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This report in The Guardian says what India urgently needs is for the US to lift export restrictions on supplies for India's vaccine factories, and tools such as genome sequencing to identify and control emerging variants of the coronavirus.

The report also points out that of the 1 billion vaccine jabs about half are in the US and Europe and the low income countries have only a tiny fraction of vaccinations. India which sent 64 million vaccine doses to countries including Brazil and Morocco, Bangladesh, in 3 months prior is reported to have sent only 1.2 million doses this month.

The crisis in India also shows the need says The Guardian for an international approach to the crisis no a country by country approach. It says the Bush plan for Aids and the the 2014 plan for Ebola in West Africa are models of an international approach that is needed now.

 

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Prices of gas for cooking and electricity are up 30% in Brazil in 2021 adding to the pain after the pandemic. Countries in Europe and Canada to Indonesia face much higher prices in 2021. Energy prices have jumped and supply bottlenecks have increased inflation. As more people are vaccinated the return to normal activity is also putting pressure on prices. About 72% of Brazilians have at least one dose of vaccine, higher than in the US. There is less vaccine hesitancy in Latin America and Asia.

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US and Kennedy at HHS pulls back from Denmark's policy on vaccines.

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Lacking a vaccine mandate or serious protocols for coronavirus such as mandatory mask use and social distancing, schools reopen in Britain without the safety action taken in other European countries. Italy has clear vaccine mandate for teachers, France and Germany have mandated use of masks and social distancing action, Britain none of the above.

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A 1 month study of 2 modified Pfizer vaccines, one targeted specifically for new Omicron variants, and the other targeted at earlier coronavirus and current Omicron variants show increases in anitbodies much higher than what current vaccines do. For Omicron specifically at 13 to 19 times more than what current vaccines increase antibodies, and for earlier variants and Omicron at 9 to 11 times more.

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Positive vaccine sentiment in Britain rises to a high of 94%, according to the Office for National Statistics (ONS). This shows that the UK vaccination drive is not only working but has amazing public support, more than anywhere else in the world.

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Efforts by Indian Council of Medical Research to have a vaccine ready by August 15, 2020. India already has 700,000 cases of coronavirus. Bharat Biotech is developing Covaxin in partnership with the National Institute of Virology.

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Russian president Putin may have exacerbated the very thing he feared- a deepening demographic crisis in Russia. This report in the Financial Times says excess mortality was already one of the highest from the coronavirus- about 1 million compared to official figures of 360,000. During the 1990's Russia had gone through a demographic decline with fewer births after the fall of the Soviet Union and unstable conditions in the economy.  During the pandemic there was outward migration from Russia as a result of people wanting access to vaccines other than the local vaccine, says FT.  In an interview last November Mr. Putin talked about the dangers to Russian statehood and to the economy from a drop in births and falling population. The war has worsened this situation as the FT says about 70,000 highly educated people left the country in March and another 70,000 are expected to leave in April. The response of Europe and the US to the Ukraine invasion with moves that affect the Russian economy could lead to drop in jobs and living standards that lead to a further drop in births, says FT. This may be a more serious way in which Mr. Putin may have neglected to consider Russia's own long term interests in invading its neighbor.   ...

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How a deficiency in trust is affecting the US effort to vaccinate its whole population in 2021. The US government took steps early to build vaccine supplies, and was one of the first countries with the UK to begin its vaccination drive. Then after 6 months something went wrong. The deficiency in trust led to about 80 million people many of them young, to avoid getting vaccinated. US president Biden said the country was losing patience with these people. He setup a vaccine mandate and required all employees in private sector in companies with more than 100 employees to get vaccinated. This applied to about two thirds of American workers. All federal government workers were also required to get vaccinated. Yet even after the vaccine mandate the number of vaccinations has not exceeded 900,000 a day. By contrast India was doing 20 million a day. By September 2021 the US had fallen behind all nations in the G-7 in percentage of people vaccinated with one or two doses, behind Italy, France, UK, Germany, Japan, Canada. Trust was also needed, not just vaccine supplies to make a vaccination drive effective. By September the US passed the 675,000 deaths that happened in 1918 pandemic. The deficiency in trust leads one expert to call it breakthrough without followthrough. Other experts see the entrenched social forces that had diminished American health and life expectancy since the 1970's also affecting the vaccination drive. ...

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Dipti Deshpande writes in the Economic Times that how India's economy recovers depends a lot on how well the government tackles the problems of vaccine supplies, vaccination staff and incentives for vaccination to the public, vaccination logistics, and vaccination skepticism. Vaccination plays a large role in the reduction of fear and permits resumption of normal activity as seen in the US, UK and France. Government education of the public on vaccine safety should be conducted on an organized basis across the country starting now for the gaol of vaccinating the entire population by December 2021. In the 200 days remaining in 2021 the government would have to administer over 1000 million doses or at the rate of 5 million doses a day just for the single dose population, with the second dose meaning additional supplies and logistical effort, organized health staffing, all to be organized.  The thrust of this article is that the economy and especially laggard sectors such as services would gain a fully powered recovery if the problems of vaccine supplies and vaccination drives are resolved early with preparation, lessons learned, and proactive action all taking place immediately. The period after the decline in cases to below 50,000 a day which is fast approaching for India is one that needs to be used to take deep yogic breaths, and prepare the Indian mind for the next challenge for government and nation.   ...

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The death toll from coronavirus reaches 200,000 in Mexico, the third highest after the US and Brazil. Vaccine supplies are low in Europe affecting the vaccination drive. 

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Joes Biden, US president announces a 200 million vaccine doses target for the US for his first 100 days. The initial 100 million target was met in 58 days.

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Vaccine passports requirements for restaurants, music venues, and football stadiums will be kept as Plan B and introduced with just 1 weeks notice to deal with a surge in coronavirus. Opposition from Tory MP's who say this will create a two tier society and infringe on civil liberties, is the reason Boris Johnson is not following France, other countries in Europe, and the US, in introducing a vaccine mandate. 

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US president Biden makes a pledge that the US will send vaccine doses overseas to other countries after it has met American needs. This is hugely important because the US has contracted with pharmaceutical companies for a major part of the world's vaccine supplies. It is part of the humanitarian assistance the US will soon be in a position to provide to African, Asian and Latin American countries. It is also in the American interest to reduce the potential for new variants and new sources of the virus entering the US through airline travel by helping vaccinate a large part of the world's population in 2021-2022.

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In Germany the mood is changing in favor of vaccination as people are try to cut into the line for vaccinations based on age groups. Younger people even say they are caring for older parents to get vaccinated in this report from Hamburg and other cities.

This may be an encouraging sign even though it may not be following the rules because Germany's vaccine skeptics are giving way to vaccine envy. The word "Impfneid" refers to the feeling vaccinated people get with vaccine documents enabling them to travel freely. German took 52 million vacations in 2019, and only half that in 2020. In New York city people do not answer or say they do not want to get vaccinated in a door to door drive reported in NYT.

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A 2011 film "Contagion" with Matt Damon and Gwyneth Paltrow, Jude West, showed vaccine supplies so inadequate in a pandemic that the limited supply had to be given out in lottery system.

This idea of prioritization stuck in the minds of planners in Britain including Health minister Matt Hancock. The idea of prioritization after the vaccine was manufactured and distributed caused British health authorites to seek the advice of Britain's best health scientists and clinicians. Hancock says "we ask the clinicians and we do it on the basis of how we can save the most lives most quickly." Britain concentrated on ensuring the most supplies to vaccinate every British citizen with two doses very early during the time when the vaccine was being developed.

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The UK and the European Union compete for limited vaccine supplies as a plant in Belgium has production problems and Astra Zeneca says it can only supply half of what it promised to Europe.

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"Set your own agenda before someone else sets it for you" Melinda Gates about her Mom's advice, in Melinda Gates book- The Next Day. 

Melinda Gates on vaccines-

"i don't think that is right for the world , particularly for life saving vaccines."

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The remarkable story of coronavirus vaccine given at 14,000 feet in the Himalayas of Arunachal Pradesh in India. A team trekked for 9 hours to reach a village in Tawang district so that 16 yak grazers could be given the vaccine. These grazers were away from home grazing their yaks and had missed an earlier vaccination camp. The village is aerially 30 miles from the Tibet border. The trek took them through dense forests, swampy stretches, and the Luguthang river, crossing two mountain peaks.

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Researchers point out that their findings show Oxford vaccine based on preliminary evidence could prevent a asymptomatic infection. The half dose followed by full dose regimen would give 90% protection against symptomatic infection and 60% against asymptomatic infection.

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UK prime minister Boris Johnson suggests that vaccine pass may become mandatory at airports, sports events and other settings.

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German Heath Minister Karl Lauterbach says vaccine mandates are the only way out of this pandemic. Speaking to German daily Welt he said, gaining immunity through infection was a "dirty vaccination" that made little sense as it would not protect one against a more harmful variant. He saiid that it "would be naive to think that omicron is the end of the pandemic." Omicron would not make one immune to the next viral variant. "No one can guarantee that a variant will not develop soon that is much more dangerous."

Lauterbach says 25 million doses of the Moderna vaccine have been procured that would be enough for 50 million booster shots to be done in the first quarter of 2022.

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RFK Jr Independent candidacy could take votes away from both Democrats and Republicans. His anti-vaccine stand is closer to a section of Republicans and his family name relates to Robert F Kennedy and the Kennedy family of Democrats.