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UNITED NATIONS calls for unity towards getting ‘’People’s Vaccine’’ Against COVID-19 ……Solidarity trials continue

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The United Nations has called on governments, the private sector, international organizations and civil society to unite towards “a people’s vaccine”. This is contained in a statement issued today by the UN. It reveals that ‘’The United Nations and the International Red Cross and Red Crescent Movement have call for unity to scale up efforts to develop, test, and scale-up production of safe, effective, quality, affordable diagnostics, therapeutics, medicines and vaccines.

The statement quotes UN officials as stating that: ‘’We therefore call for governments and non-government actors to prioritize investments in communities and to ensure all people, without distinctions, are provided with the relevant knowledge, resources and tools to protect themselves from COVID-19. Until a people’s vaccine becomes available, any hope of reducing the impact of this pandemic will primarily rest on the people’s knowledge and behaviour and in their ability to withstand the direct and secondary impacts of COVID-19.

COVID-19 is a global disease affecting people around the world but with a disproportionately higher impact on vulnerable groups and individuals. As the race to identify the most effective tools to combat this virus continues with steady pace, the spirit of global solidarity must prevail: no one should be left behind. A people’s vaccine should protect the affluent in cities and the poor in rural communities, the old in care homes and the young in refugee camps.  A global social contract for a people’s vaccine against COVID-19 is a moral imperative that brings us all together in our shared humanity.

The unity and commitment towards a people’s vaccine against COVID-19 should be accompanied by equal global collaboration and resolve to sustain immunization against preventable diseases. As a result of the COVID-19 pandemic routine childhood immunization services have been severely hit in at least 68 countries; measles campaigns have been suspended in 27 countries; and polio campaigns put on hold in 38 countries. As a result, at least 80 million children under the age of one are at risk ofdiseases like measles, diphtheria and polio. The United Nations and the International Red Cross and Red Crescent Movement call on international and national partners to continue prioritizing delivery of vaccines as a key tool to avert excess mortality, particularly in low income countries and in humanitarian settings.

While the world invests in the development of new technologies against COVID-19 and in sustaining the provision of immunization services worldwide, we warn that biomedical interventions will only be partially effective without people’s engagement and ownership of the response to the pandemic. We learned the tough consequences of non-prioritizing communities in the early phase of previous epidemics, like Ebola in DRC, and we should not repeat the same mistake.

CORONAVIRUS & SUNDY MATTERS – THE STATE OF THE WORLD – WHO says it is committed to serving the world with science, solutions and solidarity.

Meanwhile, about 50 staff from the World Health Organization (WHO) and its partners arrived in Mbandaka in the Democratic Republic of the Congo (DRC) on early today. The settlement is the location of the country’s latest Ebola outbreak. WHO chief Tedros Adhanom Ghebreyesus told journalists covering his regular virtual update on theCOVID-19 pandemic that the responders carried 3,500 doses of Ebola vaccine and 2,000 cartridges for lab testing.

So far, 8 cases have been detected. Four of those have died and the other 4 are receiving care.  To be clear, this outbreak is in the same area as a previous outbreak in 2018, which was stopped in just 3 months. However, it is on the other side of the country to the Ebola outbreak that WHO and partners have been fighting for almost 2 years in the provinces of North Kivu and Ituri, in eastern DRC.A UN statement says “This is an important reminder that even as WHO focuses on responding to the COVID-19 pandemic, we continue to monitor and respond to many other health emergencies,” the DG stated.

From east to west: The Ebola outbreak in Mbandaka, located in Equateur province in northwest DRC – on the opposite side of the country to the worst epidemic in the country’s history that is petering out – was confirmed earlier this week. So far, eight cases have been detected, four of whom have died. “The latest person confirmed with Ebola attended the burial of one of the first cases, but was detected in the town of Bikoro, 150 kilometres away from Mbandaka. This means that two health zones are now affected,” said Tedros. Mbandaka had suffered a previous Ebola outbreak in May 2018, which was halted in three months.

The latest person confirmed with Ebola attended the burial of one of the first cases, but was detected in the town of Bikoro, 150 kilometres away from Mbandaka. This means that two health zones are now affected.  Today almost 50 responders from WHO and partners arrived in Mbandaka, plus 3600 doses of Ebola vaccine and 2000 cartridges for lab testing. The government is now sequencing the virus to see whether or not it is related to a previous outbreak.  This is an important reminder that even as WHO focuses on responding to the COVID-19 pandemic, we continue to monitor and respond to many other health emergencies.

In a related development, more than 100 000 cases of COVID-19 have been reported to WHO for each of the past 5 days.  The Americas continues to account for most cases. For several weeks, the number of cases reported each day in the Americas has been more than the rest of the world put together. We are especially worried about Central and South America, where many countries are witnessing accelerating epidemics. We also see increasing numbers of cases in the Eastern Mediterranean, South-East Asia and Africa, although the numbers are much smaller.  Meanwhile, the number of cases in Europe continues to decline. Yesterday saw the fewest cases reported in Europe since the 22nd of March.

WHO continues to work through our regional and country offices to monitor the pandemic, to support countries to respond, and to adapt our guidance for every situation. WHO continues to provide the world with new and updated technical guidance, based on the most up-to-date evidence. Just in the past week, WHO has released a new case report form for suspected cases of multisystem inflammatory syndrome in children;

  • Operational guidance on maintaining essential health services;
  • Guidance on controlling the spread of COVID-19 at ground crossings;
  • Planning recommendations for mass gatherings;
  • A protocol for surveillance of infections among health workers;
  • Ethical considerations for the use of digital technologies in tracking COVID-19;
  • And updated guidelines on the clinical management of patients with COVID-19.
  • This is an update of the guidance we published in March.

It includes a COVID-19 care pathway, which describes the steps followed by a patient from screening to discharge, to ensure delivery of safe and quality care, while stopping onward transmission.  WHO continues to train millions of health workers all over the world to apply our guidance. Our Open WHO.org online learning platform has now registered 3 million enrolments for our courses on COVID-19.  And we have added two new courses: one on decontamination and sterilization of medical devices, and another on environmental cleaning and disinfection.

In total, we’re now offering 12 courses in 27 languages. In the past week, we launched COVID-19 courses in Amharic, Arabic, French, Hausa, Macedonian, Odia, Spanish and Vietnamese. As you know, last week the Executive Group of the Solidarity Trial decided to implement a temporary pause of the hydroxychloroquine arm of the trial, because of concerns raised about the safety of the drug. This decision was taken as a precaution while the safety data were reviewed. The Data Safety and Monitoring Committee of the Solidarity Trial has been reviewing the data.  On the basis of the available mortality data, the members of the committee recommended that there are no reasons to modify the trial protocol.

SOLIDARITY TRIALS: The Executive Group received this recommendation and endorsed the continuation of all arms of the Solidarity Trial, including hydroxychloroquine. The Executive Group will communicate with the principal investigators in the trial about resuming the hydroxychloroquine arm.  The Data Safety and Monitoring Committee will continue to closely monitor the safety of all therapeutics being tested in the Solidarity Trial. So far, more than 3500 patients have been recruited in 35 countries.

WHO is committed to accelerating the development of effective therapeutics, vaccines and diagnostics as part of our commitment to serving the world with science, solutions and solidarity.

I thank you.