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WHO recommends another vaccine for malaria prevention

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The World Health Organization (WHO) has recommended a new vaccine, R21/Matrix-M, for the prevention of malaria in children.

The recommendation follows advice from the WHO: Strategic Advisory Group of Experts on Immunization (SAGE) and the Malaria Policy Advisory Group (MPAG) and was endorsed by the WHO Director-General following its regular biannual meeting held on 25-29 September.

WHO also issued recommendations on the advice of SAGE for new vaccines for dengue and meningitis, along with immunization schedule and product recommendations for COVID-19.  WHO also issued key immunization programmatic recommendations on polio, IA2030 and recovering the immunization programme.

The R21 vaccine is the second malaria vaccine recommended by WHO, following the RTS,S/AS01 vaccine, which received a WHO recommendation in 2021. Both vaccines are shown to be safe and effective in preventing malaria in children and, when implemented broadly, are expected to have high public health impact. Malaria, a mosquito-borne disease, places a particularly high burden on children in the African Region, where nearly half a million children die from the disease each year.

Demand for malaria vaccines is unprecedented; however, available supply of RTS,S is limited.  The addition of R21 to the list of WHO-recommended malaria vaccines is expected to result in sufficient vaccine supply to benefit all children living in areas where malaria is a public health risk.  

“As a malaria researcher, I used to dream of the day we would have a safe and effective vaccine against malaria. Now we have two,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Demand for the RTS,S vaccine far exceeds supply, so this second vaccine is a vital additional tool to protect more children faster, and to bring us closer to our vision of a malaria-free future.”

Dr. Matshidiso Moeti, WHO Regional Director for Africa, emphasized the importance of this recommendation for the continent, saying: “This second vaccine holds real potential to close the huge demand-and-supply gap. Delivered to scale and rolled out widely, the two vaccines can help bolster malaria prevention and control efforts and save hundreds of thousands of young lives in Africa from this deadly disease.”

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Trump says he “would rather not” impose tariffs on China

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In the second part of a Fox News interview, Donald Trump says he “would rather not” impose tariffs on China, while saying it was their “one very big power” over Beijing.

Trump has said he thinks a trade deal between the US and China could be reached.

“We have one very big power over China, and that’s tariffs, and they don’t want them, and I’d rather not have to use it, but it’s a tremendous power over China,” he has said.
The US president also says he plans to reach out to North Korean leader Kim Jong Un and calls him “a smart guy”.

Meanwhile a US judge has temporarily blocked Trump’s order to change birthright citizenship, which was slated to take effect in February.

On Trump’s third full day as president, Trump orders the declassification of files relating to the deaths of John F Kennedy, Robert Kennedy and Martin Luther King Jr.

The president also pardons 23 anti-abortion activists as he signs another flurry of executive orders in the Oval Office.

Speaking at the World Economic Forum in Davos, Trump says Canada could avoid tariffs if it chooses to “become a state” of the US.

(BBC News)

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Trump tells Putin to end ‘ridiculous war’ in Ukraine or face new sanctions

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Donald Trump has warned he will impose high tariffs and further sanctions on Russia if Vladimir Putin fails to end the war in Ukraine.

Writing on his social media platform Truth Social, he said that by pushing to settle the war he was doing Russia and its president a “very big favour”.

Trump had previously said he would negotiate a settlement to Russia’s full-scale invasion launched in February 2022, in a single day.

Russia has not yet responded to the remarks, but senior officials have said in recent days that there is a small window of opportunity for Moscow to deal with the new US administration.

Putin has said repeatedly that he is prepared to negotiate an end to the war, which first began in 2014, but that Ukraine would have to accept the reality of Russian territorial gains, which are currently about 20% of its land. He also refuses to allow Ukraine to join Nato.

Kyiv does not want to give up its territory, although President Volodymyr Zelensky has conceded he may have to cede some currently occupied land temporarily.

On Tuesday Trump told a news conference he would be talking to Putin “very soon” and it “sounds likely” that he would apply more sanctions if the Russian leader did not come to the table.

But in his Truth Social post on Wednesday, he went further: “I’m going to do Russia, whose Economy is failing, and President Putin, a very big FAVOR,” he wrote.

“Settle now, and STOP this ridiculous War! IT’S ONLY GOING TO GET WORSE. If we don’t make a ‘deal’, and soon, I have no other choice but to put high levels of Taxes, Tariffs, and Sanctions on anything being sold by Russia to the United States, and various other participating countries.”

Continuing, he said: “Let’s get this war, which never would have started if I were President, over with! We can do it the easy way, or the hard way – and the easy way is always better. It’s time to “MAKE A DEAL”.”

Russia’s deputy UN ambassador Dmitry Polyanskiy earlier told Reuters news agency that the Kremlin would need to know what Trump wants in a deal to stop the war before the country moves forward.

Meanwhile Ukrainian President Volodymyr Zelensky told the World Economic Forum on Tuesday that at least 200,000 peacekeepers would be needed under any agreement.

And he told Bloomberg that any peacekeeping force for his country would have to include US troops to pose a realistic deterrent to Russia.

“It can’t be without the United States… Even if some European friends think it can be, no it will not be,” he said, adding that no-one else would risk such a move without the US.

While Ukraine’s leaders might appreciate this tougher-talking Trump – they have always said Putin only understands strength – the initial reaction in Kyiv to the US president’s comments suggest that it is actions people are waiting for, not words.

Trump has not specified where more economic penalties might be aimed, or when. Russian imports to the US have plummeted since 2022 and there are all sorts of heavy restrictions already in place.

Currently, the main Russian exports to the US are phosphate-based fertilisers and platinum.

On social media, there was a generally scathing response from Ukrainians. Many suggested that more sanctions were a weak reply to Russian aggression. But the biggest question for most is what Putin is actually open to discussing with Ukraine at any peace talks.

In Moscow meanwhile, some people are seeing signs that the Kremlin may be readying Russians to accept less than the “victory” once envisaged, which included tanks rolling all the way west to the southern Ukrainian port city of Odesa.

TV editor Margarita Simonyan, who is stridently pro-Putin, has begun talking of “realistic” conditions for ending the war, which she suggests could include halting the fighting along the current frontline.

That would mean the four Ukrainian regions that Putin illegally pronounced as Russian territory more than two years ago, like Zaporizhzhia, still being partially controlled by Kyiv.

Russian hardliners, the so-called “Z” bloggers, are furious at such “defeatism”.

In his social media post, Trump also couched his threat of tariffs and tighter sanctions in words of “love” for the Russian people and highlighted his respect for Soviet losses in World War Two – a near-sacred topic for Putin – though Trump massively overestimated the numbers and appeared to think the USSR was Russia alone. In reality, millions of Ukrainians and other Soviet citizens also lost their lives.

That said, the man who previously said he could “understand” Russia’s concerns about Ukraine joining Nato – which for Kyiv is tantamount to saying Putin was provoked – does seem to be shifting his tone.

Trump’s position matters. But after 11 years of war with Russia and a history of poor peace deals, Ukrainians are not inclined to be too hopeful.

(BBC News)

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Trump orders US to leave World Health Organization

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US President Donald Trump has signed an executive order to begin the process of withdrawing the US from the World Health Organization (WHO).

“Oooh, that’s a big one,” the newly inaugurated US president said as he approved the document after arriving back at the White House. It was one of dozens of executive actions he put his signature to on day one in office.

This marks the second time Trump has ordered the US be pulled out of the WHO.

Trump was critical of how the international body handled Covid-19 and began the process of pulling out from the Geneva-based institution during the pandemic. President Joe Biden later reversed that decision.

Carrying out this executive action on day one makes it more likely the US will formally leave the global agency.

“They wanted us back so badly so we’ll see what happens,” Trump said in the Oval Office, referring to the WHO, perhaps hinting the US might return eventually.

The order said the US was withdrawing “due to the organization’s mishandling of the Covid-19 pandemic that arose out of Wuhan, China, and other global health crises, its failure to adopt urgently needed reforms, and its inability to demonstrate independence from the inappropriate political influence of WHO member states”.

The executive order also said the withdrawal was the result of “unfairly onerous payments” the US made to the WHO, which is part of the United Nations.

When Trump was still in office the first time around he was critical of the organization for being too “China-centric” in its tackling of the Covid-19 pandemic.

Trump accused the WHO of being biased towards China in how it issued guidance during the outbreak.

Under the Biden administration the US continued to be the largest funder of the WHO and in 2023 it contributed almost one-fifth of the agency’s budget.

The organization’s annual budget is $6.8 billion (£5.5 billion).

Public health experts have been critical of Trump’s decision to leave the WHO, warning there could be consequences for Americans’ health.

Some have suggested the move could reverse progress made on fighting infectious diseases such as malaria, tuberculosis and Hiv & Aids.

Ashish Jha, who formerly worked as Covid-19 response co-ordinator under President Biden, previously warned leaving would “harm not only the health of people around the world, but also US leadership and scientific prowess”.

“It’s a cataclysmic presidential decision. Withdrawal is a grievous wound to world health, but a still deeper wound to the US,” Lawrence Gostin, a global public health expert and Georgetown University professor said.

(BBC News)

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