U.S. plans to invest billions in manufacturing COVID-19 vaccine

By Jeff Mason and Alexandra Alper

WASHINGTON (Reuters) -The United States plans to invest billions of dollars in expanding COVID-19 vaccine manufacturing capacity and make available an additional one billion doses per year, White House COVID-19 coordinator Jeff Zients said on Wednesday.

Activists have pressured President Joe Biden’s administration to increase vaccine supply to poorer countries.

Zients said the government was preparing to offer makers of the mRNA vaccines substantial help to expand infrastructure and capacity, including facilities, equipment, staff or training.

Pfizer/BioNTech and Moderna are the only makers of mRNA vaccines, though Zients said subcontractors of those companies would also be included.

Production will start in the second half of 2022, he said.

The investment in vaccine production is part of a private-public partnership to address vaccine needs at home and around the world and to prepare for future pandemics, he said. It will be paid for with funds from the American Rescue Plan Biden signed into law in March.

In the short term, the program would make a significant amount of COVID-19 vaccine doses available at cost for global use. In the long term, it would help establish sustained domestic manufacturing capacity to rapidly produce vaccines for future threats, Zients said.

Zients said 80% of Americans 12 and older have received at least one COVID-19 vaccine dose, highlighting a milestone in efforts to curb the spread of the deadly virus.

He also said 2.6 million kids aged 5-11 will have received their first shot of the COVID-19 vaccine by the end of Wednesday.

(Reporting by Jeff Mason and Alexandra Alper, Additional reporting by Doina Chiacu and Ahmed Aboulenein; Editing by Chizu Nomiyama, Bernadette Baum and David Gregorio)

Czechs to bar unvaccinated from public events as COVID cases hit record

By Jan Lopatka

PRAGUE (Reuters) – The Czech Republic will ban people who have not been vaccinated against COVID-19 from access to public events and services from Monday, Prime Minister Andrej Babis said on Wednesday, and negative tests will no longer be recognized.

The restrictions, to be approved by cabinet on Thursday, come after a spike in new infections to a record 22,479 on Tuesday.

Many European countries, including Czech neighbors Germany, Austria and Slovakia, have recorded spikes in infections and have started tightening curbs.

Slovakia reported a record number of cases on Wednesday, and Hungary and Poland had the highest numbers in more than six months.

“From that time (Monday) only vaccinations and having recovered from COVID will be recognized when it comes to services and public events,” Babis said.

“People have to finally believe that COVID kills.”

The Czech Republic, with a population of 10.7 million, has had to observe relatively light restrictions in the latest COVID-19 wave, with the government pledging no school closures or lockdowns.

The government has resisted tightening rules while in transition to a new administration, but the worsening situation in hospitals has made it consider restrictions on unvaccinated people.

Hospitals reported 4,425 coronavirus patients on Tuesday, fewer than half the record highs seen in March, and 661 people in intensive care, the Health Ministry said.

The country has recorded a total of 31,709 COVID-19 deaths, with the daily count mostly over 60 in the past days.

The Czech Republic’s vaccination rate has lagged those of other countries, with 57.6% of the population fully vaccinated versus an EU average of 64.9%, according to data from the European Centre for Disease Prevention and Control.

(Reporting by Jan Lopatka; Editing by Tom Hogue, Ana Nicolaci da Costa and Nick Macfie)

What you need to know about the coronavirus right now

(Reuters) – Here’s what you need to know about the coronavirus right now:

Lawsuit consolidation set to give Biden administration a chance to revive COVID vaccine mandate

Lawsuits filed around the United States challenging the Biden administration’s workplace COVID-19 vaccine rule are expected to be consolidated in a single federal appeals court on Tuesday, giving the government a chance to revive a rule that was blocked last week.

More than a dozen lawsuits have been filed challenging the rule, which requires employers with at least 100 workers to mandate COVID-19 vaccination or weekly testing combined with wearing a face covering at work.

Pfizer to allow generic versions of its COVID-19 pill in 95 countries

Pfizer Inc said on Tuesday it will allow generic manufacturers to supply its experimental antiviral COVID-19 pill to 95 low- and middle-income countries through a licensing agreement with international public health group Medicines Patent Pool (MPP).

The voluntary licensing agreement between Pfizer and the MPPwill allow the United Nations-backed group to grant sub-licenses to qualified generic drug manufacturers to make their own versions of PF-07321332.

Pfizer will sell the pills it manufactures under the brand name Paxlovid.

Delta dominates, scientists watch for worrisome offspring

The Delta variant of the SARS-CoV-2 virus now accounts for nearly all coronavirus infections globally and virus experts are closely watching its evolution, looking for signs of mutation.

According to the WHO, Delta makes up 99.5% of all genomic sequences reported to public databases and has “outcompeted” other variants in most countries.

A key exception is South America, where Delta has spread more gradually, and other variants previously seen as possible global threats – notably Gamma, Lambda and Mu – still contribute to a significant proportion of reported cases.

Japan plans to ease quarantine rules – report

Japan intends to ease quarantine rules by the end of November for people inoculated with Johnson & Johnson’s COVID-19 vaccine, the Nikkei daily reported on Tuesday.

Last week the country took a first step in its planned phased re-opening of borders, which centers on business travelers.

Germany could make COVID test or vaccine mandatory for public transport

Want to take the bus or train in Germany? You may soon have to provide a negative COVID-19 test, or proof of vaccination or recent recovery, as the country becomes the latest in Europe to consider drastic steps to tackle a new surge in cases in the region.

The center-left Social Democrats, Greens and pro-business FDP said on Monday they would add harsher measures to their draft law under parliamentary consideration to deal with the outbreak.

India’s Dr. Reddy’s open to making Pfizer pill

Dr. Reddy’s Laboratories, one of a handful of Indian drug companies licensed to make a new COVID-19 pill developed by Merck, said on Monday it was open to making a similar pill from Pfizer thought to be even more effective.

The new drugs, which unlike vaccines can be used to treat patients once they contract coronavirus infections, are expected to have a huge market.

Merck has licensed manufacturers in developing countries to ensure swift global supply, and companies are hopeful that Pfizer will do the same.

(Compiled by Karishma Singh and Ed Osmond; Editing by Jan Harvey)

Vaccines not linked to menstrual changes; COVID, flu shots can go together

By Nancy Lapid

(Reuters) – The following is a summary of some recent studies on COVID-19. They include research that warrants further study to corroborate the findings and that has yet to be certified by peer review.

No link seen between vaccines and menstrual changes

Many women have reported noticing changes in their menstrual cycle after being vaccinated against COVID-19 but a new study of 1,273 women in the UK found no correlation, according to a report posted on Monday on medRxiv ahead of peer review. The women in the study kept careful records of their cycles and their vaccination dates. “We were unable to detect strong signals to support the idea” that COVID-19 vaccines are linked to changes in timing or flow of women’s periods, said Victoria Male from Imperial College London. It is possible that larger studies, or studies in other countries, might find links, she said. “It is important to note that most people who report such a change following vaccination find that their period returns to normal the following cycle.” Other studies have found no evidence that the vaccines affect female fertility, Male added.

Safe to get COVID-19 vaccine, flu shot together

It is safe to administer COVID-19 vaccines and flu vaccines to patients at the same time, and doing so might increase vaccination rates, according to a report published on Thursday in The Lancet. Researchers randomly assigned 697 adult volunteers to receive their second dose of either the mRNA vaccine from Pfizer/BioNTech or the viral-vector vaccine from AstraZeneca/Oxford, along with one of three influenza vaccines for the 2020-2021 season (FluAd or Flucelvax from Seqirus UK or Flublok from Sanofi) or a placebo. Most reactions to the shots were mild or moderate, and antibody responses to the vaccines were not adversely affected by getting two shots at once, the study found. Giving both vaccines at a single appointment “should reduce the burden on health-care services for vaccine delivery, allowing for timely vaccine administration and protection from COVID-19 and influenza for those in need,” the research team concluded.

Lung cancer patients respond well to COVID-19 vaccines

Lung cancer patients may get good protection from mRNA COVID-19 vaccines even while undergoing treatments that suppress the immune system, a small study suggests. From January through July this year, researchers in France administered the vaccine from Pfizer/BioNTech to 306 lung cancer patients, 70% of whom had recently received immunosuppressive therapies that impair the body’s ability to respond to vaccines. Patients with COVID-19 antibodies from a previous infection received only one dose; most patients, however, received both doses, according to a paper released on Monday and scheduled for publication in the Journal of Thoracic Oncology. About 10% of the patients failed to develop antibodies in response to the first two doses and received a third dose, which successfully induced antibodies in all but three individuals who also had blood disorders known to impair the effect of the vaccines. The researchers noted that before vaccines, the death rate among lung cancer patients who developed COVID-19 was 30%. In this seven-month study, only eight patients, or 2.6% of the total, developed mild cases of COVID-19. Because the study was small and not randomized, the investigators called for more research to confirm their findings.

(Reporting by Nancy Lapid; Editing by Tiffany Wu)

Austria locks down unvaccinated as COVID cases surge across Europe

By Francois Murphy

VIENNA (Reuters) – Austria imposed a lockdown on people unvaccinated against the coronavirus on Monday as winter approaches and infections rise across Europe, with Germany considering tighter curbs and Britain expanding its booster program to younger adults.

Europe has again become the epicenter of the pandemic, prompting some countries to consider re-introducing restrictions in the run-up to Christmas and stirring debate over whether vaccines alone are enough to tame COVID-19.

The disease spreads more easily in the winter months when people gather inside.

Europe last week accounted for more than half of the 7-day average of infections globally and about half of latest deaths, according to a Reuters tally, the highest levels since April last year when the virus was at its initial peak in Italy.

Governments and companies are worried the prolonged pandemic will derail a fragile economic recovery.

Austria’s conservative-led government said that about two million people in the country of roughly nine million were now only allowed to leave their homes for a limited number of reasons like travelling to work or shopping for essentials.

But there is widespread skepticism, including among conservatives and the police, about how the lockdown can be enforced – it will be hard to verify, for example, whether someone is on their way to work, which is allowed, or going to shop for non-essential items, which is not.

“My aim is very clear: to get the unvaccinated to get vaccinated, not to lock up the unvaccinated,” Chancellor Alexander Schallenberg told ORF radio as he explained the lockdown, which was announced on Sunday.

The aim is to counter a surge in infections to record levels fueled by a full vaccination rate of only around 65% of the population, one of the lowest in western Europe.

Pensioner Susanne Zwach said the lockdown would be “very, very difficult” to police.

“It is definitely a way of introducing a requirement to get vaccinated through the back door,” she said as she waited in line for her booster shot.

‘STORM OF INFECTION’

Germany’s federal government and leaders of Germany’s 16 states are due to discuss new pandemic measures this week.

Three German state health ministers urged parties negotiating to form a new government to prolong the states’ power to implement stricter measures such as lockdowns or school closures as the seven-day COVID incidence rate hit record highs.

Chancellor Angela Merkel urged unvaccinated people to reconsider their decision in a video message on Saturday.

“Difficult weeks lie ahead of us, and you can see that I am very worried,” Merkel said, speaking in her weekly video podcast.

France, the Netherlands and many countries in Eastern Europe are also experiencing a surge in infections.

Britain is to extend its COVID-19 booster vaccine rollout to people between 40 and 49, officials said on Monday, to boost waning immunity ahead of the colder winter months.

Currently all people 50 and over, those who are clinically vulnerable and frontline health workers are eligible for boosters.

British Prime Minister Boris Johnson said he saw no need to move to a “Plan B” of mask mandates and vaccine passes, even though he was cautious of rising infections in Europe.

“We’re sticking with Plan A,” he said in a broadcast clip on Monday. “But what we certainly have got to recognize is there is a storm of infection out there in parts of Europe.”

Back in Austria, skepticism about vaccines is encouraged by the far-right Freedom Party, the third-biggest in parliament, which is planning a protest against the government’s coronavirus policies on Saturday.

Party head Herbert Kickl, 53, said in a Facebook posting he had tested positive for COVID-19. He has mild symptoms and no fever but will not be able to attend Saturday’s protest because of quarantine requirements.

(Additional reporting by Lisi Niesner in Vienna, Josephine Mason and Alistair Smout in London, Emilio Parodi in Milan and Victoria Waldersee and Maria Sheahan in Berlin; Writing by Nick Macfie, Editing by William Maclean and Philippa Fletcher)

Dutch return to partial lockdown as COVID-19 cases soar

By Bart H. Meijer and Anthony Deutsch

AMSTERDAM (Reuters) -The Netherlands will return to a partial lockdown from Saturday after the government ordered restaurants and shops to close early and barred spectators from major sporting events in an effort to contain a rapid surge in COVID-19 cases.

Caretaker Prime Minister Mark Rutte said restrictions that the Dutch people had thought had ended for good were being reimposed for three weeks.

Supermarkets and non-essential retailers will also close earlier and social distancing measures will be reimposed. The government recommended that no more than four visitors be received at home, effective immediately.

“Tonight we are bringing a very unpleasant message with very unpleasant and far-reaching measures,” Rutte said in a televised address on Friday evening. “The virus is everywhere and needs to be combated everywhere.”

The Dutch government was also exploring ways to restrict access to indoor venues for people who have not been vaccinated, a politically sensitive measure that would require parliamentary approval.

The measures are meant to contain a surge in COVID-19 cases that is straining hospitals across the country.

New infections topped 16,000 for the second day in a row on Friday, beating the previous record of just under 13,000 confirmed cases in a day set in December last year.

(Reporting by Bart Meijer and Anthony Deutsch; Editing by Edmund Blair, Giles Elgood and Gareth Jones)

Judge overrules Texas governor’s ban on mask mandates in schools

By Kanishka Singh and Sharon Bernstein

(Reuters) – A federal judge overruled Texas Governor Greg Abbott’s ban on mask mandates in schools, clearing the path for districts to issue their own rules.

Judge Lee Yeakel of U.S. District Court for the Western District of Texas ruled the governor’s order violated the Americans with Disabilities Act, a landmark 1990 federal law that includes protections for students with special needs. In his ruling, Yeakel said the executive order put children with disabilities at risk.

“The spread of COVID-19 poses an even greater risk for children with special health needs,” the judge said in the order. “Children with certain underlying conditions who contract COVID-19 are more likely to experience severe acute biological effects and to require admission to a hospital and the hospital’s intensive-care unit.”

Texas Attorney General Ken Paxton said he “strongly disagreed” with the ruling.

“My agency is considering all legal avenues to challenge this decision,” Paxton said on Twitter.

The issue of mandates to curb the pandemic has become politicized in much of the United States. Supporters of mandates say they are needed to fight the COVID-19 pandemic, and opponents argue they curb individual liberty.

Some school districts in conservative states where governors have forbidden mask mandates are ignoring the bans, but others feel compelled to enforce them. In Texas, numerous districts including those in Dallas, Houston, and San Antonio, have flouted the ban since it was first announced in May, but others came into compliance amid state pressure including a public list published by Paxton’s office.

In his order, Yeakel said the state could not enforce its ban on mask requirements in school, and also could not levy fines or withhold funds from districts that impose mask-wearing.

The order was challenged by disability rights activists on behalf of several Texas students with special needs.

(Reporting by Kanishka Singh in Bengaluru and Sharon Bernstein in Sacramento; Editing by Tom Hogue and Raju Gopalakrishnan)

Sleep apnea linked to COVID-19 outcomes

By Nancy Lapid

(Reuters) – The following is a summary of some recent studies on COVID-19. They include research that warrants further study to corroborate the findings and that have yet to be certified by peer review.

Sleep apnea tied to severe COVID-19

The risk of severe illness from COVID-19 is higher in people with obstructive sleep apnea and other breathing problems that cause oxygen levels to drop during sleep, researchers say. They tracked 5,402 adults with these problems and found that roughly a third of them eventually tested posted for the coronavirus. While periodic episodes of not-breathing while asleep – leading to low oxygen levels, or hypoxia – did not increase people’s chances of being infected, sleep-related hypoxia did increase infected patients’ odds of needing to be hospitalized or dying from COVID-19, Drs. Cinthya Pena Orbea and Reena Mehra of the Cleveland Clinic and colleagues reported on Wednesday in JAMA Network Open. It is not clear if treatments that improve sleep apnea, such as CPAP machines that push air into patients’ airways during sleep, would also reduce the risk of severe COVID-19, said Pena Orbea and Mehra.

Body’s coronavirus memory may abort new infections

Healthcare workers who did not test positive for COVID-19, despite heavy exposure to infected patients, had T cells that attacked a part of the virus that lets it make copies of itself, according to a report published Wednesday in Nature. Researchers who studied the 58 healthcare workers found their T cells responded more strongly to a part of the virus, called the RTC, that is very similar on all human and animal coronaviruses, including all variants of SARS-CoV-2. They suspect the T cells recognized the RTC because they had “seen” it on other viruses during other infections. That makes the RTC a potentially good target for vaccines if more research confirms these findings, study leaders Mala Maini and Leo Swadling, both of University College London, said in a joint email to Reuters. These data were collected during the first wave of the pandemic, they added. “We don’t know if this sort of control happens for more infectious variants currently circulating.”

Vaccines induce neutralizing antibodies in breast milk

Infants might benefit from COVID-19 antibodies in breast milk regardless of whether mothers acquired the antibodies from being infected with SARS-CoV-2 or from vaccines, according to new findings reported on Wednesday in JAMA Pediatrics. Researchers studied antibodies in breast milk samples from 47 mothers who had been infected with the virus and 30 healthy mothers who had received the vaccines from Moderna or Pfizer/BioNTech. Antibodies from both groups were able to neutralize active SARS-CoV-2 virus, and while antibodies from infection were evident in milk for longer periods, antibody levels from vaccination “were much more uniform,” said study leader Bridget Young of the University of Rochester School of Medicine and Dentistry in New York. Thus, there is likely benefit to getting vaccinated even after a COVID-19 infection because breast milk would then contain a diverse variety of antibodies, she said. The researchers did not study the effect of the antibodies on the babies who consumed the milk.

(Reporting by Nancy Lapid; Editing by Tiffany Wu)

Factbox – Latest on the worldwide spread of the coronavirus

(Reuters) – The Americas is facing an impending crisis in routine vaccinations because of the COVID-19 pandemic, the Pan American Health Organization said, and vaccinations against the coronavirus are behind where they should be.

DEATHS AND INFECTIONS

EUROPE

* France is at the beginning of a fifth wave of the epidemic, Health Minister Olivier Veran said.

* Russia’s deaths hit a record in the previous 24 hours, two days after most of its regions emerged from a week-long workplace shutdown.

* People aged under 30 in Germany should only receive the BioNTech/Pfizer vaccine as it causes fewer heart inflammations in younger people than the Moderna shot, an advisory committee said.

AMERICAS

* Over 900,000 U.S. children aged 5 to 11 are expected to have received their first COVID-19 shot by the end of Wednesday, the White House said, as the government ramped up vaccinations of younger children.

* The United States has brokered a deal between Johnson & Johnson and the COVAX vaccine-sharing program for the delivery of the company’s COVID-19 vaccine to people living in conflict zones.

* U.S. National Institutes of Health scientists played “a major role” in developing Moderna’s vaccine and the agency intends to defend its claim as co-owner of patents on the shot, NIH Director Dr. Francis Collins told Reuters.

ASIA-PACIFIC

* South Korea encouraged citizens to take booster shots as more of the elderly fell ill and reported vaccine breakthrough infections, driving serious and critical cases to a record.

* Thailand said it will set aside up to 500,000 doses of vaccines for foreign workers.

* Vietnam will by the end of this month have sufficient vaccines to cover its population, a deputy prime minister said, as the country approved India’s Covaxin vaccine for emergency use.

MIDDLE EAST AND AFRICA

* Israel’s pandemic advisory board backed administering Pfizer’s and BioNTech’s vaccine to children age 5-11, as a fourth wave of infections subsides nationwide.

* Bahrain will cancel working with its coronavirus travel red list from Nov. 14.

MEDICAL DEVELOPMENTS

* French vaccines company Valneva won European Commission approval for a deal to supply up to 60 million doses of its vaccine candidate over two years.

* Merck and partner Ridgeback Biotherapeutics said Japan will pay about $1.2 billion for 1.6 million courses of their COVID-19 antiviral pill molnupiravir.

ECONOMIC IMPACT

* Wall Street lost ground on Wednesday as surging consumer prices fueled fears of a longer-than-expected wave of heightened inflation dampened investor risk appetite.

* San Francisco Federal Reserve Bank President Mary Daly said she expects high inflation to moderate once COVID-19 recedes, and repeated that it would be “quite premature” to raise rates now or even to speed up the Fed’s bond-buying taper.

(Compiled by Devika Syamnath and Sarah Morland; Editing by Mark Heinrich and Sriraj Kalluvila)

World at risk of measles outbreaks as COVID-19 disrupts infant shots, report says

(Reuters) – The risk of measles outbreaks is high after more than 22 million infants missed their first vaccine doses during the COVID-19 pandemic in 2020, the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC) warned.

Reported measles cases fell by more than 80% last year compared with 2019, but a higher number of children missing their vaccine doses leaves them vulnerable, a joint report by the WHO and the U.S. CDC showed on Wednesday.

About 3 million more children missed the shots in 2020 than the previous year, the largest increase in two decades, threatening global efforts to eventually eradicate the highly infectious viral disease.

“Large numbers of unvaccinated children, outbreaks of measles, and disease detection and diagnostics diverted to support COVID-19 responses are factors that increase the likelihood of measles-related deaths and serious complications in children,” the U.S. CDC’s immunization head, Kevin Cain, said.

Measles is one of the most contagious diseases known, more so than COVID-19, Ebola, tuberculosis or flu. It can be especially dangerous for babies and young children, with pneumonia among the possible complications.

In 2019, reported cases of measles were at their highest in almost a quarter of a century.

The latest report said 24 measles vaccination campaigns originally planned for 2020 in 23 countries were postponed, leaving more than 93 million people at risk.

“It’s critical that countries vaccinate as quickly as possible against COVID-19, but this requires new resources so that it does not come at the cost of essential immunization programs,” said Dr Kate O’Brien, director of the WHO’s department of immunization, vaccines and biologicals.

“Routine immunization must be protected and strengthened; otherwise, we risk trading one deadly disease for another,” she said.

(Reporting by Amna Karimi and Pushkala Aripaka in Bengaluru; Editing by Devika Syamnath)