WHO chief lambasts COVID-19 vaccine profits, demands elderly go first
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GENEVA — The World Health Organization chief on Monday lambasted drugmakers’ profits and vaccine inequalities, saying it’s “not right” that younger, healthier adults in wealthy countries get vaccinated against COVID-19 before older people or health care workers in poorer countries and charging that most vaccine makers have targeted locations where “profits are highest.”
Director-General Tedros Adhanom Ghebreyesus kicked off the WHO’s week-long executive board meeting — virtually from its headquarters in Geneva — by lamenting that one poor country received a mere 25 vaccine doses while over 39 million doses have been administered in nearly 50 richer nations.
“Just 25 doses have been given in one lowest income country — not 25 million, not 25,000 — just 25. I need to be blunt: The world is on the brink of a catastrophic moral failure,” Tedros said. He did not specify the country, but a WHO spokeswoman identified it as Guinea.
“It’s right that all governments want to prioritize vaccinating their own health workers and older people first,” he said. “But it’s not right that younger, healthier adults in rich countries are vaccinated before health workers and older people in poorer countries. There will be enough vaccine for everyone.”
Tedros, an Ethiopian who goes by his first name, nonetheless hailed the scientific achievement behind rolling out coronavirus vaccines less than a year after the pandemic erupted in China, where a WHO-backed team has now been deployed to look into origins of the coronavirus.
“Vaccines are the shot in the arm we all need, literally and figuratively,” Tedros said. “But we now face the real danger that even as vaccines bring hope to some, they become another brick in the wall of inequality between the worlds of the world’s haves and have-nots.”
He noted the WHO-backed COVAX program, which aims to get vaccines out to all countries, rich or poor, based on need, has so far secured 2 billion vaccine doses from five producers and options on a billion doses more.
“We aim to start deliveries in February,” he said. “COVAX is ready to deliver what it was created for.”
That target date could be a tall order, because a key producer of vaccines for the developing world — the Serum Institute of India — has not confirmed a date and predicted that its rollout might not happen before March or April.
In his opening remarks, Tedros aired some of his toughest public words yet toward vaccine makers, criticizing “bilateral deals” between them and countries that the WHO says can deplete the effectiveness of the COVAX facility — and went further to raise the issue of profits.
“The situation is compounded by the fact that most manufacturers have prioritized regulatory approval in rich countries, where the profits are highest, rather than submitting full dossiers to WHO,” he said.
That appeared to allude to a shortage of data the U.N. health agency says it has received from vaccine makers so that the WHO can approve their shots for wider emergency use.
Dr. Clement Martin Auer, a board member from Austria, had sharp words and questions for GAVI, the Vaccine Alliance, that also with the Coalition for Epidemic Preparedness Innovations is leading the effort on COVAX.
While calling its principles of equal access to vaccines a “fantastic idea,” Auer faulted COVAX as being “slow” and unable to close “crucial numbers” of contracts. He defended the European Union, which counts among its 27 members many of the world’s richest countries, for getting vaccines for its 450 million citizens and being “the single largest donor” in supporting COVAX.
“We were, in the European Union, skeptical that GAVI-COVAX had the means and the capabilities to fulfill its tasks and negotiate the necessary contracts and to secure the needs of our citizens,” Auer said, adding that COVAX management had “rejected” proposals negotiated by GAVI and the EU.
He said GAVI-COVAX early last year had not included mRNA vaccines like those developed by Pfizer-BioNTech and Moderna in the COVAX portfolio.
“This was a major mistake, taking into account that the mRNAs are the early ones on the market and the gold standards when it comes to COVID vaccines,” Auer said.
The WHO has approved Pfzier-BioNTech for emergency use against coronavirus and could approve Moderna this week.
Dr. Bruce Aylward, a special adviser to Tedros, said that the WHO was in “detailed discussions with Pfizer. We believe very soon we will have access to that product.” He said the mRNA vaccines are “important” but are “extremely difficult” — alluding to cold-chain requirements, among other things, and are “extremely expensive.”
“What we are gunning for is to get 20% of the world, at least, vaccinated this year, and more ideally,” Aylward said. “We are in a strong position to move out with vaccines globally. We just need the assistance of our member states in particular to make sure that becomes the reality.”
In related vaccine news, Israel has struck a deal with Pfizer, promising to share vast troves of medical data with the international drug giant in exchange for the continued flow of its hard-to-get vaccine.
Proponents say the deal could allow Israel to become the first country to vaccinate most of its population, while providing valuable research that could help the rest of the world. But critics say the deal raises major ethical concerns, including possible privacy violations and a deepening of the global divide in access to coronavirus vaccines.
Due to the ultra-cold storage needed for the Pfizer vaccine, it is more expensive and harder to use than some rivals, including the Oxford-AstraZeneca vaccine, but studies show it is very effective. Israeli media have reported that Israel paid at least 50% more than other countries for the Pfizer vaccine.
Ashok Sharma in Delhi and Ilan Ben Zion in Jerusalem contributed to this report.
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BR 01, DRG
(BTTB 2120)
BR 23 1003, DR
(Zeuke 159 / 77,
545 / 77) BR 23 1111, DR
(BTTB 2110)
BR 23, DR
(BTTB, aus "Touristen Express"-Set))
br35_1111
BR 35 1111-0, DR
(BTTB 2110)
br56
BR 56 2719, DR
(BTTB 2230) G 8.2, Nr. 2721, KPEV
(BTTB 2231)
br81_013dr_zeuke_schw_rahmen br81_001rt_rahmen_plast br81_004
BR 81 013, DR
(Zeuke 159 / 51,
545 / 51) BR 81 001, DR
(BTTB 2210)
BR 81 004, DRG
(BTTB 2210)
BR 81 004, DB
(BTTB 2211)
BR 81, DR
vereinfachte Steuerung
(Zeuke 159 / 78)
br86_1615_3 br86_460
BR 86 1615-5, DR
(BTTB 2240) BR 86 460, DRG
(BTTB 2242) BR 86 173, DB
(BTTB 2241) Reihe 455, CSD
(BTTB 2244)
br 92 zeuke br 92_6582 bttb_rt_rahmen br92
BR 92 6582, DR
(Zeuke 545 / 494) BR 92 6582, DR
(BTTB 2220) BR 92 als Privatbahn (BTTB
(BTTB, aus Start-Set) BR 92 als Nord-Belge (BTTB, aus Start-Set)
start_tenderlok_schw.jpg (41542 Byte)
2achsige Tenderlok, schwarz
(BTTB, aus Start-Set) 2achsige Tenderlok, grün
(BTTB, aus Start-Set)
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V 36 071, DR, grau
(Zeuke 545 / 23,
BTTB 2631) V 36 071, DR, grün
(Zeuke 545 / 22)
V 36 021, DR, grün
(BTTB 2630)
BR 103 021-2, DR, grün
(BTTB 2630)
br103gelb.jpg (62757 Byte) v36_265db_rt.jpg (56714 Byte)
BR 103 033-7, DR, gelb
(BTTB 2631) V 36 255, DB, rot
(BTTB 2632) V 36, DB, schwarz
(BTTB) Y 50, SNCF, grün
(BTTB 2634)
zeuke_v75 zeuke_t435
V 75 001, 1. Ausführung
DR, rot
(Zeuke 545 / 53) T 435 001,
1. Ausführung
CSD, blau,
weißes Geländer
(Zeuke 545 / 52)
br107_001_0 t435 t435
BR 107 001-0, DR, rot
(BTTB 2620)
T 435 001, CSD, blau
schwarzes Geländer
(BTTB 2621) T 435 040, CSD, blau
weißes Geländer
(BTTB 2621)
ym32_125
YM 32-205 , SZD, grün
(BTTB 2622) YM 32-125; SZD, grün
(BTTB 2622)
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BR 110 034-7, DR, rot
(BTTB 2540) BR 110 156-7, DR, gelb
(BTTB 2545) BR 211 167-2, DB, blau
(BTTB 2546) BR 212 176-2, DB, rot
(BTTB 2547)
v180_146 br118_114_8
V180 160, DR
rot / elfenbein
(Zeuke 545 / 750) V 180 146, DR
rot / elfenbein
(BTTB 2520) BR 118 146-0, DR
rot / creme
(BTTB 2522) BR 118 114-8, DR
rot / creme
(BTTB 2522)
BR 119 120-4, DR
(BTTB 2521)
br130dr
BR 130 007-8, DR
(BTTB 2640) T 679, CSD
(BTTB 2641)
br221rot br221_137_3blau_beige v200ic_rt_beige_rt
V 200 139, DB
rot / grau
(Zeuke 159 / 76,
545 / 26)
BR 221 139-9, DB
rot / silbergrau
(BTTB 2510)
BR 221 137-5, DB
blau / beige
(BTTB 2511)
BR 221, DB
rot / beige
(BTTB 2512)
v200 cccp v200 silverlines
V 200 "CCCP"
silber / rot
(Zeuke ) V 200 "Silver Lines"
silber / blau
(Zeuke ) V 200
braun
(Zeuke, aus Start-Set) V 200, SJ
braun
(BTTB, aus Start-Set)
t334rt t334 t334dsb
T 334, CSD, rot
(Zeuke 545 / 502) T 334 0508, CSD, blau
(Zeuke 545 / 501) T 334, CSD, grün / weiß
(BTTB 2610) MH, DSB, grün
(Zeuke 545 / 503)
t334gn_elf_start2a
T 334, 2achsig
blau / creme
(Zeuke (, aus Start-Set) T 334, 2achsig
grün / elfenbein
(Zeuke
(BTTB, aus Start-Set)
noab_mav_neu noab_dsb_bttb noab_sncb
M 61 001, MAV, weinrot
(Zeuke 545 / 9,
BTTB 2532) M 61 019, MAV, rot
(BTTB 2532)
My 1125, DSB, weinrot
(Zeuke 545 / 8,
BTTB 2531) R 202 003, SNCB, grün
(BTTB 2533)
start_taigatrommel
2achsige Diesellok
ähnlich DR-BR 120, rot
(BTTB, aus Start-Set) 2achsige Diesellok
ähnlich DR-BR 120, grün
(BTTB, aus Start-Set)
vt2_09_dach_beige
VT 2.09.070
Dach beige
(Zeuke)
Beiwagen VB 02,
Dach beige
(Zeuke)
VT 2.09.070 + VB,
Dach grau
(Zeuke 545 / 1,
BTTB 2810) Beiwagen VB 02,
Dach grau
(Zeuke ,
BTTB 2812)
br171_vb vb171
BR 171 018-5
Dach grau
(BTTB 2810) Beiwagen BR 171 824-6,
Dach grau
(BTTB 2812)
transius_rt_ws_2tlg
SVT "Courier", 2teilig
rot / weiß
(Zeuke) SVT "Courier", 2teilig
weiß / rot
(Zeuke) SVT "Courier", 2teilig
weiß / blau
(Zeuke 545 / 34)
Die Diesel-Schnelltriebwagen Elektro-Triebzug Fahrtrafo
SVT "Intourex", 3teilig
weiß / blau
(Zeuke 545 / 37)
ET "Transitus", 3teilig, weiß / blau
(Zeuke 545 / 35) ET "Transitus", 3teilig, grün / gelb
(Zeuke 545 / 35)
Mittelwagen für "Courier", Transitus", "Intourex";
rot / weiß
(Zeuke) Mittelwagen für "Courier", Transitus", "Intourex";
weiß / blau
(Zeuke) Mittelwagen für "Courier", Transitus", "Intourex"
weiß / rot
(Zeuke) Mittelwagen für "Courier", Transitus", "Intourex"; grün / gelb
(Zeuke)
e11_022dach_beige.jpg (55398 Byte) e11_022rt.jpg (64664 Byte)
E 11 022, DR
grün, Dach beige
(Zeuke 545 / 754)
E 11 015, DR
grün, Dach grau
(Zeuke 545 / 754,
BTTB) E 11 022, DR
rot
(Zeuke / BTTB 2322)
BR 211 018-7, DR
rot
(BTTB 2322)
e42_018
E 42, DR,
grün, Dach beige
(Zeuke 545 / 755) E 42 018, DR
grün, Dach grau
(Zeuke 545 / 755,
BTTB 2321) BR 242 020-6, DR
grün, Dach grau
(BTTB 2321) BR 242 018-2, DR
grün, Dach grau
(BTTB 2321)
E 70 01, DR, braun
(Zeuke / Herr 545 / 25, 545 / 2 / 2)
E 70 01, DR, grün
beschriftet
(Zeuke / Herr 545 / 24) E 70, DR, grün,
unbeschriftet
(Zeuke / Herr) E 70 01, DR, grau
(Zeuke / Herr)
e94zeuke br254_065_6 br194db
E 94 065, DR, grün
(Zeuke 545 / 751) BR 254 065-6, DR, grün
(BTTB 2410) BR 194 178-0, DB, blau
(BTTB 2411) Reihe 1020 020, ÖBB, rot
(BTTB 2412)
br250
BR 250 112-0, DR, bordeauxrot
(BTTB 2330) BR 250 245-8, DR, hellrot
(BTTB 2331)
e499blau_bttb e499g e499 szd
E 499 035, CSD
blau / elfenbein
(Zeuke 545 / 20,
Zeuke 545 / 752 / 1,
BTTB 2312) E 499 035, CSD
grün / elfenbein
(Zeuke 545 / 21,
Zeuke 545 / 752 / 2
BTTB 2311) YC 1-003, SZD, grün
(BTTB 2313)
E 499, SJ, rotorange
(BTTB)
start_e_lok_blau start_e_lok_gn
2achsige E-Lok
CC 7200, SNCF,
blau mit silberner Zierleiste
(BTTB, aus Start-Set) 2achsige E-Lok
CC 7200, SNCF,
blau ohne Zierleiste
(BTTB, aus Start-Set)
2achsige E-Lok
CC 7200, SNCF,
grün
(BTTB, aus Start-Set)
2achsige E-Lok
CC 7200, SNCF,
hellgrau / gelb als NS-Lok
(BTTB, aus Start-Set)
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