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Pandemic Disrupts Routine Immunization Services

Mounir Jamil

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Pandemic Disrupts Routine Immunization Services

As the pandemic continues spreading, the coronavirus is now disrupting lifesaving immunization services around the globe, and putting millions of children at risk of diseases like measles, diphtheria, and polio. This warning comes jointly from WHO the World Health Organization, Gavi the Vaccine Alliance, and UNICEF. The warning came just before the Global Vaccine Summit is set to take place on June 4th, where leaders will unite in helping to maintain immunization programs and manage the impact of the pandemic in low income countries (LMICs).

Data collected by UNICEF, WHO, Gavi, and the Sabin Vaccine Institute indicate that the provisioning of routine immunization services is being substantially hindered in at least 68 countries and will impact approximately 80 million children under the age of 1.

Almost 53% of the 129 countries where the data was available have reported moderate-to-severe disruption in immunization services, or a total suspension of vaccination services during March and April 2020.

Dr Tedros Adhanom Ghebreyesus, WHO Director-General said that immunization is the most powerful disease prevention tool in the history of public health. Disruption to immunization services due to the pandemic threatens decades of progress against certain vaccine preventable diseases.

The reasons due to the disruption of immunization services vary. Some parents are hesitant to leave the home due to restrictions on movement, lack of information or because they are afraid of infection. Many health workers are unavailable due to restrictions on travel, lack of protective equipment or redeployment to COVID response duties.

Dr. Seth Berkley, CEO of Gavi mentioned that more children are now protected against more vaccine diseases than ever before in history. However due to the pandemic, this progress is now under great threat, risking the resurface of diseases like polio and measles. “Not only will the maintenance of immunization services prevent more outbreaks, it will also ensure we have the necessary infrastructure for an eventual coronavirus vaccine,” Berkley affirms.

Transport delays of vaccines are not helping the situation. UNICEF has reported a significant delay in planned vaccine deliveries due to the enforced lockdown and the decline in commercial flights. To help alleviate the situation, UNICEF is appealing to governments, the airline industry, the private sector and others so that they free up freight space at an affordable cost for these necessary vaccines. UNICEF and Gavi recently signed an agreement that provides advanced funding to cover the increased freight cost for the delivery of vaccines.

In the upcoming week, WHO will issue new advice to countries regarding maintaining essential services throughout the pandemic, including tips and recommendations on how to provide the immunizations safely.

Several countries have temporarily suspended preventive mass vaccination campaigns against measles meningitis, cholera, typhoid, yellow fever and polio, due to the risk of transmission and the need to keep physical distancing enforced during the pandemic.

In particular, polio and measles vaccination campaigns have been hard hit with measles campaigns being suspended in 27 countries and polio campaigns being put on hold in 38 different countries. An expected minimum of 24 million people in 21 Gavi-supported lower income countries risk missing out on the vaccines against polio, measles, yellow fever, typhoid, cholera, rotavirus, meningitis A, HPV, and rubella due to the prolonged campaigns and the introduction of new vaccines.

Late in March, WHO recommended that countries temporarily suspend preventive campaigns, while they assess the risks and effective measures for reducing the virus transmission.

Since then, WHO have been monitoring the situation, and issued advice that aids countries in determining how and when to resume mass vaccination campaigns. The guide notes that countries will have to make specific risk assessments based on local dynamics of the virus transmission, health system capacities, and public health benefit of undergoing preventive response vaccination campaigns.

Junior social media strategist with a degree in business. Passionate about technology, film, music and video games.

MedTech

Top 3 digital health technologies post- pandemic

Mounir Jamil

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Top 3 digital health technologies post- pandemic

It’s certain that the current pandemic will eventually come to an end. However, some of the digital health technologies we’ve adopted along the way have proven to be indispensable, and some technologies may not be so prominent after the crisis.

Here are top 3 digital health technologies that are likely to stick around post- pandemic.

1. Disinfectant robots

Ultraviolet (UV) lights, more specifically UV-C is a well-established digital disinfecting method that is commonly used in the healthcare world. It works by altering the virus’ genetic material, that way UV lights make sure that virus doesn’t replicate. However, if exposed to human skin, it can lead to sunburns, irritations, and in the worst case, skin cancer.

All that aside, the benefits of UV-C in effectively disinfecting hospitals is seriously attracting robotics engineers and healthcare workers alike. Companies such as YouiBot are reimagining and redesigning their current robots into UV disinfectant ones. Danish company UVD Robots has shipped hundreds of their existing disinfectant robots around the world during the pandemic.

In addition to saving valuable time and decreasing the spread of COVID-19 in hospitals, these robots will also prevent hospitals from getting infections.

2. AI for predicting future pandemics

In an ideal tech world, AI can predict a viral outbreak weeks, if not months in advance. Unfortunately, we don’t live in an ideal tech world, but the good news is that we can work towards forecasting such a system with the help of current technologies.

AI company BlueDot has issued early first warnings, after scrutinizing massive data sets from news, airlines, and animal disease outbreaks. Their algorithim managed to detect a certain trend which Epidemiologists later analyzed further to confirm an outbreak.

But BlueDot is the exception and not the rule, so we must reverse the situation in order to better handle the next public health crisis. Given the massive predictive power that AI brings to the healthcare sector, the proper authorities should utilize its full potential and help in making it more commonplace in hospital settings.

3. Remote care via smartphones 

It’s a sad reality that the pandemic kick-started telemedicine for mainstream adoption. Before the crisis, only 1 in 10 US patients used telemedicine services, the number has now increased up to 158% in the same country.

With lockdowns enforced globally, people are utilizing the power of their smartphones for their mental and physical wellbeing. These new digital health technologies greatly reduce the risk of cross infection all while offering patients quality care from the comfort of their own homes

These solutions greatly reduce the risk of cross-infection while offering patients quality care from the comfort of their homes. What’s more, they prove that face-to-face doctor-patient visits are unnecessary. A Global Markets Insights report from April this year, projects that the telemedicine market value will reach $175.5 billion by 2026, indicating the need for remote care in the coming years.

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MedTech

The glaring problem with COVID-19 vaccine deployment

Adnan Kayyali

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The glaring problem with COVID-19 vaccine deployment

As most of us already know, creating a vaccine is only half the challenge of beating the pandemic. Getting 7 billion people vaccinated is a colossal undertaking, the scale of which has never been seen in history. How will the world manage and sustain COVID-19 vaccine deployment, and ensure equitable access to everyone?

It is not an easy task, and many people in positions of responsibility may have to make some difficult decisions. In short, we will not have enough vaccines for everyone by the end of this year, even if a particular vaccine candidate is deemed adequate.

In a document by the CDC published as a rough skeletal guideline, four categories of people were prioritized with newly produced or procured vaccine doses. This is to strategically use the scarce resources available to minimize the loss of life and maximize equity.

The document classified four categories of people that would receive the vaccine at different times according to a number of factors:

Category 1:

– High risk healthcare workers. First responders

– High risk older adults in congregate or crowded settings

Category 2:

Workers in critical industries and those living in an environment of high risk such as prison.

Category 3:

Young adults and children, and workers of essential industries that were not included in phase 2.

Category 4:

Everyone else.

In an Audio Interview “Guidelines for Covid-19 Vaccine Deployment”, Eric J. Rubin, M.D., Ph.D. concurred. “We do this in medicine all the time”, he said “in that we plan to treat everybody but those who get sicker are the ones who need the treatment first, while we are scaling up or making any assessment of deploying a treatment”.

This task becomes more difficult in areas were the data on who needs what is scarce. Numerous collectives and institutions however are finding ways to guide their communities using localized data tracking, remote monitoring and some forms of contact tracing. They will be able to identify where and how many people require vaccination, how many vaccines are available for the taking, when more is coming, etc.

Having a clear picture is essential for any major endeavor to succeed, and a type of “communal immunity” can be achieved, to break the back of community transmission” as Rubin put it.

The issue of Covid-19 Vaccine Deployment isn’t when the vaccine is coming, but “who gets it first”. The answer given by the CDC seems to be a good one, from the perspective of the scientist, who have accepted the reality that vaccine equity is no easy task, and hard decisions must be made.

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MedTech

Professional networking amid the pandemic

Mounir Jamil

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Professional networking amid the pandemic

As the current pandemic lingers on, we see the effects come into full force. The pandemic has changed the way we learn, work and socialize.

The pandemic has had its fair share of effects on professional networking, as most of us are currently stuck at home with limited ways to make new professional connections, top CXOs and junior-mid level professionals are joining committed and specialized platforms to connect and talk with each other online. Some of these platforms include: CoffeMug, Grab Chai, and Lunchclub.

These AI-enabled platforms call themselves “AI Superconnectors” and are the latest trend in professional networking. In essence, they are matchmakers that employ an AI algorithm to set up one-one-one meetings that are based on users’ inserted objectives, interests, and preferred time slots. AI then connects the users on email through a concept known as “warm intros” and sends them through a calendar invite that is usually accompanied by a link for a video call.

Unlike LinkedIn, these professional networking platforms are gated communities, where a user can join only through invites from existing users or by applying on the platform to get registered. Once the person enters, users cannot simply send cold emails to one another to connect. The platform is smarter as you can only meet with one specific profile at a time. This eliminates the problem of spam messages flooding your inbox.

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