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Where Covid-19 Has Already Killed More Than One Person Per Thousand

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A healthcare worker checks the temperature of a patient at a hospital in Nonthaburi Province, Thailand. UN Women/Pathumporn Thongking

As-of November 15th, more than one person per thousand had already died from the Covid-19 virus (coronavirus-19) in the nations of

and in the U.S. states of

  • New Jersey (1.9 per thousand)
  • New York (1.7 per thousand)
  • Massachusetts (1.5 per thousand)
  • Connecticut (1.3 per thousand)
  • Louisiana (1.3 per thousand)
  • Mississippi (1.2 per thousand)
  • Rhode Island (1.2 per thousand)

(Nationwide, the U.S. death-rate is 759 per million or .759 per thousand.)

Here are the nations with over 5 million population that have the lowest death-rates from the disease:

  • Cambodia (0)
  • Laos (0)
  • Burundi (1 per 12,015,509)
  • Taiwan (1 per 3,404,638)
  • Vietnam (1 per 2,790,141)
  • Papua (1 per 1,286,790)
  • Thailand (1 per 1,164,395)
  • Sri Lanka (1 per 487,406)
  • Niger (1 per 355,300)
  • Uganda (1 per 347,734)
  • Rwanda (1 per 326,650)
  • Mozambique (1 per 318,834)
  • Burkina Faso (1 per 315,011)
  • China (1 per 310,869)
  • DRC (1 per 286,454)
  • Benin (1 per 284548)
  • Singapore (1 per 209,535)
  • Ivory Coast (1 per 211,189)
  • South Sudan (1 per 190,525)
  • New Zealand (1 per 200,084)

Here are the U.S. states with the lowest death-rates from the disease:

  • Vermont (1 per 10,576; or .95 per ten thousand, or .095 per thousand)
  • Maine (1 per 8,617)
  • Alaska (1 per 7,951 — the explosion of the disease started only recently there)
  • Hawaii (1 per 6,378)
  • Oregon (1 per 5,723)

In order properly to understand these numbers (such as the low death-rates in some African countries), an important underlying variable is the median age of the land’s population, because, for example, the median age for Burundi is only 17, and, therefore, San Marino, where the median age is 44.4, is naturally likely to have a vastly higher death-rate from this disease. Apples should be compared with apples, not with oranges. However, the median age in Vermont is 42.8 (America’s third-highest), and in Maine is 44.9 (America’s highest), and yet both states have America’s lowest two death-rates from this disease; so, governmental policies and their public acceptance and enforcement can be even more important than is the physical population. Nature isn’t everything; nurture can be an even bigger determinant of success or failure.

Furthermore, all three of the highest death-rate countries have incredibly polarized and therefore dysfunctional ‘democratic’ governments, and this means that they are especially likely to fail to have unity — and therefore effectiveness — in responding to an emergency, which this evolving event is. Slow response and adjustment to it is then like no response, because it comes too late, in an emergency situation. Moreover, San Marino’s economy is at least 50% tourism-based, which is the sector that is the hardest hit by the pandemic, as a consequence of which, the pressures to underestimate the pandemic’s danger are especially large there.

As that same website which I’ve cited for the coronavirus death-rates also shows, worldwide the daily death rate from the disease, which was 67 on 2 March 2020, soared to 8,534 by the time of 17 April 2020, and didn’t exceed that number until 4 November 2020 at 9,152, despite the world’s having been taking increasing measures to reduce the spread of the disease. However, since the global death-rate from the virus has finally broken through the initial peak of 8,534, we can now expect either greatly increased measures to be taken against the disease’s spread, or else the daily death-rate from it to be soaring, in at least the near-term future.

If the daily death-rate from it will be soaring in the near-term future, then the public will become increasingly afraid to be anywhere with strangers; and, consequently, all modes of employment that require employees to be physically near strangers will need to pay higher and higher wages in order to be able to remain in business, and the local economy will therefore be in a downward spiral unless and until that situation becomes reversed.

Consequently, the economy will likely be hit hard now, either way. During an epidemic, harm to the economy is inevitable in the short term, regardless of whether the government acts or not. But during the long term, carefully calibrated scientifically calculated measures to reduce the spread of the epidemic are optimal (for the long term benefits), and anything that impedes this is therefore a threat against the entire public. Whereas a threat against the general public is acceptable to a psychopath (or “sociopath”) and is consistent with pure capitalism (“libertarianism” or “neoliberalism”), it is not acceptable to a democratic socialist (“social democratic”) person, or to a patriot in a country that asserts the general welfare to be among its fundamental priorities (such as the U.S. Constitution does in its General Welfare Clause and especially in its most-fundamental passage, the Preamble, which asserts the ultimate objectives which that Constitution is directed at serving). Therefore, in the latter type of country, pure capitalism is actually unpatriotic, and democratic socialism is obligatory for the Government to adhere to, regardless of whether or not that country’s existing leaders adhere to it, or publicly acknowledge the fact that their Constitution is actually social-democratic, and not (and certainly not purely) capitalistic.

(For examples: Abraham Lincoln said: “Labor is prior to, and independent of, capital. Capital is only the fruit of labor, and could never have existed if labor had not first existed. Labor is the superior of capital, and deserves much the higher consideration.” So, he certainly was a social democrat. And Lincoln’s hero, Thomas Jefferson, wrote, on 12 November 1816, to his long-time friend, Dr. George Logan of Philadelphia, about the “profligacy” of England’s government, wasting resources to prop up its international corporations, which Jefferson said had brought about “the ruin of its people” in order to benefit those aristocrats. He said, “This ruin [in England] will fall heaviest, as it ought to fall, on that hereditary aristocracy which has for generations been preparing the catastrophe [meaning creating the catastrophe (by corrupting the government), not meaning to prepare for the catastrophe]. I hope we shall take warning from the [English] example [e.g., the British East India Company] and crush in it’s birth the aristocracy of our monied corporations which dare already to challenge our government to a trial of strength and bid defiance to the laws of our country.” So, he too was hostile toward capitalism and favorable toward democratic socialism. America’s Founders — including even its last Founder, Lincoln — supported democracy, and opposed aristocracy, or rule by the controlling owners of corporations. But today’s America — in regard to both its Democratic Party and its Republican Party — is controlled by its billionaires; and, so, this nation is now definitely an aristocracy, instead of  a democracy.)

One argument that is being put forth for pure capitalism regarding this virus is “herd immunity,” the idea (which has been endorsed in the neoliberal Council on Foreign Relations’s prestigious journal Foreign Affairs, and also by U.S. President Donald Trump), which is that if a sufficiently high percentage of the population become infected with it and survive, then they will automatically be immune from catching the disease in the future, and so anyone else (the never-infected) will become less likely to catch the disease from others. Like other libertarian (or “neoliberal) thinking, it trusts to nature as being optimal, and accepts unlimited “survival of the fittest,” and rejects social democracy or any general-welfare constitution (such as America has and which is being routinely violated by America’s own Government). However, the assumption that everyone who survives an infection from this virus is immune against becoming infected with it again, has not been established, and there are also many other falsehoods in applying the “natural herd immunity” concept to this particular virus — a virus whose epidemiological characteristics are still not yet understood. As National Geographic recently explained, “Banking on natural infection to control the outbreak would lead to months, if not years, of a dismaying cycle in which cases subside and then surge.” Furthermore, even if the idea that a natural herd immunity might become able to protect a nation’s population, would not a synthetic herd immunity from an effective vaccine be preferable — and much faster? It will prevent the millions of deaths, and even more millions of cases, that would be suffered until a natural herd-immunity exists — if such a natural herd immunity ever will exist. This is the purpose of the policies in the lands that have thus far been the most effective at keeping down the amounts of disease and death from Covid-19. This is a holding action, so as to save the health and the lives of millions of people who would otherwise be unnecessarily wasted while the world waits for a vaccine. The “natural herd immunity” approach isn’t only psychopathic, it is grossly inefficient.

A personal friend emailed me with objections against my opposition to libertarian (or “neoliberal”) policies regarding coronavirus-19 (covid-19). He especially argued that we both share views that the Government in our own country is deeply corrupt, and I replied:

——

That’s irrelevant because the data convince me that the types of policies that countries such as China and Taiwan and Vietnam and Cambodia and Myanmar and then New Zealand and then Vermont pursued — all with strong compliance from their respective publics — have worked, and that the policies that countries such as U.S. and Brazil and Belgium and Chile pursued have failed. Peru is an especially interesting case because its President wanted to impose the necessary measures but wasn’t able to, for many reasons, but especially because nothing was able to “create this new culture of respect for the rules to learn how to live with the virus” (as the euphemistic BBC obliquely phrased the core reality behind Peru’s failure). The situation in Peru was the exact opposite of the situation in Vermont, where the public virtually pushed the Governor by accusing him of NOT imposing masking requirements etc. at the very beginning, and he quickly recognized and rectified his error and as a result Vermont quickly became — and has since remained — the #1 state in controlling the spread of this virus. Success needs both the right leadership and the right public, and failure has resulted where either or both were lacking.

I said in response to his statement: “I really can not sympathize with those who are fearing for their own lives because of a virus with a 99% survival rate. They shouldn’t be doing the thinking for the rest of us.”:

I couldn’t disagree more with that libertarian viewpoint. Public health — especially when the issue is a communicable disease, an epidemic or a potential epidemic — relies (above all) on the obligation of every individual in the society to NOT engage in behaviors that HELP to spread the disease. Vaccination is an obligation and not ONLY a right in such a situation. When a vaccine doesn’t yet exist, then the obligation — of every individual in the society to NOT engage in behaviors that HELP to spread the disease — isn’t an obligation to be vaccinated (since that’s not yet even possible) but it is instead an obligation to adhere to masking requirements and other necessary behaviors to minimize the spread of the communicable disease. The libertarian attitude produces mass-injury, mass-death, mass-disability, and mass-unemployment, in handling a communicable disease, where the OBLIGATION to society is not recognized, but only the individual RIGHT is recognized — that is psychopathic and irresponsible.

Furthermore: you are false to say that this is only “a virus with a 99% survival rate”: it is a vastly more-contagious virus than the Spanish flu which was the other mega-pandemic since 1900, but it has a lower mortality-rate; and, so, for you to focus only on the latter (the fatality-rate) is blind to an important half of the reality regarding this virus.

Already, 251,256 Americans have died from this new virus and 11,226,038 have been diagnosed as being ill from it and many who have survived the initial illness are having potentially life-threatening organ-failures from it and tens of millions of Americans reasonably fear going to work as barbers or restaurants or hotels or medical workers etc., and yet you say “I really can not sympathize with those who are fearing for their own lives because of a virus with a 99% survival rate. They shouldn’t be doing the thinking for the rest of us.” That statement isn’t only blind to half the reality about this virus but is callous, which I know that you are not. So, it shocked me. (Furthermore, already over 2% of Americans who have been diagnosed as having this disease have died from it and that percentage keeps rising; so whether in the final analysis this plague will kill a higher percentage of the world than the Spanish flu did is still an open question, and vaccines against it will largely determine the answer.)

You instead are choosing to dismiss the relevant data, which are the actual policy-outcomes in the 200+ countries throughout the world — including different policies in each of those countries.

Perhaps you think that the data that China which has 60 cases per million residents and 3 deaths per million residents from this virus and that America which has 33,725 cases per million residents and 757 deaths per million residents from this virus should be ignored. Perhaps you think that the data that Vermont which has 4,556 cases per million residents and 95 deaths per million residents from this virus and that North Dakota which has 82,502 cases per million residents and 953 deaths per million residents from this virus should be ignored. Those are all policy-outcomes. Each of those lands has its own policy, and those are the outcomes from it. I have looked at what the policies are, and, to me, the idea that those data should be ignored in evaluating those policies is foolish in the extreme. I am no expert in epidemiology and don’t pretend to be; but your ‘evidence’ is nothing that I would cite, for or against anything — and certainly not for interpreting the global policy-outcomes. I think that you are focusing on balls that aren’t even in this game. You’re focusing on different games, and different balls.

Author’s note: first posted at Strategic Culture

Investigative historian Eric Zuesse is the author, most recently, of They’re Not Even Close: The Democratic vs. Republican Economic Records, 1910-2010

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COVAX and World Bank to Accelerate Vaccine Access for Developing Countries

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COVAX and the World Bank will accelerate COVID-19 vaccine supply for developing countries through a new financing mechanism that builds on Gavi’s newly designed AMC cost-sharing arrangement. This allows AMC countries to purchase doses beyond the fully donor-subsidized doses they are already receiving from COVAX.

COVAX will now be able to make advance purchases from vaccine manufacturers based on aggregated demand across countries, using financing from the World Bank and other multilateral development banks. Participating developing countries will have greater visibility of available vaccines, quantities available, and future delivery schedules, enabling them to secure doses earlier, and prepare and implement vaccination plans more effectively.

This important and timely financing mechanism, made possible now by the World Bank and Gavi teaming up on the AMC cost-sharing arrangement, will allow COVAX to unlock additional doses for low- and middle-income countries,” said Dr. Seth Berkley, CEO, Gavi, the Vaccine Alliance. “As we move beyond initial targets and work to support countries’ efforts to protect increasingly large portions of their populations, World Bank financing will help us advance further towards our goal of bringing COVID-19 under control.”

The scalable mechanism brings together COVAX’s ability to negotiate advance purchase agreements with vaccine manufacturers with the World Bank’s ability to provide predictable financing to countries for vaccine purchase, deployment and broader health systems investments. The new mechanism will mitigate risks and uncertainties in country demand and financing ability.

Accessing vaccines remains the single greatest challenge that developing countries face in protecting their people from the health, social, and economic impacts of the COVID-19 pandemic,” said World Bank Group President David Malpass. “This mechanism will enable new supplies and allow countries to speed up the purchase of vaccines. It will also provide transparency about vaccine availability, prices, and delivery schedules. This is crucial information as governments implement their vaccination plans.”

Countries with approved World Bank vaccine projects that confirm the purchase of additional doses through COVAX will agree with COVAX on the number of doses of a specific vaccine as well as related windows of delivery. On receiving a request from the country, the World Bank will provide COVAX a payment confirmation, allowing COVAX to make advance purchases of large amounts of vaccine doses with manufacturers at competitive prices.

Under the cost-sharing arrangement for AMC countries (92 low- and middle-income countries), COVAX plans to make available up to 430 million additional doses, or enough to fully vaccinate 250 million people, for delivery between late 2021 and mid-2022. There will be several supply offerings where countries will have the opportunity to select and commit to procuring specific vaccines that align with their preferences.

COVAX is co-led by the Coalition for Epidemic Preparedness Innovations (CEPI), Gavi, the Vaccine Alliance and the World Health Organization (WHO). The World Bank and COVAX will work in partnership with UNICEF and the PAHO Revolving Fund as key implementing partners to ensure safe vaccine delivery and supply of materials such as syringes, safety boxes and other items essential for vaccination campaigns.

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Study Finds That India Might Have Half Of All Covid-19 Deaths Worldwide

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© UNICEF/Vinay

On July 20th, an analysis that was published of India’s “excess mortality estimates from three different data sources from the pandemic’s start through June 2021 … yields an estimate of 4.9 million excess deaths.” As-of July 20th, the total number of deaths that had been officially reported worldwide from Covid-19 was 4,115,391, and only 414,513 (10%) of those were in India. If this new study is correct, then the possibility exists that around half of all deaths that have occurred, thus far, from Covid-19, could be in India, not merely the currently existing 10% that’s shown in the official figures.

This study doesn’t discuss why the actual number of deaths in India from Covid-19 might be around ten times higher than the official Indian figures, but one reason might be a false attribution of India’s greatly increased death-rate from the Covid-19 epidemic not to Covid-19 but to other causes, such as to Covid-19-related illnesses.

The new study is titled “Three New Estimates of India’s All-Cause Excess Mortality during the COVID-19 Pandemic”, and the detailed version of it can be downloaded here.   The study was funded by U.S.-and-allied billionaires and their foundations and corporations, and by governments that those billionaires also might control. However, this doesn’t necessarily mean that its methodology is in any way unscientific or otherwise dubious. The study raises serious questions — it does not, in and of itself, answer any. It’s a serious scientific study.

On 1 August 2020, I headlined “India and Brazil Are Now the Global Worst Coronavirus Nations”, and reported that, “India and Brazil have now overtaken the United States as the world’s worst performers at controlling the cononavirus-19 plague. The chart of the numbers of daily new cases in India shows the daily count soaring more than in any other country except Brazil, whereas in the United States, the daily number of new cases has plateaued ever since it hit 72,278 on July 10th, three weeks ago.” At that time, there was great pressure upon India’s Government to stop the alarming acceleration in the daily numbers of people who were officially counted as being patients (active cases) from the disease, and of dying from it. One way that a government can deal with such pressures is by mis-classifying cases, and deaths, from a disease, as being due to other causes, instead.

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Sharp rise in Africa COVID-19 deaths

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A volunteer carer called Trinity is working in a COVID-19 field hospital in Nasrec, Johannesburg. IMF/James Oatway

COVID-19 deaths in Africa have risen sharply in recent weeks, amid the fastest surge in cases the continent has seen so far in the pandemic, the regional office for the World Health Organization (WHO) said on Thursday. 

Fatalities are rising as hospital admissions increase rapidly as countries face shortages in oxygen and intensive care beds. 

COVID-19 deaths rose by more than 40 per cent last week, reaching 6,273, or nearly 1,900 more than the previous week. 

The number is just shy of the 6,294 peak, recorded in January. 

Reaching ‘breaking point’ 

“Deaths have climbed steeply for the past five weeks. This is a clear warning sign that hospitals in the most impacted countries are reaching a breaking point,” said Dr Matshidiso Moeti, WHO Regional Director for Africa.  

“Under-resourced health systems in countries are facing dire shortages of the health workers, supplies, equipment and infrastructure needed to provide care to severely ill COVID-19 patients.” 

Africa’s case fatality rate, which is the proportion of deaths among confirmed cases, stands at 2.6 per cent compared to the global average of 2.2 per cent.  

Most of the recent deaths, or 83 per cent, occurred in Namibia, South Africa, Tunisia, Uganda and Zambia. 

Six million cases 

COVID-19 cases on the continent have risen for eight consecutive weeks, topping six million on Tuesday, WHO reported. 

An additional one million cases were recorded over the past month, marking the shortest time to reach this grim milestone. Comparatively, it took roughly three months for cases to jump from four million to five million. 

Delta, variants drive surge 

The surge is being driven by public fatigue with key health measures and an increased spread of virus variants.  

The Delta variant, the most transmissible, has been detected in 21 countries, while the Alpha and Beta variants have been found in more than 30 countries each. 

Globally, there are four COVID-19 virus variants of concern.  On Wednesday, a WHO emergency committee meeting in Geneva warned of the “strong likelihood” of new and possibly more dangerous variants emerging and spreading. 

Delivering effective treatment

WHO is working with African countries to improve COVID-19 treatment and critical care capacities.  

The UN agency and partners are also delivering oxygen cylinders and other essential medical supplies, and have supported the manufacture and repair of oxygen production plants. 

“The number one priority for African countries is boosting oxygen production to give critically ill patients a fighting chance,” Dr Moeti said. “Effective treatment is the last line of defence against COVID-19 and it must not crumble.” 

The rising caseload comes amid inadequate vaccine supplies. So far, 52 million people in Africa have been inoculated, which is just 1.6 per cent of total COVID-19 vaccinations worldwide.  

Meanwhile, roughly 1.5 per cent of the continent’s population, or 18 million people, are fully vaccinated, compared with over 50 per cent in some high-income countries. 

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