COVAX did not fail because it was badly designed says @DrMikeRyan at #WHS2022:
"We failed because of the greed of the north. We failed because of the greed of the pharmaceutical industry. We failed because of self-interest in certain member states, who were not prepared to share"
@DrMikeRyan "The view of the independent panel was not that @WHO failed the world. No, member states failed the WHO. This is clear. The WHO does need more powers to deal with pandemics", says @HelenClarkNZ at #WHS2022.
@DrMikeRyan@WHO@HelenClarkNZ "Isn't there something ridiculous about the fact that @iaeaorg can go into a war zone and inspect what's happening in a nuclear power plant and @WHO doesn't have an absolute right to get visas to go to the site of any outbreak anywhere in the world?", asks @HelenClarkNZ. #WHS2022
@DrMikeRyan@WHO@HelenClarkNZ@iaeaorg "We need to share scientific information much more expeditiously and kindly and without self-interest. And we need to transfer technology so that low and middle income countries are empowered ... to make their own medical resources", says @LawrenceGostin. #WHS2022
@DrMikeRyan@WHO@HelenClarkNZ@iaeaorg@LawrenceGostin "There's always going to be some national self-interest, some sovereignty that comes into it and people will put their countries first", says @LawrenceGostin. "But we have to break down the kind of stubborn sovereignty where it really can interfere with what we need in the world"
@DrMikeRyan@WHO@HelenClarkNZ@iaeaorg@LawrenceGostin "We can have all the sovereignty in the world, as long as sovereign governments are responsible. Because sovereign responsible governments will actually seek cooperation in order to meet their commitments to their own population", says @DrMikeRyan #WHS2022
It's been a while since I've written an update on #monkeypox. But @ECDC_EU yesterday put out a new risk assessment, so a quick thread on what we know and where we are...
@ECDC_EU First off:
There have been more than 20,000 monkeypox cases in the region (that's EU countries plus Norway and Iceland) and 4 deaths.
But the number of new cases has declined 90% since the peak in July:
@ECDC_EU There are likely several factors at play:
- behavior change
- immunity from immunizations as well as infections
- end of summer travel
- less testing?
I’ll write more about this and what the future may bring in the next days.
For now, a few points on risk and transmission:
So I managed to keep myself from live-tweeting my own session at #WHS2022 this morning, but wanted to collect a few points/quotes from it here.
The session was on "Global Health Communications". Full recording is online:
His father, a policemam in Ireland, taught him one thing, says @DrMikeRyan: ‘Always answer the question you’re asked’
“I’ve kept that in my mind the whole way through this.” (I have to say that really shows!)
Hardest part were personal attacks (for instance on FoxNews), says @DrMikeRyan:
“When you're being attacked yourself, you have some sense that you have agency in that. It's when you see others around you being attacked, that you really feel resentment, your blood really boils.”
The @ECDC_EU sent out a brief assessment of the Ebola outbreak in Uganda this morning:
“The outbreak is still relatively limited in size (48 cases). More importantly, transmission has not been documented in densely populated areas.”
“While one death has occurred in the capital city of Kampala, it concerns an individual who fled from the affected districts and passed away in the capital. …A total of 42 contacts have been identified. No other cases have been recorded in the city.”
Risk for travellers is low says @ECDC_EU:
“Transmission requires direct contact with blood, secretions, organs, or other bodily fluids of dead or living infected persons or animals; these are all unlikely exposures for the general EU/EEA tourists or expatriates in Uganda.”
In April 1979 dozens of people died in the deadliest anthrax outbreak on record. What happened in the city of Sverdlovsk?
A new @pandemiapodcast episode on anthrax, bioweapons and the search for the truth is out.
@pandemiapodcast Anthrax is a deadly disease caused by the bacterium Bacillus anthracis. The pathogen can form spores that can survive decades and usually infects and kills grazing animals. But anthrax (particularly inhalational) can also kill humans. And it has long been studied as a bioweapon.
@pandemiapodcast Pathogens are attractive for weaponisation if they are (amongst other things) dispersible as an aerosol, their production can be scaled and they are stable and deadly. “Anthrax is one of those pathogens that tops every list for those characteristics”, says @FilippaLentzos.
Die Deutsche STI-Gesellschaft (DSTIG) hat gerade ein Positionspapier zu Affenpocken (MPXV) verschickt.
Das dürfte alles niemanden überraschen, der mir oder dem @pandemiapodcast folgt, aber in Kürze die wichtigsten Puntke der DSTIG:
Affenpocken sind eine sexuell übertragbare Krankheit
“Wir sprechen immer dann von einer STI, wenn die sexuelle Übertragung des jeweiligen Erregers –in diesem Fall MPXV– für das Infektionsgeschehen relevant ist. Fast alle STI-Erreger werden nicht ausschließlich sexuell übertragen”
Eine Isolation von Patienten ist in der Regel nicht nötig:
“Bisher werden nur in seltenen Einzelfällen Infektionen über Haushaltskontakte berichtet. Eine Quarantäne von im selben Haushalt lebenden Personen ist daher obsolet.”