Africa secures 400 million more COVID-19 vaccine doses

By George Obulutsa

NAIROBI (Reuters) – The African Union (AU) has secured another 400 million doses of the AstraZeneca COVID-19 vaccine, a regional health leader said on Thursday, in a push to immunize 60% of the continent’s population over three years.

As richer nations race ahead with mass immunization campaigns, Africa is scrambling to obtain supplies for its 1.3 billion people. Only a handful of African nations have begun giving doses.

John Nkengasong, director of the AU’s disease control and prevention body, told an online briefing that in addition to 270 million doses previously secured, the bloc would get 400 million shots from the Serum Institute of India (SII) – all AstraZeneca/Oxford University shots.

A spokesman for the SII declined comment.

The AstraZeneca vaccine is the cheapest option and one of the best-suited to African health systems as it does not require storage at ultra-low temperatures like the vaccine from Pfizer and German partner BioNTech.

Separately from the AU’s efforts, Africa is to receive about 600 million vaccine doses this year via the COVAX facility co-led by the World Health Organization (WHO).

Health authorities hope to vaccinate about 30-35% of Africans this year, rising to 60% in two to three years. The AU has said vaccines secured by its vaccine task team will be allocated according to population.

Though COVID-19 has not hit Africa as badly as some experts had feared it would, wealth disparities, logistical difficulties and “vaccine nationalism” by developed nations may put the world’s poorest continent at a disadvantage.

Africa has reported 3.5 million infections and 88,000 deaths, according to a Reuters tally. That is fewer fatalities than individual nations the United States, Brazil, India, Mexico and Britain.

OUTLIER TANZANIA

In an implicit rebuke to Tanzanian President John Magufuli, who has discouraged mask-wearing and social distancing, discontinued data publication and called vaccines a malign foreign plot, WHO Africa director Matshidiso Moeti urged Tanzania to implement such measures, prepare vaccinations and share data. “Africa is at a crossroads and all Africans must double down on preventive measures,” she told an online news conference on Thursday, saying WHO officials were in touch with Tanzanian officials. “Science shows that vaccines work.”

Magufuli’s government has published no coronavirus data since May 8, when the country had 509 cases and 21 deaths.

On Wednesday, he said, without evidence, that vaccines were a foreign plot to spread illness and steal Africa’s wealth. He urged Tanzanians instead to trust God and use alternative remedies such as steam inhalation.

“We in Tanzania managed to stay for a year without corona. Even here, no one has put on a mask. Our God is beyond Satan and Satan will always fail using different diseases,” he said in a speech in his western home area.

Nkengasong said the Africa CDC was exploring obtaining more vaccines from China, Russia and Cuba, and would work with any partner whose vaccine was safe and effective.

(Reporting by George Obulutsa, Nairobi newsroom and Alexander Winning; Writing by Andrew Cawthorne; Editing by Alex Richardson and Frances Kerry)

Global COVID-19 cases surpass 100 million as nations tackle vaccine shortages

By Shaina Ahluwalia and Roshan Abraham

(Reuters) – Global coronavirus cases surpassed 100 million on Wednesday, according to a Reuters tally, as countries around the world struggle with new virus variants and vaccine shortfalls.

Almost 1.3% of the world’s population has now been infected with COVID-19, the disease caused by the novel coronavirus, and more than 2.1 million people have died.

One person has been infected every 7.7 seconds, on average, since the start of the year. Around 668,250 cases have been reported each day over the same period, and the global fatality rate stands at 2.15%.

The worst-affected countries – the United States, India, Brazil, Russia and the United Kingdom – make up more than half all reported COVID-19 cases but represent 28% of the global population, according to a Reuters analysis.

It took the world 11 months to record the first 50 million cases of the pandemic, compared to just three months for cases to double to 100 million.

Around 56 countries have begun vaccinating people for the coronavirus, administering at least 64 million doses. Israel leads the world on per capita vaccinations, inoculating 29% of its population with at least one dose.

UNITED STATES

With over 25 million cases, the United States has 25% of all reported COVID cases although it accounts for just 4% of the world’s population. The United States leads the world in the daily average number of new deaths reported, accounting for one in every five deaths reported worldwide each day. With just under 425,00 fatalities, the United States has reported almost twice as many deaths as Brazil, which has the second-highest death toll in the world.

As the worst-affected region in the world, Europe is currently reporting a million new infections about every four days and has reported nearly 30 million since the pandemic began. Britain on Tuesday reached 100,000 deaths.

The Eastern European region, including countries like Russia, Poland and Ukraine, contribute to nearly 10% of all global COVID-19 cases.

Despite securing deals for vaccine supplies early on, many European countries are facing delays in shipments from both Pfizer Inc and AstraZeneca Plc.

ASIA AND AFRICA

In India, the nation with the second-highest number of cases, infections are decreasing, with almost 13,700 new infections reported on average each day – around 15% of its peak. Prime Minister Narendra Modi said on Friday India was completely self-reliant on coronavirus vaccine supplies as the world’s second-most populous country inoculated more than 1 million people within a week of starting its campaign.

China, which recently marked the first anniversary of the world’s first coronavirus lockdown in the central city of Wuhan, is facing its worst wave of local cases since March last year.

As richer nations race ahead with mass vaccination campaigns, Africa is still scrambling to secure supplies as it grapples with concerns about more-infectious variants of the virus first identified in South Africa and Britain.

According to the Reuters tally, African countries have nearly 3.5 million cases and over 85,000 deaths.

The South African variant, also known as 501Y.V2, is 50% more infectious and has been detected in at least 20 countries.

U.S. President Joe Biden will impose a ban on most non-U.S. citizens entering the country who have recently been in South Africa starting Saturday in a bid to contain the spread of a new variant of COVID-19.

Australia and New Zealand have fared better than most other developed economies during the pandemic through swift border closures, lockdowns, strict hotel quarantine for travelers and widespread testing and social distancing.

“We have the virus under control here in Australia, but we want to roll out the vaccine,” Australian Treasurer Josh Frydenberg told a news conference on Sunday.

(Reporting by Shaina Ahluwalia and Roshan Abraham in Bengaluru; Editing by Lisa Shumaker and Jane Wardell)

Global life insurers impose restrictions, worried about long-term pandemic risks

By Suzanne Barlyn, Carolyn Cohn and Noor Zainab Hussain

(Reuters) – Global life insurers are taking steps to curb payouts stemming from the coronavirus pandemic, including long-term health consequences that are not fully understood, industry sources told Reuters.

Life insurers, including Prudential Financial Inc, and Aviva PLC, are now imposing waiting periods before COVID-19 patients, including those who have recovered, can apply for coverage, executives and spokespeople said. Some are also limiting coverage for certain age groups.

These changes come as some reinsurers demand new safeguards from life insurers they backstop, and as the industry struggles to ascertain the extent of problems caused by the novel coronavirus.

COVID-19 has killed over 2.1 million people globally and infected nearly 100 million, according to a Reuters tally.

Some victims suffer long-term consequences including severe respiratory problems, organ damage, circulatory impairment and chronic fatigue. Three weeks after recovery, 10% of COVID-19 patients are still unwell and up to 5% feel sick for months, according to scientists at King’s College London.

The pandemic has also caused a mental-health crisis for those who could not say goodbye to loved ones or have been isolated for months, while exacerbating substance-abuse issues for others.

It is too early to know how many people will file claims for death, long-term illness or disability as a result, but insurers worry the consequences could last for decades.

“We have attempted as a company to strategize about modeling this and have made some headway but are far from the crystal ball that is able to predict this,” said Dr. Paulo Bandeira Pinho, chief medical director of Optimum Re Insurance Co.

Optimum has met with life-insurer customers, including Prudential Financial, to map out long-term risks and possible financial impacts.

Prudential now imposes a minimum 30-day waiting period for recovered COVID-19 patients.

“Ultimately, many of the long-term implications of the pandemic are still unknown,” said Prudential’s Vice President of Operations Keith Bexell. “As the long-tail effects become better understood, our approach to underwriting may adjust as necessary.”

Since April, British life insurer LV= has postponed applications from anyone who was diagnosed with COVID-19, experienced symptoms or lived with someone who got sick, according to an underwriting policy on its website.

Aviva PLC also imposes a “short” delay for those who had COVID-19 or similar symptoms during the past 30 days, a spokesperson said.

VACCINE HOPES

Life insurers are in the business of hedging risks decades in advance. Since the start of the pandemic, the industry has said it would probably not cause major financial damage, partly because they were not seeing a swell of claims.

Global data are not available for 2020. In the United States, 8% of reported group life insurance claims from April to August attributed the cause of death to COVID-19, according to the U.S. Society of Actuaries.

Companies told Reuters the impact so far has been minimal – with LV= seeing COVID-19 affect just 2% of applications and Aviva still covering more than 9 in 10 customers – but they are taking precautionary steps anyway because of long-term risks.

Apart from those who had the disease, Optimum Re’s Pinho worries about a “wave of widows and widowers, children and parents” with shortened lifespans.

Plus, the pandemic reduced preventative health screenings, causing another set of risks, said Chris Behling, SwissRe’s head of life and health underwriting for the Americas.

However, it is not all doom and gloom. Insurers expect vaccines to dramatically improve assumptions.

Some also pointed to better mortality statistics in countries that imposed tight restrictions on travel and socializing, as well as a study from Britain’s Institute and Faculty of Actuaries that suggested surviving populations may have a higher life expectancy.

And, if insurers become too stingy with coverage, they may lose valuable customers.

For instance, LV= is excluding mental-health issues from some policies that cover critical illness and income protection for up to 12 months, said Justin Harper, the company’s head of marketing.

“It’s probably the appropriate decision to make, given we’re trying to balance the access but also the risk management,” Harper said.

(Reporting by Suzanne Barlyn in Washington Crossing, Pennsylvania, Carolyn Cohn in London and Noor Zainab Hussain in Bengaluru; Additional reporting by Tom Sims in Frankfurt; Editing by Lauren Tara LaCapra and Diane Craft)

Moderna plans trial of altered COVID-19 vaccine booster to address South Africa variant

(Reuters) – Moderna said on Monday it plans to start clinical trials of an altered booster version of its COVID-19 vaccine aimed at the South African variant after tests showed its authorized vaccine may produce a diminished antibody response.

It will also test an additional booster shot of its authorized vaccine in trials to see if it boosts antibody reaction against the South Africa variant. The current regimen is for two shots four weeks apart.

The company said in a press release that it was being cautious and that the two-dose regimen of the vaccine was still expected to be protective against the South African and other variants detected to date.

The company said the vaccine did not see any impact from the U.K. variant – which has been shown to be more transmissible – in the tests.

The company said it plans to publish data from its tests against the South African and U.K. variants on the website bioRxiv.

(Reporting by Manas Mishra in Bengaluru and Caroline Humer in New York; Editing by Maju Samuel and Saumyadeb Chakrabarty)

39.9 million doses of COVID-19 vaccines distributed, 19.1 million administered: U.S. CDC

(Reuters) – The U.S. Centers for Disease Control and Prevention said it had administered 19,107,959 doses of COVID-19 vaccines in the country as of Friday morning and distributed 39,892,400 doses.

The tally of vaccine doses are for both Moderna and Pfizer/BioNTech, vaccines as of 9:00 a.m. ET on Friday, the agency said.

According to the tally posted on Jan. 21, the agency had administered 17,546,374 doses of the vaccines, and distributed 37,960,000 doses.

The agency said 16,243,093 people had received one or more doses, while 2,756,953 people got the second dose as of Friday.

A total of 2,289,284 vaccine doses have been administered in long-term care facilities, the agency said.

(Reporting by Trisha Roy in Bengaluru)

British PM says new variant may carry higher risk of death

By Michael Holden and Alistair Smout

LONDON (Reuters) – British Prime Minister Boris Johnson said on Friday the new English variant of COVID-19 may be associated with a higher level of mortality although he said evidence showed that both vaccines being used in the country are effective against it.

“We’ve been informed today that in addition to spreading more quickly, it also now appears that there is some evidence that the new variant – the variant that was first discovered in London and the southeast (of England) – may be associated with a higher degree of mortality,” he told a news briefing.

The warning about the higher risk of death from the new variant, which was identified in England late last year, came as a fresh blow after the country had earlier been buoyed by news the number of new COVID-19 infections was estimated to be shrinking by as much as 4% a day.

Johnson said however that all the current evidence showed both vaccines remained effective against old and new variants.

Data published earlier on Friday showed that 5.38 million people had been given their first dose of a vaccine, with 409,855 receiving it in the past 24 hours, a record high so far.

England and Scotland announced new restrictions on Jan. 4 to stem a surge in the disease fueled by the highly transmissible new variant of the coronavirus, which has led to record numbers of daily deaths and infections this month.

The latest estimates from the health ministry suggest that the number of new infections was shrinking by between 1% and 4% a day. Last week, it was thought cases were growing by much as 5%, and the turnaround gave hope that the spread of the virus was being curbed, although the ministry urged caution.

The closely watched reproduction “R” number was estimated to be between 0.8 and 1, down from a range of 1.2 to 1.3 last week, meaning that on average, every 10 people infected will infect between eight and 10 other people.

But the Office for National Statistics estimated that the prevalence overall remained high, with about one in 55 people having the virus.

“Cases remain dangerously high and we must remain vigilant to keep this virus under control,” the health ministry said. “It is essential that everyone continues to stay at home, whether they have had the vaccine or not.”

Britain has recorded more than 3.5 million infections and nearly 96,000 deaths – the world’s fifth-highest toll – while the economy has been hammered. Figures on Friday showed public debt at its highest level as a proportion of GDP since 1962, and retailers had their worst year on record.

(Additional reporting by William James, Alistair Smout, Andy Bruce and Sarah Young; Editing by Alison Williams)

Nearly 38 million doses of COVID-19 vaccines distributed, 17.5 million administered: U.S. CDC

(Reuters) – The U.S. Centers for Disease Control and Prevention said it had administered 17,546,374 doses of COVID-19 vaccines in the country as of Thursday morning and distributed 37,960,000 doses.

The tally of vaccine doses are for both Moderna and Pfizer/BioNTech, vaccines as of 9:00 a.m. ET on Thursday, the agency said.

According to the tally posted on Jan. 20, the agency had administered 16,525,281 doses of the vaccines, and distributed 35,990,150 doses.

The agency said 15,053,257 people had received 1 or more doses while 2,394,961 people have got the second dose as of Thursday.

A total of 2,089,181 vaccine doses have been administered in long-term care facilities, the agency said.

(Reporting by Trisha Roy in Bengaluru)

35.9 million doses of COVID-19 vaccines distributed, 16.5 million administered: U.S. CDC

(Reuters) – The U.S. Centers for Disease Control and Prevention said it had administered 16,525,281 doses of COVID-19 vaccines in the country as of Wednesday morning and distributed 35,990,150 doses.

The tally of vaccine doses are for both Moderna and Pfizer/BioNTech, vaccines as of 6:00 a.m. ET on Wednesday, the agency said.

According to the tally posted on Jan. 19, the agency had administered 15,707,588 doses of the vaccines, and distributed 31,161,075 doses.

The agency said 14,270,441 people had received 1 or more doses while 2,161,419 people have got the second dose as of Wednesday.

A total of 1,908,256 vaccine doses have been administered in long-term care facilities, the agency said.

(Reporting by Mrinalika Roy in Bengaluru)

New COVID-19 variant defeats plasma treatment, may reduce vaccine efficacy

JOHANNESBURG (Reuters) – The new COVID-19 variant identified in South Africa can evade the antibodies that attack it in treatments using blood plasma from previously recovered patients, and may reduce the efficacy of the current line of vaccines, scientists said on Wednesday.

Researchers are racing to establish whether the vaccines currently being rolled out across the globe are effective against the so-called 501Y.V2 variant, identified by South African genomics experts late last year in Nelson Mandela Bay.

“This lineage exhibits complete escape from three classes of therapeutically relevant monoclonal antibodies,” the team of scientists from three South African universities working with the National Institute for Communicable Diseases (NICD) wrote in a paper published in the bioRxiv journal.

“Furthermore, 501Y.V2 shows substantial or complete escape from neutralizing antibodies in COVID-19 convalescent plasma,” they wrote, adding that their conclusions “highlight the prospect of reinfection … and may foreshadow reduced efficacy of current spike-based vaccines.”

The 501Y.V2 variant is 50% more infectious than previous ones, South African researchers said this week. It has already spread to at least 20 countries since being reported to the World Health Organization in late December.

It is one of several new variants discovered in recent months, including others first found in England and Brazil.

The variant is the main driver of South Africa’s second wave of COVID-19 infections, which hit a new daily peak above 21,000 cases earlier this month, far above the first wave, before falling to about 12,000 a day.

Convalescent blood plasma from previous patients has not been shown to be effective when administered to severely ill patients requiring intensive care for COVID-19, but it is approved in several countries as an emergency measure.

British scientists and politicians have expressed concern that vaccines currently being deployed or in development could be less effective against the variant.

The paper said it remained to be seen how effective current vaccines were against 501Y.V2, which would only be determined by large-scale clinical trials. But results showed the need for new vaccines to be designed to tackle the evolving threat, it said.

(Reporting by Tim Cocks; Editing by Peter Graff)

U.S. exceeds 400,000 coronavirus deaths

By Anurag Maan and Roshan Abraham

(Reuters) – The U.S. coronavirus death toll topped 400,000 on Tuesday, according to a Reuters tally, as the country hardest hit by the pandemic struggled to meet the demand for vaccines to stem the spread of infection.

States including Michigan, New Jersey, New York, Oregon, South Carolina and Vermont have shown signs of vaccine supply strain and are asking for more doses of both approved vaccines, one from Pfizer-BioNTech and the other from Moderna.

The number of deaths has spiked since Christmas.

During the past three weeks, U.S. coronavirus fatalities have totaled 63,793 compared with 52,715 deaths in the three weeks prior to Christmas, an increase of 21%, according to a Reuters analysis.

The daily COVID-19 death numbers crossed 4,000 for the first time on Jan. 6.

Eighteen U.S. states, including California, Pennsylvania, Texas and Washington reported their highest daily death numbers in January, according to the Reuters tally.

The number of coronavirus cases has risen across all U.S. regions and on Tuesday crossed 24 million since the pandemic started.

While seriously ill patients are straining healthcare systems in parts of the country, especially in California, the national rate of hospitalizations has leveled off in the past two weeks and was near 124,000 on Tuesday.

(Reporting by Anurag Maan, Roshan Abraham and Chaithra J in Bengaluru; Editing by Howard Goller)