Oxford/AstraZeneca vaccine: which countries have paused jab and why

Analysis: Germany, France, Spain and Italy head an expanding list of EU countries to have put its use on hold

A host of European countries have put all vaccinations with this jab on hold, including Germany, France, Spain, Italy, Denmark, Norway and Ireland. Some others such as Estonia and Austria have suspended vaccinations from particular batches of the vaccine.

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For crying out loud: Dutch scientists grow human tear glands

Creation of mini-organs using stem cells will help research into tear-related disorders

Stop your sobbing – because scientists can do it for you. Using stem cells, Dutch researchers have grown miniature human tear glands capable of “crying”.

Initially, when scientists were looking at developing this technology, their first port of call was the inner lining of the gut, because it replaces itself every five days. They took a tiny piece of gut tissue filled with stem cells and fed it proteins called growth factors to stimulate cell growth, expecting the stem cells to rapidly proliferate.

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What price a child’s life? India’s quest to make rare disease drugs affordable

Parents whose only hope was finding foreign sponsorship or a clinical trial are now looking for homegrown breakthroughs

For three years, Vidya tried to find the cause of her son’s recurrent fevers and low cognitive development. When she found out, she was devastated.

Vineeth, 10, has an incurable illness – mucopolysaccharidosis type 2 – that affects his organs. Afflicting just one in a million, the enzyme-replacement medication that can help stop the illness getting any worse costs £100,000 a year, far beyond the reach of even a wealthier Indian parent.

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Covid death on Isle of Man deals a blow after tough lockdown

Manx government has run strict regime to keep island virus-free but isolation exemption for ferry workers causes anger

On Friday, the chief minister of the Isle of Man announced some bad news. A patient in the island’s Noble’s hospital had died from coronavirus, he said, the first Manx Covid death since 5 November.

Howard Quayle said he knew the news would “come as a blow” to the Isle of Man’s 85,000 residents. “The death of a member of our island community is a painful reminder of how dangerous this virus is,” he added.

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Ireland suspends AstraZeneca Covid vaccine over blood clot concerns

Deployment of Oxford vaccine temporarily deferred after latest reports from Norway

Ireland is suspending use of the Oxford/AstraZeneca coronavirus vaccine as a precautionary measure following further reports of blood clots in people who have received it, this time from Norway.

The deputy chief medical officer, Dr Ronan Glynn, said Ireland’s advisory body on vaccines had recommended that deployment of the AstraZeneca jab should be “temporarily deferred” with immediate effect. He stressed, though, that there was no proof that the vaccine had caused blood clots.

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Wales set to ease Covid lockdown restrictions from Saturday

First minister to announce ‘stay local’ will replace ‘stay home’ rule among other changes

Some semblance of normal life will begin again in Wales from Saturday, with the country’s first minister, Mark Drakeford, expected to announce a change from the current “stay home” restrictions to more lenient “stay local” requirements.

Drakeford is expected to say: “We are taking a phased approach to unlocking each sector – starting with schools. We will make step-by-step changes each week to gradually restore freedoms. We will monitor each change we make, so we know what impact each change has had on Wales’s public health situation.”

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Vitamin D supplements may offer no Covid benefits, data suggests

Two studies fail to find evidence to support claims supplements protect against coronavirus

The idea that vitamin D supplements can reduce susceptibility to, and the severity of, Covid-19 is seductive – it offers a simple, elegant solution to a very complex and lethal problem. But analyses encompassing large European datasets suggest the enthusiasm for the sunshine vitamin may be misplaced.

Two still to be peer-reviewed papers looked at the link between vitamin D levels and Covid-19 and both reached the same conclusion: evidence for a direct link between vitamin D deficiency and Covid outcomes is lacking.

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Face masks safe to use during intense exercise, research suggests

‘Limited’ cardiology research also shows mask wearing likely to reduce spread of coronavirus in indoor gyms

Face masks can be worn safely during intense exercise, and could reduce the risk of Covid-19 spreading at indoor gyms, preliminary findings suggests.

Scientists from the Monzino Cardiology Centre (CCM) in Milan and the University of Milan tested the breathing rate, heart rate, blood pressure and oxygen levels of six women and men on exercise bikes, with and without a mask.

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The epic battle with cancer’s ‘Death Star’

Forty years after the mutant genes that cause the deadliest cancers were discovered, drugs that target them could be approved

In the early 1980s, Channing Der was just beginning his career as a scientist at Harvard Medical School when he happened upon a discovery that would change the course of cancer research. At the time, the holy grail of cancer biology was discovering so-called oncogenes – genetic switches that can turn a normal cell into a cancer cell – in the genomes of tumours. But while teams of scientists had thrown everything at it for the best part of a decade, their efforts had proved fruitless. One by one, they were beginning to accept that it might be a dead end.

Der found himself assigned to test 20 different genes that had been identified as possible oncogene candidates. His question was simple: did any of them actually exist in tumours in a form that was different from normal cells?

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From Pfizer to Moderna: who’s making billions from Covid-19 vaccines?

The companies in line for the biggest gains – and the shareholders who have already made fortunes

The arrival of Covid-19 vaccines promises a return to more normal life – and has created a global market worth tens of billions of dollars in annual sales for some pharmaceutical companies.

Among the biggest winners will be Moderna and Pfizer – two very different US pharma firms which are both charging more than $30 per person for the protection of their two-dose vaccines. While Moderna was founded just 11 years ago, has never made a profit and employed just 830 staff pre-pandemic, Pfizer traces its roots back to 1849, made a net profit of $9.6bn last year and employs nearly 80,000 staff.

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Coronavirus live news: modified vaccines for variants to be fast-tracked, say UK and Australia regulators

Agencies in Canada, Singapore and Switzerland will also back plan for modified vaccines to be rolled out without new approval

Authorised vaccines that are modified to protect against new variants will not need to start a new approval process or undergo in-depth clinical studies, regulators in the UK, Australia, Canada, Singapore and Switzerland have said.

Manufacturers will need to provide “robust evidence that the modified vaccine produces an immune response, but time-consuming clinical studies that do not add to the regulatory understanding of a vaccine’s safety, quality or effectiveness would not be needed”, bringing the process into line with that already used for updated flu jabs.

Alongside data on the immune response, the vaccine manufacturer would also be expected to provide evidence showing the modified vaccine is safe and is of the expected quality. In addition, data from the original robust clinical trials and the ongoing studies on real-world use in millions of people could be used to support any decision by the regulators.

This approach is based on the tried and tested regulatory process used for seasonal flu vaccines, for which annual modifications are needed to match the strains circulating each year.

Our priority is to get effective vaccines to the public in as short a time as possible, without compromising on safety. Should any modifications to authorised Covid-19 vaccines be necessary, this regulatory approach should help to do just that.

The announcement today also demonstrates the strength of our international partnerships with other regulators and how our global work can help ensure faster access to life-saving vaccines in the UK and around the world.

While worrisome coronavirus variants identified in Brazil, South Africa, and California have mutations that might help them resist antibody treatments and vaccines, the immune system’s T cell responses to the variants are unaffected in recovered patients and in people who have received the Moderna Inc or Pfizer Inc/BioNTech vaccines, new data show.

Reuters: The T cells induced by vaccines can recognise pieces of the virus spike protein, while T cells induced by previous infection recognise multiple parts of the virus, including the spike and other proteins, said Alessandro Sette of the La Jolla Institute for Immunology.

“These pieces are largely not changed/mutated in the variants,” he explained. “This means that the T cell responses recognise the ‘ancestral’ sequence and the variants equally well.”

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Vaccines tweaked for Covid variants will be fast-tracked safely, says UK regulator

Approach will be similar to how flu vaccine is modified each year to deal with new strains without fresh approval

Coronavirus vaccines tweaked to deal with variants will be fast-tracked without compromising on safety or effectiveness, the UK’s regulator has said.

The approach will be similar to the regulatory process for the modified flu vaccine, to deal with new strains each year, with a brand new approval not required.

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Covid deaths high in countries with more overweight people, says report

Governments urged to prioritise obese people for vaccinations over greater risk of death from coronavirus

Countries with high levels of overweight people, such as the UK and the US, have the highest death rates from Covid-19, a landmark report reveals, prompting calls for governments to urgently tackle obesity, as well as prioritising overweight people for vaccinations.

About 2.2 million of the 2.5 million deaths from Covid were in countries with high levels of overweight people, says the report from the World Obesity Federation. Countries such as the UK, US and Italy, where more than 50% of adults are overweight, have the biggest proportions of deaths linked to coronavirus.

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Northern Ireland’s five steps out of Covid lockdown: key points

Plan for moving from lockdown to relaxation of restrictions will be guided by data

Northern Ireland’s deputy first minister, Michelle O’Neill, has unveiled a cautious five-step plan to ease the region’s Covid-19 lockdown. The plan has no hard dates and will be led by data, notably the reproductive rate of the virus, O’Neill told the Stormont assembly on Tuesday.

The 28-page plan, titled Moving Forward: the Executive’s Pathway out of Restrictions, envisages a five-stage process moving from lockdown to relaxation of restrictions for nine different sectors.

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Brazil variant evaded up to 61% of immunity in previous Covid cases

Scientists call for more genetic sequencing of emerging variants like P1 to bring pandemic under control

The coronavirus variant originally found in Manaus in Brazil and detected in six cases in the UK was able to infect 25% to 61% of the people in the Amazonian city who might have expected to be immune after a first bout of Covid, researchers say.

The extent to which P1 can evade the immune system, and potentially vaccines, emerged as the UK health secretary said the hunt for one person who tested positive for P1 – but did not leave contact details – had narrowed to 379 households in the south-east of England.

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Covid: Germany and France under pressure to shift Oxford vaccine

Both countries urged to take action to avoid pile-up of unused AstraZeneca vaccine doses

Authorities in Germany and France are under pressure to come up with creative solutions to shift the AstraZeneca vaccine at higher speed in order to avoid a pile-up of unused doses over the coming weeks.

On Monday, France’s medical regulator reversed its advice not to use the AstraZeneca jab on over-65s, and Germany’s vaccination committee is coming under increasing pressure to follow suit or even scrap prioritisation altogether.

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Data on long Covid in UK children is cause for concern, scientists say

With lack of vaccinations and schools in England set to reopen cases must not be ignored, experts warn

Scientists have warned that emerging data on long Covid in children should not be ignored given the lack of a vaccine for this age group, but cautioned that the evidence describing these enduring symptoms in the young is so far uncertain.

Recently published data from the Office for National Statistics (ONS) has caused worry. The data suggest that 13% of under 11s and about 15% of 12- to 16-year-olds reported at least one symptom five weeks after a confirmed Covid-19 infection. ONS samples households randomly, therefore positive cases do not depend on having had symptoms and being tested.

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Germany set to give AstraZeneca jab to older people

Regulator concedes process had ‘somehow gone wrong’ and could soon approve vaccine

Germany could soon authorise the use of the AstraZeneca vaccine for seniors after the head of the country’s vaccination committee said his body’s advice to give the Oxford-developed vaccine only to those under 65 had “somehow gone wrong”.

Unlike the European Medicines Agency or Britain’s MHRA, Germany’s Standing Committee on Vaccination (Stiko) last month recommended against the use of the AstraZeneca vaccine on seniors, citing a lack of conclusive trial data to prove its efficacy in that age group.

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‘I’ve had my vaccine – how well will it protect me and for how long?’

The latest answers to the important medical questions about the vaccines and the pandemic

The prospects of vaccines failing to trigger immune responses are dismissed as remote by scientists. “If a vaccine has not been properly refrigerated that might pose problems but doctors take great care to ensure that doesn’t happen,” said Prof Helen Fletcher at the London School of Hygiene & Tropical Medicine. “Frankly the only other way to get a failed reaction is for the doctor to miss your arm – which isn’t likely.”

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Single Pfizer jab can reduce asymptomatic Covid infections by 75%

Cambridge doctors record sharp fall in infections after 12 days in Covid test analysis on healthcare workers

A single dose of the Pfizer vaccine can reduce asymptomatic infections by 75%, according to research that suggests the jab could substantially curtail transmission of the disease.

Doctors in Cambridge recorded the sharp fall in infections after 12 days of the first shot in an analysis of Covid tests performed on healthcare workers in the last two weeks of January.

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