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How to vaccinate the world’s most vulnerable? Build global partnerships.
Pfizer's partnerships strengthen their ability to deliver vaccines in developing countries.
Pfizer Corporate Responsibility develops programs that help expand global access to medicines by providing direct assistance to underserved populations. Our initiatives include providing product donations and steep discounts that help patients access the medicine they need. We also collaborate with Pfizer business teams and nonprofit organizations to help shape sustainable business models that address affordability and the vast differences in economies around the world.
- Community healthcare workers face many challenges in their work, including often traveling far distances to see their clients
- Pfizer is helping to drive the UN's sustainable development goals through partnerships.
- Pfizer partnered with AMP and the World Health Organization to develop a training program for healthcare workers.
Community healthcare workers are often the only point of contact with the health system in many underserved areas in the developing world. These noble public servants work within the community to bring health coverage closer to people who need it. Millions of babies around the world are at risk every day from vaccine preventable diseases and many of them live in very remote communities. This means that health care workers must sometimes travel long distances over mountains, across desserts and through rivers while carrying vaccine coolers.
These are some of the reasons why Pfizer is proud to partner with organizations that share a vision of increasing the health and well-being of children around the world. Susan Silbermann, Global President of Pfizer Vaccines, recently sat down with Big Think to discuss how the company is helping to improve vaccine access in developing countries.
Pfizer is helping to improve vaccine access
The constraints people face in other countries requires companies to develop more novel and innovative approaches to help improve vaccine access.
So the question for Pfizer was: Tell us what innovating a vaccine means to you?
Silbermann brought a vial to show Big Think what innovation looks like.
"This tiny vial is an incredible testament to scientific innovation. Until 2017, it provided one dose to vaccinate one child. But now it provides four doses and can vaccinate four children. By combining multiple doses into one vial we have reduced the storage space and the shipping requirements."
Innovations like this multi-dose vial are just the beginning of making it easier to get vaccines to children. Here are a few facts that Pfizer wants to help change.
- Sub-saharan Africa bears nearly 25% of the disease burden in the world.
- It only has 3% of the global health workers.
The critical role of health care workers in the developing world
A health care worker administers a vaccine in Malawi.
Photo: Courtesy of Pfizer.
When Pfizer's new multi-dose vial (MDV) became available in 2017 in Gavi countries, it was a priority to ensure health care workers were properly trained. For this, Pfizer partnered up with the AMP and the World Health Organization to develop a pneumococcal conjugate refresher course and new training program for the multi-dose vial.
As part of the partnership program, Pfizer developed a "train the trainer" model that is a tiered system of training. For example, "master trainers" will go on to train the next round of health care workers.Last year, Pfizer trained over 27,000 health care workers across 15 different countries. And this year, it's extended the program to an additional nine countries with the goal of reaching an additional 17,000 new health care workers by the end of the year.
A future dedicated to vaccine development
The overall impact vaccines are having on global public health are astounding. It's been estimated that vaccinations have prevented 26 million cases of childhood infections in the last decade alone.
Right behind clean water, immunizations are the most important health investment we have. Pfizer employees are passionate about vaccine development because they know it will translate into a tremendous public health impact.
Once logistical barriers and other obstacles are overcome, Pfizer believes that we will be working toward building a better future in communities around the world. One the best ways to remove barriers is through working with and supporting partners.
Why partnerships matter
Pfizer supports many projects that work to empower and equip community health workers. It recognizes that supporting health care workers is a critical part of achieving universal health coverage.
Silbermann talked with Big Think about making sure vaccines get to where they are needed.
"We have to make sure that vaccines get to those who need it. I have often said that our job doesn't end when we make a vaccine and ship it to a distribution center. What good is a vaccine if it isn't reaching the people who need it the most?"
Pfizer is a strategic partner of AMP Health (Aspen Management Partnership for Health), a cross sector, public private partnership to strengthen healthcare systems. AMP Health partners with Ministries of Health to help grow community health and immunization programs by providing leadership and management training and has worked in Ghana, Kenya, Malawi, Sierra Leone, and Zambia.
National governments in Sub-Saharan Africa are committed to deploying thousands of community health workers, but often don't have the strategic, managerial, or financial skills to run a large-scale program.
Pfizer believes that professional, supported community health workers play a critical role in reaching underserved populations and that partnering with organizations like AMP Health advances this objective.
The unsung heroes
Vaccines must stay refrigerated as they travel and be stored at very specific temperatures until they are used. Health care workers often worry about the vaccine refrigerators which can be old and if they were to break down the quality of the vaccines could be at risk.
Silbermann told us a story about how a healthcare worker in Ghana ensured vaccines were available in her clinic.
"Let me tell you a story about a healthcare worker in Ghana that we recently met. She works in a clinic in a small village in the Ho region of Ghana which is approximately three hours north of the capital. In her clinic, there is no electricity or running water. These two elements are critical to ensure safe and effective use of medicines. For example, vaccines need to be stored at a specific temperature to maintain their effectiveness and therefore are stored in fridges which are powered by electricity.
"Instead of storing the vaccines in her clinic, the healthcare worker travels one hour each way on the bus to get fresh vaccines and transport them in a cooler. She then works all day at the clinic administering these vaccines and seeing mothers, children and babies. Without the dedication of healthcare workers like this one in Ghana it is very likely that communities of children would not have the opportunity to be vaccinated."
Why is Pfizer so committed to vaccines?
Pfizer colleagues are passionate about vaccine development and innovation because they know it can translate into a tremendous public health impact. Immunization not only saves lives and improves health, it also unlocks the potential of a community—a vaccinated community is not only healthier, research has shown it is stronger and more productive.
Silbermann left us with this thought:
"When I think about the future, I know we can make a significant difference by ensuring that no logistical issue is an obstacle to a child getting vaccinated. But we can't do it alone. We need to work together to build on our experiences and capabilities to make the world a healthier place to live."
Here's what it takes to get vaccines from the lab to the field
The virus is unlike anything many people have ever experienced.
- The public Facebook group, Survivor Corps, is a place where long haulers and survivors congregate.
- Months after recovering from COVID-19, some are suffering from joint pain, hair loss, and cognitive issues.
- These cautionary tales are important in a county where many remain skeptical over the dangers of this virus.
Coronavirus - The Latest: The Covid-19 'long-haulers'<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="73d1813a9b48841241c01857476e48b4"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/kUyKpu-djdc?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p><strong>I've been out of the hospital</strong> from COVID-19 for four weeks now and started having severe pain in my big toe, almost like I stepped on a piece of glass or have a severely ingrown toenail—I don't and there's no cut or intrusion. Now my toe is really swollen and red. It hurts to walk or put any pressure on it. Is this what's called COVID toe, and what's the protocol?</p><p><strong>I am on 18 days in bed</strong> with COVID. Luckily, I've been able to manage this horrible beast from home (so far). I actually thought I was feeling better yesterday, and then today I'm going in another direction. I'm having terrible pain when I breathe (right side), and I'm exhausted. I just finished Augmentin, and a week prior, a Z-Pak. I have an inhaler. Today, my doctor wants me to start a Medrol Dosepak (steroids). Has anyone else tried this and has it helped? I'm desperate to try anything right now as long as I can get better. Please give me your thoughts on the steroids; I'm seeing mixed reviews in here.</p><p> <strong>I've been sick with COVID symptoms</strong> for 22 weeks. I'm not getting better. My original symptoms haven't gone away, and I just develop new ones every few weeks. I read an article on three immune responses to this virus. 1) Overactive immune response 2) Normal immune response 3) little or no immune response.</p><p>I am having little or no immune response to this virus.</p><p>It's taking over my body slowly. My primary doctor can't help me. My family and husband don't believe my symptoms and I have nowhere to turn. </p><p>I am so frightened.</p><p><strong>How many of you are experiencing hair loss</strong>, especially hair loss after 5 months? I'm shedding like a dog. </p><p><strong>I had COVID in June</strong>. At least 15 straight days in bed. No smell, no taste except certain spices. I've been diagnosed with two eye conditions now. Fatigue won't go away. Simple things like unloading the dishwasher or taking a shower exhaust me; I need to sit down. Has anyone recovered from these symptoms? If so, how long did it take?</p><p><strong>Has anyone experienced increased joint pain</strong>, specifically in your hands, after COVID? I've had some joint pain in the past, but never this much. It's been four months since I had the virus and the pain seems to have increased since then. [<em>147 comments on this, nearly every one verifying joint pain, especially in hands, ankles, and elbows</em>.]</p>
Medics wait to transport a woman with possible Covid-19 symptoms to the hospital on August 07, 2020 in Austin, Texas.
Photo by John Moore/Getty Images<p><strong>I had COVID symptoms for 2.5 weeks</strong> in March (could not get tested). I was a lot better for two months and then started the whole ordeal again 70 days ago (and am still sick). I have been to the ER twice and told that they think I have COVID. My clinic nurse said the same thing, as did my friend, who is an Urgent Care doctor.</p><p>I have had weeks where my fever went away and other symptoms decreased. But several times now, it comes back full force with a vengeance. The roller coaster is depressing. </p><p><strong>I was fortunate enough to be accepted </strong>into the Mt. Sinai post-COVID treatment program and was really happy to have some experts keep an eye on my long-term effects. Four months after COVID, my EKG came back normal, my antibodies high, and my bloodwork normal. My next tests were a lung function test and CT scan to see if there's long-term damage from the pneumonia. I just got a letter from my health insurance company, Oxford, rejecting the cost of the CT scan. I'm so disappointed. Is anyone else having their COVID treatments rejected by health insurance?</p><p><strong>I'm new here and it looks I'm one of the youngins</strong> in the group (19 btw). I got COVID about a month ago, and I got out of quarantine about a week-and-a-half ago, and I still have yet to see any of my friends. I wouldn't say I'm super popular but I do have a lot of friends, so I thought most of them would want to see me. I was super wrong. The stigma around COVID, especially with the younger demographic, was a joke before I got it in my friend group. Every single one of my friends didn't take it seriously and thought it would never appear in anyone they knew. When I got the virus it sent them all into shock and a couple of them hated me saying it was all my fault telling me that I shouldn't leave my house for a couple months and to not talk to them until next year. Now that I'm fully recovered I thought some friends would want to see me, but actually nobody does. </p><p><strong>Rapid heart rate when standing</strong> (160s-170s). Advice on how to deal with it? Twenty-three days from a positive test. Fever is pretty much gone but I'm trying to get back on my feet, literally. I'm kind of at a loss—whether this is temporary or I should ask my doctor for certain tests. My heart rate is elevated even when lying down (and is tolerable) but even more elevated when sitting. Seems like this isn't just "fatigue."</p><p><strong>My husband recovered from COVID</strong> last month but has been in a lot of pain. Weak and tired all the time. He gets tingly fingers and hands and feet and his ankles feel weak, like his bones are brittle. Has anyone else had this? He's rolled his ankles two or three times since and this has never happened before. His body just feels worn out and exhausted all the time, like he's a 70-year-old man, and he's only 34.</p><p>--</p><p><em>Stay in touch with Derek on <a href="http://www.twitter.com/derekberes" target="_blank">Twitter</a>, <a href="https://www.facebook.com/DerekBeresdotcom" target="_blank" rel="noopener noreferrer dofollow">Facebook</a> and <a href="https://derekberes.substack.com/" target="_blank" rel="noopener noreferrer dofollow">Substack</a>. His next book is</em> "<em>Hero's Dose: The Case For Psychedelics in Ritual and Therapy."</em></p>
Researchers are using technology to make visual the complex concepts of racism, as well as its political and social consequences.
- Often thought of first as gaming tech, virtual reality has been increasingly used in research as a tool for mimicking real-life scenarios and experiences in a safe and controlled environment.
- Focusing on issues of oppression and the ripple affect it has throughout America's political, educational, and social systems, Dr. Courtney D. Cogburn of Columbia University School of Social Work and her team developed a VR experience that gives users the opportunity to "walk a mile" in the shoes of a black man as he faces racism at three stages in his life: as a child, during adolescence, and as an adult.
- Cogburn says that the goal is to show how these "interwoven oppressions" continue to shape the world beyond our individual experiences. "I think the most important and powerful human superpower is critical consciousness," she says. "And that is the ability to think, be aware and think critically about the world and people around you...it's not so much about the interpersonal 'Do I feel bad, do I like you?'—it's more 'Do I see the world as it is? Am I thinking critically about it and engaging it?'"
President Vladimir Putin announces approval of Russia's coronavirus vaccine but scientists warn it may be unsafe.
A new coronavirus vaccine on display at the Nikolai Gamaleya National Center of Epidemiology and Microbiology in Moscow, Russia.
Credit: Alexander Zemlianichenko Jr/ Russian Direct Investment Fund via AP
Medical workers draw blood from volunteers participating in a trial of a coronavirus vaccine at the Budenko Main Military Hospital outside Moscow, Russia.
Credit: Russian Defense Ministry Press Service via AP
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