RFI interviewed the president of the Group of Experts in Immunization of the WHO, the Mexican Alejandro Cravioto, about the pandemic in Latin America, the evacuation campaign and the use of drugs that, according to the specialist, have no effect to protect -19.
This week all the planet is waiting for the public to hear about the results of the study that should be presented on the Chinese vacancies of the Sinovac and Sinopharm companies. Do you know if the information about the podium will be published and if it is not authorized for use in emergencies?
Alejandro Cravioto The answer is that there is no. The process is underway for the part of a Emergency Authorization by the World Health Organization for these vacancies, as for the recommendations that the strategic group has for any of these products. As far as fundamental reasons for idiom are concerned, we have a sequence of meetings with the two Chinese companies working for our working group to review their vacancies against SARS-CoV-2. What we are all about is that our company presents its first dates of safety and efficacy rates while ensuring that clinical studies are completed. In the case of Chinese vacancies, they have resulted in a series of pauses where the vacancies have been tested in licensed clinical trials with a sufficient number of subjects so that the results are valid in the sense of safety and efficacy. the vacancies. Once the authorization process for emergency use in the OMS has been completed, entries in the following 48 to 72 hours, we will use them to implement the specific recommendations for the use of these vacancies. We understand the price, we understand that there are many countries, including the one that is being used, but if we want to follow the established procedure, we must first say that we have an emergency authorization by the OMS or by some of the agencies , and after that we will issue recommendations.
To give priority to our readers and to see the importance of this notice on Chinese vacancies, now the OMS authorizes the emergency use of the antiCOVID vacancies of Pfizer-BioNTech, Janssen (Johnson & Johnson) and AstraZeneca (en this is the last case, only the remakes made in association with the surgeon SK BIO and the Serological Institute of India). The inclusion of vacancies in the list of the OMS is important because the authorities by the international body can then form part of the COVAX program for the distribution of doses in countries.
What vacancies are on the study list for the OMS?
Alejandro Cravioto We also have contact with the Gamaleya agency of Russia, we are waiting for the evacuation, the Sputnik V. We also followed the same process with the evacuation of China. We hold between three or four meetings with each of the laboratories, under the auspices of Pfizer and Modern, to be able to ensure that the information is sufficient to provide recommendations.
What is the impression of the rest of the people that the evacuation plan has the most to offer?
Alejandro Cravioto The problem with tenemos is abastecimiento, not like the evacuation program. Because in the mayor’s part of the lands, at the moment in which the vacancies lie, of the brazos of some individual. The problem is that we do not have sufficient production of vacancies and some countries he decided to quarrel with all the production for internal use and some other countries he accepted that these factories share the product with other countries, about everything with Covac, which is the same international in order to cover all the countries of the world, Independently of its economic level, access to these vacancies, at least to cover 20% of its population, which is a series of health personnel, which is essential to be able to function and it seems that the people are dying.
Another global issue is the safety of the anti-COVID-19 vaccine manufactured by AstraZeneca through reports on exceptional cases of blood clots in the brain. How to get involved with the global public on this topic?
Alejandro Cravioto First of all, there is a detection system that immediately has a problem and requires study. Si net net resultados, es en el norte de Europa, donde ha habido cases, Alemania, Noruega, Suecia, Finlandia. We will hold a reunion this morning [4 de abril] with all the group of the OMS, we made it clear that we need more information from all over the world and so it is being collected to see if it is in other countries where it is also using the vacancy. If in France he had some cases, but he had very few cases in Spain or Italy. As far as what is presented is, it can be related to other factors associated with the vaccine can be given this type of scintillation. Importantly, firstly, the countries that use the AstraZeneca fleet have an adverse-effect alert system that allows them to detect if it is possible or not. And secondly, that there are actually many individuals presenting the problem, because you can think that with some numbers numbers that 23 cases are many, but if we compare them with the millions of people evacuated, then the proportion is much less than the esperado. Creo que las decidissings se tienen que tomar sa mucha seuridad, pero también con mucho caudado para afectar eluso un un vacuna que sest de alta protection paraos paises paises del mundo et est sinden produid en lugares como la India en Corea del Sur de donde There are several vacancies in Covax to be able to travel to other parts of the world. What our preoccupation is following will be the vacancies we have in our use against the variants of “preoccupation”. We have three: English, South African and Brazilian, which are the ones we are following. In the case of the South African AstraZeneca vaccine, there is a lower level of protection, not for death, but it is for the sake of being worse.
If only some of the vacancies were in the center of median attention during this pandemic, then we would also like to point out that we are considering the use of medicines that are manufactured and that allow us to reduce the severity of patients’ symptoms once they are vacunado How is career advancement in the pharmacy of these pharmacies? Is it the priority of many pharmaceuticals now?
Alejandro Cravioto Exactly. All that we have seen has been used for enmity not very much as the Remdesivir between others. A direct protection such as the anti-theft feature series which, with variants, tampoco appears to be effective. What he has in store is that we have a series of protection systems for pharmaceuticals, such as using a mascara, washing the hands, maintaining a social distance, which has been tried to reduce the transmission of the virus to an individual. else and that we need to be punishing in practice to be able to be protective. The confinements are served, at a time when there are many people who have to pay for their homes to work, to feed their husbands, to be able to keep track of them and so they can simply keep track of their homes and get paid. In addition, pharmaceutical protection drugs have been proven to be effective in generating an economically active asset, which can open our schools, among other things. Everything in the world that cooperates and is degraded in some countries has turned into a social and political problem of recovery in these countries, simply because the people are not able to have a normal life.
Centrondonos in Latin America, there are also those who in many parts of the region are using a drug called Ivermectin in patients who are Covid-19 patients. The region has circulated the idea that this drug can help to make sure that the symptoms are not severe enough to show the disease, a theory that has been totally discredited by the scientific community. How can you relax this bulge [noticia falsa]?
Alejandro Cravioto Have a look at what you recommend [la Ivermectina] and about everything that is recommended at the very political level. When the President or the Prime Minister of a country recommends a medicine that does not serve, it is a criminal act. This is not a help in anything. It is suicidal with chloroquina, also with Ivermectina and with other things that are being repeated and used to make it clear to all Latin American countries that it does not work and does not serve anything. It is a completely indigent guest, which does not offer patients any benefit of any kind. The same series, as I said earlier, contains alcoholic alcoholic beverages, which are not served at all, but require patient attention. The people create that by tomar these things are protected, the cual is a verdadero error. Sign up for a health meal, because of this medicine, even if it is a bargain, there is a cost and there is a high cost for people who have only recourse. The Pan-American Organization of Health, the technical groups, assessors in the mayor’s part of the Latin American countries are very clear that they do not work and do not serve. Ivermectina can be used in some controlled clinical trials to be associated with another type of food can be served, but at the moment we have at the moment there is no medicine that we can not control to reduce the sci-fi caused by the virus that produces la Covid-19.
What is the most important preoccupation with the President of the Group of Expertise on Immunization of the OMS.
Alejandro Cravioto These things: The first is to solve the problem of the AstraZeneca vaccine that is important for Covax and we need to clarify the dates and make a decision to use it or to use this vaccine in all cases. the assessor groups and with the participation of the producer company and the investigators of Oxford that he developed this vacancy. The second is, of course, the time of career between the evacuation and the control of the epidemic. I believe that once a year the world is very desperate, for now is not the time to leave the guard and the vacancies are functioning. It is distributed only in the poorest countries. Necesitamos tener la paciencia, proteger a nuestro personal de salud y luego a nuestros mayors.
Of all the phrases in the publications that he led during these days, I was quoted as saying that one belongs to the epidemiologist Carlos Álvarez, who says “The best vaccine is the one that is best for me”.
Alejandro Cravioto Overall. This is the recommendation we make. All vacancies are being used to prevent black death and death, which is what we are all about. Some of them are estimated to have reduced transmission. But now ours is fundamentally preoccupied with the fact that people are not locked up.