Malaria vaccine to be introduced in Africa despite funding cuts


Nick Webster
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A malaria vaccine that could save thousands of African lives will no longer be supported by the Bill & Melinda Gates Foundation, despite the organisation spending more than $200 million on research.

Mosquirix, sold by GlaxoSmithKline, requires four doses but is only about 30 per cent effective in countering the killer disease spread by mosquitoes.

The World Health Organisation has described the vaccine as ‘historic’, with preparations to introduce Mosquirix in Malawi, Kenya and Ghana - the three African countries where successful pilot projects were carried out.

Philip Welkhoff, the Gates Foundation’s director of malaria programmes, said direct financial support for the vaccine would be suspended because of its expense and logistical challenges, although the foundation would continue to prop-up Gavi, a vaccines alliance supported by the WHO and World Bank that aims to expand access to vaccines globally, particularly among vulnerable children.

“If we’re trying to save as many lives with our existing funding, then cost-effectiveness matters,” Mr Welkhoff told the Associated Press.

“We’re supporting the roll-out via the Gavi funding, but we decided we would not dedicate additional direct funding to extend the supply of the vaccine.”

Mosquirix is the result of several decades of research, with the foundation largely responsible for bringing it to market.

It is given to children aged 6 weeks to 17 months to help protect against malaria caused by the parasite Plasmodium falciparum.

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During lengthy trials, Mosquirix proved effective at reducing the number of children with malaria, a year after taking a third injection of the vaccine.

More than 12,000 children across seven African nations took part in a study of the vaccine.

Results showed the number of children who had malaria in a 12-month period was lower by 24 per cent among those aged 6 to 12 weeks after a first dose, and by 43 per cent in children given the first dose between the age of 5 to 17 months.

Minimal side effects of a fever were reported in one in four children, although one in 1,000 children had more serious febrile seizures after taking the vaccine.

The vaccine also induced antibodies to protect against the hepatitis B virus, although it is not currently recommended for protection.

Despite ending direct financial support for Mosquirix, the foundation promised to continue funding initiatives and research aimed at ending malaria and other neglected tropical diseases.

At the 26th Commonwealth Heads of Government Meeting, held in Kigali, Rwanda in June, the WHO praised the Bill & Melinda Gates Foundation for its pledge to donate $140m over four years for the cause.

The funding will also help develop research by African institutions.

WHO estimates show that roughly 100 million doses a year of the four-dose vaccine will be needed, which would cover around 25 million children.

According to a Reuters review, GlaxoSmithKline's maximum target of 15 million doses could prevent up to about 20,000 deaths each year but that could take years.

Wider distribution beyond the pilot countries was unlikely before early 2024, and even then it would start slowly.

So far, about 1.3 million children have benefitted from the vaccine in the three African pilot countries.

Other nations most impacted by malaria can apply for funding to introduce vaccines, under the WHO partnership with Gavi, the Vaccine Alliance.

It has generated $160 million of funding to cover the costs of vaccines and their delivery from 2022-2025 for children at high risk of illness and death.

As supply is limited as vaccine production ramps up, nations must apply in stages from September and then January 2023.

“Now is the time for African countries and communities to call out their interest – to donors, health leaders and manufacturers – in early access to this vaccine,” said Dr Matshidiso Moeti, WHO Regional Director for Africa.

“Lives are at stake, every day.

“This situation underlines once again why expanded local production of vaccines is essential for meeting health needs in Africa.

“We’ve seen encouraging first steps in that direction in recent months, and we are committed to supporting further efforts to expand vaccine production in Africa.”

UAE currency: the story behind the money in your pockets
FIXTURES

UAE’s remaining fixtures in World Cup qualification R2
Oct 8: Malaysia (h)
Oct 13: Indonesia (a)
Nov 12: Thailand (h)
Nov 17: Vietnam (h)
 

Six large-scale objects on show
  • Concrete wall and windows from the now demolished Robin Hood Gardens housing estate in Poplar
  • The 17th Century Agra Colonnade, from the bathhouse of the fort of Agra in India
  • A stagecloth for The Ballet Russes that is 10m high – the largest Picasso in the world
  • Frank Lloyd Wright’s 1930s Kaufmann Office
  • A full-scale Frankfurt Kitchen designed by Margarete Schütte-Lihotzky, which transformed kitchen design in the 20th century
  • Torrijos Palace dome
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What is the FNC?

The Federal National Council is one of five federal authorities established by the UAE constitution. It held its first session on December 2, 1972, a year to the day after Federation.
It has 40 members, eight of whom are women. The members represent the UAE population through each of the emirates. Abu Dhabi and Dubai have eight members each, Sharjah and Ras al Khaimah six, and Ajman, Fujairah and Umm Al Quwain have four.
They bring Emirati issues to the council for debate and put those concerns to ministers summoned for questioning. 
The FNC’s main functions include passing, amending or rejecting federal draft laws, discussing international treaties and agreements, and offering recommendations on general subjects raised during sessions.
Federal draft laws must first pass through the FNC for recommendations when members can amend the laws to suit the needs of citizens. The draft laws are then forwarded to the Cabinet for consideration and approval. 
Since 2006, half of the members have been elected by UAE citizens to serve four-year terms and the other half are appointed by the Ruler’s Courts of the seven emirates.
In the 2015 elections, 78 of the 252 candidates were women. Women also represented 48 per cent of all voters and 67 per cent of the voters were under the age of 40.
 

The candidates

Dr Ayham Ammora, scientist and business executive

Ali Azeem, business leader

Tony Booth, professor of education

Lord Browne, former BP chief executive

Dr Mohamed El-Erian, economist

Professor Wyn Evans, astrophysicist

Dr Mark Mann, scientist

Gina MIller, anti-Brexit campaigner

Lord Smith, former Cabinet minister

Sandi Toksvig, broadcaster

 

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Engine: Duel electric motors
Power: 659hp
Torque: 1075Nm
On sale: Available for pre-order now
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Real estate tokenisation project

Dubai launched the pilot phase of its real estate tokenisation project last month.

The initiative focuses on converting real estate assets into digital tokens recorded on blockchain technology and helps in streamlining the process of buying, selling and investing, the Dubai Land Department said.

Dubai’s real estate tokenisation market is projected to reach Dh60 billion ($16.33 billion) by 2033, representing 7 per cent of the emirate’s total property transactions, according to the DLD.

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Sanchez's club career

2005-2006: Cobreloa

2006-2011 Udinese

2006-2007 Colo-Colo (on loan)

2007-2008 River Plate (on loan)

2011-2014 Barcelona

2014–Present Arsenal

Greatest Royal Rumble match listing

50-man Royal Rumble - names entered so far include Braun Strowman, Daniel Bryan, Kurt Angle, Big Show, Kane, Chris Jericho, The New Day and Elias

Universal Championship Brock Lesnar (champion) v Roman Reigns in a steel cage match

WWE World Heavyweight ChampionshipAJ Styles (champion) v Shinsuke Nakamura

Intercontinental Championship Seth Rollins (champion) v The Miz v Finn Balor v Samoa Joe

United States Championship Jeff Hardy (champion) v Jinder Mahal

SmackDown Tag Team Championship The Bludgeon Brothers (champions) v The Usos

Raw Tag Team Championship (currently vacant) Cesaro and Sheamus v Matt Hardy and Bray Wyatt

Casket match The Undertaker v Rusev

Singles match John Cena v Triple H

Cruiserweight Championship Cedric Alexander v Kalisto

The lowdown

Rating: 4/5

RESULTS
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The bio

Favourite vegetable: Broccoli

Favourite food: Seafood

Favourite thing to cook: Duck l'orange

Favourite book: Give and Take by Adam Grant, one of his professors at University of Pennsylvania

Favourite place to travel: Home in Kuwait.

Favourite place in the UAE: Al Qudra lakes

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The National Archives, Abu Dhabi

Founded over 50 years ago, the National Archives collects valuable historical material relating to the UAE, and is the oldest and richest archive relating to the Arabian Gulf.

Much of the material can be viewed on line at the Arabian Gulf Digital Archive - https://www.agda.ae/en

The five pillars of Islam

1. Fasting 

2. Prayer 

3. Hajj 

4. Shahada 

5. Zakat 

Match info:

Manchester City 2
Sterling (8'), Walker (52')

Newcastle United 1
Yedlin (30')

SPECS
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TOURNAMENT INFO

Fixtures
Sunday January 5 - Oman v UAE
Monday January 6 - UAE v Namibia
Wednesday January 8 - Oman v Namibia
Thursday January 9 - Oman v UAE
Saturday January 11 - UAE v Namibia
Sunday January 12 – Oman v Namibia

UAE squad
Ahmed Raza (captain), Rohan Mustafa, Mohammed Usman, CP Rizwan, Waheed Ahmed, Zawar Farid, Darius D’Silva, Karthik Meiyappan, Jonathan Figy, Vriitya Aravind, Zahoor Khan, Junaid Siddique, Basil Hameed, Chirag Suri

Mina Cup winners

Under 12 – Minerva Academy

Under 14 – Unam Pumas

Under 16 – Fursan Hispania

Under 18 – Madenat

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Three-day coronation

Royal purification

The entire coronation ceremony extends over three days from May 4-6, but Saturday is the one to watch. At the time of 10:09am the royal purification ceremony begins. Wearing a white robe, the king will enter a pavilion at the Grand Palace, where he will be doused in sacred water from five rivers and four ponds in Thailand. In the distant past water was collected from specific rivers in India, reflecting the influential blend of Hindu and Buddhist cosmology on the coronation. Hindu Brahmins and the country's most senior Buddhist monks will be present. Coronation practices can be traced back thousands of years to ancient India.

The crown

Not long after royal purification rites, the king proceeds to the Baisal Daksin Throne Hall where he receives sacred water from eight directions. Symbolically that means he has received legitimacy from all directions of the kingdom. He ascends the Bhadrapitha Throne, where in regal robes he sits under a Nine-Tiered Umbrella of State. Brahmins will hand the monarch the royal regalia, including a wooden sceptre inlaid with gold, a precious stone-encrusted sword believed to have been found in a lake in northern Cambodia, slippers, and a whisk made from yak's hair.

The Great Crown of Victory is the centrepiece. Tiered, gold and weighing 7.3 kilograms, it has a diamond from India at the top. Vajiralongkorn will personally place the crown on his own head and then issues his first royal command.

The audience

On Saturday afternoon, the newly-crowned king is set to grant a "grand audience" to members of the royal family, the privy council, the cabinet and senior officials. Two hours later the king will visit the Temple of the Emerald Buddha, the most sacred space in Thailand, which on normal days is thronged with tourists. He then symbolically moves into the Royal Residence.

The procession

The main element of Sunday's ceremonies, streets across Bangkok's historic heart have been blocked off in preparation for this moment. The king will sit on a royal palanquin carried by soldiers dressed in colourful traditional garb. A 21-gun salute will start the procession. Some 200,000 people are expected to line the seven-kilometre route around the city.

Meet the people

On the last day of the ceremony Rama X will appear on the balcony of Suddhaisavarya Prasad Hall in the Grand Palace at 4:30pm "to receive the good wishes of the people". An hour later, diplomats will be given an audience at the Grand Palace. This is the only time during the ceremony that representatives of foreign governments will greet the king.

Updated: July 22, 2022, 2:18 PM