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Jan 28, 2022

GHN News

Employees preparing for work at the COVID-19 treatment center at Kamuzu Central Hospital in Lilongwe, Malawi, Jan. 18, 2021.
Image: Amos Gumulira/AFP via Getty

On the Bumpy Road to Endemicity, Hopeful Signs


As Omicron cuts a wide swath across populations, the increased levels of immunity left in its wake serve as an encouraging signal to scientists trying to predict the next stages of the pandemic. On Monday, WHO’s top European official said that “Omicron offers plausible hope for stabilization and normalization,” reports The New York Times.

Expanding immunity: In Malawi, a study analyzing samples from blood donors found a startling 80% of the population showed signs of prior infection—despite the fact that less than 5% of Malawians have been fully vaccinated. That was before Omicron, and could help explain why the variant was less severe there, reports NPR Goats and Soda. Comparable studies in Kenya, Madagascar, and South Africa have shown similar results. 

Still, scientists caution that COVID-19 is here to stay—and its future threat depends on a number of factors: future variants, the strength of immunity, and population changes over time. 

Even if endemicity is reached, that does not mean the virus’ threat is neutralized: endemic measles and tuberculosis are still both life-threatening in some countries. 

The Quote: “This is a choose-your-own-adventure story, and the ending is not written yet,” said Anne Rimoin, an epidemiologist at UCLA.

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Global Health Voices

 
COVID-19 WATCH

The Latest


Global Numbers
  • 366,726,890 cases
  • 5,639,313 deaths
  • 9,908,774,787 vaccine doses administered
—Source: Johns Hopkins University
 

Key Developments

More Nigerians have sought vaccination after health authorities destroyed a stockpile of expiring COVID-19 shots—long a source of public distrust. Reuters

Denmark is the first EU country to lift all COVID-19 restrictions, with leaders citing high rates of vaccination and stabilized hospital admissions and deaths. Politico Europe

COVID-19 has finally hit one of the last uninfected places—the remote Pacific archipelago of Kiribati—after missionaries who had left the island were allowed to come home this month. AP

The chief of Paris hospitals has triggered a firestorm of debate after suggesting that unvaccinated patients should be responsible for the cost of their care—which is currently covered by the state. France24


Related

Lifting England Covid rules while 3bn people unvaccinated reckless – experts – The Guardian

Scientists warn over 'reckless' lack of vaccines for poorer countries – BBC

Studies highlight benefits of COVID vaccine booster, longer dose spacing – CIDRAP

Boosters increase protection against death from Omicron in over-50s to 95% - UKHSA – Reuters

In ‘chemo brain,’ researchers see clues to unravel long Covid’s brain fog – STAT

A second version of omicron is spreading. Here's why scientists are on alert – NPR Goats and Soda

Delta’s Not Dead Yet – The Atlantic

Contact tracing fizzles across America – Axios

EU drug watchdog approves Pfizer's antiviral Covid-19 pill for adults at risk of severe illness – France24

‘There’s no free lunch with drugs’: Janet Woodcock talks Covid monoclonal antibodies and pediatric vaccines – STAT

How many times can I reuse my N95 mask? – AP

Projecting Quarantine Utilization During a Pandemic – AJPH
 
COVID-19: TREATMENTS

The Labyrinth Between the Immunocompromised and a Critical Drug 


For many immunocompromised people, the prophylactic drug Evusheld offers the best hope at protection against COVID-19. 

But the drug’s short supply and haphazard federal distribution mean eligible patients have been left scrambling to obtain it themselves—driving or flying across states to clinics, scrolling Facebook groups for leads on doses, or enduring maddening waits to see if their names come up in hospital lotteries. 

The Quote: “Having a medicine that might be able to help fills us with hope, but having to hunt it down in a Hunger Games hunt is extremely distressing,” said Rob Relyea, an engineer whose wife has lymphoma; he wrote software to make a confusing federal database more readable. 

STAT News


Related:

Third shots reduce the risk of hospitalization in people with weak immune systems, a C.D.C. report says. – The New York Times

Despite CDC directive, many pharmacies refusing to give fourth shots to immune-compromised patients – CNN

Global Health Voices

 
NEGLECTED DISEASES

In India, a Lifegiving Leprosy Hospital


In India, where half of the world’s leprosy cases are recorded, a hospital in Hyderabad offers a glimpse of restorative care for body and spirit.

Sivananda Rehabilitation Home has offered care—and a home—to those with leprosy for 60 years. There, about 250 patients and their families receive treatments and live in community, sequestered from the social stigma that is still pervasive in the country. 

Reporter Jeffrey Gettleman describes a “self-contained world” where hands and feet are delicately reconstructed, bandages are handspun by relatives, papayas are grown for in-house treatments, and patients find a quiet respite where their dignity is restored. Many say they don’t want to leave. 

The New York Times

Your Friday Diversion

Big Mac Preserved in Ice ... Land

Cleaning out his garage back in 2012, Icelander Hjörtur Smárason found an array of junk … old, mice-chewed roller blades, tools, boxes—and a bag of junk food, untouched.
 
Disturbingly, even the mice had turned up their noses.
 
The Big Mac and fries had been sitting there for 3 years, ever since Smárason purchased one last meal just before McDonald’s packed up and left Iceland in 2009.
 
Smárason smelled a whiff of promise along with the oddly not-decomposed hamburger, and sent the meal off for a second life as a historical artifact on Iceland’s museum circuit. (Note: McDonald’s put out a statement in 2020 claiming their burgers don’t decompose due to a lack of moisture. Umm, ok.)
 
The downside: Smárason never imagined this would be his claim to fame, but now, that’s where Googling him takes you. “I don’t think not eating a hamburger is the most remarkable thing I have done, but if you do an image search for my name, you will mostly see pictures of an old hamburger,” says Smárason.
 
Atlas Obscura

Quick Hits

Watchdog says key federal health agency is failing on crises – AP

World NTD Day 2022 and a new Kigali Declaration to galvanise commitment to end neglected tropical diseases – BMC Infectious Diseases of Poverty (commentary)

This Nigerian doctor has a tough new job: Stopping the next pandemic before it strikes – NPR Goats and Soda

WHO examining allegations official abused staff, leaked vaccine data to Japan – Reuters

Protests flare across Poland after death of young mother denied an abortion – The Guardian

After Miscarriages, Workers Have Few Guarantees for Time Off or Job-Based Help – KHN

New guidelines could change the way OB/GYNs talk to patients about birth control – The Washington Post

Peter Hotez: Who will defend embattled scientists? – Boston Globe (commentary)

Living near fracking wells linked to early death – Environmental Health News

Can Medieval Sleeping Habits Fix America’s Insomnia? – The Atlantic

What wintering squirrels can teach astronauts – EurekAlert! (news release)
Issue No. 1993

Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

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