Author: anadmin

Within 40 years, more than 800,000 Australians — twice as many as now — will be living with dementia, unless a cure is found, according to a new government-sponsored report.

Dementia is the second leading cause of death in Australia.

A new study by the Australian Institute of Health and Welfare, a government agency, has forecast that 1.1 million Australians will live with dementia by 2058, unless major new treatments are discovered.

Dementia is a broad term for a number of conditions that impair the functions of the brain.

In 2019, $2.1 billion was spent in Australia on residential and community-based services, and hospital care for dementia patients, two-thirds of whom are women.

The release of the Australian Institute of Health and Welfare study has coincided with a new awareness campaign by Dementia Australia, a non-profit organization.

Its chief executive, Maree McCabe, says exercise and a sensible diet can offer protection against several types of dementia.

“The main type is Alzheimer’s disease but there are about 100 different types and about 60% of people with dementia have Alzheimer’s disease. But there’s types such as frontotemporal dementia, dementia with lewy bodies, vascular dementia, just to name a few. We can definitely reduce our risk of developing dementia by ensuring that we eat well, that we exercise our body and our brain,” McCabe said.

The World Health Organization has said there are currently more than 55 million people living with dementia globally.

Almost 10 million new cases are diagnosed every year. About a quarter of those are detected in China, the world’s most populous country.

It is estimated that 10 million people currently suffer from the degenerative brain disorder in China. As its population ages, that number is forecast to rise to 40 million by 2050, according to a study by the London School of Hygiene and Tropical Medicine.

The study warned that the annual economic costs to China from dementia could reach $1 trillion in medical expenses and lost productivity as caregivers leave the workforce.

Dementia support groups warn that worldwide, both patients and caregivers face discrimination because of a lack of understanding about the disease that currently has no cure.

Source: Voice of America

World leaders are returning to the United Nations in New York this week with a focus on boosting efforts to fight both climate change and the COVID-19 pandemic, which last year forced them to send video statements for the annual gathering.

As the coronavirus still rages amid an inequitable vaccine rollout, about a third of the 193 U.N. states are planning to again send videos, but presidents, prime ministers and foreign ministers for the remainder are due to travel to the United States.

The United States tried to dissuade leaders from coming to New York in a bid to stop the U.N. General Assembly from becoming a “super-spreader event,” although President Joe Biden will address the assembly in person, his first U.N. visit since taking office. A so-called U.N. honor system means that anyone entering the assembly hall effectively declares they are vaccinated, but they do not have to show proof.

This system will be broken when the first country speaks — Brazil. Brazilian President Jair Bolsonaro is a vaccine skeptic, who last week declared that he does not need the shot because he is already immune after being infected with COVID-19.

Should he change his mind, New York City has set up a van outside the United Nations for the week to supply free testing and free shots of the single-dose Johnson & Johnson vaccine.

U.N. Secretary-General Antonio Guterres told Reuters that the discussions around how many traveling diplomats might have been immunized illustrated “how dramatic the inequality is today in relation to vaccination.” He is pushing for a global plan to vaccinate 70% of the world by the first half of next year.

Out of 5.7 billion doses of coronavirus vaccines administered around the world, only 2% have been in Africa.

Biden will host a virtual meeting from Washington with leaders and chief executives on Wednesday that aims to boost the distribution of vaccines globally.

Demonstrating U.S. COVID-19 concerns about the U.N. gathering, Biden will be in New York only for about 24 hours, meeting with Guterres on Monday and making his first U.N. address on Tuesday, directly after Bolsonaro.

His U.N. envoy, Linda Thomas-Greenfield, said Biden would “speak to our top priorities: ending the COVID-19 pandemic; combating climate change … and defending human rights, democracy, and the international rules-based order.”

Due to the pandemic, U.N. delegations are restricted to much smaller numbers and most events on the sidelines will be virtual or a hybrid of virtual and in-person. Among other topics that ministers are expected to discuss during the week are Afghanistan and Iran.

But before the annual speeches begin, Guterres and British Prime Minister Boris Johnson will start the week with a summit on Monday to try and save a U.N. summit — that kicks off in Glasgow, Scotland, on Oct. 31 — from failure.

As scientists warn that global warming is dangerously close to spiraling out of control, the U.N. COP26 conference aims to wring much more ambitious climate action and the money to go with it from participants around the globe.

“It’s time to read the alarm bell,” Guterres told Reuters last week. “We are on the verge of the abyss.”

Source: Voice of America

There is growing optimism that India could resume exports of COVID-19 vaccines as production expands at a rapid pace, putting the country on track to immunize its adult population in the coming months

“We had put a target of 1.85 billion doses for ourselves. That has been organized by the end of December and thereafter the government will be able to allow vaccine exports,” N.K. Arora, head of the national technical advisory group on immunization told VOA. “We will have several billion doses available next year.”

India, a vaccine powerhouse, was expected to be a major supplier of affordable COVID- 19 vaccines to developing countries.

However, after supplying 66 million doses to nearly 100 countries, New Delhi halted exports in April following a deadly second wave of the pandemic, slowing inoculation programs of countries from Africa to Indonesia.

There is no official comment on a timeline for resumption of exports, with officials stressing that for the time being, the focus is on India’s domestic rollout.

“First, all of our adults will have to be immunized, we have to take care of our own people,” Arora said.

The issue of vaccine supplies is expected to figure in the summit meeting of the Quad nations — the United States, Japan, India and Australia — Friday in Washington.

Public health experts say India will likely wait to restart exports until the country’s festive season ends in November to ensure it does not have to grapple with a third wave. Currently authorities are racing to administer at least one dose to all adults.

India has given one shot to roughly two thirds of its population but only 20% of its approximately 900 million adults have been fully inoculated.

In April, as a ferocious surge in infections took a heavy toll, the government had faced criticism for exporting vaccines when most of its own population was not inoculated.

India has been urged to resume exports as the country’s vaccination program gains momentum and the supply of vaccines increases.

The World Health Organization told a press briefing in Geneva Tuesday that it has been assured that supplies from India will restart this year. Officials said that discussions in New Delhi have emphasized the importance of ensuring that India is “part of the solution for Africa.”

African countries have struggled to inoculate their populations — only about 3% of the continent’s population is vaccinated.

“Given the successful ramp-up of domestic production and the diminishing intensity of its own outbreak, we hope that India will ease its restrictions,” a spokesman for the Gavi alliance, co-leading the global vaccine sharing platform COVAX, told VOA.

The Serum Institute of India, the world’s largest producer of the AstraZeneca vaccines, has said that exports could resume as India nears a level where sufficient stocks are available for its inoculation drive.

“In the next two months, we do expect slow easement of exports. But you have to also check with the government; ultimately it is their decision,” SII chief executive Adar Poonawalla said on Friday.

The institute was to be one of the major suppliers of affordable vaccines to COVAX, but the vaccine-sharing platform’s ability to get sufficient doses for low- and middle-income countries took a hit when India shut down exports.

“Countries with a low level of vaccination can breed variants and if the world does not cover those people there is an opportunity for mutants to rise and creep into other countries, making it harder control the pandemic,” K. Srinath Reddy, president of the Public Health Foundation of India, said.

Eyes will also be on the Quad summit next week to see how it makes headway on the vaccine initiative announced in March under which the four countries had decided to produce 1 billion doses in India by 2022 with financial backing from the United States and Japan.

“The summit will be a good opportunity to take stock and expedite that initiative. Some conversations have happened, let us see what progress is made,” an official in India’s Ministry of External Affairs, who did not want to be named, said.

Vaccines produced under the Quad initiative were meant for countries in the Indo-Pacific region. These and other developing countries have turned to China, which has supplied over a billion doses, while Western countries are seen to have lagged in their efforts to vaccinate developing countries.

However, hopes are rising that India will emerge as a major global supplier as new production facilities are set up and the basket of vaccines expands.

The SII for example is set to ramp up production to 200 million doses next month –nearly three times its output in April when India halted exports. Indian companies are also set to make millions of doses of both domestically developed vaccines and those developed overseas, such as the Johnson & Johnson vaccine, and Russia’s Sputnik V.

“It may look like a presumptuous statement, but we will immunize many countries next year, and these will be with affordable shots. There is no confusion in that. India is committed to it and I see no difficulty at all,” Arora said.

Source: Voice of America

Millions of Americans who were thrown out of work in the early months of the COVID-19 pandemic are now encountering a hot jobs market with businesses eager, even desperate, to hire them.

But amid continued spread of the delta COVID-19 variant, workers are trickling, not rushing, back into the labor market, despite the expiration of augmented federal unemployment benefits and offers of higher wages in some sectors.

Consumers eager to spend money would normally be a boon to the service industry in Charlotte, North Carolina. But businesses here, as in many parts of the United States, can’t find enough workers to accommodate the demand.

Help wanted signs are ubiquitous in storefronts across the city, where, since May 2020, the local unemployment rate has fallen from nearly 14% to less than 5%.

“Oh, there’s business here,” Brixx Wood Fired Pizza general manager Lethr’ Rotherttold VOA. “The restaurant stays busy and we’re making loads of money, but I don’t have the staff to keep up.”

It’s a similar situation at The Giddy Goat Coffee Roasters, an independent outfit with a unique business model of roasting coffee beans in-store and right in front of customers. The coffee shop was launched during the pandemic and has struggled to keep up with demand.

“When we think we’re good [for workers], the volume increases, and we suddenly need more help,” said manager Enzo Pazos. “Two people go to school, that’s two less staff on hand, so it’s kind of like it’s never enough.”

“You’re seeing variations of this same theme of a worker shortage across the country,” economist Matthew Metzgar of the University of North Carolina at Charlotte told VOA.

Metzgar notes that a federal economic stimulus program provided some workers with higher temporary incomes than they had received at their old jobs before the pandemic.

“What’s happening is of course with that higher unemployment compensation, people are less willing to work and people are less willing to accept lower wages,” Metzgar said.

Others who remain unemployed say they are reluctant to take jobs that would put them in close contact with the public at a time when the United States is averaging more than 1,500 COVID-19 deaths a day.

“Most people that have stayed on unemployment have done it for safety reasons, it seems,” job seeker Alex Jordan Ku said. “I have some friends on unemployment, and their safety was their main concern. They haven’t been looking for jobs They kind of just went back home to live with their parents so they can be without jobs for a while until things feel safe to them.”

Yet another problem keeping many people out of the workforce has been a shortage of affordable child care – a problem that was exacerbated by COVID-related school closures and remote learning that have forced many parents to remain at home with their children.

That problem may be easing as schools are reopening across the country this fall, but the parents of younger children are still finding it hard to secure placements in child care facilities, which are themselves impacted by difficulty in hiring enough qualified staff.

In a move partly aimed at getting more people back to work, the Biden administration is promoting enhanced child care subsidies as part of a proposed $3.5 trillion plan to fund infrastructure and social safety net programs.

This month’s expiration of supplemental unemployment benefits should force at least some workers back into the labor pool as their bank accounts run dry. But Metzgar says many potential workers are less than eager to return to jobs that pay less than what they received in benefits.

“From the worker’s point of view, there is resistance to coming back to lower-wage positions, and in some situations, there may not be much to entice them back in,” he said.

Adequate compensation

At a recent jobs fair in the neighboring state of Virginia, securing adequate compensation was on the minds of many prospective applicants, several of whom stressed factors beyond an hourly wage.

“What I’m looking for is something where there’s long-term stability, and benefits are important,” Lisette Bez told VOA at the Leesburg, Virginia, event. Even though she has run out of unemployment benefits, Bez indicated she is holding out for a job that includes things like generous health insurance benefits.

“The cost of insurance these days continues to go up. And I think for a lot of people that’s a huge concern,” she said. “So it’s not just enough to have a job that will pay you a certain amount. You have to have those other things.”

While employers have no control over the pandemic, they do have leeway in what they offer to entice workers, say labor advocates.

“In all candor, raising wages is the only thing that’s going to be bringing people back to work,” Charlotte labor organizer William Voltz told VOA.

Voltz, president of Unite Here’s Local 23, a union for airport employees, said workers need an hourly wage in the $17-$22 range to get by, far higher than the minimum wage of $7.25 per hour.

“Unfortunately, to live in Charlotte you really have to make a livable wage to be able to afford housing and life’s necessities,” he said.

Message heard

Amid fierce competition for labor, a growing number of U.S. employers big and small are sweetening wage and benefits packages offered to job seekers. E-commerce giant Amazon.com, Inc. recently boosted its average starting wage to $18 an hour, up from a $15 minimum wage the company set before the pandemic.

In Charlotte, Giddy Goat founder Carson Clough said he expects a certain amount of negotiation in determining compensation for new employees.

“If workers do have requests regarding pay and benefits, I am all ears,” Clough told VOA. “My business partner and I started off with the mindset [in] which we’re going to try and meet high-end wage requests, even prior to the pandemic. I’d be very open to hearing different demands, such as ‘How can I go do this’ or ‘How can this be a part of the package’ or something like that.”

Flexibility and creativity will be key to hiring and retaining workers going forward, according to Metzgar.

“Companies may consider thinking about bringing on workers that could contribute in multiple ways, doing something that brings value to the business. This would be a win-win, it would allow the worker to be invested, while the worker receives a higher wage in return,” the economist said.

“The point is to reimagine some of these positions so that the workers have the opportunity to produce more value, so managers set up workers to flourish to produce value for the company, which again comes with higher wages for the worker,” he added.

Source: Voice of America

A report in The Guardian says U.S. physicians treating unvaccinated patients are “succumbing to compassion fatigue” as a fourth surge of COVID-19 cases sweeps across the country.

Dr. Michelle Shu, a 29-year-old emergency medicine resident, said medical school did not prepare her to handle the misinformation unvaccinated patients believe about the vaccine, calling the experience “demoralizing.”

“There is a feeling,” Dr. Mona Masood, a psychiatrist in Philadelphia told The Guardian, “that ‘I’m risking my life, my family’s life, my own wellbeing for people who don’t care about me.’”

The U.S. has more COVID-19 cases than any other country, according to the Johns Hopkins Coronavirus Resource Center, with over 42 million infections.

India’s health ministry said Sunday that it had recorded 30,773 new COVID-19 cases in the previous 24-hour period and 309 deaths. Johns Hopkins reports that only the U.S. has more infections than India, which has over 33 million.

Johns Hopkins has recorded more than 228 million global COVID-19 cases and 4.6 million global deaths. Almost 6 billion vaccines have been administered, according to Johns Hopkins.

Meanwhile, in the southern U.S. state of Alabama on Friday, Dr. Scott Harris, Alabama’s state health officer, said that 2020 was the first year in the history of the state that it had more deaths than births – 64,714 deaths and 57,641 births. The state “literally shrunk,” he said. Alabama is headed in the same direction for 2021, Harris said, with the current rate of COVID deaths.

Source: Voice of America

The World Health Organization is warning that COVID-19 vaccine export bans and hoarding by wealthy countries will prolong the pandemic in Africa, preventing recovery from the disease in the rest of the world.

While more than 60% of the U.S., European Union, and British populations have been vaccinated, only 2% of COVID vaccine shots have been given in Africa.

The COVAX facility has slashed its planned COVID-19 vaccine deliveries to Africa by 25% this year. WHO Africa regional director Matshidiso Moeti says the 470 million doses now expected to arrive by the end of December are enough to vaccinate just 17% of Africans on the continent.

“Export bans and vaccine hoarding still have a chokehold on the lifeline of vaccine supplies to Africa.… Even if all planned shipments via COVAX and the African Union arrive, Africa still needs almost 500 million more doses to reach the yearend goal. At this rate, the continent may only reach the 40% target by the end of March next year,” Moeti said.

The WHO reports more than 8 million cases of COVID-19 in Africa, including more than 200,000 deaths. Forty-four African countries have reported the alpha variant and 32 countries have reported the more virulent and contagious delta variant.

Moeti warns of further waves of infection and loss of life in this pandemic. Given the short supply of vaccines, she urges strict adherence to preventive measures, such as mask wearing and social distancing.

She reiterates WHO’s call for a halt to booster shots in wealthy nations, except for those with compromised immune systems and at risk of severe illness and death.

“I have said many times that it is in everyone’s interest to make sure the most at-risk groups in every country are protected. As it stands, the huge gaps in vaccine equity are not closing anywhere near fast enough. The quickest way to end this pandemic, is for countries with reserves to release their doses so that other countries can buy them,” she said.

Moeti said African countries with low vaccination rates are breeding grounds for vaccine-resistant variants. She warned this could end up sending the world back to square 1, with the pandemic continuing to ravage communities worldwide if vaccine inequity is allowed to persist.

Source: Voice of America

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Despite doubts about the effectiveness of China’s COVID-19 vaccines, the global vaccine shortage is giving China an international soft power boost.

China’s Ministry of Foreign Affairs announced this week via the official Xinhua News Agency that it had delivered 1.1 billion vaccine doses to more than 100 countries during the pandemic.

This component of Chinese soft power, a tool used to deepen friendships abroad and vie for recognition over its archrival, the United States, despite festering disputes, could help boost China’s image in vaccine-recipient countries that cannot easily source doses from other places, observers said

“They work, maybe, less effectively and efficiently and timely than the vaccines that are produced in the Western countries but nonetheless they offer a certain level of immunization that’s always better than no immunization at all,” said Fabrizio Bozzato, senior research fellow at the Tokyo-based Sasakawa Peace Foundation’s Ocean Policy Research Institute.

“It appears that China’s vaccine diplomacy is working very well, to the detriment of the West, given the impression that it’s keeping the best weapons against COVID-19 to themselves,” Bozzato said. China will enjoy an image as a “reliable partner that’s willing to help,” he said.

Limited effectiveness, widespread availability

Of the vaccines developed in China, the World Health Organization calls Sinovac doses 51% effective against symptomatic infections and Sinopharm vaccine 79% effective. Specific data points, especially on the effectiveness against the delta variant, are few, said John Swartzberg, a clinical professor emeritus at the University of California-Berkeley’s School of Public Health. However, Chinese formulas work better than no vaccine, he said.

Within the year, China plans to offer a cumulative 2 billion vaccine doses abroad “and this can totally be done,” Xinhua says. Southeast Asia alone has received 360 million doses to date, it adds.

Xinhua says China has established vaccine plants in 15 countries, a boon to low-cost distribution. Sinovac was one of the world’s first pharmaceutical firms to develop a mass-market vaccine last year.

The United States is accelerating plans to distribute more vaccines. In June, the U.S. purchased 500 million doses to be distributed by COVAX, the WHO-backed initiative for low and middle-income countries. As of August, the U.S. government had donated 110 million doses overseas.

But that has done little to satisfy critics such as New York-based advocacy group Amnesty international, who say Western countries are “hoarding” vaccines for their own populations.

In a June statement, the group criticized the bilateral purchase agreements between wealthy countries and pharmaceutical companies, saying “instead of facing up to their international obligations by waiving intellectual property rules for vaccines, tests and treatments, and sharing lifesaving technology, G-7 leaders have opted for more of the same paltry half-measures.”

Media reports say President Joe Biden is expected to announce plans next week at the U.N. General Assembly for countries to pledge resources to vaccinate 70% of the world by September 2022. According to the World Health Organization, that will require about 11 billion doses.

And that effort could still run into supply bottlenecks.

Pfizer, a top name in the United States, points to obstacles offshore in vaccine packing, distribution and cold storage, but company CEO Albert Bourla said in an open letter that Pfizer is “continuing to work around the clock so we can bring the vaccine to the world as quickly, efficiently and equitably as possible.”

Many people in poorer parts of the world where COVID-19 cases continue to multiply are getting the Chinese shots with few side effects and a sense that any breakthrough infections would be mild, according to analysts and people from affected countries.

“History’s not going to look very kindly on China’s reluctance to be more forthcoming with their data, but history may be pretty kind to China if China just produces a lot of this vaccine and makes it available worldwide,” Swartzberg said.

Some Indonesians can choose only between a Chinese vaccine or none, said Paramitaningrum, an international relations lecturer at Bina Nusantara University in Jakarta. She and her aging parents got the Chinese vaccines earlier in the year.

China’s image isn’t getting worse, Paramitaningrum said. “That kind of anti-Chinese sentiment is still there, but I could say it has low percentage – only for some particular reasons – but in general they are OK,” she said.

Vaccines not expected to cure old disputes

In some countries, China’s vaccine diplomacy is not enough to erase pre-existing disputes.

Indonesians and Filipinos resent Chinese expansion in the 3.5 million-square-kilometer South China Sea where maritime sovereignty claims overlap. China, backed by Asia’s strongest military, has built artificial islands on shoals and reefs that Manila claims. Chinese ships also sail through waters that Jakarta says fall within its exclusive economic zone.

Other countries are embroiled in trade and investment flaps with China while people in much of the world bristle toward China as the coronavirus’s source.

The widespread availability of low-cost or donated Chinese medical aid won’t neutralize those issues but could temper any new flare-ups, analysts believe.

Most vaccines introduced in Brazil earlier this year came from Sinovac, and Brazilian researchers said in December after a clinical trial that the vaccine was more than 50% effective.

Still, Brazilian President Jair Bolsonaro said May 5 that the pandemic could be “chemical warfare” waged by a fast-growing nation widely presumed to mean China.

But heads of state in the Philippines and Vietnam, another normally outspoken South China Sea claimant, have not engaged in anti-China comments.

Common Filipinos take a pragmatic through guarded view. Many prefer non-Chinese vaccines but cannot tell clinics which brand to administer, domestic news website Inquirer.net reports.

“The president, the executive of the country, it’s his decision to bring in Sinovac, but on the ground the people, that’s really their last choice,” said Marivic Arcega, operator of an animal feed distributor in the Manila suburb of Cavite. She got an AstraZeneca shot while her husband got Sinovac.

In Vietnam, which began accepting Chinese vaccines in June, a lot of people are refusing the shots despite their country’s first major COVID-19 outbreak that began in June, said Jack Nguyen, partner at the business advisory firm Mazars in Ho Chi Minh City.

Source: Voice of America