COVID-19: Is the pandemic over, and have we learned from our experiences?

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COVID-19: Is the pandemic over, and have we learned from our experiences?

a:17:{s:118:”//doctorsoftheworld.org/wp-content/uploads/2022/03/1-Vilhove-village-Shchastinskiy-rayon-3_Foto-Pietro-Chekal-copy.jpg”;a:2:{s:2:”id”;i:14156;s:11:”source_type”;s:13:”media-library”;}s:116:”//uploads.doctorsoftheworld.org/2022/03/03223803/1-Vilhove-village-Shchastinskiy-rayon-3_Foto-Pietro-Chekal-copy.jpg”;a:2:{s:2:”id”;i:14156;s:11:”source_type”;s:13:”media-library”;}s:62:”//doctorsoftheworld.org/wp-content/uploads/2020/04/unnamed.png”;a:2:{s:2:”id”;i:13691;s:11:”source_type”;s:13:”media-library”;}s:60:”//uploads.doctorsoftheworld.org/2020/04/18113705/unnamed.png”;a:2:{s:2:”id”;i:13691;s:11:”source_type”;s:13:”media-library”;}s:85:”//doctorsoftheworld.org/wp-content/uploads/2022/11/Popup-Page-Giving-Tuesday-v2-1.jpg”;a:2:{s:2:”id”;i:15612;s:11:”source_type”;s:13:”media-library”;}s:83:”//uploads.doctorsoftheworld.org/2022/11/21195111/Popup-Page-Giving-Tuesday-v2-1.jpg”;a:2:{s:2:”id”;i:15612;s:11:”source_type”;s:13:”media-library”;}s:92:”//doctorsoftheworld.org/wp-content/uploads/2022/11/Screen-Shot-2022-11-21-at-12.52.16-PM.png”;a:2:{s:2:”id”;i:15617;s:11:”source_type”;s:13:”media-library”;}s:90:”//uploads.doctorsoftheworld.org/2022/11/21205342/Screen-Shot-2022-11-21-at-12.52.16-PM.png”;a:2:{s:2:”id”;i:15617;s:11:”source_type”;s:13:”media-library”;}s:119:”//doctorsoftheworld.org/wp-content/uploads/2022/03/1-Vilhove-village-Shchastinskiy-rayon-3_Foto-Pietro-Chekal-copy.jpg&”;a:1:{s:9:”timestamp”;i:1676075818;}s:106:”//uploads.doctorsoftheworld.org/2023/02/06214102/2023_SEISMETURQUIESYRIE_MDM-1536×863-1-e1675720825727.jpg”;a:2:{s:2:”id”;i:15954;s:11:”source_type”;s:13:”media-library”;}s:114:”//uploads.doctorsoftheworld.org/2023/02/06214102/2023_SEISMETURQUIESYRIE_MDM-1536×863-1-e1675720825727-300×169.jpg”;a:2:{s:2:”id”;i:15954;s:11:”source_type”;s:13:”media-library”;}s:108:”//doctorsoftheworld.org/wp-content/uploads/2023/02/2023_SEISMETURQUIESYRIE_MDM-1536×863-1-e1675720825727.jpg”;a:2:{s:2:”id”;i:15954;s:11:”source_type”;s:13:”media-library”;}s:116:”//doctorsoftheworld.org/wp-content/uploads/2023/02/2023_SEISMETURQUIESYRIE_MDM-1536×863-1-e1675720825727-300×169.jpg”;a:2:{s:2:”id”;i:15954;s:11:”source_type”;s:13:”media-library”;}s:77:”//uploads.doctorsoftheworld.org/2023/02/06220656/Earthquake-Turkey-Syria.jpeg”;a:2:{s:2:”id”;i:15964;s:11:”source_type”;s:13:”media-library”;}s:86:”//uploads.doctorsoftheworld.org/2023/02/06220656/Earthquake-Turkey-Syria-1024×768.jpeg”;a:2:{s:2:”id”;i:15964;s:11:”source_type”;s:13:”media-library”;}s:79:”//doctorsoftheworld.org/wp-content/uploads/2023/02/Earthquake-Turkey-Syria.jpeg”;a:2:{s:2:”id”;i:15964;s:11:”source_type”;s:13:”media-library”;}s:88:”//doctorsoftheworld.org/wp-content/uploads/2023/02/Earthquake-Turkey-Syria-1024×768.jpeg”;a:2:{s:2:”id”;i:15964;s:11:”source_type”;s:13:”media-library”;}}

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US-Mexico relations and their impact on migrant safety

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El Paso: Safe Haven

International Discord, Policy Change, and Crisis Abroad 
 

In 2022, there has been a record-breaking surge in migration. This significant influx has even shaken the USA and especially Southern Border states. The surge can be related to a multitude of issues that add further complexity to this already growing crisis. 

To begin, the lifting restrictions of COVID-19 has encouraged more to cross the border, as well as the ‘supposed’ termination of Title 42 on December 21, 2022. However, the Supreme Court decided to extend Title 42 just days before it was meant to end, despite the fact that this policy is in gross violation of international refugee law, as it facilitates discriminatory denials of access to asylum based on nationality and race. Furthermore, Title 42 allows border control to deport immigrants to Mexico or their home countries without verifying whether migrants would be safe to return. Many are forced into Juarez, one of the most dangerous cities in Mexico, especially for women where the rate of femicide has doubled in past years. 

Title 42 is also being attributed to the huge influx of unaccompanied minors. Many families have sent their children alone across the border since Biden’s ruling that minors would be excluded from the policy in hopes that they might finally find safety across the border. 

Despite the fact that Title 42 has been extended, many remain unaware or feel they have no choice but to try and cross the border as the circumstances at home are simply too precarious. The majority of migrants are coming from Venezuela, Ecuador, El Salvador, Haiti, Nicaragua, and Cuba. People are fleeing from oppressive governments, gang violence, poverty, and climate disasters. As a result, the US has seen a radical increase in immigration, with 2.76 million people crossing the border in 2022, breaking the previous annual record of more than 1 million.

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International Migrants Day: Influx of Unaccompanied Minors along the US Southern Border

How can the USA do better? 

The journey to the USA can already be incredibly traumatic for young children, who may have been exposed to violence and exploitation along the way. It is of the utmost importance that once they are put into U.S. custody, that further harm or trauma is prevented and that they receive care that they deserve. There are several parts of the U.S. immigration system that must be torn down and rebuilt. 

The CBP first and foremost must be held accountable for their actions. Over the years there have been numerous reports of physical violence, corruption, and verbal abuse at the hands of border patrol agents towards migrants across all ages. There must be stronger vetting of agents and any reports of abuse must be dealt with immediately, removing the agent from the field while an investigation is carried out. 

The U.S. government’s criminalization of entering or reentering the country without authorization has also led to a multitude of issues, including mass incarceration. The U.S. government jails more than 50,000 immigrants each day at a more than $3 billion annual cost to taxpayers. Mass detention centers, like the ones used for UAC, are incredibly expensive and riddled with corruption, abuse and neglect. Many investigations have repeatedly found evidence that detention centers are riddled with human rights abuses and should be phased out completely.

Experts argue that a community-based approach would be a much more progressive and cost-effective solution. Rather than spending billions on detention centers, the federal government could subsidize NGOs and community-led organizations to run safe, secure migrant programs. There already exists a broad array of community support services that can ensure that migrants receive the help they need on a variety of issues: legal, housing, transportation, social and medical services. In fact, Doctors of the World runs a border health clinic in collaboration with a local university and NGOs to provide essential health care to migrants.

At Doctors of the World, we have long fought for the rights of migrants, in the USA and abroad. Unaccompanied minors, as well as migrants of all ages, deserve better care than what they currently receive from the U.S. government. The current migration system is one that is fueled by fear and profit at the expense of migrants’ safety and wellbeing. Serious policy changes must be made to ensure that migrants rights are respected and that they receive a fair process in their court trial. Special care must be given to UACs, who are even more vulnerable to exploitation, abuse, and long-term trauma. It’s time that the USA drops its rhetoric against migrants, and recognizes them as human beings. 
 
Sources
Children on the Run – Full Report 
U.S. Detention of Child Migrants | Council on Foreign Relations
Nearly 130,000 unaccompanied migrant children entered the U.S. shelter system in 2022, a record – CBS News
This is what happens to child migrants found alone at the border, from the moment they cross into the US until age 18
U.S. shelters received a record 122,000 unaccompanied migrant children in 2021 – CBS News
 
Photography: 
Olivier Papegnies 
MdM Spain 

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International Migrants Day: Influx of Unaccompanied Minors along the US Southern Border

How can the USA do better? 

The journey to the USA can already be incredibly traumatic for young children, who may have been exposed to violence and exploitation along the way. It is of the utmost importance that once they are put into U.S. custody, that further harm or trauma is prevented and that they receive care that they deserve. There are several parts of the U.S. immigration system that must be torn down and rebuilt. 

The CBP first and foremost must be held accountable for their actions. Over the years there have been numerous reports of physical violence, corruption, and verbal abuse at the hands of border patrol agents towards migrants across all ages. There must be stronger vetting of agents and any reports of abuse must be dealt with immediately, removing the agent from the field while an investigation is carried out. 

The U.S. government’s criminalization of entering or reentering the country without authorization has also led to a multitude of issues, including mass incarceration. The U.S. government jails more than 50,000 immigrants each day at a more than $3 billion annual cost to taxpayers. Mass detention centers, like the ones used for UAC, are incredibly expensive and riddled with corruption, abuse and neglect. Many investigations have repeatedly found evidence that detention centers are riddled with human rights abuses and should be phased out completely.

Experts argue that a community-based approach would be a much more progressive and cost-effective solution. Rather than spending billions on detention centers, the federal government could subsidize NGOs and community-led organizations to run safe, secure migrant programs. There already exists a broad array of community support services that can ensure that migrants receive the help they need on a variety of issues: legal, housing, transportation, social and medical services. In fact, Doctors of the World runs a border health clinic in collaboration with a local university and NGOs to provide essential health care to migrants.

At Doctors of the World, we have long fought for the rights of migrants, in the USA and abroad. Unaccompanied minors, as well as migrants of all ages, deserve better care than what they currently receive from the U.S. government. The current migration system is one that is fueled by fear and profit at the expense of migrants’ safety and wellbeing. Serious policy changes must be made to ensure that migrants rights are respected and that they receive a fair process in their court trial. Special care must be given to UACs, who are even more vulnerable to exploitation, abuse, and long-term trauma. It’s time that the USA drops its rhetoric against migrants, and recognizes them as human beings. 
 
Sources
Children on the Run – Full Report 
U.S. Detention of Child Migrants | Council on Foreign Relations
Nearly 130,000 unaccompanied migrant children entered the U.S. shelter system in 2022, a record – CBS News
This is what happens to child migrants found alone at the border, from the moment they cross into the US until age 18
U.S. shelters received a record 122,000 unaccompanied migrant children in 2021 – CBS News
 
Photography: 
Olivier Papegnies 
MdM Spain 

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A Refugee Family’s Long Resettlement Journey

For refugees seeking to rebuild their lives, their journey to the United States can be long and fraught with challenges. While the average time it takes for a refugee to be vetted and screened to come to the U.S. is about two years, many people leave their homes long before. UNHCR reports that some refugees…

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Addressing the Role of Racism in the Health of Black Americans 

The quality of care that Black Americans experience is also vastly different to what white Americans might experience. Implicit bias is rampant in the healthcare system, which can have dangerous implications. One in particular is the bias that black Americans have a higher pain tolerance, a misconception that was born from slavery. As their pains and concerns are not taken seriously, this can mean that a serious issue and the pain they experience can go untreated. 

Furthermore, the quality of treatment can be much poorer. A study in the USA revealed that black patients with heart disease were more likely to receive older, cheaper and more conservative treatments than their white counterparts. They were also more likely to be discharged earlier from the hospital, before it was safe for them to leave. A recent survey has shown that 56% reported they had at least one negative experience when seeking care, where either they had to speak up to get proper care or were treated with less respect than other patients. 

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DOCTORS OF THE WORLD CHALLENGES THE MONOPOLY OF PFIZER/BIONTECH ON THE VACCINE AGAINST COVID-19

While vaccines are considered essential tools in the fight against the Covid-19 pandemic, a few pharmaceutical companies are in a position to control their production and their trade, thereby making unlimited profits while excluding more than 2.5 billion people from their access. Doctors of the World  challenges this monopoly by launching a legal action with the European Patent Office.
AN OBVIOUS LACK OF INVENTIVE STEP, A CRITERION OF PATENTABILITY YET REQUIRED

Two years after the start of the pandemic, only 11% of people living in low-income countries have received a complete primary vaccination, compared to 75% in high-income countries, of which 44% have even received a booster dose. Such unequal access to the vaccine is notably due to the monopoly of certain pharmaceutical companies, including Pfizer/BioNTech, which has filed several patent applications. That is what Médecins du Monde is contesting before the European Patent Office by filing two third-party observations on the grounds that the patent applications filed by BioNTech show a manifest lack of inventive step, a required patentability criterion.

Doctors of the World considers that the two claimed patents are not merited because the necessary science to create the vaccine already existed. BioNTech simply directly applied knowledge derived from the current state of the art of mRNA vaccines and coronavirus vaccination (knowledge produced through the work of researchers from the public sector and universities) to a new virus, Sars-CoV-2.  In other words, it only took Pfizer/BioNTech a few weeks to produce its vaccine because the necessary science was pre-existing.

 
UNLIMITED PROFITS FOR A FEW PRIVATE COMPANIES TO THE DETRIMENT OF THE GENERAL INTEREST 

The public sector has provided more than $50 billion to private companies to support research and development of Covid-19 vaccines 1 while bearing the financial risk. Today, Pfizer/BioNTech controls 70% of the European Covid-19 vaccine market, with a 2022 global sales forecast for vaccines of $32 billion for Pfizer and a forecast for BioNTech hovering between $13 and $17 billion euros.”Billions have been invested in health, but the ‘whatever it takes’ policy adopted by governments towards multinational pharmaceutical companies is proving to have a significant cost for society as a whole”, denounces Chloé Forette, Drug Prices mission  Advocacy Coordinator at Doctors of the World France.
“Paying 20 euros per dose may seem acceptable, but, given the public investment in R&D and production, knowing that the cost of producing a dose is between 1 and 2.5 euros, this situation is problematic and weighs heavily on the national budget. More than 4 billion euros could have been saved and redirected to our public health system last year and this year”, continues Théau Brigand, Head of the Drug Prices mission at Doctors of the World France. Because the research and development of vaccines have been massively supported by public resources, it is time for European states to regain control and allow a more equitable sharing of public investments. The government can still intervene and rebalance the use of resources between the interests of a few private companies and the general interest. 

Global, equitable access to COVID vaccines is the best chance the world has to slow this pandemic, save lives, and secure global economic recovery. The actions of Pfizer and BioNTech will have severe impacts on the health, social and economic wellbeing of billions of people around the world. Doctors of the World firmly stands for vaccine equity and will continue to fight for it in court. 

To download
Third party observations EP3901260  and EP3901261
 

Sources  
1. Global Health Centre. (2021). COVID-19 Vaccine Purchases and Manufacturing Agreements. Graduate Institute of International and Development Studies. 
2. Pfizer and BioNTech 2021 Annual Financial Reports
3. “How to Make Enough Vaccine for the World in One Year”, Public Citizen and Imperial College London May 26, 2021. 
4. “Vaccine Equity and Speed”, United Nations Data Platform 2022. 
 

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