Friday, June 24, 2022

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Covid vaccines saved 20M lives in 1st year, scientists say

Posted: 23 Jun 2022 05:41 PM PDT

Nearly 20 million lives were saved by Covid-19 vaccines during their first year, but even more deaths could have been prevented if international targets for the shots had been reached, researchers reported Thursday.On Dec. 8, 2020, a retired shop clerk in England received the first shot in what would become a global vaccination campaign. Over the next 12 months, more than 4.3 billion people around the world lined up for the vaccines.The effort, though marred by persisting inequities, prevented deaths on an unimaginable scale, said Oliver Watson of Imperial College London, who led the new modeling study."Catastrophic would be the first word that comes to mind," Watson said of the outcome if vaccines hadn't been available to fight the coronavirus. The findings "quantify just how much worse the pandemic could have been if we did not have these vaccines."The researchers used data from 185 countries to estimate that vaccines prevented 4.2 million Covid-19 deaths in India, 1.9 million in the United States, 1 million in Brazil, 631,000 in France and 507,000 in the United Kingdom.An additional 600,000 deaths would have been prevented if the World Health Organization target of 40% vaccination coverage by the end of 2021 had been met, according to the study published Thursday in the journal Lancet Infectious Diseases.The main finding — 19.8 million Covid-19 deaths were prevented — is based on estimates of how many more deaths than usual occurred during the time period. Using only reported Covid-19 deaths, the same model yielded 14.4 million deaths averted by vaccines.The London scientists excluded China because of uncertainty around the pandemic's effect on deaths there and its huge population.The study has other limitations. The researchers did not include how the virus might have mutated differently in the absence of vaccines. And they did not factor in how lockdowns or mask wearing might have changed if vaccines weren't available.Another modeling group used a different approach to estimate that 16.3 million Covid-19 deaths were averted by vaccines. That work, by the Institute for Health Metrics and Evaluation in Seattle, has not been published.In the real world, people wear masks more often when cases are surging, said the institute's Ali Mokdad, and 2021's delta wave without vaccines would have prompted a major policy response."We may disagree on the number as scientists, but we all agree that Covid vaccines saved lots of lives," Mokdad said.The findings underscore both the achievements and the shortcomings of the vaccination campaign, said Adam Finn of Bristol Medical School in England, who like Mokdad was not involved in the study."Although we did pretty well this time — we saved millions and millions of lives — we could have done better and we should do better in the future," Finn said.Funding came from several groups including the WHO; the UK Medical Research Council; Gavi, the Vaccine Alliance; and the Bill and Melinda Gates Foundation. (AP)

Explainer: Why Sri Lanka’s economy collapsed and what’s next

Posted: 23 Jun 2022 04:33 AM PDT

SRI Lanka's prime minister says the island nation's debt-laden economy has "collapsed" as it runs out of money to pay for food and fuel. Short of cash to pay for imports of such necessities and already defaulting on its debt, it is seeking help from neighboring India and China and from the International Monetary Fund.Prime Minister Ranil Wickremesinghe, who took office in May, was emphasizing the monumental task he faces in turning around an economy he said is heading for "rock bottom."Sri Lankans are skipping meals as they endure shortages, lining up for hours to try to buy scarce fuel. It's a harsh reality for a country whose economy had been growing quickly, with a growing and comfortable middle class, until the latest crisis deepened.How serious is this crisis?Tropical Sri Lanka normally is not lacking for food but people are going hungry. The UN World Food Program says nearly nine of 10 families are skipping meals or otherwise skimping to stretch out their food, while 3 million are receiving emergency humanitarian aid.Doctors have resorted to social media to try to get critical supplies of equipment and medicine. Growing numbers of Sri Lankans are seeking passports to go overseas in search of work. Government workers have been given an extra day off for three months to allow them time to grow their own food. In short, people are suffering and desperate for things to improve.Why is the economy in such dire straits?Economists say the crisis stems from domestic factors such as years of mismanagement and corruption, but also from other troubles such as a growing $51 billion in debt, the impact of the pandemic and terror attacks on tourism, and other problems.Much of the public's ire has focused on President Gotabaya Rajapaksa and his brother, former Prime Minister Mahinda Rajapaksa. The latter resigned after weeks of anti-government protests that eventually turned violent. Conditions have been deteriorating for the past several years. In 2019, Easter suicide bombingsat churches and hotels killed more than 260 people. That devastated tourism, a key source of foreign exchange.The government needed to boost its revenues as foreign debt for big infrastructure projects soared, but instead Rajapaksa pushed through the largest tax cuts in Sri Lankan history, which recently were reversed. Creditors downgraded Sri Lanka's ratings, blocking it from borrowing more money as its foreign reserves sank. Then tourism flatlined again during the pandemic.In April 2021, Rajapaksa suddenly banned imports of chemical fertilizers. The push for organic farming caught farmers by surprise and decimated staple rice crops, driving prices higher. To save on foreign exchange, imports of other items deemed to be luxuries also were banned. Meanwhile, the Ukraine war has pushed prices of food and oil higher. Inflation was near 40 percent and food prices were up nearly 60 percent in May.Why did the Prime Minister say the economy has collapsed?Such a stark declaration might undermine any confidence in the state of the economy and it didn't reflect any specific new development. Wickremesinghe appeared to be underscoring the challenge his government faces in turning things around as it seeks help from the IMF and confronts criticism over the lack of improvement since he took office weeks ago. He's also fending off criticism from within the country. His comment might be intended to try to buy more time and support as he tries to get the economy back on track.The Finance Ministry says Sri Lanka has only $25 million in usable foreign reserves. That has left it without the wherewithal to pay for imports, let alone repay billions in debt.Meanwhile the Sri Lankan rupee has weakened in value by nearly 80 percent to about 360 to $1. That makes costs of imports even more prohibitive. Sri Lanka has suspended repayment of about $7 billion in foreign loans due this year out of $25 billion to be repaid by 2026. (AP)

Survivors dig by hand after Afghanistan quake killing 1,000

Posted: 23 Jun 2022 01:08 AM PDT

GAYAN, Afghanistan — Survivors dug by hand Thursday through villages in eastern Afghanistan reduced to rubble by a powerful earthquake that killed at least 1,000 people, as the Taliban and the international community that fled their takeover struggled to aid the disaster's victims.Related story: EXPLAINER: The Taliban takeover, what's next for AfghanistanIn Paktika province's hard-hit Gayan district, villagers stood atop the mud bricks that once was a home there. Others carefully walked through dirt alleyways, gripping onto damaged walls with exposed timber beams to make their way.The quake was Afghanistan's deadliest in two decades, and officials said the toll could rise. An estimated 1,500 others were reported injured, the state-run news agency said.The disaster inflicted by the 6 magnitude quake heaps more misery on a country where millions face increasing hunger and poverty and the health system has been crumbling since the Taliban retook power nearly 10 months ago amid the U.S. and NATO withdrawal. The takeover led to a cutoff of vital international financing, and most of the world has shunned the Taliban government.How — and whether the Taliban allow — the world to offer aid remains in question as rescuers without heavy equipment dug through rubble with their bare hands."We ask from the Islamic Emirate and the whole country to come forward and help us," said a survivor who gave his name as Hakimullah. "We are with nothing and have nothing, not even a tent to live in."The full extent of the destruction among the villages tucked in the mountains was slow in coming to light. The roads, which are rutted and difficult to travel in the best of circumstances, may have been badly damaged, and landslides from recent rains made access even more difficult. At least 11 people have died in recent flooding as well.While modern buildings withstand magnitude 6 earthquakes elsewhere, Afghanistan's mud-and-brick homes and landslide-prone mountains make such temblors even more dangerous.Rescuers rushed in by helicopter, but the relief effort could be hindered by the exodus of many international aid agencies from Afghanistan after the Taliban takeover last August. Moreover, most governments are wary of dealing directly with the Taliban.In a sign of the muddled workings between the Taliban and the rest of the world, the Taliban had not formally requested that the U.N. mobilize international search-and-rescue teams or obtain equipment from neighboring countries to supplement the few dozen ambulances and several helicopters sent in by Afghan authorities, said Ramiz Alakbarov, the U.N. deputy special representative to Afghanistan.Still, officials from multiple U.N. agencies said the Taliban were giving them full access to the area.Taliban spokesman Zabihullah Mujahid wrote on Twitter that eight trucks of food and other necessities from Pakistan arrived in Paktika. He also said Thursday that two planes of humanitarian aid from Iran and another from Qatar had arrived in the country.Obtaining more direct international help may be more difficult: Many countries, including the U.S., funnel humanitarian aid to Afghanistan through the U.N. and other such organizations to avoid putting money in the Taliban's hands.In a news bulletin Thursday, Afghanistan state television made a point to acknowledge that U.S. President Joe Biden — their one-time enemy — offered condolences over the earthquake and had promised aid. Biden on Wednesday ordered "USAID and other federal government partners to assess U.S. response options to help those most affected," a White House statement said.The quake was centered in Paktika province, about 50 kilometers (31 miles) southwest of the city of Khost, according to neighboring Pakistan's Meteorological Department. Experts put its depth at just 10 kilometers (6 miles). Shallow earthquakes tend to cause more damage.The death toll reported by the Bakhtar news agency was equal to that of a quake in 2002 in northern Afghanistan. Those are the deadliest since 1998, when an earthquake that was also 6.1 in magnitude and subsequent tremors in the remote northeast killed at least 4,500 people.Wednesday's quake took place in a region prone to landslides, with many older, weaker buildings.In neighboring Khost province's Speray district, which also sustained serious damage, men stood atop what once was a mud home. The quake had ripped open its timber beams. People sat outside under a makeshift tent made of a blanket that blew in the breeze.Survivors quickly prepared the district's dead, including children and an infant, for burial. Officials fear more dead will be found in the coming days."It is hard to gather all the exact information because it is mountainous area," said Sultan Mahmood, Speray district's chief. "The information that we have is what we have gathered from the residents of these areas." (AP)

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