WHO examines AstraZeneca, advises its use for now

World Health Organisation safety experts and the European Medicines Agency are meeting separately to discuss the AstraZeneca-Oxford vaccine, whose usage has been suspended in several countries, including France.
Germany, Italy and France are the latest to join a growing list of countries to halt the rollout of the coronavirus vaccine over concerns about blood clots.
It deals a major blow to the worldwide immunisation campaign for a virus that has infected 210 million people and killed more than 2.6 million globally.
On Monday, France’s President Emmanuel Macron said that the country has decided to suspend the use of the AstraZeneca vaccine “as a precaution”, adding that authorities hope to “resume its use quickly” if the European Medicines Agency gives the all clear.
The Principality of Monaco is set to receive 7,200 doses of the AstraZeneca vaccine by the end of March.
The World Health Organisation (WHO), AstraZeneca, and the European Medicines Agency (EMA) have all insisted the shot is safe, and that there is no link between the vaccine and reported blood clots.
The pharmaceutical company said the 15 incidences of deep vein thrombosis (DVT) and 22 events of pulmonary embolism reported among those given the vaccine was “much lower than would be expected to occur naturally in a general population”.
WHO chief scientist Soumya Swaminathan said Monday that he doesn’t want people to panic and that so far, they have not found an association between the events and the vaccine, adding, “For the time being, we recommend that countries continue vaccinating with AstraZeneca.”
Meanwhile, the EMA said in a statement that “many thousands of people develop blood clots annually in the EU for different reasons” and that the number of incidents in vaccinated people “seems not to be higher than that seen in the general population”.
It added that “the benefits of the AstraZeneca vaccine in preventing Covid-19, with its associated risk of hospitalisation and death, outweigh the risks of side effects.”
The EMA will hold an extraordinary meeting on Thursday to decide on any further action.
 
Photo by Reuters
 
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Covid self-tests coming to France

Director General of Health Jérôme Salomon has announced the imminent arrival of Covid-19 home-tests in France as part of the government’s “test, alert, protect” strategy.

Mr Salomon told BFM TV on Sunday that self-tests are coming to pharmacies, and possibly even supermarkets, and the High Authority of Health is expected to inform the public this week as to which tests will be for sale and whether they will be recommended for businesses and schools.

“It will be fairly easy to access,” Salomon said. “The principle of the self-test is precisely that we can have it with the family. It will be in supermarkets or pharmacies in any case, if it is easiest. It’s going to be very easy to organise.”

These rapid antigen tests are done using the same general nasal swab technology currently in use, but they have been adapted for use at home. Patients will use a cotton swab, similar to the professional version only shorter, to rub the inside of the nostrils. The swab must then be soaked in a solution that detects the presence of the virus, which happens in less than half an hour.

To read the results, either the solution is poured onto a paper slip, not unlike a pregnancy test, or people can use a downloaded app to help identify what a positive or negative result looks like.

Tests such as these are authorised already in several countries such as the United Kingdom, Austria, Germany and Portugal.

Effectiveness is a concern, of course, and for France to approve these kinds of tests, they must prove to have a sensitivity level of 80% or more.

Salomon was clear on this point, saying, “The real question for me is the scientific evaluation. We cannot authorise tests which would give false negatives, or false positives. We must therefore be certain that these tests are reliable and that the French can have a confirmation of the test.”

Another point to be considered has to do with tracing. French health authorities question whether people who test positive will actually warn their contacts. The results-via-app system could be a good tool for this, in that it would assist in tracing positive cases without relying on the public to offer the news themselves.

The tests are expected to be covered 100% by national health insurance, therefore they will cost users nothing. They simply need to present a valid carte vital to the vendor and they will be permitted to purchase a test over the counter. For those not covered by national health, the estimated cost should be €10 or less.

 

Photo by Mika Baumeister on Unsplash

 

 

New “window masks” to help communication

The government has equipped workers in Monaco’s administrative services with transparent masks to make life easier for people with hearing loss or other impediments to understanding.

Since the start of the crisis and the advent of public mask-wearing, almost everyone has experienced the exasperation of not being able to properly hear or understand what is being said to them by a clerk, neighbour or friend.

To help eliminate some of this frustration, Monaco’s 22 administrative service departments will now be welcoming the public wearing transparent masks to facilitate easier communication.

Dubbed “window masks” by the Department of Social Affairs and Health, these new masks will have a see through centre, making the mouth visible and allowing lips to be read. This is imperative for the hard of hearing, but also helpful for those who rely on visual cues when understanding, especially if French is not their first language.

The machine washable, French-crafted masks are made of a light, breathable material and the transparent section is affixed away from the mouth for better comfort whilst speaking. They also, sensibly, are anti-fog treated.

Workers at these sites will be given an awareness guide on how to receive the deaf or hard of hearing and a poster will be placed in reception areas to indicate to the public that services for the hearing impaired are available. Finally, the Monegasque Association for Deaf People (AMPS) has made these masks available to those on the receiving end who require them.

 
 
Photo by Manuel Vitali / Government Communication Department
 
 

Carabiniers get new cycling kit

The Prince’s Riflemen were officially handed their new Fight AIDS Monaco cycling jerseys on Monday at the Fairmont Hotel, as Prince Albert II and Princess Stephanie were given personalised versions of their own.

Prince Albert II and Princess Stephanie attended the presentation of the new Prince’s Riflemen’s cycling jerseys, now featuring the Fight AIDS Monaco logo. The unveiling, which occurred at the Fairmont Hotel on Monday, was also an opportunity to offer the Prince and Princess their own personalised jerseys.

The new kit was designed by high end cycling products designers Ekoï and have replaced the former jerseys that dated back to 2010. The updated versions are red and white, fading to black at the bottom with the Fight AIDS Monaco logo front and centre.

The Riflemen of the Prince (Carabiniers du Prince) use not just cycling but sport in general as an integral part of their professional training. Some 70% of the Riflemen practice sport on a regular basis to maintain strength and good health, as well as to teach respect for themselves, rules and others. In addition to cycling, they also are encouraged to play team sports such as petanque, football and beach volleyball, as well as individual ones like running and badminton.

Fight AIDS Monaco was founded in 2004 by Princess Stephanie as a non-profit organisation to help those living with AIDS to combat the psychological, financial and discriminatory distress that can come with living with the as-yet incurable condition.

 
Photo by Gaetan Luci / Prince’s Palace