Israel sharing COVID-19 data with Pfizer to help fine-tune vaccine rollout

JERUSALEM (Reuters) – Israel is giving weekly data updates on its COVID-19 outbreak to vaccine maker Pfizer under a collaboration agreement that may help other countries fine-tune their inoculation campaigns and achieve “herd immunity,” officials said.

Israelis began receiving first shots of the vaccine developed by Pfizer and its German partner BioNTech on Dec. 19 in one of the world’s fastest vaccination rollouts.

Israel’s Health Ministry made public most of a 20-page collaboration agreement it signed with Pfizer, which said the aim was “to determine whether herd immunity is achieved after reaching a certain percentage of vaccination coverage in Israel”.

Commercial details such as price and quantity of vaccine shots supplied were not made public, but the agreement said that Israel was relying on Pfizer to deliver enough doses at a fast enough rate to allow it to achieve “herd immunity,” meaning a sufficient portion of the population is immune to the virus.

“While this project is conducted in Israel, the insights gained will be applicable around the world and we anticipate will allow governments to maximize the public health impact of their vaccination campaigns,” BioNTech said on Monday in a statement.

This includes determining potential immunization rates needed to stop the virus from spreading, it said.

The goal, BioNTech said, was “to monitor the evolution of the epidemic over time and at different vaccination rates.”

“This will help us understand whether a potential decrease in cases and deaths can be attributed solely to direct vaccine protection or to both direct and indirect (or ‘herd’) protection,” it said.

During weekly status reports, Israel will provide Pfizer with epidemiological data such as: the number of confirmed COVID-19 cases, hospitalizations, how many patients were on ventilators, how many died, as well as an age and other demographic breakdown.

Such data was available to the public and keeps patients anonymous, Israeli officials said.

About a quarter of Israelis have received their first vaccine shot and 3.5% already got their second dose.

Still, the country is in its third lockdown with infection rates remaining high. More than half a million cases have been reported and 4,005 people have died in Israel since the pandemic began.

(Reporting by Ari Rabinovitch, Ludwig Burger, Nikolaj Skydsgaard and Steven Scheer; Editing by Alex Richardson)

IMF chief sees ‘high degree of uncertainty’ in global outlook

By Andrea Shalal

WASHINGTON (Reuters) – The head of the International Monetary Fund said on Monday the global economic outlook remained highly uncertain given the coronavirus pandemic, and a growing divergence between rich and poor countries required the IMF to find more resources.

IMF Managing Director Kristalina Georgieva told reporters a new allocation of the IMF’s own currency, Special Drawing Rights, would give countries more fiscal space to address the health crisis and accelerate moves to a digital and green economy.

Under President Donald Trump, the United States, the IMF’s largest shareholder, has blocked such a move, arguing it would provide more resources to richer countries since the allocation would be proportionate to their shareholding.

Swedish Finance Minister Magdalena Andersson, the new chair of the IMF’s steering committee speaking at an online news conference with Georgieva, said it was clear the need for liquidity remained great, and she would consult with member countries on options for expanding liquidity.

Georgieva said the IMF had rapidly increased concessional financing to emerging market and developing economies, including through donation of some $20 billion in existing SDRs. That would continue to play an important role, but further steps were needed, she said.

“It will continue to be so important, even more important, for us to be able to expand our capacity to support countries that have fallen behind,” Georgieva said.

The option of carrying out a new SDR allocation – something akin to a central bank printing money – had never been taken off the table by IMF members, she said, adding that some members continued to discuss it as a possible move.

(Reporting by Andrea Shalal; Additional reporting by Simon Johnson in Stockholm; Editing by Mark Heinrich and Bill Berkrot)

As bodies pile up, Germany’s eastern COVID hot spots struggle for answers

By Joseph Nasr

MEISSEN, Germany (Reuters) – For some in Meissen the caskets piling up in the eastern German city’s sole crematorium are a tragic reminder of what happens when the coronavirus is not taken seriously. For others it is simply nature’s way.

Meissen, along with other places across old East Germany that are generally poorer, older and more supportive of a far-right opposed to lockdown, are the worst hit by the pandemic in the country, complicating Chancellor Angela Merkel’s efforts to bring it under control.

“It’s heartbreaking,” said manager Joerg Schaldach, whose furnaces cremated 1,400 bodies last month, double the figure from December last year. More than half had died of COVID-19 and Schaldach expects some 1,700 cremations in total this month.

“People are dying alone in hospital without a loved one holding their hand,” added Schaldach, standing in the main hall cleared of chairs used for funeral services to make way for caskets. “People get just a phone call: ‘deceased.’ A farewell at the coffin is not possible, all they get is an urn.”

Like many east German regions that had a relatively mild first wave, Saxony, home to Meissen and a stronghold of the far-right Alternative for Germany (AfD) party, has the second highest 7-day incidence rate in Germany, almost double the national average of 136 per 100,000 people.

The neighboring eastern state of Thuringia, where the AfD is also popular, is now Germany’s worst hot spot, taking over from Saxony last week.

“If the Saxony government had acted earlier, we would have had the pandemic under control. But now we are a national problem,” said Frank Richter, a lawmaker in the Saxony parliament for the center-left Social Democrats (SPD).

“The pile of bodies in Meissen is bitter medicine against ignorance.”

Detlev Spangenberg, an AfD lawmaker in the national parliament from Saxony, said the party should not be blamed.

“We’ve had a lockdown since November and the numbers are not going down. It’s nothing to do with the AfD,” he said late last week. “We are just saying that the collateral damage of lockdowns outweighs the benefits.”

MISTAKES MADE

The governors of both Saxony and Thuringia had in September opposed efforts by Merkel to introduce restrictions after the summer in anticipation of a second wave of COVID-19, only to acknowledge recently that they had made an error in judgment.

On the deserted streets of Meissen, a city of 28,000 famed for it porcelain industry, people had different explanations for the dramatic surge in infections, ranging from naive complacency to skepticism partly promoted by the AfD.

“It sounds strange, but I noticed that young people follow rules like wearing a mask and keeping distance more than old people,” said Jenna Schmidt, a 27-year-old waitress at a local restaurant shuttered since November.

“When numbers started to rise in October, you’d hear old people say, ‘oh I’m too old, I’ll die soon anyway’,” said Schmidt, walking with her toddler in the snow in the main square that is usually bustling with tourists.

“It’s attitudes like this that got us here.”

At the crematorium, men working around the clock unloaded caskets marked with pieces of paper stating the deceased’s name, date of birth and death and address. Almost all were in their late 60s or older. Some had lived in care homes.

“There is a lot of panic and hysteria,” said Roswitha Zeidler, a 60-year-old who works as a cleaning lady in a hotel. “Old people die all the time. I’m sick and tired of all the restrictions and predictions. I just want my life back.”

Merkel and state leaders will hold talks on Tuesday on whether more restrictions are needed when a hard lockdown expires on Jan. 31.

Germany, which imposed a lockdown in November that was tightened early last month, recorded just over 7,000 confirmed new infections on Monday and 214 deaths, roughly half the figures from a day earlier.

‘OWN GOAL’

While limited testing and lower death reports at the weekend may have played a role, Health Minister Jens Spahn said the trend was downward but the numbers remained far too high.

Ute Czeschka, an independent member of the Meissen city council, said another factor that contributed to infections exploding in eastern German states like Saxony was their proximity to the Czech Republic and Poland, two hot spots on Germany’s eastern border.

“Many of our health care workers and doctors come from hot spots like the Czech Republic,” said Czeschka. “So this didn’t help. But the main reason we got here is that, until recently, many people did not believe in the virus. Now they do.”

SPD lawmaker Richter said that the skepticism of the coronavirus promoted by local AfD leaders, who during the summer showed up at anti-lockdown protests not wearing masks, had encouraged people to flout hygiene and distancing rules.

“Fighting a pandemic is like a team trying to win a soccer match,” said Richter. “You can’t win if some players are trying to score an own goal.”

A study by the Forsa research institute found that only 19% of AfD supporters believed the federal government’s information about the pandemic was credible and less than 30% of men who support the party followed distancing and hygiene rules.

This compared with 75% and 65% respectively for the whole population.

(Reporting by Joseph Nasr; Editing by Mike Collett-White)

‘There’s no food’: U.S.-bound migrant caravan hunkers down after Guatemala crackdown

By Luis Echeverria

VADO HONDO, Guatemala (Reuters) – Hundreds of mostly Honduran migrants huddled overnight on a highway in eastern Guatemala after domestic security forces used sticks and tear gas to halt the passage of a U.S.-bound caravan just days before U.S. President-elect Joe Biden takes office.

As many as 8,000 migrants, including families with young children, have entered Guatemala since Friday, authorities say, fleeing poverty and lawlessness in a region rocked by the coronavirus pandemic and back-to-back hurricanes in November.

“There’s no food or water, and there are thousands of children, pregnant women, babies, and they don’t want to let us pass,” said a Honduran stuck at the blockade who gave his name only as Pedro.

Guatemalan authorities said late on Sunday they have sent 1,568 migrants back home since Friday, the vast majority to Honduras. Nearly 100 were returned to El Salvador.

A Reuters witness said about 2,000 migrants were still camped out on the highway near the village of Vado Hondo, about 55 km (34 miles) from the borders of Honduras and El Salvador, after clashing with Guatemalan security forces on Sunday.

“We’re starving,” said one Honduran mother, stuck behind the cordon with her 15-year-old son, her daughter, 9, and her 4-year-old niece.

“All we have is water and a few cookies,” said the woman, who declined to give her name, but added that she and other travelers had formed a prayer circle as they camped out.

Other migrants evaded the gridlock by fleeing into the hills to continue onward to the border of Mexico, where the government has deployed police and National Guard troopers.

“We ran into the mountains because I’m traveling with my one-year-old,” said Diany Deras, another Honduran.

Mexico’s border with Guatemala was quiet.

“All is calm here,” said a National Guardsman in charge of a border crossing directly opposite Tecun Uman, Guatemala, where caravan leaders hope to cross into Mexico. He sought anonymity as he was not authorized to speak to media.

“I hope Guatemala contains them,” he added.

(Reporting by Luis Echeverria in Vado Hondo, Sofia Menchu in Guatemala City and Laura Gottesdiener in Tapachula; Writing by Laura Gottesdiener; Editing by Clarence Fernandez)

Global COVID-19 death toll tops 2 million

By Shaina Ahluwalia and Kavya B

(Reuters) – The worldwide coronavirus death toll surpassed 2 million on Friday, according to a Reuters tally, as nations around the world are trying to procure multiple vaccines and detect new COVID-19 variants.

It took nine months for the world to record the first 1 million deaths from the novel coronavirus but only three months to go from 1 million to 2 million deaths, illustrating an accelerating rate of fatalities.

So far in 2021, deaths have averaged over 11,900 per day or one life lost every eight seconds, according to a Reuters tally.

“Our world has reached a heart-wrenching milestone ,” United Nations chief Antonio Guterres said in a video statement.

“Behind this staggering number are names and faces: the smile now only a memory, the seat forever empty at the dinner table, the room that echoes with the silence of a loved one,” he said, calling for more global coordination and funding for the vaccination effort.

By April 1, the global death toll could approach 2.9 million, according to a forecast from the Institute for Health Metrics and Evaluation.

Given how fast the virus is spreading due to more infectious variants, the World Health Organization (WHO) warned the worst could be ahead.

“We are going into a second year of this. It could even be tougher given the transmission dynamics and some of the issues that we are seeing,” Mike Ryan, the WHO’s top emergencies official, said during a Wednesday event.

The United States has the highest total number of deaths at over 386,000 and accounts for one in every four deaths reported worldwide each day. The next worst-affected countries are Brazil, India, Mexico and the United Kingdom. Combined, the five countries contribute to almost 50% of all COVID-19 deaths in the world but represent only 27% of the global population.

Europe, the worst-affected region in the world, has reported over 615,000 deaths so far and accounts for nearly 31% of all COVID-related deaths globally.

In India, which recently surpassed 151,000 deaths, vaccinations are set to begin on Saturday in an effort that authorities hope will see 300 million high-risk people inoculated over the next six to eight months.

(Reportintg by Shaina Ahluwalia and Kavya B in Bengalaru; Additional reporting by Chaithra J in Bengaluru; Editing by Lisa Shumaker, Frances Kerry and Jonathan Oatis)

Britain tightens borders to keep out new COVID-19 strains

LONDON (Reuters) – Britain is tightening border controls to prevent new strains of COVID-19 coming into the country, suspending all the ‘travel corridor’ arrangements that had meant arrivals from some countries did not need to quarantine.

The change comes into force at 0400 GMT on Monday and means all passengers must have a recent negative coronavirus test and transfer immediately into isolation upon arrival. The isolation period lasts for 10 days, unless the passenger tests negative after five days.

Prime Minister Boris Johnson made the announcement during a news conference when he praised the country’s vaccination program, but he also warned: “What we don’t want to see is all that hard work undone by the arrival of a new variant that is vaccine busting.”

On Thursday, Britain banned arrivals from South America, Portugal and some other countries over fears about a strain of the virus detected in Brazil.

Britain has already felt the effects of mutations in the virus first hand. A strain first discovered in England has proved to be more transmissible and a major factor behind a spike in cases across the country.

(Reporting by Sarah Young, Writing by William James, editing by Elizabeth Piper)

For Los Angeles-area ambulance crews, the COVID-19 calls never stop

By Norma Galeana and Alan Devall

SANTA FE SPRINGS, Calif. (Reuters) – For Southern California ambulance crews, the shifts feel never-ending and the calls to pick up COVID-19 patients seem endless.

“In 30 years, I’ve never seen a call volume like this,” said Eileen Cegarra, 56, an ambulance dispatch center supervisor for Care Ambulance Service, one of the largest ambulance companies in the Los Angeles area, which has become the epicenter of the U.S. coronavirus pandemic.

California hospitals have grown so full of COVID-19 patients that state officials ordered hospitals to delay non-life-threatening surgeries, preserving space for serious cancer removal and necessary heart operations.

Outside many Southern California hospitals, ambulances loaded with COVID-19 patients wait for hours until space becomes available in the intensive care unit (ICU) or emergency room (ER).

Beside affecting the patients, the backlog has taken its toll on the ambulance crews who respond to calls for the sick.

“The calls don’t stop just because the crews are in the ER,” Cegarra said.

Jennifer Mueller, 30, works 24-hour shifts as a Care emergency medical technician, saying the pandemic has taken a physical and emotional toll on those in her profession.

“Everyone’s exhausted. Everyone’s tired. We run the calls; we want to help people. But there’s only so much that we can do,” Mueller told Reuters during a spare moment.

Patients are left sitting on hard gurneys in the cold. About all Mueller said she can do is offer a blanket.

“They’re in pain,” she said. “It’s just, it’s heartbreaking.”

California, the most populous state with nearly 40 million people, has accounted for much of the U.S. surge since November.

State officials reported 33,751 newly recorded confirmed cases Tuesday, pushing the total to 2.8 million since the pandemic began a year ago.

In Los Angeles County, with a population of about 10 million, COVID-19 kills someone every eight minutes, health officials say.

Every minute, 10 people test positive in L.A. County, and more than 1 percent of those who test positive end up dead, according to the Los Angeles County Department of Public Health.

Dispatcher Jaime Hopper, 29, has seen the tragedy first hand.

“The other day I had I think at one time nine calls sitting. So, that’s nine people that are in distress,” Hopper said. “So, it’s a little bit, it’s unnerving, but you kind of just got to do what you can.”

(Reporting by Norma Galeana and Alan Devall; Writing by Daniel Trotta; Editing by Aurora Ellis)

American teachers grapple with patchy COVID-19 vaccine rollout

By Maria Caspani and Brendan O’Brien

NEW YORK (Reuters) – For New York City high school teacher Rebecca Crawford, receiving the coronavirus vaccine meant taking the first concrete step towards seeing her students in person again, after an uncertain year that she spent mostly teaching online.

On Wednesday afternoon, Crawford, 39, was administered the first dose of a two-shot COVID-19 vaccine at Kings County Hospital in the borough of Brooklyn, days after New York Governor Andrew Cuomo opened up inoculations for teachers.

“For so long,” Crawford told Reuters shortly after being vaccinated, “there’s nothing that felt concrete that I could do to get to see my students.”

Crawford is one of the lucky ones. Across the country, many teachers, including those in neighboring New Jersey, are still not eligible to receive the vaccine. The lack of a federal blueprint for mass inoculation has left individual states to decide who gets the shots and when.

It is yet another example of the unevenness that has long characterized the national effort to tackle the pandemic. Many of the 50 million public students in the United States are still taking their classes online, almost a year after the virus shut down schools nationwide.

While teachers in some states wait to be vaccinated, some of them say they are being pressured to return to the classroom during a surge in COVID-19 infections. In Chicago, where teachers are not getting vaccinated yet, the powerful teachers union is pushing back against the district requiring teachers to return to classrooms as it gradually reopens school buildings.

“Teachers may get their vaccines, but our family members may not be getting them as early as we will. That is why we need a safe reopening plan,” Chicago kindergarten teacher Nicole Flores, 28, said.

In one New Jersey district, educators holding signs that read “First vaccinate then return” staged a walkout on Wednesday, the first day of in-person instruction there, saying they are concerned that the reopening was premature and dangerous.

“We cannot help but feel that we are entering into a situation of very real danger, to ourselves and colleagues, and to our students and their families,” Rocio Lopez, the president of the South Orange-Maplewood Education Association said in a statement.

Lopez said she would urge local health authorities to postpone in-person education until vaccines are “amply available.”

CLASSROOM CONCERNS

In New York, some teachers who are grateful to be getting vaccinated are also concerned that inoculations alone won’t make classrooms safe again.

“I cried when I made the appointment,” said Sari Rosenberg, a New York high school teacher who is scheduled to receive the vaccine next week, describing her anticipation.

At the same time, Rosenberg said, she feared classrooms would remain a fertile breeding ground for COVID-19 as her teenaged students were not yet eligible for the vaccine and could take the virus home to their families and vulnerable members of their communities.

In-person education has resumed for some in New York City public schools and New York City Mayor Bill de Blasio said this week he was eager to get more children back in the classroom.

Scientists say more data is needed before we can know whether individuals who have been vaccinated can still spread the virus. Health officials have urged the public to stick with mitigation measures such mask-wearing and social distancing, at least for a few months.

Regardless of access, some educators – like many members of the public – are hesitant about getting inoculated, expressing concerns about the vaccine’s safety.

“The vaccination was put together a little too quickly for me,” said Rochell Wallace-Haley, a 37-year-old Milwaukee seventh-grade special education teacher who does not plan to get inoculated. “I believe that it is still in the experimental stage right now and I don’t want to be part of that experiment.”

Milwaukee schools are currently offering remote learning only. In the next month, the district’s school board is expected to decide whether to send students back to classrooms. Teachers in the Wisconsin city could begin getting vaccinated within weeks.

Even though Wallace-Haley is not willing to get vaccinated, she is still eager to get back into the classroom.

“I would be willing to put on a gas mask and wear a suit because I’m not working for a paycheck, I’m working because it is my passion,” she said.

(Reporting by Maria Caspani in New York and Brendan O’Brien in Chicago; Editing by Daniel Wallis)

COVID-19 tests: Central America’s latest tool to stop migrant caravans

By Sofia Menchu and Lizbeth Diaz

GUATEMALA CITY (Reuters) – As the first groups from Central America headed toward the Guatemalan border on Thursday as part of a caravan aiming to reach the United States, regional governments are using coronavirus measures as the latest tool to curtail migration.

Guatemala, Honduras, El Salvador and Mexico issued a joint declaration this week imposing coordinated health measures to deter migration, including requirements to produce negative coronavirus tests at border checkpoints.

The tightening by Mexican and Central American authorities, coupled with pandemic-linked U.S. border restrictions in place since March, represent a sweeping effort to use public health regulations to deter movement along one of the world’s busiest migration routes at a time when a fierce second wave of coronavirus is sweeping the region.

In Mexico, the pandemic has killed nearly 137,000 people and the capital’s hospitals are spiking with COVID-19 cases.

This week’s caravan, slated to depart Honduras on Friday, would be the first of the year.

Yet, Central American and Mexican authorities are stepping up efforts to stop migrants well before the U.S. border, which will likely be a relief for Biden, whose aides have privately expressed concerns about the prospect of a growing numbers of migrants seeking to enter the United States in the early days of his administration.

On Thursday, Guatemala cited the pandemic in order to declare emergency powers in seven Guatemalan border provinces migrants frequently transit through en route to the Mexican border. The measures limit public demonstrations and allow authorities to disperse any public meeting, group or demonstration by force.

Honduras and Guatemala have also announced they will deploy thousands of soldiers to preemptively stop caravan members not complying with health regulations.

“We barely have food to eat, how do they think we are going to pay for these (coronavirus) tests?” said 29-year-old Ulises Santos from El Salvador, who is hoping to join the caravan.

Central America is reeling from economic crises, high rates of violence, and the devastating fallout of two major hurricanes that battered the region in November.

Migration experts say the public health measures are part of a broader effort by Central American and Mexican authorities, under pressure from Washington, to stop migrants before they reach U.S. territory.

“The U.S. border is moving further and further south,” said renowned Honduran human rights activist Ismael Moreno.

“The goal (of local police) is to stop migrants, whether through repression, threats, extortion, or requirements to present a COVID-19 test.”

(Reporting by Lizbeth Diaz in Mexico City and Sofia Menchu in Guatemala, additional reporting by Gustavo Palencia in Honduras, Jose Torres in Tapachula, Laura Gottesdiener in Monterrey; editing by Jonathan Oatis and Diane Craft)

COVID-19 infection gives some immunity, but virus can still be spread, study finds

By Kate Kelland

LONDON (Reuters) – People who have had COVID-19 are highly likely to have immunity to it for at least five months, but there is evidence that those with antibodies may still be able to carry and spread the virus, a study of British healthcare workers has found.

Preliminary findings by scientists at Public Health England (PHE) showed that reinfections in people who have COVID-19 antibodies from a past infection are rare – with only 44 cases found among 6,614 previously infected people in the study.

But experts cautioned that the findings mean people who contracted the disease in the first wave of the pandemic in the early months of 2020 may now be vulnerable to catching it again.

They also warned that people with so-called natural immunity – acquired through having had the infection – may still be able carry the SARS-CoV-2 coronavirus in their nose and throat and could unwittingly pass it on.

“We now know that most of those who have had the virus, and developed antibodies, are protected from reinfection, but this is not total and we do not yet know how long protection lasts,” said Susan Hopkins, senior medical adviser at PHE and co-leader of the study, whose findings were published on Thursday.

“This means even if you believe you already had the disease and are protected, you can be reassured it is highly unlikely you will develop severe infections. But there is still a risk you could acquire an infection and transmit (it) to others.”

MAJOR IMPLICATIONS

Experts not directly involved in the research, which is known as the SIREN study, urged people to note its key findings.

“These data reinforce the message that, for the time being, everyone is a potential source of infection for others and should behave accordingly,” said Eleanor Riley, a professor of immunology and infectious disease at Edinburgh University.

Simon Clarke, an associate professor in cellular microbiology at Reading University, said the study “has major implications for how we can get out of the current crisis”.

“This means that the vast majority of the population will either need to have natural immunity or have been immunized for us to fully lift restrictions on our lives, unless we are prepared to see many more people being infected and dying from COVID-19,” he said.

PHE said in a statement that the study had not been able to explore antibody or other immune responses to the COVID-19 vaccines being rolled out in Britain. Vaccine effects would be studied as part of SIREN later this year, it said.

The SIREN study involves tens of thousands of healthcare workers in Britain who have been tested regularly since June for new COVID-19 infections as well as for the presence of antibodies.

Between June 18 and Nov. 24, scientists found 44 potential reinfections – two “probable” and 42 “possible” – among 6,614 participants who had tested positive for antibodies. This represents an 83% rate of protection from reinfection, they said.

The researchers said they would continue to follow the participants to see if this natural immunity might last longer than five months in some. But they said early evidence from the next stage of the study suggested some people with immunity could still carry high levels of virus.

(Reporting by Kate Kelland; Editing by Mark Heinrich, Robert Birsel)