalating not only in India but many part of South Asia,Central & South America & Middle East & at grave risk spreading further
Read 18 tweets
21 Apr
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.
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."
Read 9 tweets
12 Apr
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?
Read 6 tweets
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

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