{"id":5137,"date":"2021-08-29T11:44:22","date_gmt":"2021-08-29T11:44:22","guid":{"rendered":"https:\/\/www.cubasupport.ie\/latest\/?p=5137"},"modified":"2021-08-29T11:44:27","modified_gmt":"2021-08-29T11:44:27","slug":"us-sanctions-on-cuba-further-imperil-global-vaccine-equity","status":"publish","type":"post","link":"https:\/\/www.cubasupport.ie\/latest\/us-sanctions-on-cuba-further-imperil-global-vaccine-equity\/","title":{"rendered":"US Sanctions on Cuba Further Imperil Global Vaccine Equity"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

The results are in and deeply troubling: in the absence of rapid, comprehensive vaccination rollouts, SARS-CoV-2 runs amok, mutates into more contagious variants and, for the unvaccinated, kills at a breakneck pace. Witness the Delta variant that research suggests is more than twice as contagious as the original strain that ripped the world asunder in 2020. While vaccinated people can contract and transmit Delta, the probability of developing serious illness is significantly reduced.[1] This is good news for populations in high- and upper-middle income countries\u2014where 80% of the global vaccine stock has been \u201choarded,\u201d in the words of WHO Director-General Dr Tedros Adhanom Ghebreyesus.[2]<\/p>\n\n\n\n

The news is not at all good, however, for the unvaccinated: contracting Delta means a one-way ticket to the hospital, all too often followed by the morgue. Recent data from the Centers for Disease Control and Prevention (CDC) reveal that nearly all recent COVID-19 hospitalizations and deaths in the United States are among the unvaccinated.[3] Death is even more certain for the 99% of people in low- and middle-income countries (LMICs) with still no access to vaccines.[4] Meanwhile, the world\u2019s richest nations continue to gobble up the critically insufficient supplies, not nearly offset by tardy, token donations to the most vulnerable countries.<\/p>\n\n\n\n

Across Africa, despite national COVID-19 strategies in place (see Dzinamarira this issue on response in Rwanda, South Africa and Zimbabwe), a mere 1% of people have been fully vaccinated and the case fatality rate is 18% above the global average. WHO estimates deaths there from coronavirus, accelerated by the Delta variant, surged by 80% in July.[4,5]<\/p>\n\n\n\n

In Latin America and the Caribbean, 16.6% of people have been fully vaccinated. Nevertheless, vaccination rates are widely uneven (more than 65% fully vaccinated in Chile, but only 1% in Honduras and Guatemala). And this is the region hardest hit by the pandemic thus far: with just 8.4% of the world\u2019s population, it accounts for 32.5% of COVID-19\u2013related deaths.[6,7] As the region struggles to find answers, health systems threaten collapse, essential primary health care services have been interrupted and routine childhood immunizations disrupted. Not surprisingly, infection rates are rising in areas of Mexico, Guatemala, Paraguay, Colombia and elsewhere.[8]<\/p>\n\n\n\n

Poverty, including extreme poverty, unequal and slow vaccine distribution, plus fragmented, segmented and underfunded health systems compound the complex situation, according to Alicia B\u00e1rcena, Executive Secretary of the UN Economic Commission for Latin America and the Caribbean (ECLAC). The picture is bleak: not enough critical-care beds, personnel, technology, medicines or money. Relying on imports for oxygen, PPE, COVID-19 tests and of course, vaccines, has drained national coffers while millions get sick and thousands die.<\/p>\n\n\n\n

The way out of this grim scenario, say B\u00e1rcena and other regional experts, is through investing in primary health care systems and a \u201cconcerted regional health strategy\u2026for reducing external dependence.\u201d[7,9] This has prompted ECLAC\u2019s Comprehensive Plan for Health Self-Sufficiency, adopted by the Community for Latin American and Caribbean States (CELAC) at their recent meeting. The Plan calls for regional vaccine procurement, a clinical trials platform, accelerated vaccine development, harmonization of regulatory authorities, access to intellectual property and an inventory of regional capacities.<\/p>\n\n\n\n

Cuba, with a universal health system anchored by community-based primary care and supported by an adroit, experienced biotechnology sector, embraced the approach expressed by B\u00e1rcena and colleagues once COVID-19 was detected in the country in March, 2020. \u201cReducing external dependence\u201d indeed: the first Cuban SARS-CoV-2 vaccine candidate that began clinical trials is named Soberana (Sovereign). And as the pandemic progressed, Cuba became the first in Latin America and the Caribbean to develop a proven COVID-19 vaccine.<\/p>\n\n\n\n

It\u2019s a matter of survival<\/strong><\/p><\/blockquote>\n\n\n\n

But for Cuba, self-reliance is not a matter of choice or strategy. It\u2019s a matter of survival.<\/p>\n\n\n\n

As one of his last salvos, US President Trump dealt another blow to Cuba by placing it on the list of State Sponsors of Terrorism, providing no evidence for the move. That brought to 243 the tally of additional economic, commercial and financial sanctions heaped on the island by his administration.[10] Now, contradicting his own campaign promises, President Biden has adopted Trump\u2019s punitive gambit as policy: every one of the 243 sanctions is still in place\u2014amidst the greatest global health crisis of our times.<\/p>\n\n\n\n

The labyrinth of tightened restrictions includes blacklisting a host of state-run companies, Cuban financial institutions responsible for family remittances and even some 400 hotels on the island, the latter move targeting tourism, a major hard-currency earner for Cuban public and private businesses alike. The health sector has been especially hard hit, the US policy reportedly costing it $198.3 million between April and December, 2020.[11] Higher-priced intermediaries and farther shipping distances become the rule when US government licenses are required for export to Cuba\u2014from anywhere in the world\u2014of any item with as little as 10% US components. Just four banks in the world will now transfer funds to Cuban entities.<\/p>\n\n\n\n

As early as April, 2020, a shipment of ventilators to Cuba was blocked when the European manufacturing companies (IMT MEDICAL AG and ACUTRONIC) were acquired the US company Vyaire Medical Inc.[12] Similarly, US policy has hindered international aid donations of face masks, PCR tests, gloves and syringes, all fundamental for controlling COVID-19.<\/p>\n\n\n\n

And what is worse now, Cuban vaccine developers cite the US sanctions as hindering and even blocking purchase of dozens of equipment, supplies and ingredients for clinical trials and production\u2014reagents, filtration tanks, potassium chloride solution, purification systems and more.[11]<\/p>\n\n\n\n

Such continued punishment-as-policy is reprehensible. It is inhumane. It is also, in the context of COVID-19, lethal. The Biden administration itself has recognized this: on June 17, 2021, it circumvented its own sanctions on three other countries by issuing general licenses permitting unfettered export and re-export of any and all pandemic-response items such as medicines and medical devices. The countries: Iran, Syria and Venezuela.[13] But not Cuba.<\/p>\n\n\n\n

These sanctions-on-steroids aren\u2019t just bad public health policy, they are bad statesmanship<\/strong><\/p><\/blockquote>\n\n\n\n

Support for Cuba\u2019s 11 million people during the pandemic was reduced to a July State Department Fact Sheet apparently encouraging humanitarian donations,[14] when in reality it includes nothing new, much less an easing of restrictions for exports. Calls by President Biden for vaccine equity, human rights, regional stability and integration, and easing Cubans\u2019 suffering all ring hollow while his White House champions punishment during a pandemic.<\/p>\n\n\n\n

These sanctions-on-steroids aren\u2019t just bad public health policy, they are bad statesmanship.<\/p>\n\n\n\n

The fact is that, despite US sanctions, Cuban scientists have taken five vaccine candidates through advanced clinical trials. The first, Abdala, received Emergency Use Authorization (EUA) from the country\u2019s national regulatory authority on July 9 after phase 3 clinical trials showed 92% efficacy; another with comparable efficacy is expected to receive EUA soon.<\/p>\n\n\n\n

As of this writing, nearly 11 million doses have been administered, and more than 25% of the population has been fully vaccinated.[15] Clinical trials are also ongoing for use of the vaccines in youngsters and convalescent patients; for a nasally-administered vaccine; and for a number of COVID-19 treatments and much-needed medical equipment, such as ventilators. (See our exclusive with Olga Lidia Jacobo, Director of Cuba\u2019s National Regulatory Authority, this issue).<\/p>\n\n\n\n

US policy intended to hobble the Cuban government actually takes aim at the world\u2019s poorer countries<\/strong><\/p><\/blockquote>\n\n\n\n

Given the track record of Cuban biotechnology and the export potential for the new vaccines, it becomes clear that a US policy intended to hobble the Cuban government actually takes aim at the world\u2019s poorer countries, which could stand to benefit from Cuban science to address the dearth of life-saving vaccines for their populations. Several countries in Latin America, Asia and Africa have already expressed interest.<\/p>\n\n\n\n

The world still needs production and equitable distribution of several billion more vaccine doses to ramp up immunity and prevent new variants from taking hold, and no one is protected unless that immunity can be achieved more evenly on a global scale. Yet, at least two main manufacturers are already boosting sticker prices: this August, Pfizer and Moderna raised prices to the European Union, despite $41 billion in net profits already accrued.[16]<\/p>\n\n\n\n

Year two of the pandemic, emboldened by Delta and other variants of concern, offers us a second wakeup call. As businesses, schools and governments rush to do what they tiptoed around before\u2014whether mask up or vaccinate\u2014so, too, the world more squarely faces facts. We are all challenged to work together or perish, to substitute nationalism with internationalism, sanctions with collaboration.<\/p>\n\n\n\n

In a sobering open letter to President Biden (in our new documents section, Keynotes, this issue), top Cuban scientists and vaccine developers put it this way: \u201cduring the pandemic, science reiterates that (politics aside) we are all in this together\u2026the essential question, not only for Cuba and the US, but also for human civilization, is whether nations can respect each other enough to exist side-by-side and cooperate.\u201d[17]<\/p>\n\n\n\n

Compiling this issue of\u00a0MEDICC Review<\/em>\u00a0has been a Herculean effort, as Cuba and many in Latin America are in the throes of the worst COVID-19 wave to date. We are grateful to reviewers, authors, issue coordinators, translators and our whole team.<\/p>\n\n\n\n

Source: Medicc Review<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

The results are in and deeply troubling: in the absence of rapid, comprehensive vaccination rollouts, SARS-CoV-2 runs amok, mutates into more contagious variants and, for […]<\/a><\/p>\n","protected":false},"author":101011,"featured_media":5138,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[43],"tags":[],"class_list":["post-5137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured"],"jetpack_publicize_connections":[],"jetpack-related-posts":[{"id":5290,"url":"https:\/\/www.cubasupport.ie\/latest\/cuba-accelerates-vaccine-drive\/","url_meta":{"origin":5137,"position":0},"title":"Cuba Accelerates Vaccine Drive","author":"Editorial Team","date":"October 5, 2021","format":false,"excerpt":"BY\u00a0HELEN YAFFE \u201cCuba has developed different RBD-based public vaccines, the most administered worldwide (protein-based), and among them the only SARS-CoV-2 conjugate-vaccine (RBD-TT), designed especially for children.\u201d\u2013 Tweet by Fabrizio Chiodo, Italian scientist working with Cuba\u2019s Finlay Institute.[1] Following clinical trials carried out over the summer, on 3 September 2021, Cuba\u2019s\u2026","rel":"","context":"In "Featured"","block_context":{"text":"Featured","link":"https:\/\/www.cubasupport.ie\/latest\/category\/news\/featured\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/abdela.jpeg?fit=960%2C540&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/abdela.jpeg?fit=960%2C540&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/abdela.jpeg?fit=960%2C540&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/abdela.jpeg?fit=960%2C540&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":5336,"url":"https:\/\/www.cubasupport.ie\/latest\/vaccine-access-gap-widens-in-latin-america-and-the-caribbean\/","url_meta":{"origin":5137,"position":1},"title":"Vaccine Access Gap Widens in Latin America and the Caribbean","author":"Editorial Team","date":"October 13, 2021","format":false,"excerpt":"The Global COVID-19 vaccine inequity gap is large and continues to grow . Low income and lower middle income countries are lagging far behind in inoculating their populations as compared to high income countries The Global COVID-19 vaccine inequity gap is large and continues to grow. Low income and lower\u2026","rel":"","context":"In "Featured"","block_context":{"text":"Featured","link":"https:\/\/www.cubasupport.ie\/latest\/category\/news\/featured\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/indigious-.jpeg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/indigious-.jpeg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/indigious-.jpeg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/indigious-.jpeg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/indigious-.jpeg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":5847,"url":"https:\/\/www.cubasupport.ie\/latest\/we-are-going-to-cuba-to-help-vaccinate-the-world\/","url_meta":{"origin":5137,"position":2},"title":"We are going to Cuba to help vaccinate the world","author":"Editorial Team","date":"January 23, 2022","format":false,"excerpt":"Delegates from the Union for Vaccine Internationalism will travel to Havana for a special showcase of the Cuban vaccines amidst a global surge in Covid-19 infections. On 25 January, the Progressive International will host a special briefing live from Havana with Cuba\u2019s leading scientists, government ministers and public health officials\u2026","rel":"","context":"In "Featured"","block_context":{"text":"Featured","link":"https:\/\/www.cubasupport.ie\/latest\/category\/news\/featured\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/cubans-in-africa.jpeg?fit=750%2C422&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/cubans-in-africa.jpeg?fit=750%2C422&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/cubans-in-africa.jpeg?fit=750%2C422&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/cubans-in-africa.jpeg?fit=750%2C422&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":3943,"url":"https:\/\/www.cubasupport.ie\/latest\/cuba-working-on-a-peoples-vaccine-the-us-and-the-world-should-get-behind-it\/","url_meta":{"origin":5137,"position":3},"title":"Cuba Working on a \u2018People\u2019s Vaccine\u2019: the US and the world should get behind it","author":"Editorial Team","date":"March 15, 2021","format":false,"excerpt":"by Beth Geglia \u201cThe life of just one person is worth more than the private property of the richest man.\u201d This is what\u2019s written on the Calixto Garcia public hospital in Havana Cuba as a testament to the country\u2019s commitment to free public healthcare, and to putting people before profit.\u2026","rel":"","context":"In "Featured"","block_context":{"text":"Featured","link":"https:\/\/www.cubasupport.ie\/latest\/category\/news\/featured\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/IMG_6276-scaled.jpg?fit=1200%2C900&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/IMG_6276-scaled.jpg?fit=1200%2C900&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/IMG_6276-scaled.jpg?fit=1200%2C900&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/IMG_6276-scaled.jpg?fit=1200%2C900&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/IMG_6276-scaled.jpg?fit=1200%2C900&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":5173,"url":"https:\/\/www.cubasupport.ie\/latest\/covid-19-and-the-blockade-the-effect-on-cuba\/","url_meta":{"origin":5137,"position":4},"title":"Covid-19 and the blockade: the effect on Cuba","author":"Editorial Team","date":"September 11, 2021","format":false,"excerpt":"Cuban healthcare is among the best in the world, but today its vaccination campaign is in a race against time against the highly contagious delta variant \u2014 and the blockade, writes MARC VANDEPITTE A man waits in an almost empty pharmacy amid the Covid-19 pandemic in Old Havana, July 2021\u2026","rel":"","context":"In "Featured"","block_context":{"text":"Featured","link":"https:\/\/www.cubasupport.ie\/latest\/category\/news\/featured\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/empty_cuban_chemist.jpeg?fit=1180%2C585&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/empty_cuban_chemist.jpeg?fit=1180%2C585&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/empty_cuban_chemist.jpeg?fit=1180%2C585&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/empty_cuban_chemist.jpeg?fit=1180%2C585&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/empty_cuban_chemist.jpeg?fit=1180%2C585&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":5859,"url":"https:\/\/www.cubasupport.ie\/latest\/cuba-pledges-lifesaving-package-of-covid-19-vaccine-support-to-global-south-at-progressive-international-briefing\/","url_meta":{"origin":5137,"position":5},"title":"Cuba pledges \u201clifesaving package\u201d of Covid-19 vaccine support to Global South at Progressive International briefing","author":"Editorial Team","date":"January 26, 2022","format":false,"excerpt":"The Cuban government has announced advanced plans to deliver 200 million doses of homegrown Covid-19 vaccines to the Global South, described as \u201clifesaving\u201d by the head of the Progressive International\u2019s delegation to the Caribbean nation. The pledges were made by key figures in Cuba\u2019s health and technology sectors at a\u2026","rel":"","context":"In "Featured"","block_context":{"text":"Featured","link":"https:\/\/www.cubasupport.ie\/latest\/category\/news\/featured\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/vaccine-2.jpeg?fit=700%2C394&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/vaccine-2.jpeg?fit=700%2C394&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/vaccine-2.jpeg?fit=700%2C394&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/vaccine-2.jpeg?fit=700%2C394&ssl=1&resize=700%2C400 2x"},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3xdTY-1kR","jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.cubasupport.ie\/latest\/wp-content\/uploads\/medicc-review.jpeg?fit=1024%2C512&ssl=1","_links":{"self":[{"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/posts\/5137","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/users\/101011"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/comments?post=5137"}],"version-history":[{"count":0,"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/posts\/5137\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/media\/5138"}],"wp:attachment":[{"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/media?parent=5137"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/categories?post=5137"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cubasupport.ie\/latest\/wp-json\/wp\/v2\/tags?post=5137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}