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Omicron Variant Spreading Twice as Quickly as Delta in South Africa

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Underscoring increasing concerns about Omicron, scientists in South Africa said on Friday that the newest coronavirus variant appeared to spread more than twice as quickly as Delta, which had been considered the most contagious version of the virus.

Omicron’s rapid spread results from a combination of contagiousness and an ability to dodge the body’s immune defenses, the researchers said. But the contribution of each factor is not yet certain.

“We’re not sure what that mixture is,” said Carl Pearson, a mathematical modeler at the London School of Hygiene and Tropical Medicine who led the analysis. “It’s possible that it might even be less transmissible than Delta.”  Dr. Pearson posted the results on Twitter. The research has not yet been peer-reviewed nor published in a scientific journal.

On Thursday, researchers reported that the new variant may partly dodge immunity gained from a previous infection. It’s still unclear whether, or to what degree, Omicron may evade protection conferred by the vaccines. But some experts said they would expect the outcome to be similar.

“It’s scary that there are so many reinfections happening, which means that vaccine-induced immunity may also be impacted in similar way,” said Akiko Iwasaki, an immunologist at Yale.

The Omicron variant has appeared in nearly two dozen countries. The United States has identified at least 10 cases in six states. President Biden reiterated on Friday morning that his administration’s newest pandemic measures, which were announced this week, should be sufficient to blunt the spread of Omicron.

A Covid testing station at the O.R. Tambo International Airport in Johannesburg on Thursday.
Credit…Joao Silva/The New York Times

The variant was first identified in South Africa on Nov. 23 and has quickly come to account for about three-quarters of new cases in that country. South Africa reported 11,535 new coronavirus cases on Thursday, a 35 percent jump from the day before, and the proportion of positive test results increased to 22.4 percent from 16.5 percent.

“It is actually really striking how quickly it seems to have taken over,” said Juliet Pulliam, the director of an epidemiological modeling center at Stellenbosch University in South Africa, who led the earlier research on immunity.

Omicron cases are doubling roughly every three days in Gauteng province, which is home to South Africa’s densely populated economic hub, according to the new estimates by the researchers.

In a mathematical analysis, they estimated the variant’s Rt — a measure of how quickly a virus spreads — and compared it with the metric for Delta. They found that Omicron’s Rt is nearly 2.5 times as high as that of Delta’s.

That figure depends on not just how contagious the variant may be, but also its ability to sidestep the body’s immune defenses once it reaches a new host.  Based on the mutations Omicron carries, some researchers had warned that the variant may turn out to be highly transmissible, and that the current vaccines may not be as effective against it as against previous variants.

In the research published on Thursday, Dr. Pulliam and her colleagues estimated the new variant’s ability to evade immunity by looking at confirmed cases in the country through late November.

They reported an uptick in reinfections among people who had tested positive for the virus at least 90 days earlier, suggesting that the immunity gained from a previous bout with the virus was no longer as protective as it had appeared. The increase in reinfections coincided with Omicron’s spread in the country.

A quirk of Omicron’s genetic code made it easy to distinguish the variant from Delta in diagnostic tests, and that helped scientists quickly spot its steep rise, Dr. Pulliam said.

“If we hadn’t had that, we probably would be several weeks behind where we are now in terms of recognizing that there was a new variant,” she added.

The team did not confirm that the reinfections they observed were caused by the new variant, but said it was a reasonable assumption. A similar spike did not occur when the Beta and Delta variants were dominant, the scientists noted.

Dr. Pulliam and her colleagues estimated that the risk of reinfection with the Omicron variant is roughly 2.4 times the risk seen with the original version of the coronavirus.

Credit…Jerome Delay/Associated Press

Vaccines are thought to produce much higher levels of antibodies in the body, compared with the levels produced from infection with the coronavirus. But antibodies produced after an infection are capable of fending off variants with a wider range of mutations, noted Florian Krammer, an immunologist at the Icahn School of Medicine at Mount Sinai in New York.

If the new variant is reinfecting people who have recovered from Covid, “I don’t think that there will be much of a difference” in how Omicron responds to vaccines, Dr. Krammer said. “It’s not a good sign.”

South African researchers did not have information on the severity of the first illness compared with the second. But the immune system should be able to prevent most severe symptoms in people who had a previous infection or have been immunized, Dr. Iwasaki said.

“I suspect, and I’m hopeful, that these aren’t all going to result in severe disease,” she said. “Maybe there are lots of infections, but they may be milder.”

The Gauteng province in South Africa is now the epicenter of what scientists say is the country’s fourth wave of infections. The week-on-week increase in hospital admissions is already higher than in previous waves, according to data from the National Institute for Communicable Diseases of South Africa.

“Gauteng was absolutely clobbered by the Delta wave only five months ago, so there’s no doubt that this variant is causing significant numbers of reinfections, due to that fact alone,” said Kristian Andersen, a virologist at the Scripps Research Institute in San Diego.

The percentage of children younger than 5 among total cases has also risen sharply — second only to those over 60 — but that may be because more adults are immunized now than in previous waves.

Pediatricians are also admitting more children to hospitals, but mostly as a precautionary measure, said Dr. Waasila Jassat, a public health specialist at the National Institute for Communicable Diseases.

“Later in the wave, they wouldn’t meet the criteria for admission,” Dr. Jassat said. Most hospitalized children are unvaccinated, she said, and live with parents who have also not been immunized.

Lynsey Chutel contributed reporting from South Africa.


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EDITORIAL

Islamic Finance Shaping the Future: A Reflection on the International Summit on Financing Primary Healthcare Infrastructure in Nigeria

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On November 30th, 2023, the International Summit on Financing Primary Healthcare Infrastructure in Nigeria took center stage in Abuja, bringing together global leaders, financial experts, and healthcare professionals to deliberate on a critical theme: “Islamic Finance: Exploring New Sources of Financing for Primary Healthcare Transformation in Nigeria.” This landmark event, which was organized by DUKE Consult Limited in strategic collaboration with the Africa Islamic Economic Foundation, Ghana and Glocal Healthcare Systems Ltd, India, marked a significant step towards addressing the healthcare infrastructure challenges in Nigeria through innovative and sustainable financing mechanisms.

The Urgency of Healthcare Infrastructure Transformation

Nigeria, like many other developing nations, faces substantial challenges in its healthcare infrastructure. The need for adequate facilities, skilled healthcare professionals, and sustainable funding mechanisms has become increasingly urgent, especially in the wake of global health crises. The summit recognized that achieving robust primary healthcare infrastructure is pivotal to ensuring the well-being of the population and addressing health disparities.

Islamic Finance as a Catalyst for Change

The choice of Islamic finance as the central theme reflects a strategic move towards diversifying sources of funding for healthcare infrastructure. Islamic finance principles, rooted in ethical and equitable financial practices, provide an alternative framework for generating funds. By exploring these principles, Nigeria aims to tap into new avenues that align with its cultural values while fostering inclusive economic development.

Key Discussions and Agreements

The summit facilitated in-depth discussions on the potential of Islamic finance to transform Nigeria’s primary healthcare infrastructure. Attendees deliberated on the principles of Islamic finance, such as risk-sharing, profit and loss sharing, and ethical investment, as tools for shaping a more sustainable healthcare future.

One of the primary outcomes was the establishment of collaborative initiatives between the public and private sectors, leveraging Islamic finance instruments to fund healthcare projects. The summit also saw the formation of partnerships with international organizations and financial institutions, showcasing a commitment to shared responsibility in addressing Nigeria’s healthcare challenges.

Emphasizing Inclusivity and Cultural Sensitivity

An essential aspect of the summit was the emphasis on inclusivity and cultural sensitivity in healthcare financing. Recognizing that Islamic finance aligns with Nigeria’s cultural and religious values, the summit underscored the importance of tailoring financial mechanisms to the specific needs and beliefs of the population. This approach ensures that healthcare development is not only economically sustainable but also culturally resonant, promoting widespread acceptance and participation.

Looking Forward          

The International Summit on Financing Primary Healthcare Infrastructure in Nigeria has set a precedent for innovative and inclusive approaches to addressing healthcare challenges. As Nigeria strives to achieve its healthcare transformation goals, the incorporation of Islamic finance principles serves as a beacon for other nations facing similar challenges.

In conclusion, the summit marked a pivotal moment in Nigeria’s journey towards sustainable healthcare development. By exploring new sources of financing rooted in ethical principles, the country is forging a path towards a healthier, more resilient future. As the initiatives launched at the summit unfold, they have the potential not only to transform healthcare infrastructure but also to serve as a model for other nations seeking innovative financing solutions in the pursuit of universal health coverage.


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HEALTH & EDUCATION

Highlights of the One Day International Summit on Financing Primary Healthcare Infrastructure in Nigeria

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By our special correspondent

A one-day international Summit on Financing Primary Healthcare Infrastructure in Nigeria under the theme: Islamic Finance: Exploring New Sources Of Financing For Primary Healthcare Transformation in Nigeria was held in Abuja, the Capital of the Federal Republic of Nigeria on the 30th of November, 2023, at the NICON Luxury Hotel, under the distinguished Chairmanship of His Excellency, Senator Ibrahim Shekarau, former Executive Governor of Kano State.

The groundbreaking event, which was organized by DUKE Logistics & Consult (Nigeria) Limited, Abuja, in strategic collaboration with the Africa Islamic Economic Foundation, Ghana and Glocal Healthcare Services Limited, India, was held to explore innovative healthcare financing models that leverage Islamic finance instruments such as sukuk (Islamic bonds), waqf (endowments), and takaful (Islamic insurance), etc. in providing sustainable and long-term financing for primary healthcare transformation in Nigeria; and to foster collaboration between the various states of the federation to share best practices and experiences in leveraging Islamic finance for healthcare projects.

The summit featured keynote speeches and discussions on various topics related to Islamic finance, healthcare infrastructure development and digital health solutions: The role of Islamic Finance in healthcare Infrastructure Development in Nigeria, by Prof. Ahmad bello Dogarawa of the Ahmadu Bello University, Zaria; Digital Health Solutions Innovation: The Glocal Story, by Mr Shailesh Kumar, of the Glocal Healthcare Systems Limited, India; Digital Health Transformation: Opportunities & Challenges, by Hon Dr Abdel Majeed Haroun, former Minister of Agriculture, Republic of Ghana; Africa Healthcare Infrastructure Program (AHIDEP), by Hajiya Aishatu Usman Muhammad of the Gombe State University, Gombe, The foregoing presentations were supported with expert and insightful discussions by Dr Aisha Ahmed, an Islamic Finance expert and consultant, Abuja and Mr. Muhammad Lawal Shu’aibu, CEO, LCM Consult Limited Abuja.

One of the key discussions revolved around the role of Islamic Finance in healthcare infrastructure development in Nigeria. Participants delved into the potential of Islamic Finance to provide sustainable funding for the construction and maintenance of healthcare facilities. This topic explored innovative financing models that align with the principles of Islamic Finance, such as waqf (endowment) and sukuk (Islamic bonds).

Another captivating topic discussed at the summit was “Digital Health Solutions Innovation: The Glocal Story.” The term “Glocal” refers to the combination of global and local perspectives. The Summit focused on the Glocal Story, which highlighted its cutting-edge digital health solutions that bridge the gap between global advancements and local healthcare needs. Experts shared success stories, case studies, and best practices, showcasing how technology can revolutionize healthcare delivery in Nigeria by improving access, affordability, and quality of care.

Furthermore, the summit covered the topic of “Digital Health Transformation: Opportunities and Challenges.” This presentation highlighted the importance of adapting digital health solutions to the specific needs and contexts of Nigeria. It addressed how these innovations can improve healthcare accessibility, efficiency, and quality, particularly in underserved areas. Participants explored the potential benefits and challenges associated with digital health transformation in Nigeria. They examined how technological advancements, such as telemedicine, electronic health records, and artificial intelligence, can revolutionize healthcare delivery and management in the country.

The presentation of the Africa Healthcare Infrastructure Development Program, the flagship initiative of the Africa Islamic Economic Foundation, offered participants a glimpse of the functions of the Program. The presentation shows that AHIDEP is a great platform to connect with international organizations and investors who are interested in supporting healthcare initiatives in Nigeria. However, to showcase the importance and potential of a healthcare project to potential investors, potential beneficiaries would have to prepare a comprehensive proposal outlining their healthcare infrastructure development goals, strategies, and the potential impact.

The discussions also touched upon the importance of involving stakeholders and ensuring efficient management of healthcare infrastructure projects. Furthermore, the discussions elucidated in detail how Islamic finance can support the innovation and implementation of digital health solutions tailored to the Nigerian context. The conversation revolved around leveraging technologies like telemedicine, mobile health applications, and electronic health records to enhance access to healthcare services, especially in remote areas. The importance of collaborations between local and international stakeholders for effective digital health transformation was also emphasized.

Overall, this one-day event, the international summit on financing primary healthcare infrastructure in Nigeria provided a platform for experts, policymakers, and stakeholders to discuss strategies and explore new sources of financing for primary healthcare transformation in Nigeria. It showcased the potential of Islamic Finance as a viable option and emphasized the importance of digital health solutions in shaping the future of healthcare in the country.


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HEALTH & EDUCATION

Investments in Digital Can Accelerate Improvements in Health Care

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Digital technology can strengthen health systems, improve health financing and public health, and increase reach to underserved populations, according to a new World Bank report launched today. The report also finds that digital technology and data are especially helpful to prevent and manage chronic diseases, care for both young and aging populations, and prepare for future health emergencies and health risks triggered by climate change.

The report, Digital-in-Health: Unlocking the Value for Everyone, was launched today during the G20 Health Ministers Meeting in Gandhinagar, India. It presents a new way of thinking from simple digitization of health data to fully integrating digital technology in health systems: Digital-in-health. This means, for example, infusing digital technologies in health financing, service delivery, diagnostics, medical education, pandemic preparedness, climate and health efforts, nutrition, and aging.

The report also underscores that the successful use of digital technologies must be inclusive of all population groups, and ensure access to digital infrastructure, modern technologies, and skills, especially for vulnerable people.

Designed with people at the center, digital technology can make health services more personal, prevent healthcare costs from increasing, reduce differences in care, and make the job easier for those who provide health services,” said Mamta Murthi, Vice President for Human Development, World Bank. “We hope that this report will give governments confidence and practical guidance, regardless of the country’s stage of digital maturity or fiscal challenges.

Improving health is getting harder, not easier. Health systems face serious and growing challenges and policy decisions are too often not based on reliable data.  It is estimated that some countries use less than 5% of health data to improve health which means that decisions are not based on data or data is not used effectively to make improvements. Within challenging fiscal environments, people-centered and evidence-based digital investments can help governments save up to 15% of health costs. The report presents pragmatic, low-cost actions to improve digital-in-health, no matter the maturity of a country’s systems or digital infrastructure. For example, better health data governance and standards to ensure systems can readily connect and exchange information are not costly but will be game changing in reducing siloed digital solutions and fragmentation.

In India, we have shown that digital innovations such as tele-consultations have reached more than 140 million people and provided accessible, affordable and efficient healthcare for everyone,” said Mansukh L Mandaviya, Minister for Health and Family Welfare, India. “We believe a digital-in-health approach can unlock the value of digital technologies and data and has the potential to prevent disease and lower healthcare costs while helping patients monitor and manage chronic conditions.” 

To help countries embrace a digital-in-health approach, the report proposes three essential areas to guide investments:

  1. Prioritize evidence-based digital investments that tackle the biggest problems and focus on the needs of patients and providers.
  2. Connect the regulatory, governance, information, and infrastructure dots so that patients know that data is safe and health workers can use digital solutions transparently.
  3. Scale digital health for the long run based on trust with sustainable financing, and improved capacity and skills for digital solutions.

It will take global, regional, and country leadership to make digital-in-health a reality. The report recommends strong country leadership involving all relevant sectors and stakeholders, including civil society. Digital technology and data improvements will involve investments beyond the health sector and new partnerships with the private sector. A digital-in-health mindset needs to be a routine aspect of annual health system planning, budgeting, and implementation.

The World Bank is committed to helping low-and middle-income countries to make digital-in-health a reality to improve health for everyone. Over the past decade, the World Bank has invested almost $4 billion in digital health including in health information systems, digital governance, identification systems, and infrastructure.


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