WEBVTT - Could the Mpox Crisis Have Been Avoided?

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<v Speaker 1>Bloomberg Audio Studios, podcasts, radio news.

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<v Speaker 2>As the world continues to respond to new contagious forms

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<v Speaker 2>of empocs, many people are asking could we have done

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<v Speaker 2>more to prevent this global health emergency?

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<v Speaker 3>The world should sit back and say have we learned

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<v Speaker 3>anything from COVID? The African region acquired COVID vaccines very

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<v Speaker 3>late months later, and that meant that in many cases

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<v Speaker 3>the people had already had the infection and people then

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<v Speaker 3>weren't very interested in having the vaccine.

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<v Speaker 4>Now we look at empocs and we have the same.

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<v Speaker 2>Problem and a much needed vaccination program could be delayed

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<v Speaker 2>for children under fifteen years old, who account for more

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<v Speaker 2>than eighty percent of the deaths in the Congo, the

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<v Speaker 2>country worst affected by the outbreak.

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<v Speaker 3>So ramp up really takes a shift in resources and capabilities.

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<v Speaker 4>We're looking at doing that. We can do that.

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<v Speaker 3>That's how we will be over to deliver the two

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<v Speaker 3>million doses, but really we really need orders before we

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<v Speaker 3>can move.

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<v Speaker 2>On this episode of the Next Africa Podcast, we'll look

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<v Speaker 2>at the response to empox and if it's really possible

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<v Speaker 2>to vaccinate a country the size of the DRC. I'm

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<v Speaker 2>Jennifer Zabasaja and this is the Next Africa Podcast, bringing

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<v Speaker 2>you one story each week from the continent driving the

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<v Speaker 2>future of global growth with the context only Bloomberg can provide.

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<v Speaker 2>Jennis Q, Bloomberg's health reporter, has been following the outbreak

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<v Speaker 2>closely and is back on the podcast with us to

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<v Speaker 2>walk us through the latest. Jennis, great to have you

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<v Speaker 2>back on. I know it's been a busy past few weeks.

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<v Speaker 2>How are you doing good?

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<v Speaker 4>Thank you?

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<v Speaker 1>Yes, it has been just a lot of developments on

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<v Speaker 1>the inpox friends.

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<v Speaker 2>Yeah, which is part of the reason why we wanted

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<v Speaker 2>to get you back on. So Jennis, the last time

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<v Speaker 2>we had you on the podcast, we were talking about

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<v Speaker 2>empox being declared global health emergency, and since then we've

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<v Speaker 2>seen cases now popping up in Europe in the Middle East,

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<v Speaker 2>and you and your team put together a really fascinating

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<v Speaker 2>story about how this could have potentially been prevented the

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<v Speaker 2>spread to this extent. How could this have been prevented

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<v Speaker 2>considering how fast this is moving.

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<v Speaker 1>Jan For decades, impox was just another neglected tropical disease

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<v Speaker 1>in Africa, and now it's become a global health emergency

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<v Speaker 1>and arguably it's a public health crisis as you say

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<v Speaker 1>that should never have been.

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<v Speaker 4>The illness has claimed.

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<v Speaker 1>More than six one hundred and twenty two lives and

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<v Speaker 1>councing those are mostly in the Congo, which is the

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<v Speaker 1>epicent of the current crisis, and many thousands of others

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<v Speaker 1>have been infected. Scientists and public cultificials that you say,

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<v Speaker 1>have looked at at how it could have been avoided,

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<v Speaker 1>and instead we've seen its snowball with missteps, red tape

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<v Speaker 1>and action and all of these creating the perfect environment

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<v Speaker 1>for the virus to need tait into fast breading variant.

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<v Speaker 1>It's now been detected in at least ten countries, two

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<v Speaker 1>of those outside of Africa. Some scientists have said, really

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<v Speaker 1>it's not a case of finger pointing per se. It's

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<v Speaker 1>probably more an example of a neglected tropical disease in Africa.

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<v Speaker 1>These are not diseases that typically gets a lot of

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<v Speaker 1>funding and a lot of research, but they're also not

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<v Speaker 1>diseases that are likely to make a lot of money

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<v Speaker 1>for vaccine makers or other therapeutic companies. We saw with

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<v Speaker 1>COVID how no part of the globe is isolated, and

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<v Speaker 1>I think that Africa.

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<v Speaker 4>And certainly through the Africa CDC.

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<v Speaker 1>They are highlighting that fact, and trying to possibly finally

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<v Speaker 1>getting the attention that they probably should have had long

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<v Speaker 1>ago for how these types of pathogens can spread and

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<v Speaker 1>cause a global problem.

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<v Speaker 2>Considering a lot of the missteps and the inaction that

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<v Speaker 2>you were just highlighting there, how are public health officials

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<v Speaker 2>tackling this is the vaccine, the way to move forward,

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<v Speaker 2>in the way to eradicate this from spreading any further.

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<v Speaker 4>There are a lot of plans at the moments.

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<v Speaker 1>In fact, I would go so for as to say

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<v Speaker 1>people are scrambling to make sure that they're dealing with

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<v Speaker 1>it as quickly as possible. That's not to say it's

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<v Speaker 1>happening as fast as the Africa CDC initially signaled or wanted.

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<v Speaker 1>Certainly on the vaccine front, they are now saying that

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<v Speaker 1>they have set a deadline for September the first for

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<v Speaker 1>vaccines to arrive in the Congo. It's certainly not the

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<v Speaker 1>only measure that can be taken and is being taken.

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<v Speaker 1>There's been a lot of conversation around getting funds to

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<v Speaker 1>ensure that there is good public health messaging on the ground.

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<v Speaker 1>They need to make sure that parents know to bring

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<v Speaker 1>their children in if they sing any symptoms with children.

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<v Speaker 1>Quite often it's mistaken by parents or caregivers as chicken

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<v Speaker 1>pox and that is causing delays in getting treatments Africa.

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<v Speaker 1>CDC yesterday was also highlighting how teachers are being targeted

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<v Speaker 1>in terms of public health messaging to ensure that they

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<v Speaker 1>know what to look out for.

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<v Speaker 4>The same is true in health facilities.

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<v Speaker 1>There's a risk that you've got someone coming in presenting

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<v Speaker 1>with EMPOC symptoms, but before they run any tests they

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<v Speaker 1>put into an open ward where there may be somebody

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<v Speaker 1>else battling a different disease. The vaccines are something that

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<v Speaker 1>will help certainly in terms of containing spread. And arguably

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<v Speaker 1>had vaccines been in Africa when the last global emergency

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<v Speaker 1>for EMPOS ended in May of twenty twenty three, we

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<v Speaker 1>wouldn't be in this situation now.

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<v Speaker 2>So where the vaccines then coming from Janice, And of

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<v Speaker 2>course the million dollar question is are there going to

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<v Speaker 2>be enough to actually stop this from continuing to spread

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<v Speaker 2>in some of these places that are just so highly

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<v Speaker 2>populated across the continent.

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<v Speaker 4>The vaccines are.

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<v Speaker 1>Produced at the moment by two companies that are from

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<v Speaker 1>two different parts of the world, so but very Nordic

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<v Speaker 1>is a Danish company in Europe and they are the

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<v Speaker 1>main commercial vaccine.

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<v Speaker 4>There is a Japanese company called Kane Biologics.

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<v Speaker 1>That also produces vaccine, and there are talks underway between

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<v Speaker 1>the agencies like Africa CEC and who together with Gabby

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<v Speaker 1>the Vaccine Alliance with the government of Japan that vaccine

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<v Speaker 1>is going to be important because it has been used

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<v Speaker 1>in children before. But Very Nordic, the Danish company, they

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<v Speaker 1>have vaccine already in stock, but.

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<v Speaker 4>Very Nordic has said that the ten.

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<v Speaker 1>Million doses that Africa CDC has said they need that

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<v Speaker 1>they can actually supply all of it by the end

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<v Speaker 1>of next year. So they are certainly probably the first

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<v Speaker 1>and foremost piece of the puzzle in terms of vaccines.

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<v Speaker 2>And Jennie, stick with us because we want to talk

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<v Speaker 2>more about the impact on children, especially who based on

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<v Speaker 2>our reporting, accounts for most of the deaths, and how

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<v Speaker 2>potentially children may miss out on the vaccines. So stick

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<v Speaker 2>with us and we'll talk with you after the break.

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<v Speaker 2>Welcome back. Today we're looking at how African nations are

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<v Speaker 2>responding to the empox outbreak causing concern across the world.

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<v Speaker 4>Jennis q is here. Janis.

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<v Speaker 2>We talked about vaccines, but the draft vaccine plans haven't

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<v Speaker 2>specifically mentioned how shots will be ruled out for children.

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<v Speaker 4>You touched on this briefly, but why not?

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<v Speaker 2>Why haven't we seen this, especially considering the statistics at

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<v Speaker 2>this point in time.

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<v Speaker 1>I think the fact that very Nordic hasn't been specifically

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<v Speaker 1>listed for use in children may have contributed to that.

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<v Speaker 1>I don't think the fact that children haven't been specifically

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<v Speaker 1>mentioned means.

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<v Speaker 4>That they will not get vaccine.

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<v Speaker 1>I do think, though, that there is a likelihood that

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<v Speaker 1>there will be a delay, hopefully not a long one,

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<v Speaker 1>but a delay in getting vaccine into children.

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<v Speaker 4>This is largely.

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<v Speaker 1>Because the discussions with the Japanese company came by logics

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<v Speaker 1>are still underway, and my understanding at this point is

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<v Speaker 1>that is the vaccine that they would likely.

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<v Speaker 4>Use in children. It has been used in children in

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<v Speaker 4>Asia before.

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<v Speaker 2>Is there con concern that that isn't the approach at

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<v Speaker 2>this point in time, Janeus, I mean that adults are

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<v Speaker 2>going to be the first one's vaccinated.

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<v Speaker 4>Children can't for.

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<v Speaker 1>More than eighty percent of the EMPUC states in the Congo,

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<v Speaker 1>and so them not being first in line is a concern.

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<v Speaker 1>The pediatric vaccine plan is not clear at the stage,

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<v Speaker 1>and I would imagine that age organization and doctors and

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<v Speaker 1>people on the ground are not at all happy with

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<v Speaker 1>the facts that there isn't a clear and specific plan

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<v Speaker 1>for children to be getting this vaccine quickly. It is

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<v Speaker 1>a complicated and tricky situation. Getting vaccines rolled arts is

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<v Speaker 1>as important as getting vaccines on the ground.

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<v Speaker 4>We saw with COVID that Africa was last.

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<v Speaker 1>In line to get vaccines and when they eventually arrived,

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<v Speaker 1>there was logistical problems with the road arts and there

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<v Speaker 1>was also a lot of hesitat and see with people

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<v Speaker 1>questioning whether they actually needed the vaccine. The Africa CDC

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<v Speaker 1>and Helen Rees who's advising she's part of an advisory

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<v Speaker 1>committee for the Wealth Health Organization. She spoke to Bloomberg

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<v Speaker 1>TV recently and was saying that she does not think

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<v Speaker 1>that there will be a problem with hesitancy this time around,

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<v Speaker 1>that this is a disease that has caused a lot

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<v Speaker 1>of problems in various communities and specifically in the Congo region,

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<v Speaker 1>and so people will probably accept the vaccine quite readily,

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<v Speaker 1>which is good news.

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<v Speaker 4>I do hope that is the.

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<v Speaker 1>Case, but that doesn't take away from the fact that

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<v Speaker 1>there are these other logistical issues in getting the vaccines

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<v Speaker 1>rolled out, in ensuring that they are safe to be

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<v Speaker 1>given to children.

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<v Speaker 2>So, in a sense, is the overall feeling that authorities

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<v Speaker 2>are still sort of on the back foot and getting

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<v Speaker 2>a hold of what's happening right now, or people confident

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<v Speaker 2>that we're not doing a repeat of what we saw

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<v Speaker 2>during COVID and other outbreaks.

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<v Speaker 1>I think there is growing confidence that it is not

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<v Speaker 1>going to be a repeat of COVID.

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<v Speaker 4>The World Health Organization set art a prevention.

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<v Speaker 1>And preparedness plan this week, and that is an effort

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<v Speaker 1>to ready coordinate all these efforts. I think when there

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<v Speaker 1>is an artbreak and there is an emergency, and it's

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<v Speaker 1>easy to panic, and it's easy for governments individually to

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<v Speaker 1>reach out to the vaccine makers and for everyone to

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<v Speaker 1>want to make sure that they are being taken care

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<v Speaker 1>of or at least are taking care of their people.

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<v Speaker 1>The WHO has always provided a sort of coordination effort

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<v Speaker 1>and the EFFRICACYDC has moved in very strongly this time around,

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<v Speaker 1>made sure that they're in the driving seat, that they're

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<v Speaker 1>marshaling resources, and there is a lot of evidence that

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<v Speaker 1>is happening globally We've seen responses from the United States

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<v Speaker 1>and many others saying that they are prepared to donate

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<v Speaker 1>friends and in some cases vaccines themselves, because some of

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<v Speaker 1>these countries had stop poles of empox vaccine from the

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<v Speaker 1>twenty twenty two to twenty twenty three outbreak. So I

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<v Speaker 1>don't think we're going to see a repeat of COVID.

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<v Speaker 1>That being said, there are still bottlenecks and there is

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<v Speaker 1>a lot that scientists do not yet know about the

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<v Speaker 1>specific glade one B which appears to be a fueling

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<v Speaker 1>this outbreak, and.

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<v Speaker 4>They are still scrambling to get enough information.

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<v Speaker 1>Unfortunately, we may not have been in a situation of

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<v Speaker 1>a mutated strain if Africa had these vaccines some years ago.

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<v Speaker 4>It is a difficult situation, but one.

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<v Speaker 1>That I do think all all the agencies are responding

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<v Speaker 1>to as best they can. It does feel to me

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<v Speaker 1>a little bit like it was a situation of weights, wait, weights,

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<v Speaker 1>and then hurry up and are a little bit more

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<v Speaker 1>weights because they're trying to.

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<v Speaker 4>Get all the pieces of the puzzle together.

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<v Speaker 1>But do you think that there is a motivation and

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<v Speaker 1>focus to get that job done now?

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<v Speaker 2>Well, we know as those pieces continue to come together,

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<v Speaker 2>you will be all over the story, but we appreciate

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<v Speaker 2>you coming back onto the podcast and giving us an update.

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<v Speaker 2>Jennis Q, thanks so much for your reporting, and you

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<v Speaker 2>can read all the latest coverage on the outbreak on

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<v Speaker 2>Bloomberg News platforms. As Jenna said, this is still an

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<v Speaker 2>evolving situation and even as vaccinations commence in the DRC,

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<v Speaker 2>there are still more questions than answers about the mutated strain. Fortunately,

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<v Speaker 2>though officials do seem committed to avoiding some of the

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<v Speaker 2>mistakes made for the continent during the COVID nineteen pandemic.

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<v Speaker 2>This program was produced by Adrian Bradley. Don't forget to

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<v Speaker 2>follow and review the show wherever you usually get your podcasts.

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<v Speaker 2>I'm Jennifer's Abasaga. Thanks as always for listening.