This week
Coronavirus disease (COVID-19) weekly epidemiological and monthly operational updates
who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
Tune in to hear how immunization professionals around the globe have responded to the COVID-19 pandemic. Visit bit.ly/3lTeFNx to listen to the latest episodes.
This episode dives into the practical, tactical, and technical aspects of setting up and implementing mass vaccination sites. With insights from the frontline vaccine delivery team Curative and the World Health Organization (WHO), the episode offers insights on how to prepare frontline healthcare workers to ensure timely and efficient delivery of COVID-19 mRNA vaccines.
This episode shares lessons from the Sisonke Study, a phase 3B open label study that provided pre-emergency use access to the Johnson and Johnson vaccine to health workers in South Africa. Researchers share scientific, regulatory, and ethical considerations needed to move rapidly from a clinical trial setup to active vaccination sites.
This episode features an interview with Ann Lindstrand, the Unit Head for the Essential Programme on Immunization at WHO. Dr Lindstrand answers specific questions from the Boost Community around vaccine efficacy, hesitancy, and equity particularly around COVID-19 mRNA vaccines, and provides insights on how WHO is supporting the global vaccine roll-out.
With an expected vaccine delivery ramp-up and uptake surge in the next months, coordination and preparedness will be key to ensure the maximal use of COVID-19 vaccines. Countries are encouraged to update their national deployment and vaccination plans and costing through the Partners Platform, which will help access needs and resource gaps - including delivery costing - in preparation for vaccine roll-out. The COVAX Country Readiness and Delivery workstream is finalizing guidance and tools to support preparedness.
Please see below some recently published updates to the COVID-19 vaccine introduction toolkit, which is available in AR CH EN FR RU SP.
The updated Guidance on Developing a National Deployment and Vaccination Plan for COVID-19 vaccines (2.0) is available online, with new information on a number of areas, including updated additional resources at the end of each chapter.
New resources on vaccines costing and funding aim to facilitate national deployment and vaccination plans submission, including a pre-populated version of the COVID-19 Vaccine Introduction and deployment Costing tool (CVIC tool): CVIC 2.2 EZ tool for AMC92 countries, with most of the input cells pre-filled with global estimates.
The COVID-19 vaccination costing Q&A provides a basic introduction to the importance of a good costing exercise for COVID-19 vaccine roll-out, how it can be done, and how to seek technical assistance.
"What is the CVIC tool?" video is available in English, French and Spanish.
The OpenWHO course CVIC tool: using the COVID-19 Vaccine Introduction and deployment Costing Tool targets national programme managers and personnel who have been involved in the costing, budgeting or financing processes of COVID-19 vaccine delivery at the country level.
Technical support on the use of the CVIC tool is available. The World Health Organization (WHO) Costing Team can be reached at: CVICosting@who.int.
The COVAX No-Fault Compensation Program webpage brings more information on NFC for Advance Market Commitment (AMC) Eligible Economies. The Program provides fair, no-fault, lump sum compensation to eligible individuals who suffer certain serious adverse events after receiving vaccines distributed through the COVAX Facility until 30 June 2022.
COVAX No-Fault Compensation Program for AMC-Eligible Economies
The WHO SAGE roadmap for prioritizing uses of COVID-19 vaccines in the context of limited supply: An approach to inform planning and subsequent recommendations based on epidemiological setting and vaccine supply scenarios, first issued on 20 October 2020, was recently updated considering epidemiological settings and vaccine supply scenarios.
Also check out the Guidance note and checklist for tackling gender-related barriers to equitable COVID-19 vaccine deployment.
These resources inform vaccine deployment considering supply constraints:
Guidance on utilization of COVID19 vaccine before the date of expiry
Check out the Vaccine safety poster for health workers on how to monitor and report COVID-19 vaccine side effects.
The recognizing anaphylaxis training video provides a brief overview on how to recognize anaphylaxis versus an immunization stress-related response, and the identifying and managing anaphylaxis training video explains how to manage anaphylaxis.
Also available online:
NEW Addendum: Guidance on Conducting Vaccine Effectiveness evaluations in the setting of new SARS-CoV-2 variants. This resource addresses specific issues to consider when evaluating COVID-19 vaccine effectiveness using observational study designs in the setting of new SARS-CoV-2 variants.
Please join the WHO Costing, Budgeting, Financing and Delivery of COVID-19 Vaccines webinars, with interpretation into French and Spanish.
Upcoming sessions:
Join the experience sharing clinic on how countries are reviewing their COVID-19 vaccine roll-out through WHO COVID-19 vaccination intra-action review (IAR), also known as mini-cPIE.
When: 28 July 12:30-1:30 pm CET with interpretation into French and Spanish.
When: 13 August, 1:00-5:00 pm CET
The objective of this consultation is to review the available evidence on the efficacy and effectiveness of COVID-19 vaccines being deployed in terms of:
The WHO is inviting anyone interested in serving on the Strategic Advisory Group of Experts (SAGE) on Immunization to consider applying for inclusion on the newly established SAGE Roster. This call seeks to identify candidates that can be retained in a roster of experts from which a selection for new SAGE members could take place as the need arises.
Deadline for applications: 10 Sep 2021
As we gear towards the 74th World Health Assembly, which will take place virtually from 24 May to 1 June 2021 in light of the ongoing COVID-19 pandemic, we reflect on the progress made in terms of vaccines introduction and roll-out. More than 120 COVAX participants have now received at least one shipment of COVID-19 vaccines, with over 58.2 million doses delivered as of 11 May. These achievements were only possible due to the unwavering commitment by partners and immunization professionals around the world.
Please see below some recently published updates to the COVID-19 vaccine introduction toolkit, which is available in AR CH EN FR RU SP.
The COVID-19 Vaccine Introduction and deployment Costing Tool (CVIC tool) supports credible COVID-19 vaccination costing to facilitate a dialogue with stakeholders, while maintaining sensitivity to protecting essential health services. It provides a structured and comprehensive estimation of incremental operational and selected capital costs of introducing and deploying COVID-19 vaccines, in alignment with the National Deployment and Vaccination Plan (NDVP). This is essential for resource mobilization, budgeting, and delivery strategy refinement and optimization.
The tool has been pre-populated with data from global databases and provides a total cost estimate for an immunization programme over the period of 2021-2023, after which COVID-19 vaccination is expected to be integrated into national immunization plans.
Countries can customize the priority target populations based on the WHO SAGE guidance and select multiple delivery strategies and vaccine products. The tool is available in all six UN languages (Arabic, Chinese, English, French, Russian and Spanish) and Portuguese.
Countries can submit their resource needs onto the WHO COVID-19 Partners Platform by either uploading a completed CVIC 2.1 tool excel spreadsheet or manually entering their resource needs. The cost categories for technical assistance and funding resource requests through the platform are harmonized into the nine common costing categories outlined in the NDVP Guidance 2.0.
The COVAX No-Fault Compensation Program for AMC-Eligible Economies (the “Program”) has been operational since 31 March 2021. The Program’s Protocol (procedure) and Forms - including application and other forms - as well as other relevant Program information and resources are available in English, French and Spanish on the Program’s web portal, which also has instructions on how to submit an application and detailed FAQs to guide interested applicants.
ESIS Inc. will not charge any fees to Program applicants. Eligible individuals will have ample time to apply for compensation under the Program including if a COVAX-distributed vaccine was administered to them before the Program became operational on 31 March 2021.
COVAX No-Fault Compensation Program for AMC-Eligible Economies
The AstraZeneca vaccine explainer has been updated according to Emergency Use Listing and SAGE recommendations.
The short Janssen vaccine instructional video and the training video on how to identify and manage anaphylaxis are now available online.
Please check out the job aide that explains Why are there extra doses of vaccine in the vaccine vial and provides guidance for their use. Currently available in: AR CH EN RU SP.
You can review the Supportive supervision for COVID-19 vaccination job aide, now available in AR CH EN FR.
The communications flow diagram has been updated and now includes key messaging for pregnant women.
Intra-action review (also known as the mini COVID-19 Post Introduction Evaluation, or mini-cPIE) documents trigger question database, note taking template, and report template are available in English.
Learn how to use these tools watching the Mini-cPIE (COVID-19 vaccination IAR) - What is it and how to conduct one training, in EN FR RU and SP.
Check out the slide set, available in English.
Three more sessions remain for the national/sub-national audience of the COVID-19 Vaccination: Building Global Capacity webinars (Tuesdays, 12:00 - 13:00 CET), with live interpretation into French and Spanish.
Upcoming sessions:
Register for upcoming ECHO sessions here
Do you work on health or immunization? Are you passionate about new and innovative approaches to improving vaccination coverage? If ‘yes’, then we’d like to hear from you!
WHO has developed a set of tools to support immunization programmes with the roll-out of COVID-19 vaccines and routine immunization strengthening. We are seeking critical and innovative thinkers to test these tools through telephone interviews in Angola, Ethiopia, India, Nigeria and Pakistan.
In partnership with research expert Kantar Public, WHO is looking to interview health professionals, programme managers, health officers and community volunteers involved in planning, delivering and/or advocating for immunization. Register your interest here! Please feel free to share this email with others who may be eligible and interested.
This work is part of a long-standing initiative to develop globally validated tools that support programmes to assess and address the social and behavioral drivers of immunization. This is a multi-partner initiative funded by Gavi and the Bill and Melinda Gates Foundation. If you’d like to hear more about this work, please do not hesitate to email Francine Ganter-Restrepo: ganterf@who.int.
The Forum of International Respiratory Societies: For the health of everyone, equitable access to COVID-19 vaccines is urgently and quickly needed in all countries
31 March 2021 – An article launched today by the Forum of International Respiratory Societies (FIRS), an organisation comprised of the world's leading international respiratory societies, highlights COVID-19 efficacy and safety and calls for urgent equitable access in all countries.
The speed of development of effective vaccines for COVID-19 has been unprecedented, with several now widely available and in use. COVID-19 vaccination is one of the most pressing global issues. Vaccines are being distributed in more than 85 countries, with cumulatively more than 200 million doses administered globally. However, vaccination is predominantly occurring in high income settings while in many low- and middle-income countries, vaccination has not started or is occurring in very small numbers.
Priority for vaccination should be given to health workers, followed by those who are most vulnerable to develop severe disease and those who are most exposed to infection.
Inequities in global access to vaccination have exposed and worsened large disparities between countries. Countries with the lowest rates of vaccination are also those with the most fragile health systems, lack of infrastructure for widespread vaccination programmes, lack of access to oxygen and other lifesaving interventions and more economically disadvantaged populations. Greater co-operation and collaboration between high-income countries, donor foundations, vaccine manufacturers and low- and middle-income countries is needed to ensure access to vaccines on a not-for-profit basis, equitable distribution, and sustained programmes to ensure vaccination.
“Vaccines against COVID-19 are a key complimentary intervention to bring the pandemic under control globally. For the health of everyone, equitable access to COVID-19 vaccines is urgently and quickly needed in all countries.” said Mark Cohen, President of FIRS.
The article also explores COVID-19 vaccine efficacy and the rigorous safety standards that have been met.
Vlick this link to open the FIRS Vaccine Equity full article.
Click the square image on the right and download for your Facebook and Instagram posts, and the rectangular image for your Twitter post.
Dear colleague,
The COVID-19 vaccine introduction toolkit is now available in all UN languages: Arabic, Chinese, French, Russian and Spanish. We will update these pages as more resources become available. For questions, comments or feedback, please e-mail: COVID19vaccineresources@who.int.
Please check out these new resources added to the Toolkit to support COVID-19 vaccination:
Date | Audience | Topic | Registration |
30 Mar | Health Workers | Reporting on COVID-19 vaccines (monitoring and AEFI) | echo.zoom.us/webinar/register/WN_ 81Wgk82kRcmmMVJ43SNOuA |
06 Apr | National/Subnational | Vaccination strategies for COVID-19 vaccination | echo.zoom.us/webinar/register/WN_ 60QBnRtURmaoXz2mGFWPIQ |
13 Apr | Health Workers | Supply and logistics | echo.zoom.us/webinar/register/WN_ 81Wgk82kRcmmMVJ43SNOuA |
20 Apr | National/Subnational | Mobilizing financing resources to scale-up COVID-19 vaccination | echo.zoom.us/webinar/register/WN_ 60QBnRtURmaoXz2mGFWPIQ |
Dear Colleagues
Please note that TPs [Talking Points] regarding various European countries suspending batches or temporarily halting the use of the AstraZeneca vaccine, are available. As this is an ongoing topic please contact Kate Thompson (thompsonk@who.int) for the latest TPs.
Due to concerns about the size of the talking points document, some sections of previously cleared language have been moved into an annex. [See annex at apsresp.org/archive/covid-19/who-20210317-annex.docx]
Revisions & updates to the content are highlighted grey. Substantive revisions have been made to:
We know there are gaps in the talking points and are working on developing TPs on the below topics
COVID-19 Vaccine Digital Content:
COVID-19 DIGITAL CONTENT UPDATE – has a section that features new vaccine content. Sign up here.
Please read and share this series of explainers on vaccines (each web page links to “resources” where you will find assets in various formats, languages and editable art files for your adaption and use):
[The links below are in English. For other languages, please see the WHO webpage here.]
NEW: All Vaccines Explained content
All Covid-19 Vaccine information
COVID-19 vaccine country readiness and delivery
The COVID-19 vaccine acceptance and demand package
COVID-19 vaccine-specific resources
Pfizer
Moderna
AstraZeneca
NEW:Johnson & Johnson
Technical guidance
COVID-19 vaccine country readiness and delivery
The COVID-19 vaccine demand package includes guidance, tools, and templates to generate acceptance and demand for COVID-19 vaccines.
COVAX specific resources
Diane Abad-Vergara
Communications Officer
Department of Communications
World Health Organization
Geneva, Switzerland
Office: +41 (0)22 791 2183
Mobile: +41 (0)79 200 5878
Web: who.int
The WHO have asked us to share a copy of their Talking Points, a 45-page Word file you can see at apsresp.org/archive/covid-19/who-20210317.docx
Here are the main section headings and some related questions. Comprehensive answers are given in the Talking Points document.
We are sharing the new resources available to support COVID-19 vaccines introduction. For these resources and more, please visit the COVID-19 vaccines introduction toolbox, which provides guidance, tools, and training to equip all countries to prepare for and implement COVID-19 vaccination. For questions, comments or feedback, please e-mail: COVID19vaccineresources@who.int.
Data | Audience | Topic |
16 March | Health workers | Vaccine safety |
23 March | National/subnational | Generating acceptance & demand for COVID-19 vaccines |
30 March | Health workers | Reporting on COVID-19 vaccines (monitoring and AEFI) |
6 April | National/subnational | Vaccination strategies for COVID-19 vaccination |
The WHO, UNICEF, Gavi and many other partners are working together to support countries in preparing for COVID-19 vaccination. Guidance, tools, and training are available to support Ministries of Health, health workers, partner organizations and others for COVID-19 vaccines rollout. These materials can be accessed on the COVID-19 vaccines country readiness and delivery section of the WHO website.
New WHO resources include:
WHO has developed vaccine-specific resources for COVID-19 vaccines that receive emergency use listing or prequalification. Additional resources and translations will be available shortly.
The CRD workstream is working on information materials, tools and training to support you, including a webpage with all the existing and upcoming country readiness and delivery resources (i.e. articles, briefs, and frequently asked questions), guidance documents such as the Guidance on developing a national deployment and vaccination plan for COVID-19 vaccines, and tools such as the COVID-19 Vaccine Introduction Readiness Assessment Tool – VIRAT/VRAF 2.0. Additionally, they are working on tools to support local strategies to generate acceptance and uptake of COVID-19 vaccines. These materials will be available via the CRD webpage shortly.
A range of COVID-19 vaccine introduction training packages are also available on OpenWHO and include e-learning modules, slides, and job aides. Two courses have recently been released:
Respiratory Updates articles on the coronavirus:
The Respiratory Updates a special edition for January 2021: COVID-19, one year on apsresp.org/publications/resp-updates/resp-updates-013-001.pdf20 December 2020
The Forum of International Respiratory Societies (FIRS), an organisation comprised of the world's leading international respiratory societies, calls for urgent access to affordable COVID-19 vaccines globally.
The COVID-19 pandemic has affected more than 72 million people worldwide and resulted in more than 1.6 million deaths to date. No country has been spared, and throughout the world this pandemic has placed a huge burden on health systems and on economies. Many countries are now experiencing a second wave of infections, which are more severe than the first initial wave. The elderly and those with underlying vulnerabilities including diabetes, chronic lung or heart disease, hypertension, obesity or immunosuppression are at higher risk for developing severe disease.
Incredibly, less than a year after the start of the pandemic, effective, safe vaccines are now being approved for emergency use and some countries have already started vaccinating their citizens. The rapid development and authorisation of these vaccines must be accompanied by close monitoring for further guidance and optimal use. However, roll out of vaccines is currently predominantly in high-income countries. There is an urgent need for affordable vaccines to be made available in low- and middle-income countries, especially as there may be limited access to health care and to life saving supportive therapy including oxygen in these settings.
"Now is a critical time in the fight against COVID-19. We need to ensure affordable, equitable access, transparency and fair distribution of approved vaccines to protect people in all countries." said Stephanie Levine, MD President of FIRS. "This pandemic has affected people around the world and we now need a global effort to ensure that all countries can access preventive, diagnostic and therapeutic measures to beat it."
Inevitably, many planned conferences have been, and will be, rescheduled. Any such events we are made aware of are reflected in the calendar page. (Please inform the APSR Secretariat if you know of changes to any other event not shown on the Calendar.)
One of the most significant changes is to the APSR Congress in Kyoto originally scheduled for 15-18 October 2020, which will now take place a year later on 20-21 November 2021. The venue in Kyoto is unchanged.
The other significant change is for the APSR Congress in Seoul, which had been originally scheduled for 18-21 November 2021, and consequently will now take place on 17-20 November 2022.
By that time, we hope the coronavirus will be no longer a news item!
(No Covid-related Respirology articles published in the last few weeks)
- in reply to:
Impact of the COVID-19 crisis on healthcare workers: The need to address quality of working life issuesIn addition to COVID-19 articles, a special Respirology collection includes information and lessons learnt from previous pandemics.
A collection of articles on COVID-19 and earlier coronaviruses can be read here.
(No Covid-related Respirology Case Reports articles published in the last few weeks)
A collection of cases on COVID-19 and earlier coronaviruses can be read here
Advertise your event here!
The Turkish Thoracic Society invite you to watch their second "Lung Diseases and COVID-19 Online Congress for the Public". This will take place on 26-27 February 2022, 12:00-18:00 (Turkish time, UTC+3). There will be a total of 24 sessions, each lasting for half an hour.
Within the scope of this congress; the community (including our patients and/or their relatives) will have the opportunity to access the most up-to-date and accurate information about lung diseases and COVID, as well as to ask live questions. It can be nice chance actually for people with concerns about applying to the hospitals due to the pandemic.
The programme below summarizes the rich content of the congress, which will be discussed mainly by specialists on topics and aired live in Turkish via the Turkish Thoracic Society's social media accounts (YouTube, Facebook, and Instagram). Additionally, you can follow this congress with simultaneous English translation via another YouTube channel "Turkish Thoracic Society” at youtube.com/channel/UCKTRq9lVwM-oTD2rOW1B7rQ).
Programme
(All times are UTC+3)
26 February 2022
12:00-12:25 | Opening session: Why do we need to plan a congress for the public? Oya Itil, Benan Müsellim, Füsun Topçu |
12:30-12:55 | Should I have a check-up for lung diseases? Çağla Uyanusta Küçük, Osman Elbek |
13:00-13:25 | Why am I coughing for so long? Elif Şen, Ali Fuat Kalyoncu |
13:30-13:55 | I'm unable to quit smoking; am I frail? Seren Arpaz, Oğuz Kılınç |
14:00-14:25 | Electronic cigarette: Being caught in hail while escaping the rain Aslı Görek Dilektaşlı, Elif Dağlı |
14:30-14:55 | There is no miracle cure for COPD Sibel Naycı, Cantürk Taşçı |
15:00-15:25 | Why are my inhaler medications not working? (Patient usage mistakes) Ebru Damadoğlu, Feride Taşkın Yılmaz |
15:30-15:55 | Respiratory rehabilitation in chronic lung diseases Pınar Ergün, İpek Candemir |
16:00-16:25 | Is tuberculosis still around in this day and age? Şeref Özkara, Aylin Babalık |
16:30-16:55 | Should I be concerned about a lung nodule? Sevin Başer Öncel, Pınar Çelik |
17:00-17:25 | Does my obsession with hygiene makes me a patient with pulmonary disease? Neşe Direk, Bilun Gemicioğlu |
17:30-17:55 | Snoring can be a sign of a serious medical condition Çağlar Çuhadaroğlu, Baran Balcan |
18:00-18:25 | Who is eligible for a lung transplant? Özlem Özdemir Kumbasar, Erdal Yekeler |
27 February 2022
12:00-12.25 | Why Is the pandemic not ending? Is this our fate? Oya İtil, Osman Elbek |
12:30-12:55 | What is the impact of the climate crisis and air pollution on our health? Ali Kocabaş, Cavit Işık Yavuz |
13:00-13:25 | Myths and truths about the Covid-19 vaccine Cüneyt Saltürk |
13:30-13:55 | What concerns you about the COVID, influenza, and pneumonia vaccines? Füsun Eyüboğlu, Abdullah Sayıner |
14:00-14:25 | Should I vaccinate my child with Covid-19 vaccine? Elif Dağlı, Mehmet Ceyhan |
14:30-14:55 | What to do while staying at home with COVID? What should you pay attention to? Göksel Altınışık Ergur, Öner Dikensoy |
15:00-15:25 | I had COVID, when will my shortness of breath improve? Oğuz Uzun, Serap Argun, Züleyha Bingöl |
15:30-15:55 | Your inquiries regarding Covid-19 and the risk of blood clots Aslıhan Gürün Kaya, Serhat Erol |
16:00-16:25 | My relative with COVID is in intensive care unit Özlem Ediboğlu, Nalan Adıgüzel |
16:30-16:55 | Precautions against COVID in the workplaces Peri Arbak, Haluk Çalışır |
17:00-17:25 | All aspects of Covid-19 in patients with asthma and allergy Dilşad Mungan, Kıvılcım Oğuz Özülgen |
17:30-17:55 | The pandemic-related deaths of healthcare personnel Pınar Bostan |
18:00-18:30 | Closing Session |
Turkish Thoracic Society: toraks.org.tr