After 15 million doses of J&J vaccines earlier ruined by Emergent’s factory, it’s further revealed >100 mil doses are on hold as FDA checks for possible contamination. Emergent has long troubling record—but Trump WH awarded big contract anyway.🧵#COVID19
nytimes.com/2021/05/19/us/…
2) In more than three hours of testimony before a House subcommittee, the chief executive, Robert G. Kramer, calmly acknowledged unsanitary conditions, including mold and peeling paint, at the Baltimore plant.
3) He conceded that Johnson & Johnson — not Emergent — had discovered contaminated doses, and he fended off aggressive questions about his stock sales and hundreds of thousands of dollars in bonuses for top company executives.
4) Emergent’s Baltimore plant was forced to halt operations a month ago after contamination spoiled the equivalent of 15 million doses. He said he took “very seriously” a report by federal regulators that revealed manufacturing deficiencies & accepted “full responsibility.”
5) Mr. Kramer’s appearance before the House Select Subcommittee on the Coronavirus Crisis, offered the public its first glimpse of the men who run Emergent, a politically connected federal contractor that dominates a niche market in biodefense preparedness.
6) Testifying virtually, Mr. Kramer was joined by the firm’s founder and executive chairman, Fuad El-Hibri, who over the past two decades has expanded Emergent from a small biotech outfit into a company with $1.5 billion in annual revenues.
7) Executive compensation documents made public show that the company’s board praised Mr. El-Hibri, who cashed in stock shares and options worth more than $42 million last year, for “leveraging his critical relationships with key customers, Congress and other stakeholders.”
8) Among those members of Congress is Representative Steve Scalise of Louisiana, the No. 2 House Republican. Federal campaign records show that since 2018, Mr. El-Hibri and his wife have donated more than $150,000 to groups affiliated with Mr. Scalise.
9) Mr. Kramer’s estimate of 100 million doses on hold added 30 million to the number of Johnson & Johnson doses that are effectively quarantined because of regulatory concerns about contamination.
10) Federal officials had previously estimated that the equivalent of about 70 million doses — most of that destined for domestic use — could not be released, pending tests for purity.
11) House Democrats began their inquiry into Emergent after The New York Times documented months of problems at the Baltimore plant, including failure to properly disinfect equipment and to protect against viral and bacterial contamination.
12) Hours before the hearing, committee released confidential audits that cited repeated violations of manufacturing standards. A top federal manufacturing expert echoed those concerns in a June 2020 report, warning that Emergent lacked trained staff and adequate quality control.
13) Mr. Kramer initially testified that contamination of the Johnson & Johnson doses “was identified through our quality control procedures and checks and balances.” But under questioning, he acknowledged that a Johnson & Johnson lab in the Netherlands had picked up the problem.
14) Johnson & Johnson hired Emergent to produce its vaccine and, at the insistence of the Biden administration, is now asserting greater control over the plant.
15) The government awarded Emergent a $628 mil contract last year. Among other things, lawmakers are looking into whether @emergentbiosolu leveraged its contacts with a top Trump official, Dr. Robert Kadlec, to win that contract and whether officials ignored known deficiencies.
16) Emergent is skilled at working Washington. Its board is stocked with former government officials, and Senate lobbying disclosures show that the company has spent an average of $3 million a year on lobbying over the past decade.
17) Democrats pressed Kramer & El-Hibri about contacts with Dr. Kadlec, who had consulted for Emergent. Emergent agreed to pay him $120,000 annually 2012-2015, and that he recommended that Emergent be given a “priority rating” so that the contract could be approved speedily.
18) The government has so far paid Emergent $271 million, even though American regulators have yet to clear a single dose of vaccine produced at the Baltimore plant.

19) A Times investigation found that Emergent has exercised outsize influence over the Strategic National Stockpile, the nation’s emergency medical reserve; in some years, Emergent’s anthrax vaccine has accounted for as much as half the stockpile’s budget.
nytimes.com/2021/03/06/us/…
20) The investigation found that some federal officials felt the company was gouging taxpayers — an issue that also came up at Wednesday’s hearing when @RepMaloney, demanded to know how much it cost to make the vaccine and what it sold for. Mr. El-Hibri promised info later.

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More from @DrEricDing

22 May
TWO DOSES NEEDED—New UK vaccine data finds 1-shot protection for symptomatic infection of #B117 variant is 51%, and just 33% versus #B16172 from India. However, after 2 doses—87% for #B117 & 81% for #B16172. But mixed 3 vaccine types—unclear AZ vs mRNA. 🧵
ft.com/content/a70d42… Image
2) “This suggests a single shot offers 35 per cent less protection against B.1.617.2 compared with B.1.1.7, according to Financial Times analysis.
The PHE figures aggregate data from the BioNTech/Pfizer and Oxford/AstraZeneca jabs.”
3) “The rapid spread of B.1.617.2 in pockets of England has cast doubt on the country’s road map out of lockdown, with the next phase due to take place on June 21. “PHE scientists are evaluating the effectiveness of vaccines against B.1.617.2 variant” & will publish data later.
Read 8 tweets
22 May
Reopening schools in Texas potentially led to ~40,000 cases of #COVID19 and hundreds of deaths in Texas last year, study finds— “robust evidence that reopening Texas schools gradually but substantially accelerated the community spread of COVID-19." 🧵
abcnews.go.com/Health/rapid-s…
2) according to an analysis by economists and public policy experts from the University of Kentucky, analysis estimate that ~43,000 people contracted COVID-19 and 800 people possibly died in Texas two months after schools reopened statewide, when virus transmission was high.
3) The research highlights how in-person learning and its potential "spillover" can affect nearby communities.
Read 10 tweets
22 May
CDC needs to up its game:

“Forget ‘Stop the spread,’ you should be calling it ‘Stop the shrink!'”

HT @nbcsnl #COVID19 #CovidVaccine Image
2) new study—“two men following bouts with #COVID19 infections. 6-8 months afterwards, they still had virus particles in their penises. Not only that. They had developed severe erectile dysfunction (ED) even though they hadn’t had ED prior”. @bruce_y_lee
google.com/amp/s/www.forb…
3) “Examination found Covid-19 coronavirus particles near the blood vessel endothelial cells in the samples from the two patients who had had Covid-19. Blood vessel endothelial cells are cells lining the insides of the blood vessels in the penile tissue.”
Read 5 tweets
21 May
⚠️Whoa—Pfizer vaccine & #B16172 variant—the founder of BioNTech estimates their Pfizer vaccine to have a weakened efficacy of just 70-75% efficacy against B.1.617.2 variant (via India). A sizeable drop from 95%.

➡️CDC still wants to drop masks? #COVID19
globalnews.ca/video/rd/61f79… Image
2) To be clear, 70-75% efficacy still good, but it is nothing like 95%, and not enough to stop using masks. A weakened efficacy for a variant also suggests possible reinfection risk as well and likely more break through infections. This is no time to take off masks.
3) there is a good reason UK and WHO are concerned by the Indian origins #B16172 variant. It’s also poised to become the new dominant variant soon in UK
Read 7 tweets
21 May
HOSPITALIZATIONS increase again in parts of UK🇬🇧—The number of hospitalized #COVID19 patients in Bolton has increased, rising by 20% in 24 hours. Hospital opening an extra ward for Covid, as a previous ward is now full. Bolton hit by #B16172 variant.🧵
independent.co.uk/news/health/bo…
2) some weren’t sure if the Bolton UK rise was real or not. But with increasing hospitalizations—it’s now quickly becoming clear it’s real.
3) the surge in #B16172 variant from India in Bolton Uk seems especially hard in children. Schools in UK don’t mandate masks. Big mistake. Image
Read 5 tweets
21 May
📍Scientists have discovered a new canine coronavirus in a child who was hospitalized with pneumonia in 2018. If confirmed to be a human pathogen, it’d only be the world’s 8th coronavirus, and the first canine coronavirus, known to cause disease in humans.
nytimes.com/2021/05/20/hea… Image
2) It is not yet clear whether this specific virus poses a serious threat to humans, the researchers stress. The study does not prove that the pneumonia was caused by the virus, which may not be capable of spreading between people.
3) But the finding, which was published on Thursday in the journal Clinical Infectious Diseases, highlights the need to more proactively search for viruses that could jump from animals into humans, the scientists said.
Read 14 tweets

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