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Health

Contamination Woes Maintain Again 100 Million Vaccine Doses

WASHINGTON – The executive director of Emergent BioSolutions, whose Baltimore facility ruined millions of coronavirus vaccine doses, announced on Wednesday that more than 100 million doses of the vaccine were being put on hold by Johnson & Johnson as regulators screen for possible contamination.

In more than three hours of testimony before a House subcommittee, chief executive Robert G. Kramer calmly acknowledged unsanitary conditions, including mold and peeling paint, at the Baltimore plant. He acknowledged that Johnson & Johnson had discovered – not emergent – contaminated cans and fought off aggressive questions from the Democrats about his stock sales and hundreds of thousands of dollars in bonuses for company executives.

Emergent’s Bayview Baltimore facility shut down a month ago after contamination spoiled the equivalent of 15 million cans. However, Mr. Kramer told the legislature that he expected the plant to resume production “in a few days”. He said he took “very seriously” a report from federal regulators that identified manufacturing defects and assumed “full responsibility”.

“Nobody is more disappointed than us that we had to stop manufacturing new vaccines around the clock,” Kramer told the panel, adding: “I apologize for the failure of our controls.”

Mr Kramer’s appearance before the House Select Coronavirus Crisis Subcommittee, which has launched a full investigation into his company, provided the public with an initial glimpse into the men who run Emergent, a politically affiliated federal entrepreneur who has a niche market for the Biological Defense Preparation dominates with the US government as the main customer.

Mr. Kramer, who testified virtually, was assisted by Fuad El-Hibri, the company’s founder and chairman, who has grown from a small biotech company to a $ 1.5 billion company in annual sales over the past two decades has expanded. Executive compensation documents released by the subcommittee show that the company’s board of directors praised Mr. El-Hibri, who cashed in more than $ 42 million in stock and options last year, for “his critical relationships with important customers, Congress and other stakeholders. ”

Those members of Congress include Representative Steve Scalise of Louisiana, the No. 2 Republican in the House, and the Chief Republican on the House subcommittee. Federal campaign records indicate that Mr. El-Hibri and his wife have donated more than $ 150,000 to groups associated with Mr. Scalise since 2018. The company’s Political Action Committee has donated approximately $ 1.4 million to members of both parties over the past 10 years.

Mr El-Hibri expressed his remorse on Wednesday. “The cross-contamination incident is unacceptable,” he said.

Mr. Kramer’s estimate of 100 million cans held increased the number of Johnson & Johnson cans effectively quarantined due to regulatory concerns about contamination by 30 million. Federal officials had previously estimated that the equivalent of about 70 million cans – most of them for domestic use – could not be released until purity was tested.

The House Democrats began their investigation into Emergent after the New York Times documented months of problems at the Baltimore plant, including failure to properly disinfect equipment and protect it from viral and bacterial contamination.

Hours before the hearing began, the committee’s staff released confidential audits previously reported by The Times that cited repeated violations of manufacturing standards. A leading federal manufacturing expert reiterated these concerns in a June 2020 report, warning that Emergent did not have trained staff and adequate quality control in place.

“My teenage son’s room gives your facility a run for its money,” Representative Raja Krishnamoorthi, Democrat of Illinois, told Mr. Kramer.

Mr. Kramer initially stated that the contamination of the Johnson & Johnson cans “was identified by our quality control procedures and checks and balances.” However, when questioned, he admitted that a Johnson & Johnson laboratory in the Netherlands had picked up the problem. Johnson & Johnson hired Emergent to manufacture its vaccine and is now claiming greater control over the facility at the urging of the Biden government.

The federal government placed a $ 628 million contract with Emergent last year, primarily to reserve space at the Baltimore plant for vaccine manufacturing. The legislature is examining, among other things, whether the company is maintaining its contacts with a leading representative of the Trump administration, Dr. Robert Kadlec, used to secure this mandate and whether federal officials have ignored known shortcomings in placing the work on Emergent.

Mr El-Hibri told lawmakers that the government and Johnson & Johnson are aware of the risks.

“Everyone was open-minded that this is a facility that has never manufactured a licensed product before,” he said. While the Baltimore plant was “not in perfect working order – far from it,” he argued that the plant was “in the highest state of readiness” among the plants that the government had to choose from.

For Republicans, including Mr Scalise, Wednesday’s session became a means of defending Emergent and the Trump administration and raising other virus-related issues: the unproven theory that the coronavirus leaked from a laboratory in China that “Lies of the Communist Party” of China “, mask mandates and the demand of the Biden government for a renunciation of an international agreement on intellectual property.

“You are a reputable company that did Yeoman’s job protecting this bio-defense country,” exclaimed Mark E. Green, Republican of Tennessee, adding, “So you have your people a bonus for their incredible work given. “

Emergent is able to work in Washington. The board of directors is made up of former government officials, and Senate lobbying data shows the company has spent an average of $ 3 million a year on lobbying over the past decade. That’s roughly the equivalent of two pharmaceutical giants, AstraZeneca and Bristol Myers Squibb, whose annual sales are at least 17 times higher.

Democrats urged Mr. Kramer and Mr. El-Hibri to open their contacts with Dr. Kadlec, who had previously consulted for Emergent. Documents indicate that Emergent agreed to pay him $ 120,000 annually for his advisory work between 2012 and 2015 and that he recommended that Emergent be given a “priority rating” so that the contract can be approved quickly. Dr. Kadlec said he didn’t negotiate the deal but signed it.

“Did you or any other Emergent executives speak or make contacts with Dr. Kadlec while these contracts were being issued?” Representative Nydia M. Velázquez, Democrat of New York, asked Mr. Kramer.

“Congressman,” he replied cautiously, “I haven’t had any discussions with Dr. Kadlec about it.”

The government has paid Emergent $ 271 million to date, although American regulators have not yet approved a single dose of vaccine made in the vaccine in Baltimore.

An investigation by the Times found that Emergent was an oversized influence on the Strategic National Stockpile, the country’s emergency medical reserve. In a few years, the company’s anthrax vaccine made up half of the inventory budget.

The investigation found that some federal officials believed the company was undermining taxpayers – an issue that also surfaced at Wednesday’s hearing when New York Democrat Carolyn B. Maloney asked how much it would cost to make the vaccine and what he sells for. Mr. El-Hibri promised to provide the information later.

Company executives also consider their coronavirus work to be one of the “main drivers” of 2020 revenue, according to a memorandum released Wednesday by committee staff. Executives have been rewarded for what the company’s board of directors calls “exemplary overall company performance for 2020 , including a significant overachievement of the sales and earnings targets ”.

Mr Kramer received a $ 1.2 million cash bonus in 2020, the records show, and this year also sold $ 10 million worth of shares in stores that he said were planned in advance and dated Companies have been approved. Three of the company’s executive vice presidents received awards between $ 445,000 and $ 462,000.

Sean Kirk, who is responsible for overseeing development and manufacturing processes at all Emergent production sites, received a special bonus of $ 100,000 last year in addition to his regular bonus of $ 320,611, including for expanding the contract manufacturing capacities of the Company to Covid- 19 show the documents. Mr. Kirk is now on personal vacation.

Aspiring officials “appear to have wasted tax dollars while filling their own pockets,” accused Ms. Maloney.

Mr Krishnamoorthi asked Mr Kramer if he would consider giving his bonus to American taxpayers.

“I will not make this commitment,” replied Mr. Kramer.

“I didn’t think so,” replied Krishnamoorthi-san.

Rebecca R. Ruiz contributed to the coverage.

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Business

Staff at plant that ruined hundreds of thousands of J&J Covid vaccine doses did not bathe, change garments

Employees work in a laboratory at Emergent Biosolutions in Baltimore, Maryland on February 8, 2021.

Michael Robinson Chavez | The Washington Post | Getty Images

Some employees at the Emergent BioSolutions Baltimore plant were unable to shower or change clothes, which is necessary to work at the factory, and it likely helped ruin millions of Covid-19 cans from Johnson & Johnson’s key committee.

Inspections of the Bayview facility carried out last year also revealed mold problems, poor disinfection of facility equipment and inadequate staff training, employees of the selected coronavirus crisis subcommittee said in the memo. The committee is holding a hearing on Wednesday examining the biopharmaceutical company’s role in the destruction of the J&J recordings.

Although inspectors found poor conditions at the plant, top executives received hundreds of thousands of dollars in bonuses last year and were commended for their leadership by the company’s board of directors. This is evident from other documents published by the committee.

According to one document, aspiring CEO Robert Kramer received a bonus of $ 1.2 million last year, while three other executives received payments of more than $ 400,000.

The U.S. government awarded the company a $ 628 million contract to manufacture coronavirus vaccines last year.

Emergent did not immediately respond to CNBC’s request for comment.

Wednesday’s hearing comes more than a month after the Biden government hired J&J to run the Baltimore plant after US officials learned that Emergent, a federal company that makes key ingredients for J&J and AstraZeneca had produced contaminated contaminated ingredients for the two shots.

During the hearing, Kramer said the FDA is holding over 100 million J&J Covid-19 vaccine doses for further testing.

“There are a significant number of doses that we have manufactured. Here, too, we manufacture the mass drugs,” Kramer told the legislature. “It has been reported by a number of news outlets that there are likely over 100 million doses of the J&J vaccine we make that are now under FDA review for possible release and availability.”

An inspection by the Food and Drug Administration later revealed that the facility was unsanitary and unsuitable for making the shots. In a 13-page report, the inspectors wrote that the facility used to manufacture the vaccine “was not kept in a clean and sanitary condition” and “was not of the appropriate size, design and location for cleaning, maintenance and to facilitate proper operation. “”

FDA inspectors said they observed paint peeling in multiple areas and damaging walls, which could affect “Emergent’s ability to adequately clean and disinfect”. They also found that when handling waste or materials used to make vaccines, employees did not follow standard operating procedures to ensure they were not contaminated.

The facility has not been approved by the FDA to manufacture or distribute Johnson & Johnson’s Covid-19 vaccine, and none of the factory-made doses have been marketed for use in the United States. Emergent has agreed to cease production of materials until the issues identified by the FDA are resolved.

Emergent said at the time it was required to work with the FDA and J&J to resolve the issues.

“While we are never satisfied with defects in our production facilities or processes, these can be corrected and we will take quick action to correct them,” it said in a statement on April 21.

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Health

CDC expects Covid vaccine information on pregnant ladies in summer season, children beneath 12 in fall

Anne Schuchat, director of the Centers for Disease Control (CDC), speaks during a Senate Fund Subcommittee hearing on Wednesday May 19, 2021 in Washington, DC, United States.

Greg Nash | Bloomberg | Getty Images

Officials with the Centers for Disease Control and Prevention announced Wednesday that they were awaiting data from studies testing Covid-19 vaccines on pregnant women this summer and on children 6 months old by the end of the year.

The deputy main director Dr. Anne Schuchat told lawmakers that the CDC has already received “reassuring data” on vaccines given to women in the third trimester. “We expect more data this summer, especially on vaccines given earlier in pregnancy,” she said at a Senate hearing on the agency’s annual budget.

Although the vaccines are not yet approved for use in pregnant women, Schuchat said that pregnant women should have access to the vaccines because Covid can make them sicker than other people.

“Women who are pregnant and get Covid have worse experiences with the infection than non-pregnant women,” said Schuchat. “More time in the intensive care unit, more risk of serious consequences, including those rare deaths. Covid also makes pregnancy difficult by increasing the risk of premature delivery and leading to other types of complications.”

Schuchat also said new data shows vaccinated mothers can transfer their Covid antibodies to their babies while breastfeeding.

Dr. Anthony Fauci, director of the National Institute for Allergies and Infectious Diseases, makes an opening statement during a Senate Committee on Health, Education, Labor and Pensions hearing to discuss the ongoing federal response to COVID-19 at the U.S. Capitol Washington, DC, May 11, 2021.

Greg Nash | Pool | Reuters

Dr. White House chief medical officer Anthony Fauci said separately on Wednesday that “the baby would get antibodies to the virus through the placenta during pregnancy,” which persist for a few months after birth, he said. Fauci also said in an interview with Axios that mothers can transmit their Covid antibodies while breastfeeding, which extends their babies’ immunity.

Children under the age of 12 “could likely be vaccinated by the end of calendar year 2021 and no later than the first quarter of 2022,” he said.

CDC director Dr. Rochelle Walensky told lawmakers that “Vaccines are coming for adolescents, they are doing dose de-escalation studies that are now up to 9 years old, soon after that up to 6, then up to 3, then up to 6 months. I hope until to have more by late autumn and the end of the year. “

Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), listens during a Senate Fund Subcommittee hearing on Wednesday May 19, 2021 in Washington, DC, United States.

Greg Nash | Bloomberg | Getty Images

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Politics

Over 100 Million Johnson & Johnson Covid Vaccine Doses on Maintain

The House Democrats launched a full investigation into Emergent after the New York Times documented months of problems at the plant, including a failure to properly disinfect equipment and protect it from viral and bacterial contamination. The committee released a series of confidential audits previously reported by The Times that identified a number of violations of manufacturing standards, as well as a June 2020 report from a leading federal manufacturing expert stating that Emergent did not have had trained staff and adequate quality control systems.

Lawmakers are looking to see if corporate officials used ties with the Trump administration to win a $ 628 million federal contract and whether Emergent executives accepted the award despite known shortcomings. You’ll also see Mr. Kramer’s sale of $ 10 million worth of Emergent stock this year and hundreds of thousands of dollars in cash awards made by Emergent’s board of directors to its top executives.

New York Democrat Representative Carolyn Maloney complained that aspiring officials “appeared to have wasted tax dollars while filling their own pockets”. Mr Krishnamoorthi sharply asked Mr Kramer if he would consider handing over his $ 1.2 million bonus to American taxpayers from 2020 onwards.

“Congressman, I will not make that commitment,” replied Mr. Kramer evenly.

“I didn’t think so,” replied Krishnamoorthi-san.

Regarding his stock deals, Mr. Kramer said they were “done according to a plan approved by the company” and in “a quiet time that was also approved by the company”. He added, “My participation has been completely removed from these stores.”

At the beginning of the hearing, Mr. Kramer testified that possible contamination of the Johnson & Johnson cans “has been identified by our quality control procedures, as well as by controls and deliberations. However, when questioned, he later admitted that it was picked up from a Johnson & Johnson laboratory in the Netherlands.

While the Democrats were pushing Mr Kramer for information about how vaccines are made, the Republicans tried to defend the company and tried to change the subject by talking about the unproven theory that the coronavirus emerged from a laboratory in China, the “Lies of the Communist Party of China” and masked mandates as well as the demand of the Biden government for a renunciation of an international agreement on intellectual property, which is strongly rejected by the pharmaceutical industry.

“You are a reputable company that did Yeoman’s job protecting this land on biological defense!” Tennessee Republican Representative Mark Green once exclaimed, adding, “So you gave your people a bonus for their incredible work.”

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Business

Emergent CEO says FDA is holding over 100 million J&J Covid vaccine doses for additional testing after botched doses

Robert Kramer, CEO of Emergent BioSolutions

Scott Mlyn | CNBC

The FDA is holding over 100 million vaccine doses of Johnson & Johnson Covid-19 for further testing after the agency found multiple security breaches at the Emergent BioSolutions facility that helped make the gunshots, said Robert Kramer, CEO of Emergent, on Wednesday to lawmakers.

The US hired J&J to run the Baltimore facility last month after learning that Emergent, a federal company that made key ingredients for J&J and AstraZeneca, contaminated the two shots. Kramer testified before House lawmakers Wednesday that the conditions at the Baltimore plant allegedly were responsible for the destruction of millions of J&J Covid-19 shots.

During the hearing before the House Select Coronavirus Crisis Subcommittee, Rep. Steve Scalise, R-La., Kramer asked how many doses of J&J vaccine are held by the Food and Drug Administration but are not contaminated.

“There are a significant number of doses that we have made. Again we are making the mass drugs,” Kramer told lawmakers. “It has been reported by a number of news outlets that there are likely over 100 million doses of the J&J vaccine we make that are now under FDA review for possible release and availability.”

Kramer later stated that the regulator requested additional testing of the cans.

“The FDA, to the best of my knowledge, evaluates the doses made for mass drug use, most of which were provided to J&J,” Kramer said. “As far as I know, there was a request for additional testing on all of these lots and doses that J&J had made available to the FDA. And they are currently being evaluated.”

J&J declined to comment on the number of doses. The FDA did not immediately respond to a request for comment.

This is a developing story. Please try again.

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Business

UAE, Bahrain supply third Sinopharm photographs amid vaccine efficacy worries

People are waiting for their turn to get vaccinated against the coronavirus on February 3, 2021 at a vaccination center at the Dubai International Financial Center in the Gulf emirate of Dubai. The UAE has administered more than a quarter of at least three million doses to its population.

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DUBAI, United Arab Emirates – The United Arab Emirates and Bahrain are offering a booster shot of the Sinopharm vaccine developed in China to residents and citizens who have already received two doses, the country’s medical authorities said.

“An additional supportive dose of Sinopharm is now available to people who previously received the vaccine and have now completed more than six months since the second dose,” the UAE’s National Emergency Crisis and Disaster Management Authority tweeted Tuesday evening.

Bahrain’s National Medical Taskforce to Fight the Coronavirus also announced “the opening of registration for a booster dose of COVID-19 vaccine for the most vulnerable groups in Bahrain, at least 6 months after taking the second dose of the Sinopharm vaccine, for first aiders as well Citizens and residents over the age of 50, as well as those suffering from obesity, low immunity, or other underlying health conditions. “

The announcements come amid questions about Sinopharm’s effectiveness and reports of Covid-19 reinfections in people who have received their two shot doses.

The World Health Organization approved Sinopharm for emergencies at the beginning of May, making it the first non-Western vaccine to receive the green light for the organization. Developed by China’s state-owned China National Pharmaceutical Group (commonly referred to as Sinopharm), it is one of the country’s two main intakes, administered to millions of people in China and elsewhere, especially in developing countries.

The UAE’s vaccination campaign, one of the fastest in the world, has relied heavily on the Sinopharm shot since the end of 2020, which is available to all residents and citizens. Pfizer / BioNTech, AstraZeneca / University of Oxford and Sputnik V vaccines are also available in Dubai for several months, while the United Arab Emirates’ capital, Abu Dhabi, only offered Sinopharm to its residents until it recently changed course to end April also to offer Pfizer.

Mixed effectiveness figures

The United Arab Emirates government announced in December last year that an “interim analysis” of Phase 3 trials of the vaccine in Abu Dhabi by China National Biotec Group (a subsidiary of Sinopharm) showed an efficacy of 86%. However, the announcement contained few details and did not reveal how that 86% figure was calculated.

In the same month, China announced that the vaccine was 79.34% effective based on “preliminary trial data” without releasing Phase 3 results, contradicting UAE figures.

Sinopharm has not responded to multiple CNBC requests for comment.

The UAE will play an important role in expanding access to vaccines in developing countries thanks to its partnership with China to manufacture millions of doses locally through a joint venture between Sinopharm and UAE-based tech company G42. The vaccine made in the UAE is called Hayat-Vax. Hayat means “life” in Arabic.

In March, the UAE gave “a small number” of people who did not develop antibodies after their first two shots the third dose of Sinopharm, local news reported.

Coronavirus cases in the UAE peaked at around 4,000 a day in late January but have since dropped to less than 1,500 a day. After a very strict spring lockdown in 2020, the Gulf Sheikh’s economy has reopened completely. The commercial capital of Dubai is one of the first places in the world to resume tourism and personal conferences.

Nevertheless, it has been on the “Red List” for Great Britain, a top tourism partner, since January. France and a number of other EU countries have also put the UAE on their red list and require a ten-day quarantine upon arrival.

In late April, the UAE announced it would take “tough measures” to limit the movement of people not vaccinated against the coronavirus to its national vaccination campaign, which has already fired nearly 11.5 million shots in a population of around 10 million has to expand further.

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Business

Patent waivers and influence on world vaccine provide shortages

Losing intellectual property protection for Covid-19 vaccines will not help address global supply bottlenecks, the co-founder of a Massachusetts-based biopharmaceutical company told CNBC.

The demand for patent waivers is “political theater” and does not inherently allow others to make safe and effective vaccines that are already very difficult to make, said Jake Becraft, CEO and co-founder of Strand Therapeutics.

His company doesn’t make Covid-19 vaccines, but is developing a platform to develop programmable messenger RNA drugs that can trigger the body’s immune response to fight disease.

“We have to commit ourselves to what we already manufacture and scale this worldwide as much as possible,” Becraft said Monday in CNBC’s “Squawk Box Asia”.

Lack of vaccine

Due to the global shortage of Covid-19 vaccines, some countries have searched for supplies to launch their vaccination programs. Indeed, India – the world’s largest vaccine maker – is facing domestic shortages in the midst of a devastating second wave.

Health experts, rights groups and international medical charities have argued that there is an urgent need to abandon intellectual property rights in order to address the global vaccine shortage and avoid prolonging the health crisis. It is because many countries, especially in Asia, are affected by new waves of infections due to mutated Covid variants.

However, vaccine makers argue that such a move could disrupt the flow of raw materials and result in less investment by smaller biotech innovators in health research.

Last year India and South Africa submitted a joint proposal to The World Trade Organization waives intellectual property rights in Covid vaccines.

Known as Trips Waiver – or trade-related intellectual property rights – the plan has been blocked by some high-income countries, including the UK, Switzerland, Japan, Norway, Canada and the European Union. France, for example, argued that the way to step up global vaccination is for vaccine-producing nations to increase their exports.

While the United States initially blocked the proposal, the Biden government said earlier this month it supports the waiver of intellectual property rights for Covid-19.

Increase in the supply chain

Becraft said the vaccines have to be made in very controlled, high-tech facilities and that the technology required doesn’t exist around the world. This means that despite a patent waiver, some countries do not have the expertise to manufacture their own vaccines.

Instead, Becraft suggested incentivizing pharmaceutical companies like Moderna, Pfizer, and BioNTech to roll out the technology to manufacturing facilities around the world.

“If we want vaccines that are safe and effective, we need to encourage these companies to actually build manufacturing capacities around the world,” he said.

“We have to go to Moderna, we have to go to BioNTech and say, ‘What do you need to transfer your technology to these developing countries?'” Becraft said.

When vaccines aren’t available to everyone around the world, there’s always a risk of a variant of Covid that makes vaccines ineffective, he added. “All of our progress up to this point will be in vain.”

Nisha Biswal, president of the US-India Business Council, agreed that waiving a patent will not resolve the issue of increasing vaccine supply to the rest of the world.

With a patent waiver, it would take months or years for the technology, raw materials and production capacity to meet the required standard So that countries can manufacture their own vaccines, she told CNBC’s Squawk Box Asia on Monday.

Instead, the focus should be on helping countries that already make vaccines increase their production.

“Many of these (vaccine) manufacturers are already in discussions with India and Indian companies about how they can try to make some of these products in India,” said Biswal. “This is probably a faster and more efficient way than talking about no trips.”

Strand Therapeutics’ Becraft added that longer term, world governments need more funding and infrastructure support to provide pharmaceutical companies with manufacturing facilities around the world.

Last week BioNTech announced that it would set up a manufacturing facility in Singapore to manufacture its mRNA-based vaccines.

– CNBC’s Silvia Amaro contributed to the coverage.

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Business

Sanofi-GlaxoSmithKline Covid Vaccine Exhibits Promise, Agency Says

Sanofi, the French pharmaceutical company, announced Monday that it will move the experimental Covid-19 vaccine it is developing with GlaxoSmithKline to a late-stage study after the shot provoked strong immune responses in an interim study in volunteers.

The results are encouraging news for a vaccine that has fallen behind in development and so far has disappointed those who expect it to be vital in fighting the pandemic. If the vaccine can be available in the last three months of this year, as the developers hope, it could continue to play a pivotal role as a booster, as well as an initial vaccination, in developing countries where vaccination pace is lagging.

The vaccine suffered a major setback in December when its developers announced that it did not appear to work well in older adults and that they had plans to test it in a Phase 3 study, the pivotal test in assessing the vaccine’s effectiveness. would have to move.

However, the companies modified the vaccine and began testing it in February in a Phase 2 study that enrolled more than 700 volunteers in the US and Honduras between the ages of 18 and 95. Sanofi said the vaccine raised no safety concerns and produced a strong immune response across age groups, suggesting it was successfully optimized.

Sanofi announced the results in a statement, saying it plans to publish the results in a medical journal soon.

Sanofi and GSK have much more vaccine development experience than some of their previously approved competitors. The two companies took a more established approach than those used in other, more rapidly developed Covid vaccines. Their shot is based on viral proteins made with engineered viruses that grow in insect cells. GSK supplies the Sanofi vaccine with an adjuvant, a component used in many vaccines to boost the immune response.

The Sanofi and GSK vaccine was one of six vaccines selected for funding through Operation Warp Speed, the Trump administration’s effort to accelerate vaccine development. Last summer, the federal government agreed to give companies $ 2.1 billion to develop and manufacture the vaccine, against 100 million doses once the shot was done.

Sanofi also has delivery agreements with the European Union and Canada. It was also agreed to ship 200 million doses to Covax, the program to deliver vaccines to middle and low income countries that is grappling with a shortage of expected doses. Sanofi also announced plans to help manufacture the approved vaccines from Pfizer-BioNTech, Moderna and Johnson & Johnson.

Sanofi said the Phase 3 trial of its vaccine will begin in the coming weeks and will enroll more than 35,000 adult volunteers around the world. Two formulations of the vaccine are being tested, one to prevent the original strain of the virus and the other for variant B.1.351, which was first observed in South Africa and against which some vaccines appear to be less effective.

Su-Peing Ng, Sanofi’s global medical director for vaccines, told journalists on Monday that the company believed it would be “operationally quite difficult” to enroll unvaccinated participants in the Phase 3 study because the vaccination rate was in many countries. Still, she said, vaccine doses are still scarce in many parts of the world, pointing to Latin America and Asia as places the company may want to enroll volunteers.

The company said that shortly after the Phase 3 trial begins, it will test whether its vaccine can boost immune responses in people who had been vaccinated with approved vaccines months earlier. These booster studies are expected to enroll volunteers in well-vaccinated parts of the world, including the US and Europe.

Sanofi and GSK said last year they are preparing to produce 1 billion cans a year. Thomas Triomphe, Sanofi’s global director of vaccines, said Monday that if the vaccine turns out to work, the company’s production would depend on the needs of the world this year.

The vaccine “has the potential to be a booster of choice for many nations and many different platforms”.

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Business

What Do New Masks Guidelines Imply for Firm Vaccine Mandates?

“I don’t know if it will solve that in the long term,” said Mr. Gigante from Proskauer Rose. “But I think that’s what we talk to people and customers about.”

Requiring tests before an employee can come to work does not fully protect other employees from contracting the disease. The accuracy of the tests varies and the results relate only to the time the tests were run. The more frequent the tests, the more informative they are. Mr Gigante said he hears most often from companies that run tests twice a week, although some situations, like a movie set or a courtroom, may require daily testing.

Some companies may not want to bother with the considerations associated with such a program – like the cost, the need to figure out where and how to do the tests, and the headache of keeping track of the results.

“Logistics and cost have made it less likely for employers to rely on them as a route, but as testing becomes more available and cheaper, employers see testing as a good protective layer,” said David Schwartz, who heads the working group at the Skadden, Arps law firm , Slate, Meagher & Flom.

Laura Godfrey in Saugatuck, Michigan, is curious about the relationship between vaccinations and employee health insurance plans. “Companies have focused on wellness to a certain extent,” she writes. “So asking about a vaccine seems sensible.”

“It’s definitely something that a lot of employers are concerned with,” said Emily Zimmer, a partner who specializes in employee benefits at the law firm Troutman Pepper.

This is especially the case with companies with established wellness programs, she said. For example, if a company is already rewarding employees who receive annual flu vaccinations, it will be easier to do the same for employees who are receiving the Covid-19 vaccine.

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Business

company criticized, retail staff say it makes them vaccine ‘police’

New York University and New School graduates are seen under Washington Square Arch in Washington Square Park in New York City on May 13, 2021.

Brendan McDermid | Reuters

Disney quickly announced that it plans to further increase capacity limits at its U.S. theme parks a few hours after the Centers for Disease Control and Prevention announced relaxed mask guidelines for the U.S. on Thursday.

“”[It’s] Big news for us, especially if someone was in Florida in the middle of summer wearing a mask, “joked CEO Bob Chapek about two hours after the new recommendations were published with analysts about a profit call.

“Given the guidance today from the CDC and previous guidance we received from the Florida governor, we have already begun increasing our capacity,” he said.

According to the CDC, in most environments, whether outdoors or indoors, fully vaccinated individuals no longer need to wear a face mask or stay 6 feet away from others as per updated guidelines. It’s the first time the federal government has been encouraging people to stop wearing masks since the agency first called for face coverings more than a year ago. It marks a major turning point in the US Covid-19 pandemic and brings the country one step closer to normal. Public health experts also said the change is likely to encourage more Americans, especially those who are still reluctant to receive the shots, to get the vaccine.

However, the agency was sharply criticized for its quick turnaround. Just six weeks ago, CDC director Dr. Rochelle Walensky facing “impending doom” as daily Covid-19 cases in the US rose again. And many health and business leaders say the new recommendations are too ambiguous. It will require key personnel to monitor police vaccination protocols and will be difficult to enforce.

Vaccination police

“Under current plans, in most cases it will be impossible to get this through,” said Dr. Peter Chin-Hong, an infectious disease doctor at the University of California at San Francisco, told CNBC. “Companies, schools and event organizers may still have the option to request proof of vaccination prior to admission to certain communities or events. However, vaccination records or QR codes are not enforced at other everyday events, as is the case in other countries.”

There are some cases when fully vaccinated people still have to wear masks: traveling by plane, bus or train, as well as going to specific locations such as hospitals, nursing homes, prisons or facilities where they are needed, the agency said. The guidance of the CDC is also not mandatory. States, municipalities and corporations can decide whether or not to follow suit, adding to the confusion of many entrepreneurs and employees.

Some health and legal experts told CNBC that it would further complicate public health efforts to end the pandemic, adding that it was “almost impossible” to monitor the use of face masks because it was not known who was vaccinated is and who is not. More than half of the population still did not get the shots, they said, and risked more outbreaks from exposed, unvaccinated people.

During the coronavirus disease (COVID-19) pandemic in the Manhattan neighborhood of New York City, New York on May 14, 2021, people ride a maskless tour bus in Times Square.

Carlo Allegri | Reuters

“While we all share a desire to return to normal mask-free conditions, today’s CDC guidance is confusing and does not take into account how this will affect key workers who are often exposed to those who are not vaccinated and who refuse to wear masks “said Marc Perrone, President of the United Food and Commercial Workers Union, said in a statement. “Elementary workers are still being forced to play masked police for shoppers who are not vaccinated and refuse to follow local COVID safety measures. Should they become the vaccination police now?”

Creates ambiguity

Lisa LaBruno, senior executive vice president of retail stores and innovation for the Retail Industry Leaders Association, told CNBC that the new guidelines “create confusion for retailers because they don’t fully align with state and local orders.”

“These conflicting positions put retailers and their employees in incredibly difficult situations. We urge state and local governments to coordinate with the CDC as additional guidance is issued on the road to normalcy,” she said in a statement.

Beauty store chain Ulta Beauty said it has no plans to change its masking and social distancing requirements in its stores, despite actively evaluating “the impact of this updated guide on our guests and employees.” The health and safety of employees and customers have top priority.

“I hate to say it’s complicated, but it’s complicated,” said David French, lobbyist for the National Retail Federation. On the one hand, the CDC guidelines could provide more clarity, but they also make things more complex as companies don’t know who is vaccinated or not – and neither does customers.

Even with the milestone announcement, customers shouldn’t expect immediate changes in their grocery or mall, said Joel Bines, global co-head of retail practice for consulting firm AlixPartners. He said the guidelines are going to make little difference to retailers who don’t know people’s vaccination status – and most importantly, want to make sure their employees and customers don’t get sick.

“This is an extremely difficult management problem for any business that physically interacts with consumers,” he said. “There are no operating instructions for this.”

Law professor Lawrence Gostin, director of the World Health Organization’s Collaboration Center on National and Global Health Law, said the new guidelines could have “serious unforeseen consequences”.

“The public will not be comfortable shopping, dining or going to church or the gym if they have no idea whether the exposed person standing next to them is vaccinated or not,” Gostin said.

46% of the US population vaccinated

As of Thursday, more than 154 million Americans, 46.6% of the US population, had received at least one dose of a Covid vaccine, according to the CDC. Around 118 million Americans are fully vaccinated, according to the agency. The US government is working to convince more Americans to get vaccinated after the rate of fire has slowed in recent weeks.

Unlike some other countries, the US doesn’t have a system where people can prove they’ve been vaccinated. Even if there was, vaccinated people are unlikely to have their cards with them all the time, and not everyone will have digital evidence, said Dorit Reiss, a law professor at UC Hastings College of Law. Areas with high vaccination rates can likely lift mask restrictions entirely, she added.

“This is an exciting and powerful moment,” Walensky, the CDC director, told reporters at a Covid-19 briefing at the White House Thursday after announcing the new guidelines. “It could only happen because of the work of so many making sure that three safe and effective vaccines are given quickly.”

Rochelle Walensky, director of the CDC

Source: CDC | Youtube

From an epidemiological perspective, the CDC guidance means “we are in a place where we are in the best pandemic place we have ever been as a country with ongoing declines in infections, hospitalizations and deaths,” Chin said -Hong.

“The symbolic meaning is even more tangible,” he added. “Masks were the symbol of fear and political division [and] Hopefully, if we take them off, at least for people who have been vaccinated, it will mean we will return to the life we ​​were aiming for before the pandemic. “

The Nevada Gaming Control Board, which sets the rules for casinos, immediately updated its rules so The Wynn Las Vegas can simplify its own mask guidelines. The company said that as of Friday, guests and employees who are fully vaccinated will not be required to wear masks in its hotels and casinos.

Bow to pressure

Gostin and others criticized the CDC’s abrupt change in policy, saying it was bowing to pressure from the public and governors to return to normal. “As a result, CDC is significantly changing its guidelines, moving from excessive caution to all caution,” he said, adding that doing so could undermine public confidence in the agency. “The public will be less likely to rely on CDC guidelines if they feel like the agency is being pushed around.”

On Friday, Walensky defended the timing of the new leadership. In the past two weeks, daily Covid cases have decreased by more than a third, and vaccinations are now widespread in most places in the United States. She added the guidelines “empower” people to make choices about their own health and urge them not to be vaccinated to people who do not run the risk of going out exposed.

If there are multiple people in an exposed room, the vaccinated will be protected from Covid, she said.

New scientific evidence shows people who are vaccinated are protected and have “very little risk of spreading Covid to other people,” even with some variants that appear to affect the vaccine’s effectiveness, she said on CBS This Morning.

– CNBC’s Nadine El-Bawab, Sarah Whitten, and Michael Wayland contributed to this article.

Correction: This article has been updated to reflect that Dr. Peter Chin-Hong is an Infectious Disease Physician at the University of California at San Francisco.