AstraZeneca expects COVID vaccine result by year-end if trials resume

By John Miller and Ludwig Burger

ZURICH/FRANKFURT (Reuters) – AstraZeneca should still know by year-end whether its experimental vaccine protects people against coronavirus, as long as it is cleared to resume trials soon, its chief executive said on Thursday amid doubts over its rollout.

Governments desperate to put an end to the COVID-19 pandemic which has caused more than 900,000 deaths and huge economic and social disruption during 2020 are pinning their hopes on a vaccine.

However British drugmaker AstraZeneca suspended late-stage trials on its potential vaccine this week after an illness in a participant in Britain who was reported to be suffering from symptoms associated with transverse myelitis, a rare spinal inflammatory disorder.

The World Health Organization (WHO) has flagged the AstraZeneca vaccine, which is being developed with the University of Oxford, as the most promising for coronavirus.

CEO Pascal Soriot said during an online event on Thursday that AstraZeneca did not yet know the diagnosis of the participant who was ill, adding that it was not clear if the volunteer had transverse myelitis and more tests were needed.

The diagnosis would be submitted to an independent safety committee and this would usually then say whether trials can be resumed, Soriot said, adding it was usual for such pauses.

“It’s very common, actually, and many experts will tell you this,” Soriot said, adding: “The difference with other vaccine trials is, the whole world is not watching them, of course. They stop, they study, and they restart.”

Shares in AstraZeneca fell on Wednesday after the trial halt raised doubts about the timeline for the vaccine’s rollout.

AstraZeneca would supply vaccines to countries at the same time to ensure a fair and equitable distribution, Soriot said, reiterating that the company was close to having capacity to produce 3 billion doses at sites set up around the world to prevent governments from restricting distribution.

With up to 60,000 people set to participate in the study program, AstraZeneca’s CEO said the volume was typical of vaccine trials and large enough to spot rare side effects.

“With this you are going to pick up very rare events.” he said, adding that a planned staggered launch, prioritizing at-risk groups, would provide further assurance for the masses that are set to be covered by government plans at a later stage.

Serum Institute of India, one of AstraZeneca’s development and production partners, said on Thursday it was joining the suspension, backtracking on remarks that it did not face any issues.

‘DIFFICULT TO BE SURE’

Transverse myelitis cases after a vaccination have been documented before, but concrete links between the condition and vaccinations have not been established, experts said.

The U.S.-based Mayo Clinic concludes that the association so far is not strong enough to warrant limiting any vaccine.

A 2009 review in the journal Lupus of nearly 40 years of English-language publications found 37 cases of transverse myelitis associated with hepatitis B vaccines, measles-mumps-rubella, diphtheria-tetanus-pertussis and others.

The vaccines remained on the market, Stephen Evans, a professor of pharmacoepidemiology at the London School of Hygiene and Tropical Medicine, said.

Linking such an autoimmune response to a single factor like a vaccine is problematic, he said, given the number of immunological, hormonal or environmental factors at play.

“It’s terribly difficult to be sure,” Evans said.

RBC Capital Markets analyst Bryan Abrahams cautioned the trial participant’s condition must be thoroughly investigated.

“Even a single case could possibly imply a rate or association higher in the study than what is normally observed sporadically” he wrote to investors, adding a one in 10,000 risk, if confirmed, would likely be unacceptable.

BioNTech, among the frontrunners in the vaccine race with partner Pfizer, echoed remarks by Soriot that clinical halts are a common feature of immunization trials.

“Safety is a top priority,” its CEO Ugur Sahin told Reuters.

(Additional reporting by Patricia Weiss and Josephine Mason; Editing by Alexander Smith)

Severe COVID-19 riskier than heart attack for young adults; antibiotic shows no benefit

By Nancy Lapid

(Reuters) – The following is a roundup of some of the latest scientific studies on the novel coronavirus and efforts to find treatments and vaccines for COVID-19, the illness caused by the virus.

More young adults survive heart attacks than severe COVID-19

Among COVID-19 patients treated at 419 U.S. hospitals from April through June, only about 5% were ages 18 to 34. But that group had “substantial rates of adverse outcomes,” according to a report on Wednesday in JAMA Internal Medicine. Roughly one in five needed intensive care, one in 10 needed mechanical ventilation, and nearly 3% died. While the mortality rate is lower than in older adults, it is roughly double the death rate of young adults from heart attacks, the authors say. Obesity, high blood pressure, and diabetes were tied to higher risk for adverse events. For young adults with more than one of these conditions, the risk of a bad outcome was similar to middle-aged adults without the risk factors. More than half of hospitalized young adults were Black or Hispanic, “consistent with prior findings of disproportionate illness severity in these demographic groups,” the authors said. “Given the sharply rising rates of COVID-19 infection in young adults, these findings underscore the importance of infection prevention measures in this age group,” the concluded.

Antibiotic fails to help hospitalized COVID-19 patients

The antibiotic azithromycin did not appear to provide any benefit to hospitalized COVID-19 patients who were having trouble breathing, according to a study in Brazil. At 57 hospitals, 243 COVID-19 patients who needed oxygen or mechanical ventilation were randomly assigned to receive azithromycin, while 183 similar patients did not get the antibiotic. All received other standard treatment, which in Brazil included hydroxychloroquine, a malaria drug that other studies have shown provides little or no benefit. While azithromycin did not appear to do any harm, after 15 days it was not associated with any patient improvement nor did it reduce their risk of death. In an April survey of more than 6,000 physicians in 30 countries, azithromycin was the second most commonly prescribed treatment for COVID-19, the study investigators wrote in The Lancet medical journal. The absence of any benefit in this new study “suggests that the routine use of this strategy should be avoided,” they said.

Risk of catching COVID-19 while hospitalized can be low

Among nearly 8,500 patients admitted to a large Boston hospital between early March and the end of May, only two became sick with coronavirus infections that may have been acquired while they were hospitalized, doctors report. One likely was infected by a spouse who initially appeared well during daily visits but who developed symptoms while the patient was still hospitalized. That was before visitor restrictions and universal masking rules had been implemented. The other patient developed symptoms four days after leaving the hospital. The source of the infection is not known. According to a paper published on Wednesday in JAMA Network Open, infection control efforts at the hospital included dedicated COVID-19 units with airborne infection isolation rooms, personal protective equipment for staff and monitoring to make sure those were used correctly, universal masking, visitor restriction, and liberal COVID-19 testing of symptomatic and asymptomatic patients. These “robust and rigorous infection control practices may be associated with minimized risk” of COVID-19 spreading through hospitals, the authors conclude. Their findings, if replicated at other U.S. hospitals, “should provide reassurance to patients,” they said.

Longer-term COVID-19 lung damage can improve over time

COVID-19 lung damage persists long term but tends to improve, researchers reported on Monday at the European Respiratory Society International Virtual Congress. Researchers studied 86 hospitalized COVID-19 patients, 48% of whom had a smoking history and 21% of whom required intensive care. At 6 weeks after discharge, 47% of patients still reported feeling short of breath. By 12 weeks, that dropped to 39%. CT scans still showed lung damage in 88% of patients at six weeks, dropping to 56% at 12 weeks. “Overall, this study shows that COVID-19 survivors have persisting pulmonary impairment weeks after recovery. Yet, overtime, a moderate improvement is detectable,” lead researcher Dr. Sabina Sahanic, from University Clinic of Internal Medicine in Innsbruck, Austria, said during a press briefing. A related study featured at the meeting stressed the importance of early pulmonary rehabilitation after COVID-19 patients come off a ventilator. This should include balance and walking, muscle strengthening, respiratory exercises and endurance training. “The sooner rehabilitation started and the longer it lasted, the faster and better was the improvement in patients’ walking and breathing capacities and muscle gain,” coauthor Yara Al Chikhanie, from Grenoble Alps University in France, said in a statement.

(Reporting by Nancy Lapid; Editing by Bill Berkrot)

U.S. says blocking visas of some Chinese graduate students and researchers

By David Brunnstrom and Ryan Woo

WASHINGTON/BEIJING (Reuters) – The United States is blocking visas for certain Chinese graduate students and researchers to prevent them from stealing sensitive research, the acting head of the U.S. Department of Homeland Security, said on Wednesday.

Chad Wolf repeated U.S. charges of unjust business practices and industrial espionage by China, including attempts to steal coronavirus research, and accused it of abusing student visas to exploit American academia.

“We are blocking visas for certain Chinese graduate students and researchers with ties to China’s military fusion strategy to prevent them from stealing and otherwise appropriating sensitive research,” he said in a speech in Washington.

Wolf said the United States was also “preventing goods produced from slave labor from entering our markets, demanding that China respect the inherent dignity of each human being,” an apparent reference to alleged abuses of Muslims in China’s Xinjiang region.

Wolf did not give details.

U.S. Customs and Border Protection officials have prepared orders to block imports of cotton and tomato products from Xinjiang over accusations of forced labor, though a formal announcement has been delayed.

Sino-U.S. relations have sunk to historic lows with the world’s two biggest economies clashing over issues ranging from trade and human rights to Hong Kong and the coronavirus.

Earlier, some Chinese students enrolled in U.S. universities said they received emailed notices from the U.S. embassy in Beijing or U.S. consulates in China on Wednesday informing them that their visas had been canceled.

Nearly 50 students holding F-1 academic visas including postgraduates and undergraduates said in a WeChat chatroom the notices stated they would have to apply for new visas if they wanted to travel to the United States.

Many in the chatroom said they were majoring in subjects such as science, technology, engineering and mathematics. Some said they were postgraduates who obtained bachelor’s degrees at Chinese universities with links to the People’s Liberation Army.

In late May, sources with knowledge of the matter told Reuters Washington was planning to cancel the visas of thousands of Chinese graduate students believed to have links to China’s military.

(Reporting by David Brunnstrom in Washington, Ryan Woo in Beijing; Editing by Richard Chang)

U.S. COVID-19 deaths surpass 190,000; Iowa and South Dakota emerge as new hotspots

By Anurag Maan

(Reuters) – Coronavirus deaths in the United States topped 190,000 on Wednesday along with a spike in new cases in the U.S. Midwest with states like Iowa and South Dakota emerging as the new hotspots in the past few weeks.

Iowa currently has one of the highest rates of infection in the nation, with 15% of tests last week coming back positive. Nearby South Dakota has a positive test rate of 19% and North Dakota is at 18%, according to a Reuters analysis.

The surge in Iowa and South Dakota is being linked to colleges reopening in Iowa and an annual motorcycle rally last month in Sturgis, South Dakota.

Kansas, Idaho and Missouri are also among the top 10 states for positive test rates.

New coronavirus infections have fallen for seven weeks in a row for the United States with a death rate of about 6,100 per week from COVID-19 in the last month.

On a per capita basis, the United States ranks 12th in the world for the number of deaths, with 58 deaths per 100,000 people, and 11th in the world for cases, with 1,933 cases per 100,000 residents, according to a Reuters analysis.

U.S. confirmed cases are highest in the world with now over 6.3 million followed by India with 4.4 million cases and Brazil with 4.2 million. The U.S. death toll is also the highest in the world.

The U.S. Centers for Disease Control and Prevention had forecast last month that the U.S. death toll will reach 200,000 to 211,000 by Sept. 26.

The University of Washington’s health institute last week forecasted that the U.S. deaths from the coronavirus will reach 410,000 by the end of the year.

(Reporting by Anurag Maan in Bengaluru; Editing by Lisa Shumaker)

Rebuilt after 9/11, World Trade Center threatened anew by coronavirus

By Daniel Trotta and Gabriella Borter

NEW YORK (Reuters) – As the ruins of New York’s World Trade Center smoldered following the September 11 attacks of 2001, skeptics doubted it could ever rise again.

Now, as the 19th anniversary of 9/11 approaches, the grand vision set forth after its destruction has largely been realized. But the rebuilt World Trade Center complex is under threat anew – this time, from a microscopic virus.

“People are much more worried about someone coughing on them than someone blowing up a building,” said Vishal Garg, chief executive of mortgage refinance startup Better.com, headquartered at 7 World Trade Center adjacent to the site known as Ground Zero.

After the Twin Towers and surrounding buildings were destroyed by al Qaeda hijackers, killing 2,753 of the nearly 3,000 people who died that day, the economy of lower Manhattan was devastated.

But a plan was born, and a lengthy metamorphosis turned the disaster zone into a giant pit, then a walled-off construction site, and finally, some $25 billion later, a tourist attraction and business center with three skyscrapers, a transportation hub, a museum and a memorial.

The coronavirus pandemic has stalled its completion, with a performing arts center under construction and a fourth and final skyscraper planned. Six months after New York City began shutting down due to COVID-19, the World Trade Center and the once-bustling Financial District are now eerily devoid of crowds.

“It’s pretty melancholy. A bit gloomy,” said James Busse, a retail stock broker taking a cigarette break nearby.

Ground Zero became both a solemn memorial and a leisure destination. Choked-up visitors to the 9/11 museum or memorial could step onto an esplanade of children eating ice cream or out-of-town visitors admiring the glass-sheathed towers.

One World Trade Center, America’s tallest building at 1,776 feet (541 meters), was built with a bomb-resistant base, as the old World Trade Center had been attacked in a truck bombing in 1993.

The vision laid out in Daniel Libeskind’s 2003 master plan drove a renaissance that has diversified the local economy, previously reliant on finance.

The public and private sectors have invested some $25 billion in reconstruction, according to the Port Authority of New York and New Jersey, which owns the land.

“Everybody coming to New York wants to come to Ground Zero,” Libeskind said in an interview. “It is the center of New York. It is the great public space.”

At its heart are two reflecting pools designed by Michael Arad, marking the footprints of where the Twin Towers once stood, with a pair of four-sided waterfalls draining into an abyss. The names of the victims are etched into its bronze borders.

Pre-pandemic, hundreds of visitors would gather there. But on a recent afternoon a family from Wichita, Kansas, were the only people at the south tower pool.

TWIN TOWER NOSTALGIA

Nostalgia over the Twin Towers grew after they were destroyed along with so many innocent lives, but they were unloved in their time.

Completed in the 1970’s, the World Trade Center replaced a neighborhood known as Radio Row with an oversized block containing the Twin Towers and little else. The site was frequently called a “windswept plaza.”

“The problem with the World Trade Center is that it never really was that good,” said Carl Weisbrod, a former city planning official who worked on the redevelopment of the new site. “What’s emerged is a central business district that is now a model for the 21st Century as opposed to a sort of a historical artifact of the 20th Century.”

Planning the new site stirred public emotions associated with the attack on the United States, the loss of life and fears of working in tall buildings again.

Critics say the end result still lacks affordable housing and lament the absence of a direct rail link to major regional airports. Architectural critics have called One World Trade Center lackluster.

But there is agreement that, considering all the interests and complexities, it works.

“They did a really wonderful job of knitting it back in the city, but still honoring that sacred site,” said Leslie Koch, president of the complex’s Performing Arts Center.

THE MOVERS ARE HERE

In New York’s vertigo-inducing real estate market, prices rarely drop except after events like 9/11 or a recession, and prices are falling again now.

Downtown Manhattan rents are down 1.4% through July, the largest annualized fall since 2010, said Nancy Wu, an economist with the real estate database StreetEasy.

As of 2019, the neighborhood’s rental market was the city’s fastest-growing. But the inventory of available apartments rose 80 percent this July from a year earlier, Wu said.

Guy Khan,  director of banking at a financial services company, said the downturn was apparent around his home near City Hall, with chain stores and mom-and-pops closing and neighbors fleeing for the suburbs.

“You see moving trucks every day,” he said.

Developer Larry Silverstein acquired a 99-year lease on the Twin Towers from the Port Authority for $3.2 billion just six weeks before 9/11. He has spent the past 19 years rebuilding.

In 2015, Silverstein forecast the entire site would be rebuilt by 2020, but that changed after the planned anchor tenant for 2 World Trade Center pulled out.

“Life is so unpredictable,” he said.

Silverstein and Libeskind, the master planner, see the pandemic as a temporary pause in downtown Manhattan’s ascendance, noting how predictions of decline after 9/11 proved wrong.

“People said New York will never come back. And it’s the same thing during the pandemic,” Libeskind said. “But I don’t believe it. New York is too resilient,” .

(Reporting by Daniel Trotta and Gabriella Borter; Writing by Daniel Trotta; Editing by Dan Grebler)

COVID-19 cases rise in U.S. Midwest and Northeast, deaths fall for third week

(Reuters) – Several states in the U.S. Midwest and Northeast have seen new COVID-19 cases increase for two weeks in a row, though nationally both new infections and deaths last week remained on a downward trend, a Reuters analysis showed.

The United States reported more than 287,000 new cases in the week ended Sept. 6, down 1.4% from the previous week and marking the seventh straight week of declines. More than 5,800 people died from COVID-19 last week, the third week in a row that the death rate has fallen.

Nevertheless, 17 states have seen cases rise for at least two weeks, according to the Reuters tally of state and county reports. They include Missouri, North Dakota and Wisconsin, where between 10% and 18% of people tested had the new coronavirus.

In the Northeast, Delaware, New Hampshire, New Jersey and New York also reported increases in new cases for at least two weeks, though the positive test rate ranged from a low of 0.9% in New York to a high of 4.3% in Delaware — below the 5% level the World Health Organization considers concerning.

In some states, testing has increased as schools reopened. New York City, for instance, is testing 10% to 20% of students and staff every month. The University of Illinois is testing students twice a week.

Nationally, the share of all tests that came back positive for COVID-19 fell for a fifth week to 5.5%, well below a peak of nearly 9% in mid-July, according to data from The COVID Tracking Project, a volunteer-run effort to track the outbreak.

The United States tested on average 741,000 people a day last week, up 5% from the prior week, but down from a peak in late July of over 800,000 people a day.

(Writing by Lisa Shumaker; Graphic by Chris Canipe; Editing by Tiffany Wu)

U.S. CDC reports 188,688 deaths from coronavirus

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) said on Tuesday the number of deaths due to the new coronavirus had risen by 175 to 188,688 and reported 6,287,362 cases, an increase of 26,146 cases from its previous count.

The CDC reported its tally of cases of the respiratory illness known as COVID-19, caused by a new coronavirus, as of 4 pm ET on Sept. 7 versus its previous report a day earlier.

The CDC figures do not necessarily reflect cases reported by individual states.

(Reporting by Trisha Roy in Bengaluru; Editing by Aditya Soni)

U.S. passenger airline traffic rising, but still down sharply over 2019

WASHINGTON (Reuters) – U.S. passenger airline traffic continues to rebound over historic lows after the coronavirus pandemic, but is still down sharply over 2019 levels.

The U.S. Transportation Department said Tuesday airlines carried 21.4 million passengers in July, up from 16.5 million in June, but still down 73% over July 2019 levels. On Friday, the Transportation Security Administration screened 968,673 people at airport checkpoints, the highest daily number since March 16 but still down more than 60% over 2019 levels.

(Reporting by David Shepardson, Editing by Franklin Paul)

WHO’s Tedros says ‘vaccine nationalism’ would prolong pandemic

By Stephanie Nebehay and Emma Farge

GENEVA (Reuters) – WHO Director-General Tedros Adhanom Ghebreyesus said on Friday that “vaccine nationalism” would only slow the effort to quash the pandemic and called for vaccines to be used fairly and effectively.

Tedros said 78 high-income countries had now joined the “COVAX” global vaccine allocation plan, bringing the total to 170 countries, and the “number is growing”. He urged others to join by the Sept. 18 deadline for binding commitments.

Joining the plan guaranteed those countries access to the world’s largest portfolio of vaccines, with nine candidates currently in the pipeline, he said, adding that a further four were “promising”.

The WHO and the GAVI vaccine alliance are leading the COVAX facility, aimed at helping buy and distribute vaccination shots fairly around the world.

But some countries that have secured their own supplies through bilateral deals, including the United States, have said they will not join COVAX.

“Vaccine nationalism will prolong the pandemic, not shorten it,” Tedros told a WHO briefing in Geneva, without mentioning any specific countries.

“If and when we have an effective vaccine, we must also use it effectively … In other words, the first priority must be to vaccinate some people in all countries, rather than all people in some countries,” he said, adding that priority should be given to healthcare workers, the elderly and those with underlying conditions.

Tedros thanked Germany, Japan, Norway and the European Commission for joining COVAX during the last week.

“Certainly by the middle of 2021 we should start to see some vaccines actually moving into countries and populations,” said WHO chief scientist Soumya Swaminathan, reiterating earlier comments.

Noting that there were 13 experimental vaccines currently in clinical trails, Swaminathan called it an “optimistic scenario” since the typical success rate of 10% could mean several vaccines are approved.

But Swaminathan said that no vaccine should be approved for a worldwide rollout until it had undergone sufficient scrutiny.

“No vaccine is going to be mass-deployed until regulators are confident, governments are confident, and the WHO is confident it has met the minimum standard of safety and efficacy,” she said.

Results were expected from some of the candidates already in phase 3 trials, each involving thousands of participants, by the end of the year or early 2021, Swaminathan said.

“We are not going to have enough for the whole world right at the beginning,” she said adding that scaling up of manufacturing would take time.

“Eventually there will be enough for everyone but it will mean prioritization,” she said.

(Reporting by Stephanie Nebehay and Emma Farge; Editing by Alison Williams and Giles Elgood)

U.S. CDC reports 186,173 deaths from coronavirus

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) on Friday said the number of deaths due to the new coronavirus had risen by 1,081 to 186,173 and reported 6,132,074 cases, an increase of 44,671 cases from its previous count.

The CDC reported its tally of cases of the respiratory illness known as COVID-19, caused by a new coronavirus, as of 4 p.m. ET on Sept. 3 compared with its previous report a day earlier.

The CDC figures do not necessarily reflect cases reported by individual states.

(Reporting by Vishwadha Chander in Bengaluru; Editing by Vinay Dwivedi)