Overseas Situation Report Wednesday 16th June 2021

 

By Mike Evans

 Opportunity does not knock; it presents itself when you beat down the door.” – Kyle Chandler

In this report we look at the situation in general across the world and highlight some countries where the situation is changing.

We start in Africa. Anyone who thought we were getting the better of the virus after 16 months of the pandemic will certainly have a rethink when they see these figures.

There are 53 countries that report on a daily basis to the WHO with numbers of cases, deaths and active cases, this week we see a very disturbing trend appearing. In Africa in the past week, 31 countries have reported an increase in cases compared to the previous week. Across all of Africa the average increase for the week is 43%. Deaths are also on the increase with an average of 25% more deaths than the previous week.

Yet again it is South Africa which is taking the brunt of the virus, with a weekly increase in cases of 54%. This week they recorded a total of 52,781 new cases compared to 34,232 in the previous week. Looking at deaths, the country had a 46% increase in deaths in the past week compared to the previous week. The official death toll now stands at 57,879.

To make matters worse, South Africa’s Covid-19 vaccine rollout has been hit by further delays as it will have to discard at least 2 million Johnson & Johnson vaccines produced in the country. The vaccines were found by the U.S. Food and Drug Administration to be unsuitable for use due to possible contamination of their ingredients at a Baltimore plant. South Africa was expecting to use them to inoculate its health care workers and people aged 60 years and older.

This is the latest setback to South Africa’s vaccine rollout which has so far given shots to just over 1 percent of its 60 million people. Early this year the country rejected about 1 million doses of the AstraZeneca vaccine it received from the Serum Institute of India after a small, preliminary study found that the vaccine offered minimal protection against mild to moderate cases of the Covid-19 variant that is dominant in South Africa. Those vaccines were sold to the African Union for distribution to other African countries.

To date, the country has given jabs to more than 1.7 million people, including nearly 480,000 health workers who were inoculated as part of a study trial of the Johnson & Johnson vaccine.

The production of the J&J vaccine at South Africa’s Aspen Pharmacare manufacturing plant in the eastern city of Gqeberha, formerly known as Port Elizabeth, was eagerly awaited to give a much-needed boost to the country’s vaccination drive. The factory has contracted with J&J to produce the vaccine using large batches of the basic ingredients supplied by Johnson & Johnson. The South African plant then blends those components and puts them in vials – a process knowns as “fill and finish.” The South African plant has the capacity to produce about 200 million doses annually of the J&J vaccine and had already manufactured 2 million. But they were produced using ingredients from the Baltimore plant and therefore must not be used, according to the ruling by the FDA and South Africa’s health officials.

The South African Health Products Regulatory Authority issued a statement saying it had “reviewed the data provided by the FDA and has made a decision not to release vaccines produced using the drug substance batches that were not suitable.”

South Africa will now only receive 300,000 doses of the J&J vaccine which have been cleared by the FDA, it said.

Aspen will begin production of new J&J vaccines using fresh, uncontaminated ingredients at its facility this week, President Cyril Ramaphosa announced this week.

The country with the second highest number of cases in Africa, Morocco, has fared slightly better in the past few weeks with just over 7% increase in weekly cases and its death total has decreased by 6%. Figures show a peak in November last year, when the country was seeing over 5,000 cases a day, to now where the average 7-day figure is down to 350 cases.

Still in Africa, Zambia has recorded a rise in cases of 125% in the week compared to last week. Their death toll has also risen by a worrying 197%. Tunisia, Kenya, Uganda, Botswana and the DRC have all reported rises over the current week of cases and with the exception of Kenya their death tolls have also risen.

Meanwhile in Europe, the trend over the past week has been one of reduction in cases across most of mainland Europe. However, there have been a few exceptions fuelled by the variant known as the “Delta” variant. In the UK they have seen case numbers rise by 45% and deaths increased by 12% compared to a week ago. In Russia, the number of cases rose by 35% and deaths rose by 2% compared to the previous week’s figures. Actual numbers are very hard to publish as their testing regime is way behind most other European countries and it has been admitted by their own health minister that the number of deaths attributed to Covid-19 will probably be 3 times the figure they have published.

This week saw Portugal with a 28% rise in cases compared to the previous week and while deaths remain stable there is a concern that in some areas the virus has got out of control and is threatening the opening up of the country.

Of the larger countries in Europe the largest drop in cases has come from the Scandanavian area with Sweden leading the way with a drop of 49% in cases, while Denmark has shown a 47% fall in the same week. Belgium and France have both seen a 40+% drop while a number of mainland countries have seen a 35-40% drop in cases.

It is these sort of statistics that makes Portugal’s figures a cause for concern and it is likely that this may continue to a third wave which many in central Europe experienced earlier this year. Time will tell if Portugal can get through this without too many new cases.

Across the Americas there is good news for the large countries in that the rate of infection is dropping rapidly. Much of the Caribbean Islands, as well as the USA and Canada, have shown a large drop in cases in the past week compared to the previous week. There are a few exceptions, with a number of Central American countries showing increases in cases. Honduras had a 39% increase in cases in the past week, with similar increases from Guatemala, Panama and Cuba. The concern for these last three countries is that their death rates are also on the increase.

Finally, in Asia, where for the past few months the area has been mainly driven by the huge number of cases in India, we are seeing a drop in cases week by week. Overall, Asia has seen a drop of 19% in cases with countries like India showing a 30% drop, although to put it in context they still recorded 573,086 cases last week. However, go back a few weeks and the country was seeing over 400,000 a day so this drop is good news. Indonesia by contrast has recorded a 37% increase in cases this week with a 7% increase in deaths so Asia while seeing a drop is still not out of the woods just yet.

Until the next time, Stay Safe…

Total Cases Worldwide – 177,418,437

Total Deaths Worldwide – 3,838,618

Total Recovered Worldwide – 161,866,135

Total Active Cases Worldwide – 11,713,684 (6.6% of the total cases)

Total Closed Cases Worldwide – 165,704,753

Information and resources:

https://www.worldometers.info/coronavirus/

https://www.worldometers.info/coronavirus/weekly-trends/#weekly_table

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports

 

Overseas Situation Report Monday 14th June 2021

 

By Mike Evans

“Luck is what you have left over after you give 100 percent.”  Langston Coleman

In this report we are looking at what the world can expect in a post-pandemic situation. We start with a look at countries that, from the very beginning of the pandemic, used the “hard line zero” approach by locking down the whole country. In Australia, many will say that it was this policy that has helped keep down the number of infections and consequent deaths from Covid-19.

Melbourne is emerging from its fourth lockdown of the pandemic, and many locals and businesses have been left wondering how many more they can take.

And with a series of restrictions still in place, the recent lockdown has once again raised questions about the responses to outbreaks of Covid-19 in the future, and whether it is time to tolerate some cases rather than zero.

In fact, the pandemic is exposing the fissures in the Australian Federation more than at any time in history – and it is hard to avoid the conclusion that they are likely to widen as time goes on.

Margie Danchin, an Immunisation Researcher who specialises in vaccine uptake at Murdoch Children’s Research Institute, said public support for lockdown is shifting, particularly in Melbourne. “Portions of the community at the moment really want zero Covid-19, but other people are getting to the point where they are willing to accept a few cases in the community, I can understand why the decision was made to have a snap lockdown in Victoria, but I think we now need to be looking at how this can be nuanced and how to do it better moving forward”.

In the middle of last year, the National Cabinet reaffirmed the goal of having no community transmission – effectively zero Covid-19 – when the Prime Minister and premiers declared that “the goal remains suppression of Covid-19 until a point in time a vaccine or effective treatments are available, with the goal of no local community transmission.” This decision is what’s underpinned many of the calls by state health officials to go into strict lockdown, and to keep the borders closed.

Zero Covid-19 was a fortunate accident. It was not the original goal of the pandemic response.

In the first few months of the pandemic, the purpose of lockdowns was to “flatten the curve”, to buy time for the healthcare system to prepare, and for contact tracing to get up to scratch. We did so well at that, we overshot the mark. “We stumbled our way to Covid-19 zero,” said Brendan Crabb from the Burnet Institute.

“We found ourselves with an aggressive suppression strategy, leading unexpectedly to elimination in a bunch of states and territories.

“Through that recognition, we crept our way to a collective view that Australia really could eliminate community transmission.”

Zero Covid is great in the short term — it has meant Australia has avoided the unnecessary and calamitous death tolls seen in places like the US, UK and India.

But it will make it harder for Australia to exit the pandemic compared to other countries, according to the World Health Organisation.

Dr Michael Ryan, the Executive Director of the WHO Health Emergencies Programme, recently acknowledged the awkwardness that “zero Covid” countries like Australia now face as they ponder the transition from “hermithood” to a post-pandemic world.

When asked why the states take different approaches, acting Victorian Premier, James Merlino, said that the state wide lockdown was necessary this time because of the scale of the Victorian outbreak – that is, it had spread widely across Melbourne and therefore a big lockdown was warranted.

But it does seem that Victoria’s Chief Medical Officer, Brett Sutton, is taking a particularly tough line on zero Covid, saying that there was “no alternative” to the hard lockdown. “This started with one case in Wollert that has led to almost 100 cases over a period of a few weeks – we absolutely have to drive it back down to zero,” Mr Sutton said.

“We don’t want the pain of struggling with ongoing cases that just continue to pressure us and put us at risk of a giant epidemic until we’ve got that vaccination coverage.”

Mr Merlino wasn’t prepared to put a number on what percentage of the population should be vaccinated before he’d take lockdowns off the table in future outbreaks. “Every jump in the percentage of our population that is vaccinated, either fully vaccinated or at least having their first dose, is a step forward,” he said.

“At the moment, 2-3 percent of our population is fully vaccinated, and less than a quarter have received a first dose.

“If you look at other jurisdictions around the world where over half of their population is fully vaccinated … if we had that level of vaccination in our community, then we may well not have the public health advice in terms of the lockdown.”

But as the pandemic rages around the world, and pressure mounts to speed up the vaccination campaign and re-open borders, should our political leaders be starting the conversation about how much risk we are prepared to take?

Governments across Asia have staked their pandemic success on eliminating the coronavirus — a “Zero Covid” strategy. But as people in the West begin to experience a pre-Covid normal, countries across Asia will go through yet another season of closed borders.

Taiwan’s latest Covid-19 outbreak is a lesson that a containment strategy aiming for zero local transmission may not be sustainable in the long term, said Benjamin Cowling, a Professor at The University of Hong Kong’s School of Public Health. Before the recent explosion in cases, Taiwan had reported very few Covid infections – most of which were imported – for more than a year. That has left Taiwan “completely susceptible” to new variants of the coronavirus that are more transmissible and potentially more severe, said Cowling.

“Probably less than 1% of their population have had natural infection and therefore natural immunity, and … less than 1% have been vaccinated – so they’re almost completely susceptible,” Cowling told CNBC’s “Squawk Box Asia.” Taiwan, with a population of roughly 24 million, has reported 12.921 confirmed Covid-19 cases and 437 deaths.

Cowling said Taiwan will find it difficult to control the latest outbreak. Authorities may need stricter social distancing measures given that testing capacity hasn’t ramped up enough and the island’s vaccination progress has been slow, he added.

“It’s a warning to other parts of Asia that are also trying this elimination strategy, it’s not necessarily sustainable in the long term,” said the Professor.

Asian economies have generally shown a lower tolerance for Covid infections compared to its peers in other regions.

Governments in Hong Kong and Singapore, for example, have been quick to tighten measures to stem out small upticks in cases. Meanwhile, countries such as the U.S. and U.K. are still reporting thousands of daily cases, but quicker vaccination has allowed the countries to roll back restrictions. Like many of its regional peers in Asia, Taiwan has faced challenges securing Covid vaccines, said Cowling. Part of Taiwan’s hurdle is politics, said the Professor.

Taiwanese President, Tsai Ing-Wen, said in a Facebook post last week that the government has purchased vaccines developed by AstraZeneca and Moderna. She accused China of blocking a deal with Germany’s BioNTech, which has co-developed a vaccine with U.S. pharmaceutical giant, Pfizer.

Beijing has denied Tsai’s accusation.

China claims Taiwan as a runaway province that must one day be reunited with the mainland – using force if necessary. The Chinese Communist Party has never governed Taiwan, which is a democratic self-ruled island.

“There’s a lot of politics involved in getting vaccines to Taiwan,” said Cowling. “I think they’ll be able to do it, but they won’t be able to vaccinate enough people right now to stop the current outbreak, they need to use social distancing, lockdowns to deal with this.”

Whilst politics plays a big part in many countries fight against the virus, the strategy of zero tolerance is certainly not working in India. The latest death toll from India shows that on a single day India’s health ministry data showed 6,148 deaths were recorded over a 24-hour period, as daily reported cases remained below 100,000 for the third consecutive day.

The fatalities rose after one of India’s poorest states, Bihar, revised its total Covid-19 related death toll on Wednesday from about 5,400 to more than 9,400, accounting for people who died at home or in private hospitals, according to a Reuters report.

India’s daily reported death toll from the coronavirus crisis reached a record high on Thursday, with more than 6,000 people succumbing to the disease.

That surpassed a record number of daily fatalities reported by the United States this year.

India’s health ministry data showed 6,148 Covid-related deaths were recorded over a 24-hour period, as daily reported cases remained below 100,000 for the third consecutive day.

India is fighting a devastating second wave of outbreak that started in February and accelerated in April and early May, which overwhelmed the country’s health-care infrastructure. The sector struggled with shortages of beds, oxygen and medication while many doctors and other health-care workers succumbed to the disease.

While cases peaked in early May, government officials have sounded the alarm over a potential third wave that could hit the country later this year.

Experts say that ramping up the vaccination program is the way forward for India, both to bring its economy out of the Covid crisis and to mitigate the effects of a third wave. But the rollout, which began in January, faced problems including a vaccine shortage, resulting in less than 5% of the population so far receiving both doses.

The government estimates that more than 2 billion doses of vaccine could be available by December as more vaccine candidates are expected to receive regulatory approval. Prime Minister, Narendra Modi, this week said that India will provide free Covid-19 vaccines to all adults.

As the variant that first appeared in India rages around the world, we can only hope that the world gets to grips with this new wave of infections soon before we see deaths increasing across the world.

Until the next time, Stay Safe.

Total Cases Worldwide – 176,725,788

Total Deaths Worldwide – 3,819,720

Total Recovered Worldwide – 160,781,266

Total Active Cases Worldwide – 12,124,802 (6.7% of the total cases)

Total Closed Cases Worldwide – 164,600,986

Information and resources:

https://www.worldometers.info/coronavirus/

https://www.abc.net.au/news/2021-06-13/australia-zero-covid-public-support-for-lockdowns-shifting/100203006

https://www.cnbc.com/2021/06/10/india-covid-crisis-more-than-6000-deaths-recorded-in-24-hours.html?recirc=taboolainternal

https://www.worldometers.info/coronavirus/#main_table

 

Overseas Situation Report Friday 11th June 2021

 

By Mike Evans

“Life is a condition filled with ups and downs. There will be always ‘if’, in a life”. — Santosh Kalwar

Today’s report is focusing on what is happening around the world with both infections and vaccinations.

India on Friday reported 91,702 new Covid-19 infections over the past 24 hours, and 3,403 daily deaths from the coronavirus. The South Asian country’s total Covid-19 case load now stands at 29.3 million, while total fatalities are at 363,079, according to data from the health ministry.

The Japanese government is considering ending a State of Emergency in Tokyo and several other prefectures, as scheduled on June 20, but keeping some curbs such as on restaurant hours until the Olympics start in July, local media reported. New coronavirus infections in Olympics host Tokyo have inched down during the last month of emergency restrictions, although authorities remain concerned about the spread of variants and the continued strain on medical resources.

British Prime Minister, Boris Johnson, says nations of the world must set aside the “beggar my neighbour” attitude that led to squabbling over medicine, protective gear and badly needed Covid-19 vaccines.

Johnson said on Thursday that the Group of Seven leaders meeting this weekend in England will commit to vaccinating the world by the end of 2022. He told The Times of London that it was time for wealthy countries to “shoulder their responsibilities and to vaccinate the world, because no one can be properly protected until everyone has been protected.”

But he faces criticism because the U.K. has yet to send any doses abroad and has cut its international aid budget, citing the economic blow of the pandemic.

U.S. President Joe Biden was due to announce on Thursday that the U.S. will buy hundreds of millions more doses of the Pfizer vaccine to share with poorer countries over the next year. The figure mentioned is expected to be 500 million.

The U.S. is now set to be COVAX’s largest vaccine donor in addition to its single largest funder with a $4 billion US commitment. The global alliance has thus far distributed just 81 million doses, and parts of the world, particularly in Africa, remain vaccine deserts. In Africa, about 90 percent of African countries will miss a September target to vaccinate at least 10 percent of their populations, a WHO official said. Tanzania’s Finance Minister said it has begun talks with the International Monetary Fund over a Covid-19 relief loan.

In Europe, Spain’s health ministry on Wednesday scrapped a nationwide plan to gradually reopen nightlife just a week after introducing it, following widespread complaints from regional authorities who dismissed it as either too strict or too loose.

The plan, which would have allowed areas with low infection rates to open nightclubs until 3 a.m., drew the ire of several regions and a legal challenge from Madrid’s conservative leader, Isabel Diaz Ayuso. After a week of tension, health chiefs from Spain’s 17 regions unanimously approved a revised version of the document on Wednesday in which the rules are reduced to non-binding guidelines, Health Minister Carolina Darias told reporters.

“The measures for the hospitality sector are no longer included in the document, and those for nightlife…are now recommendations,” she said at a news conference. “It doesn’t mean that (clubs) will open everywhere, but rather that each region, depending on its epidemiological situation, will decide how to open,” she added.

While Madrid’s Ayuso, who won a landslide election campaigning for looser Covid-19 measures, slammed the plan as restricting civil liberties, Basque leader Inigo Urkullu said he wanted tougher rules to curb infections, highlighting the stark divisions between regions.

Since a nationwide State of Emergency expired a month ago, restrictions on travel and business have eased, with bars in most regions open until midnight or later.

Transmission has fallen steadily as vaccination rates have picked up, Darias said, adding that Spain’s 14-day infection rate had fallen 5% over the week to 111.9 cases per 100,000 people.

This follows the about face of the situation with Portugal over the border crossing where originally Spain was demanding anyone arriving from Portugal needed a negative PCR test. With the Portuguese Government knowing nothing about this, the Spanish Interior Minister had to admit that it was a mistake and that legislation would be put in place to counteract the decree.

Provisional data showed 24% of the population had received a full course of vaccine, while nearly 43% had at least one dose.

One of a handful of countries participating in an early rollout of the European Union’s digital vaccine certificate, Spain has given out nearly 125,000 of the green cards since Monday, Darias said.

Meanwhile, in the Middle East, starting on June 15, Abu Dhabi will restrict access to shopping malls, restaurants, cafes and other public places to those who have been vaccinated or who have recently tested negative.

The new rules were announced as the United Arab Emirates, a federation of seven emirates, has seen daily cases rise over the past three weeks. The UAE, which does not give a breakdown for each emirate, recorded 2,179 new infections on Wednesday, up from 1,229 on May 17.

On the vaccine front, if the spread of Covid-19 continues at current rates it will be years before the virus is controlled in the Americas, the Pan American Health Organization said, as it called for countries to share excess vaccine doses.

Brazil’s health regulator, Anvisa, authorized Phase 1 and 2 clinical tests to be carried out on volunteers for the domestically developed Butanvac vaccine.

Moderna Inc. said on Thursday it has filed for U.S. authorization to use its Covid-19 vaccine in adolescents aged 12 to 18, to help expand the inoculation drive in the country.

Moderna’s vaccine is already being used in the U.S., the European Union and Canada for anyone over 18. The drug maker has already submitted applications to European and Canadian health regulators seeking authorization for the vaccine’s use in adolescents.

The European Commission became more isolated on Thursday morning in its opposition to a patent waiver for Covid-19 vaccines, after the European Parliament backed the waiver.

The temporary suspension of Covid-19 vaccine patents – a move that’s intended to help expand manufacturing and speed up the global vaccination drive, thus shortening the pandemic – was originally proposed by South Africa and India last year. Over recent months, it has gained new supporters like the World Health Organization (WHO), the Pope, and, crucially, the Biden administration.

However, Europe – home to major players such as BioNTech and AstraZeneca – has resisted the waiver. Just last week, the European Commission submitted an alternative plan to the World Trade Organization (WTO), proposing other measures such as limits on export restrictions, and the compulsory licensing of the patents in some circumstances.

That doesn’t go far enough, said members of the European Parliament on Thursday, as it passed an amendment calling for a temporary waiver of the WTO’s TRIPS Agreement, the global intellectual-property rulebook, in relation to Covid-19 vaccines, treatments, and equipment. The amendment passed by 355 votes to 263, with 71 abstentions. The European Parliament cannot tell the Commission to change its influential tune on the issue, but the vote sent a strong political message nonetheless: Europe, with its many national votes at the WTO, is gradually shifting to the pro-waiver camp.

Within the Parliament – the only EU law making institution whose members are directly elected by citizens – the split over the issue has largely followed left-right lines, with leftists such as the Socialists and Democrats (S&D, Parliament’s second-biggest voting bloc) backing the waiver and those on the right, such as the European People’s Party (EPP, the biggest bloc), opposing it.

“With today’s vote, the European Parliament calls on the Commission to finally do the right thing and save lives by supporting the lifting of patents for Covid-19 vaccines and medical equipment,” said Kathleen Van Brempt, the S&D’s lead negotiator on the subject, in a statement after the vote. “The TRIPS waiver may not prove to be a miracle solution, but it is one of the essential building blocks of a strong global vaccination campaign. Exceptional situations call for exceptional measures.

“The alternative proposal submitted by the European Commission to the WTO falls short in the face of the epochal challenge we are facing,” she added.

But it is not just the European Commission that is becoming more isolated on the issue. Germany, too, is increasingly lonely in its opposition to the waiver.

French President Emmanuel Macron, who has previously sided with Germany, travelled to South Africa a couple of weeks ago to discuss the waiver with President Cyril Ramaphosa. On Wednesday, just ahead of the G7 summit, he flipped and joined the patent-suspension camp. That means at least two G7 leaders (also including U.S. President Joe Biden) now favour the waiver.

Add to that the fact that the WTO agreed on Wednesday to fully debate the waiver – a step that the EU and some other countries had previously resisted – and it seems the tide may be turning. There is still a way to go, though. World Bank President, David Malpass, slammed the waiver idea on Wednesday, saying “it would run the risk of reducing the innovation and the R&D” in the pharmaceutical sector. (Malpass, a Trump appointee, is therefore now in opposition to the current White House.)

And remember too, that all waiver proposals are not equal: The U.S. is calling for the suspension of vaccine patents only, while South Africa and India – and now the European Parliament – want it to also cover other Covid-19-related medical products such as therapeutics and personal protective equipment.

This subject has a way to go before there is an agreement.

In the meantime, Stay Safe.

Total Cases Worldwide – 175,639,577

Total Deaths Worldwide – 3,789,362

Total Recovered Worldwide – 159,192,642

Total Active Cases Worldwide – 12,657,573 (7.2% of the total cases)

Total Closed Cases Worldwide – 162,982,004

Information and resources:

https://www.worldometers.info/coronavirus/

https://www.reuters.com/world/europe/spain-backtracks-nightlife-rules-after-regional-complaints-2021-06-09/

https://www.cbc.ca/news/world/coronavirus-covid19-canada-world-june10-2021-1.6060181

 

 

Overseas Situation Report Friday 11th June 2021

By Mike Evans

 

Today’s report is focusing on what is happening around the world with both infections and vaccinations.

India on Friday reported 91,702 new COVID-19 infections over the past 24 hours, and 3,403 daily deaths from the coronavirus. The South Asian country’s total COVID-19 case load now stands at 29.3 million, while total fatalities are at 363,079, according to data from the health ministry.

The Japanese government is considering ending a state of emergency in Tokyo and several other prefectures as scheduled on June 20, but keeping some curbs such as on restaurant hours until the Olympics start in July, local media reported. New coronavirus infections in Olympics host Tokyo have inched down during the last month of emergency restrictions although authorities remain concerned about the spread of variants and the continued strain on medical resources.

British Prime Minister Boris Johnson says nations of the world must set aside the “beggar my neighbour” attitude that led to squabbling over medicine, protective gear and badly needed COVID-19 vaccines.

Johnson said Thursday that the Group of Seven leaders meeting this weekend in England will commit to vaccinating the world by the end of 2022. He told the Times of London that it was time for wealthy countries to “shoulder their responsibilities and to vaccinate the world, because no one can be properly protected until everyone has been protected.”

But he faces criticism because the U.K. has yet to send any doses abroad and has cut its international aid budget, citing the economic blow of the pandemic.

U.S. President Joe Biden is announcing Thursday that the U.S. will buy hundreds of millions more doses of the Pfizer vaccine to share with poorer countries over the next year. The figure mentioned is expected to be 500 million.

The U.S. is now set to be COVAX’s largest vaccine donor in addition to its single largest funder with a $4 billion US commitment. The global alliance has thus far distributed just 81 million doses, and parts of the world, particularly in Africa, remain vaccine deserts.In Africa, about 90 percent of African countries will miss a September target to vaccinate at least 10 percent of their populations, a WHO official said. Tanzania’s finance minister said it has begun talks with the International Monetary Fund over a COVID-19 relief loan.

In Europe, Spain’s health ministry on Wednesday scrapped a nationwide plan to gradually reopen nightlife just a week after introducing it, following widespread complaints from regional authorities who dismissed it as either too strict or too loose.

The plan, which would have allowed areas with low infection rates to open nightclubs until 3 a.m., drew the ire of several regions and a legal challenge from Madrid’s conservative leader Isabel Diaz Ayuso. After a week of tension, health chiefs from Spain’s 17 regions unanimously approved a revised version of the document on Wednesday in which the rules are reduced to non-binding guidelines, Health Minister Carolina Darias told reporters.

“The measures for the hospitality sector are no longer included in the document, and those for nightlife…are now recommendations,” she said at a news conference. “It doesn’t mean that (clubs) will open everywhere, but rather that each region, depending on its epidemiological situation, will decide how to open,” she added.

While Madrid’s Ayuso, who won a landslide election campaigning for looser COVID-19 measures, slammed the plan as restricting civil liberties, Basque leader Inigo Urkullu said he wanted tougher rules to curb infections, highlighting the stark divisions between regions.

Since a nationwide state of emergency expired a month ago restrictions on travel and business have eased, with bars in most regions open until midnight or later.

Transmission has fallen steadily as vaccination rates have picked up, Darias said, adding that Spain’s 14-day infection rate had fallen 5% over the week to 111.9 cases per 100,000 people.

This follows the about face of the situation with Portugal over the border crossing where originally Spain was demanding anyone arriving from Portugal needed a negative PCR test. With the Portuguese Government knowing nothing about this the Spanish Interior Minister had to admit that it was a mistake and that legislation would be put in place to counteract the decree.

Provisional data showed 24% of the population had received a full course of vaccine, while nearly 43% had at least one dose.

One of a handful of countries participating in an early rollout of the European Union’s digital vaccine certificate, Spain has given out nearly 125,000 of the green cards since Monday, Darias said.

Meanwhile, In the Middle East, starting June 15, Abu Dhabi will restrict access to shopping malls, restaurants, cafes and other public places to those who have been vaccinated or who have recently tested negative.

The new rules were announced as the United Arab Emirates, a federation of seven emirates, has seen daily cases rise over the past three weeks. The UAE, which does not give a breakdown for each emirate, recorded 2,179 new infections on Wednesday, up from 1,229 on May 17.

On the vaccine front, If the spread of COVID-19 continues at current rates it will be years before the virus is controlled in the Americas, the Pan American Health Organization said, as it called for countries to share excess vaccine doses.

Brazil’s health regulator Anvisa authorized Phase 1 and 2 clinical tests to be carried out on volunteers for the domestically developed Butanvac vaccine.

Moderna Inc. said on Thursday it has filed for U.S. authorization to use its COVID-19 vaccine in adolescents aged 12 to 18, to help expand the inoculation drive in the country.

Moderna’s vaccine is already being used in the U.S., the European Union and Canada for anyone over 18. The drugmaker has already submitted applications to European and Canadian health regulators seeking authorization for the vaccine’s use in adolescents.

The European Commission became more isolated Thursday morning in its opposition to a patent waiver for COVID-19 vaccines, after the European Parliament backed the waiver.

The temporary suspension of COVID vaccine patents—a move that’s intended to help expand manufacturing and speed up the global vaccination drive, thus shortening the pandemic—was originally proposed by South Africa and India last year. Over recent months, it has gained new supporters like the World Health Organization (WHO), the Pope, and, crucially, the Biden administration.

However, Europe—home to major players such as BioNTech and AstraZeneca—has resisted the waiver. Just last week, the European Commission submitted an alternative plan to the World Trade Organization (WTO), proposing other measures such as limits on export restrictions, and the compulsory licensing of the patents in some circumstances.

That doesn’t go far enough, said members of the European Parliament on Thursday, as it passed an amendment calling for a temporary waiver of the WTO’s TRIPS Agreement, the global intellectual-property rulebook, in relation to COVID-19 vaccines, treatments, and equipment. The amendment passed by 355 votes to 263, with 71 abstentions. The European Parliament cannot tell the Commission to change its influential tune on the issue, but the vote sent a strong political message nonetheless: Europe, with its many national votes at the WTO, is gradually shifting to the pro-waiver camp.

Within the Parliament—the only EU law making institution whose members are directly elected by citizens—the split over the issue has largely followed left-right lines, with leftists such as the Socialists and Democrats (S&D, Parliament’s second-biggest voting bloc) backing the waiver and those on the right, such as the European People’s Party (EPP, the biggest bloc), opposing it.

“With today’s vote, the European Parliament calls on the Commission to finally do the right thing and save lives by supporting the lifting of patents for COVID-19 vaccines and medical equipment,” said Kathleen Van Brempt, the S&D’s lead negotiator on the subject, in a statement after the vote. “The TRIPS waiver may not prove to be a miracle solution, but it is one of the essential building blocks of a strong global vaccination campaign. Exceptional situations call for exceptional measures.

“The alternative proposal submitted by the European Commission to the WTO falls short in the face of the epochal challenge we are facing,” she added.

But it is not just the European Commission that is becoming more isolated on the issue. Germany, too, is increasingly lonely in its opposition to the waiver.

French President Emmanuel Macron, who has previously sided with Germany, travelled to South Africa a couple of weeks ago to discuss the waiver with President Cyril Ramaphosa. On Wednesday, just ahead of the G7 summit, he flipped and joined the patent-suspension camp. That means at least two G7 leaders (also including U.S. President Joe Biden) now favour the waiver.

Add to that the fact that the WTO agreed on Wednesday to fully debate the waiver—a step that the EU and some other countries had previously resisted—and it seems the tide may be turning. There is still a way to go, though. World Bank President David Malpass slammed the waiver idea on Wednesday, saying “it would run the risk of reducing the innovation and the R&D” in the pharmaceutical sector. (Malpass, a Trump appointee, is therefore now in opposition to the current White House.)

And remember too that all waiver proposals are not equal: The U.S. is calling for the suspension of vaccine patents only, while South Africa and India—and now the European Parliament—want it to also cover other COVID-19-related medical products such as therapeutics and personal protective equipment.

This subject has  a way to go before there is an agreement. In the meantime Stay Safe.