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Home Special Coverage Coronavirus Outbreak

WHO doubles down on COVID boosters moratorium appeal

With first plea ignored, World Health Organization chief says: "Because manufacturers prioritized deals with rich countries, low-income countries have been deprived of the tools to protect their people." In Israel, Delta wave shows signs of abating as reproduction rate drops to 0.83. Fifty Israelis die of COVID over Rosh Hashanah.

by  Maytal Yasur Beit-Or , Assaf Golan , Idan Avni and News Agencies
Published on  09-09-2021 13:00
Last modified: 09-09-2021 13:38
WHO doubles down on COVID boosters moratorium appealGetty Images/Annice Lyn

An elderly woman receives her coronavirus vaccine on Sept. 8, 2021 on a remote island in Malaysia. | File photo: Getty Images/Annice Lyn

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The Delta wave continues to subside, according to Health Ministry data. Of the 60,230 Israelis that were tested for the coronavirus in the past 24 hours, 3,247 (5.44%) tested positive. The reproduction rate, which dropped below 1 on Wednesday (0.95), declined further by Thursday and now stands at 0.83. A reproduction rate of less than 1 means an outbreak is subsiding.

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There are currently 84,505 active cases in the country, with 1,114 Israelis hospitalized. Of those, 227 are in critical condition, and 160 are on ventilators.

Data shows that 144,454 students are currently in self-isolation, as are 3,757 members of the teaching staff, of whom 2,279 carry the virus. Pupils from as many as 100 cities ─ including Eilat, Ashdod, Safed, Lod, Tiberias, Bat Yam, Ramla and Bnei Brak ─ will continue their studies via Zoom as these have been designated by the government as "red" cities due to high morbidity rates.

The ministry also reported long lines at drive-through coronavirus testing sites throughout Rosh Hashanah. Many complained they had to wait for three hours in line and ran out of gas and water.

Since the launch of the booster campaign, 2,690,387 Israelis have received their first jabs. Altogether, 6,024,339 have been fully vaccinated, and 5,519,095 received their first doses.

Nevertheless, despite showing signs of abating, the Delta wave continued to wreak havoc over the festivities. It claimed the lives of 50 Israelis over the two-day holiday. Fourteen patients died on the first day, Monday, and another 26 on Tuesday. Fifty-six Israelis have died of COVID since the beginning of the week.

Among the deceased over Rosh Hashanah was a 30-year-old unvaccinated woman who had given birth to a baby a week prior. After the birth, she was hospitalized at the coronavirus ward of the Emek Medical Center in Afula. Her condition deteriorated on Tuesday, after which she was transferred to the coronavirus intensive care unit Carmel Medical Center in Haifa, where she was on a ventilator. Her condition continued to deteriorate, and despite efforts on behalf of doctors to save her, she succumbed to the virus.

Another 28-year-old unvaccinated woman, who had given birth to a baby via C-Section in recent days, is hospitalized at Hillel Yaffe Medical Center in Hadera. According to the hospital, she was put on a ventilator and her condition is serious, but stable. The baby is in good condition, currently hospitalized at the medical center as well.

According to data, 25 pregnant woman are hospitalized due to COVID in hospitals across the country. Another 26 hospitalized patients are mothers who had recently given birth. Of the latter, 65% had not been vaccinated.

Israel has reported 1,142,371 cases, including 7,279 deaths, since the outbreak of the pandemic.

Vehicles in line to a drive-through coronavirus testing site in Rishon LeZion (Gideon Markowicz)

Meanwhile, the World Health Organization doubled down Tuesday on an earlier appeal for a moratorium on boosters that has largely been ignored as rich countries with large supplies of vaccines continue to offer citizens booster shots and poorer countries struggle to lay hands even on first doses.

WHO Director-General Tedros Adhanom Ghebreyesus also said he was "appalled" after hearing comments from a top association of pharmaceutical manufacturers that vaccine supplies are high enough to allow for both booster shots for people in well-supplied countries and first jabs in poorer countries that face shortages. He said that's already been the case.

"I will not stay silent when companies and countries that control the global supply of vaccines think the world's poor should be satisfied with leftovers," he told a news conference. "Because manufacturers have prioritized or been legally obliged to fulfill bilateral deals with rich countries willing to pay top dollar, low-income countries have been deprived of the tools to protect their people."

Tedros had previously called for a moratorium on boosters through the end of September. But wealthy countries – including Britain, Denmark, France, Greece, Germany, and Spain – have begun or are considering plans to offer third shots of two-dose vaccines to their vulnerable people such as the elderly or those with compromised immune systems.

Israel has been providing third doses to a wide swath of people who already received a full two-dose regimen months earlier, and has even started mulling about providing a fourth jab. And last month, United States health officials recommended that all Americans get boosters to shore up their protection amid evidence that the vaccines' effectiveness is falling. WHO officials insist the scientific justification for boosters remains unclear.

Tedros acknowledged that third doses might be necessary for at-risk groups, but said: "We do not want to see widespread use of boosters for healthy people who are fully vaccinated."

Responding to the WHO calls on booster shots, White House press secretary Jen Psaki said the US has donated and shared about 140 million doses with over 90 countries, "more than all other countries combined."

She added: "From Senegal to South Africa to India, we've made significant investments in boosting global productions of COVID vaccines. At the same time, the President and this administration has a responsibility to do everything we can to protect people in the United States."

US health officials are continuing to assess the science and utility of boosters, and there are growing indications that the US may miss the Biden administration's Sept. 20 target date for a wide rollout of extra shots for vaccinated people.

The WHO chief said he received a message of "clear support" from health ministers at a meeting of the influential Group of 20 countries this week for a commitment to help hit a WHO target that all countries vaccinate at least 40% of their people by year's end.

World Health Organization Director-General Tedros Adhanom Ghebreyesus (Reuters)

"A month ago, I called for a global moratorium on booster doses, at least until the end of September to prioritize vaccinating the most at risk people around the world who are yet to receive their first dose," Tedros said. "There has been little change in the global situation since then."

"So today, I'm calling for an extension of the moratorium until at least the end of the year to enable every country to vaccinate at least 40% of its population," he said.

The WHO says 5.5 billion coronavirus vaccine doses have been administered so far, but 80% of those have been to upper- and middle-income countries. Rich countries have also offered to donate 1 billion doses to other countries, but fewer than 15% of those doses have "materialized," Tedros said.

He noted that manufacturers have pledged to prioritize the UN-backed COVAX program, which aims to get vaccines to the neediest people in the world – no matter how wealthy the country.

"We don't want any more promises. We just want the vaccines," the WHO chief said.

Earlier Wednesday, COVAX managers again scaled back their target to ship doses this year, projecting about 1.4 billion doses will be available through the program by year-end – down from about 1.8 billion previously. They had originally hoped to ship 2 billion doses this year.

Gavi, the Vaccine Alliance, which co-runs the program, said COVAX has faced setbacks including export restrictions from hard-hit India – a key producer of vaccines – as well as regulatory hurdles for some vaccine candidates and manufacturing troubles elsewhere. But it also said deliveries are ramping up strongly, and another 1.1 billion doses are expected to be available by year-end through the program, up from 330 million so far. Most of those doses have gone to or are destined for poorer countries.

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The International Federation of Pharmaceutical Manufacturers and Associations said Tuesday that about 1.5 billion COVID-19 vaccine doses are now being produced every month, and cited projections that a total of 12 billion will have been produced by year-end.

Dr. Bruce Aylward, a top adviser to Tedros, acknowledged that "some countries may be going ahead with decisions" to widely administer boosters, but that the WHO call for a moratorium "makes a real difference." He said some countries – which he did not identify – have approached the WHO about whether booster policies could be delayed.

But admittedly, the WHO's first call for a moratorium through September has not fixed the gaping imbalance in access to vaccines.

"Our role is to make sure that we put forward the strongest possible arguments and way out of this pandemic – and the way out of that is a moratorium and to extend it," Aylward said. "Because since the last time we called for it, the equity gap has gotten greater, the amount of vaccine available to low-income countries has gone down."

In the meantime, The European Medicines Agency has added Guillain-Barre syndrome – an extremely rare nerve-damaging disorder – onto its list of possible side-effects of the AstraZeneca coronavirus vaccine.

The medicines regulator said a causal relationship between GBS and the AstraZeneca shot, known as Vaxzevria, was a "at least a reasonable possibility" after 833 cases of GBS were reported out of 592 million doses of the vaccine given worldwide by July 31.

The EMA categorized the side-effect as "very rare", the lowest frequency of side-effect category it has, and has emphasized that the benefits of the shot outweigh the risks. The US Food and Drug Administration has added a warning over Guillain-Barre syndrome as a possible side-effect of Johnson & Johnson's shot. Both vaccines use viral vector technology, and have also been associated with rare blood clots.

The EMA also tagged some other less severe side-effects to vaccines from Johnson & Johnson, Moderna as well as AstraZeneca's shot.

Tags: CoronavirusHealth MinistrymoratoriummortalityRosh HashanahvaccineWHO

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