Rich Countries Are Buying up Medical Supplies, Leaving Poor Countries Stranded
The supply chain that provides medical supplies to the world is favoring the U.S. and Europe, which are outbidding poorer nations for masks, gowns, gloves and ventilators during the coronavirus pandemic, according to NPR.
The Trump administration is accused of modern piracy for effectively hijacking shipments of masks and additional crucial supplies meant for other countries, including allies. The administration has also used its leverage to strong-arm private firms to prioritize America over other parts of the world, according to POLITICO.
Last week, Trump announced he was invoking the Defense Production Act to restrict U.S. exports of key medical supplies, leaving many poorer countries scrambling for supplies as they too try to contain COVID-19 and also protect their healthcare workers. The order restricts companies from selling respirators, masks or gloves overseas.
Scientists in Africa and Latin America received the unfortunate news that vital testing kits that they ordered will not be delivered for several months since everything in the supply line is headed to the U.S. and Europe. Furthermore, the increased price in all supplies from testing kits to masks has strained the fragile budgets and borrowing ability of poorer countries, according to The New York Times.
UNICEF has seen an uptick in countries turning to the agency for help. UNICEF is trying to secure 240 million masks to help people in 100 countries. So far, the global relief agency has only sourced 28 million masks, less than 12 percent of its target, as The New York Times reported.
"There is a war going on behind the scenes, and we're most worried about poorer countries losing out," said Dr. Catharina Boehme, the chief executive of Foundation for Innovative New Diagnostics, which collaborates with the World Health Organization in helping poorer countries gain access to medical tests, to The New York Times.
The global demand for supplies and the hoarding from rich countries has led to pernicious trade wars as new rules around the world place restrictions on the export of medical supplies.
"All it takes is some other country out there to say, 'Oh, you're going to impose a limit on what you sell to us, [say] masks? Well, then, we're going to restrict our exports to you of gloves. Or gowns. Or thermometers," said Chad Bown, a senior fellow at the Peterson Institute for International Economics, to NPR.
While many poorer countries have reported far fewer cases of the coronavirus than the U.S. and Europe, experts fear that an outbreak will devastate local populations. Also, without adequate testing, it is possible that existing cases are being overlooked.
Many parts of Africa, Latin America and parts of Asia are already at a severe disadvantage to handle an epidemic. A recent study found that some poor countries have only one equipped intensive care bed per million residents, according to The New York Times. Those areas tend to have underfunded and fragile health systems that lack necessary equipment.
While wealthy nations are pushing to keep medical supplies for their own healthcare workers and citizenry, some experts believe it's important to help poorer nations prepare for a coming outbreak.
Thomas Tighe, the CEO of the medical aid group Direct Relief, told NPR that he can understand both sides of the conflict. "I think the concern is obvious," he said. "Why would anyone send anything other than to the U.S., given this is our home? But I think it's also true that countries that have very little to begin with are looking at this wave of COVID-19 cases coming with no protection."
In Brazil, Dr. Amilcar Tanuri runs public laboratories at the Federal University of Rio de Janeiro, half of which are "stuck doing nothing," instead of testing health workers, because he said the chemical reagents he needs are being routed to wealthier countries, according to The New York Times.
"If you don't have reliable tests, you are blind," he said. "This is the beginning of the epidemic curve so I'm very concerned about the public health system here being overwhelmed very fast."
In South Africa, Dr. Francois Venter, an infectious diseases expert who is advising the government, said to The New York Times that the struggle to acquire the reagents was endangering the country's overall response.
"We have the capacity to do large testing, but we've been bedeviled by the fact the actual testing materials, reagents, haven't been coming," he said. "We're not as wealthy. We don't have as many ventilators, we don't have as many doctors, our health system was in a precarious position before coronavirus."
"The country is terrified," he added.
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By Julia Conley
A new campaign unveiled this weekend by the nonprofit organization Fossil Free Media aims to expand on the goals of the fossil fuel divestment movement, cutting into oil and gas companies' profit margins through their public relations and ad campaigns.
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By Jason Farley
COVID-19 has disrupted our daily lives, and it is poised to completely disrupt the holiday season. As people make holiday plans and think about ways to reduce the risks to their loved ones, a strategy is essential.
Are masks really necessary at family gatherings?<p>If you're gathering with friends and family who don't live in your home, yes. Just because you're with people you know doesn't mean you're safe from the coronavirus. Infection rates are <a href="https://coronavirus.jhu.edu/data/new-cases-50-states" target="_blank" rel="noopener noreferrer">higher now than they have ever been</a> in the U.S., and <a href="https://youtu.be/ehdgceGzQxs" target="_blank" rel="noopener noreferrer">small gatherings have been a source</a> of viral spread. All it takes is one infected person who doesn't know they have the coronavirus to infect others.</p><p>Remember, people can be <a href="https://medical.mit.edu/covid-19-updates/2020/07/how-long-symptom-onset-person-contagious" target="_blank" rel="noopener noreferrer">contagious two to three days</a> before symptoms show – that's one thing that makes this virus so hard to stop. And it's why, even if you feel fine, you should wear a mask.</p><p>The Centers for Disease Control and Prevention now estimates that when both people are wearing masks, the <a href="https://www.cdc.gov/coronavirus/2019-ncov/more/masking-science-sars-cov2.html" target="_blank">likelihood of infection is low</a>.</p>
Who am I protecting when I wear a mask?<p>In a word: everyone. The coronavirus <a href="https://theconversation.com/aerosols-are-a-bigger-coronavirus-threat-than-who-guidelines-suggest-heres-what-you-need-to-know-142233" target="_blank">spreads through respiratory droplets</a> that you send out into the air when you talk, sing or even just breathe. The tiniest of these droplets can float on air currents for long periods.</p><p>Face masks stop many of those droplets, reducing the amount of virus in the air. That lowers your chances of getting infected, and it also lowers the chances that you'll infect someone else.</p><p><a href="https://www.cdc.gov/coronavirus/2019-ncov/more/masking-science-sars-cov2.html" target="_blank">Studies of people who had prolonged exposure</a> to others with COVID-19 have demonstrated how masks can reduce the chance of the virus spreading. In general, <a href="https://www.cdc.gov/coronavirus/2019-ncov/more/masking-science-sars-cov2.html" target="_blank" rel="noopener noreferrer">well-fitted cloth masks</a> made up of multiple layers can stop most large droplets and at least half of the tiny ones. Plastic <a href="https://doi.org/10.1101/2020.10.05.20207241" target="_blank" rel="noopener noreferrer">face shields</a> alone are far less effective. <a href="https://www.washingtonpost.com/health/2020/08/13/cdc-mask-guidance-masks-valves/" target="_blank" rel="noopener noreferrer">Face masks with valves or vents</a> might be good for construction work, but they don't stop the wearer from breathing out virus into the air.</p>
Can I reuse a mask and when should I replace it?<p>Reusable masks should be kept clean and dry. We're moving into cold and flu season, and noses get drippy. A rule of thumb: Anytime a mask is wet to the point that you can discern the wetness, it's time for a new one if it's disposable, or it's time to clean your reusable mask.</p><p>Wetness allows viruses to more easily move through paper or fabric because it allows the threads to move and may reduce the electrostatic charge in the masks that add extra protection with some fabrics.</p><p>In general, you can use a mask that stays clean and dry for about a week before you need to wash or discard it.</p>
How should I clean a cloth mask?<p>Washing your mask is like washing your clothes. You know when it is time.</p><p>In general, <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wash-cloth-face-coverings.html" target="_blank">cleaning your mask weekly</a> should be sufficient. If odors develop before then, it's a good idea to wash it sooner. Odor generally means bacterial buildup.</p><p>Cleaning your mask by hand with soap and water is your best option. Using a general detergent on a gentle cycle in the washing machine is also fine, but that may increase the risk of damage, depending on the quality of the material. COVID-19 is not a hardy virus. Any soap or detergent should work fine. There's no need for special chemicals, bleach or harsh soaps.</p><p>Be careful to remove any inserts before washing. Inserted filters are generally not washable.</p><p>Air drying masks works best. Remember, masks should be completely dry before use. So be sure to have a replacement mask handy while the one you just washed dries.</p><p>Sunlight is always a great source of heat to dry your mask. Also, sunlight has ultraviolet radiation, which has been shown to <a href="http://doi.org/10.1111/php.13293" target="_blank" rel="noopener noreferrer">eliminate coronavirus</a> and is also known to have antibacterial properties.</p>
Can I wear the mask below my nose?<p>Wearing your mask below your nose is, frankly, ridiculous.</p><p>Think about it. If you are breathing through your nose and only covering your mouth, you are effectively eliminating the point of the mask. Properly wearing a mask requires covering both your nose and mouth at all times.</p><p>Studies show that wearing a proper cloth mask or surgical mask while exercising <a href="http://doi.org/10.1513/AnnalsATS.202008-990CME" target="_blank">doesn't affect the flow of oxygen</a> or carbon dioxide in any detectable way. So, unless you have serious heart and lung problems, that isn't an excuse.</p>
How do I safely remove my mask if I’m going to eat or drink?<p>When you <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wash-cloth-face-coverings.html" target="_blank">take your mask off</a>, remove it carefully by the straps without touching anything else and put it somewhere safe, like wrapped in paper in a purse, bag or pocket. Then wash your hands or use hand sanitizer. When you put it back on, wash your hands again.</p>
So, how can I have a safe holiday gathering?<p>The safest way to celebrate this year is to do so with members only within your household. The <a href="https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html" target="_blank" rel="noopener noreferrer">CDC is now stressing that point</a>, as well. If you do celebrate with friends and relatives from outside your household, you need an action plan to reduce the risk of exposure.</p><p>Here are five recommendations:</p><ul><li>Limit the number of people – fewer people means fewer opportunities for exposure, and you'll have more room to spread out.</li><li>Require masks when not eating or drinking.</li><li>Use physical distancing when eating. Try to seat people <a href="https://doi.org/10.1136/bmj.m3223" target="_blank" rel="noopener noreferrer">at least 6 feet apart</a>. Eat outside if you can.</li><li>Consider being tested for COVID-19 before traveling or gathering. It's not a guarantee, but it can help flag illnesses. Remember to self-isolate between the test and the event.</li><li>Be prepared to self-isolate for 14 days after traveling or participating in any event that involves people from outside your home.</li></ul><p>[<em>Research into coronavirus and other news from science</em> <a href="https://theconversation.com/us/newsletters/science-editors-picks-71/?utm_source=TCUS&utm_medium=inline-link&utm_campaign=newsletter-text&utm_content=science-corona-research" target="_blank" rel="noopener noreferrer">Subscribe to The Conversation's new science newsletter</a>.]</p><p><em>The map has been updated with New Hampshire announcing a mask mandate effective Nov. 20.</em></p><p><em>Jason Farley is a professor, infectious disease-trained epidemiologist and nurse practitioner at the Johns Hopkins University School of Nursing.<br></em></p><p><em>Disclosure statement: Jason Farley, PhD, MPH, ANP-BC, FAAN receives funding from the National Institutes of Health on the Rapid Acceleration of Diagnostics for COVID-19 and Becton Dickinson for studies on SARS-CoV-2 diagnostics.</em></p><p><em>Reposted with permission from <a href="https://theconversation.com/why-face-masks-belong-at-your-thanksgiving-gathering-7-things-you-need-to-know-about-wearing-them-150130" target="_blank">The Conversation</a>. </em></p>
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By Tara Lohan
How much of U.S. energy demand could be met by renewable sources?
According to a new report from the Institute for Local Self-Reliance, the answer is an easy 100%.
Graphic: ILSR, Energy Self-Reliant States 2020