Hope, humour and zero-hours contracts: what four months as a vaccinator has taught me

After sitting alone in my flat for most of last year, I jumped at the chance to deliver Covid vaccines. This is what I’ve learned

Pushing a needle through fake skin is not much like the real thing. So I discovered when I vaccinated my first patient at a mass vaccination centre in north London. You feel for a person’s shoulder blade and give the injection two finger-widths below the tip of the shoulder, in the middle of the deltoid muscle. In training, you’re given a salmon-coloured “arm” of silicone sponge to practise on. In reality, arms – like the people they belong to – are unique; it takes a little while to confidently feel your way with each new person you close the NHS regulation blue curtain behind.

When I saw an advert for people willing to train as vaccinators in early January, I applied at once. The idea of being an active part of a historic vaccination rollout was thrilling. I have clinical experience as an assistant psychologist, can put people at ease and was very ready for a meaningful break from spending 10 hours a day looking at a screen alone in my flat. The training was delivered by a group of witty, absolutely zero-bullshit female clinicians wearing Crocs. The conversation was sharp; I adored them immediately. We covered infection control (including a sobering experiment with UV gel; trust me, you need to clean your thumbs), PPE, life support and, of course, learning to inject. I remember a surreal moment, looking around a room full of lawyers, medical students, psychotherapists, cycling instructors and shop managers in full PPE, all bound by the shared purpose of wanting to do something.

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Neglected tropical diseases are the landmines of global health | Albert Picado and John H Amuasi

They are 20 disparate diseases that, like mines, unduly affect the world’s poorest people. Now there’s a plan to eradicate them by 2030

In January the World Health Organization launched a new strategy for eradicating neglected tropical diseases, boldly setting targets to eliminate 20 of them by 2030.

But what are neglected tropical diseases (NTDs)? There is no easy answer. The concept was first proposed in the early 2000s to bring to light a group of diseases that disproportionately affect poor people yet, despite their collective impact, do not attract as much attention as diseases such as HIV/Aids, malaria or tuberculosis.

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Brain fog: how trauma, uncertainty and isolation have affected our minds and memory

After a year of lockdown, many of us are finding it hard to think clearly, or remember what happened when. Neuroscientists and behavioural experts explain why

Before the pandemic, psychoanalyst Josh Cohen’s patients might come into his consulting room, lie down on the couch and talk about the traffic or the weather, or the rude person on the tube. Now they appear on his computer screen and tell him about brain fog. They talk with urgency of feeling unable to concentrate in meetings, to read, to follow intricately plotted television programmes. “There’s this sense of debilitation, of losing ordinary facility with everyday life; a forgetfulness and a kind of deskilling,” says Cohen, author of the self-help book How to Live. What to Do. Although restrictions are now easing across the UK, with greater freedom to circulate and socialise, he says lockdown for many of us has been “a contraction of life, and an almost parallel contraction of mental capacity”.

This dulled, useless state of mind – epitomised by the act of going into a room and then forgetting why we are there – is so boring, so lifeless. But researchers believe it is far more interesting than it feels: even that this common experience can be explained by cutting-edge neuroscience theories, and that studying it could further scientific understanding of the brain and how it changes. I ask Jon Simons, professor of cognitive neuroscience at the University of Cambridge, could it really be something “sciencey”? “Yes, it’s definitely something sciencey – and it’s helpful to understand that this feeling isn’t unusual or weird,” he says. “There isn’t something wrong with us. It’s a completely normal reaction to this quite traumatic experience we’ve collectively had over the last 12 months or so.”

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‘I felt humiliated’: parents respond to NHS maternity care racial bias inquiry

Black, Asian and ethnic minority women report being denied pain relief or feeling unheard to panel investigating mortality disparity

Feeling manipulated into having medical procedures, dismissed by professionals and labelled with racial stereotypes are among the complaints of parents who responded to a national inquiry into racial injustice in UK maternity care.

A panel established by the charity Birthrights is investigating discrimination ranging from explicit racism to racial bias and microaggressions that amount to poorer care.

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African health workers left without Covid jabs as paltry supplies dwindle

Fear of third wave and new variants as sub-Saharan vaccine distribution is dogged by supply disruption

Millions of healthcare workers in sub-Saharan Africa continue to risk their lives to fight Covid-19 as authorities across the continent struggle to obtain and distribute vaccines to frontline medical staff.

Though hundreds of millions of people in western nations are now protected from the virus, doctors, nurses and others on the frontline of the fight against Covid in Africa will have to wait months, or even years, for a vaccine.

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Australia news live: Christine Holgate says she was ‘bullied’ and Australia Post chairman fabricated evidence

Holgate says she was ‘humiliated’ by prime minister Scott Morrison; man dies of coronavirus in Queensland. Follow all the latest news and updates, live
• Australia won’t purchase Johnson & Johnson jab
AstraZeneca blood clotting: what is this rare syndrome?
• Andrew Laming blocked from recontesting next election
More than half of Australians think vaccine rollout is too slow

Wow, it’s been a busy few hours! With that, I’m going to hand you over to Michael McGowan to take you through the rest of the afternoon.

Christine Holgate gave some evidence about executive bonuses. It is a little confusing and we’ll come back to it, because even the senators seem a little confused about what is being said. And it’s important we get it right, so I’ll head back over the transcript to see what she was saying there.

Liberal senator Sarah Henderson has the question call now. She says she has been very moved by Holgate, and what she went through. She asks whether she thinks the questioning on the 22 October estimates hearing was fair.

Holgate:

In all honesty, I didn’t consider whether it was fair or not fair. I absolutely respect and Senator Carr, forgive me but you’ve asked me many tough questions over my time with you (“that’s my job,” Carr says)...and I was about to say ‘that’s your job’.

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AstraZeneca blood clotting: what is this rare syndrome and how is it caused?

Evidence is growing of a link between the Covid-19 vaccine and a deadly thrombosis – and theories are emerging as to why

Since rare but severe clotting was seen in some people following vaccination with AstraZeneca’s Covid-19 vaccine, researchers worldwide have been grappling to understand why the clotting syndrome, known as “thrombosis with thrombocytopenia” (clotting with a low platelet count), occurs.

Most cases of these clots occurred in veins in the brain (a condition called cerebral venous sinus thrombosis, or CVST), though some occurred in other veins, including those to the abdomen (splanchnic vein thrombosis). It has a high death rate.

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All over-50s and high-risk groups in UK offered vaccine ahead of target date

Achievement hailed by PM as ‘hugely significant milestone’ means people in late 40s should be next to be immunised

All over-50s and high-risk groups in the UK have been offered a coronavirus vaccine a few days before the mid-April deadline set by the government – meaning the second phase of the rollout to younger cohorts can now begin.

Despite fears of a supply slowdown and possible knock in confidence after a change in advice on who could get the Oxford/AstraZeneca jab, Boris Johnson hailed the passing of “another hugely significant milestone”.

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‘Out of Trump playbook’: UK accused of ‘abandoning’ women with cuts to aid

Charity warns of 22,000 additional deaths in poorest countries if Wish reproductive health programme ends

The director of a leading sexual and reproductive health charity has accused the government of “abandoning” women and girls it promised to help, as aid cuts derail a leading Tory programme to reduce maternal deaths and prevent unsafe abortions in poor countries.

The threat to the women’s integrated sexual health (Wish) programme could mean 7.5m additional unintended pregnancies, 2.7m unsafe abortions and 22,000 maternal deaths over the next year, said Dr Alvaro Bermejo, director general of International Planned Parenthood Federation (IPPF).

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Gordon Brown calls for G7 to act on Covid vaccine ‘apartheid’

Former prime minister says group should commit to global vaccine drive and slams UK’s foreign aid cut

Preventing poor countries suffering from vaccine “apartheid” will require the G7 group of rich nations to commit $30bn (£22bn) a year to a global immunisation drive, Gordon Brown has said.

The former Labour prime minister said the UK should use June’s G7 summit in Cornwall to rekindle the moral purpose of the Make Poverty History campaign of 2005, paying for its share of the new fund by reversing the government’s “misguided” cut to the foreign aid budget.

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Early findings show new drug could be ‘gamechanging’ for brain cancer treatment

Using ipatasertib, researchers say some brain cancers could potentially be made vulnerable to immunotherapy agent

Two people with advanced brain cancer of the sort that led to the death of the MP Tessa Jowell have responded well in a small trial to an experimental combination of chemo and immunotherapy drugs. In one case, the life-threatening tumour seems to have disappeared.

Doctors at the Institute of Cancer Research and the Royal Marsden hospital in London cautioned that this was very early research but said it was unusual to have such a good response in patients in an early trial.

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Long Covid: many will need specialist therapies, says expert

Intensive care consultant says doctors are hoping to create a uniform structure for follow-up clinics

A “significant” number of people will require long-term aftercare such as the physiotherapy and speech therapy being received by Derek Draper after a year in intensive care following Covid, a leading doctor has said.

On Friday, it was revealed that Draper, the former political adviser and the husband of ITV presenter Kate Garraway, has been taken off support machines and returned home after a year in intensive care – but will receive 24-hour care at the couple’s newly adapted north London home.

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Is vaccinating against Covid enough? What we can learn from Chile and Israel

Contrasting lessons from the two countries, both with high rates of inoculation against the virus, show the danger is not past

A trio of countries stand out for the effectiveness of their Covid-19 vaccination programmes: Israel, Chile and the UK. All have managed to inoculate an impressively high percentage of their people but each has fared very differently in controlling the disease.

Israel has done so well it is resuming university lectures, concerts and other mass gatherings and has opened up its restaurants and bars. By contrast, Chile is experiencing soaring levels of Covid cases and faces new lockdown restrictions.

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Virus hotspots could lead to third Covid wave in UK, scientists warn

Boris Johnson accused of dropping pledge to ‘follow data not dates’ and urged to wait for more vaccinations before easing restrictions

Leading scientists warned last night that the government was risking a third wave of Covid-19 by easing the lockdown at a time when official data still shows virus hotspots across many parts of the country.

With the UK poised to lift many Covid restrictions on Monday, the scientists accuse ministers of abandoning their promises to “follow the data, not dates” in a rush to reopen society and the economy.

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Australia’s Covid vaccination relying on opaque private contracts worth millions

Lack of transparency over deals with private consultants, logistics companies and healthcare contractors adding to ‘layers of confusion’ over rollout

The Australian government is funnelling millions of dollars to private contractors for its beleaguered Covid vaccine rollout using opaque deals – some of which are hidden from the public and ignore transparency standards.

The government is relying heavily on contractors to aid its vaccine rollout, including multinational consultants PwC and Accenture, logistics companies DHL and Linfox, and healthcare contractors Healthcare Australia, International SOS, Sonic Clinical Services and Aspen.

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France and Germany’s Covid vaccination programmes pick up speed

As daily inoculations hit record figures, warning comes of new delays

Vaccine rollouts in France and Germany have finally begun to pick up speed, after a slow start and problems with supplies and bureaucracy.

France continues to struggle to contain a third Covid-19 wave, but announced it had hit its 10 million inoculations target a week earlier than expected, while Germany doubled the number of vaccinations, administering a record 720,000 doses on Thursday after the rollout was extended to family doctors.

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EU agency examines reports of blood clots with J&J Covid vaccine

EMA says four serious cases reported, one fatal, and also expands inquiry into AstraZeneca vaccine

The EU’s drug regulator is reviewing reports of rare blood clots in four people who received Johnson & Johnson’s Covid-19 vaccine and has expanded its inquiry into AstraZeneca’s shot to include reports of a bleeding condition.

Of the four serious cases of clotting and low platelets, three occurred in the US during the rollout of J&J’s vaccine from its Janssen pharmaceuticals unit, the European Medicines Agency (EMA) said on Friday, adding that one person had died and one case was reported in a clinical trial. It was the first news of EMA’s inquiry into the J&J vaccine.

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Merkel sets out plan to take control of Germany’s Covid response

Bill would give national government power to impose restrictions in states with high infection rates

The German chancellor, Angela Merkel, plans to take control over the Covid-19 response from federal states to impose restrictions on regions with high numbers of new infections, as the head of the country’s disease control agency said Germany needed a two- to four-week lockdown to prevent hospitals from being overwhelmed.

“Germany is in the middle of a third wave, so the federal government and the states have agreed to add to the national legislation,” a spokesperson for the German chancellor told reporters on Friday.

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My brother used to bully me. Now, when I hear from him, I panic

It’s OK not to take his call, says Annalisa Barbieri. You are not responsible for his happiness

I am 22 and my brother is 24. I am married with a child; he is single. We grew up in a rocky family situation and were removed from our parents’ care and placed in a children’s home when I was five and he was seven. I don’t remember much before that, but he bullied me a lot growing up. For a while now I’ve been dealing with anxiety related to him – every time I see his name pop up over text, I freak out. I hate it when he calls or visits and I feel drained afterwards. He doesn’t deal with rejection well, so I feel I have to take the call. Deep down he’s a good guy who has issues, but I really want to figure out why I have this anxiety with him; I don’t have this issue with anyone else. I can’t afford therapy but I’m trying my best to work this out.

It sounds as if you and your brother are dealing with trauma connected with your childhood. “Freaking out” when you see someone or their name pops up on a phone is a sign of this, and bullying is a trauma, quite aside from everything else you both suffered as children.

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Coronavirus Australia live update: Scott Morrison announces 20m more Pfizer vaccine doses after problems with AstraZeneca-led rollout

Vaccine rollout faces delays as authorities scramble to secure alternatives to AstraZeneca such as Pfizer for under-50s over blood clot fears. Follow updates live

Labor MP Josh Burns has criticised the government for failing to deliver vaccines to aged care staff and residents, noting the issue is unrelated to fresh concerns about the AstraZeneca vaccine causing blood clotting in those under 50.

Burns’ comments follow reports in the Guardian this morning that the federal government is expected to miss a self-imposed target on delivering “pop-up” hubs to vaccinate critical aged care staff and has given no details on the proposal to workers, despite multiple requests for information and meetings from the nursing union.

We’ve not had any federal aged care providers in Macnamara receive their vaccinations or have any indication on what day they are going to be having them, not to mention the staff that are still vulnerable and haven’t been vaccinated.

The frustration that Australians rightly have is that the promises that have been made have not been made by the Labor Party, they’ve been made by Greg Hunt, they’ve been made by Scott Morrison, they’ve been telling Australians that they’ve got it under control, that all is well, they are going to be vaccinating Australians and they haven’t been.

Related: Australia’s aged care nurses still in the dark about promised ‘pop-up’ vaccination hubs

Women need more information about contraceptive options, experts said, after concerns over rare blood clots linked to the AstraZeneca Covid jab prompted a debate over side-effects caused by certain forms of the pill.

On Wednesday the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) said that evidence that the jab could be causing a rare blood clotting syndrome was growing stronger. As a result the UK’s Joint Committee on Vaccination and Immunisation (JCVI) recommended that healthy people under the age of 30 who were at low risk of Covid should be offered a different vaccine if possible.

Related: Contraception blood-clot risk: ‘public need better access to advice’

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