Category: Corona Virus

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Pfizer says its COVID-19 pill cuts disease’s worst risks by 89% – NPR

November 6, 2021

Pfizer says its experimental pill for COVID-19 cut rates of hospitalization and death by nearly 90% among patients with mild-to-moderate infections. Mark Lennihan/AP hide caption

Pfizer says its experimental pill for COVID-19 cut rates of hospitalization and death by nearly 90% among patients with mild-to-moderate infections.

Pfizer says that its COVID-19 pill reduced the risk of hospitalization or death by 89%, in a clinical trial that tested the drug in adults with the disease who were also in high-risk health groups.

The oral medicine is called Paxlovid. Similar to Merck's new pill that was approved in the U.K. on Thursday, Pfizer said its drug showed good results when administered within five days of the first COVID-19 symptoms.

Based on the strength of the trial's results, Pfizer says it will stop enrolling people into more clinical trials for the pill and will instead send the results it has so far to the U.S. Food and Drug Administration to seek emergency use authorization.

"These data suggest that our oral antiviral candidate, if approved or authorized by regulatory authorities, has the potential to save patients' lives, reduce the severity of COVID-19 infections, and eliminate up to nine out of ten hospitalizations," Pfizer CEO and chairman Albert Bourla said.

Both of the antiviral medicines from Pfizer and Merck attack the coronavirus by interfering with its ability to replicate itself.

Pfizer says its pill is also helped by co-administering a low dose of ritonavir, a drug used in HIV/AIDS treatment regimens. Ritonavir helps protease inhibitors like the Pfizer drug persist longer in the human body, making them more effective in fighting a virus.

Officials in both the U.S. and U.K. say that effective COVID-19 pills could be a game-changer in the fight to end the pandemic, because the pills can easily be administered at home. Regeneron's antibody cocktail has become a key tool in medical workers' rush to prevent the worst outcomes for people who've contracted COVID-19, but the monoclonal antibody treatment requires either an intravenous infusion or a series of shots.

Pfizer says its drug could be prescribed to reduce the severity of COVID-19 patients' illness, as well as to cut the chances that adults get infected after they've been exposed to the coronavirus.

"It has demonstrated potent antiviral in vitro activity against circulating variants of concern, as well as other known coronaviruses, suggesting its potential as a therapeutic for multiple types of coronavirus infections," the company said as it announced the drug trial results.

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Pfizer says its COVID-19 pill cuts disease's worst risks by 89% - NPR

New coronavirus, likely from dogs, could be 8th coronavirus to spread in humans : Goats and Soda – NPR

November 6, 2021

A new coronavirus identified in Haiti (and in Malaysia) likely came from dogs. Above: A child and a dog in Haiti. Hector Retamal/AFP via Getty Images hide caption

A new coronavirus identified in Haiti (and in Malaysia) likely came from dogs. Above: A child and a dog in Haiti.

Early in 2017, a team of medical personnel, including doctors, nurses and volunteers, returned home to Florida after volunteering at a clinic in Haiti. Soon after their return, 20 members of the team began to feel a bit under the weather. "They had a slight fever and didn't feel 100% right," says virologist John Lednicky at the University of Florida. "But they weren't very sick."

At the time, Zika virus was circulating in Haiti, and health officials were worried the travelers might have been infected, potentially importing the mosquito-borne illness to Florida. So officials took urine samples from each traveler and asked Lednicky to test for Zika.

Lednicky ran the standard PCR tests for the virus, and they all came back negative. But he wasn't satisfied. He had a hunch that the urine samples did contain a virus not Zika but something else.

So he took a little bit of the urine from six of the travelers and added it to a special solution of monkey cells. The goal was deceptively simple: to see if any viruses in the urine would infect the monkey cells, start replicating and grow to detectable levels. Then Lednicky could collect the virus's genes and identify it.

"This is what we do in our lab," Lednicky says. "We cast a wide net. We try to isolate viruses. And oftentimes, when we do that, the unexpected happens."

Indeed, the unexpected occurred.

"We found a coronavirus," he says. And not just any coronavirus, but one that many scientists believe may be a new human pathogen likely the 8th coronavirus known to cause disease in people. Turns out, this coronavirus in the Haiti travelers has cropped up previously, on the other side of the globe.

Back in May, scientists at Duke University, reported they had detected a nearly identical virus coronavirus in children at a Malaysian hospital.

The researchers found the virus in the upper respiratory tract of 3% of the 301 patients they tested in 2017 and 2018.

The genetic sequence of the Malaysian virus suggested it likely originated in dogs and then jumped into people. "The majority of the genome was canine coronavirus," virologist Anastasia Vlasova told NPR in May.

Although the findings sounded alarming, the researchers had no evidence that the virus could spread between people or that it was widespread around the world.

"These human infections with ... canine coronaviruses appear to be isolated incidents which did not lead to extensive human transmission," virologist Vincent Racaniello wrote on the Virology Blog.

Now Lednicky and his colleagues have found an almost identical virus infecting people 11,000 miles away-- at the same time. The genetic sequence of the virus in Haiti is 99.4% identical to the one in Malaysia. Lednicky and his colleagues reported this past Sunday in the journal Clinical Infectious Diseases.

And the big question is: How does a dog virus in Malaysia wind up in doctors and nurses in Haiti?

"The virus probably circulates widely, but no one has paid attention to it," Lednicky says. He suspects it's all over the world. And if you've been around dogs frequently you might have been infected with this virus or developed an immunity to it by exposure to similar virus. "We'll know when scientists start looking for antibodies inside older blood samples taken from patients with respiratory disease. How many of them were misdiagnosed all along?"

Some scientists also think doctors and researchers should start actively looking for this virus in patients. "I think that's important for several reasons," says virologist Linda Saif at Ohio State University, who has studied coronaviruses for about 40 years.

"No. 1, this virus has been associated with a number of pneumonia cases in children, and no. 2, we really don't know if it can transmit from human to human," she adds.

The fact that scientists detected the almost-identical viruses in both Haiti and Malaysia, at the same time, suggests the virus does spread between people, Saif says.

"There's a temporal sequence here. These two viruses which are very, very similar have been detected in a similar time frame but in widely separated regions of the world," she explains. That could happen if a nearly-identical virus was circulating in dogs in both Haiti and Malaysia and then jumped over to people in both countries during the same year.

"I would be very surprised if that happened," Saif says.

The second hypothesis is that the virus is circulating in people, at low levels, in many parts of the world, under the radar. "That hypothesis is more likely," Saif says.

If that hypothesis turns out to be true, this canine coronavirus will be the eighth coronavirus known to spread among humans.

On the surface, these new findings sound like horrible news. The last thing the world needs right now is another coronavirus that may trigger pneumonia in children. But Jonna Mazet says it's actually good news because it means scientists have caught this virus before it has caused a big problem.

"The very exciting part is that people are starting to do virus discovery and characterization, even when large groups of people aren't dying and or getting severely ill, which is how most virus discovery has happened in the past," says Mazet, who's an epidemiologist at the University of California, Davis and the founding executive director of the One Health Institute there.

By finding this virus early, scientists now have time to study it, create tools to diagnose it and understand what it might take to stop it. Although it's not a cause for deep concern at this time, there's always the risk the virus could evolve over time and become a bigger problem, Mazet says, as was likely the case with SARS-CoV-2.

"Almost certainly, SARS-CoV-2 was circulating for quite some time and making people either a tiny bit sick or not sick enough to be noticed," she says. If scientists had detected it at this stage, perhaps the world would have had time to develop a test for it, some promising treatments and even a preliminary vaccine. Perhaps the pandemic would have taken a much different perhaps less deadly course.

"We need to find these novel viruses well before they fully adapt to humans and become a pandemic problem," writes epidemiologist Gregory Gray, from the University of Texas Medical Branch, in an email to NPR. "Fortunately, today we have the tools to both detect and evaluate the risk of such novel viruses. We just need the political will and financial support to do so."

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New coronavirus, likely from dogs, could be 8th coronavirus to spread in humans : Goats and Soda - NPR

Health insurers still aren’t that worried about the coronavirus – Axios

November 6, 2021

COVID-19 has affected each health insurance company differently, but the industry remains mostly insulated from the virus' growing toll.

The big picture: Most of the big insurers have sidestepped massive coronavirus-related costs so far this year, due in large part to people putting off other care. And the companies that have had to pay more medical claims are raising premiums on employers and consumers, exactly as they said they would.

Driving the news: Health insurers were very focused during the third quarter on their medical loss ratios, or the percentage of premiums that are paid toward health care services and drugs.

Keep in mind: Most large employers pay their own medical claims and use insurers as claims administrators.

The bottom line: Health insurers remain significantly more profitable today than they were before the pandemic, even after factoring in COVID costs.

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Health insurers still aren't that worried about the coronavirus - Axios

Is it better to catch a cold or flu to build up antibodies or keep masking up? : Goats and Soda – NPR

November 6, 2021

Wash your hands. A lot. That's the message from public health specialists as cold and flu season arrives. Jens Kalaene/picture alliance via Getty Image hide caption

Wash your hands. A lot. That's the message from public health specialists as cold and flu season arrives.

Each week, we answer frequently asked questions about life during the coronavirus crisis. If you have a question you'd like us to consider for a future post, email us at goatsandsoda@npr.org with the subject line: "Weekly Coronavirus Questions." See an archive of our FAQs here.

We've heard that colds and the flu could be more prevalent this year because they didn't spread much last year when we were all masked up and staying away from people. Does that mean our defenses that is, antibody protection is down? Would it be a good idea to keep masking up this winter? Or would it be better to let ourselves get sick in the hopes of boosting our immune systems?

It's certainly true that the flu did not spread much last year: Just .2% of respiratory specimens from clinical labs and public health departments participating in national disease surveillance tested positive for flu during the 2020-2021 season, according to the Centers for Disease Control and Prevention (CDC), compared to between 26.2% and 30.3% for the previous three seasons.

What that could mean for this year, however, remains something of a mystery since that kind of dropoff has not happened in recent times. Still, there are enough clues for doctors and public health officials to offer some pretty solid advice.

First, let's take a crash course in cold and flu infection: Like COVID-19, colds and flus are viruses. Getting infected with a virus (as the pandemic has taught us so well) depends on a few things: First, exposure. That could be through the air, a main method of transmission for COVID-19 and the flu, or by touching surfaces contaminated with germs shed by infected individuals (the way colds are often spread). So last October, when children returned to school in Hong Kong wearing masks and physical distancing, flu and COVID were kept at bay but cases of rhinoviruses, which cause 10-40% of common colds, exploded.

But just because you're exposed to a virus doesn't mean you will get sick.

That's where antibodies come in: People who have been exposed to a virus in the past have more immunity to it. That's why kids tend to get sick more often than adults: They haven't had as much time to be exposed to a variety of viruses. So it is possible that people will have fewer antibodies to this year's flu strain because of last year's general lack of exposure, leading to a bad flu season but it's also possible that previous exposures have built up some levels of antibodies. And a study published in June in the Journal of Experimental Medicine shows that exposure to one virus can even help prevent getting infected by another (specifically, the researchers found that the antibodies generated by a rhinovirus infection could halt replication of SARS-CoV-2, the virus that causes COVID-19).

It's unknown how many antibodies we have to different viruses, points out Abraar Karan, an infectious disease doctor at Stanford University. "But we should still have some immune response to past strains," he says.

And there's another way to build up antibodies: vaccines. That could make it especially important to get the flu shot this year, he notes.

But some people are asking: Would it be better to stop masking and hand sanitizing in order to increase your exposure to pathogens? In other words, to risk getting sick in hopes of generating more antibodies for the next go-round? Our experts say no.

"People try not to get the flu every year," Karan says, and that's probably a good thing. Getting sick is ... well, yucky. And flu can, in fact, be fatal.

And you don't have to actually develop flu or cold symptoms to cook up antibodies. Unless you never leave your house, you'll get plenty of exposure to germs, Karan says. And even when you don't get sick from the exposure, you still build up some antibodies.

So the challenge is: stay healthy and, if you fall prey to a virus, avoid infecting others.

And that brings us to a topic all too familiar in the COVID era: washing your hands!

"There's not really such a thing as being too clean," says Charlotte Baker, an assistant professor of epidemiology at Virginia Tech, adding that the pandemic was a wake-up call for many who don't wash their hands enough. "You should always keep your hands clean."

Although you should avoid using antibacterial soap when possible for other reasons (such as developing antibiotic resistance, which doesn't affect viruses), it's fine to keep using alcohol-based hand sanitizers, she says. That does not lead to antibiotic resistance.

Then there's the matter of not infecting others. That means staying home when sick and ... yes, wearing masks on occasion!

We could learn a lesson from other countries that wear masks and keep their hands clean, Baker notes. Those countries tend to have lower rates of flu, colds, respiratory illnesses and even asthma attacks, she says.

"There's a pretty good chance right now of running into someone with a cold, flu" or another respiratory virus, she says. Even when COVID-19 subsides, she hopes "people will still sit out if they don't feel well, wash their hands regularly and if you're around elderly or immunocompromised people regularly, wear a mask when you go out and about" at least during flu season.

And if you top off those preventive measures with a healthy diet, exercise and keeping stress levels low, "you'll put yourself at a good chance of feeling better" if you do pick up a virus, Baker adds.

Masking up post-COVID can be an individual decision, Karan agrees. He plans on using masks even when he's outside of the hospital, depending on how much viruses are circulating that applies to colds, flu and COVID.

Bottom line: "We don't want you to be sick!" Baker says. And getting a nasty case of a cold or the flu isn't necessary to improve your immune system.

Sheila Mulrooney Eldred is a freelance health journalist in Minneapolis. She's written about COVID-19 for many publications, including The New York Times, Kaiser Health News, Medscape and The Washington Post. More at sheilaeldred.pressfolios.com. On Twitter: @milepostmedia

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Is it better to catch a cold or flu to build up antibodies or keep masking up? : Goats and Soda - NPR

COVID-19: What you need to know about the coronavirus pandemic on 5 November – World Economic Forum

November 6, 2021

Confirmed cases of COVID-19 have passed 248.7 million globally, according to Johns Hopkins University. The number of confirmed deaths has now passed 5.03 million. More than 7.19 billion vaccination doses have been administered globally, according to Our World in Data.

President Joe Biden will enforce a mandate that workers at US companies with at least 100 employees be vaccinated against COVID-19 or be tested weekly starting Jan. 4, 2022. The announcement spurred legal challenges from Republican governors who say Biden is overstepping his authority.

Europe registered a 55% rise in COVID-19 cases in the last four weeks, despite the availability of vaccines, which should serve as a "warning shot" to other regions, World Health Organization officials said on Thursday. WHO emergency director Mike Ryan said that some European countries have "sub-optimal vaccination coverage" despite availability.

The first step in Japan's planned phased re-opening of borders, which centres on business travellers, will be put into effect from Nov. 8, the government said on Friday. The change will shorten COVID-19 quarantine periods for inbound business travellers from 10 days to three if they have proof of vaccination, the government said.

Indonesia's economic growth slowed more than expected in the third quarter as restrictions to control a wave of COVID-19 weighed on activity, although recent data suggests growth may be getting back on track in the current quarter. Southeast Asia's largest economy grew 3.51% in the July-September quarter, below the previous quarter's 7.07% expansion.

The City of Vienna said on Thursday it is banning people not vaccinated against COVID-19 from cafes, restaurants and events with more than 25 people, pre-empting measures that are likely to be introduced across Austria soon as infections are surging.

Daily new confirmed COVID-19 cases per million people in selected countries.

Image: Our World in Data

Britain on Thursday became the first country in the world to approve a potentially game-changing COVID-19 antiviral pill jointly developed by US-based Merck and Ridgeback Biotherapeutics, in a boost to the fight against the pandemic.

Britain's Medicines and Healthcare products Regulatory Agency recommended the drug, molnupiravir, for use in people with mild to moderate COVID-19 and at least one risk factor for developing severe illness, such as obesity, older age diabetes, and heart disease.

It will be administered as soon as possible following a positive COVID-19 test and within five days of the onset of symptoms, the regulator said, citing clinical data.

The green light is the first for an oral antiviral treatment for COVID-19 and the first for a COVID-19 drug that will be administered widely in the community. US advisers will meet this month to vote on whether molnupiravir should be authorized.

Treatments to tackle the pandemic have so far focused mainly on vaccines. Other options, including Gilead's infused antiviral remdesivir and generic steroid dexamethasone, are generally only given after a patient has been hospitalized.

Merck's molnupiravir has been closely watched since data last month showed it could halve the chances of dying or being hospitalized for those most at risk of developing severe COVID-19 when given early in the illness.

The World Health Organization called on Thursday for vaccine makers to prioritize deliveries of COVID-19 jabs to the COVAX dose-sharing facility for poorer countries and said that no more doses should go to countries with more than 40% coverage.

Tedros Adhanom Ghebreyesus, WHO Director-General, said that boosters should not be administered except to people who are immunocompromised.

"We continue to call on manufacturers of vaccines that already have a WHO Emergency Use Listing to prioritize COVAX, not shareholder profit," he said. The WHO listing of Indian drugmaker Bharat Biotech's Covaxin on Wednesday contributes to vaccine equity, he added.

The first human trial of a COVID-19 vaccine was administered this week.

CEPI, launched at the World Economic Forum, provided funding support for the Phase 1 study. The organization this week announced their seventh COVID-19 vaccine project in the fight against the pandemic.

The Coalition for Epidemic Preparedness Innovations (CEPI) was launched in 2017 at the Forum's Annual Meeting bringing together experts from government, business, health, academia and civil society to accelerate the development of vaccines against emerging infectious diseases and to enable access to these vaccines during outbreaks.

Coalitions like CEPI are made possible through public-private partnerships. The World Economic Forum is the trusted global platform for stakeholder engagement, bringing together a range of multistakeholders from business, government and civil society to improve the state of the world.

Organizations can partner with the Forum to contribute to global health solutions. Contact us to find out how.

The views expressed in this article are those of the author alone and not the World Economic Forum.

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COVID-19: What you need to know about the coronavirus pandemic on 5 November - World Economic Forum

Biden Aide Suspected of Coronavirus Infection Tests Negative – Bloomberg

November 6, 2021

A White House aide who initially tested positive for coronavirus infection after accompanying President Joe Biden to international summits in Europe has subsequently tested negative, Press Secretary Jen Psaki said.

The aide and some of Bidens other traveling staff remained in Scotland after the president attended the United Nations climate summit in Glasgow because of concern about transmission, according to a White House official.

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Biden Aide Suspected of Coronavirus Infection Tests Negative - Bloomberg

Coronavirus in Oregon: 19 new deaths and 1,141 new cases – OregonLive

November 6, 2021

The Oregon Health Authority on Friday announced 19 COVID-19 deaths and 1,141 new cases.

The agency said that with vaccines for children 5 to 11 years old beginning to be administered this week, the modeling forecast from Oregon Health & Science University shows a possible reduction in the spread of the virus.

The report forecasts that if 60% of newly eligible children become vaccinated, it will reduce the overall proportion of Oregonians susceptible to infection from 23% as of Oct. 26 to 20%.

Where the new cases are by county: Baker (3), Benton (18), Clackamas (85), Clatsop (3), Columbia (20), Coos (20), Crook (16), Curry (2), Deschutes (118), Douglas (41), Gilliam (2), Grant (15), Harney (11), Hood River (5), Jackson (53), Jefferson (22), Josephine (17), Klamath (39), Lake (4), Lane (84), Lincoln (11), Linn (58), Malheur (11), Marion (108), Morrow (1), Multnomah (131), Polk (23), Tillamook (4), Umatilla (35), Union (14), Wallowa (4), Wasco (9), Washington (110), Wheeler (1) and Yamhill (43).

Who died: Oregons 4,544th death is an 82-year-old Morrow County man who tested positive Aug. 11 and died Aug.15 at his residence.

Oregons 4,545th death is a 92-year-old Lane County man who tested positive Aug. 1 and died Oct. 11 at Salem Hospital.

Oregons 4,546th death is an 81-year-old Multnomah County man who tested positive Sept. 21 and died Oct. 6 at Legacy Emanuel Medical Center.

Oregons 4,547th death is an 86-year-old Marion County woman who tested positive Sept. 7 and died Sept. 22 at her residence.

Oregons 4,548th death is a 54-year-old Umatilla County woman who tested positive Sept. 5 and died Sept. 20 at Portland VA Medical Center.

Oregons 4,549th death is a 91-year-old Douglas County man from who tested positive Sept. 18 and died Sept. 26 at his residence.

Oregons 4,550th death is an 84-year-old Marion County man who died July 14 at his residence. The death certificate listed COVID-19 as a cause or a significant condition contributing to his death.

Oregons 4,551st death is a 97-year-old Lane County woman who tested positive Oct. 25 and died Oct. 31 at her residence.

Oregons 4,552nd death is a 66-year-old Marion County woman who died Nov. 7, 2020, at her residence. The death certificate listed COVID-19 as a cause or a significant condition contributing to her death.

Oregons 4,553rd related death is a 56-year-old Jackson County man from who tested positive Oct. 10 and died Nov. 3 at Providence Medford Medical Center.

Oregons 4,554th death is an 84-year-old Douglas County man from who tested positive Aug. 20 and died Nov. 3 at his residence.

Oregons 4,555th death is a 67-year-old Crook County woman who died Feb. 1 at her residence. The death certificate listed COVID-19 as a cause or a significant condition contributing to her death.

Oregons 4,556th death is a 74-year-old Yamhill County man who tested positive Oct. 4 and died Nov. 2 at his residence.

Oregons 4,557th death is an 86-year-old Washington County man who died Jan. 1 at his residence. The death certificate listed COVID-19 as a cause or a significant condition contributing to his death.

Oregons 4,558th death is an 85-year-old Umatilla County man who tested positive Oct. 13 and died Oct. 29 at St. Michael Medical Center in Silverdale, Washington.

Oregons 4,559th death is a 79-year-old Umatilla County man who tested positive Oct. 6 and died Oct. 31 at Providence St. Vincent Medical Center.

Oregons 4,560th death is a 36-year-old Umatilla County man who tested positive Sept. 14 and died Oct. 28 at Providence Portland Medical Center

Oregons 4,561st death is a 52-year-old Tillamook County man who tested positive Aug. 20 and died Aug. 26 at St. Lukes Boise Medical Center in Boise, Idaho.

Oregons 4,562nd death is a 69-year-old Polk County woman who tested positive Oct. 19 and died Nov. 3 at Salem Hospital.

All those who died either had underlying conditions or the presence of underlying conditions are still being investigated.

Hospitalizations: 533 people with confirmed cases of COVID-19 are hospitalized, up one from Thursday. That includes 138 people in intensive care, up 15 from Thursday.

Vaccines: 2,960 people have been reported newly vaccinated since Thursday.

Since it began: Oregon has reported 372,137 confirmed or presumed infections and 4,562 deaths, among the lowest per capita numbers in the nation. To date, the state has reported 5,620,415 vaccine doses administered, fully vaccinating 2,620,993 people and partially vaccinating 207,266 people.

To see more data and trends, visit https://projects.oregonlive.com/coronavirus/

-- Ted Sickinger; tsickinger@oregonian.com; 503-221-8505; @tedsickinger

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Coronavirus in Oregon: 19 new deaths and 1,141 new cases - OregonLive

COVID-19: Top news stories about the coronavirus pandemic on 3 November | World Economic Forum – World Economic Forum

November 4, 2021

Confirmed cases of COVID-19 have passed 247.7 million globally, according to Johns Hopkins University. The number of confirmed deaths has now passed 5.01 million. More than 7.1 billion vaccination doses have been administered globally, according to Our World in Data.

South Korea has announced it will ramp up COVID-19 testing at schools after a sharp rise in infections among children - weeks ahead of a plan to fully reopen schools.

The Health Council of the Netherlands has recommended that adults aged 60 and over receive COVID-19 vaccine booster shots.

Unvaccinated people in Greece will need to show proof of a negative COVID-19 test to access state services, banks, restaurants and retail shops. It comes as cases hit a new daily record on Tuesday.

Indonesia's economic growth is expected to have slowed significantly in the third quarter as restrictions imposed to prevent the spread of the Delta COVID-19 variant put the brakes on any recovery, a Reuters poll found.

Britain has reported its highest daily COVID-19 death toll since March - 293 - although authorities warned that it could include two days' worth of data.

Ukrainians who knowingly use or manufacture fake COVID-19 vaccine certificates face fines or jail under new legislation passed in parliament yesterday.

Several Russian regions are considering imposing additional restrictions or extending a workplace shutdown to fight a surge in COVID-19 cases. A partial nationwide lockdown has already been reintroduced.

The director of the US Centers for Disease Control and Prevention has backed the broad use of the Pfizer/BioNTech COVID-19 vaccine in children aged 5-11.

Daily new confirmed COVID-19 cases per million people in selected countries.

Image: Our World in Data

The Dutch government yesterday announced the reintroduction of some COVID-19 measures, including the wearing of face masks. The measures come in an effort to slow the spread of new COVID-19 cases, Prime Minister Mark Rutte said.

The use of a 'corona pass', showing proof of a COVID-19 vaccination or recent negative coronavirus test, would be broadened as of 6 November to public places including museums, gyms and outdoor terraces, Rutte said.

COVID-19 cases have reached their highest level since July in the past week, with many hospitals forced to cut back on regular care, to make room for urgent COVID-19 cases.

Rutte called on residents to stick to basic hygiene rules - whether vaccinated or not - and to stay at home if they had possible symptoms. "Our own behaviour is crucial, a very large part of our coronavirus policy depends on it," he said.

A zero-tolerance approach to local COVID-19 cases in China is set to remain in place, some experts have said.

To stop local cases from turning into wider outbreaks, China has developed and continually refined its COVID-fighting arsenal - including mass testing, targeted lockdowns and travel restrictions.

"The policy (in China) will remain for a long time," Zhong Nanshan, a respiratory disease expert who helped formulate China's COVID strategy in early 2020, told state media. "How long it will last depends on the virus-control situation worldwide."

He said the current 2% death rate of the disease globally is not tolerable in China: "Zero tolerance costs a lot indeed, but letting the virus spread costs more."

Each of our Top 50 social enterprise last mile responders and multi-stakeholder initiatives is working across four priority areas of need: Prevention and protection; COVID-19 treatment and relief; inclusive vaccine access; and securing livelihoods. The list was curated jointly with regional hosts Catalyst 2030s NASE and Aavishkaar Group. Their profiles can be found on http://www.wef.ch/lastmiletop50india.

Top Last Mile Partnership Initiatives to collaborate with:

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Joe Myers, Writer, Formative Content

The views expressed in this article are those of the author alone and not the World Economic Forum.

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COVID-19: Top news stories about the coronavirus pandemic on 3 November | World Economic Forum - World Economic Forum

NIH Officials Worked With EcoHealth Alliance to Evade Restrictions on Coronavirus Experiments – The Intercept

November 4, 2021

But what happened next sets off alarm bells for biosafety advocates: Agency staff adopted language that EcoHealth Alliance crafted to govern its own work. The agency inserted several sentences into grant materials describing immediate actions the group would take if the viruses they created proved to become more transmissible or disease-causing as the result of the experiments.

Although the experiments demonstrate a lack of oversight and present dangers to public health, according to several scientists contacted by The Intercept, none of the viruses involved in the work are related closely enough to SARS-CoV-2 to have sparked the pandemic.

In December 2017, the funding for some gain-of-function research was resumed under carefully constructed guidelines for Potential Pandemic Pathogen Care and Oversight, or P3CO but the language suggested by Daszak helped the group evade this oversight as well. In July 2018, NIAID program officers decided that the experiments on humanized mice which had been conducted a few months earlier would get a pass from these restrictions as long as EcoHealth Alliance immediately notified appropriate agency officials according to the circumstances that the group had laid out.

While it is not unusual for grantees to communicate with their federal program officers, the negotiation of this matter did not appropriately reflect the gravity of the situation, according to Jesse Bloom, a virologist at the Fred Hutchinson Cancer Research Center. The discussions reveal that neither party is taking the risks sufficiently seriously, said Bloom. MERS-CoV has killed hundreds of people and is thought to pose a pandemic risk, so its difficult to see how chimeras of MERS-CoV with other high risk bat coronaviruses shouldnt also be considered a pandemic risk.

In a written response to questions submitted in September and October, an NIH spokesperson told The Intercept that the rule that was supposed to trigger a stop to the research was added out of an abundance of caution. Similarly, in a letter sent to the House Committee on Oversight and Reform last month, NIH principal deputy director Lawrence Tabak called the rule an additional layer of oversight, implying that the agency had devised the rule itself. But the notes reviewed by The Intercept show that the language was inserted at Daszaks suggestion and that the NIH and EcoHealth Alliance worked together to evade additional oversight.

Daszak responded to the NIH on June 8, 2016, arguing that, because EcoHealth Alliances proposed hybrid viruses were significantly different from the SARS virus, which was already known to infect humans, the experiments were not gain-of-function research and should not be restricted.

Daszak also pointed out that WIV1, the parent of the proposed chimeric SARS-like viruses, has never been demonstrated to infect humans or cause human disease, according to the transcribed emails. And he said that previous research strongly suggests that the chimeric bat spike/bat backbone viruses should not have enhanced pathogenicity in animals. The NIH would go on to accept these arguments.

But the groups argument that its viral research did not pose a risk of infection appears to contradict the justification for the work: that these pathogens could potentially cause a pandemic. The entire rationale of EcoHealths grant renewal on SARS-related CoVs is that viruses with spikes substantially (10-25%) diverged from SARS-CoV-1 pose a pandemic risk, said Bloom. Given that this is the entire rationale for the work, how can they simultaneously argue these viruses should not be regulated as potential pandemic pathogens?

The NIH has not made the correspondence public. Instead, the agency arranged for an in camera review for select congressional staff. The staffers were allowed to read and take notes on printed copies of the written exchange an unusual approach for grant communications that are in the public interest. The Intercept reviewed notes taken by congressional staff.

Given the importance and interest in this topic, its important for the NIH to be fully transparent about the research they support and how they make crucial decisions about the regulation of research on potential pandemic pathogens, said Bloom.

Regulating risky research is the NIHs role. But Daszak gave his group a way out. If the recombinant viruses grew more quickly than the original viruses on which they were based, he suggested, EcoHealth Alliance and its collaborators would immediately stop its research and inform their NIAID program officer. Specifically, he suggested a threshold beyond which his researchers would not go: If the novel SARS or MERS chimeras showed evidence of enhanced virus growth greater than1 log (or 10 times) over the original viruses and grow more efficiently in human lung cells, the scientist would immediately stop their experiments with the mutant viruses and inform their NIAID program officer.

In a July 7 letter to EcoHealth Alliance, NIHs Greer and Stemmy formally accepted Daszaks proposed rule. The chimeric viruses were not reasonably anticipated to have enhanced pathogenicity and/or transmissibility in mammals via the respiratory route, the administrators concluded, according to the transcribed emails.

The language that the NIH later inserted into the grant was strikingly similar to what Daszak proposed: Should any of the MERS-like or SARS-like chimeras generated under this grant show evidence of enhanced virus growth greater than 1 log over the parental backbone strain you must stop all experiments with these viruses.

But when the scientists conducted the experiments in 2018, one of the chimeric viruses grew at a rate that produced a viral load of log 4 or10,000 times greater than the parent virus. Even so, the work was allowed to proceed.

Despite the careful wording meant to assure the agency that the research would be immediately halted if it enhanced the viruses pathogenicity or transmissibility, EcoHealth violated its own rule and did not immediately report the concerning results to NIH, according to the letter from NIHs Tabak.

In a letter sent to NIH on October 26, Daszak insisted EcoHealth Alliance did comply with all the requirements of its NIH grant, pointing out that the group reported the results of its experiment in its year four progress report, which it submitted to the agency in April 2018 and that no one at the agency responded to the description of the experiment. At no time did program staff indicate to us that this work required further clarification or secondary review, hewrote.

Daszak also argued intheletterthat the viral growth reported in the year four progress report did not correspond to the viral growth outlined in the rule he himself had devised. The experiment we reported to NIH actually shows genome copies per gram not viral titer.

Daszak emphasized that the growth of the chimeric viruses in the genetically engineered mice was enhanced only in the early part of the experiment. By day 6-8, there was no discernably significant difference among the different viral types, he wrote.

Yet virologists contacted by The Intercept dismissed both the distinction between viral titer and viral growth and the focus on the latter part of the mouse experiment, when the rate of growth between the viruses had evened out.

I dont agree with their interpretation, said Wain-Hobson, of the Pasteur Institute. He described the EcoHealth Alliances response as hairsplitting and said that viral growth inevitably peters out. Every growth of a virus comes to a plateau. This has been known since time immemorial, said Wain-Hobson, who explained that the eventual cessation of viral growth is due to a lack of nutrients. They have chosen this interpretation because it suits them.

NIH officials have previously stated unequivocally that the agency did not fund any gain-of-function research in Wuhan. The NIH has not ever and does not now fund gain-of-function research in the Wuhan Institute of Virology, said Anthony Fauci, the head of the NIAID, during a Senate hearing in May. Fauci is scheduled to testify before the Senate health committee tomorrow morning.

In its statement to The Intercept, an NIH spokesperson wrote, the Agency did not support the kind of gain of function research warranting the additional and unique P3CO oversight identified by stakeholders during extensive prior policy development. To claim otherwise is incorrect and irresponsible. And in his letter last month, Tabak reiterated the claim that the research was not gain-of-function.

But the correspondence with Daszak makes clear that at least some at the agency were concerned that EcoHealth Alliances proposed experiments met the criteria for gain-of-function research of concern as early as 2016.

According to Richard Ebright, a molecular biologist at Rutgers University who has criticized the lack of federal oversight of gain-of-function research, the fact that the NIH allowed EcoHealth Alliance to write its own rules is further evidence of the NIHs regulatory failure. This is like the teacher giving you the opportunity to write your own homework problem and grade your own homework when you turn it in. Then you decide the teacher is so lenient, theres no need to hand it in, said Ebright. The oversight process clearly failed.

Beyond the question of oversight, others question whether these experiments should be conducted at all.

In addition to the legalistic questions of whether EcoHealth and NIH were adhering to current guidelines, said Bloom, we urgently need a broader discussion about whether its a good idea to be making novel chimeras of coronaviruses that are at this point universally acknowledged to pose a pandemic risk to humans.

See the rest here:

NIH Officials Worked With EcoHealth Alliance to Evade Restrictions on Coronavirus Experiments - The Intercept

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