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peter doshi :: Article Creator New Research Reports On Financial Entanglements Between FDA Chiefs And The Drug Industry An investigation published by The BMJ today raises concerns about financial entanglements between US Food and Drug Administration (FDA) chiefs and the drug and medical device companies they are responsible for regulating. Regulations prohibit FDA employees from holding financial interests in any FDA "significantly regulated organization" and the FDA says it takes conflicts of interest seriously, but Peter Doshi, senior editor at The BMJ, finds that financial interests with the drug industry are common among its leaders. Doshi reports that nine of the FDA's past 10 commissioners went on to work for the drug industry or serve on the board of directors of a drug company. That includes Margaret Hamburg, who led FDA between 2009 and 2015, but whose story is less well known. Like her colleagues, Margaret Hamburg h

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doh vaccine locations :: Article Creator

New Jersey COVID-19 Vaccine Call Center Officially Shuts Down

Health officials announced the New Jersey COVID-19 Vaccine Call Center has closed.

The call center was used to help answer questions on COVID-19 vaccines and assisted New Jersey residents in making vaccination appointments.

The New Jersey Department of Health said over more than three years, the center had scheduled over 170,000 vaccination appointments, made nearly 40.9 million outreach calls and sent over 300 million text messages.

"Whether speaking to an agent or providing automated information to answer their questions, the NJ COVID-19 Vaccine Call Center has helped hundreds of thousands of New Jerseyans get much-needed information on vaccine eligibility and vaccination locations for themselves and their loved ones, as well as to learn more about other important programs," Health Commissioner Dr. Kaitlan Baston said in a news release. "We thank all of the agents over the years for their tremendous work in helping to inform and direct our residents during this critical time."

Officials said residents can continue to call the national COVID-19 Vaccine Hotline at 1-800-232-0233, where assistance is available in English, Spanish, and other languages.

Deaf and hard-of-hearing individuals can call 1-888-720-7489 and people with disabilities can seek support through the Disability Information and Access Line at 1-888-677-1199.

According to officials, if you try calling the New Jersey COVID-19 Vaccine Call Center, you will be rerouted to the national COVID-19 vaccine hotline.


DOH Sees Pertussis Vaccine Shortage In May

By GISELLE OMBAY, GMA Integrated News

Published April 8, 2024 6:02pm

There may be a shortage of vaccines against the "whooping cough" or pertussis next month amid the outbreak of the highly contagious respiratory infection in some parts of the country, Health Secretary Ted Herbosa said Monday.

Herbosa said that currently, the country still has "enough" supply of the pentavalent vaccine which gives protection against pertussis, as well as diphtheria, tetanus, Hepatitis B, and Haemophilus influenzae type B.

"We have enough, but magkakaroon tayo ng shortage some time in May. Ito 'yung ina-address naming gap," the Health chief said in a Bagong Pilipinas Ngayon interview.

(We have enough vaccines, but we will have a shortage sometime in May. This is the gap we are addressing.)

Herbosa said that the 5-in-1 vaccine which the DOH initially ordered will only arrive in June. As the country's stock will get depleted in May, he said he may need to order an older type of vaccine called DPT, which could only fight off diphtheria, tetanus, and pertussis.

"Ang vaccine, kapag inorder mo, saka pa lang nila ima-manufacture 'yan tapos may lag time. So we ordered the doses (pentavalent) for this year, earlier this year, may 120 days, June pa siya darating eh 'yung supply ko mauubos ng May," he said.

(They will only manufacture vaccines once you order it, so it has a lag time. We ordered doses of the pentavalent vaccine earlier this year, and it would be delivered 120 days after or in June. Our vaccine supply will get exhausted by May.)

"So may parang short gap ako. Ang hirap din mag-recommend na magpabakuna kayo, tapos magagalit sila sa'kin, hindi pa dumating sa health center," he added.

(There's a short gap. It's difficult to encourage the public to get the vaccines when there are none arriving at health centers. They might get angry at me.)

The DOH has underscored the importance of vaccination to combat pertussis, saying that it is safe and effective.

Infants as young as six weeks old may already receive the pentavalent vaccine for free at government health centers. Children from 1-6 years old, meanwhile, may get a booster dose.

Older children, as well as adults and pregnant women, were advised by DOH to consult a doctor to know the appropriate vaccine that would protect them against pertussis.

Herbosa said that about 890 cases of pertussis have been reported in the country since the year started. About 80% of these cases involve kids aged five years and below.

According to the DOH, pertussis starts as a mild cough and cold that lasts about two weeks, followed by "paroxysms or fits of coughing" which lasts up to six weeks.

Patients can also experience vomiting immediately after coughing, and fever, while infants may turn cyanotic or bluish when coughing.—AOL, GMA Integrated News


DOH's Lack Of Vaccine Urgency

The problems that hobbled the government's response to COVID-19 four years ago remain a factor in the worrying rise of vaccine-preventable diseases, particularly pertussis, which has killed 54 babies in the first three months of the year. The country still lacks storage facilities for vaccines and vaccine hesitancy remains prevalent, especially in the rural areas, which begs the question: has the Department of Health (DOH) learned anything from the coronavirus pandemic?

The DOH reported this week that cases of pertussis totaled 1,112 from Jan. 1 to March 30, or almost 34 times that of the same period last year; all the 54 deaths were children less than 5 years old. The increase in pertussis cases was observed in Eastern Visayas, Cagayan Valley, Caraga, Central Luzon, and Cordillera Autonomous Region.

Low stocks

What makes the situation more alarming is the government's low stocks of pentavalent vaccine (a five-in-one combination vaccine that protects against diphtheria, tetanus, whooping cough, hepatitis B, and Haemophilus influenzae type B) with a shortage anticipated next month. Don't worry, Health Secretary Teodoro Herbosa assured, the DOH has already ordered an additional three million pentavalent vaccines that will arrive in June, and they can still be bought from the private sector for those who can afford (price: P3,800). Those who can't, meantime, can have DTP (diphtheria, tetanus, and pertussis) vaccines to fill the gap.

The United Nations Children's Fund (Unicef), in 2022, revealed that the Philippines was among the top 5 contributors to the 18 million zero-dose children globally, with one million Filipino children who have not received a single dose of childhood vaccine making them susceptible to life-threatening diseases such as polio, measles, and tuberculosis. Aside from pertussis, the country has reported a rise in measles and rubella cases in the first quarter of this year.

Plugging vaccine gap

Unicef Philippines Representative Oyunsaikhan Dendevnorov previously said falling child immunization rates and the rise in vaccine-preventable diseases "must be treated as a public health emergency that needs urgent action. Lessons learned from COVID-19 highlight the need to strengthen primary health care through integrated health and nutrition services for a strong and resilient health system in the long term."

Despite all these data and repeated warnings from health authorities, the Philippines has failed to plug the vaccine gap even after pandemic restrictions were lifted. Unicef noted that the Philippines has never met the ideal target of a 95 percent routine coverage rate for children since the 1990s. Last year, the DOH launched the "Chikiting Ligtas" immunization drive, aimed at increasing the uptake of routine vaccines among children aged 0-59 months old. But this week, it reported that only 72 percent of the two million children below 1 year old were fully immunized—way below the target of 95 percent to achieve herd immunity.

Cold storage systems

"It is shameful that we have many zero-dose children. Other countries are wary of us because we could be a source of an outbreak in other parts of the world," Herbosa said. He appealed to parents to have their children vaccinated but news reports noted complaints that barangay health centers did not have pentavalent vaccines. Herbosa responded that while the DOH had an adequate supply, it was indeed having distribution issues and assured that they were working on the problem.

This "problem," or the lack of storage facilities in the health centers, was already exposed as one of the weaknesses of the health sector during the COVID-19 pandemic. There was much talk then about pouring government resources into building cold storage systems. But apparently, this remains unaddressed until today even if the government had at least three years to find a way to establish an important, life-saving facility.

Reactive stance

The government's reactive stance on almost every issue should never be normalized. The cold storage issue could have been addressed by now through efficient budget planning and coordination with local government units and the private sector. The vaccination gap could have been plugged if health officials reassessed the program and strengthened the campaign in areas where uptake was low. The vaccine shortage won't even occur if inventory is methodical and well-organized; health officials are very much aware that these vaccines are only manufactured once the order has been placed so why was there no timely effort to avoid a shortage?

DOH's lack of urgency in procuring and distributing vaccines is appalling considering the country's experience during the COVID-19 pandemic. Secretary Herbosa, children are dying. Give the DOH a much-needed shot of urgency, efficiency, and genuine public service.

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