Posts

taiwans-vaccine-rollout-what-you-need-to-know
Many consider Taiwan’s response to the COVID-19 pandemic to be a success story. Even with a population of 23 million and proximity to China, the island nation managed to avoid aggressive lockdowns and to date has reported only 846 deaths. The success of Taiwan is due in large part to the government’s immediate and effective response that in turn demonstrated a sense of seriousness in the public’s response to mask mandates and contact tracing protocols. Additionally, Taiwan’s vaccine rollout is well on its way in order to help curb the spread of COVID-19.

A Successful Approach

After the first confirmed case on January 21, 2020, Taiwan implemented a contact tracing program that tracks the travel and contact history of each patient. Using strict quarantine procedures for travelers coming into the country, health officials can rapidly identify and separate the at-risk and infectious individuals.

To ensure its citizens have easy access to personal protective equipment (PPE), the Taiwanese government increased the production of surgical-grade masks by 850% and shipped them to stores nationwide at a low cost. Taiwan also benefited from its public health campaign that informed the public twice a day of changes to travel and quarantine policies, along with healthcare response efforts and other relevant information.

Vaccination Rates At a Glance

As of September 8, 2021, 45.2% of Taiwan’s population has received at least one dose of the COVID-19 vaccine, while 4.3% have received both doses. Data indicates that vaccines administered per 100 people from July 5 to August 12, 2021, remained above 0.4%.

The number of vaccine doses administered continues to climb as Taiwan’s vaccine rollout widens. Similar to their pandemic response, the Taiwanese government has taken several steps to assure its citizens have access to the vaccine.

Homegrown Fight

On Monday, August 23, 2021, Taiwan kick-started its vaccine rollout for the domestically developed coronavirus vaccine after President Tsai Ing-wen received her first dose. The Medigen Vaccine Biologics Corp developed the vaccine, which received emergency approval on July 19, 2021.

Phase 2 clinical trials showed no major safety concerns and produce 3.4 times the level of antibodies compared to the AstraZeneca vaccine. Phase 3 trials had received confirmation to begin by July 2021, in hopes of having the vaccine receive international recognition.

To date, Taiwan’s government has purchased 5 million doses of the Medigen vaccine, with large numbers of younger Taiwanese citizens and foreigners signing up for vaccination.

International Help

Taiwan has not been alone in its effort to vaccinate its population. International allies like Japan and the U.S. have donated roughly 5 million vaccines to date. Poland and Lithuania have also donated 400,000 and 20,000 doses of the AstraZeneca vaccines respectfully.

The Taiwanese government has also signed contracts to purchase 20 million vaccines including 5.05 million doses from Moderna, 10 million of AstraZeneca and 4.76 million doses through the COVAX initiative. As a result of Taiwan’s effective pandemic response and vaccine rollout, life in Taiwan has been able to maintain some normalcy. Not surprisingly, many hail Taiwan’s response as a pandemic success story.

– Sal Huizar
Photo: Flickr

Vaccine HesitancyAfrican governments have struggled to vaccinate their populations, which has become more imperative with recent surges of COVID-19 in the continent and more variants arising as time passes by. As of September 2021, less than 4% of Africa’s population is completely vaccinated. This strongly contrasts the rate of the United States, equating to about 54% and at least 20% of populations on every other continent. There are two main factors contributing to Africa’s extremely low vaccination rate: vaccine hesitancy and inadequate supply.

Inadequate Supply

Low-income countries around the world have struggled to obtain a sufficient supply of the COVID-19 vaccine while wealthy countries acquired much of what was available. This lack of vaccines is apparent in Africa, home to some of the most impoverished countries in the world. Wealthy countries obtained COVID-19 vaccines because they “cut deals directly with vaccine-makers, securing a disproportionately large share of early supply and undermining a fledgling COVAX.”

In contrast to the actions of wealthy countries, COVAX wanted to distribute the vaccine supply to all countries engaged in the initiative. Countries in Africa are especially dependent on COVAX as most African governments cannot afford to buy vaccines. For example, Burundi, with “the highest poverty rate in Africa at 80%” needs aid from COVAX to obtain various vaccines. These countries rely on Gavi, the global Vaccine Alliance behind COVAX to obtain vaccines not only for COVID-19 but for various other illnesses as well. So far, COVAX has delivered more than 31 million doses of the COVID-19 vaccine to countries in Africa and plans to supply 520 million doses by the end of 2021. While Africa is receiving more vaccines through COVAX, vaccine hesitancy in Africa presents another barrier to vaccination.

Vaccine Hesitancy

The ONE Campaign, UNICEF and the African Union have partnered to create a TikTok initiative to tackle vaccine hesitancy in Africa by addressing concerns and misinformation about the vaccine. During a COVID-19 surge in May 2021 in Africa, “a survey conducted by Geopoll” indicated that a mere 48% of people in Africa would take the vaccine if it was accessible. This statistic decreased from 62% in November 2020, which “further illustrates the impact of continued negative information about the vaccine.”

The TikTok campaign helps correct social media misinformation about COVID-19, addresses people’s concerns and promotes the vaccine under the hashtag #MythOrVax. The campaign will have two phases. The first phase involves a public quiz on TikTok that tests users’ preexisting knowledge of COVID-19 and the vaccine. The second phase of the campaign starts on September 4, 2021, involves the organizations bringing African celebrities and health experts to discuss people’s concerns about the vaccine and the importance of getting the vaccine. While the slow vaccine rollout in Africa is a result of limited supply due to wealthy countries obtaining masses of vaccines, there is still low vaccine confidence in Africa, which the campaign aims to resolve.

Looking Ahead

The vaccine rollout in Africa is lagging but major international organizations and governments are committing to securing more vaccines for people in Africa in the coming months heading into next year. However, vaccine confidence must grow in order for Africa’s vaccination rate to improve, which should ultimately help to reduce the growing number of infections on the continent. With the TikTok campaign to reduce vaccine hesitancy in Africa, Africa can successfully improve its low vaccination rate.

– Kyle Har
Photo: Flickr

South Africa’s Vaccination EffortAs COVID-19 cases soared in South Africa in June 2020, the country endured a severe lockdown. During this lockdown, 27-year-old Clementine gave birth to a baby boy, Lelo Matthew. With a mask covering her face in the delivery room, Clementine feared contracting COVID-19 while at the hospital. Fortunately, no one in Clementine’s family tested positive. Unfortunately, giving birth during a global pandemic gave Clementine more anxiety than the average new mother. Based on the experience, Clementine named her son for the word hope. It has been a year since Clementine gave birth to her son. South Africa’s vaccination effort coincides with rising COVID-19 infections and an economy threatened by COVID-19.

COVID-19’s Impact

Before the pandemic began, South Africa faced a recession. The closure of businesses and decreased consumer spending because of COVID-19 damaged the economy even further. In 2021’s first quarter, the unemployment rate in South Africa jumped to 32.6%. Specifically, the industries with the most prevalent job losses included construction, trade, private households, transport, and agriculture. Trade accounts for nearly 20% of employment in South Africa, so the job losses in this industry are especially worrisome. This rising unemployment rate will likely cause more South Africans to fall into poverty as 10.3 million South Africans already live below the international poverty line of $1.90 per day.

In June 2021, South Africa remained the most COVID-19-affected country in Africa. As this “third wave” caused devastation, the South African government enforced a minimum lockdown of 14 days starting on June 27, 2021. Measures included school and restaurant closures and prohibited gatherings will occur.

A Promising Future

Although COVID-19 cases continue to flood the country, South Africa’s vaccination effort does not look bleak. A South African consortium is creating the first COVID-19 mRNA vaccine technology transfer hub in a historic decision. This technology will be possible with support from the World Health Organization (WHO). Through the establishment of this facility, manufacturers from developing countries will master vaccine production techniques. Additionally, the manufacturers will receive licenses to produce vaccines. Consequently, South Africa and other African countries will have greater access to COVID-19 vaccines. This access is a considerable feat, given South Africa’s current vaccination rate rests at less than 1%.

Afrigen Biologics, a biotech company, plays a critical role in the project as it will produce mRNA vaccines and educate Biovac, an additional manufacturer, in vaccine production. Soon, the WHO will be responsible for supervising the quality of COVID-19 vaccine production and implementation.

The True South Africa

While the leaders of this project foresee the vaccine hub taking critical leaps in South Africa’s vaccination effort, the hub also has implications for the future of South African medicine. WHO chief Tedros Adhamon anticipates that the hub will be essential in COVID-19 vaccine production and the production of future vaccines. The hub could create remedies that impoverished individuals struggle to access, an achievement that is especially opportune as the unemployment rate of South Africa and other African countries rises.

South Africa’s president, Cyril Ramaphosa, sees the hub as having large-scale benefits for Africa’s portrayal. Ramaphosa remarked that the world often stigmatizes Africa as the center of disease and poor development. The innovations of this hub will provide African countries with the opportunity to correct the globe’s inaccurate perception.

In Ramaphosa’s words, Africa is “on a path to self-determination.” This vaccine technology transfer hub only brings South Africa and other African countries closer to demonstrating that fact to the rest of the world.

– Madeline Murphy
Photo: Flickr

COVID-19 in MexicoThe COVID-19 pandemic has led to a historic level of downfall in Mexico’s economy, causing thousands of individuals to lose their jobs. As of 2018, approximately 42% of the Mexican population lived below the poverty line; the pandemic has unfortunately strongly contributed more and more individuals to the impoverished communities in Mexico. The Mexican government did not impose a general lockdown because many citizens could not afford it. Even so, the economy was paralyzed due to most consumers locking themselves down voluntarily. Furthermore, public hospitals collapsed, resulting in people unable to receive medical attention or the private visit that could ultimately save their lives. COVID-19 in Mexico has brought to light the wealth disparity among citizens in Mexican society.

Vaccine Inequality

Vaccine inequality is prominent among those living in poverty. Vaccines are not currently reaching the rural areas of Mexico where there are thousands of people who are now geographically isolated from vaccine centers. Additionally, those who live in rural areas would require technology to stay informed about these vaccine centers, but poverty inhibits people from accessing technology and therefore the necessary education and information about vaccination.

Many citizens in Mexico did not originally believe in the severity of the novel coronavirus; face masks did not start being worn as soon as recommended. Health authorities reported not only that many people were not using face masks but also a large number of people were unable to afford one. As a result, patients who were living in extreme poverty are less likely to survive COVID-19 in Mexico. This is largely due to the fact that the impoverished are more exposed to the virus compared to those who are able to afford to quarantine and avoid exposure.

Demographics

The Mexican government is struggling to give the necessary attention to many who need it most. According to the National Council for the Evaluation of Social Development Policy, or CONEVAL, COVID-19 in Mexico caused a 63% drop in household income. The pandemic has proven that staying home is a privilege that many impoverished citizens do not have. Statistically speaking, 27% of people living in poverty contracted the novel coronavirus, while only 5% of the upper-class contracted COVID-19. This demonstrates the clear relationship between high rates of infection and socioeconomic status in Mexico.

Looking Forward

COVID-19 in Mexico has caused thousands of deaths, and the lack of infrastructure and government initiatives has caused delays in the vaccination process. However, Mexico has received more than 2.7 million COVID-19 vaccines on behalf of the United States. The White House has made what is considered a positive diplomatic step forward in providing Mexico with these doses of the vaccine, and the hope is that even more vaccines will be sent by the U.S.

The NGO Direct Relief has donated 330,000 masks to help relieve the crisis. As well, Direct Relief assisted in importing the 100,000 KN95 masks donated by Academy Award-winning film director Alfonso Cuarón. Many people are benefiting from the action, and the vaccination process is slowly improving in Mexico.

COVID-19 in Mexico has demonstrated how socioeconomic status affects access to healthcare and the ability to protect oneself from the pandemic. However, vaccination has begun and donations of personal protective equipment, or PPE, are steps in the right direction for Mexico’s handling of the novel coronavirus.

– Ainara Ruano Cervantes
Photo: Flickr

Nanotechnology is Alleviating PovertyIn its most basic sense, the concepts behind nanotechnology were formulated by acclaimed physicist Richard Feynman in 1959. Over the past four decades, nanotechnology has made significant advancements and research is expanding as costs are falling. Because of these innovations, nanotechnology is alleviating poverty worldwide.

Using Nanosensors for Water Management in Agriculture

Whether mechanical or chemical, nanosensors use tools to detect minor changes in chemical composition and relay information to change the dynamics of whatever they are monitoring. Nanosensors use artificial intelligence and computing to make adjustments as soon as any predicaments arise. Because of their sensitivity and small scale, nanosensors can detect problems well before other outdated instruments.

In a study for sustainable agriculture, the Organisation for Economic Co-operation and Development (OECD) asserts nanotechnology is alleviating poverty issues such as food insecurity. The OECD study concluded that nanosensors effectively detect changes in moisture across fields of crops. They then automatically adjust the disbursement of water and eliminate water waste while preventing crop losses. Farm machines outfitted with nanosensors detect moisture levels in different crops and suggest better-suited areas for specific crops allowing farmers to change planting patterns or change water allocations to other land plots.

Nanofiltration Membranes Provide Clean Drinking Water

Access to clean water is a crisis that many developing countries face. Usually, the first issue dealt with when fighting poverty is economic development so regulations are not often in place to protect against pollution. In some countries, scarcity of clean groundwater becomes problematic too. However, nanotechnology is alleviating poverty in these areas by providing clean drinking water.

Ghana was the center of a study on the effectiveness of nanofiltration membranes conducted by the International Water Association (IWA) and members of the Indian Institute of Science. The IWA chose to test Ghana’s groundwater due to the high level of pollutants present. During the study, it tested the levels of contaminants, bacteria and natural materials that render water non-potable before and after utilizing nanofiltration membranes.

The results of the IWA study were impressive. Not only did the study determine that nanofiltration reduces pollutants to potable levels, but executed efficiently enough, rural areas could produce enough water for more than 100 households. Ultimately, the conclusion was that nanofiltration was a low-cost solution for drinking water access and production in impoverished rural regions worldwide.

Nanotechnology to Fight Infectious Disease

Most original concepts of nanotechnology’s usefulness focused on medical care. The World Health Organization (WHO) has long been fond of utilizing nanotechnology in health care and fighting infectious diseases. The WHO now recognizes that nanotechnology is alleviating poverty in developing nations through scientific medical breakthroughs.

The first need for nanotechnology to address in developing countries is the diagnosis of disease. Nanobiotechnology allows for an inexpensive option to find multiple dangerous microbes using a single test. These technologies have improved over time and are being used in developing nations to detect most viral and bacterial infections, including tuberculosis.

The COVID-19 vaccine development shows the importance of nanotechnology in the prevention of disease too. The Pfizer and Moderna vaccines use a nanocarrier system designed to activate the immune system to fight COVID-19 by assisting antibody production. The distribution of the vaccine to developing nations is now underway.

The Future of Nanotechnology for Poverty Reduction

Nanotechnology is alleviating poverty in developing nations, and with continued scientific inquiry and advancements in nanotechnology, new applications for poverty reduction will improve. Nanotechnology’s cost-effectiveness and versatility make it one of the most viable technologies to assist in the struggle against poverty.

– Zachary Kunze
Photo: Flickr

COVID-19 Vaccine
The World Health Organization (WHO) is making plans for how a life-saving COVID-19 vaccine could be distributed around the globe.

COVID-19 Vaccine Distribution

There are concerns about countries “hoarding” stores of vaccines for their own citizens. The countries that have the most money on hand will have the ability to buy a larger portion of available vaccines for citizens. While global leaders have come together to pledge $2 billion towards the creation of a vaccine, there is currently no formal worldwide plan to successfully manage the future COVID-19 vaccine and its distribution.

The public-private partnership that lead to this $2 billion pledge, Gavi, focuses on increasing childhood vaccinations in underdeveloped countries. It has support from WHO, UNICEF and the Bill and Melinda Gates Foundation. Bill Gates himself has promised $1.6 million towards Gavi, along with $100 million to help countries that will need aid to purchase COVID-19 vaccines.

U.S. Involvement and WHO

The U.S. government has decided to stay out of the recent Gavi-organized funding pledge. The country has also pulled monetary support from WHO. In the past, the U.S. has been a large supporter of the creation of the HPV and pneumococcal vaccines, which has left many experts confused by the recent moves of the U.S. to disassociate itself from the larger global race towards a COVID-19 vaccine.

Beyond hoarding concerns, there are always issues surrounding legal and sharing agreements between countries, quality control, civil uprising and unrest and natural disasters when it comes to vaccine distribution.

A recent example of how the world dealt with vaccine distribution during a pandemic is the 2009-2010 H1N1 swine flu pandemic. With the money they had, wealthier countries purchased most of the vaccine available through early orders, leaving developing countries to scramble for leftover vaccine stores. Eyjafjallajökul’s eruption in Iceland in April of 2010 also created vaccine shipping delays. Many countries, such as the U.S., Australia and Canada would not let vaccine manufacturers ship vaccines outside of their countries without fulfilling their people’s needs first.

Going Forward

To create a successful global vaccination program requires the cooperation from all countries involved, not just a few. Many may die without the equitable sharing of vaccines as this pandemic will flourish in underdeveloped nations. It may be seen by the rest of the global community as selfish to not try and help other countries in their fight against the virus.

Even after a vaccine is created, different strains of COVID-19 could easily return to Australian, Canadian or American shores, wreaking havoc all over again. While there are efforts being made to prevent distribution issues with the future vaccine, without the help of the United States,—one of the wealthiest countries on Earth—it may be long before a COVID-19 vaccine is fairly distributed.

Tara Suter
Photo: Flickr

history of Vaccines
The history of vaccines starts centuries ago, with some accounts dating back to 2000 B.C. In the 1500s, smallpox inoculations took place in India and China. In the 17th century, Buddist monks drank snake venom for immunity as an early form of vaccination. Smallpox Inoculation meant cutting up smallpox scabs and blowing them into the nostrils, the left nostril for the girls and right nostril for the boys. Even though Emperor K’ang Hsi had his children inoculated, these practices did not spread to the rest of the country and the smallpox epidemic continued for 200 years.

Most virologists cite 1796 as the history of vaccines’ beginning. Edward Jenner was a country doctor living in England when he performed the first vaccination in history. He took pus from a cowpox wound and injecting it into James Phillips, an 8-year-old boy. Six weeks later Jenner visited the two spots with smallpox on Phillips’s arm to find he was not affected. In addition, Jenner did 12 more experiments and 16 case studies before publishing “Inquiry Into the Causes and Effects of the Variolae Vaccines.” Cow-pox protects humans from the infection of smallpox created the foundation for vaccinology.

Advancements in Vaccines

Until 1885 after the invention of a rabies vaccine, the word “ vaccine” had only referred to smallpox inoculation. The history of vaccines continued with French physicians Albert Calmette and Camille Guerin creating the tuberculosis vaccine by weakening the bacteria over 230 versions. Furthermore, the first influenza vaccine emerged in the 1940s, 10 years after the discovery of the virus. The U.S. Army sponsored the flu vaccine and used fertilized chicken eggs, something still used today.

In 1952, the U.S. reached 57,879 polio cases resulting in 3,145 deaths. Survivors ended up in wheelchairs or crutches, severely paralyzed or having to use an iron lung to breathe. Moreover, Jonas Salk created the Polio Virus vaccine in 1955. Consequently, Salk became one of the most celebrated scientists in the world. Between 1955 and 1962, more than 400 million vaccines were distributed under leading drug manufacturers and polio cases were reduced by 90%.

Vaccine Safety Worldwide

In 1901, the U.S. Congress passed The Biologics Control Act which regulated the selling of serums, toxins and analogic products. This was the first legislation in the history of vaccines for managing vaccines and drugs. Additionally, the act established the Hygienic Laboratory of the U.S. Public Health Service, now known as the National Institution of Health.

Since then, other countries have taken many steps to ensure vaccine safety. China currently has a three-level moderating system for monitoring vaccines. The country’s vaccine industry is able to produce over 1 billion doses per year for preventing 30+ diseases. Moreover, vaccine efforts have made significant progress in Bangladesh. The country has established two production facilities for vaccines. In addition, Bangladesh has increased the monitoring of Adverse Events following Immunization (AEFI).

COVID-19 Vaccine

While vaccine development has advanced since Edward Jenner’s invention of vaccinology, citizens all around the world are waiting for a new event in vaccine history: the coronavirus vaccine. With 22.4 million cases worldwide, 778,000 deaths and countries re-entering lockdown, it’s no exaggeration to say a COVID-19 vaccine is necessary to end the pandemic. The good news is that over 165 vaccines have undergone development around the world. About 35 of the vaccines are in the human trial stage and two vaccines have received approval for early or limited use.

The U.S. is running an experimental vaccine, mRNA-1273, in the phase one trial. The Washington Health Research Institute, being led by Lisa Jackson, began the initial trial in March with 45 participants from 18 to 55 years old. In April 2020, the trial expanded to add citizens over the age of 55 and 120 participants. After no serious side effects occurred, phase two began in late May 2020 and Phase 3 launched in early July 2020.

A Chinese company Cansino Biologics partnered with the Academy of Military Medical Sciences to create the Ad5 vaccine. In May, phase one was completed with promise. In July, the company concluded that phase two produced “a strong immune response.” In addition, the military approved the vaccine after just two trial runs on June 25 as a needed drug. The third trial will take place in Saudi Arabia and negotiations with other countries are taking place.

The failures and successes of the coronavirus vaccine all add to the history of vaccines. The quality of life has drastically increased thanks to Jenner’s first vaccine trials in 1796. With the help of vaccines, polio measles and smallpox cases are incredibly rare in the 21st century. Using the history of vaccines and the invention of new technology, a COVID-19 vaccine is right on the horizon.

Breanna Bonner
Photo: Flickr

COVAX InitiativeThe COVID-19 pandemic arrived on the world scene at an inopportune time in terms of international relations, given the current state of global division and isolationist nationalism. Cooperation between nations is extremely important in containing a pandemic. However, this sentiment was sparse during the early stages of the virus’ spread due to the prevailing geopolitical climate. Now that COVID has expanded across the world and endangered millions, international cooperation is perhaps more important than ever in the urgent search for a vaccine. The World Health Organization, GAVI and the Coalition for Epidemic Preparedness Innovations (CEPI) have united to form the COVAX Initiative: a program providing promise for both global teamwork and COVID mitigation.

What is the COVAX Initiative?

According to the WHO, COVAX is a coalition designed to “…accelerate the development and manufacture of COVID-19 vaccines, and to guarantee fair and equitable access for every country in the world.” The goal of the COVAX Initiative is twofold: to facilitate the creation of a vaccine and to ensure any eventual vaccine is made available to as many people as possible, regardless of national identity or socioeconomic status.

While many wealthy countries may succeed in vaccinating their populations without assistance from COVAX, all nations would still benefit from the Initiative: recent events have proven that in order to guarantee true safety from COVID-19, the disease must be eradicated worldwide. Thus, it is in everyone’s interest to provide access to as many people as possible. COVAX is working to create a coalition of member nations, both wealthy and poor, to achieve this mission.

Current Member Countries

A total of 172 countries have joined the COVAX Initiative so far. 80 wealthy countries have made commitments to the Initiative, including the UK, Norway and Japan. Additionally, 92 lower-income countries including Afghanistan, the Philippines and Yemen have become involved. According to the Director-General of the WHO Dr. Tedros Adhanom Ghebreyesus, COVID presents a challenge that necessitates an unprecedented level of international cooperation.

Life-Saving Potential

COVAX aims to deliver two billion vaccine doses by the end of 2021. Currently, the COVAX Initiative has nine vaccines under development and is evaluating nine more. According to the WHO, these innovations imply that the Initiative has “…the largest and most diverse COVID-19 vaccine portfolio in the world.”

Healthcare workers will recieve the first round of vaccinations; higher-risk patients will receive the second round. Member nations will recieve doses in amounts proportional to their population. To ensure widespread delivery of the vaccine, the Initiative plans to help fund infrastructure development as necessary in poorer member countries.

The COVAX Initiative is built on the idea that, for anyone to be safe from COVID-19, everyone must be safe. The Initiative represents a positive step towards international cooperation, a crucial aspect of effectively eradicating this destructive and deadly pandemic. Once a functional vaccine is in circulation, the world’s poor will likely have the least access. This structural inequity means that projects like COVAX could save countless lives and prevent future resurgences of COVID.

– Dylan Weir
Photo: Wikimedia