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WHO: Focus on fundamentals as COVID-19 caseloads rise

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London, UK, Covid-19 restrictions in place in Soho. IMF/Jeff Moore

As COVID-19 cases continue to accelerate, particularly in Europe and North America, the World Health Organization (WHO) is advising governments and people everywhere not to let their guard down, for the benefit of those hospitalized, or working on the front line of the battle to end the pandemic. 

“I know there’s fatigue but the virus has shown that when we let our guard down, it can surge back at breakneck speed and threaten hospitals and health systems”, agency chief Tedros Adhanam Ghebreyesus told journalists on Monday. 

Last week, WHO reported that the pandemic has entered a worrying phase as the northern hemisphere winter season approaches. 

At the time, the caseload in Europe was almost three times higher than during the first peak of the pandemic in March. 

Break transmission chains 

Tedros said he was encouraged to see many leaders communicating with their populations about targeted measures necessary to slow coronavirus spread and protect health workers and health systems. 

He pointed out that as cases rise, the number of people needing hospital beds and intensive care also increases. And although nurses and doctors now have a much better understanding of how best to treat people with the virus, the situation could put them and patients at risk.  

“So, it’s important that all governments focus on the fundamentals that help to break the chains of transmission and save both lives and livelihoods”, he said. 

“This means active case finding, cluster investigations, isolating all cases, quarantining contacts, ensuring good clinical care, supporting and protecting health workers and protecting the vulnerable.” 

Tedros underlined that everyone also has a role to play through practicing physical distancing, wearing masks, avoiding crowds and other recommended measures. 

We Are Family 

WHO announced that one of the biggest anthems from the disco era is being refashioned as a “clarion call” for the COVID-19 pandemic. 

‘We Are Family’, by the American group Sister Sledge, will be featured in a new campaign to promote global solidarity, unity and collaboration in the face of the disease. 

Kim Sledge, one of the four sisters who sang the dancefloor classic, will re-record a special edition of the 1979 hit which will be released online on 9 November.   

Part of the proceeds will go towards pandemic response and strengthening health services around the world. 

 “This is a solidarity effort for a global concern”, said Ms. Sledge, speaking via video link.   

“We all – every tribe, every tongue, every nation, every people – have the banner of love over us, and desire to bring us together in this world to fight the kinds of things that come against who we are.” 

Get up everybody and sing 

The new version of ‘We Are Family’ will be accompanied by a video featuring celebrities, frontline heroes and members of the public.   

People worldwide are encouraged to join the #WeAreFamily campaign, launched on Monday, by recording videos with their close family and friends singing the song and then sharing their efforts on social media.  

The World We Want organization, a global social impact enterprise, is also a partner in the campaign.   

Founder Natasha Mudhar said she was asked why the song was being released now, and not when the pandemic was first declared back in March. 

“And the reason why now is that the pandemic that we are all facing is as relevant as it is today as it was five, six months ago”, she said. 

“With our music video that we’re producing…we want it to be kind of a real clarion call that this beautiful, real, global world family is coming together in unity, in solidarity, not just in 2020 but also looking to 2021 as well, to address any global health challenge that we ever face, including and beyond the COVID pandemic.”

Health & Wellness

Pharmaceutical Strategy for Europe: Affordable, accessible and safe medicines for all

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The Commission has today adopted a Pharmaceutical Strategy for Europe to ensure patients have access to innovative and affordable medicines and to support the competitiveness, innovative capacity and sustainability of the EU’s pharmaceutical industry. The Strategy will allow Europe to cover its pharmaceutical needs, including in times of crisis, through robust supply chains. A key component of building a stronger European Health Union, as called for by President von der Leyen in her State of the Union Speech, the Strategy will help to establish a future-proof and crisis-resilient EU pharmaceutical system.

Europe’s Pharmaceutical Strategy has four main objectives:

  • Ensuring access to affordable medicines for patients, and addressing unmet medical needs (e.g. in the areas of antimicrobial resistance, cancer, rare diseases);
  • Supporting competitiveness, innovation and sustainability of the EU’s pharmaceutical industry and the development of high quality, safe, effective and greener medicines
  • Enhancing crisis preparedness and response mechanisms, and addressing security of supply;
  • Ensuring a strong EU voice in the world, by promoting a high level of quality, efficacy and safety standards.

Although the Strategy is much more than a crisis-response instrument, it draws lessons from the initial response to the COVID-19 pandemic, and makes Europe’s pharmaceutical sector better prepared and more resilient.

The Strategy presents concrete actions to ensure accessibility, availability and affordability of medicines. It supports diversified and secure supply chains, ensuring the EU’s open strategic autonomy in the world, and it promotes environmentally sustainable pharmaceuticals.

The Strategy will also ensure that the EU’s pharmaceutical policy continues to serve public health in an ever-changing environment of scientific and commercial transformations. It will support patient centred innovations and accommodate digital and technological change.

Members of the College said

President of the European Commission, Ursula von der Leyen, stated: “The coronavirus pandemic has highlighted the vital need to strengthen our health systems. This includes access to safe, effective and high-quality medicines at an affordable price.  In the challenging economic and social times the EU is currently facing, the strategy adopted today will ensure that Europe and Europeans will continue to benefit from such medicines. I call on Member States and the Parliament to endorse this approach which will be rolled out in the next three years, and beyond.”

Vice-President for Promoting the European Way of Life, Margaritis Schinas, said: “Effective and safe medicines, vaccines and treatments have helped to tackle some of the leading causes of disease and life-threatening illnesses in the past. These products will be crucial to uphold the health and well-being of the European citizens in these challenging times. Today’s strategy supports the EU’s pharmaceutical industry to remain competitive and innovative, whilst addressing the needs of the patients and those of our health systems.”

Stella Kyriakides, Commissioner for Health and Food Safety, stressed: “Today we launch the work to ensure that safe and effective medicines are accessible and affordable at all times and to all patients across the EU. With our Pharmaceutical Strategy for Europe, we are delivering on our commitment to create a future-proof and patient-centred pharmaceutical environment in which the EU industry can innovate, flourish and continue to be a global leader. It is our long-term vision for open strategic autonomy, and our response to the challenges of today and the vulnerabilities exposed by COVID-19. Today we put in place another pillar of the European Health Union.”

Background

The Pharmaceutical Strategy for Europe marks the beginning of a process: its implementation includes an ambitious agenda of legislative and non-legislative actions which will be launched over the coming years.  

Actions will cover the whole ecosystem of pharmaceuticals, but also some aspects of medical devices. It creates synergies with the Green Deal and our actions under the EU Strategic approach of pharmaceuticals in the environment to reduce their environmental risk, address pollution from pharmaceutical residues and promote greener manufacturing, use and disposal (a progress report is available). It is also linked to the action plan on Intellectual Property presented today.  

The flagship actions of the Strategy include:

  • A revision of the basic pharmaceutical legislation* (target date for a proposal: 2022) with a view to making this framework future-proof and innovation friendly;
  • A proposal for a EU Health Emergency Response Authority (proposal: 2nd semester 2021);
  • A revision of the regulations on medicines for children and rare diseases
  • Initiating a structured dialogue with and between all actors in the pharmaceutical manufacturing and public authorities to identify vulnerabilities in the global supply chain of critical medicines and shape policy options to strengthen the continuity and security of supply in the EU;
  • Cooperation between national authorities on pricing, payment and procurement policies, to improve the affordability, cost-effectiveness of medicines and health system’s sustainability;
  • The creation of a robust digital infrastructure, including a proposal for a European Health Data Space (target date for a proposal: 2021);
  • Support to research and innovation, notably via Horizon 2020 and EU4Health;
  • Actions to promote innovative approaches to EU R&D and public procurement for antimicrobials and their alternatives and measures to restrict and optimise their use.

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Health & Wellness

‘Real hope’ surrounding COVID vaccines ‘cannot be overstated’: WHO

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Along with other tried and tested public health measures, the head of the World Health Organization (WHO) told journalists on Monday that “there is now real hope” that vaccines will play an essential part in helping end the COVID pandemic. 

“With the latest positive news from vaccine trials, the light at the end of this long, dark tunnel is growing brighter”, said Director-General Tedros Adhanom Ghebreyesus. “The significance of this scientific achievement cannot be overstated”. 

Setting new standards 

Noting that no vaccine in history has been developed as rapidly, the WHO chief remarked that the scientific community had set “a new standard for vaccine development” and now the international community must set “a new standard for access”. 

“The urgency with which vaccines have been developed must be matched by the same urgency to distribute them fairly”, he spelled out, warning of a real risk that the poorest, and most vulnerable will be “trampled in the stampede” to get innoculated. 

ACT Accelerator 

Tedros explained that it was against this backdrop that WHO and its partners had established the Access to COVID-19 Tools (ACT) Accelerator back in April. 

“The ACT Accelerator has supported the fastest, most coordinated and successful global effort in history to develop vaccines, diagnostics and therapeutics”, he attested. 

He said that currently 50 diagnostics are under evaluation; rapid antigen diagnostics are now available for low and middle income countries; while life-saving treatments are being rolled out and new medicines tested. 

Moreover, 187 countries are taking part in the COVAX facility, to collaborate on the procurement and rollout of vaccines, “ensuring the best possible prices, volumes and timing for all countries”, he said. 

Funding needs 

Despite the excellent progress, Tedros said that “only a fundamental change in funding and approach will realize the full promise of the ACT Accelerator”. 

He revealed that $4.3 billion is still needed to support mass procurement and delivery, tests and treatments this year and another $23.8 billion would will be required in 2021. 

“This isn’t charity, it’s the fastest and smartest way to end the pandemic and drive the global economic recovery”, he stressed. 

According to the International Monetary Fund (IMF), if medical solutions can be made available faster and more widely, they could lead to a cumulative increase in global income of almost $9 trillion by the end of 2025. 

“The real question is not whether the world can afford to share vaccines and other tools; it’s whether it can afford not to”, stated the WHO chief.

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Health & Wellness

Remdesivir no COVID-19 silver bullet

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An advisory body of the UN health agency is not recommending the use of the high-profile antiviral drug Remdesivir for hospitalized COVID-19 patients, saying on Thursday there is insufficient evidence that it improves survival outcomes or cuts down on the need for patients to be put onto ventilators. 

A World Health Organization (WHO) Guideline Development Group (GDG) panel of international experts made the recommendation in the BMJ – the weekly peer-reviewed medical journal, published by the British Medical Association – as part of so-called “living guidelines” to manage the coronavirus and help doctors make better decisions in consultation with patients. 

“Living guidelines are useful in fast moving research areas like COVID-19 because they allow researchers to update previously vetted and peer reviewed evidence summaries as new information becomes available”, said WHO, in a press release on the findings. 

Evidence-based decisions  

Remdesivir has received global attention in treating severe coronavirus cases and is increasingly being used for hospitalized patients. But its role in clinical practice has remained uncertain. 

WHO’s recommendation is based on new evidence comparing the effects of several drugs on treating the virus and includes data from four international randomized trials involving more than 7,000 COVID-19 inpatients. 

After reviewing the evidence, the WHO GDG expert panel, which includes four patients who have had the coronavirus, concluded that the intravenously administered Remdesivir “has no meaningful effect on mortality or on other important outcomes for patients, such as the need for mechanical ventilation or time to clinical improvement”. 

Arguing its use 

The panel acknowledged that the certainty of the evidence is low and did not prove that Remdesivir has no benefit; but rather, “there is no evidence based on currently available data that it does improve important patient outcomes”, according to the WHO release. 

However, the GDG supported the continued enrolment of patients into Remdesivir evaluation trials to determine whether more substantial evidence can be obtained, especially with regards to specific groups of patients.  

The WHO press release also cites a feature article linked in the panel’s BMJ report, which says that the full story of Remdesivir will not be understood until its manufacturer, Gilead, releases full clinical study reports. 

In the meantime, reports the journalist who wrote the feature, Jeremy Hsu, alternative treatments such as widely available corticosteroid, dexamethasone, that has been proved to reduce mortality among some severely-ill COVID-19 sufferers, are “now impacting discussions about Remdesivir’s cost-effectiveness”, in the words of the WHO press release.

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