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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.

Categories
World News

After Fast Vaccine Success, Israel Faces New Virus Woes

JERUSALEM – Just last week, Israel was seen as a model coronavirus country, well ahead of the rest of the world in vaccinating its citizens.

But the virus had other ideas.

This week, Israel faces a tightened lockdown as infections surge to more than 8,000 new cases a day. Officials fear that the more transmissible variant of the virus, first identified in the UK, is spreading rapidly and Israel’s vaccine supplies are running low.

The prospect that Israel would have the virus under control by spring, which was once promising, now seems uncertain. Health officials say the vaccine campaign can’t compete with rising infection rates, at least in the short term.

And the Palestinian Authority, which operates its own health system in the occupied West Bank, has asked Israel for vaccines, which has sparked a debate about Israel’s responsibility to the Palestinians at a time when Israel’s vaccine supplies are dwindling.

“We are at the height of a global pandemic that is spreading at record speed with the UK mutation,” Prime Minister Benjamin Netanyahu said in a video statement late Tuesday, explaining the government’s decision to impose a full national lockdown that will Closing most schools and schools will all non-essential jobs for at least two weeks.

“With every hour that we delay, the virus is spreading faster and it will cost a very high price,” he added.

The lock decision was made after Prof. Eran Segal of the Weizmann Science Institute in Rehovot, Israel, presented the government with the dire prognosis that without such measures, Israel’s infection rate could rise to 46,000 new cases per day by February, an astonishing number Country with about 9 million inhabitants.

Government officials cited the variant discovered in the UK as one of the main reasons for imposing tighter restrictions. Mr Netanyahu said the line had “jumped forward”, although not at the same pace as the UK.

At least 30 cases of the variant have been identified in Israel through special samples spread across 14 different cities. However, officials and experts said these tests were aimed at identifying the presence of the variant, not quantifying it, and the actual number of cases was likely much higher.

Many scientists believe that the variant is more transmissible, which means that it can more easily spread from one person to another.

Professor Segal said the variant could be a factor in the rising rate of infection in Israel’s ultra-Orthodox Jewish community. In the past four weeks, infections among the ultra-Orthodox have increased sixteen-fold.

He estimated that the variant now accounts for around 20 percent of morbidity in ultra-Orthodox cities and neighborhoods.

During the coronavirus crisis, there was constant tension between the ultra-Orthodox, who make up around 12.5 percent of the population, and the incumbent Israelis, especially because some ultra-Orthodox rabbis insisted on keeping their educational institutions open during the crisis, violating previous lockdowns and regulations generally disregarding the restrictions on large gatherings and social distancing.

Israel’s vaccine supplies cast another shadow over the tempting prospect of an early emergence from the crisis. Vaccine supplies were running low and officials said they may have to slow their widely touted vaccination program until mid-January if they can’t convince drug companies to ship more vaccines sooner than promised.

A few days ago, the Israelis celebrated the successful start of their vaccination campaign, which has surpassed the rest of the world. Approximately 1.5 million Israeli citizens, or more than 16 percent of the population, have received an initial dose of the Pfizer BioNTech vaccine since the vaccination program began on December 20.

Updated

Jan. 7, 2021, 6:03 ET

The shortcoming, according to the authorities, could be due to the success of the program: the first phase of the program went faster than most thought possible.

Israel has not disclosed the number of vaccine doses received as the agreements with the pharmaceutical companies are confidential. The government has promised to reserve enough vaccines so that anyone who received a first dose can get their second dose as planned after about 21 days. This should include the majority of Israel’s high-risk population of health workers and citizens 60 and older.

Quiet negotiations are being held with the drug companies to improve their supplies, but the shortage could lead to delays in implementation. Mr Netanyahu, whose political future may depend on the success of the program, said he “continues to work around the clock to bring millions of vaccines to Israel”.

Mr. Netanyahu said Wednesday that a small initial shipment of Moderna vaccines should arrive on Thursday and that more would follow. Pharmaceutical companies now see Israel as an interesting test case for vaccination effectiveness and possibly the first country to be fully vaccinated. Officials and experts stated this, which gives him an advantage in securing additional shipments.

Israel has been criticized by human rights groups for failing to expand its vaccination program to most Israeli-controlled Palestinians, despite the fact that Israelis living in settlements in the West Bank have been vaccinated.

Palestinian officials have recorded hundreds of Covid-19 cases daily in the occupied West Bank and Hamas-led Gaza Strip, the overcrowded Palestinian coastal enclave whose borders are tightly controlled by Israel and Egypt, and health officials believe the real numbers are much higher . Palestinians in these areas have not yet received vaccines.

On Wednesday, two Palestinian officials said the Palestinian Authority had asked Israel for up to 10,000 doses of the vaccine to immunize Palestinian frontline workers.

Hussein al-Sheikh, the top Palestinian official in charge of coordination with the Israelis, said Israel refused.

An Israeli official, who spoke on condition of anonymity for not having the authority to speak to the news media, said Israel secretly delivered “dozen” vaccines to the Palestinians this week but has not yet responded to the larger request. Several Palestinian officials denied having received vaccines from Israel.

The Oslo Accords, the provisional peace accords signed between Israel and the Palestine Liberation Organization in the 1990s, commit both sides to work together to fight epidemics and provide each other with support in emergencies.

The Geneva Conventions also oblige an occupying power to ensure medical care for the local population and preventive measures to combat contagious diseases and epidemics.

Alan Baker, a former Israeli ambassador and international law expert who helped draft the Oslo Accords, said he believes this would “represent a commitment for Israel to provide vaccines to fight Covid 19 help “but that was it” a one-way street. “

Hamas, he said, holds Israeli hostages in Gaza and is obliged to release them by the same humanitarian standards.

Israel Health Minister Yuli Edelstein said last week it was in Israel’s best interest to contain the virus on the Palestinian side, but Israel’s first obligation was to its own citizens. (Palestinian citizens of Israel and residents of East Jerusalem receive vaccinations through the Israeli program.)

Dr. Ali Abed Rabbo, a senior official in the agency’s health department, said the Palestinians hope to receive two million doses of the Oxford-AstraZeneca vaccine in February. They also expect the Covax global vaccine-sharing system to deliver 60,000 doses in the first quarter of 2021 and nearly two million more later this year.

United Nations officials have asked Israel to provide the Palestinians with some vaccines to protect their medical workers, said Gerald Rockenschaub, head of the World Health Organization’s mission to the Palestinians.

But Israel advised United Nations officials that it cannot send vaccines to the Palestinians just yet because of a lack of shots for its own citizens, Rockenschaub said.