Category: Public health

  • RNZ Pacific

    Vanuatu’s outgoing president, Obed Moses Tallis, has urged the government not to abolish the ministry of justice, warning against a “dictatorial system”.

    His opening speech to Parliament’s first “ordinary” session of 2022 is his final duty of his mandate which will end in July.

    “In my observation during my five-year term as a Head of State, the judiciary in Vanuatu under the leadership of Chief Justice has played an important role in stability, growth and progress of the nation for it uniqueness of it its independency,” he said.

    “To cherish the stages of the third pillar of the constitution, I urge the government to carefully consider its decision to abolish the Ministry of Justice.

    “It is important that the government maintain the Ministry of Justice. Without the judiciary, there will no effective work from the government and there will be no prosecution.

    “The work of the Vanuatu Police force will have no bases and there will be a dictatorial system in place,” he said.

    In his speech, Tallis also praised the country’s frontline workers for their hard work during the community outbreak of covid-19.

    Frontline workers risked lives
    He said frontline workers risked their lives and their families by being exposed to the virus.

    He also hailed their efforts in challenging disinformation about the omicron variant.

    Tallis said the hard work of the frontline workers had contributed to stabilising the outbreak in the affected provinces.

    Meanwhile, Vanuatu’s Ministry of Health reports 37 new cases of covid-19.

    Tallis told Parliament Vanuatu had gone through several challenges because of the covid pandemic.

    He acknowledged the tourism sector for its contribution to the recovery of Vanuatu’s economy.

    “Tourism has contributed a lot to economic growth but the only problem is that it is a fragile industry and cannot sustain us during total border restrictions which restricted the mobility and the movement of the tourists.

    Tourism a ‘fragile industry’
    “We experienced a high rate of unemployment with the closure of hotels and caused financial difficulties of the family.

    “The other reason why I am saying that tourism is a fragile industry is the ongoing climate change impact across the globe which could affect this industry.

    “In my humble view, I want to see government to invest more in vibrant industry such as agriculture, fisheries and utilising the natural resources in land and marine,” Tallis said.

    He acknowledged government initiatives to redirect its focus in the agriculture sector and the programme of coconut replanting and cattle restocking and the establishment of the connection of the cooperative to the local farmers in order to participate effectively in the country’s economic growth.

    The Prime Minister, Bob Loughman, and the Leader of the opposition, Ralph Regenvanu, both thanked Tallis for his role as Head of State during his five-year mandate.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • New COVID-19 infections are once again on the rise across the United States, according to the Centers for Disease Control and Prevention (CDC). COVID deaths in the U.S. have now reached the 1 million mark, a figure widely regarded as an undercount.

    The steady increase in COVID cases underscores the perilous wrongheadedness of the recent decision by Kathryn Kimball Mizelle, the federal district court judge in Florida who struck down the national transportation mask mandate on April 18.

    “The majority opinion is a result searching in vain for a plausible reason,” California Supreme Court Justice Allen Broussard wrote in 1988, dissenting from a poorly reasoned majority decision in People v. Guerrero, that broadened the factors a judge could consider when imposing a sentencing enhancement. Broussard’s statement also aptly describes the recent decision by Mizelle, who likewise reasoned backward by amassing reasons for her pre-ordained result.

    Shortly after taking office, Joe Biden asked the CDC to impose a travel mask mandate to check the spread of the COVID virus. The CDC complied and imposed a mandate on February 3, 2021. For 14 months, people traveling by aircraft, train, road vehicles, and other forms of transportation and through transport hubs were required to wear masks. The CDC extended the mandate several times to give public health experts time to determine whether it should be continued.

    As of April 17, the day before Mizelle’s decision, new COVID infections were averaging over 37,000 cases daily, up 39 percent from two weeks prior, according to a New York Times database.

    Nevertheless, Mizelle’s ruling allows individual airlines and transit agencies to decide for themselves whether to require masks. By the end of the day on April 18, the country’s largest airlines and the Amtrak rail system had shelved their mask mandates. Some pilots announced midflight that people could remove their masks, much to the shock of many immunocompromised people and those traveling with unvaccinated young children.

    The lawsuit in which Mizelle ruled was filed in July 2021 against the Biden administration by two individuals and the anti-COVID regulation organization Health Freedom Defense Fund. The two individuals claimed they suffered from anxiety and panic attacks caused by wearing masks.

    In voiding the mandate, Mizelle set forth a bizarre interpretation of the authority Congress granted the CDC to promulgate rules to prevent the spread of communicable diseases, writing that “the Mask Mandate exceeds the CDC’s statutory authority.” In her 59-page ruling, Mizelle held that the CDC overreached the bounds of its authority under the Public Health Services Act of 1944 when it imposed the transportation mask mandate.

    A Trump appointee and former clerk to Clarence Thomas (whom she called “the greatest living American”), Mizelle was rated not qualified by the American Bar Association before she was confirmed by Republican senators in a November 2020 party-line vote.

    Her lack of qualification is clear, judging by her misinterpretation of the Public Health Services Act. The act empowers the CDC “to make and enforce such regulations as in [its] judgment are necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the States . . . or from one State . . . into any other . . . State.” The statute lists examples of this authority, stating that the CDC “may provide for such inspection, fumigation, disinfection, sanitation, pest extermination, destruction of animals or articles found to be so infected . . . and other measures, as in [its] judgment may be necessary.”

    Requiring masks is a “sanitation” measure, the Biden administration argued, because it keeps the air cleaner. But Mizelle consulted dictionaries and word usage in the 1940s to conclude that sanitation requires active cleaning and masks “clean nothing.”

    Although Mizelle quoted the CDC’s finding that masks are “one of the most effective strategies available for reducing COVID-19 transmission,” she substituted her own construction of the act for the CDC’s. Mizelle refused to defer to the CDC as required by the Chevron deference doctrine, which requires a court to accept an agency’s interpretation of a statute when the statute is ambiguous and the agency’s interpretation is reasonable.

    Instead, Mizelle relied on the “major questions” doctrine, which holds that agencies such as the CDC cannot decide questions of “vast economic or political significance” unless Congress specifically authorizes it. Right-wing judges often use this flawed doctrine to limit the power of the government to protect peoples’ rights.

    Mizelle concluded that the mask mandate violated the Administrative Procedures Act (APA) which requires granting the public advance notice and the opportunity to comment before an agency promulgates a rule. She rejected the “good cause” exception to the notice and comment requirement in spite of the COVID emergency. Mizelle dismissed as insufficient the CDC’s claim that the mask mandate is in “the public interest,” which is one of the factors included in the APA’s definition of “good cause.” She wrote that “[t]he only reason” cited by the CDC for the mask mandate is “the public health emergency caused by COVID-19.”

    Astoundingly, Mizelle noted, “The Court accepts the CDC’s policy determination that requiring masks will limit COVID-19 transmission and will thus decrease the serious illnesses and death that COVID-19 occasions,” but she then concluded that this doesn’t amount to “good cause.”

    Stressing that the mandate “would constrain [the public’s] choices and actions,” Mizelle chose the freedom of travelers like plaintiff Ana Daza who have “anxiety aggravated by wearing a mask” over the COVID public health emergency.

    On April 20, the CDC issued a statement asking the DOJ to appeal Mizelle’s ruling. “It is CDC’s continuing assessment that at this time an order requiring masking in the indoor transportation corridor remains necessary for the public health,” the agency wrote. “CDC continues to recommend that people wear masks in all indoor public transportation settings…. When people wear a well-fitting mask or respirator over their nose and mouth in indoor travel or public transportation settings, they protect themselves, and those around them, including those who are immunocompromised or not yet vaccine-eligible, and help keep travel and public transportation safer for everyone.”

    Accordingly, on April 20, the DOJ filed a notice of appeal of Mizelle’s ruling. Inexplicably, the DOJ did not request a temporary pause on Mizelle’s sweeping decision pending appeal.

    The conservative U.S. Court of Appeals for the 11th Circuit will hear the appeal, which could take several months. Ultimately, the case could end up at the Supreme Court. The outcome could have long-lasting significance: A federal district court ruling does not constitute binding precedent, but a court of appeals ruling and, of course, a Supreme Court ruling would.

    “This sets up a clash between public health and a conservative judiciary, and what’s riding on it is the future ability of our nation’s public health agencies to protect the American public,” Lawrence O. Gostin, a public health law expert at Georgetown University, told the New York Times. “The risk is that you will get a conservative 11th Circuit ruling that will so curtail C.D.C.’s powers to fight Covid and future pandemics that it will make all Americans less safe and secure.”

    Gostin also said, “If CDC can’t impose an unintrusive requirement to wear a mask to prevent a virus from going state to state, then it literally has no power to do anything.”

    On May 3, the day the most recent extension of the mask mandate expired, the CDC issued a new recommendation that all individuals 2 years and older wear masks “in indoor areas of public transportation (such as airplanes, trains, etc.) and transportation hubs (such as airports, stations, etc.).” The CDC recommended that people wear masks “in crowded or poorly ventilated locations, such as airport jetways.”

    But because one right-wing federal judge issued a nationwide injunction against the transportation mask mandate, the CDC could only recommend wearing masks to protect the American people against COVID, as opposed to requiring it.

    Hopefully the 11th Circuit will reverse Mizelle’s decision. But if the appellate court affirms her ruling and the case is appealed to the Supreme Court, the right-wing majority may well uphold Mizelle’s decision and dangerously constrain the power of the CDC to safeguard our health. Meanwhile, we travel at our own risk.

    This post was originally published on Latest – Truthout.

  • RNZ News

    New Zealand reported 7970 new cases of covid-19 in the community and 28 further deaths today, a day after cases in the country topped one million.

    In a statement, the Ministry of Health said 381 people were in hospital with covid-19, compared with 368 people in its previous update yesterday.

    There are 10 people in ICU.

    Prime Minister Jacinda Ardern confirmed today that the border would fully reopen from the end of July — three months earlier than planned, including for cruise ships and international students.

    It was also announced that visitor visas from the Pacific Islands would open online from Monday, May 16.

    The Health Ministry said the seven-day rolling average of reported deaths was 15.

    Of the 28 deaths reported today, two people were from Northland, five from Auckland, three from Waikato, three from Bay of Plenty, two from Whanganui, three from the Wellington region, four from the Canterbury region and six from Southern.

    One was in their 40s, one in their 50s, two in their 60s, eight in their 70s, 11 in their 80s, five in their 90s.

    Eighteen were men and 10 were women.

    Yesterday, New Zealand recorded more than one million cases of covid-19 since the pandemic began. New Zealand’s population is 5 million.

    This article is republished under a community partnership agreement with RNZ.

    Covid-19 by numbers in NZ 11052022
    Covid-19 daily cases by numbers in Aotearoa New Zealand since the 23 August 2021 delta outbreak began. Image: RNZ

    This post was originally published on Asia Pacific Report.

  • One million deaths. An unthinkable milestone when this pandemic started — and even this gruesome number doesn’t capture who and what we have lost. One million lives lost, dreams unfulfilled, families heartbroken and futures cut short. This loss is unimaginable, and we have only just begun to scratch the surface of how our communities will continue to grapple with this mass death and violence, surely for generations to come. According to the Centers for Disease Control and Prevention, COVID-19 has become the third leading cause of death in the United States, after heart disease and cancer.

    As a working Latina mother of two, I feel the ongoing pain and frustration of the pandemic in so many ways. I have lost family members and neighbors to COVID — both old and young. My children, isolated and separated from their best friends during a time in their lives that should be filled with joy and connection, struggled with their mental health and lost critical in-person education. My elderly father had a crushing fall, and his physical therapy, and path to wellness, was greatly delayed. My aunt, Lilia, who suffered from Lupus, died alone because none of us could be with her.

    Amid all of this pain, President Joe Biden has dropped most pandemic restrictions, stopped most national tracking, and failed to act on even the most basic federal actions to reign this pandemic in. Disabled and chronically ill Americans have been left adrift — in a maskless world many of my colleagues and friends are unable to safely leave their homes.

    We need swift, immediate action at a global level. Fighting this pandemic as if we can defeat it alone has failed. It’s time: President Biden must work with Congress immediately to ensure that supplemental COVID funding includes significant global investments to end the pandemic. Our lives are at stake — and we cannot wait another moment.

    Heading into our third year of the pandemic, billions worldwide still don’t have access to COVID vaccines and treatments, continuing to suffer even as pharmaceutical companies reach record profits. Globally, less-wealthy nations have been abandoned to vaccine apartheid, as pharmaceutical companies are selling and distributing vaccines, tests and treatments almost exclusively to wealthy nations. Here in the U.S., it’s communities of color, low-income people and the disabled who face the greatest burden of COVID-19, in terms of death rates but also economically and socially. Those working in lower-wage fields like food and agriculture, warehouse operations, transportation and construction saw higher rates of death than in most other occupations. Working in a nursing home has become one of the deadliest jobs in the country.

    The consequences of this pandemic are far reaching and devastating, not just for those we have lost but for the ones they’ve left behind. We have the tools and resources necessary to support our communities and fight health inequity right now — but it’s clear that what is missing is the political will to do so.

    Our nation hasn’t seen mass death on a scale like this since World War II, when about 418,000 Americans died. The Atlantic’s Ed Yong puts it into perspective: “The U.S. reported more deaths from Covid-19 last Friday [March 4] than deaths from Hurricane Katrina, more on any two recent weekdays than deaths during the 9/11 terrorist attacks, more last month than deaths from flu in a bad season, and more in two years than deaths from HIV during the four decades of the AIDS epidemic.”

    Where is our great reckoning of this mass violence and pain? And more importantly, where is the political will to fight for our futures, for our families, for a road ahead away from this destruction and toward justice, equality, health and resources for all those still suffering and at risk of death?

    Since it rejected a $15 billion supplemental for pandemic preparedness that included global vaccine outreach and funding for free vaccines and testing here in the U.S., Congress has not provided us with the funding we need to continue a robust COVID response, even amid new variants and continued pandemic-related economic stress. With cases rising abroad, experts are sounding the alarm that we should expect a rise in cases here in the U.S. as well. Failure to adequately fund these efforts now will have severe and far-reaching consequences, impacting our ability to deal with a future surge.

    Moreover, despite widespread messaging that COVID testing is free, many patients have found themselves facing bills for testing — some for over $1,000. According to The New York Times, about 2.4 percent of coronavirus tests billed to insurers in 2020 left the patient responsible for some portion of payment, adding up to hundreds of thousands of Americans who received unexpected bills. Patients were left with these high bills due to gaps in protections that Congress and the Trump administration put in place early in the pandemic — and our communities are still suffering. While ensuring that people trust the vaccine is a high priority, it is also critical that unexpected costs for testing and treatment don’t deter individuals from getting vaccinated.

    As we work to ensure the safety of the global community, Democrats must pass supplemental funding without giving in to Republican demands to tie COVID funds to oppressive immigration policies. We cannot allow partisan distractions and anti-immigrant cruelty to distract from this urgent need. The time to act is now, and we cannot leave anyone behind.

    A new way of life is here — seemingly forever. But adjusting to the “new normal” is hardly enough, not when an average of 26,000 new cases are recorded every single day, bringing with them the threat of more death, more loss, more futures taken too soon. Mask mandates are being lifted across the country. We have no national funding to support those infected. Uninsured Americans have little to no support.

    The time to act has long gone by — our communities, our children and our families deserve better.

    This post was originally published on Latest – Truthout.

  • Asia Pacific Report newsdesk

    The Fiji Women’s Rights Movement warned today that the value of midwives in the Pacific country was being undermined because of a lack of training and proper planning, and little urgency over the creation of positions.

    In a message to mark the International Day of the Midwife on May 5, the FWRM highlighted the important role that midwives play in Fiji’s health sector for mothers and their newborn babies.

    “The contribution of midwives to universal health coverage in terms of sexual, reproductive, maternal and newborn health, and strategies to fill the service gaps worldwide is rarely mentioned,” said the statement.

    “The barriers they face in their professional environment are not often highlighted.”

    More than 65 percent of World Health Organisation (WHO) member states were reported 2020 to have less than 50 nursing and midwifery personnel per 10,000 population (about 40 countries in the WHO African region and 25 in the WHO Americas region).

    In many countries, said the statement, nurses and midwives constituted more than 50 percent of the national health workforce.

    Pacific data on midwives was limited, the statement said.

    Nurses resigning
    Earlier this year, Fiji Nursing Association president Dr Alisi Vudiniabola warned that nurses were resigning because of stress, fatigue and lack of compensation.

    The same was stressed by Shamima Ali of the Fiji Women’s Crisis Centre.

    “We see that nurses are leaving for greener pastures and inexperienced nurses are being promoted to lead units in divisional hospitals which means an impact on service delivery,” said the statement.

    In the same article covered by The Fiji Times, Dr Vudiniabola shared a report from one hospital where the nurse manager had been working alone, looking after 28 patients as most of the nurses were “sick and tired”.

    “The same is for midwives,” said the FWRM statement. “Midwife training is undertaken with no proper planning or positions being created, or positions are often held up, further undermining the value of midwives and the urgency of their work.”

    According to the WHO, healthcare provided by midwives who were educated and regulated according to global professional standards was defined as a core strategy for decreasing maternal mortality rates and improving reproductive, maternal, and newborn health.

    Midwives could provide 87 percent of sexual, reproductive, and maternal health services but before that can happen, such services needed to be legislated and regulated.

    “An enabling environment that allows midwives to offer this full scope of services must be provided.”

    Fiji’s commitments
    Fiji had made its commitment to Sustainable Development Goals 3 and 4 addressing a reduction in maternal mortality rates but this had not been implemented, said the statement.

    Based on reports received, midwives with relevant qualifications like such as the Post Graduate Diploma in Midwifery, Masters in Midwifery were still earning less than F$35,000 a year.

    This was the case even when the scope of their work covered areas such as ante-natal clinic consultation, public awareness, births and deliveries, post-natal, retrieval of obstetric and gynecology emergencies in the field (usually handled by doctors), pediatrics, maternal child health, and public health (including immunisation to pre-school for the child).

    Midwives also undertake administrative documentation, including maintenance of data repositories, which were not used by the Ministry of Economy in formulating national budgets.

    As health communities in Fiji and globally marked International Midwives’ Day today, the FWRM urged the government and the health ministry to place more emphasis on the role of midwives in the health sector.

    Queen’s Service Medal for NZ midwife
    In New Zealand, midwives’ advocacy was marked on International Midwives’ Day when the Governor-General, Dame Cindy Kiro, presented Pukekohe midwife Claire Eyes with the Queen’s Service Medal at a Government House investiture ceremony which also recognised several covid-19 pandemic response and other service leaders.

    Eyes had also assisted midwifery in the Pacific through Rotary and had organised leadership training for midwives and nurses in Australia.

    Her citation said in part: “[Claire Eyes] helped prevent closure of the Pukekohe Maternity Unit in the 1990s and secured funding to start the Pukekohe Maternity Resource Centre.

    “She was president of the New Zealand Nurses Organisation Franklin Branch. She was involved with negotiations for pay parity for nurses and midwives and assisted the Ministry of Health to set up a structure for midwives providing lead maternity care.

    She was NZNO representative to the New Zealand Council of Women.”

    This post was originally published on Asia Pacific Report.

  • By Rowan Quinn, RNZ News health correspondent

    Wearing glasses or getting a runny nose is enough to qualify for a mask exemption under current New Zealand’s Ministry of Health criteria — and a doctor says its time for tougher rules.

    Hearing aids, hayfever or a tendency to get dry eyes are also reasons to request the legally binding card that says you do not need to wear a mask when normally required to under covid-19 rules.

    Some doctors say the reasons are far too loose, with people simply needing to tick just one of the symptoms on the ministry’s website list to get an exemption card sent to them.

    Northland medicine specialist Dr Gary Payinda said the card was a great idea for people who had legitimate reasons for not wearing a mask.

    But the current list of criteria was so wide it was absurd — almost everyone in the country would qualify, he said.

    “If we’ve made it so easy that literally anyone can click a box and say I have a ‘condition’ … we really have to ask is it still a public health measure.”

    With so many other measures relaxed, masks were one of the last lines of defence against the virus, and so everyone who could wear one, should be, he said.

    Compromising public health measures
    He told RNZ Morning Report that compromising one of the most effective public health measures was not doing the community a good service.

    “We want the right people to be protected by this law and we want masks to still be a meaningful way of reducing the burden of covid in the community.”

    “If we make an exemption process so easy to get that it’s meaningless, we’re shooting ourselves in the foot.

    “I want masks to be legitimate and used and trusted, and that won’t be the case if anyone can literally tick the box and say, ‘face coverings give me a runny nose’ and that’s enough to get a mask exemption.”

    The criteria have come under scrutiny as the government changes the process for getting a mask exemption card.

    Until now, cards were issued by the Disabled Persons Assembly but the new ones are issued by the Ministry of Health and have legal standing.

    They are intended for people to show to shops or other businesses so they do not have to explain potentially sensitive reasons why they may have an exemption.

    The ministry said it had tried to make the process for applying for a card uncomplicated to avoid marginalising vulnerable communities.

    Small minority misuses system
    The vast majority of New Zealanders had shown they wanted to do the right thing to protect their communities and only a small minority had tried to misuse the system, it said.

    A spokesperson indicated the criteria may be changed as the new card comes into effect but was not able to respond with more details before RNZ’s deadline.

    Existing cards, issued with the current criteria, can still be used when the new ones come into effect.

    The Disabled Persons Assembly welcomed the new card system, telling Midday Report the old system had been causing distress for some in the disabled community.

    Prudence Walker said people had not been believed, refused service or had the police called on them.

    She hoped the new card would improve things.

    Dr Payinda said there were many good reasons — because of both physical and mental health — that people could not wear masks and he supported them doing that but the current list was open to abuse.

    Current criteria wideranging
    The current criteria for requesting a card according to the Ministry of Health website include having the following conditions if they make wearing a mask difficult: asthma; sensitive skin or a skin condition like eczema; wearing hearing aids; getting migraines, having glasses, dry eyes or contact lenses; hay fever; difficulty breathing; dizziness, headaches, nausea or tiredness; a runny nose from wearing a face covering; a physical or mental illness, condition or disability.

    Needing to communicate with someone who is deaf or hard of hearing is also one of the criteria.

    Covid-19 modeller Dr Dion O’Neale said attempting to force those who were adamantly opposed to masks to wear one wouldn’t be effective.

    “If they want to be difficult about it they’ll manage to tick the box and say I’m wearing it, and wear it badly.”

    Most people did want to protect themselves and those around them, so it was important to keep the messaging clear on how masks work and when to wear them, he told Morning Report.

    “It’s physics. The mask, if it’s well fitted, it’s going to be filtering out small particles. If those particles are viruses you’re not going to be infected by them, or if you’re breathing in a much smaller number of those particles you’re going to have a much lower exposure dose, so your infection risk is much lower.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • “They’ll just end up arresting me.”

    “I’m just scared they’ll ask for my papers.”

    “What if they think my boy is an adult and rough him up?”

    We’ve heard various versions of these fears many times in our personal lives, as a Latino man and Black woman, and in our professional roles as professors who teach about race and racism in society. While the fear that causes someone to avoid the police — whether a fear of racism, deportation, homophobia, sexual violence or some combination thereof — may vary between our communities, the underlying question is always the same: If I call the police, will the outcome be worse than the problem I am trying to address?

    Many people fear calling the police for legitimate reasons. In immigrant communities, many worry that a call to the police is a quick way for them or someone in their home to wind up deported. Others, often in African American communities, fear that calling the police could result in their own victimization by police. Survivors of domestic violence may fear that police could escalate an already violent situation, if their story is even believed in the first place. Amid national discussions of racism and police-perpetrated violence, many bystanders worry that calling the police could make them an accomplice to race-based law enforcement violence. And sometimes, folks are so worried about the police showing up first to an emergency that they won’t even call 911 when other services — like EMT services after a vehicle accident — are needed.

    Research has continued to provide evidence of what communities have been saying for decades, and health organizations have continued to speak out. The American Public Health Association, the largest organization of public health professionals in the United States, released a statement in November 2018 citing law enforcement violence as a critical public health issue that results in more than a thousand deaths a year, with disproportionate losses among people of color.

    But fearing the police should not mean that you have no one to call in an emergency.

    In response to the growing awareness of the biases in the policing system, non-police response programs have emerged, with examples in Austin, Texas; Eugene, Oregon; San Francisco, California and Edmonton, Canada. While these programs differ in some ways, they all work to divert individuals away from law enforcement, reduce emergency department admission and provide services such as conflict mediation, welfare checks, and non-emergency care and referrals.

    Ann Arbor, Michigan, hopes to develop its own program to be added to the list. On April 4, Ann Arbor City Council approved $3.5 million in funds from the American Rescue Plan Act to develop an unarmed, non-police response to emergencies. The city council’s decision was inspiring — a testimony to the desire of our community to have a care-based response at the core of our city services. Among those who presented public comment in support of unarmed response was Kaveh Ashtari, a public health student and medical assistant, who told councilors:

    One of the lasting effects of the COVID-19 pandemic is this challenge of trust. I’ve worked with individuals who don’t feel comfortable accessing emergency services during critical times due to fear of escalation, due to fear of violence, due to fear of their own safety. This fear is real. It is for this reason an alternative is needed that can ensure that an individual is able to feel safe, one that is unarmed, one that the community can trust.

    Much of the effort for unarmed response in Ann Arbor has been led by the Coalition for Re-envisioning Our Safety (CROS), with whom we organize. CROS is a multiracial group of community members including social workers, public health experts, faith leaders, community builders, and others who have drawn on research, advocacy and community organizing to develop a plan for an unarmed, non-police response.

    Among the key components of the plan are that the unarmed response program be supported politically and funded by city government, be separate from law enforcement and the criminal legal system, expand beyond a sole focus on providing mental health care in times of crisis, and include a public phone number separate from 911. Notably, this is not a plan that replaces 911 (or policing) but is instead additive, offering another option for those who fear that a 911 call may result in unnecessary police presence. The CROS plan, like other successful plans, draws on empirical research and prioritizes community-driven leadership.

    President Joe Biden’s 2023 budget allocates an additional $30 billion to new police spending, and reports show an increasing number of cities using American Rescue Plan Act (ARPA) funds to increase their police forces. These are dollars that could have been spent supporting child care, reducing student loan debt or even providing additional COVID-19 tests to those without insurance. Instead, these funds will support further surveillance, bias trainings or community policing — all practices that have already proven to be unsuccessful at addressing racial inequities in policing. What’s needed is not more funding for policing but more funding for alternatives to police responses. For example, instead of using ARPA funds to expand a city’s police department, cities could opt to use ARPA funds for planning grants to apply for mobile crisis intervention services, mental health support in place of campus police for students, affordable housing to reduce recidivism, or other community-based services.

    The data are convincing: Care-based safety programs aren’t just more humane, they create significant cost savings in health care, policing and legal fees, and reduce ambulance and emergency room services — costs that often otherwise fall on taxpayers. But moreover, non-police alternatives could prevent violence, deportation or ensnarement in the legal system. Everyone, no matter their relationship to the police, should have someone available to call in times of crisis.

    This post was originally published on Latest – Truthout.

  • RNZ Pacific

    Cook Islands has reported the country’s first covid-19 pandemic death.

    The 63-year-old woman died on the way to hospital on the island of Aitutaki, Prime Minister Mark Brown said in a statement posted on Facebook.

    “It is with great sadness that I announce that we have recorded our first in-country death attributed to covid-19,” Brown said.

    “The deceased was a 63-year-old woman on the island of Aitutaki.

    “She had had all three anti-covid vaccinations, but also had several serious underlying health conditions.”

    “It is tragic, but not unexpected that we might lose someone to covid.

    “I, together with Te Marae Ora [Ministry of Health], am sending our condolences to the family who have just lost a loved one, our thoughts and prayers are with them at this time and the people of Aitutaki.”

    4727 total cases
    Rarotonga reported 73 new cases of covid-19 in the 24 hours to this morning, while Aitutaki reported 43 cases.

    The Cook Islands has had a total of 4727 cases, 3990 of whom have recovered.

    The islands had their first case of covid-19 detected only in February, far later than much of the world.

    The Cook Islands News reports that Health Secretary Bob Williams warned: “While most cases can be treated at home if matters deteriorate, people should not hesitate to seek medical attention.

    “Earlier intervention might have prevented this tragedy.

    “This is a very serious illness which has claimed many millions of lives around the world. covid-19 can be a deadly disease — particularly for elderly people, and those with underlying pre-existing health issues.

    “I want to reinforce our plea to people to take the precautions we’ve been talking about for the last two years.

    “Sanitise, wear a mask and get tested or to quickly alert the covid-19 response teams on each island should you develop symptoms.”

    In New Zealand, the Ministry of Health today reported 5562 new community cases of covid-19 — the lowest in two months — with nine further deaths, taking the total to 674.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • Not long ago, Kansas showed strong bipartisan support for vaccines as a tool to support a robust public health system.

    But bills with language expanding religious exemptions for childhood vaccine requirements were passed by the state Senate in March and now face the House when the legislature reconvenes April 25.

    They are among the more than 520 vaccine-related bills introduced in statehouses nationwide since Jan. 1, according to data from the National Conference of State Legislatures. Of those bills, 66 specifically relate to childhood vaccine requirements in 25 states.

    In Missouri, for example, legislators are considering a measure exempting private school students from vaccine requirements. In Louisiana, a bill in the House would prohibit vaccinations on school property and at school-sponsored events.

    Fewer than 10% of the bills will likely gain any traction, but the volume of attempts to roll back vaccine requirements is alarming, said Rekha Lakshmanan, director of advocacy and public policy at the Immunization Partnership, a vaccine education organization.

    “Those are all chipping away at one of the end goals for anti-vaccine activists, which is completely doing away with school requirements,” said Lakshmanan. “That’s what people need to be paying very close attention to.”

    All states require specific childhood vaccinations for illnesses such as polio, measles, and mumps, but exemptions vary. They all allow exemptions for people with medical concerns, 44 states allow religious exemptions, and 15 allow philosophical exemptions, according to 2021 data from the National Conference of State Legislatures.

    Vaccinations are central to public health efforts at disease control and are foundational to the country’s social and economic system, said Brian Castrucci, CEO of the de Beaumont Foundation, a public health advocacy organization.

    “Politicians are poking holes in our public safety net,” Castrucci said of the onslaught of anti-vaccine legislation. “Vaccines, in and of themselves, are not medicine. It’s all of us collectively protecting each other.”

    To be sure, anti-vaccine activists have existed as long as vaccines. And legislation to limit requirements to vaccinate against diseases such as polio, measles, and meningitis are not new. But, according to public health experts, the movement has gained momentum amid the coronavirus pandemic, boosting the reach of high-profile anti-vaccine activists.

    “If you had told me that a pandemic — and what I would consider a miraculous vaccine for that disease — would trigger an anti-vax surge, I would never have believed it,” said Tracy Russell, executive director of Nurture KC, which works to improve children’s and family health in the Kansas City area of Missouri and Kansas. “But that’s exactly what happened.”

    One pending Kansas bill would mandate that vaccine exemption requests be accepted without scrutiny if based on religion or personal beliefs. Currently, the state leaves it to day care centers and school districts to accept requests for religious exemptions.

    State Sen. Mark Steffen stands behind amendments he pushed nullifying Kansas’ childhood vaccine requirements. The Republican, who said he is “not an anti-vaxxer in any shape or form,” lamented mandates he said were a vestige of a “kinder, gentler time” and suggested that individual rights supersede mandates designed to protect public health.

    Steffen, an anesthesiologist who said he is under investigation by the Kansas Board of Healing Arts for prescribing ivermectin to covid patients, said suggestions that a resurgence of vaccine-preventable diseases could occur if vaccination rates fall amount to fearmongering by people paid off by the pharmaceutical industry.

    But Andy Marso, a Kansas vaccine advocate who launched a Facebook page to organize pro-vaccine Kansans, called such assertions insulting and said he doesn’t take any money from drug companies. He contracted meningitis B in 2004 before vaccines against it were available. He was in a coma for three weeks and had parts of all four limbs amputated.

    “For me, this has been part of what helped me move on from that trauma,” Marso said. “I have a story that people need to know about.”

    The legislative efforts to nullify the requirements fly in the face of widespread public support for vaccines and vaccine mandates, nationally and in Kansas, said Russell. More than 9 in 10 Kansas voters believe wellness vaccines are safe and support vaccine requirements, according to a survey conducted this year for Nurture KC. Kansas voters overwhelmingly support religious exemptions, but a majority say they support tightening existing exemptions, according to the survey.

    Before the pandemic, outbreaks of measles in Kansas, Minnesota, Washington, and other states, as well as outbreaks of pertussis, had reinforced the idea that preventing disease spread required consistently high vaccination rates. And mandates, in part, helped create the mechanism for public health authorities to make vaccines widely available and accessible, said Erica DeWald, spokesperson for Vaccinate Your Family, an advocacy organization.

    “Lost in what has become a political conversation around requirements is the danger of these vaccine-preventable diseases,” said DeWald. “All it takes is one case.”

    Previously, anti-vaccine activists relied on long-since-debunked narratives that vaccines cause autism, said Renée DiResta, the research manager of the Stanford Internet Observatory, which studies cyber policies and how people use the internet. But in the years leading up to the pandemic, the movement began to shift its focus to align more with the populist ideology of “individual freedoms” put forward by Second Amendment advocates and the tea party.

    Donald Trump expressed vaccine skepticism long before becoming president. But it was when the then-president was said to be considering naming Robert F. Kennedy Jr., a well-known anti-vaccine activist, to “investigate” vaccine safety that the movement found its footing, said Timothy Callaghan, assistant professor in the health policy and management department at Texas A&M University. The embrace of anti-vaccine messaging by prominent politicians — whether because they are “true believers” or just see it as political necessity — has “lent legitimacy that the movement lacked before,” Callaghan added.

    The similarity of bills from state to state raises red flags to vaccine advocates because it suggests that a coordinated effort to dismantle vaccine requirements and public health infrastructure is underway.

    “Because the anti-vax movement is becoming aligned with the far right, I think those information-sharing channels are becoming more sophisticated,” said Northe Saunders, executive director of the SAFE Communities Coalition, a pro-vaccine organization. “Their ability to attract far-right politicians who see vaccines as a cause has grown. That gets them attention, if not votes.”

    Not all Republicans find common cause with anti-vaccine activists, said Kansas state Rep. John Eplee, a Republican and family physician. He said he voted against some covid-related restrictions, like a statewide mask mandate, because he believed doing so might help defuse pandemic tensions. But he advocates for all vaccines, including covid shots.

    Enough others in the Kansas legislature agreed in the case of one bill: Language targeting vaccines, under the auspices of parental rights, was ultimately removed before it was passed. Some observers are cautiously optimistic the House won’t pass the other bills as written.

    While Eplee hopes the “passions” inflamed by covid die down with distance from the early days of the pandemic, he’s concerned that voters have forgotten the damage done by vaccine-controllable diseases, making them susceptible to disinformation from determined anti-vaccine activists and the politicians among their ranks.

    “I hate to see human nature play out like that,” said Eplee. “But if people are vocal enough and loud enough, they can swing enough votes to change the world in a not-so-good way for public health and vaccinations.”

    KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

    Subscribe to KHN’s free Morning Briefing.

    This post was originally published on Latest – Truthout.

  • Corporate negligence has worsened an ongoing infant formula shortage, and the company responsible has the exclusive rights to sell its formula to the parents of almost half of all newborns who receive federally funded nutritional assistance in the U.S.

    Abbott Nutrition is the sole provider of infant formula for U.S. government aid programs in 34 states, seven Indian tribal organizations, four territories and Washington, D.C., according to data obtained from the U.S. Department of Agriculture (USDA).

    Beneficiaries in those jurisdictions include 589,295 infants, or 47.42 percent of all infants in the so-called Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), according to the records. The agency numbers were acquired through a Freedom of Information Act (FOIA) request.

    Most public health experts recommend that newborns subsist on breastmilk because it has better nutritional value than formula, and because it helps bolster infants’ fragile immune systems. Breastfeeding is associated with lower rates of infant mortality, which hits Black and Indigenous communities hardest.

    Infant formula, however, is an acceptable alternative to breastfeeding for parents who can’t or don’t nurse their babies, many of whom don’t have the luxury of taking the time to breastfeed. Academic research has found that most breastmilk formula sales in the U.S. are financed by WIC, which is the primary nutritional assistance program in the United States available to low-income expecting parents and parents of newborns.

    Federal law requires state agencies administering WIC to grant one company the exclusive rights to sell infant formula to program beneficiaries through licensed supermarkets. The framework has been in place since 1989, when Congress changed the law in an effort to save money.

    Abbott makes the widely used formula brands Similac, Alimentum and EleCare. The company’s facility in Sturgis, Michigan, which is at the heart of the shortage, makes all three, among other nutritional products for infants. The plant has remained shuttered since a voluntary recall of products made at the factory was issued by the firm in February amid investigations by the Food and Drug Administration (FDA) and the issuance of a consumer advisory from the agency.

    The recall has exacerbated a nationwide infant formula shortage initially caused by supply chain issues that have impacted numerous industries during the COVID-19 pandemic, as several media outlets have reported in recent days. The formula shortage has been most acutely felt in Minnesota, Connecticut, Hawaii, Iowa, Louisiana, Maryland, North and South Dakota, Rhode Island and Texas, where between 40-54 percent of baby formula products have been out of stock in recent weeks.

    Abbott is the sole-source contractor to WIC programs in all of those states, as the records disclosed by USDA demonstrate. In other words, low-income parents in those states must buy Abbott products if they want their infant formula purchases reimbursed by the government.

    The advisory and the recall happened because deadly foodborne bacteria were found at the Abbott plant in Sturgis. The presence of Cronobacter sakazakii, which can give newborns fatal bouts of sepsis and meningitis, was detected at the facility by FDA officials after four cronobacter hospitalizations were traced back to the plant. Two of the patients linked to the Sturgis contamination died. The FDA said that cronobacter “may have contributed” to their deaths.

    Problems with the Sturgis facility were known to the company, the FDA and other regulators long before the February recall. Consumer complaints related to cronobacter and products manufactured at the plant were lodged with the FDA, the Centers for Disease Control and Prevention, and state and local officials as far back as September 2021.

    Officials in Minnesota made federal officials aware of the problem last September after an infant in the state contracted cronobacter. The baby was hospitalized for 22 days and ultimately survived, according to Politico.

    Though product samples collected by FDA officials at the Sturgis facility tested negative for cronobacter, four “environmental samples” collected by the agency tested positive for the deadly bacteria amid an investigation that revealed lax attitudes by management toward product safety.

    An FDA inspector found in February 2022 that Abbott “did not establish a system of process controls … designed to ensure that infant formula does not become adulterated due to the presence of microorganisms in the formula or in the processing environment,” and that the company failed to “ensure that all surfaces that contacted infant formula were maintained to protect infant formula from being contaminated by any source.”

    The FDA has also taken heat itself for failing to act on this issue until earlier this year. Rep. Raja Krishnamoorthi (D-Illinois), chair of the House Oversight Subcommittee on Economic and Consumer Policy, wrote to the agency on March 24, asking why it waited to warn the public of the problem. Krishnamoorthi noted that the FDA detected cronobacter at the Abbott facility in Sturgis eight times between 2019 and 2022.

    “FDA must do more to ensure no lives are lost, or babies sickened, due to delayed inspections and late consumer warnings,” the lawmaker said.

    The sole-source contractor system has succeeded in saving public money spent on WIC by forcing manufacturers to aggressively compete on offering rebates to public administrators. Policy analysts say that this system has allowed the U.S. government and its state partners to expand the program to 2 million additional beneficiaries annually. Unlike Social Security and Medicare — programs that, by law, have to pay benefits to all those who are eligible — WIC is only available to those who qualify if Congress has allocated funding for the program.

    But the sole-source system has had unintended consequences. One academic study found companies that win state auctions are able to mark up the prices of their infant formula products by between 26-35 percent. Another academic study, which was funded by USDA, found that the winners of state auctions end up dominating the market for infant formula, and that not all of those who end up buying the company’s product receive WIC benefits.

    This so-called “spillover” effect happens, in part, because the auction winner inevitably dominates retail shelf space — a reality exposed by the current supply shortage. USDA responded to the Abbott recall by enabling states where the company has won sole-source auctions to reimburse WIC beneficiaries who purchase substitutes. Shortage numbers and the geographic locations where shortages are most acute indicate, however, that alternatives have been hard to come by in jurisdictions where Abbott has exclusivity rights to WIC beneficiaries. Retailers have reacted by limiting customer purchases of formula.

    In other words, the system has helped dominant suppliers consolidate their oligopoly power. Three corporations sell the vast majority of the infant formula in the U.S. — Abbott, Mead Johnson and Nestlé — and those who don’t qualify for WIC benefits, including many low-income people, suffer as a result. The WIC eligibility cutoff is 185 percent of the federal poverty level. Though the threshold varies by household size, a single parent working 40 hours per week would only be able to make $15.50 per hour to qualify for the program.

    Many retailers keep their infant formula behind lock-and-key in response to the desperation that drives formula theft, which has likely gotten worse because of shortages. The price of all major formula brands nationwide has spiked 18 percent in the last year, outpacing inflation by a margin of more than two-to-one.

    The system doesn’t have to be structured like this. In many European countries, the price of formula is about half of what it is in the United States, suggesting the presence of stronger consumer protections against monopoly power. And the U.S government could encourage breastfeeding by joining the vast majority of countries in the world, which make employers give their workers some form of paid parental leave.

    Some strides have been made in recent years. The Affordable Care Act of 2010 amended labor law to give breastfeeding parents the right to pump breastmilk at work in a private location “other than a bathroom.” Advocates say, however, that many workers who don’t receive basic workplace protections were excluded — roughly 9 million or 60 percent of all breastfeeding parents.

    Even if the U.S. government didn’t enact new labor laws, there are still steps that it could take to encourage the consumption of breastmilk by infants. The public health system in Brazil, for example, has developed a national network of breastmilk banks that sustains more than 180,000 babies on an annual basis.

    But some incredibly powerful institutions profit from the incumbent system. Several of the world’s largest asset managers — including Vanguard, BlackRock, State Street and Morgan Stanley — are among Abbott’s largest shareholders. The company’s pediatric nutrition products made around $2 billion in the U.S. alone in 2020. Revenue growth, Abbott’s annual report from that year noted, “was led by share growth of Similac®, Abbott’s infant formula brand.”

    This post was originally published on Latest – Truthout.

  • COMMENTARY: By Professor Rod Jackson

    In a recent article (Weekend Herald, April 16) John Roughan wrote that the covid-19 pandemic has been an anticlimax in Aotearoa New Zealand.

    Surprisingly, he acknowledges covid-19 has killed about 25 million people worldwide, so hopefully he was referring to New Zealand’s 600 deaths. He goes on to ask how many lives we in New Zealand have saved and states that it’s “not the 80,000 based on modelling from the Imperial College London that panicked governments everywhere in March 2020”.

    I beg to differ. It is because governments panicked everywhere that the number of deaths so far is “only” about 25 million.

    A recent comprehensive assessment of the covid-19 infection fatality proportion — the proportion of people infected with covid-19 who die from the infection — found that in April 2020, before most governments had “panicked”, the infection fatality proportion was 1.5 percent or more in numerous high-income countries. Included were Japan, Belgium, Denmark, Germany, Greece, Italy, Portugal, Spain, Switzerland and the UK.

    Without stringent public health measures, covid-19 is likely to have spread through the entire population, and an infection fatality proportion of 1.5 percent multiplied by 5 million (New Zealanders) equals 75,000.

    That’s close to the estimated 80,000 New Zealand lives likely to have been saved because our “panicking” government, like many others, introduced restrictive public health measures.

    Public health successes are invisible
    What Roughan fails to appreciate is that public health successes are invisible. Unlike deaths, you cannot see people not dying.

    Without the initial public health measures and then the rapid development and deployment of highly effective vaccines (unconscionably largely to high-income countries) there would have been far more deaths.

    Roughan asks “is this a pandemic?” He states that 25 million covid deaths are only 0.3 percent of the world’s population (“only” 16,000 New Zealand deaths).

    How many deaths make a pandemic? In 2020, covid-19 was the number one killer in the UK, responsible for causing about one in 10 deaths in every age group, with each person who died losing on average about 10 years of life expectancy.

    In the US, more than 150,000 children have lost a primary or secondary caregiver to covid-19.

    So, has our pandemic response been proportionate?

    Stringent public health measures were highly effective pre-omicron, but are unsustainable long term.

    New Zealand is incredibly fortunate
    We are incredibly fortunate that highly effective vaccines were developed so rapidly.

    Even the less severe omicron variant is a major killer of unvaccinated people, as demonstrated in Hong Kong, where the equivalent of 6000 New Zealanders have been killed by omicron in the past couple of months, due to low vaccination rates.

    Unfortunately, despite our high vaccination rates, we are unlikely to be out of the woods, and it is likely a new covid-19 variant will be back to bite us. The only certainty is that the next variant will need to be even more contagious to overtake omicron.

    As long as covid-19 passes to a new host before killing you, there is no selection advantage to a less fatal variant. We are just lucky that omicron was less virulent than delta.

    Pandemics over the centuries have often taken several generations to change from being mass killers to causing the equivalent of a common cold.

    What response will we accept as proportionate to shorten this process with covid-19 without millions of additional deaths?

    As immunity from vaccination or infection wanes, we will need updated vaccines to prevent regular major disruptions to society.

    A sustainable proportionate response
    Unlike the flu, which has a natural R-value of less than two (one person on average infects fewer than two others), omicron appears to have an R-value of at least 10. That means in the time it takes flu to go from infecting one person to two, to four, to eight people, omicron (without a proportionate response) could go from infecting one to 10 to 100 to 1000 people.

    There is no way that endemic covid will be as manageable as endemic flu.

    The only sustainable proportionate response to covid-19 is for New Zealanders to embrace universal vaccination.

    It is likely that vaccine passes will be required again if we want to live more normally and for society to thrive. It cannot be difficult to make the use of vaccine passes more seamless.

    Almost every financial transaction today is electronic and it must be possible to link transactions to valid vaccine passes when required.

    Almost 1 million eligible New Zealanders haven’t had their third vaccine dose, yet few are anti-vaccination.

    Rather, thanks to vaccination and other public health measures, the pandemic has been an anticlimax for many New Zealanders and the third dose has not been a priority.

    As already demonstrated, for the vast majority of New Zealanders, a vaccine pass is sufficient to make vaccination a priority.

    Professor Rod Jackson is an epidemiologist with the University of Auckland. This article was originally published by The New Zealand Herald. Republished with the author’s permission.

    This post was originally published on Asia Pacific Report.

  • By Soumya Bhamidipati, RNZ News journalist

    The orange light pandemic setting in Aotearoa New Zealand has brought a sense of relief for parents, as the eased restrictions mean one less thing to juggle — but some covid-related worries are still lurking.

    Lower Hutt’s biggest playground was buzzing on the first day of the school holidays, which have just begun under the covid orange traffic light setting.

    While it seems little has changed in parents’ day-to-day lives, one mother said there was definitely a small sense of relief.

    “You feel a little bit less cautious, I guess if the government’s making things a bit relaxed it eases the anxiety that you might feel around everyone mixing together.”

    Another mum, Rachel, agreed — her son was on immunosuppressants, which meant his lungs could be affected if he caught covid.

    Despite this, 10-year-old Magnus was confident about the eased restrictions.

    “Most people, when they get the covid after they have vaccines, they get only a little cold or something like that and I have already had my second jab, I had it last year.”

    Glad over masks
    Meanwhile, his younger sister, 8-year-old Lilith, said she was glad she wouldn’t have to wear a mask at school next term.

    “I have had a lot of big feelings when I went to school and I think it’ll really help me that everyone can speak clearly to me. It makes my life a lot easier.”

    For Rachel, the orange setting reflected her attempts to keep a balanced perspective.

    “We take our immuno-suppressants and those are good for us to protect our body, but then we also play in the dirt, we play with our friends, we get out there and we live our lives,” she said.

    “It really is a day-to-day balance of keeping all the parts of ourselves healthy, and that’s our heart and our mind as well.”

    Across the park, 6-year-old Sophia and her dad Karl both knew children who’d had the virus.

    They said while it was great the rules had relaxed, it was important to continue using good judgment.

    Omicron affecting youngsters
    “My school friend caught covid,” Sophia said.

    “With delta it wasn’t affecting youngsters, but omicron seems to be affecting the youngsters now,” Karl added.

    “Unfortunately we don’t know what’s going to happen now and if five and six-year-olds, and four-year-olds can now get it, I’m not going to drop my guard.”

    So, what will school holidays in the orange setting look like?

    Becka was keen on anything to get her kids outdoors — they were particularly looking forward to the pools.

    “Go to Maidstone Park, get in the fresh air,” she said.

    “Swimming is something we haven’t done for a while because you had to book in times apparently, through the (red) setting so we’re going to try and do that.”

    Parents remaining cautious, but optimistic, in this new stage of New Zealand’s pandemic response.

    13 deaths – 14 in ICU
    The Ministry of Health today reported 11,217 covid-19 community cases and 13 deaths.

    The ministry put out the numbers later in the day than usual due to an IT network issue. There are 547 people in hospital and 14 in ICU.

    It says the seven-day rolling average of cases today is 7834 — last Wednesday it was 9288; the seven-day rolling average of reported deaths is 12.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • By Giff Johnson, RNZ Pacific correspondent

    Covid-19 testing of Marshall Islanders in managed quarantine has seen the largest number test positive for covid-19 since managed repatriation started nearly two years ago.

    Seven out of a repatriation group of 72 people tested positive for the coronavirus last Friday, according to a government announcement issued late Friday night.

    All are in quarantine at the US Army base at Kwajalein Atoll. This repatriation group is the first to spend only three days in quarantine in Honolulu prior to departure to the Marshall Islands on Tuesday this week.

    When the Marshall Islands first began allowing controlled entry to the country in June 2020, the government required two weeks quarantine in Honolulu followed by two weeks quarantine in the Marshall Islands — one of the strictest covid-19 prevention entry protocols in the world.

    These strict quarantine requirements have kept the Marshall Islands covid-19 free.

    “The seven positive tests represent new infections and these individuals do not pose an infectious threat to the community as they remain in secure and monitored quarantine on Kwajalein,” said Health Secretary Jack Niedenthal in statement released Friday night.

    “All individuals remain asymptomatic or have mild symptoms and in addition to the protection provided by being vaccinated will also receive oral antiviral medication to prevent progression to severe forms of covid-19.”

    Covid-19 prevention protocols
    Marshall Islands covid-19 prevention protocols require that all people entering the country through its monthly controlled quarantine programme must be fully vaccinated and boosted. A 14-day quarantine is required.

    Marshall Islands Health Secretary Jack Niedenthal, left, joins Majuro hospital staff
    Marshall Islands Health Secretary Jack Niedenthal (left) joins Majuro Hospital laboratory director Paul Lalita and Dr Robert Maddison in showing covid-19 test equipment. Image: Hilary Hosia/MIJ/RNZ

    However, due to the positive cases identified Friday, the 14-day period has been extended from Friday instead of from the group’s arrive on April 12.

    “We’ve decided that every time someone tests positive in this group, the clock starts over at 14 days — so 14 days from now,” said Health Secretary Niedenthal.

    “They get another test on day seven. If someone tests positive on day seven the clock starts again for 14 days.”

    The seven positive cases identified Friday at Kwajalein brings to 14 the number of covid-19 positive cases in managed quarantine since mid-2020.

    There has been no community transmission yet in the Marshall Islands, making it one of only a handful of countries globally to remain covid-19 free throughout the pandemic.

    After more than a year of requiring two weeks of quarantine in Hawaii, with multiple covid-19 tests prior to departing to the Marshall Islands, government authorities reduced the Hawaii quarantine late last year to one week.

    Hawai’i quarantine time reduced
    With this group that went into quarantine last Friday in Honolulu, the Marshall Islands reduced its Hawai’i quarantine time to three days.

    Two of the 74 people in quarantine in Hawai’i tested positive on their day-three tests and were not allowed to travel to the Marshall Islands.

    Kwajalein Atoll local government police officers provide security at the covid quarantine facility on Kwajalein Atoll
    Kwajalein Atoll local government police officers provide security at the covid quarantine facility at the Kwaj Lodge at the US Army base at Kwajalein Atoll. Image: Hilary Hosia/MIJ/RNZ

    These are the first border cases involving Marshall Islanders since November 2020. Three Americans in a separately managed Army repatriation group in January also tested positive for covid-19 in quarantine.

    In January, as infections around the Pacific escalated due to spread of the omicron variant, Niedenthal warned that if the Marshall Islands got cases in quarantine, “we can’t afford any mistake. If people test positive in quarantine here, we have to be perfect (to prevent the spread)”.

    Niedenthal noted that lapses in protocols governing quarantine operations in other Pacific islands led to border cases triggering community transmission.

    Since it started managed quarantine operations in October 2020, the Ministry of Health and Human Services has required that all of the doctors, nurses and security personnel involved in the quarantine process live in the quarantine facility with each repatriation group as a way to prevent possible community spread in case a person tests positive during the quarantine.

    That policy remains in effect with the current group in quarantine at Kwajalein.

    No travel restrictions
    “As these are border quarantine cases of covid-19, there are no restrictions of travel between Majuro and Kwajalein, and there are no travel restrictions between Kwajalein and neighbouring islands and between Ebeye and Kwajalein,” said the Health Secretary’s statement.

    He also urged “all individuals aged five years and above (to get) fully vaccinated, which includes being boosted if eligible”.

    The Ministry of Health and Human Services has provided booster shots as well as vaccinating people in the five to 11 age group since late last year.

    Public health teams have been flying to remote outer islands to continue covid-19 vaccination services initially begun mid-last year to provide booster shots to adults, as well as vaccinate children.

    Giff Johnson is editor of the Marshall Islands Journal. This article is republished under a community partnership agreement with RNZ.

  • RNZ News

    Eleven 11 more people have died from covid-19, and 6242 more community cases have been detected, New Zealand health authorities say.

    The Ministry of Health said the seven-day rolling average of case numbers was on the decline, with today’s seven-day rolling average at 7986 — last Monday it was 10,169.

    There are 553 people currently in hospital with the virus, including 23 in intensive care.

    The number of new cases identified at the border is 41.

    There are 55,869 active community cases today.

    Yesterday, there were 10 new deaths reported, and 5933 new community cases.

    Air New Zealand said it has been flooded with calls from people interested in travelling as the borders open.

    Many people want to check safety precautions and what documentation and other preparations they need to make for travelling under orange restrictions, and the airline said it had brought in extra staff to cope with the demand.

    A report released by the Cancer Control Agency has shown cancer diagnosis and treatments both fell during the pandemic, with Māori and Pacific peoples most affected.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    For the first time since the start of the covid-19 pandemic, Auckland does not have the most new daily community cases reported.

    The Ministry of Health reported the region had 869 new cases yesterday, while Canterbury had the most new cases at 2255, Southern DHB coming in second with 1747, and Waikato has 1079.

    The rest of the district health boards (DHBs) reported new case numbers below 1000.

    While the proportion of cases to population in Christchurch has been higher than Auckland for some time, yesterday was the first time it had more in raw numbers.

    Auckland’s case numbers peaked in the omicron outbreak almost six weeks ago and this week, all three Auckland DHBs each reported fewer than 100 patients for the first time since late February.

    But at a meeting last week, Auckland DHB bosses said they were still only just above minimum service delivery — meaning the only operations they were doing were acute, or planned surgery that could not wait.

    Most of the major metropolitan areas in the North Island – Waikato, Bay of Plenty, Wellington and the Hutt Valley – peaked about a week later, according to Otago University epidemiologist Professor Michael Baker.

    Rural Southland looked to be last in line for cases to peak, with Canterbury and South Canterbury already having had the highest rate of new infections of any district health board region — close to 500 per 100,000 people — back in late March.

    Daily cases by DHB 170422
    Visualisation: Ministry of Health

    Professor Baker previously said geography was one of the reasons for the persistent case load in the South Island, with the wave washing out of the large cities and into regional New Zealand.

    “What we’re seeing in New Zealand is a city pattern and more of a rural pattern,” he said.

    Professor Michael Baker
    Epidemiologist Professor Michael Baker … “Having a very sharp peak in Auckland does mean there’s a lot more pressure on the system.” Image: Samuel Rillstone/RNZ

    “So at one extreme we had Auckland which had peak case numbers on March 4 and it’s really the first DHB where we’re seeing numbers go below 100 cases per 100,000 people.

    “And at the other extreme you’ve still got over 300 per 100,000 — so three times higher — in places like Southern, South Canterbury and also on the West Coast.”

    But while cases had remained persistently high in the south, deaths and hospitalisations had remained low.

    Baker said he expected the drawn-out wave had played a part in that along with high vaccination coverage.

    “Having a very sharp peak in Auckland does mean there’s a lot more pressure on the system. Whereas if you have a more prolonged epidemic, as we’re seeing in the South Island in particular, it might be the capacity to manage people at home is better because you’re not seeing so many sick people at the same time.”

    As immunity wanes in the community, more people socialising with reduced restrictions, and the possibility of new variants, cases are expected to once again increase during winter.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • After two years of free COVID-19 tests, vaccinations, and other health care resources during the pandemic, the government has run out of funding. Last month, the Biden administration wrote a letter to Congress asking lawmakers to provide $22.5 billion to keep the funding programs running across the U.S. Without the additional funding, it “will leave us unequipped to deal with a future surge,” the letter read.

    Since January 2022, more than 60 million households across the country have ordered free at-home COVID-19 tests and had access to free testing sites across 21,500 locations around the country. U.S. residents also received free vaccinations and booster shots at 90,000 locations across the country. Moreover, areas populated by communities of color and low-income families have the highest demand for federally funded COVID-19 care.

    Those who don’t use the clinics offered by the government typically go to hospitals, pharmacies, or health clinics for COVID-19-related services. But without government funding, people without health insurance have limited options for seeking care and are forced to look for community-based care options, find providers willing to absorb the bill, or pay out of pocket.

    Ramifications of Reduced Funding

    In the Biden administration’s letter to Congress, officials said it will be “too late” if Congress waits until there is another surge to provide funding. The letter also addresses several consequences arising from the lack of sustained funding, some of which include:

    • Not having enough booster shots.
    • A lack of funding to research additional vaccines that could provide protection against future variants.
    • Scaling back preventative treatments for the immunocompromised individuals.
    • Being “blindsided” by future variants.

    Not only will the lack of funding affect currently infected individuals, but it also “increases the possibility of spread, putting more of the population at risk,” said Dr. Georges C. Benjamin, the executive director of the American Public Health Association. “This can raise the chance of more threatening variants becoming widespread.”

    Despite repeated requests, additional COVID-19 resources haven’t been approved. Instead, Republican senators are asking the Biden administration for a detailed account of how the previous round of funding was spent.

    Without government funding, the cost for a COVID-19 test can run from between $20-850, with $127 being the median cost. There has recently been a reduced demand from citizens who can no longer afford to pay for COVID-19 tests and other health care resources out of pocket, which has made it increasingly difficult for some testing sites to operate. As a result, many states and health care organizations have resorted to shutting down.

    New Hampshire closed all state-managed COVID-19 vaccination sites at the end of March, stating vaccination numbers were high enough. In San Diego, officials closed the Jacobs Center vaccination site because of a decline in requests for testing and vaccinations, and instead opened up mobile clinics. For now, they’re still offering tests free of charge despite federal funding running out.

    Embry Health, a leading COVID-19 testing provider in Arizona, recently announced it would suspend testing at 60 sites and ask individuals without insurance to pay $100 for COVID-19 tests and $200 for rapid PCR tests at the remaining locations.

    “Embry was paying for the uninsured to get tests after the government funding stopped on March 22, 2022, but as of April 2nd, can no longer afford to do so,” the company said in a statement.

    CDR Health, a Florida-based company that offered COVID-19 tests to nearly 15,000 people a day during surges, has also closed down all 30 of its free testing centers due to lack of funding.

    Reduced Funding Will Widen Health Inequities

    Survey data estimates there were 28-31 million uninsured people in the U.S. in 2020, and as many as 14.4 million people will be at risk of losing their health insurance coverage when the public health emergency ends. So while paid testing will continue to be available, it won’t be affordable or accessible for everyone, especially for marginalized communities who already face systemic health care bias. In the U.S., communities of color and low-income families accounted for a disproportionate number of COVID-19 cases and deaths, and experts say the lack of funding will further widen these health and economic inequities.

    “Low-income communities and uninsured individuals, which often includes communities of color, are at the greatest risk because they will not have the financial means or insurance protections to cover vaccinations, testing, and health care if the federal government runs out of money to pay for them,” Benjamin said.

    What Happens If a New Variant Arises?

    A majority of the U.S. population has received their COVID-19 vaccination doses by now. Data from Bloomberg’s COVID-19 vaccination tracker shows 567 million doses have been administered as of April 13. This may partially explain why fewer people are visiting vaccination centers, but experts warn this does not mean the pandemic is over or that there’s no more need for doses or testing.

    “If the BA.2 variant causes big outbreaks or there’s a new variant spreading, we will not be prepared for another surge of infections without federal funding,” Benjamin said.

    Without the required funding, the government is unable to purchase further life-saving monoclonal antibody medicines or provide boosters shots and other variant-specific immunizations, said Lyle Solomon, a principal attorney at Oak View Law Group.

    “There will be a gradual reduction in the money available to pay doctors and other health care providers who treat those uninsured,” Solomon added.

    In situations like these, health care providers will need to absorb the costs of uninsured patients or turn them away, which will widen the gap in access to necessary care. Not having access to free tests and vaccinations will only reduce the number of people getting the shot, which will become a major problem if cases increase again or if a new variant arises.

    “We are still not at the optimal level of vaccination, including booster shots,” Benjamin said.

    Prism is an independent and nonprofit newsroom led by journalists of color. We report from the ground up and at the intersections of injustice.

    This post was originally published on Latest – Truthout.

  • RNZ News

    Covid-19 restrictions for all of New Zealand will ease from midnight tonight but a leading epidemiologist says the country is divided over its risk

    From 11.59pm tonight, all of New Zealand moves into the orange traffic light setting, Covid-19 Reponse Minister Chris Hipkins announced today.

    He said the change in alert levels was justified for several reasons, including an ongoing decline in cases.

    He said case numbers now sit below 10,000 new cases per day for the first time since February 24, and that hospitalisations in Auckland were lower, with all three DHBs each reporting fewer than 100 patients for the first time since late February.

    Epidemiologist Professor Michael Baker told RNZ Afternoons with Jesse Mulligan the move was reasonable for Auckland, which peaked almost six weeks ago.

    “But that’s not the situation in the rest of New Zealand and particularly the South Island, even some DHBs in the North Island, like Northland and some of the others in the central North Island, are still seeing case numbers reported yesterday that were about 50 percent of their peak.

    “So we are quite divided in terms of risk.”

    Face masks out in schools
    Under the orange setting, face masks are still required in some environments but not in schools.

    Professor Baker said that with only 20 percent of younger students fully vaccinated, without masks there are not many barriers that stopped the virus circulating.

    “And we do know anecdotally a lot of the way this virus is getting from one family to another is through transmission at school so this seems like a gap at the orange level.”

    Hipkins said schools have been provided with guidance, and they have access to public health guidance so they can consider the advice for themselves.

    “Ultimately looking at a school by school basis, in some schools there is still a very strong justification for masks — but not all.

    “It is very challenging for schools, it has proven to be one of the most challenging covid-19 requirements.”

    People who are young, healthy, fully vaccinated and boosted should be getting out much more because the risk from the infection is much less, Professor Baker said.

    High vaccine coverage
    “We know now of high vaccine coverage, we’ve actually pushed the fatality rate from this infection now to down to less than, it’s about 0.05 percent which is in a similar range now to seasonal flu — but it’s only because we’re highly vaccinated.”

    Prior to vaccination there was a fatality risk of 0.5 percent, he said.

    Te Pūnaha Matatini modeller Professor Michael Plank said: “It’s a good time to be relaxing the traffic light settings when cases and hospitalisations are declining in almost all parts of the country.”

    Professor Plank is partly funded by the Department of Prime Minister and cabinet for research on mathematical modelling of covid-19.

    “We have successfully flattened the curve of this Omicron wave — although hospitalisations and staff absences have put intense strain on our healthcare system, things would have been even worse without our efforts to slow the spread.”

    While New Zealand is marking the end of its omicron sprint, it is at the beginning of its marathon, Professor Baker said.

    “Covid-19 isn’t going to go away and we are very likely to have further waves of infection as immunity wanes, people’s behaviour gets back to normal, and new variants arrive,” he said.

    “As we move away from restrictions and mandates, we need to work on a long-term, sustainable set of mitigations. This should include vaccines, high-quality surveillance systems, a focus on clean air indoors, and financial support for people to isolate when sick.”

    Hybrid office/home set-up
    With a change in restrictions, Victoria University of Wellington and Umbrella Wellbeing clinical psychologist Dr Dougal Sutherland says the government will no longer encourage working from home.

    But Dr Sutherland warned there may be psychological consequences for workplaces encouraging their people to return in person.

    Flexibility and agility will be key for adjusting to this new normal, he said.

    “It seems likely many people will continue working from home, at least some of the time.

    “This presents a challenge to organisations about how they create psychologically safe teams in a dispersed environment. There is also the challenge of how to support people with different levels of anxiety associated with increased human contact.

    “Research shows that allowing people to work from home a few days a week is associated with better wellbeing and productivity, so allowing workers to continue a hybrid office/home set-up should be encouraged.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • This year’s annual Gridiron Dinner at the Renaissance Hotel in Washington, D.C. dealt a blow that few were suspecting, which itself is telling about the moment we find ourselves in. A few attendees took home doggy bags from the meal, everyone took home a story to tell, and 72 of them — more than 10 percent of the audience and climbing — took home COVID-19.

    The names of the afflicted looks like a speaker’s list for commencement addresses in May. Attorney General Merrick Garland, Commerce Secretary Gina M. Raimondo and Agriculture Secretary Tom Vilsack were all infected. Sen. Susan Collins of Maine, Rep. Joaquin Castro of Texas, Rep. Adam B. Schiff of California and Washington D.C. Mayor Muriel E. Bowser likewise brought home an uninvited guest from the elite event.

    House Speaker Nancy Pelosi and Sen. Raphael G. Warnock of Georgia did not attend the dinner, but both announced they were infected in the last week. What happened at the Gridiron clearly did not stay at the Gridiron, but thankfully, the vaccines and boosters appear to have done what they are supposed to: All the reported cases so far have been on the milder end, and nobody has been hospitalized yet. Contrast that with two Octobers ago, when Donald Trump became seriously ill after becoming infected at another glitzy D.C. gathering.

    President Biden did not attend the dinner, and at present appears to be free of any secondary infection due to subsequent interaction with attendees.

    Which brings us to the next big item on the D.C. social calendar: the upcoming White House Correspondents’ Association dinner. “The White House Correspondents Association will require those attending its annual dinner to be vaccinated against the coronavirus,” reports Axios. “The association was already requiring attendees to provide proof of a same-day negative COVID test. It is now also encouraging guests to get a second booster shot if they are eligible as soon as this week for ‘maximum protection.’”

    Welcome, all and sundry, to the “Learning to Live With It” stage of the process. In one sense, you could take the Gridiron outbreak as a success story, a triumph of science even. Not even a year free from a ruthless, lethal explosion in COVID cases, 67 people got infected at a major event and not one of them died or was hospitalized. That is the hoped-for impact of the vaccines — not to make people bulletproof, but to keep the symptoms manageable — and in this case, like Hodor, they had one job and they did it.

    Additionally, it’s probable that most of the Gridiron attendees were not only vaxxed to the max, but were not afflicted with conditions that would make them very acutely vulnerable to infection. The test sample we have here includes only those who are comfortable making a run at “Learning to Live With It.”

    There are at least 7 million immunocompromised people in this country — many of whom would likely not have gone to that dinner, or to any event like it, for all the whiskey in Ireland. Add to that group people like me, who have prior health issues that make us ripe bait for COVID no matter how well-vaccinated we are, plus the elderly, and children under five (who aren’t yet able to be vaccinated), and you wind up with a substantial portion of the population with its nose pressed against the glass as other people take the risk, get infected, and live to fight another day.

    If the moment is any indication, “Learning to Live With It” involves COVID sliding to the back of most people’s minds until a big story like the Gridiron outbreak jerks it to the fore again (New York City Mayor Eric Adams, who has championed a return to normal in his city, has also been infected, is fully vaccinated, has minor symptoms and is quarantining). It is hard to complain about that — for the love of God, people need a break after the last two years — but harder again to miss the peril involved.

    More than 31,000 people were infected yesterday, a slight uptick from two weeks ago — and that number is likely low, given the number of people who are testing at home and not reporting their cases. The BA.2 subvariant is now the dominant strain of COVID in the U.S., and scientists are watching like hawks to see if it has the muscle to create another massive surge. If it does, “Learning to Live With It” will have to downshift hard back into “Duck, Cover and Mask.”

    Getting people to comply with that after another small breath of fresh air may come to be one of the biggest challenges we have faced so far.

    This post was originally published on Latest – Truthout.

  • PNG Post-Courier

    Papua New Guinea’s Police Commissioner David Manning — who is also head of the country’s Covid-19 National Control Centre — has placed United Nations agencies on notice that they must reveal how they have spent virus emergency funding over the past two years.

    Manning said Prime Minister James Marap and other Members of Parliament, and independent organisations such as Transparency International, have all called for the release of information on how covid-19 funds have been spent and they have been ignored.

    “Unfortunately, these United Nations bodies have refused to provide financial information to the government and people of Papua New Guinea,” he said.

    This matter has now come to a head with the Controller writing to the World Bank Acting Country Director in Papua New Guinea, Paul Vallely, on March 29, advising that he would no longer endorse any further increase in allocation of funds, or disbursements, under the PNG Covid-19 Emergency Response Project.

    “I have repeatedly requested both directly and through auditors, acquittals of previously disbursed funds under this and other similar projects,” the Controller said in his letter to the World Bank on the loan money.

    “The recipients of these funds have refused to provide any reasonable account for these monies.

    “There is over US$1.3 billion (K4.5 billion) identified on the self-reporting donor tracker as being committed for managing the covid-19 pandemic in PNG.

    ‘How are UN agency funds used?’
    “What our people need to know, and the global community needs to know, is how are these UN agencies using the funds allocated to them.”

    Manning advised that the project is to receive no further funds until he is satisfied that previous disbursements have been acquitted.

    “Enough is enough, I have called for the past year for this expenditure to be acquitted and they have refused, so now I am demanding compliance with transparency requirements in PNG,” he said.

    “With the country going through the height of the pandemic, these agencies were provided with some leniency, but we have heard enough excuses and misleading information.

    A substantial part of the funds being spent by these UN organisations had also become a part of national sovereign debt that must be repaid by future generations of the Papua New Guinean people, he said.

    “But the terrible irony is that we do not even know what they spent this money on, particularly in areas such as communications and awareness in which they have failed.

    “Details that have been revealed on the Covid-19 Donor Tracking Dashboard shows that UNDP, as one example, has facilitated the following funding of their own activities in PNG to an amount of K9 million (US$2.6 million).

    “This is one just source of funding that is shrouded in secrecy and there are several others for which we have demanded information but is being ignored by this global body.”

    Outraged by wording
    Manning said he was outraged by the almost identical wording from UNICEF, WHO and UNDP in response to his requirement for an independent auditor to access their records, in which these agencies essentially said they would ignore the request.

    In documents seen by the Post-Courier, UNDP Resident Representative Dirk Wagener and UNICEF PNG Representative Claudes Kamenga wrote to Manning with the same “contemptuous and arrogant” language stating that: “We would like to inform you that UNICEF, as a United Nations Agency, is submitted to the ‘Single Audit principle’ that gives the exclusivity of external audit and investigation to the United Nations Board of Auditors (UNBoA) founded in 1946 through the UN resolution 74 (I) of 7 December 1946.”

    Manning said what UNICEF and UNDP were saying to PNG is that they would spend funds that were intended for the people, and they would not tell how they used this money.

    “In other words, if these agencies have wasted money that was intended for our people, they claim they can keep it a secret,” Manning said.

    “This is exactly what we have seen with the way UNICEF uses public funding for communications and awareness and delivers limited results.

    “This is a matter that must be addressed at the highest level of the United Nations, because if this lack of transparency is happening in PNG, you have to ask how many other smaller developing countries are being treated with such contempt.”

    The Controller said he would ensure the PNG public and international support partners were kept aware of developments in the matter and if acquittals were forthcoming.

    Republished with permission from the PNG Post-Courier.

    This post was originally published on Asia Pacific Report.

  • Public health experts on Sunday warned that the U.S. public may not be getting a full, accurate picture of their risk of contracting the coronavirus — and their need to take precautions like masking in public indoor spaces — as a number of high-profile Covid-19 cases were reported on Capitol Hill several weeks after mitigation efforts were largely dropped in cities across the country.

    At least 67 people who attended the annual Gridiron Club dinner last weekend — more than 10% of the guests — have now tested positive for Covid-19, including Agricultural Secretary Tom Vilsack, Attorney General Merrick Garland, Commerce Secretary Gina Raimondo, and Rep. Adam Schiff (D-Calif.).

    House Speaker Nancy Pelosi (D-Calif.) did not attend the annual gathering of politicians and media and business players, but tested positive last week after being in contact with President Joe Biden and Vice President Kamala Harris.

    Crystal Watson of the Johns Hopkins Center for Health Security told The Hill Sunday that it is “hard to tell” exactly how indicative the high-profile surge in cases is of nationwide trends, but added, “I do think we’re going to see an uptick nationally,” while other experts cautioned that the current status of Covid-19 transmission and case numbers in the U.S. is hard to gauge.

    BA.2, a subvariant of the Omicron variant which is more easily transmitted, now accounts for 72% of reported Covid-19 cases.

    However, due to a lack of testing and heavy reliance on at-home tests — the results of which are generally not included in tallies by state health officials or the Centers for Disease Control and Prevention — “case counts and testing are progressively becoming shaky indicators” of the state of the pandemic, Dr. Jonathan Quick of the Duke Global Health Institute told NBC News.

    “I do think we are in the middle of a surge, the magnitude of which I can’t tell you,” Dr. Zeke Emanuel, vice provost of global initiatives at the University of Pennsylvania, told the outlet. “We just don’t have a lot of case counts.”

    With more than 66% of people in the U.S. having received at least two doses of a Covid-19 vaccine — but fewer than 30% having gotten a booster shot — the population is far better protected from severe cases, hospitalizations, and death than it was before the vaccines were widely available. But some public health experts are warning that the looming end of funding for oral antiviral treatments, vaccines, surveillance of new variants, and tests may severely weaken the country’s defenses in the coming weeks.

    According to NBC News, there is not currently enough funding to purchase fourth vaccine doses for all Americans if they are needed, and testing capacity is expected to decline in the coming months.

    Some public health experts have expressed frustration with the federal government’s messaging and accounting of Covid-19 cases and current risk levels, with George Washington University professor Dr. Jonathan Reiner and Scripps Research Translational Institute founder Eric Topol criticizing the CDC’s “misleading” promotion of its “County-level Covid-19 Community Levels” tool.

    The tool shows whether hospitals in each county have capacity and if there is a “high potential for healthcare strain” — not whether the virus is spreading widely in communities.

    While much of the Northeast is green on the Covid-19 Community Levels map, indicating a “low” level, those counties are largely red or orange on the community transmission map, indicating at least 50 new cases per 100,000 people in the past seven days. The CDC says those counties have a “substantial” or “high” transmission level.

    “This is what individuals should use to gauge individual risk,” Reiner said of the community transmission map.

    Dr. Leana Wen, a public health professor at George Washington University, argued last Thursday that while the Gridiron dinner — where guests had to show proof of vaccination but not a negative test—”was probably a Covid-19 superspreader… events like this should still go on.”

    Individuals should be “thoughtful about their own risks and the risks they pose to others,” she added.

    That guidance comes in absence of leadership from policymakers regarding masking and testing requirements for large events, critics said.

    “This is not the new normal,” said Reiner of the Gridiron event. “Covid is surging in places like D.C. and New York. CDC’s map has hidden this. We are not at endemic levels that we just need to live with. When the virus is surging we should reinstitute masks in public places.”

    While there is “nothing abnormal about socializing,” said Dr. Abraar Karan, an infectious diseases physician at Stanford University, “there’s something very abnormal about mass infections. If you can’t understand that distinction you may have given up on the possibility that our government can do better.”

    This post was originally published on Latest – Truthout.

  • ANALYSIS: By Richie Poulton, University of Otago; Avshalom Caspi, Duke University, and Terrie Moffitt, Duke University

    Most people welcomed the opportunity to get vaccinated against covid-19, yet a non-trivial minority did not. Vaccine-resistant people tend to hold strong views and assertively reject conventional medical or public health recommendations.

    This is puzzling to many, and the issue has become a flashpoint in several countries.

    It has resulted in strained relationships, even within families, and at a macro-level has threatened social cohesion, such as during the month-long protest on Parliament grounds in Wellington, New Zealand.

    This raises the question: where do these strong, often visceral anti-vaccination sentiments spring from? As lifecourse researchers we know that many adult attitudes, traits and behaviours have their roots in childhood.

    This insight prompted us to enquire about vaccine resistance among members of the long-running Dunedin Study, which marks 50 years this month.

    Specifically, we surveyed study members about their vaccination intentions between April and July 2021, just prior to the national vaccine roll out which began in New Zealand in August 2021. Our findings support the idea that anti-vaccination views stem from childhood experiences.

    The Dunedin Study, which has followed a 1972-73 birth cohort, has amassed a wealth of information on many aspects of the lives of its 1037 participants, including their physical health and personal experiences as well as long-standing values, motives, lifestyles, information-processing capacities and emotional tendencies, going right back to childhood.

    Almost 90 percent of the Dunedin Study members responded to our 2021 survey about vaccination intent. We found 13 pecent of our cohort did not plan to be vaccinated (with similar numbers of men and women).

    A study participants undergoes an eye examination to test the health of optic nerves and the eye’s surface.
    Among many assessments, study participants undergo eye examinations to test the health of optic nerves and the eye’s surface. Image: Guy Frederick, CC BY-ND

    When we compared the early life histories of those who were vaccine resistant to those who were not we found many vaccine-resistant adults had histories of adverse experiences during childhood, including abuse, maltreatment, deprivation or neglect, or having an alcoholic parent.

    These experiences would have made their childhood unpredictable and contributed to a lifelong legacy of mistrust in authorities, as well as seeding the belief that “when the proverbial hits the fan you’re on your own”.

    Our findings are summarised in this figure.

    A graph that tracks the life history of vaccine resistance
    Vaccine resistance. Graph: Dunedin Study, CC BY-ND

    Personality tests at age 18 showed people in the vaccine-resistant group were vulnerable to frequent extreme emotions of fear and anger. They tended to shut down mentally when under stress.

    They also felt fatalistic about health matters, reporting at age 15 on a scale called “health locus of control” that there is nothing people can do to improve their health. As teens they often misinterpreted situations by unnecessarily jumping to the conclusion they were being threatened.

    The resistant group also described themselves as non-conformists who valued personal freedom and self-reliance over following social norms. As they grew older, many experienced mental health problems characterised by apathy, faulty decision-making and susceptibility to conspiracy theories.

    Negative emotions combine with cognitive difficulties
    To compound matters further, some vaccine-resistant study members had cognitive difficulties since childhood, along with their early-life adversities and emotional vulnerabilities. They had been poor readers in high school and scored low on the study’s tests of verbal comprehension and processing speed.

    These tests measure the amount of effort and time a person requires to decode incoming information.

    Such longstanding cognitive difficulties would certainly make it difficult for anyone to comprehend complicated health information under the calmest of conditions. But when comprehension difficulties combine with the extreme negative emotions more common among vaccine-resistant people, this can lead to vaccination decisions that seem inexplicable to health professionals.

    Today, New Zealand has achieved a very high vaccination rate (95 percent of those eligible above the age of 12), which is approximately 10 percent higher than in England, Wales, Scotland or Ireland and 20 percent higher than in the US.

    More starkly, the New Zealand death rate per million population is currently 71. This compares favourably to other democracies such as the US with 2,949 deaths per million (40 times New Zealand’s rate), UK at 2,423 per million (34 times) and Canada at 991 per million (14 times).

    How to overcome vaccine resistance
    How then do we reconcile our finding that 13 percent of our cohort were vaccine resistant and the national vaccination rate now sits at 95 percent? There are a number of factors that helped drive the rate this high.

    They include:

    • Good leadership and clear communication from both the prime minster and director-general of health
    • leveraging initial fear about the arrival of new variants, delta and omicron
    • widespread implementation of vaccine mandates and border closure, both of which have become increasingly controversial
    • the devolution by government of vaccination responsibilities to community groups, particularly those at highest risk such as Māori, Pasifika and those with mental health challenges.

    A distinct advantage of the community-driven approach is that it harnesses more intimate knowledge about people and their needs, thereby creating high(er) trust for decision-making about vaccination.

    A local vaccination clinic
    Community organisations can build on higher trust and better knowledge of people’s concerns and needs. Image: The Conversation/Fiona Goodall/Getty Images

    This is consistent with our findings which highlight the importance of understanding individual life histories and different ways of thinking about the world – which are both attributable to adversities experienced by some people early in life. This has the added benefit of encouraging a more compassionate view towards vaccine resistance, which might ultimately translate into higher rates of vaccine preparedness.

    For many, the move from a one-size-fits-all approach occurred too slowly and this is an important lesson for the future. Another lesson is that achieving high vaccination rates has not been free of “cost” to individuals, families and communities. It has been a struggle to persuade many citizens to get vaccinated and it would be unrealistic not to expect some residual resentment or anger among those most heavily affected by these decisions.

    Preparing for the next pandemic
    Covid-19 is unlikely to be the last pandemic. Recommendations about how governments should prepare for future pandemics often involve medical technology solutions such as improvements in testing, vaccine delivery and treatments, as well as better-prepared hospitals.

    Other recommendations emphasise economic solutions such as a world pandemic fund, more resilient supply chains and global coordination of vaccine distribution. The contribution of our research is the appreciation that citizens’ vaccine resistance is a lifelong psychological style of misinterpreting information during crisis situations that is laid down before high school age.

    We recommend that national preparation for future pandemics should include preventive education to teach school children about virus epidemiology, mechanisms of infection, infection-mitigating behaviours and vaccines. Early education can prepare the public to appreciate the need for hand-washing, mask-wearing, social distancing and vaccination.

    Early education about viruses and vaccines could provide citizens with a pre-existing knowledge framework, reduce citizens’ level of uncertainty in a future pandemic, prevent emotional stress reactions and enhance openness to health messaging. Technology and money are two key tools in a pandemic-preparedness strategy, but the third vital tool should be a prepared citizenry.

    The takeaway messages are twofold. First, do not scorn or belittle vaccine-resistant people, but rather attempt to glean a deeper understanding on “where they’re coming from” and try to address their concerns without judgement. This is best achieved by empowering the local communities that vaccine resisters are most likely to trust.

    The second key insight points to a longer-term strategy that involves education about pandemics and the value of vaccinations in protecting the community. This needs to begin when children are young, and of course it must be delivered in an age-appropriate way. This would be wise simply because, when it comes to future pandemics, it’s not a matter of if, but when.The Conversation

    Dr Richie Poulton, CNZM FRSNZ, director of the Dunedin Multidisciplinary Health & Development Research Unit (DMHDRU), University of Otago; Dr Avshalom Caspi, professor, Duke University, and Dr Terrie Moffitt, Nannerl O. Keohane University Professor of Psychology, Duke University. This article is republished from The Conversation under a Creative Commons licence. Read the original article.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    Aotearoa New Zealand’s outgoing Director of Public Health says the quick sharing of scientific information and the widespread use of masks have both been critical parts of the country’s public health response.

    Dr Caroline McElnay, who is leaving the role shortly, presented the regular covid-19 update with Director-General of Health Dr Ashley Bloomfield for the final time yesterday and gave her view on the pandemic response over the past couple of years.

    She is stepping down from the role in the same week Dr Bloomfield announced he would also soon be leaving his role.

    Dr McElnay had been in the job for five years and is travelling to Europe, but plans to come back to New Zealand. She said she is looking forward to going hiking — on long walks without cell phone coverage.

    Dr McElnay said the country had learned a lot since New Zealand first went into lockdown more than two years ago.

    Masks had become part of daily lives and would continue to remain an important tool, she said.

    “They are a critical aspect of our public health response.”

    Pandemic sped up science
    The pandemic had changed the way many people worked, and also sped up science, she said.

    “Scientists effectively show progress through publishing scientific papers, which makes the information then available to the science and health communities,” she said.

    “Pre-covid that process often took months, but during covid it was clear sharing information was key. Information that could help understand the science behind the pandemic and assist in tackling it needed to be fast, so it could be used equally quickly.

    “Applying that knowledge, which has improved as time has gone on, has held New Zealand in good stead.

    “Vaccines and treatments that are effective at keeping people out of hospital were developed fast and advances in tracking and testing were equally quick.”

    Watch the covid-19 update


    The covid briefing. Video: RNZ News

     

    This had allowed the fast spread of information to the scientific community and the public within days.

    There had been frequent changes in advice and approach as experts and officials learnt more, she said.

    New Zealand was very fortunate to have had a solid foundation of trust by the public in the country’s institutions, but she said she was also aware of the impact the pandemic had had on many people’s lives.

    She noted there has also been a rise in misinformation, so officials had worked to increase the amount of trustworthy information available to the public.

    She said the media standups would continue. This was her 299th in two years, she said.

    Dr McElnay said she would travel overseas for some months. She said she was honoured to have held the role of director of public health.

    “I want to finish by thanking you all, all New Zealanders, in getting us to where we are today on what has been a rollercoaster of a ride. And I’d also like to thank you in this room, the media, for your extensive coverage throughout the pandemic, helping to keep the public informed.”

    Timing of departures
    Dr Bloomfield said there had been speculation in the past 24 hours about the timing of his and Dr McElnay’s departures. He said Dr Jim Miller had already joined to act in the public health role while Dr McElnay’s replacement was appointed, while Dr Bloomfield himself would remain for four months.

    The response to the virus had been a huge undertaking for many people, but “having said that Dr McElnay has been instrumental, and often the public face of the ministry’s response”, he said.

    “A mammoth effort indeed. Personally I just want to fully acknowledge Dr McElnay’s calm and supportive and solution-focused approach over the last five years, but in particular she’s been a real rock for me over these past two years.”

    Dr McElnay said she took on the role five years ago and decided at the time that five years would be a good length of time, and it had been challenging.

    She said she got quite a few comments about her hair, and tried to avoid engaging with social media.

    She personally did not feel burnt out but said burnout was a very real thing and workplaces and employees themselves needed to acknowledge that.

    “Talk to your family and friends and talk to your health professionals.”

    Collaboration ‘awe-inspiring’
    A highlight of her time was seeing public health experts come together to come up with a plan back when covid-19 first struck our shores, she said.

    Seeing the advice she and her colleagues gave be announced as official decisions reinforced the weight of responsibility that came with her job. She said it was “awe inspiring”.

    The death toll in New Zealand had been staggeringly low — 466 as at today — and while every death was a tragedy, New Zealand had “such an amazing response”, she said.

    “Every country has responded differently according to the context of that country.”

    It was really the early closing of the borders as an island nation that really allowed such a strong response, she said.

    Dr Bloomfield said the health system was now having to gear up to switch from responding to the acute illness from covid-19, to a longer-term care for people who have long-term symptoms.

    Pressure on the healthcare system due to covid-19 was now easing.

    Case numbers declining
    The overall situation was improving, and as case numbers continue to decline it will also mean fewer staff members being off work, he said.

    DHBs all have plans for how to catch up on care that has been deferred and ensure it is delivered, he said.

    He was concerned enough about the possibility of a perfect storm of winter illnesses as well as covid-19 to have prepared a plan to prevent that.

    Advice on a fourth booster was going to ministers this week, he said.

    “The groups that other countries are offering a fourth dose to are largely older people and immunocompromised people of all ages.”

    Dr Bloomfield also said he wanted to mark yesterday as World Health Day, the anniversary of the founding of the WHO in 1948.

    • Ten new deaths were reported today — including someone aged between 10-19 — while the daily number of new community cases in New Zealand has dropped back below the 10,000 mark.
    • There were 9906 new community cases reported today, down from the 11,634 community cases reported yesterday, while the number of people in hospital has dropped from 654 yesterday to 626 today, including 17 people in ICU.
    • The death toll of people who have died with covid-19 is now 466.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • By Rowan Quinn, RNZ News health correspondent

    Health workers in Aotearoa New Zealand are thanking Director-General of Health Dr Ashley Bloomfield for his work stopping the ailing health system from collapsing in the covid-19 pandemic — and for saving lives.

    They say they can relate to him needing a rest.

    Dr Bloomfield leaves his job in July, stepping down 12 months early after the huge stress of the past two years.

    There are few public servants who have had the same degree of fame.

    For two years he has been a regular in the living rooms of the country, particularly in the first lockdown when almost everyone was home turning in every day to hear news of the covid-19 threat.

    Emergency doctor and chair of the Council of Medical Colleges Dr John Bonning said Dr Bloomfield had to step up to communicate with the public in a role that would normally have been done by politicians.

    He exuded trust and had stellar public health credentials, as a medical doctor who had worked for the World Health Organisation and headed a district health board (DHB), Dr Bonning said.

    Engaged and communicated
    He engaged and communicated very regularly with health worker groups.

    “He felt the pain, he felt the pressure along with the rest of us,” he said.

    Frontline GP and chair of the Pacific GP Network Api Talemaitoga said the country was lucky to have a director-general with top public health skills when they were needed most.

    That meant Dr Bloomfield understood the practicalities of what had to be done — like limiting numbers, mass masking, vaccination programmes and the importance of communication, he said.

    Covid-19 Minister Chris Hipkins said Dr Bloomfield’s advice had been at the heart of the government’s decision making and he “had saved thousands if not tens of thousands of lives”.

    But not everything was perfect under his tenure. There was a blunder that meant high-risk border workers were not being routinely tested as promised, criticisms about spread in MIQ facilities, delays at times over testing, and a slow vaccine rollout for Māori.

    Delays over Māori health autonomy
    Te Whānau O Waiapareira chief executive John Tamihere said the director-general had done a decent job but he was uncomfortable with the “idolatry” that had sprung up around him.

    He had called Dr Bloomfield out over the past two years on issues like the delays giving Māori health groups autonomy to look after their communities, and of the ministry’s initial failure to hand over health data.

    Director-General of Health Dr Ashley Bloomfield
    Dr Ashley Bloomfield … “He will go down as leading a great result when compared with other nations.” Image” RNZ/Pool/Getty

    It would be mean-spirited to criticise Dr Bloomfield on his way out, he said.

    He was a highly-paid public servant who had done a decent job, particularly for mainstream New Zealand, but his copybook was not completely clean, Tamihere said.

    “But … Dr Bloomfield will go down as leading a great result when compared with other nations,” he said.

    Pacific health groups had shared the concerns about not initially being able to lead the response for their communities, who bore the brunt of early waves of the virus.

    Privy to the big picture
    GP Dr Api Talemaitoga said while that was frustrating, he and his colleagues on the frontline were not always privy to the big picture Dr Bloomfield was dealing with “in terms of the whole country, the ministry, and his political masters”.

    Senior emergency doctor Dr Kate Allan represents the College of Emergency Medicine and said Dr Bloomfield inherited a “broken health system” but led a response that stopped it from collapsing under the weight of covid-19.

    “I take my hat off to him. I think it’s been an amazing job and an incredibly difficult job and I can’t imagine how tired he must be,” she said.

    Dr Bloomfield is, in turn, quick to credit people like Dr Allan who worked on the frontline to battle the virus.

    ‘Relentless’
    The director-general of health was one of three top health chiefs to announce their resignations yesterday.

    Director of Public Health Dr Caroline McElnay
    Director of Public Health Dr Caroline McElnay … also resigned. Image: RNZ/Pool/Stuff/Robert Kitchin

    Director of Public Health Caroline McElnay and Deputy Director of Public Health Niki Stefanogiannis are also leaving the ministry.

    Health Minister Andrew Little told RNZ Morning Report they had been at the forefront of the covid-19 response and had worked tirelessly. “As Ashley said to me in the weekend, he is just exhausted.”

    Thousands of front line health workers had done a phenomenal job and would be feeling the same after two years of the pandemic, he said.

    There was still work to be done in terms of the rebuild and the nationwide health restructure “because we’ve got to create that extra capacity.”

    “I am committed to filling the gaps that are there.”

    ‘Saved thousands of lives’
    Epidemiologist Professor Rod Jackson said the key leadership group including Dr Bloomfield, the prime minister, senior ministers and others “saved thousands of lives, it saved our health services”.

    “The work that they did over the past couple of years, it’s just relentless.” Jackson said. “I’m amazed that they lasted so long.”

    All three were there at the most important stage but it was “a bit worrying” they were leaving. “The next phase is going to be messy, it’s going to be more political.”

    However, New Zealand had “fantastic” vaccines and the knowledge on how to slow down and contain a pandemic.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • By Stephen Forbes, Local Democracy reporter

    A leading epidemiologist says Aotearoa New Zealand has no idea how many community cases of covid-19 there are in the country because so many people are not recording their rapid antigen test (RAT) results.

    Local Democracy Reporting
    LOCAL DEMOCRACY REPORTING

    University of Auckland Professor Rod Jackson said an upgrade of the testing system and My Covid Record is desperately needed.

    His comments follow the leak of a memo from the Northern Region Health Co-ordination Centre (NRHCC) to health providers in the Auckland region on March 26.

    The memo states:

    “The MoH shared the following with us this week: in the last month we have distributed 50 million RATs into the system and so far less than 1 million results have been reported.”

    The memo goes on to mention the increased number of false positives and negatives that occur with RATs (compared to PCRs) and the need to shift towards more PCR testing immediately.

    Professor Jackson said the fact that so many people are not recording their covid-19 RAT results means the Ministry of Health’s daily case numbers are meaningless.

    “Those numbers clearly demonstrate that expecting people to report the results of self-administered RAT tests was never going to happen on a consistent basis,” he said. “They are only reliable if they are done by trained people and recorded.”

    Professor Rod Jackson
    University of Auckland epidemiologist Professor Rod Jackson … “The numbers are only reliable if they are done by trained people and recorded.” Image: Ricky Wilson/Stuff/LDR

    Looking at hospitalisations
    Professor Jackson said he did not even even look at the daily case numbers.

    “I look at the hospitalisations and, sadly, the number of deaths,” he said.

    Daily new covid-19 cases in NZ 06042022
    Daily new covid-19 cases as at today. Image: Ministry of Health

    But Professor Jackson said, in the middle of an omicron outbreak, a switch back to PCR testing might not be feasible due to the sheer number of people who would need to be tested.

    “And my concern is people have got so used to easy access to RATs and now they wouldn’t want to wait in line.”

    He said RATs are a tool to help slow down the spread of omicron, but their accuracy can be as low as 50 percent.

    Auckland University associate professor of public health and Associate Dean Pacific Dr Collin Tukuitonga agrees that poor recording of RAT results highlights the shortcomings of the Ministry of Health’s daily case numbers.

    Auckland University associate professor of public health Dr Collin Tukuitonga
    Auckland University associate professor of public health Dr Collin Tukuitonga … “The reality is we have no idea of the real numbers.” Image: Ryan Anderson/Stuff/LDR

    “The reality is we have no idea of the real numbers because people are either not getting tested or, if they are, they aren’t recording their results,” he said.

    Real case numbers far higher
    “Some people say the real case numbers could be two or even four times higher.”

    He said looking at the overall trend shows case numbers are declining in Auckland.

    “But in terms of absolute numbers, we have no idea.”

    A Ministry of Health spokeswoman said it has continued to monitor and review its approach to testing throughout the outbreak.

    She said RATs are the ministry’s preferred testing method as they can be done at home, the results are available quickly and, when people upload their results, they provide an insight into the spread and size of an outbreak.

    “We are still undertaking some PCR testing. However, this is mainly focused on priority populations and those individuals who are at higher risk of the effects from covid-19.”

    According to the Ministry of Health, from February 22 to April 4 it has distributed 61.6 million RATs nationwide and between December 13 and April 5, a total of 1,614,110 million results have been recorded.

    Local Democracy Reporting is a public interest news service supported by RNZ, the News Publishers’ Association and NZ On Air. Asia Pacific Report is a community partner.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    Aotearoa New Zealand’s Director-General of Health Dr Ashley Bloomfield — the man who has tirelessly steered the country’s covid-19 pandemic response for the past two years — is stepping down from his role at the end of July.

    Public Service Commissioner Peter Hughes revealed Dr Bloomfield’s decision in a statement today.

    Dr Bloomfield had signalled to the commissioner late last year he intended to step down before his term officially ended on 11 June 2023, Hughes said.

    He said Dr Bloomfield had done an outstanding job leading the government’s health response to covid-19 and the vaccination rollout.

    “Dr Bloomfield has worked tirelessly for more than two years to keep New Zealanders safe from coronavirus,” Hughes said.

    “Dr Bloomfield has demonstrated remarkable resilience and courage in leading the health system’s overall response to Covid-19. That response has saved lives.

    “I thank Dr Bloomfield for his commitment to public service, his spirit of service to the community and his exceptional contribution to New Zealand’s covid-19 response. I know many New Zealanders will also be thankful for the job he has done.”

    Good hold on the virus
    Hughes said Dr Bloomfield wanted to stay on until the country had a good hold on the virus, and that time was now.

    Director-General of Health Dr Ashley Bloomfield, Prime Minister Jacinda Ardern, and Deputy Prime Minister Bruce Robertson
    Director-General of Health Dr Ashley Bloomfield, Prime Minister Jacinda Ardern, and Deputy Prime Minister Grant Robertson … “central to our COVID success as a nation.” Image: Samuel Rillstone/RNZ

    In a post on Facebook, Prime Minister Jacinda Ardern said Bloomfield had been a true public servant in every sense, through his dedication, drive and calmness.

    “He has been central to our COVID success as a nation, and he’s done it with humour and grace (I’ll keep the details of his sporadic mockery of me to myself!),” she said.

    “When we spoke about his decision to move on, he mentioned that he wanted to spend time with his family, and that’s the least we owe him. So kia ora from across the Motu, Dr Bloomfield. We thank you.”

    Covid-19 Response Minister Chris Hipkins also posted on Facebook after the news was released, acknowledging Bloomfield for being a “reassuring figure” through the pandemic response.

    “The amount of pressure he’s absorbed, and the level of commitment he’s shown over the past two years make that an easy decision to understand.

    ‘Give the man a beer’
    “We thank you Ashley for all you’ve done to keep us all safe. Give the man a beer, he’s truly earned it!”


    An acting director-general will be appointed before Bloomfield finishes on 29 July, 2022.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    Aotearoa New Zealand will remain at the red covid-19 traffic light setting, says Prime Minister Jacinda Ardern.

    Ardern made the announcement at today’s post-cabinet media briefing.

    She said the rolling average of cases had declined 36 percent in the two weeks since the government refined the traffic light system.

    There had been early data showing an uptick since mid-March in people visiting places of retail and recreation in Auckland, as well as more people returning to workplaces, she said.

    While cases were dropping in Auckland, Wellington and Tairāwhiti, others region like Canterbury, Northland and Waikato were not experiencing the same drop. Hospitalisations in some DHBs were not expected to peak until mid- to late-April.

    “So for now, New Zealand will remain at red,” Ardern said.

    “I know there is an eagerness to move to orange, but we are still frankly amid an outbreak and there is still pressure across our hospital network.”

    Nine further deaths
    The Ministry of Health today reported 10,205 new community cases of covid-19 and nine further deaths.

    There are now 734 people in hospital, including 25 in ICU or HDU.

    In a statement, the ministry said the seven-day rolling average of case numbers was continuing to decline — down to 13,218 from last Monday’s 16,102.

    Director-General of Health Dr Ashley Bloomfield said health officials would not be looking at a specific number of hospitalisations when advising a move down to the orange setting, but would rather be considering capacity and pressure levels, which also includes staffing at hospitals.

    The next review of the traffic light settings will be on Thursday, April 14.

    Prime Minister Jacinda Ardern on the traffic light system. Video: RNZ

    The country will remain at the red Covid-19 traffic light setting, Prime Minister Jacinda Ardern says.

    Ardern made the announcement at today’s post-Cabinet media briefing from about 4pm.

    Based on health advice
    Ardern said the decision today was based on health advice, and the government did not want to move too quickly and lose the progress made.

    “It’s less about the case numbers and more about the hospitalisations.”

    Asked why Auckland could not move to orange when cases were falling, Ardern said that while there was a decline in hospitalisations, “it is off a high base, the numbers are still relatively high, the pressure on our system is still there, we want to make sure that we’re in the best possible position and we don’t lose the gains we’ve worked so hard for.

    “We’ve always said that there is the possibility of moving regions to different levels at different times … but as we’ve said, Auckland has made significant progress but we do still have a relatively high hospitalisation rate.

    “We need to look after our healthcare workforce.”

    The country needed to help the health system recover and be ready for the expected winter surge, Ardern said, requesting that people get boosted.

    “Unvaccinated and people that are not boosted make up a disproportionate number of people in our hospitals. More than 9900 people are due their booster today, please get your booster as soon as you can.”

    Looking at overall trends
    Covid-19 Response Minister Chris Hipkins told RNZ Checkpoint tonight there were a range of considerations cabinet would have to take account of in its April 14 review.

    “We’re obviously looking at the overall trends … how many new hospital admissions as well as those who are in hospital – but also the demographics,” he said.

    This post was originally published on Asia Pacific Report.

  • In mid-2021, Abegail* received the good news that she can finally return to her job as a bartender for an Italian cruise line. It was a huge relief for the Filipino cruise worker. The previous year, she was among the thousands of Filipino migrant workers who had been repatriated to the Philippines during the initial months of the COVID-19 pandemic. With the shutdown of the cruise industry, Abegail and her co-workers spent months stranded at home, unemployed and dependent on their previous earnings to cover daily needs. “All of us have used up our savings,” she said.

    Two years have passed since the World Health Organization announced the COVID-19 pandemic in March 2020. In recent months, more countries have eased border closures, lifted travel restrictions and various industries, including cruise lines, have gradually reopened. For the Philippines, a major migrant-sending country known for its model system of migration management, this meant the resumed deployment of overseas Filipino workers (OFWs). In 2021, Filipino migrant workers abroad sent home a record inflow of $31.4 billion in  remittances, contributing cash fuel to local economic recovery. These recent changes seem to signal that migrant workers like Abegail can return to their jobs abroad in the ‘new normal’ and start afresh, after being stuck at home for months.

    From 2020 to 2021, I was involved in a research project that documented how the COVID-19 pandemic has disrupted the  Philippines’ labour export system and affected the lives Filipino migrant workers aspiring to work abroad and those who were repatriated home. In 2020, our team interviewed 45 Filipino cruise workers who were repatriated to the Philippines or whose job contracts were cancelled as the cruise line industry came to a halt. The following year, I conducted follow-up interviews with some of these cruise workers. Their stories shed light on the challenges they faced upon return and in coping with months of being stuck at home.

    First, they are indicative of the pandemic’s extensive and long-term consequences for migrant workers, reminding us that beyond losing their jobs at the onset of the pandemic, they have also accumulated losses in the time they were stranded in their home country. Second, they also reveal how a crisis like the pandemic can exacerbate the challenges of return and reintegration for migrant workers, even in the case of the Philippines, which is already known for its inclusion of welfare and protection policies in migration governance. These observations raise important reflections on return preparedness and reintegration support during disrupted migration journeys.

     From extended job limbo to depleted savings

    The pandemic was a huge blow for the Philippines, a major source country of migrant workers and a top supplier of seafarers in the world. Official data indicate that in the first year of the pandemic alone, the number of Filipino migrant workers declined by 18.6% to 1.77 million, down from 2.18 million in 2019.

    As more Filipino migrant workers lost their jobs and became stranded abroad, the Philippine government carried out a series of mass repatriations, considered the biggest operation so far in the country’s history. The unprecedented number of returning workers overstretched the country’s funds for repatriation assistance; government agencies had to seek additional funding for subsequent batches of repatriates. In 2020 alone, the Philippines had repatriated over 327,000 Filipino migrant workers—a bulk of them were working on cruise ships in Europe and North America.

    Although some later found employment in call centres or online teaching, most of the cruise workers we spoke to struggled to find alternative jobs in the country, as stringent lockdowns kept many establishments closed or operational at reduced capacity.

    Jeremiah, a galley steward with previous restaurant experience applied for multiple vacancies online but received no response. Restaurants in his home province and in Manila were mostly closed or were not hiring. Cruise workers like him not only had to deal with job loss abroad, but also with joblessness at home, amid a pandemic-hit economy. The uncertainty kept them waiting longer than they expected, resulting in a loss of considerable time.

    Throughout the first two years of the pandemic, cruise lines were adjusting their operations and managing which workers would get to sail first. Cruise workers ended up waiting several months for an update, or their sail dates were postponed. “Always adjusting,” one interviewee said, in describing the uncertainty. “We don’t know. They can’t tell when they can give a specific [sail] date.”

    By late 2021, many of our interviewees had been able to sail as the industry started to reopen. Most were grateful for their new contracts. “I was stuck here in the Philippines for eleven or ten months,” Jeremiah told me. But many of them had to accept shorter job contracts and reduced salaries. Some only received basic pay with no commissions, at least temporarily, as cruise ships were operating with few to no passengers.

    Some of our interviewees had to put on hold their plans of buying properties and setting aside money for other future plans. Late last year, I spoke to Jeanette, an operations manager, who was excited to sail again after being stuck in the Philippines for nearly 17 months. She hopes to financially recover with additional job contracts so she can pay for her car instalment, and fulfil her plans of buying a home. “I’ve thought about it, to add more [years of working at sea]. Because I’ve used my savings.”

    Apart their disrupted journeys abroad, cruise workers suffered from accumulated losses over time as they spent months of prolonged strandedness at home. With months of joblessness and depleted savings, cruise workers now have to work additional contracts in order to catch up with their financial goals and derailed future plans.

    Challenges in return and reintegration amid a pandemic

     To help repatriated migrant workers, the Philippine government announced several forms of economic support, including cash assistance and reintegration programs such as entrepreneurship loan schemes, livelihood support, job referrals and training programs. The range of services to some extent provided options for those in immediate need and those unsure of what to next. But in their own experiences of return and reintegration, many of the cruise workers we interviewed faced challenges in claiming government assistance and venturing into entrepreneurial projects.

    While most cruise workers were aware of the available government programs for migrant returnees, some were discouraged by the tedious and time-consuming application procedures. Several of those we spoke to applied for the one-time cash assistance of Php10,000 (about USD190-200), which was intended as an immediate form of post-return support. As well as spending time preparing their applications, some had to wait for as long as four to five months before they received the cash. Those who followed up with the government office were told that they would have to wait longer, as the government’s funds were running out and more had to be requested.

    Eli, a cruise performer, applied for cash assistance in May 2020, shortly after he was repatriated. But he only received the money in February 2021, nearly a year later, after several calls inquiring about the status of his request. “Actually, it’s like I lost hope. I said, ‘Will I still get it?’ Because I kept calling and calling,” he told me. The pandemic may have overwhelmed the state’s funds for migrant welfare and protection, but the notable delays are also symptomatic of the existing bureaucratic hurdles that slow down the delivery of much-needed assistance for stranded migrant workers.

    While appreciated, the amount of cash provided was only enough to cover a short period of time in an ongoing pandemic. They had to rely on their own resources and the support of family members for household expenses, investments and debts. With these financial concerns, few returnees could be expected to immediately jump at entrepreneurial loan programs that could fail or generate low returns. Reports suggest that many migrant workers who availed of entrepreneurship programs in the past have not been able to pay back the loans from these schemes.

    Many of our interviewees pursued self-financed online businesses to cope with extended unemployment at home. They sold homemade food, baked goods and clothing online and in their neighbourhoods. While our findings do not cover government reintegration programs, the experiences of cruise workers in starting their own businesses amid a pandemic show some challenges when it comes to entrepreneurial ventures.

    The Labor of Care: Filipina Migrants and Transnational Families in the Digital Age

    Clariza started an online business to cope with 11 months of unemployment. But even though she was selling a range of products—from pain relievers to bags—the earnings weren’t enough to pay the bills. Gerard, an assistant waiter for a global cruise line, attempted to start a food business, but the venture only lasted a few weeks because of difficulties finding suppliers and a lack of equipment. For other cruise workers, it was difficult to sustain a business amid rising food prices and heavy competition, as many migrant returnees started similar businesses; demand was also low as many households faced financial constraints.

    Some cruise workers were able to sustain their businesses until their redeployment. But the stories we heard also show that reintegration initiatives, in this case the self-financed ones, do not always work out and can lead to more debt and lost time and resources, even more so in a pandemic.

    Most interviewees said that once they received a sail update from their company, they would definitely go abroad again, as they preferred the higher salaries, the opportunity for more savings and upward career mobility. This resonates with findings from a 2021 survey by the IOM, which found that nearly half of its migrant worker respondents intended to re-migrate for overseas work. “For sure, I’m returning 101% because of the salary as well….” one cruise worker said. “Because I want to invest, to settle earlier…it’s easier if it’s [on] the cruise line.”

    For many of the cruise workers, the pay reduction and shortened contract periods on cruise ships are still better than putting up with temporary, low-paying jobs at home or running online businesses that yield limited returns.

    The costs of strandedness and the challenges of return and reintegration

    Findings from our project suggest that the impact of COVID-19 can stretch into the long-term, exacerbating hardships for stranded OFWs. Commentaries, reports and public discourse have rightly pointed out the need to provide post-return assistance for repatriated migrant workers. Simultaneously, it is also important to consider the challenges of return and reintegration, not just in terms of government programs and services, but also in relation to broader structural factors—the conditions of the local economy before and during the pandemic, the limitations of institutional policies and programs, and bureaucratic hurdles.

    The enduring preference of Filipino migrant workers to go abroad also reflects the country’s long-standing reliance on overseas remittances, which have become “a pillar of the country’s economy.” While there are more return and reintegration programs now to encourage migrant workers to invest their earnings and efforts back home, there remain questions on how policies can better support migrant workers in their return preparedness and safety nets, not just when planning to return permanently, but also in moments of disruptions. Moreover, the challenge of reintegration also leads to the question of how the country can cultivate an environment of economic opportunities that will convince them to stay or invest long-term in the country.

    The Philippines’ migration system has taken strides in incorporating return and reintegration policies and programs over the years. Yet there remain avenues for improvement. These include further streamlining procedures for claiming assistance, updating reintegration services to make them less complicated and more sustainable for returnees, and to conduct research to inform policymaking. Past research, for example, has found that many OFWs have low return preparedness and are less engaged in state-sponsored entrepreneurship programs. Gathering such information to understand the attitudes and profiles of returning migrant workers are crucial for recalibrating and strengthening programs in ways that meet their needs and interests. Stronger systems of return and reintegration, in turn, can fortify existing social protection mechanisms for migrant workers not only in a pandemic, but in other future crises.

    The post COVID-19: the costs of strandedness for repatriated Filipino migrant workers appeared first on New Mandala.

    This post was originally published on New Mandala.

  • RNZ Pacific

    The first female premier of a Solomon Islands province is appealing to New Zealand Prime Minister Jacinda Ardern to help her country manage covid-19 in the community.

    People travelling between Honiara and Isabel Province were being tested for the virus at four testing centres, and if they test positive they were isolated at a makeshift centre.

    The Isabel Premier, Rhoda Sikilabu, said she was desperate for funding to make improvements to the isolation centres because “they’re filling up and are run down”.

    “I really, really need support. We have no place to … isolate these people,” Sikilabu said.

    She wants New Zealand to provide funding for improvements for the centres.

    “I, as a woman and a mother, I have so many worries and concerns for families offloading with babies, children,” she said.

    “I really, really need support in covid. Please I would like to appeal to the Prime Minister.”

    Focus on environmental and women’s issues
    Sikilabu plans to focus on environmental and women’s issues, and is hopeful of bringing changes to her region as well as transform old mindsets.

    She wants women to have authority to speak about their land and property in regards to resources.

    “Reforestation is one of the priorities that I will tackle and maybe I can impact more on how women can address or say more on their property, their land ownership,” she said.

    ”The environment is very, very important to women just now.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • By Joyce McClure of Pacific Island Times

    Yap State Governor Jesse Salalu has declared a state of emergency over a mass resignation of 40 doctors and nurses at Yap State Hospital after authorities declined to consider their grievances.

    “Due to the sudden departure of staff, the Department of Health Services is now in need of finding and recruiting qualified nurses and doctors to fill vacancies, so as to minimise disruptions to its operations and services,” stated the emergency declaration.

    “There is no sufficient pool of qualified nurses and doctors available on island for immediate recruitment to help prevent or minimise disruptions to the operation and services of the hospital,” Governor Salalu said in his emergency declaration on March 31.

    The emergency status authorises the Department of Health Services to work with Waab Community Health Center to allow the sharing and realignment of human resources to the main hospital.

    DHS will also look into the possibility of rehiring local retired medical professionals on a temporary basis.

    Led by Dr James Yaingeluo, the doctors and nurses handed in their resignations on March 29 after Salalu declined to hear their grievances.

    When Salalu failed to appear at a meeting requested by the medical staff, a representative from the Office of the Attorney-General and a cabinet member refused to discuss the matter with them.

    Severe understaffing
    Among the grievances are persistently severe understaffing, low salaries resulting in the inability to attract and keep qualified professionals, working without contracts, and the Yap State Legislature’s refusal to release JEMCO-approved Office of Insular Affairs grant funds for wage increases.

    Many of the unresolved issues that date back to 2019 have been exacerbated during the pandemic.

    Yap is reported to have the lowest pay rates in FSM’s health care sector and has difficulty recruiting qualified doctors and nurses due to the higher compensation offered by other health care institutions in the region.

    This is especially true since the onset of the covid-19 pandemic when health care professionals began receiving significantly higher offers from employers.

    A year ago, then Governor Henry Falan submitted a supplemental budget request to the Yap State Legislature. Included in the request was $108,614 for doctors’ salaries. The money had been approved by JEMCO, granted by OIA and sourced from the Compact Health Sector.

    Dr Mandela A. Bodunrin, the hospital’s then chief-of-staff who has since left, requested the grant to increase doctors’ salaries in order to fill open positions for doctors that were going unfilled.

    DHS was unable to compete in the marketplace for the talent it required at the salary levels it was offering.

    Further review needed
    The legislature has the power to approve all OIA grants prior to their release, but the finance committee stated that further review was needed.

    The doctors then on-staff signed temporary contracts at the pay level authorised in the prior budget year while they awaited the legislature’s approval of Falan’s supplemental budget request.

    Their overtime and on-call remuneration tapped out the DHS’s FY2021 budget early due to the dearth of doctors.

    The temporary contracts expired in February 2021. The money from the grant was “to ensure continuity of the compensation until September 30, 2021,” Falan said. The money would not come from the state’s general fund.

    Understaffing and the inablity to attract qualified professionals became an even larger concern as the pandemic rapidly grew in importance within the medical community and compensation ballooned worldwide.

    During one of the meetings of the state’s emergency task force addressing covid-19, it was revealed that a number of nurses stated that they would quit once the border was opened and the first case was identified, adding another layer of stress to an already overburdened organisation.

    Yap’s border has been closed since April 2020. Repatriation of the state’s citizens who are stranded off-island has been in fits and starts, challenging the small medical team to manage quarantine and testing protocols while tending to the daily needs of the hospital’s patients.

    Repatriation flight postponed
    The most recent announcement for a repatriation flight arriving from Guam on Wednesday has been postponed.

    A team from the FSM Department of Health was on Yap the week of March 27 assessing the state’s readiness to reopen its borders. Their report is being awaited but the lack of medical personnel will now undoubtedly influence that decision.

    According to the Yap State Constitution, employees “have the right to form associations for the purpose of presenting their views to the government” and to be “free from restraint or reprisal in exercising this right.

    The government shall give reasonable opportunity to representatives of such associations to present their views.”

    However, it also states that “employees, whether or not exempted by the public service system, shall not strike or cause work stoppage for the purpose of collective bargaining or presenting their views.”

    Further, “the regulations shall prescribe a system for hearing the views of employees on their working conditions, status, pay and related matters and for hearing and adjudicating grievances of any employee or group of employees.

    “These regulations shall ensure that employees are free from coercion, discrimination, and reprisals and that they may have representatives of their choice.”

    Dominic Taruwemai, the acting DHS director, has not accepted the doctors’ and nurses’ resignations as of this writing.

    Joyce McClure is an American journalist who lived on Yap for five years and is now based in Guam. She is a contributor to the Pacific Island Times. This article is republished with permission.

    This post was originally published on Asia Pacific Report.

  • RNZ Pacific

    A roundup today of the covid-19 pandemic status around the Pacific.

    Nauru
    President Lionel Aingimea has announced that Nauru has recorded its first two covid-19 cases, which were detected in quarantine.

    In a public address, the President assured the community that the two cases were safely contained in quarantine. As such, Nauru remained safe and there was no cause for anyone to panic.

    The two cases both travelled on the same flight, from Brisbane on March 31.

    “Both people are well and do not have any symptoms and are being cared for by the medical team in the covid ward,” President Aingimea said.

    Two other people were also being quarantined in the Covid Ward. One of them is the spouse of one of the cases, and they had travelled together.

    The hospital laboratory has detected low levels of virus in this person which appeared to be decreasing.

    The fourth person had a borderline result on April 1. They were put in isolation in the Acute Ward. This person tested negative yesterday but will remain under observation for now.

    Samoa
    Samoa’s Ministry of Health has confirmed 245 new community cases in a 24 hour period.

    The ministry said 583 people had recovered and 1493 remained active cases.

    Upolu island still has the majority of cases with 97 percent.

    The ministry also said that covid-19 infections were significantly higher among those aged from 15 to 35, but infections among children aged 4 and below were also increasing.

    Four new border cases were recorded on a flight from New Zealand on Tuesday.

    According to the ministry, the community cases were of the BA1 sub lineage of the omicron covid variant.

    Samoa also recorded its first covid-related death this week.

    Kiribati
    The Kiribati government has extended its curfew for another four weeks.

    The Office of the President said the new curfew order was intended for South Tarawa, Betio, Buota, North Tarawa, Abaiang, Marakei, Maiana, Aranuka and Abemama.

    Travel from Tarawa to the covid-free outer islands will also resume, but with strict safety procedures in place.

    The government has also allowed church services to resume, but face masks will be mandatory.

    A Parliament session will be convened, as planned, and gatherings outdoors remain limited to 20 people.

    According to the WHO, Kiribati has had 3066 cases in total and 13 covid-related deaths.

    Tonga
    Tonga’s lockdown restrictions are easing. Restaurants and food outlets are opening for the first time in two weeks, but with only takeaway options allowed.

    According to new lockdown rules introduced by Tonga’s government, businesses can operate between 5am to 8pm until Monday.

    Since March 20 most Tongan businesses, including all shops and gas stations, had only been allowed to open on Saturdays.

    However, bars and liquor stores will still be prohibited from opening.

    The owner of the Billfish Restaurant and Bar in Nuku’alofa, Robert Sullivan, said that bars had been totally ignored.

    “Bars have not even been mentioned. We’ve closed since February 2. So bars have not been open since then in Tonga, and any bars and all their employees will be struggling quite a lot right now because we still have bills, we still have rents, we still have the products that we’ve already purchased,” Sullivan said.

    The majority of bars are still trying to pay their staff we’ve what they have, and this can’t continue.”

    Tonga has been in lockdown since February 2 and a border closure has been in effect since the onset of the covid-19 pandemic in 2020.

    The Minister of Health, Saia Piukala, announced this week that six covid-19 deaths had been recorded in the kingdom, and that more than 6000 Tongans had tested positive for covid-19.

    New Caledonia
    A total of 15 new cases of covid-19 have been recorded in New Caledonia, since Thusday afternoon.

    The covid-19 death toll remains at 311.

    Nine people are in hospital and 1 person is in ICU.

    Sixty six percent of the population is vaccinated.

    French Polynesia
    One new covid-19 related death has been recorded in French Polynesia, bringing the total number of deaths since December last year to 11.

    The total number of active cases over the territory is 381, and 123 new cases of covid-19 have been detected.

    Four people are in hospital and one person is in ICU.

    Eighty percent of the population is vaccinated.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.