Category: COVID-19 Vaccine

  • MIL-OSI USA: Murray, DeLauro, Baldwin Blast Director Bhattacharya for Terminating Thousands of Active NIH Grants, Upending Research, Threatening Patient Treatment

    US Senate News:

    Source: United States Senator for Washington State Patty Murray

    Top Democratic appropriators call out NIH for cancelling at least 2,370 active grants, cutting off funding to over 210 institutions, and demand a comprehensive list of terminated grants and the impact on patients in clinical trials

    Lawmakers: “Grinding wide swaths of clinical trials to a screeching halt is completely illegal, reckless, unethical, and endangers patient health and safety. In addition to threatening our nation’s future in biomedical innovation and global leadership, this administration’s siege on science is putting millions of American lives at risk.”

    Washington, D.C. — Senator Patty Murray (D-WA), Senate Appropriations Committee Vice Chair, Congresswoman Rosa DeLauro (D-CT-03), Ranking Member of the House Appropriations Committee and the Labor, Health and Human Services, Education, and Related Agencies Subcommittee, and Senator Tammy Baldwin (D-WI), Ranking Member of the Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies, sent a letter to National Institutes of Health (NIH) Director Dr. Jayanta Bhattacharya calling out the Trump administration’s reckless decision to terminate at least 2,370 active NIH grants, an illegal move that has upended biomedical research and threatened patients’ access to treatment, and demanding that NIH provide the House and Senate Committees on Appropriations the legal authority being used to terminate grants, a comprehensive list of grant cancellations, details on the impact to clinical trials, and the criteria used for termination decisions.

    “We write in strong opposition to the termination of at least 2,370 active grants funded by the National Institutes of Health (NIH) and to the agency’s decision to refuse to consider certain categories of pending grant applications,” write the lawmakers. “The cancellations of these grants have abruptly cut off funding to more than 210 recipient institutions, amounting to more than $4.9 billion in taxpayer funding. The reckless termination of ongoing grants, particularly in the context of other actions at NIH, have upended biomedical research across the country, cancelled clinical trials and cut off patients’ access to treatment, and put our national security, global competitiveness, and an entire generation of early career scientists at risk.”

    The lawmakers emphasize NIH was established by Congress and investment in the agency has made the United States a leader in biomedical research, “NIH is the largest funder of biomedical research in the world, responsible for the discovery of new ways to diagnose, prevent, and treat devastating diseases and conditions including cancer, rare diseases, ALS, diabetes, and Alzheimer’s disease, among many others. NIH funding represents about one-fifth of total U.S. federal research and development (R&D) funding and represents close to half of all federal R&D spending outside of the Department of Defense. That investment has paid off; NIH-funded research has led to more than 100 Nobel Prizes and supported more than 99 percent of the drugs approved by the Food and Drug Administration from 2010 to 2019.”

    “Approximately 83 percent of NIH’s $48 billion budget is allocated for researchers at universities and research institutions, which are spread across all 50 states. This amounts to about 60,000 annual competitive grants to more than 300,000 researchers at more than 2,500 institutions across the country. In determining which research to fund, NIH has been guided by congressional mandate, regulatory requirements, and scientific expertise,” write the lawmakers.NIH funding decisions follow a highly competitive and rigorous process, and its peer review system is widely regarded as the gold standard, which is why grant terminations have been extremely rare.

    The lawmakers continue, “Shortly after the Trump Administration took office, NIH issued a series of directives to arbitrarily terminate large numbers of grants and to refuse to consider certain categories of pending grant applications. Rather than citing any scientific concerns with the rigor of the projects, any underlying data, or other project-specific concerns, termination notifications sent to impacted researchers simply state that the cancelled projects ‘no longer effectuate agency priorities.’ As a result, thousands of research projects, many of which had been underway for years and represent millions of hours of work and billions of taxpayer dollars, were abruptly cancelled, grant application reviews abandoned, and funding opportunities removed from NIH’s websites.”

    The lawmakers note many of the terminated institutional and training grants that were cancelled supported early-career researchers and scientists from underrepresented communities, and “the nationwide termination of biomedical training programs in every stage of the training pipeline from undergraduate students to tenure-track positions will irreparably weaken the scientific workforce, decimating the next generation of American scientists in academia and industry.”

    “As research institutions, scientists, and trainees struggle with the loss of staff, jobs, and income, patients enrolled in NIH-funded clinical trials face abrupt cancellations or delays in lifesaving treatment,” the lawmakers write. The letter further details the hundreds of active clinical trials that abruptly stopped, trials that were investigating treatments for HIV, cancer, COVID-19, and mental health.

    The lawmakers conclude, “Grinding wide swaths of clinical trials to a screeching halt is completely illegal, reckless, unethical, and endangers patient health and safety. In addition to threatening our nation’s future in biomedical innovation and global leadership, this administration’s siege on science is putting millions of American lives at risk. We demand that NIH provide to the House and Senate Committees on Appropriations a comprehensive list of grant terminations that have been made since January 20, 2025, to be updated on a weekly basis.”

    The full letter is available HERE and below:

    Dr. Jayanta Bhattacharya

    Director

    National Institutes of Health

    9000 Rockville Pike

    Bethesda, Maryland 20892

    Dr. Bhattacharya,

    We write in strong opposition to the termination of at least 2,370 active grants funded by the National Institutes of Health (NIH) and to the agency’s decision to refuse to consider certain categories of pending grant applications. The cancellations of these grants have abruptly cut off funding to more than 210 recipient institutions, amounting to more than $4.9 billion in taxpayer funding. The reckless termination of ongoing grants, particularly in the context of other actions at NIH, have upended biomedical research across the country, cancelled clinical trials and cut off patients’ access to treatment, and put our national security, global competitiveness, and an entire generation of early career scientists at risk.    

    Congress established NIH in 1930 through the Ransdell Act to ascertain “the cause, prevention, and cure of disease affecting human beings.” Today, NIH is the largest funder of biomedical research in the world, responsible for the discovery of new ways to diagnose, prevent, and treat devastating diseases and conditions including cancer, rare diseases, ALS, diabetes, and Alzheimer’s disease, among many others. NIH funding represents about one-fifth of total U.S. federal research and development (R&D) funding and represents close to half of all federal R&D spending outside of the Department of Defense. That investment has paid off; NIH-funded research has led to more than 100 Nobel Prizes and supported more than 99 percent of the drugs approved by the Food and Drug Administration from 2010 to 2019.

    Approximately 83 percent of NIH’s $48 billion budget is allocated for researchers at universities and research institutions, which are spread across all 50 states. This amounts to about 60,000 annual competitive grants to more than 300,000 researchers at more than 2,500 institutions across the country. In determining which research to fund, NIH has been guided by congressional mandate, regulatory requirements, and scientific expertise. These funding decisions follow a highly competitive and rigorous process that involves layers of expert scientific review over many months. The NIH peer review system is widely regarded as the gold standard in research funding and is praised for its transparency, fairness, and ability to identify and fund the most promising research, contributing significantly to scientific advancements and the public’s understanding of health. Given this standardized, merit-based system, terminations of active NIH grants have been extremely rare—fewer than 20 terminations per year, on average, over the past decade.

    However, in the beginning of February 2025, shortly after the Trump Administration took office, NIH issued a series of directives to arbitrarily terminate large numbers of grants and to refuse to consider certain categories of pending grant applications. Rather than citing any scientific concerns with the rigor of the projects, any underlying data, or other project-specific concerns, termination notifications sent to impacted researchers simply state that the cancelled projects “no longer effectuate agency priorities.” As a result, thousands of research projects, many of which had been underway for years and represent millions of hours of work and billions of taxpayer dollars, were abruptly cancelled, grant application reviews abandoned, and funding opportunities removed from NIH’s websites.

    In addition to an ideological purge of thousands of research projects that benefit LGBTQ+ and non-white populations, the Administration is also targeting and terminating research related to vaccine hesitancy, COVID-19, HIV, women’s health, Alzheimer’s disease, suicide prevention, any studies involving entities in South Africa and China, and institutions of higher education that are not ideologically aligned with the President’s political agenda. These grant terminations are in direct defiance of Congress’ annual Appropriations Act, which mandates that NIH fund research to address health equity and health disparities, include diverse populations in its studies, and enhance diversity in the biomedical research enterprise.

    NIH cancelled a slew of institutional and individual training grants awarded by the National Institute of General Medical Sciences (NIGMS) among other NIH Institutes and Centers. Many of the terminated grants supported scientists from underrepresented communities. On March 27, 2025, with no prior notice, NIH issued stop work orders for all 63 Undergraduate Research Training Initiative for Student Enhancement (U-RISE) programs and all 34 Maximizing Access to Research Careers (MARC) programs, which have supported undergraduate researchers for nearly 50 years. Other terminated training programs include the Post-Baccalaureate Research Education Program (PREP); the Bridges to the Doctorate Program, which trained masters students; the Initiative for Maximizing Student Development (IMSD), which supported graduate students; the Institutional Research and Academic Career Development Award (IRACDA), which aided postdoctoral researchers; and the Maximizing Opportunities for Scientific and Academic Independent Careers (MOSAIC) program, which funded individual scientists as they transitioned from postdoctoral to faculty positions. The nationwide termination of biomedical training programs in every stage of the training pipeline from undergraduate students to tenure-track positions will irreparably weaken the scientific workforce, decimating the next generation of American scientists in academia and industry.

    As research institutions, scientists, and trainees struggle with the loss of staff, jobs, and income, patients enrolled in NIH-funded clinical trials face abrupt cancellations or delays in lifesaving treatment. In early May, the Association of American Medical Colleges (AAMC) estimated that 91 cancelled grants, amounting to $643 million and supporting 113 active clinical trials that investigated topics such as HIV, cancer, mental health, and COVID-19, were abruptly terminated by NIH. On March 10, the Living Healthy for Moms (LHMoms) clinical trial was terminated, undermining vital support for 600 new mothers managing postpartum depression or cardiovascular events following the birth of their babies. Most preventable maternal deaths and complications from mental health and cardiovascular conditions occur in the immediate postpartum period, and this study would have provided support for postpartum mothers for six months, covering a critical window to prevent long-term health consequences and address the maternal health crisis. On March 21, NIH terminated the research network supporting the Adolescent Trials Network for HIV/AIDS Intervention (ATN). In its 24-year history, the ATN enrolled more than 30,000 adolescents and young adults in 150 studies, and that research helped pre-exposure prophylaxis (PrEP) medications get FDA approval. Terminating this grant disrupts seven clinical trials aimed at boosting HIV testing and PrEP adherence; depriving adolescents and young adults from access to diagnostic testing, prevention and treatment puts their health and lives at risk. A cervical-cancer-prevention clinical trial offering point of care screening and treatment for women with human papillomavirus (HPV) was also abruptly cancelled. Cervical cancer is a leading cause of cancer-related deaths among women, and is almost entirely preventable.

    Grinding wide swaths of clinical trials to a screeching halt is completely illegal, reckless, unethical, and endangers patient health and safety. In addition to threatening our nation’s future in biomedical innovation and global leadership, this administration’s siege on science is putting millions of American lives at risk. We demand that NIH provide to the House and Senate Committees on Appropriations a comprehensive list of grant terminations that have been made since January 20, 2025, to be updated on a weekly basis. To better understand the scope of NIH grant terminations and NIH’s statutory compliance, we request responses to the following questions by June 13, 2025.

    1. Given that NIH appears to be relying on a regulatory change in 2 CFR Part 200.340 that does not take effect until October 1, 2025, what is NIH’s legal authority to terminate grants based on alleged “changes” in agency priorities?
    2. How many NIH grants, awarded to how many research institutions, have been terminated since January 20, 2025?
      1. How many of these grants were clinical trials?
      2. How many patients were enrolled in clinical trials that were cancelled?
      3. How many clinical trials were initially terminated and then later reinstated?
    3. What guidance has NIH provided to grantees of terminated clinical trials regarding the preservation of patient safety and navigation of orderly closeout procedures? Please provide a definition of both “patient safety” and “orderly closeout”.
      1. What is NIH’s policy on exceptions, and have any exceptions been made? If so, provide a list of grants that were provided exceptions.
      2. What is the process for grantees or NIH staff to petition for exceptions if there are concerns about patient safety?
      3. What guidance has NIH provided to grantees that may need to request funds to support patient safety and orderly closeout of the project? What is the process for grantees to request those funds, and what actions qualify?
    4. What is the total amount of NIH funding that has been terminated? For each terminated grant provide the:
      1. budget year of the grant when it was terminated;
      2. amount of unexpended funds on the current grant when it was terminated; and
      3. total award of the grant, including expected future non-competing continuation awards.
    5. Who at NIH made the decision to terminate these grants? Who inside and outside of NIH were involved in the decisions to terminate these grants?
      1. Was the Department of Government Efficiency (DOGE) involved in the identification of grants to be terminated? If so, what was their role?
    6. How were grants identified for termination and what criteria was used in determining which grants to terminate?
    7. How many institutional and individual training grants have been terminated by NIH?
      1. What percentage of all institutional and individual training grants awarded by NIH in FY24 does this represent?
      2. What is the justification for each training grant that NIH has terminated?

    Thank you for your attention to this urgent matter.

    MIL OSI USA News

  • MIL-Evening Report: Australia’s whooping cough surge is not over – and it doesn’t just affect babies

    Source: The Conversation (Au and NZ) – By Niall Johnston, Conjoint Associate Lecturer, Faculty of Medicine, UNSW Sydney

    Tomsickova Tatyana/Shutterstock

    Whooping cough (pertussis) is always circulating in Australia, and epidemics are expected every three to four years. However, the numbers we’re seeing with the current surge – which started in 2024 – are higher than usual epidemics.

    Vaccines for this highly infectious respiratory infection have been available in Australia for many decades. Yet it remains a challenging infection to control because immunity (due to prior infection, or vaccination) wanes with time.

    In 2025, more than 14,000 cases have been recorded already. Some regions, including Queensland and Western Australia’s Kimberley region, are seeing a marked rise in cases.

    In 2024, more than 57,000 cases of whooping cough were reported in Australia – the highest yearly total since 1991 – including 25,900 in New South Wales alone.

    What is causing the current surge?

    A few factors are driving numbers higher than we’d expect for an anticipated epidemic.

    COVID lockdowns in 2020 and 2021 reduced natural immunity to many diseases, disrupted routine childhood vaccination services, and resulted in rising distrust in vaccines. This has meant higher-than-usual numbers for many infectious diseases.

    And it’s not only Australia witnessing this surge.

    In the United States, whooping cough cases are at their highest since 1948, with deaths reported in several states, including two infants.

    In Australia, vaccine coverage remains relatively high but it is slipping and is below the national target of 95% .

    Even small declines may have a significant impact on infection rates.

    Who is at risk of whooping cough?

    Young babies, especially those under six weeks of age, are extremely vulnerable to whooping cough because they’re too young to be vaccinated.

    Infants under six months of age are also more likely to require hospitalisation for breathing support or have severe outcomes such as pneumonia, seizures or brain inflammation . Some do not survive.

    However, the greatest number of cases occur in older children and adults. In fact, in 2024, more than 70% of cases occurred in children 10 years and older, and adults.

    Babies who are too young to be vaccinated are most vulnerable.
    Halfpoint/Shutterstock

    Can you get whooping cough even if you’re vaccinated?

    The whooping cough vaccine works well, but its protection fades with time. Babies are immunised at six weeks, four months and six months, which gives good protection against severe illness.

    But without extra (booster) doses, that protection drops, falling to less than 50% by four years of age. That’s why booster doses at 18 months and four years are essential for maintaining protection against the disease.

    A whooping cough vaccine is also recommended for any adult who wishes to reduce the likelihood of becoming ill with pertussis. Carers of young infants, in particular, should have a booster dose if they’ve not received one in the past ten years.

    A booster dose is also recommended every ten years for health-care workers and early childhood educators.

    One of the best ways we can protect babies from the life-threatening illness of whooping cough is vaccination during pregnancy, which transfers protective antibodies to the unborn baby.

    If a woman hasn’t received a vaccine during pregnancy, they can be vaccinated as soon as possible after delivery (preferably before hospital discharge). This won’t pass protective immunity to the baby, but reduces the likelihood of the mother getting whooping cough, providing some indirect protection to the infant.

    How contagious is whooping cough?

    Whooping cough is extremely contagious – in fact, it is up to ten times more contagious than the flu.

    If you’re immunised against whooping cough, you’re likely to have milder symptoms. But you can still catch and spread it, including to babies who have not yet been immunised.

    Data shows siblings (and not parents) are one of the most common sources of whooping cough infection in babies.

    This highlights the importance of on-time vaccination not just during pregnancy, but also in siblings and other close contacts.

    How do I know it’s whooping cough, and not just a cold?

    Early symptoms of whooping cough can look just like a cold: a runny nose, mild fever, and a persistent cough.

    After about a week, the cough often worsens, coming in long fits that may end with a sharp “whoop” as the person gasps for breath.

    In very young babies, there may be no whoop at all. They might briefly stop breathing (called an “apnoea”) or turn blue.

    In teens and adults, the only sign may be a stubborn cough (the so-called “100-day” cough) that won’t go away.

    If you have whooping cough, you may be infectious for up to three weeks after symptoms begin, unless treated with antibiotics (which can shorten this to five days).

    You’ll need to stay home from work, school or childcare during this time to help protect others.

    What should I do to reduce my risk?

    Start by checking your vaccination record. This can be done through the myGov website, the Express Plus Medicare app or by asking your GP.

    If you’re pregnant, get a whooping cough booster in your second trimester. A booster is also important if you’re planning to care for young infants or meet a newborn.

    Got a cough that lasts more than a week or comes in fits? Ask your GP about testing.

    One quick booster could help stop the next outbreak from reaching you or your loved ones.

    Phoebe Williams receives funding from the National Health and Medical Research Council, the Gates Foundation, and the Medical Research Future Fund.

    Helen Quinn and Niall Johnston do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. Australia’s whooping cough surge is not over – and it doesn’t just affect babies – https://theconversation.com/australias-whooping-cough-surge-is-not-over-and-it-doesnt-just-affect-babies-257808

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI United Kingdom: Chikungunya vaccine (IXCHIQ) temporarily paused in people aged 65 and over as precautionary measure

    Source: United Kingdom – Executive Government & Departments

    News story

    Chikungunya vaccine (IXCHIQ) temporarily paused in people aged 65 and over as precautionary measure

    This is a precautionary measure while the MHRA conducts the safety review.

    Following global reports of serious adverse events in older people, the government’s independent expert advisory body, the Commission on Human Medicines (CHM), has temporarily restricted use of a chikungunya vaccine called IXCHIQ in people aged 65 and over until a further safety review has been concluded.

    This is a precautionary measure while the MHRA conducts the safety review.

    The MHRA is working with the manufacturer of the IXCHIQ  vaccine, Valneva. This vaccine was approved by the MHRA in February 2025. There will be no impact on operational issues as this vaccine is not yet available in the UK and therefore there is no immediate safety concern.

    The decision to restrict the licence until further review is based on global data which has highlighted 23 cases of serious adverse reactions, including two cases reporting a fatal outcome, in people aged from 62 to 89 years of age who received the vaccine. There are no changes in the recommendations for vaccination with IXCHIQ for people of 18 to 64 years of age.

    The vaccine is currently contraindicated in individuals with immunodeficiency or immunosuppression as a result of disease or medical therapy. 

    Chikungunya virus (CHIKV) is found in the subtropical regions of the Americas, Africa, Southeast Asia, India, and the Pacific Region, and is spread to humans by the bite of an infected mosquito (Aedes aegypti and Aedes albopictus). It cannot be passed from human to human. A recent outbreak in La Reunion, an overseas department and region of France, saw over 47,500 people contract the virus, with 12 fatalities.

    The majority of people infected with chikungunya develop a sudden fever and severe pain in multiple joints (arthralgia). Other symptoms may include headache, muscle pain, joint swelling, or rash. These symptoms typically resolve within 7 to 10 days, and most patients make a full recovery. However, in some cases joint pain and arthritis may persist for several months or even years. Occasional cases of eye, neurological and heart complications have been reported, as well as gastrointestinal complaints. A small number of people may develop severe acute disease, which can lead to multiorgan failure and death.

    Notes to editors    

    • The Commission on Human Medicines (CHM) advises ministers on the safety, efficacy and quality of medicinal products. The CHM is an advisory non-departmental public body, sponsored by the Department of Health and Social Care.
    • The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating all medicines and medical devices in the UK by ensuring they work and are acceptably safe.  All our work is underpinned by robust and fact-based judgements to ensure that the benefits justify any risks.
    • The MHRA is an executive agency of the Department of Health and Social Care.
    • For media enquiries, please contact the newscentre@mhra.gov.uk, or call on 020 3080 7651.

    Updates to this page

    Published 9 June 2025

    MIL OSI United Kingdom

  • MIL-OSI: RTI to Host Expert Panel on Edge-to-Cloud Connectivity for AI and Autonomy

    Source: GlobeNewswire (MIL-OSI)

    SUNNYVALE, Calif., June 09, 2025 (GLOBE NEWSWIRE) — Real-Time Innovations (RTI), the software framework company for physical AI systems, will host a live webinar on June 24, 2025, titled Real-Time Data Anywhere: Powering Edge AI and Cloud with Data-Centricity. The 60-minute session will begin at 8:00 a.m. PDT and feature expert insights on the evolving landscape of autonomy, AI, and connectivity.

    As next-generation autonomous systems emerge in industries such as agriculture, mining, and transportation, the need for intelligent, real-time data exchange between the edge and cloud becomes essential. This webinar will explore how a data-centric architecture streamlines communication across distributed systems and helps overcome the performance, cost, and scalability challenges of traditional approaches.

    Presented by Rajive Joshi, Systems Architect at RTI; Nancy Post, Senior Advisor at Boston Consulting Group; and Tim Frasier, Founder and President of The Frasier Group LLC, the session will offer an in-depth discussion on designing high-performance, intelligent systems for edge-to-cloud operations.

    Attendees will gain insights into how data-centricity enables seamless connectivity through a common global databus, supporting operational intelligence and the low-latency performance required by AI-driven applications.

    Webinar Details

    What: Real-Time Data Anywhere: Powering Edge AI and Cloud with Data-Centricity
    When: June 24, 2025 | 8:00 a.m. PDT
    Where: Online

    To learn more or register for the session, visit the webinar page.

    About RTI

    RTI is the software framework company for physical AI systems, with a mission to run a smarter world. RTI Connext® provides the data architecture for over 2,000 designs in Aerospace and Defense, Medtech, Automotive, and Robotics – running in more than $1T of total deployed systems worldwide. Only RTI combines decades of technical expertise with industry-leading software and tools to develop smarter systems, faster. Learn more at www.rti.com.

    The MIL Network

  • MIL-OSI Global: Measles cases are surging globally. Should children be vaccinated earlier?

    Source: The Conversation – Global Perspectives – By Meru Sheel, Associate Professor, Infectious Diseases, Immunisation and Emergencies (IDIE) Group, Sydney School of Public Health, University of Sydney

    EyeEm Mobile GmbH/Getty Images

    Measles has been rising globally in recent years. There were an estimated 10.3 million cases worldwide in 2023, a 20% increase from 2022.

    Outbreaks are being reported all over the world including in the United States, Europe and the Western Pacific region (which includes Australia). For example, Vietnam has reportedly seen thousands of cases in 2024 and 2025.

    In Australia, 77 cases of measles have been recorded in the first five months of 2025, compared with 57 cases in all of 2024.

    Measles cases in Australia are almost all related to international travel. They occur in travellers returning from overseas, or are contracted locally after mixing with an infected traveller or their contacts.

    Measles most commonly affects children and is preventable with vaccination, given in Australia in two doses at 12 and 18 months old. But in light of current outbreaks globally, is there a case for reviewing the timing of measles vaccinations?

    Some measles basics

    Measles is caused by a virus belonging to the genus Morbillivirus. Symptoms include a fever, cough, runny nose and a rash. While it presents as a mild illness in most cases, measles can lead to severe disease requiring hospitalisation, and even death. Large outbreaks can overwhelm health systems.

    Measles can have serious health consequences, such as in the brain and the immune system, years after the infection.

    Measles spreads from person to person via small respiratory droplets that can remain suspended in the air for two hours. It’s highly contagious – one person with measles can spread the infection to 12–18 people who aren’t immune.

    Because measles is so infectious, the World Health Organization (WHO) recommends two-dose vaccination coverage above 95% to stop the spread and achieve “herd immunity”.

    Low and declining vaccine coverage, especially since the COVID pandemic, is driving global outbreaks.




    Read more:
    What are the symptoms of measles? How long does the vaccine last? Experts answer 6 key questions


    When are children vaccinated against measles?

    Newborn babies are generally protected against measles thanks to maternal antibodies. Maternal antibodies get passed from the mother to the baby via the placenta and in breast milk, and provide protection against infections including measles.

    The WHO advises everyone should receive two doses of measles vaccination. In places where there’s a lot of measles circulating, children are generally recommended to have the first dose at around nine months old. This is because it’s expected maternal antibodies would have declined significantly in most infants by that age, leaving them vulnerable to infection.

    If maternal measles antibodies are still present, the vaccine is less likely to produce an immune response.

    Research has also shown a measles vaccine given at less than 8.5 months of age can result in an antibody response which declines more quickly. This might be due to interference with maternal antibodies, but researchers are still trying to understand the reasons for this.

    A second dose of the vaccine is usually given 6–9 months later. A second dose is important because about 10–15% of children don’t develop antibodies after the first vaccine.

    In settings where measles transmission is under better control, a first dose is recommended at 12 months of age. Vaccination at 12 months compared with nine months is considered to generate a stronger, longer-lasting immune response.

    In Australia, children are routinely given the measles-mumps- rubella (MMR) vaccine at 12 months and the measles-mumps-rubella-varicella (MMRV, with “varicella” being chickenpox) vaccine at 18 months.

    Babies at higher risk of catching the disease can also be given an additional early dose. In Australia, this is recommended for infants as young as six months when there’s an outbreak or if they’re travelling overseas to a high-risk setting.

    A new study looking at measles antibodies in babies

    A recent review looked at measles antibody data from babies under nine months old living in low- and middle-income countries. The review combined the results from 20 studies, including more than 8,000 babies. The researchers found that while 81% of newborns had maternal antibodies to measles, only 30% of babies aged four months had maternal antibodies.

    This study suggests maternal antibodies to measles decline much earlier than previously thought. It raises the question of whether the first dose of measles vaccine is given too late to maximise infants’ protection, especially when there’s a lot of measles around.

    Should we bring the measles vaccine forward in Australia?

    All of the data in this study comes from low- and middle-income countries, and might not reflect the situation in Australia where we have much higher vaccine coverage for measles, and very few cases.

    Australia’s coverage for two doses of the MMR vaccine at age two is above 92%.

    Although this is lower than the optimal 95%, the overall risk of measles surging in Australia is relatively low.

    Nonetheless, there may be a case for broadening the age at which an early extra dose of the measles vaccine can be given to children at higher risk. In New Zealand, infants as young as four months can receive a measles vaccine before travelling to an endemic country.

    But the current routine immunisation schedule in Australia is unlikely to change.

    Adding an extra dose to the schedule would be costly and logistically difficult. Lowering the age for the first dose may have some advantages in certain settings, and doesn’t pose any safety concerns, but further evidence would be required to support this change. In particular, research is needed to ensure it wouldn’t negatively affect the longer-term protection that vaccination offers from measles.

    Making sure you’re protected

    In the meantime, ensuring high levels of measles vaccine coverage with two doses is a global priority.

    People born after 1966 are recommended to have two doses of measles vaccine. This is because those born before the mid-1960s likely caught measles as children (when the vaccine was not yet available) and would therefore have natural immunity.

    If you’re unsure about your vaccination status, you can check this through the Australian Immunisation Register. If you don’t have a documented record, ask your doctor for advice.

    Catch-up vaccination is available under the National Immunisation Program.

    Meru Sheel receives funding from the National Health and Medical Research Council and the Department of Foreign Affairs and Trade.

    Anita Heywood does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. Measles cases are surging globally. Should children be vaccinated earlier? – https://theconversation.com/measles-cases-are-surging-globally-should-children-be-vaccinated-earlier-257942

    MIL OSI – Global Reports

  • MIL-Evening Report: Measles cases are surging globally. Should children be vaccinated earlier?

    Source: The Conversation (Au and NZ) – By Meru Sheel, Associate Professor, Infectious Diseases, Immunisation and Emergencies (IDIE) Group, Sydney School of Public Health, University of Sydney

    EyeEm Mobile GmbH/Getty Images

    Measles has been rising globally in recent years. There were an estimated 10.3 million cases worldwide in 2023, a 20% increase from 2022.

    Outbreaks are being reported all over the world including in the United States, Europe and the Western Pacific region (which includes Australia). For example, Vietnam has reportedly seen thousands of cases in 2024 and 2025.

    In Australia, 77 cases of measles have been recorded in the first five months of 2025, compared with 57 cases in all of 2024.

    Measles cases in Australia are almost all related to international travel. They occur in travellers returning from overseas, or are contracted locally after mixing with an infected traveller or their contacts.

    Measles most commonly affects children and is preventable with vaccination, given in Australia in two doses at 12 and 18 months old. But in light of current outbreaks globally, is there a case for reviewing the timing of measles vaccinations?

    Some measles basics

    Measles is caused by a virus belonging to the genus Morbillivirus. Symptoms include a fever, cough, runny nose and a rash. While it presents as a mild illness in most cases, measles can lead to severe disease requiring hospitalisation, and even death. Large outbreaks can overwhelm health systems.

    Measles can have serious health consequences, such as in the brain and the immune system, years after the infection.

    Measles spreads from person to person via small respiratory droplets that can remain suspended in the air for two hours. It’s highly contagious – one person with measles can spread the infection to 12–18 people who aren’t immune.

    Because measles is so infectious, the World Health Organization (WHO) recommends two-dose vaccination coverage above 95% to stop the spread and achieve “herd immunity”.

    Low and declining vaccine coverage, especially since the COVID pandemic, is driving global outbreaks.




    Read more:
    What are the symptoms of measles? How long does the vaccine last? Experts answer 6 key questions


    When are children vaccinated against measles?

    Newborn babies are generally protected against measles thanks to maternal antibodies. Maternal antibodies get passed from the mother to the baby via the placenta and in breast milk, and provide protection against infections including measles.

    The WHO advises everyone should receive two doses of measles vaccination. In places where there’s a lot of measles circulating, children are generally recommended to have the first dose at around nine months old. This is because it’s expected maternal antibodies would have declined significantly in most infants by that age, leaving them vulnerable to infection.

    If maternal measles antibodies are still present, the vaccine is less likely to produce an immune response.

    Research has also shown a measles vaccine given at less than 8.5 months of age can result in an antibody response which declines more quickly. This might be due to interference with maternal antibodies, but researchers are still trying to understand the reasons for this.

    A second dose of the vaccine is usually given 6–9 months later. A second dose is important because about 10–15% of children don’t develop antibodies after the first vaccine.

    In settings where measles transmission is under better control, a first dose is recommended at 12 months of age. Vaccination at 12 months compared with nine months is considered to generate a stronger, longer-lasting immune response.

    In Australia, children are routinely given the measles-mumps- rubella (MMR) vaccine at 12 months and the measles-mumps-rubella-varicella (MMRV, with “varicella” being chickenpox) vaccine at 18 months.

    Babies at higher risk of catching the disease can also be given an additional early dose. In Australia, this is recommended for infants as young as six months when there’s an outbreak or if they’re travelling overseas to a high-risk setting.

    A new study looking at measles antibodies in babies

    A recent review looked at measles antibody data from babies under nine months old living in low- and middle-income countries. The review combined the results from 20 studies, including more than 8,000 babies. The researchers found that while 81% of newborns had maternal antibodies to measles, only 30% of babies aged four months had maternal antibodies.

    This study suggests maternal antibodies to measles decline much earlier than previously thought. It raises the question of whether the first dose of measles vaccine is given too late to maximise infants’ protection, especially when there’s a lot of measles around.

    Should we bring the measles vaccine forward in Australia?

    All of the data in this study comes from low- and middle-income countries, and might not reflect the situation in Australia where we have much higher vaccine coverage for measles, and very few cases.

    Australia’s coverage for two doses of the MMR vaccine at age two is above 92%.

    Although this is lower than the optimal 95%, the overall risk of measles surging in Australia is relatively low.

    Nonetheless, there may be a case for broadening the age at which an early extra dose of the measles vaccine can be given to children at higher risk. In New Zealand, infants as young as four months can receive a measles vaccine before travelling to an endemic country.

    But the current routine immunisation schedule in Australia is unlikely to change.

    Adding an extra dose to the schedule would be costly and logistically difficult. Lowering the age for the first dose may have some advantages in certain settings, and doesn’t pose any safety concerns, but further evidence would be required to support this change. In particular, research is needed to ensure it wouldn’t negatively affect the longer-term protection that vaccination offers from measles.

    Making sure you’re protected

    In the meantime, ensuring high levels of measles vaccine coverage with two doses is a global priority.

    People born after 1966 are recommended to have two doses of measles vaccine. This is because those born before the mid-1960s likely caught measles as children (when the vaccine was not yet available) and would therefore have natural immunity.

    If you’re unsure about your vaccination status, you can check this through the Australian Immunisation Register. If you don’t have a documented record, ask your doctor for advice.

    Catch-up vaccination is available under the National Immunisation Program.

    Meru Sheel receives funding from the National Health and Medical Research Council and the Department of Foreign Affairs and Trade.

    Anita Heywood does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. Measles cases are surging globally. Should children be vaccinated earlier? – https://theconversation.com/measles-cases-are-surging-globally-should-children-be-vaccinated-earlier-257942

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI United Kingdom: Patients to receive reminders and test results via the NHS App

    Source: United Kingdom – Executive Government & Departments

    Press release

    Patients to receive reminders and test results via the NHS App

    Millions more patients will receive appointments, screening invitations and other important information via the NHS App, as part of £50million upgrade.

    Millions more patients will receive appointment reminders, screening invitations, and test results directly to their smartphones as the NHS turbocharges its digital revolution to make it easier for patients to access care.

    The NHS App is set to become the go-to method of communication between the health system and patients, avoiding the need for at least 50 million costly letters to go through the postal system.

    Driven by over £50 million investment, 270 million messages are expected to be sent through the NHS App this year – an increase of 70 million on last financial year, saving an estimated £200m across the system over the next three years.

    This latest development forms part of the government’s shift from analogue to digital, to give patients better access to manage their healthcare journey and make informed decisions about their care. 

    In 2023/24, there were around 8 million missed appointments in elective care, and around 30% of people missed a screening appointment. Push notifications will remind patients about upcoming appointments and relay important messages, allowing for faster communication and reducing the risk of these missed appointments and boosting productivity across the system.

    Currently, almost 20 million are opted in to receive healthcare messages via the NHS App and could soon benefit from this latest expansion.  The NHS is appealing to patients to download the NHS App and turn on notifications to make sure they receive important updates

    Health and Social Care Secretary, Wes Streeting, said:

    People are living increasingly busy lives and want to access information about their health at the touch of a button, rather than having to wait weeks for letters that often arrive too late. This government is bringing our analogue health service into the digital age, so that being a patient in the NHS is as convenient as online banking or ordering a takeaway.

    The NHS still spends hundreds of millions of pounds on stamps, printing, and envelopes. By modernising the health service, we can free up huge amounts of funding to reinvest in the frontline.

    Through the investment and reform in our Plan for Change, we will make the NHS App the front door to the health service and put power in the hands of patients.

    As part of this digital-first transformation, over the next three years, patients in England will receive all appropriate NHS messages through the App first. Where app messaging is not available, communications will be sent via SMS and then by letter as a last resort. This means that people without access to smartphones and elderly patients can still receive messages through traditional routes, ensuring that no vital information is missed. Those without smartphone access will also benefit from phone lines being freed up, with many patients able to get the information they need digitally.

    Accessible communications will continue to be supported for those with specific requirements.

    The implementation of digital services across the health service is already well underway. Last year, the national vaccination programmes delivered 85 million messages via digital channels, and later this year, national screening programmes for breast, bowel and cervical cancer will also be making the switch. 

    Dr Vin Diwakar, Clinical Transformation Director at NHS England, said:

    More than 11 million of us now log into the NHS App every month to manage our healthcare, whether ordering a repeat prescription or seeking advice on a medical condition.

    We’re supporting the switch from analogue to digital by harnessing the power of digital communication channels so that millions more patients can receive important messages about their health direct to their smartphones – all you need to do is enable notifications in the NHS App to see and open messages.

    The NHS App is already empowering patients by giving them more information and now by increasingly becoming a world-class way of communicating – which will save millions of pounds and free up resources for patient care. I’d encourage anyone who hasn’t got the app on their smartphone to download it now.

    This latest development comes in addition to work currently underway to improve user experience in the App. Through various expansions, users will soon be able to add appointments to the calendar on their phone and request help from their GP surgery.  It will also seek to drive increased usage through faster log in methods, such as Face ID.

    With NHS App services now live in 87% of hospitals across England, delivered in line with commitments made as part of the Elective Care Reform Plan, patients will have greater control of their elective care, improving access and modernising NHS as part of the government’s Plan for Change.

    Updates to this page

    Published 7 June 2025

    MIL OSI United Kingdom

  • MIL-OSI United Kingdom: Measles: Protect yourself, your family and your community

    Source: City of Birmingham

    Measles cases have been increasing across Birmingham.

    Measles is a very infectious disease that spreads easily and can lead to serious health complications, particularly for vulnerable individuals, including those who are immunocompromised or pregnant. Outbreaks can happen when not enough people have been immunised. 

    We have prepared the information below to help you recognise the signs of measles and understand what to do if you suspect that you, or a friend of family member, or someone in your wider community has the condition. Please share it with family, friends and anyone else in your communities and networks. A downloadable factsheet containing this information is also available here.

    Also, with large gatherings approaching, including upcoming Eid celebrations, please remind parents and children to speak to their GP if they experience any symptoms, as measles spreads easily in group settings. If they do attend a large gathering, please remind them to stay vigilant for symptoms, as most people experience symptoms 10-12 days after contact with the virus. 

    What is measles? 

    Measles usually starts with cold-like symptoms. The first symptoms of measles include: 

    • a high temperature 
    • a runny or blocked nose 
    • sneezing 
    • a cough 
    • red, sore, watery eyes 

    A rash usually appears a few days after the cold-like symptoms. The rash starts on the face and behind the ears before spreading to the rest of the body. Some people may also get small spots in their mouth, particularly inside the cheeks and on the back of the lips. Learn more about symptoms here.  

    What should you do if you or someone else in your family or community has suspected measles? 

    If your child develops symptoms, you should urgently contact your GP. You must contact the surgery by telephone before visiting and tell the reception staff that you think that your child may have measles. Please do not attend the surgery unless you are asked to. The doctor will make special arrangements to see your child so that if they have measles, they won’t pass it on to others. GPs should also be contacted in cases where adults are vulnerable, for example, immunocompromised or pregnant. 

    How can you protect yourself, your family and your community from measles? 

    The MMR immunisation remains the best way to protect yourself and the wider community from measles because it is effective, safe, and free of charge.   

    Two doses of the MMR immunisation are required to produce satisfactory protection against measles, mumps and rubella. 

    Research has shown there is no link between the MMR immunisation and autism. 

    The MMR immunisation is safe for all faiths and cultures, and a pork-free version is available for those who avoid pork products.   

    Further information on the MMR immunisation can be found here. 

    Thank you for your continued support in helping us keep Birmingham safe and healthy.  

    MIL OSI United Kingdom

  • MIL-OSI USA: Congresswoman Schrier, Ranking Member Pallone introduce Legislation to Protect Children and Mothers, Strengthen our Nation’s Vaccine Infrastructure

    Source: United States House of Representatives – Congresswoman Kim Schrier, M.D. (WA-08)

    WASHINGTON, DC – Today, Congresswoman Kim Schrier, M.D. (WA-08) and Energy and Commerce Committee Ranking Member Frank Pallone, Jr. (NJ-06) introduced the Family Vaccine Protection Act to remove politics from the life-saving immunization schedule, stand up to RFK Jr.’s dangerous anti-vaccine actions, and protect children, expectant mothers, and other vulnerable members of the community from vaccine-preventable diseases.

    “Our current Secretary of Health and Human Services continues to undermine science and peddle conspiracy theories. This nation’s physicians and public health system have relied upon the Advisory Committee for Immunization Practices (ACIP) for 61 years to evaluate scientific evidence, ask questions, and ultimately make a determination about whether to recommend a vaccine and for whom. This bill ensures that physicians and other scientific experts are the ones who evaluate those studies and make those decisions, as has always been the case. Recent efforts to undermine the ACIP by pressuring physicians like Dr. Lakshmi Panagiotakopoulos to parrot RFK Jr. talking points have unfortunately made this bill necessary,” said Congresswoman Schrier, M.D. “I will continue to stand up for scientific integrity and fight RFK Jr.’s peddling of conspiracy theories.”

    “Secretary Kennedy is governing by conspiracy theory and putting the health of our children at risk,” said Ranking Member Pallone. “After just a few months in office, he’s already broken the promise he made during his Senate confirmation hearing to not interfere with the lifesaving childhood vaccine schedule. He’s simultaneously presided over the largest measles outbreak in decades while actively undermining vaccination efforts for COVID-19, measles, polio, and the flu—especially for pregnant women and the tiniest infants, two of the highest risk populations. Enough is enough—it’s time to take politics out of medicine and ensure all families have access to affordable life-saving vaccines. Dr. Schrier and I are introducing this legislation to keep Secretary Kennedy’s conspiracy theories out of the doctor’s office and to protect moms and their kids.”

    The Family Vaccine Protection Act comes on the heels of Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr.’s unilateral withdrawal of COVID-19 vaccine recommendations for children and pregnant women. This reckless decision—circumventing science-based approval—begins a slippery slope toward a sicker America where Kennedy alone decides what’s best for American children.

    For months, RFK, Jr.’s HHS and Centers for Disease Control and Prevention have ignored science-based recommendations by the independent Advisory Committee on Immunization Practices (ACIP). In April, ACIP voted unanimously to expand its respiratory syncytial virus (RSV) vaccine recommendation and to provide a meningococcal vaccine to healthy teens and college-aged kids—but Kennedy ignored these recommendations. These actions are setting a dangerous precedent and jeopardizing access through critical programs like the Vaccines for Children program.

    Secretary Kennedy is actively backtracking on his own promise in November 2024 that he wouldn’t “take away anybody’s vaccines” and contradicting his own Food and Drug Administration’s framework. His brazen undermining of ACIP’s independence and persistent spreading of anti-vaccine conspiracy theories threatens decades of public health progress—and will put the lives of pregnant women and unvaccinated infants at risk. 

    The Family Vaccine Protection Act protects access to affordable vaccines by: 

    • Codifying current practices of a rigorous, science-based system for recommending vaccines:
      • This bill sets a timeline for new vaccine consideration by ACIP and requires that both the CDC Director and HHS Secretary adopt such recommendations if supported by a preponderance of scientific evidence.
    • Strengthening the independence of the Advisory Committee:
      • This bill writes the role of ACIP into statute and specifies its structure, its membership selection processes, meeting frequency, and expertise requirements—protecting it from dissolution or undue interference by the HHS Secretary.
    • Keeping politics out of medicine by ensuring the Secretary cannot unilaterally make or withdraw vaccine recommendations contrary to the advice of scientific experts:
      • This bill requires the HHS Secretary to adopt the official vaccine decision as set by ACIP—and if the Secretary chooses to depart from an ACIP recommendation, it requires the Secretary to publish the basis for the agency action, including an explanation as to how the action is supported by the best available, peer-reviewed scientific evidence.
    • Establishing guardrails to ensure vaccines remain accessible to all:
      • This bill protects the role of ACIP in making immunization recommendations for the Vaccines for Children Program as well as for the purposes of cost-free coverage of vaccines by health insurance plans—ensuring continued widespread access to life-saving vaccines.

    The Family Vaccine Protection Act has received the support of the American Academy of Pediatrics, American Academy of Family Physicians, American Public Health Association, Infectious Disease Society of America, and Vaccinate Your Family.

    Read the full bill text HEREand a section-by-section summary HERE.

    MIL OSI USA News

  • MIL-Evening Report: Spit or swallow? What’s the best way to deal with phlegm?

    Source: The Conversation (Au and NZ) – By Niall Johnston, Conjoint Associate Lecturer, Faculty of Medicine, UNSW Sydney

    Pop Paul-Catalin/Shutterstock

    A spitting pot I consider as an essential part of the bed-room apparatus.

    That’s what French physician René Laennec wrote in 1821. Laennec, who invented the stethoscope, spent his days gazing at his patients’ phlegm. In the days before x-rays and blood tests, phlegm was considered a valuable diagnostic tool.

    Today, most of us don’t carry around a spitting pot. But a persistent question remains, especially during winter, when noses are dripping and chests are rattling.

    When you have a cough, should you spit out phlegm or is it better to swallow it?

    It might feel like an odd or even slightly stomach-churning topic, but it’s a remarkably common question patients ask doctors.

    What is phlegm?

    Phlegm, also known as sputum, is the thick, sticky mucus your lungs and windpipe make. This acts as a defensive barrier to protect them.

    Its main ingredients are mucins – large, sugar-coated proteins that trap viruses, bacteria, allergens and dust. These mucins also regulate inflammation and the body’s immune response to bacteria and viruses.

    We most commonly see phlegm with viral illness during winter. But phlegm is also evident in other medical conditions including asthma and allergies, bacterial infections, such as sinusitis, or with smoking or exposure to air pollution.

    In fact, we’re always making phlegm, even when we are healthy. Cells in the lungs secrete mucus to keep surfaces moist and trap irritants. When we encounter something potentially harmful, such as a virus or allergen, immune cells detect the threat and release signals that tell mucus-producing cells to step up their game.

    This extra mucus helps trap the invader and move it out of the lungs. Tiny hairs lining the airways (called cilia) then sweep the mucus up to the throat, where we cough it out or swallow it.

    These tiny hairs, or cilia, sweep phlegm up to your throat.
    Sakurra/Shutterstock

    The case for spitting

    Some people feel better if they spit out phlegm, especially if the phlegm is thick, sticky or irritates the throat.

    Spitting also lets you see what’s coming up. If phlegm contains blood, for example, it is important to see a doctor to exclude a more serious underlying illness, such as tuberculosis or cancer.

    If you do spit out, do so into a tissue and throw it in the bin. Wash your hands afterwards. This reduces the risk of spreading infection to others via respiratory droplets or contaminated surfaces.

    However, spitting out phlegm isn’t always practical, or polite. And for most viral infections, it doesn’t help you get better any faster than swallowing. The aim is to remove phlegm from the lungs, which occurs with either method.

    Spitting is also not feasible for young children, who haven’t yet developed the coordination to do so effectively. They’ll generally swallow their phlegm.

    How mucus keeps us healthy all year round, even if we’re not sick.

    The case for swallowing

    It might not sound particularly appealing, but swallowing phlegm is a normal process, and harmless. In fact, we often swallow phlegm without realising it.

    The lungs generate about 50 millilitres of phlegm daily. It goes unnoticed because it’s thin, blends with saliva and we continuously swallow it. We only become aware of it when it thickens, such as during a viral infection.

    After you swallow phlegm, it travels to the stomach, where acid and enzymes break it down, along with any germs it carries.

    Swallowing phlegm doesn’t “recycle” the germs, and it won’t result in the infection spreading elsewhere.

    In fact, swallowing viruses can even help build immunity. Once inside the gut, immune cells begin to recognise pieces of the virus and start preparing the body to respond more effectively to it in the future. Some important immunisations, such as the oral polio vaccine, work through this very mechanism.

    So, what’s the verdict?

    Whether you spit or swallow phlegm, both are safe. Spitting can help some people feel better, especially if their cough is associated with thick phlegm that’s causing distress.

    But for most healthy people, there’s no need to force a cough or spit out phlegm. Swallowing phlegm is completely safe. And in young children, it’s the only feasible option.

    In the end, it won’t matter if you spit or swallow your phlegm this winter. So choose what feels right (and least icky) for you.

    Phoebe Williams receives funding from the National Health and Medical Research Council, the Medical Research Future Fund, and the Gates Foundation.

    Niall Johnston does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. Spit or swallow? What’s the best way to deal with phlegm? – https://theconversation.com/spit-or-swallow-whats-the-best-way-to-deal-with-phlegm-256216

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI United Kingdom: New ambulances and faster emergency care for patients next winter

    Source: United Kingdom – Executive Government & Departments

    Press release

    New ambulances and faster emergency care for patients next winter

    Patients will receive better, faster and more appropriate emergency care as the government sets out reforms to shorten waiting times in A&E.

    • Nearly £450 million investment to expand urgent and emergency care facilities to provide faster care for patients

    • 800,000 fewer patients each year to wait more than four hours at A&E, and more will receive urgent treatment in their community

    • Part of government’s Plan for Change to modernise NHS services and improve emergencv care.

    Patients will receive better, faster and more appropriate emergency care as the government sets out reforms to shorten waiting times and tackle persistently failing trusts.

    The new package of investment and reforms will improve patients’ experiences this year, including by caring for more patients in the community, rather than in hospital which is often worse for patients and more expensive for taxpayers.

    Backed with a total of nearly £450 million, the plan will deliver:

    • Around 40 new Same Day Emergency Care and Urgent Treatment Centres – which treat and discharge patients in the same day, avoiding unnecessary admissions to hospital.
    • Up to 15 mental health crisis assessment centres to provide care in the right place for patients and avoid them waiting in A&E for hours for care, which is not the most appropriate setting for people who are experiencing a crisis. These centres will offer people timely access to specialist support and are directed to the right care.
    • Almost 500 new ambulances will also be rolled out across the country by March 2026.

    The plan’s emphasis will be on shifting more patient care into more appropriate care settings as part of the move from hospital to community under the government’s Plan for Change to rebuild the NHS, while tackling ambulance handover delays and corridor care.

    Health Secretary Wes Streeting said:

    No patient should ever be left waiting for hours in hospital corridors or for an ambulance which ought to arrive in minutes.

    We can’t fix more than a decade of underinvestment and neglect overnight. But through the measures we’re setting out today, we will deliver faster and more convenient care for patients in emergencies

    Far too many patients are ending up in A&E who don’t need or want to be there, because there isn’t anywhere else available. Because patients can’t get a GP appointment, which costs the NHS £40, they end up in A&E, which costs around £400- worse for patients and more expensive for the taxpayer.

    The package of investment and reforms we are announcing today will help the NHS treat more patients in the community, so they don’t end up stuck on trolleys in A&E. Hundreds of new ambulances will help cut the unacceptably long waiting times we’ve seen in recent years. And new centres for patients going through a mental health crisis will provide better care and keep them out of A&E, which are not well equipped to care for them.

    By shifting staff and resources out of hospitals and into communities, and modernising NHS technology and equipment, our Plan for Change will make sure the NHS can be there for you when you need it, once again.

    NHS Chief Executive Sir Jim Mackey said:

    Urgent and emergency care services provide a life-saving first line of defence for patients – but for too long now, despite the incredible hard work of staff, the speed and quality of NHS care has often not been good enough.

    Our patients and staff deserve better, so that is why we need a radical change in approach and to ensure we get the basics right.

    This major plan sets out how we will work together to resuscitate NHS urgent and emergency care, with a focus on getting patients out of corridors, keeping more ambulances on the road, and enable those ready to leave hospital can do so as soon as possible.

    NHS National Director for Urgent and Emergency Care Sarah-Jane Marsh said:

    It is vital that patients can access our urgent and emergency care services in the right place at the right time, and that the care provided is to a standard we would want for ourselves and our own families.

    While the 10 Year Health Plan will set out a longer-term vision to transform urgent and emergency services for the 21st century, there is so much more we could all be doing now.

    This plan sets out not only what we know is working across the country, but how systems must work together to improve access and quality for the benefit of our patients.

    In order to support this shift in delivery focus, NHS England will be asking providers and systems to be accountable to their own local Boards and populations, creating robust winter plans which will be tested during winter exercises throughout September”.

    Every day, more than 140,000 people access urgent and emergency care services across England. Since 2010/11, demand has almost doubled with ambulance service usage rising by 61%.

    A&E waiting time standards have not been met for over a decade, while the 18-minute target for category 2 ambulance calls has never been hit outside the pandemic.

    But at least one in five people who attend A&E don’t need urgent or emergency care, while an even larger number could be better cared for in the community.

    The plan focuses on making winter 2025/26 significantly better than recent winters by setting ambitious but achievable targets and increasing transparency about progress.

    It marks a fundamental shift in our approach to urgent and emergency care – moving from fragmented efforts to genuine collaboration across the whole system and mean better coordination between NHS trusts and primary care to identify patients most vulnerable during winter.

    And it aims to make the most difference to patients by focusing on specific improvements across the healthcare system, aligning resources to areas that need them most.

    The plan will also see more patients receive care in the community, rather than being unnecessarily admitted into hospital, through measures including:

    • More paramedic-led care in the community – which means patients will receive more effective treatment at the scene of an accident or in their own homes from ambulance crews
    • Increasing numbers of patients seen by urgent community response teams – which provide urgent care to people in their homes, helping to avoid hospital admissions and enable people to live independently for longer. Local areas will be told to lay out how they will expand access to these teams, which includes understanding level of needs;
    • Better use of virtual wards – which use modern technology to provide patients with hospital-level care at home safely and in familiar surroundings, speeding up their recovery while freeing up hospital beds for patients that need them most
    • And publishing league tables on performance to drive improved transparency and public accountability and as well as encouraging less effective systems to work more closely with high performing systems to accelerate improvement.

    Thanks to the investment and reforms announced today, 800,000 fewer people should be forced to wait more than 4 hours for care in emergency departments this year.

    Chief Executive of NHS Providers Daniel Elkeles said:

    There is a lot to like about this plan. It’s helpful that we’re seeing it in early summer, with time to ensure meaningful measures are in place ahead of the added pressures of winter.

    It’s also good to see that so many parts of the system, including primary, community and mental health care, in addition to ambulance and hospital services, have been factored in.

    The extra capital investment for same day emergency care and mental health crisis assessment centres and ambulance services is particularly welcome, as is the emphasis on vaccination – and on this we’d urge NHS staff and the public to play their part by getting that protection.

    This plan should result in meaningful progress compared to last winter. As the plan acknowledges the public and our staff want to know the NHS can respond quickly, safely and effectively in an emergency. NHS Providers would like to work with NHSE and the government to develop long term UEC plans that are bold and ambitious.

    Association of Ambulances Chief Executives Managing Director Anna Parry said:

    The new urgent and emergency care plan reaffirms AACE’s vision for the future of NHS ambulance services. By extending and formalising a wider ambulance sector remit in urgent and emergency care, we will be better placed to help resolve some of the key system pressures, reduce the risks for patients and transform patient care while offering a more positive working environment for our people.

    By underscoring the importance of a system-wide focus to achieve improvements in urgent and emergency care, this new plan acts as a genuine challenge to all health and social care leaders, encouraging them to plan and act with purpose to achieve the transformation that is needed. Ambulance service leaders continue to proactively seek increased opportunities for greater collaboration with system partners while identifying new strategies and initiatives within their own ambulance trusts to achieve the transformation targets outlined in the plan.

    We are particularly heartened to see the plan’s emphasis on the reduction and improved management of hospital handover delays. Handover delays have the greatest detrimental impact on ambulance resources and create unnecessary delays and additional harm for thousands of patients each year. The elimination of corridor care and the focus on reducing 12-hour waits at emergency departments is also welcomed.

    Finally, we wholeheartedly endorse and support the plan’s underlined recognition of the impact of the delivery of sub-optimal care on NHS staff, alongside the pivotal role both leadership and a strong system-level approach must play in the transformation of urgent and emergency care.

    NHS Confederation Chief Executive Matthew Taylor said:

    Health leaders across systems, providers and primary care will welcome this plan to provide better, faster and more appropriate emergency care, an area which is facing high demand and rising public concern over performance.

    As the plan shows, there is a lot of good practice across the health service to build upon, including expanding the number of same day emergency treatment and mental health crisis assessment centres and rolling out more ambulances.

    Making sure the NHS does not continue to fall into crisis each winter will be essential for improving public confidence in the health service. Strong collaboration between health partners and with local government to improve discharges out of hospitals will also be key to progress.

    Updates to this page

    Published 6 June 2025

    MIL OSI United Kingdom

  • MIL-OSI United Nations: Sonar-Global

    Source: UNISDR Disaster Risk Reduction

    Mission

    All Sonar-Global partners work in the field of “infectious threats”. Our scope of action includes preparedness and response to epidemics, vaccine hesitancy, and the prevention of antimicrobial resistance. As social scientists, we recognize that efforts to tackle these threats may be ineffective if complex social, political, economic and ecological contexts are not addressed. The Sonar-Global platform provides opportunities for social scientists to work together and to build bridges. Through this platform, we create a critical mass of social scientists with whom we can share experiences, tools, models and curricula. We also foster closer collaborations with experts from other disciplines.

    MIL OSI United Nations News

  • MIL-OSI USA: Pressley, Democratic Women’s Caucus, Mamas’ Caucus, Dads Caucus Sound Alarm on Secretary Kennedy Launching Baby Formula Review at a Gutted HHS

    Source: United States House of Representatives – Congresswoman Ayanna Pressley (MA-07)

    Lawmakers Demand FDA Halt “Operation Stork Speed” Until HHS Employees Are Rehired and Proper Guardrails in Place

    Text of Letter

    WASHINGTON – Congresswoman Ayanna Pressley (MA-07), Co-Chair of the Democratic Women’s Caucus (DWC) Reproductive Health Care Task Force, alongside DWC member Brittany Pettersen (CO-07), Mamas’ Caucus Chair Rashida Tlaib (MI-12), and Dads Caucus Chair Jimmy Gomez (CA-34) led 21 Democratic Caucus members in sounding the alarm over the Department of Health and Human Services’ (HHS) launch of Operation Stork Speed — an initiative the agency claims will evaluate the safety of nutrients and ingredients found in infant formula.

    In their letter to HHS Secretary Robert F. Kennedy, the lawmakers raise concerns over the safety and feasibility of Operation Stork Speed while laying off tens of thousands of HHS employees — including 3,500 at the FDA, many of whom oversee infant formula and nutrition. They also demand the FDA halt this initiative until HHS employees are rehired and until there are proper guardrails to conduct a comprehensive, evidence-based review.  

    “The infant formula supply chain is fragile, and even a small disruption can have devastating consequences. No parent or guardian should struggle to feed their child due to failed safety standards, corporate greed or supply chain failures. Ensuring safe, affordable, and accessible formula is a matter of public health, economic justice, and basic dignity for families—especially women who are often primary caregivers,” wrote the lawmakers.

    “From gutting staff responsible for scientific research to perpetuating anti-vaccine theories, you have repeatedly undermined scientific research. This, coupled with President Trump’s arbitrary mandate for federal agencies to repeal 10 regulations for every new rule, serves to further jeopardize the health and safety of families,” continued the lawmakers.

    The Members also call on the agency to ensure infant formula is safe, accessible and affordable for all women and babies who need it in the face of ongoing regulatory reversals and staff reduction. 

    “Ensuring safe, affordable, and accessible formula is a matter of public health, economic justice, and basic dignity for families—especially women who are often primary caregivers. We ask for your swift response to our questions regarding how you will ensure infant formula is safe, accessible and affordable for all women and babies who need it in the face of ongoing regulatory reversals and staff reduction,” concluded the lawmakers.

    In addition to letter leads Ayanna Pressley, Brittany Pettersen, Rashida Tlaib, and Jimmy Gomez, the letter was signed by Reps. Teresa Leger Fernandez, Deborah Ross, Nikema Williams, Jasmine Crockett, Andrea Salinas, LaMonica McIver, Pramila Jayapal, Nydia Velázquez, Julie Johnson, Kelly Morrison, Summer Lee, Dan Goldman, Eric Swalwell, April McClain Delaney, Betty McCollum, Delia Ramirez, Suzanne Bonamici, Laura Friedman, Veronica Escobar, Yvette Clarke, and Jan Schakowsky.

    Text of the letter can be found here.

    Rep. Pressley has long advocated for safe, accessible, and affordable baby formula.

    In May 2022, Rep. Pressley, along with Congressman Jamaal Bowman, Ed.D. (NY-16) and Congresswomen Pramila Jayapal (WA-07) and Grace Meng (NY-06), urged President Biden to use all applicable executive authorities to end the baby formula shortage.

    Through her efforts on the House Committee on Oversight and Reform, the Committee had previously requested information from the nation’s largest formula manufacturers on their efforts to address the shortage of infant formula that is impacting families across the United States.

    In May 2022, Rep. Pressley, along with Rep. Lori Trahan (MA-03), Assistant Speaker Katherine Clark (MA-05) and the Massachusetts delegation, sent a letter to Abbott Laboratories Chairman and CEO Robert Ford requesting urgent information on the company’s plans to replenish its Similac baby formula in Massachusetts.

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    MIL OSI USA News

  • MIL-OSI United Nations: 5 June 2025 Donors making a difference: cholera

    Source: World Health Organisation

    Cholera is a severe diarrhoeal disease that can be fatal within hours if not treated. Quick access to treatment is therefore crucial. Researchers estimate that there are 1.3 to 4 million cases and 21 000 to 143 000 deaths from cholera worldwide each year, with cases surging since 2021. Over 40 countries reported cases last year, and WHO estimates that 1 billion people are directly at risk.

    Cholera remains a global public health threat closely linked to inequality and inadequate social and economic development. Access to safe water, basic sanitation and hygiene are essential to prevent cholera and other waterborne diseases.

    WHO works to improve prevention and control of cholera globally, as well as increase awareness. WHO and partners also support research for the development of innovative strategies to prevent and control cholera.

    Below are some examples of how WHO is collaborating with governments and partners across the world, with critical financial support from donors, to prevent and control cholera.

    WHO and the French Development Agency strengthen emergency community responses to cholera in Democratic Republic of Congo

    WHO and the French Development Agency launch a cholera response project in Haut-Katanga to strengthen emergency community responses.
    Photo by: WHO/Joel Lumbala

    WHO, in partnership with the French Development Agency, has launched a catalytic US$ 392 000 project, working closely with the health authorities of Haut-Katanga and the National Program for the elimination of cholera and the fight against other diarrheal diseases.

    This project aims to drastically reduce the risk of cholera epidemics in this southeastern province of the Democratic Republic of Congo. The project will provide medical supplies, improve infection prevention and control, install 40 oral rehydration points and build two semi-durable isolation treatment centres in the Kafubu and Kipushi health zones.

    Over six months, the project will train 50 registered nurses and 140 community health workers in integrated disease surveillance and response, while raising awareness amongst the population on good hygiene practices. The health zones will also be empowered to locally produce liquid chlorine (bleach) to facilitate the decontamination of households affected by suspected cases of cholera, the treatment of drinking water and medical needs in health facilities. Solar kits and reagents will be available for 6 months.

    Read the full story (in French)

    Angola reinforces actions to end cholera with WHO support

    Deploying rapid response teams, training health personnel, establishing cholera treatment centres and units, providing safe drinking water, intensive community engagement, and the rollout of targeted vaccination campaigns is part of the urgent response measures against cholera. Photo by: WHO/Angola

    Since the onset of a cholera outbreak in Angola in January 2025, more than 14 000 cases and 505 associated deaths have been reported. Around 50% of the cases affected people under 20 years.

    The Ministry of Health, in close coordination with WHO and other development partners, carried out a series of urgent response measures. These included deploying rapid response teams, training health personnel, establishing cholera treatment centres and units, providing safe drinking water, intensive community engagement, and the rollout of targeted vaccination campaigns.

    In addition, health authorities, with support from WHO and United Nations Children’s Fund (UNICEF), mapped and treated the country’s main water access points. In early 2025, 28 public health officials from 15 municipalities in five of the most affected provinces were trained in mapping water sources. Nearly 320 water sources were mapped, improving access to treated water for people, particularly in Luanda and Icolo e Bengo provinces, which account for around 94% of cholera cases and 15% of related deaths in the country.

    Read the full stories here and here

    How WHO is supporting cholera outbreak response in Sudan

    A child receives oral cholera vaccine in Baqa’a shelter for internally displaced people in Gedaref, October 2024. Photo by: WHO/Omer Tarig

    The Federal Ministry of Health of Sudan declared a cholera outbreak on 12 August 2024, following the confirmation of cases in Kassala State. Heavy rains, flooding, overcrowding, and limited access to clean water in displacement sites and within communities contributed to the rapid spread of the disease. As of 18 January 2025, the outbreak had affected 84 localities across 11 states, with more than 51 300 cases and 1 359 deaths reported.

    As part of the response, the Federal Ministry of Health, with support from WHO and UNICEF, has conducted oral cholera vaccination campaigns in 8 states, reaching 7.4 million people.

    WHO is supporting the outbreak response through comprehensive health interventions that include strengthening surveillance, deployment of rapid response teams for swift investigation of alerts, case management and improving water quality, sanitation and hygiene services in displacement sites and other at-risk communities.

    WHO is able to deliver on its cholera commitment through the financial contribution of donors: Gavi, the Vaccine Alliance, the European Union Commission, United Nations Central Emergency Response Fund (CERF), United States Agency for International Development (USAID), UN Multi-Partner Trust Fund Office (MPTF), and the Governments of France and Germany.

    Read the full story

    WHO and partners launch second cholera vaccine dose to protect young refugees in Cox’s Bazar

    A young girl receives the 2nd dose of the OCV Vaccine in the Rohingya Camps. Photo by: WHO/Terence Ngwabe Che

    In April 2025, WHO, in collaboration with the Government of Bangladesh and health sector partners, launched the second round of a targeted Oral Cholera Vaccination (OCV) campaign in Cox’s Bazar. This initiative aims to administer a second dose of the vaccine to Rohingya refugee children aged 1 to 5 years.

    This builds on the success of the initial mass vaccination campaign conducted in January 2025, across the Cox’s Bazar, Bandarban districts, and on Bhasan Char Island. A total of 1.4 million doses were administered from the 1.6 million doses supplied by the International Coordinating Group on Oral Cholera Vaccine Provision for Cholera Control.

    The vaccine deployment followed an approved request by the Directorate General of Health Services, Communicable Disease Control, with operational support from Gavi, the Vaccine Alliance.

    Read the full story

    WHO and King Salman Humanitarian Aid & Relief Centre expand life-saving health interventions

    KSRelief Supervisor-General, Abdullah Al Rabeeah, and Dr Tedros, signing funding agreements in response to humanitarian crises at the Riyadh International Humanitarian Forum on 24-25 February 2025, Kingdom of Saudi Arabia. Photo by: WHO/Karim Yassmineh.

    WHO and the King Salman Humanitarian Aid and Relief Centre (KSrelief) agreed on a series of new pledges to deliver life-saving health measures for people threatened by cholera and malaria in Yemen. The pledges also support health services for Sudanese who have fled conflict to neighbouring Egypt, and to support polio eradication efforts in countries where the virus continues to circulate. The agreements were signed during the fourth Riyadh International Humanitarian Forum, being held on 24-25 February.

    WHO’s Country Office in Yemen and KSrelief finalized a donation of US$ 2.1 million to support an existing agreement to expand cholera response and control measures, and improve access to treatment in affected and high-risk areas.

    Read the full story

    Purified water, lives saved: the fight against cholera in Haiti continues

    OPS/WHO delivering materials to the Ministry of Public Health and Population to respond against cholera. Photo by: OPS/WHO

    PAHO/WHO continued to support the Ministry of Public Health and Population in its fight against cholera since its resurgence in October 2022. Access to clean and safe water remains a major challenge in Haiti and is a key factor in the decline of the disease across the country.

    With support from the UNCERF and in partnership with the health authorities, PAHO/WHO implemented a project to improve access to drinking water for Acute Diarrhea Treatment Centres, facilities established to treat cholera patients.

    Installing a water treatment unit made it possible to supply drinking water, on demand, by tanker trucks to a network of 15 distribution points, consisting of tankers installed in as many health facilities throughout the department. In the second phase, 218 departmental health officers were trained on methods for accessing drinking water, effective sanitation techniques, and essential hygiene practices to prevent water-related diseases.

    Read the full story (in French)

    Malawi declares end of cholera outbreak

    Case management at Area 25 cholera treatment centre. Photo by: WHO/Ovixlexla Kamenyagwaza-Bunya

    The Government of Malawi, through its Public Health Institute, declared the end of a protracted cholera outbreak that started in March 2022 and lasted over two years. WHO and partners supported the set-up of cholera treatment centres and units and oral rehydration points, provided clinical mentorship, and supported the development of referral guidelines and standardized patient records from the initial stages of the outbreak.

    The surveillance team supported the roll out of the One Health Surveillance Data Platform, intensified case investigations, and strengthened laboratory testing and event-based surveillance. WHO also provided support for oral cholera vaccination campaigns, where over four million doses were administered with a utilization rate of almost 100%.

    To strengthen resilience and bolster global health security, in June 2023, WHO conducted a Scoping Mission which led to the development of a 2-year roadmap. WHO continues to work with multi-sectoral partners and the donor community to support implementation of these priorities. In 2024, USAID and FCDO UK provided funds towards preparedness activities.

    Read the full story

    South Sudan steps up vaccination, response measures to curb cholera

    A vaccinator administering oral cholera vaccine in Renk, Upper Nile State, during December 2024’s campaign after the September outbreak declaration.
    Photo by: WHO/Atem John Ajang

    The Government of South Sudan declared a cholera outbreak in October 2024. In January 2025, the Ministry of Health, with support from WHO and partners, rolled out several oral cholera vaccination campaigns in four high-risk countries: Malakal, Juba, Renk, and Rubkona.

    With support from Gavi, the Vaccine Alliance, around four million doses of the vaccine were approved and around 910 000 doses administered (as of January 2025) in the four counties, which is above 90% coverage.

    WHO continues to distribute essential medical supplies for cholera response to local and national health authorities and partners, which can treat 4 700 cholera cases. WHO has also facilitated the establishment of a 50-bed cholera treatment centre at Juba Teaching Hospital and is supporting the deployment of nine rapid response teams from national level to 11 priority counties to support implementing partners on the ground to provide critical case management.

    Read the full story

    Scaling up cholera testing in Zimbabwe

    WHO staff build cholera treatment centres with support of communities. Photo by: WHO/Vivian Mugarisi

    To ramp up testing for cholera in Zimbabwe, WHO supported the Ministry of Health and Child Care (MoHCC) with training of 986 nurses in antigen Rapid Diagnostic Test (RDT) testing, addressing critical staff shortages at rural health centres. Additionally, 44 laboratory personnel at provincial and district levels were trained in cholera culture, further strengthening diagnostic capacity.

    Prior to the training programme, testing capabilities were limited. Between the outbreak’s onset in February 2023 and 18 January 2024, only 2 090 antigen RDTs and 2 250 culture tests were conducted across 10 health centres. Following the training, the number of antigen RFT tests increased to 9 853, a staggering 371% increase. The success of the programme is attributed to the collaborative efforts of various stakeholders including UNICEF, Higher Life Foundation, JHPIEGO, World Vision International and WHO, with MoHCC leading the efforts.

    Funding for the training activities came from the Health Resilience Fund (HRF), UNCERF and the United States Department of the State (USDOS). HRF is a pool of funding from the European Union, the Government of Ireland and the United Kingdom, as well as Gavi, the Vaccine Alliance.

    Additionally, in a significant boost to Zimbabwe’s healthcare infrastructure, WHO donated a wide range of medical equipment to the Ministry of Health and Child Care (MoHCC). The equipment, valued close to USD$1.8 million, was funded by various donors and partners, including the African Development Bank (AfDB), the UN Central Emergency Response Fund (UNCERF), USAID, and the Government of Japan.

    Read the full stories here and here

    ***

    Read more about WHO’s work on cholera

    The donors and partners acknowledged in this story are (in alphabetical order)

    African Development Bank, European Union, French Development Agency, Germany, Gavi, the Vaccine Alliance, Health Resilience Fund, Higher Life Foundation, International Coordinating Group on Oral Cholera Vaccine Provision for Cholera Control, Ireland, Japan, JHPIEGO, King Salman Humanitarian Aid and Relief Centre, United Kingdom Foreign Commonwealth and Development Office, UNICEF, UN Central Emergency Response Fund, UN Multi-Partner Trust Fund Office (MPTF), United States Department of the State, USAID, World Vision International.

    WHO’s work is made possible through all contributions of our Member States and partners. WHO thanks all donor countries, governments, organizations and individuals who are contributing to the Organization’s work, with special appreciation for those who provide fully flexible contributions to maintain a strong, independent WHO.

    MIL OSI United Nations News

  • Modi government’s 11-year journey marked by bold reforms and technological transformation: Dr. Jitendra Singh

    Source: Government of India

    Source: Government of India (4)

    As the Modi government marks 11 years in power, Union Minister Dr. Jitendra Singh hailed the period as one defined by “bold decisions, futuristic reforms, and transformative governance.” Reflecting on more than a decade of leadership under Prime Minister Narendra Modi, Dr. Singh stated that this era has redefined India’s developmental narrative while restoring public faith in government systems.

    Speaking in an exclusive interview, Dr. Singh—who oversees portfolios in Science and Technology, Earth Sciences, Atomic Energy, Space, and Public Grievances—emphasized that the government’s major initiatives have consistently prioritized the country’s long-term strategic interests. Citing landmark reforms like the Goods and Services Tax (GST), Digital India, and the opening of critical sectors such as space and atomic energy to private enterprise, he said each step was aligned with the broader vision of a self-reliant and globally competitive India.

    Dr. Singh also highlighted the expanded role of the Department of Biotechnology (DBT), noting its achievements in vaccine development, genetic research, and promoting bio-entrepreneurship. These advances, he said, have contributed significantly to India’s emergence as a global technology hub.

    One of the defining characteristics of the Modi era, according to Dr. Singh, has been the integration of traditional governance objectives with cutting-edge technology. “Under Prime Minister Modi’s leadership, sectors like space, atomic energy, and biotechnology received unprecedented support. The global recognition India commands in these fields today is a result of visionary and consistent policies,” he said.

    Space technology, once confined to rocket launches, is now part of everyday life, improving services such as telemedicine, agricultural forecasting, and digital classrooms. Dr. Singh praised the JAM trinity (Jan Dhan-Aadhaar-Mobile) and Swachh Bharat Mission for transforming public service delivery and igniting mass social movements that transcend politics.

    Another key initiative, Special Campaign 4.0, was highlighted for its focus on systemic efficiency. Government departments across the country used the campaign to clear backlogs, responsibly dispose of e-waste, and free thousands of square feet of space by removing redundant materials. “What was once waste is now wealth,” Dr. Singh remarked, calling it a model for responsible governance.

    On the administrative front, Dr. Singh underlined the success of reforms like performance-based assessments and lateral entry of professionals, which have begun to change the culture of governance. He described Mission Karmayogi—a flagship bureaucratic training reform—as a cornerstone of this transformation.

    Dr. Singh also elaborated on new pension reforms introduced under the Modi government, particularly those aimed at supporting women. These include continued family pension benefits for childless widows after remarriage and entitlements for divorced daughters whose legal proceedings were initiated while their parents were alive. Additionally, female government employees can now nominate their children for family pensions in cases of marital dispute.

    Commenting on India’s foreign policy, Dr. Singh noted that the country has earned new respect on the global stage. He praised India’s proactive role during global crises, including the COVID-19 pandemic, as proof of the nation’s growing reliability and strategic importance.

    Looking ahead, Dr. Singh said the government has laid the foundation for the next 25 years as India moves toward its centenary in 2047. “This is just the beginning. The next phase will be about accelerating the gains of the last decade and ensuring India’s rightful place in the global order,” he concluded.

  • MIL-OSI Global: Game theory explains why reasonable parents make vaccine choices that fuel outbreaks

    Source: The Conversation – USA – By Y. Tony Yang, Endowed Professor of Health Policy and Associate Dean, George Washington University

    Vaccination is an example of how people make decisions in an interconnected system. MichelleLWilson via iStock/Getty Images Plus

    When outbreaks of vaccine-preventable diseases such as measles occur despite highly effective vaccines being available, it’s easy to conclude that parents who don’t vaccinate their children are misguided, selfish or have fallen prey to misinformation.

    As professors with expertise in vaccine policy and health economics, we argue that the decision not to vaccinate isn’t simply about misinformation or hesitancy. In our view, it involves game theory, a mathematical framework that helps explain how reasonable people can make choices that collectively lead to outcomes that endanger them.

    Game theory reveals that vaccine hesitancy is not a moral failure, but simply the predictable outcome of a system in which individual and collective incentives aren’t properly aligned.

    Game theory meets vaccines

    Game theory examines how people make decisions when their outcomes depend on what others choose. In his research on the topic, Nobel Prize-winning mathematician John Nash, portrayed in the movie “A Beautiful Mind, showed that in many situations, individually rational choices don’t automatically create the best outcome for everyone.

    Vaccination decisions perfectly illustrate this principle. When a parent decides whether to vaccinate their child against measles, for instance, they weigh the small risk of vaccine side effects against the risks posed by the disease. But here’s the crucial insight: The risk of disease depends on what other parents decide. If nearly everyone vaccinates, herd immunity – essentially, vaccinating enough people – will stop the disease’s spread. But once herd immunity is achieved, individual parents may decide that not vaccinating is the less risky option for their kid.

    In other words, because of a fundamental tension between individual choice and collective welfare, relying solely on individual choice may not achieve public health goals.

    A 1963 poster featuring Wellbee, the CDC’s national symbol of public health, encouraged people to get the polio vaccine.
    CDC via Wikimedia Commons

    This makes vaccine decisions fundamentally different from most other health decisions. When you decide whether to take medication for high blood pressure, your outcome depends only on your choice. But with vaccines, everyone is connected.

    This interconnectedness has played out dramatically in Texas, where the largest U.S. measles outbreak in a decade originated. As vaccination rates dropped in certain communities, the disease – once declared eliminated in the U.S. – returned. One county’s vaccination rate fell from 96% to 81% over just five years. Considering that about 95% of people in a community must be vaccinated to achieve herd immunity, the decline created perfect conditions for the current outbreak.

    This isn’t coincidence; it’s game theory playing out in real time. When vaccination rates are high, not vaccinating seems rational for each individual family, but when enough families make this choice, collective protection collapses.

    The free rider problem

    This dynamic creates what economists call a free rider problem. When vaccination rates are high, an individual might benefit from herd immunity without accepting even the minimal vaccine risks. Game theory predicts something surprising: Even with a hypothetically perfect vaccine – faultless efficacy, zero side effects – voluntary vaccination programs will never achieve 100% coverage. Once coverage is high enough, some rational individuals will always choose to be free riders, benefiting from the herd immunity provided by others.

    And when rates drop – as they have, dramatically, over the past five years – disease models predict exactly what we’re seeing: the return of outbreaks.

    Game theory reveals another pattern: For highly contagious diseases, vaccination rates tend to decline rapidly following safety concerns, while recovery occurs much more slowly. This, too, is a mathematical property of the system because decline and recovery have different incentive structures. When safety concerns arise, many parents get worried at the same time and stop vaccinating, causing vaccination rates to drop quickly.

    But recovery is slower because it requires both rebuilding trust and overcoming the free rider problem – each parent waits for others to vaccinate first. Small changes in perception can cause large shifts in behavior. Media coverage, social networks and health messaging all influence these perceptions, potentially moving communities toward or away from these critical thresholds.

    Mathematics also predicts how people’s decisions about vaccination can cluster. As parents observe others’ choices, local norms develop – so the more parents skip the vaccine in a community, the more others are likely to follow suit.

    Game theorists refer to the resulting pockets of low vaccine uptake as susceptibility clusters. These clusters allow diseases to persist even when overall vaccination rates appear adequate. A 95% statewide or national average could mean uniform vaccine coverage, which would prevent outbreaks. Alternatively, it could mean some areas with near-100% coverage and others with dangerously low rates that enable local outbreaks.

    Not a moral failure

    All this means that the dramatic fall in vaccination rates was predicted by game theory – and therefore more a reflection of system vulnerability than of a moral failure of individuals.
    What’s more, blaming parents for making selfish choices can also backfire by making them more defensive and less likely to reconsider their views.

    Much more helpful would be approaches that acknowledge the tensions between individual and collective interests and that work with, rather than against, the mental calculations informing how people make decisions in interconnected systems.

    People make decisions by balancing individual and collective interests – a calculation that’s crucial for how infectious diseases spread.

    Research shows that communities experiencing outbreaks respond differently to messaging that frames vaccination as a community problem versus messaging that implies moral failure. In a 2021 study of a community with falling vaccination rates, approaches that acknowledged parents’ genuine concerns while emphasizing the need for community protection made parents 24% more likely to consider vaccinating, while approaches that emphasized personal responsibility or implied selfishness actually decreased their willingness to consider it.

    This confirms what game theory predicts: When people feel their decision-making is under moral attack, they often become more entrenched in their positions rather than more open to change.

    Better communication strategies

    Understanding how people weigh vaccine risks and benefits points to better approaches to communication. For example, clearly conveying risks can help: The 1-in-500 death rate from measles far outweighs the extraordinarily rare serious vaccine side effects. That may sound obvious, but it’s often missing from public discussion. Also, different communities need different approaches – high-vaccination areas need help staying on track, while low-vaccination areas need trust rebuilt.

    Consistency matters tremendously. Research shows that when health experts give conflicting information or change their message, people become more suspicious and decide to hold off on vaccines. And dramatic scare tactics about disease can backfire by pushing people toward extreme positions.

    Making vaccination decisions visible within communities – through community discussions and school-level reporting, where possible – can help establish positive social norms. When parents understand that vaccination protects vulnerable community members, like infants too young for vaccines or people with medical conditions, it helps bridge the gap between individual and collective interests.

    Health care providers remain the most trusted source of vaccine information. When providers understand game theory dynamics, they can address parents’ concerns more effectively, recognizing that for most people, hesitancy comes from weighing risks rather than opposing vaccines outright.

    The authors do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. Game theory explains why reasonable parents make vaccine choices that fuel outbreaks – https://theconversation.com/game-theory-explains-why-reasonable-parents-make-vaccine-choices-that-fuel-outbreaks-256975

    MIL OSI – Global Reports

  • MIL-OSI Global: Reproducibility may be the key idea students need to balance trust in evidence with healthy skepticism

    Source: The Conversation – USA – By Sarah R. Supp, Associate Professor of Data Analytics, Denison University

    Reproducing results can increase trust in scientific studies. Huntstock via Getty Images

    Many people have been there.

    The dinner party is going well until someone decides to introduce a controversial topic. In today’s world, that could be anything from vaccines to government budget cuts to immigration policy. Conversation starts to get heated. Finally, someone announces with great authority that a scientific study supports their position. This causes the discussion to come to an abrupt halt because the dinner guests disagree on their belief in scientific evidence. Some may believe science always speaks the truth, some may think science can never be trusted, and others may disagree on which studies with contradicting claims are “right.”

    How can the dinner party – or society – move beyond this kind of impasse? In today’s world of misinformation and disinformation, healthy skepticism is essential. At the same time, much scientific work is rigorous and trustworthy. How do you reach a healthy balance between trust and skepticism? How can researchers increase the transparency of their work to make it possible to evaluate how much confidence the public should have in any particular study?

    As teachers and scholars, we see these problems in our own classrooms and in our students – and they are mirrored in society.

    The concept of reproducibility may offer important answers to these questions.

    Reproducibility is what it sounds like: reproducing results. In some ways, reproducibility is like a well-written recipe, such as a recipe for an award-winning cake at the county fair. To help others reproduce their cake, the proud prizewinner must clearly document the ingredients used and then describe each step of the process by which the ingredients were transformed into a cake. If others can follow the directions and come up with a cake of the same quality, then the recipe is reproducible.

    Think of the English scholar who claims that Shakespeare did not author a play that has historically been attributed to him. A critical reader will want to know exactly how they arrived at that conclusion. What is the evidence? How was it chosen and interpreted? By parsing the analysis step by step, reproducibility allows a critical reader to gauge the strength of any kind of argument.

    We are a group of researchers and professors from a wide range of disciplines who came together to discuss how we use reproducibility in our teaching and research.

    Based on our expertise and the students we encounter, we collectively see a need for higher-education students to learn about reproducibility in their classes, across all majors. It has the potential to benefit students and, ultimately, to enhance the quality of public discourse.

    The foundation of credibility

    Reproducibility has always been a foundation of good science because it allows researchers to scrutinize each other’s studies for rigor and credibility and expand upon prior work to make new discoveries. Researchers are increasingly paying attention to reproducibility in the natural sciences, such as physics and medicine, and in the social sciences, such as economics and environmental studies. Even researchers in the humanities, such as history and philosophy, are concerned with reproducibility in studies involving analysis of texts and evidence, especially with digital and computational methods. Increased interest in transparency and accessibility has followed the rising importance of computer algorithms and numerical analysis in research. This work should be reproducible, but it often remains opaque.

    Broadly, research is reproducible if it answers the question: “How do you know?” − such that another researcher could theoretically repeat the study and produce consistent results.

    Reproducible research is explicit about the materials and methods that were used in a study to make discoveries and come to conclusions. Materials include everything from scientific instruments such as a tensiometer measuring soil moisture to surveys asking people about their daily diet. They also include digital data such as spreadsheets, digitized historic texts, satellite images and more. Methods include how researchers make observations and analyze data.

    To reproduce a social science study, for example, we would ask: What is the central question or hypothesis? Who was in the study? How many individuals were included? What were they asked? After data was collected, how was it cleaned and prepared for analysis? How exactly was the analysis run?

    Proper documentation of all these steps, plus making available the original data from the study, allows other scientists to redo the research, evaluate the decisions made during the process of gathering and analyzing information, and assess the credibility of the findings.

    This short video, made by the National Academies, explains the key concepts in reproducing scientific findings and notes ways the process can be improved.

    Over the past 20 years, the need for reproducibility has become increasingly important. Scientists have discovered that some published studies are too poorly documented for others to repeat, lack verified data sources, are questionably designed, or even fraudulent.

    Putting reproducibility to work: An example

    A highly contentious, retracted study from 1998 linked the measles, mumps and rubella (MMR) vaccine and autism. Scientists and journalists used their understanding of reproducibility to discover the flaws in the study.

    The central question of the study was not about vaccines but aimed to explore a possible relationship between colitis − an inflammation of the large intestine − and developmental disorders. The authors explicitly wrote, “We did not prove an association between measles, mumps, and rubella vaccine and the syndrome described.”

    The study observed just 12 patients who were referred to the authors’ gastroenterology clinic and had histories of recent behavioral disorders, including autism. This sample of children is simply too small and selective to be able to make definitive conclusions.

    In this study, the researchers translated children’s medical charts into summary tables for comparison. When a journalist attempted to reproduce the published data tables from the children’s medical histories, they found pervasive inconsistencies.

    Reproducibility allows for corrections in research. The article was published in a respected journal, but it lacked transparency with regard to patient recruitment, data analysis and conflicts of interest. Whereas traditional peer review involves critical evaluation of a manuscript, reproducibility also opens the door to evaluating the underlying data and methods. When independent researchers attempted to reproduce this study, they found deep flaws. The article was retracted by the journal and by most of its authors. Independent research teams conducted more robust studies, finding no relationship between vaccines and autism.

    Each research discipline has its own set of best practices for achieving reproducibility. Disciplines in which researchers use computational or statistical analysis require sharing the data and software code for reproducing studies. In other disciplines, researchers interpret nonnumerical qualities of data sources such as interviews, historical texts, social media content and more. These disciplines are working to develop standards for sharing their data and research designs for reproducibility. Across disciplines, the core principles are the same: transparency of the evidence and arguments by which researchers arrived at their conclusions.

    Reproducibility in the classroom

    Colleges and universities are uniquely situated to promote reproducibility in research and public conversations. Critical thinking, effective communication and intellectual integrity, staples of higher-education mission statements, are all served by reproducibility.

    Teaching faculty at colleges and universities have started taking some important steps toward incorporating reproducibility into a wide range of undergraduate and graduate courses. These include assignments to replicate existing studies, training in reproducible methods to conduct and document original research, preregistration of hypotheses and analysis plans, and tools to facilitate open collaboration among peers. A number of initiatives to develop and disseminate resources for teaching reproducibility have been launched.

    Despite some progress, reproducibility still needs a central place in higher education. It can be integrated into any course in which students weigh evidence, read published literature to make claims, or learn to conduct their own research. This change is urgently needed to train the next generation of researchers, but that is not the only reason.

    Reproducibility is fundamental to constructing and communicating claims based on evidence. Through a reproducibility lens, students evaluate claims in published studies as contingent on the transparency and soundness of the evidence and analysis on which the claims are based. When faculty teach reproducibility as a core expectation from the beginning of a curriculum, they encourage students to internalize its principles in how they conduct their own research and engage with the research published by others.

    Institutions of higher education already prioritize cultivating engaged, literate and critical citizens capable of solving the world’s most challenging contemporary problems. Teaching reproducibility equips students, and members of the public, with the skills they need to critically analyze claims in published research, in the media and even at dinner parties.

    Also contributing to this article are participants in the 2024 Reproducibility and Replicability in the Liberal Arts workshop, funded by the Alliance to Advance Liberal Arts Colleges (AALAC) [in alphabetical order]: Ben Gebre-Medhin (Department of Sociology and Anthropology, Mount Holyoke College), Xavier Haro-Carrión (Department of Geography, Macalester College), Emmanuel Kaparakis (Quantitative Analysis Center, Wesleyan University), Scott LaCombe (Statistical and Data Sciences, Smith College), Matthew Lavin (Data Analytics Program, Denison University), Joseph J. Merry (Sociology Department, Furman University), Laurie Tupper (Department of Mathematics and Statistics, Mount Holyoke College).

    Sarah Supp receives funding from the National Science Foundation, awards #1915913, #2120609, and #2227298.

    Joseph Holler receives funding from the National Science Foundation, award #2049837.

    Peter Kedron receives funding from the National Science Foundation, award #2049837 and from Esri.

    Richard Ball has received funding from the Alfred P. Sloan Foundation and the United Kingdom Reproducibility Network.

    Anne M. Nurse and Nicholas J. Horton do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. Reproducibility may be the key idea students need to balance trust in evidence with healthy skepticism – https://theconversation.com/reproducibility-may-be-the-key-idea-students-need-to-balance-trust-in-evidence-with-healthy-skepticism-251771

    MIL OSI – Global Reports

  • MIL-OSI USA: Fighting Poultry Disease with mRNA: UConn Researchers Pioneer Nanoparticle Approach

    Source: US State of Connecticut

    Researchers from UConn’s College of Agriculture, Health and Natural Resources (CAHNR) and College of Liberal Arts and Sciences (CLAS) have demonstrated that a novel protein-based nanoparticle can make mRNA vaccines more effective to tackle a troublesome pathogen in chickens.

    Mazhar Khan, professor in the Department of Pathobiology and Veterinary Science, Challa V. Kumar, emeritus professor in the Department of Chemistry and graduate students Anka Rao Kalluri and Aseno Sakhrie collaborated over several years and published their findings in Vaccines.

    Infectious Bronchitis Virus (IBV), a rapidly spreading coronavirus, is a major concern for poultry farmers in the U.S. and worldwide. Poultry farmers lose millions each year due to this disease.

    Currently, farmers use live attenuated vaccines or killed vaccines to combat the virus. However, these kinds of vaccine come with a series of challenges. The virus could reactivate, mutate, or recombine to create a vaccine-resistant or more severe strain. These vaccines also have a shorter shelf life and require additional compounds, known as adjuvants, to be effective.

    The researchers have developed an effective mRNA IBV vaccine alternative.

    mRNA vaccines, like the human COVID-19 vaccines, do not contain any live virus. Instead, the mRNA encodes a piece of the virus’ genetic code, specifically the spike protein that is responsible for triggering the immune response and trains the immune system to respond to the protein.

    Yet, mRNA vaccines still have some limitations, namely their lack of stability. mRNA vaccines break down quickly and need to be kept in temperature-controlled settings, something that poses a challenge on poultry farms.

    In a key advancement, Khan and Sakhrie are using a novel nanoparticle that protects the mRNA from breaking down quickly.

    This particle was invented by the Kumar group for applications in biology. It was Kumar who convinced the team to work on mRNA vaccines, long before COVID vaccines arrived. Early hurdles were to efficiently complex the nanoparticles with target mRNA. Kalluri solved this problem by covalently attaching positively charged amine groups to the particle. The positively charged particles capture the negatively charged mRNA and stabilize it. Sakharie and her colleagues carried out detailed cellular and animal studies using these nanoparticle-mRNA complexes.

    “This project highlights how collaborations across campus are making rapid progress in solving complex scientific problems,” says Kumar.

    Amino groups attached to the particle surface not only stabilize the mRNA but also protect it from hydrolysis by nucleases, enzymes that break down the nucleic acids that make up DNA and RNA, in the body.

    “The nanoparticle will keep it more stable, and it will deliver the vaccine to the cells where it will express the desired mRNA,” Sakhrie says.

    The nanoparticles are made by modifying bovine serum albumin, a readily available protein, affordable, and non-toxic protein, a waste product of commercial beef production.

    The team’s studies have shown that chickens vaccinated with the nanoparticle mRNA vaccine showed a 1000-times increase in antibodies against IBV compared to the unvaccinated control group. Their work has also demonstrated that immune cell activity increased in the vaccinated chickens, which indicates the vaccine boosts the entire immune system to fight off infection.

    With these promising results, the researchers are now investigating a more effective vaccination method.

    Traditionally, farmers need to individually inject baby chicks with the vaccine, a time-consuming project for the farmers and a stressful one for the chicks.

    The team is evaluating if, instead, the vaccine can be administered via a spray on the chicks. This would allow farmers to vaccinate large flocks quickly and without stress to the animals.

    While IBV is not currently a concern for human health, using the nanoparticles to enhance the stability of mRNA vaccines has the potential to improve human vaccines. Essentially, researchers could plug the genetic code of an emergent disease into the nanoparticle vaccine platform to quickly develop an effective mRNA vaccine. This platform technology can be tuned to various other disease vectors in the future.

    “We can use the nanoparticle for human vaccines,” Khan says. “The timing for vaccine development is very short, we just need the specific sequence of the gene.”

    UConn Technology Commercialization Services has filed a provisional patent for this nanoparticle technology. Michael A. Invernale , senior licensing manager, has been marketing the technology to industry to further bring this innovation from the lab to applied use.

    Follow UConn CAHNR on social media

    MIL OSI USA News

  • MIL-OSI United Nations: 4 June 2025 Departmental update Global health leaders urge action on immunization priorities at Seventy-eighth World Health Assembly

    Source: World Health Organisation

    During the Seventy-eighth World Health Assembly, held from 19 to 27 May 2025, Member States and global health partners urged continued action on vaccine-preventable diseases—such as cervical cancer, measles, meningitis, polio, and rubella—through Assembly agenda items and side events aimed at accelerating global immunization efforts and preventing future outbreaks. 

    Innovation, integration and investment to outsmart outbreaks 

    Immunization discussions kicked off at the high-level side event, “Outsmarting Outbreaks: Innovation, Integration & Investment”, hosted by Chile, Democratic Republic of the Congo, Madagascar, Niger, Somalia, and Zambia, and supported by the Gates Foundation, the United Nations Foundation and other partners. The event underscored the alarming resurgence of measles, cholera, and polio amid escalating conflict and climate threats, urging countries to safeguard immunization progress, complete polio eradication efforts, and strengthen preparedness for emerging health risks.  

    Attendees shared successes and challenges, particularly from countries facing simultaneous outbreaks, while emphasizing the criticality of routine immunization, cross-sector partnerships, and innovative techniques – including wastewater monitoring and digital disease modeling for surveillance and the use of electronic registries for immunization in low-resource settings – to controlling preventable diseases and avoid outbreaks.  

    Discussions also emphasized the necessity of a ‘SMART’ approach—strategic, measurable, aligned, resilient, and timely collaboration—as well as innovative solutions like the AI-powered All Hazard Information Management Toolkit, to enhance rapid response capabilities. A call to action capped the event, urging concerted efforts to sustain investment in immunization programmes, build trust in vaccines through community engagement, and ensure robust pandemic preparedness, including through surveillance. 

    Countries reaffirm commitment to defeat meningitis 

    Member States praised WHO’s launch of new guidelines on meningitis diagnosis, treatment and care, and the continued rollout of new vaccines, including Men5CV, in high-burden countries. They also emphasized the strong commitment of national leaders, partners, civil society organizations and the dedicated teams supporting the road map at all levels of WHO. 

    Despite progress, delegates raised key challenges including vaccine affordability and equitable access, shortages in trained healthcare personnel, insufficient laboratory infrastructure, and gaps in surveillance systems.  

    Member States called for technical and financial support, maintaining emergency vaccine stockpiles, research and innovations, particularly of early detection, strengthened community engagement and awareness campaigns among both communities and health care workers as well as supported rehabilitation services.  

    Meningitis was further discussed during an official side event hosted by Mali, Nigeria and Pakistan, along with Gavi, the Vaccine Alliance on integrating solutions to defeat malaria, meningitis and polio. The event aimed to highlight how an integrated approach to elimination or eradication goals of the three diseases could maximize available resources and improve health service delivery for people and communities. 

    “We are at an inflection point in global health,” said Dr Sania Nishtar, Chief Executive Officer, Gavi, the Vaccine Alliance in her remarks. “We all know the challenges that we face as partners in global health. Between now and 2030, we will have to work smarter, more collaboratively, and with the needs of countries at the center of everything we do.”  

    Attendees discussed how integration can be achieved within disease surveillance, diagnosis, treatment and long-term care, and prevention through equitable access to vaccines. Several countries presented examples of delivering polio, malaria and meningitis vaccines through integrated campaigns alongside bed net distribution.  The event closed on a call for increased technical and financial support to accelerate integration across the three programmes in order to end polio, malaria, and meningitis. 

    (Left to Right) Derrick Sim, Managing Director of Vaccine Markets & Health Security at Gavi; Dr Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean; Dr Jo Mulligan, Senior Health Advisor,Foreign, Commonwealth & Development Office, United Kingdom; H.E. Dr Colonel Assa Badiallo Touré, Minister of Health and Social Development, Mali; H.E. Dr Iziaq Adekunle Salako, Minister of State for Health and Social Welfare, Nigeria, and Ambassador Bilal Ahmad, Permanent Representative of Pakistan to the United Nations. 

    Life-saving power of measles and rubella vaccines emphasized 

    Amidst a global surge in measles outbreaks and with millions of children still lacking protection, global health leaders convened at a high-level side event titled “The Power of Prevention – Immunizing for a Safer, Healthier World” to deliver a unified message: these outbreaks are preventable—if we act decisively and without delay. 

    Co-hosted by Oman, Somalia, the Gates Foundation, Gavi, the Vaccine Alliance, the International Federation of Red Cross and Red Crescent Societies (IFRC), UNICEF, and the United Nations Foundation, on behalf of the Measles & Rubella Partnership, the side event focused on accelerating global immunization efforts and promoting equity in vaccine access.  

    “The Measles & Rubella Partnership has been a backbone of measles and rubella programs, surveillance and outbreak response across the world,” said Dr Razia Pendse, WHO Chef de Cabinet in her opening remarks. “Yet, these gains are fragile. Measles is making a dangerous comeback threatening communities, economies and global health security. We must remain steadfast in our commitment to investing in measles vaccination and other vaccines, investments that will lead healthier children, communities, and a more resilient future for people of all ages.” 

    Dr Razia Pendse, WHO Chef de Cabinet and Dr. Hilal bin Ali bin Halil Alsabti, Minister of Health of Oman. 

    The meeting was moderated by Mr. Jarrett Barrios, senior vice-president of the American Red Cross. Dr Sania Nishtar, CEO of Gavi, the Vaccine Alliance reminded countries of what is at stake if targets for the organization’s ongoing replenishment are not met—millions of children remaining unprotected and increasing outbreaks. 

    A key focus of the discussion was WHO’s updated rubella vaccine recommendation, which removes the requirement for 80% measles coverage before introducing the combined measles-rubella vaccine. This policy shift allows all countries to include rubella vaccination in routine immunization—opening the door for the 13 remaining countries to introduce the vaccine, save lives, and prevent future outbreaks. 

    Grace Melia, an Indonesian mother who recently lost her daughter after a 12-year battle against the devastating effects of congenital rubella, concluded the event by sharing her testimonial and calling for action. “They say knowledge is power,” she said. “With all due respect, knowledge applied into action would be much more powerful. And I hope we are all here today to be part of that action.” 

    Reaffirmed commitments to achieving a polio-free world 

    During the Assembly, Member States reaffirmed their full support for achieving and sustaining a polio-free world, acknowledging WHO and its partners’ efforts to see the job done. Voicing concern about ongoing variant outbreaks and the need for interruption of wild poliovirus transmission in Afghanistan and Pakistan, Member States called for continued resourcing to the effort, and smart integration of polio functions within broader public health services. Other key themes were strengthened routine immunization – including with inactivated polio vaccine – through coordination with GAVI, and the need for strong oral polio vaccine cessation planning, the safe and secure containment of polioviruses in research and vaccine manufacturing facilities.  

    Read more about polio here

    World Cervical Cancer Elimination Day announced as official WHO campaign  

    As part of ongoing efforts to eliminate cervical cancer, the Assembly established World Cervical Cancer Elimination Day as an official WHO awareness campaign to be marked on 17 November, annually. World Cervical Cancer Elimination Day will promote actions to end the disease and protect the health of women and girls, including increasing access and update of human papillomavirus (HPV) vaccines.  

    Historic Pandemic Agreement  

    Member States formally adopted the world’s first Pandemic Agreement. The landmark decision by the World Health Assembly culminates more than three years of intensive negotiations launched by governments in response to the devastating impacts of the COVID-19 pandemic and driven by the goal of making the world safer from – and more equitable in response to – future pandemics. The agreement boosts global collaboration to ensure stronger, more equitable response to future pandemics. Next steps include negotiations on Pathogen Access and Benefits Sharing system. 

    —- 

    MIL OSI United Nations News

  • MIL-OSI United Kingdom: Measles outbreaks continue with risk of holidays causing surge

    Source: United Kingdom – Executive Government & Departments

    News story

    Measles outbreaks continue with risk of holidays causing surge

    Latest UKHSA data shows outbreaks continuing, with 109 cases confirmed in April and 86 so far in May.

    The UK Health Security Agency (UKHSA) today publishes its monthly update on measles cases in England, which shows outbreaks continuing, with 109 cases confirmed in April and 86 so far in May. Cases have predominantly been in unvaccinated children aged 10 years and under, with on-going outbreaks in a number of regions and London reporting almost half of all cases in the past 4 weeks.

    There has also been a global increase in measles cases including Europe over the last year and the Agency is concerned, that with travelling for holidays or to visit family this summer, there is a risk this could lead to another surge of measles cases in England.

    The latest measles epidemiology report on the UKHSA Data Dashboard today reports:

    • since 1 January there have been 420 laboratory confirmed measles cases reported in England
    • 109 measles cases were confirmed in April and to date 86 in May (number of laboratory confirmed measles cases by month of symptom onset, data reporting lags impact on most recent 4 weeks and therefore the figures are likely to be an underestimate)
    • the majority (276/420, 66%) of these cases were in children aged 10 years and under, but there are also cases being reported in young people and adults
    • London has seen the highest number of cases overall this year (162/420, 39%) and in the last 4 weeks (35/75, 47%)
    • a number of other regions are also reporting outbreaks – with 25% (19/75) of cases in the North West, and 11% (8/75) in the West Midlands in the last 4 weeks

    Since the introduction of the measles vaccine in 1968, at least 20 million measles cases and 4,500 deaths have been prevented in the UK.

    However, measles remains endemic in many countries around the world, and with declines in MMR vaccine uptake observed over the last decade, exacerbated by the COVID-19 pandemic, we have also seen large measles outbreaks in Europe and other countries. 

    An analysis by the World Health Organization (WHO) Europe and the United Nations Children’s Fund (UNICEF), reported 127, 350 measles cases in the European Region for 2024, double the number of cases reported for 2023 and the highest number since 1997.

    This year outbreaks have been seen in several other European countries, including France, Italy, Spain and Germany, and WHO recently reported that Romania, Pakistan, India, Thailand, Indonesia and Nigeria currently have among the largest number of measles cases worldwide.

    In England, the decline of the uptake of childhood vaccinations including MMR in the past decade (well below the WHO 95% target) means that many thousands of children are left unprotected with the risk of outbreaks linked to nurseries and schools.

    London has the lowest MMR uptake rates compared with other English regions (MMR2 uptake at 5 years is just 73.3% in London compared to English average of 83.9%).

    From Autumn 2023 to summer 2024, England experienced the biggest outbreak of measles since 2012, particularly affecting young children. Since the peak last year cases have declined but local outbreaks continue.

    Measles is one of the most highly infectious diseases and spreads rapidly among those who are unvaccinated. The UKHSA is concerned that more outbreaks may occur again on a larger scale this summer as families with unvaccinated children and adults travel to countries where there are outbreaks.

    It is important that anyone travelling for summer holidays or to visit family, especially parents of young children, check that all members of their family have received both their MMR vaccines.

    Getting vaccinated means you are also helping protect others who can’t have the vaccine, including infants under 1 year and people with weakened immune systems, who are at greater risk of serious illness and complications from measles.

    Dr Vanessa Saliba, Consultant Epidemiologist at the UK Health Security Agency:

    It’s essential that everyone, particularly parents of young children, check all family members are up to date with 2 MMR doses, especially if you are travelling this summer for holidays or visiting family. Measles cases are picking up again in England and outbreaks are happening in Europe and many countries with close links to the UK.

    Measles spreads very easily and can be a nasty disease, leading to complications like ear and chest infections and inflammation of the brain with some children tragically ending up in hospital and suffering life-long consequences. Nobody wants this for their child and it’s not something you want to experience when away on holiday.

    The MMR vaccine is the best way to protect yourself and your family from measles. Babies under the age of 1 and some people who have weakened immune systems can’t have the vaccine and are at risk of more serious complications if they get measles. They rely on the rest of us getting the vaccine to protect them.

    It is never too late to catch up, if you’re not sure if any of your family are up to date, check their Red Book or contact your GP practice. Don’t put it off and regret it later.

    Dr Amanda Doyle, National Director for Primary Care and Community Services at NHS England, said:

    Tens of thousands of additional MMR vaccinations were delivered following NHS action last year to protect children against measles, mumps and rubella, and the recent increase in cases seen in England and Europe should act as an important reminder to ensure your child is protected.

    Too many babies and young children are still not protected against the diseases, which are contagious infections that spread very easily and can cause serious health problems. MMR jabs are provided free as part of the NHS routine immunisation programme – and I would encourage all parents to act on invites or check vaccination records if they think they may have missed their child’s vaccination.

    The first MMR vaccine is offered to infants when they turn one year old and the second dose to pre-school children when they are around 3 years and 4 months old. 

    Around 99% of those who have 2 doses will be protected against measles and rubella. Although mumps protection is slightly lower, cases in vaccinated people are much less severe. 

    Anyone, whatever age, who has not had 2 doses can contact their GP surgery to book an appointment. It is never too late to catch-up. 

    It’s particularly important to check you’ve had both doses if you are: 

    • about to start college or university 
    • travelling overseas
    • planning a pregnancy 
    • a frontline health or social care worker 
    • if you work with young children or care for people as part of your work

    For more information on measles, mumps and rubella see the UKHSA resource: https://www.gov.uk/government/publications/mmr-for-all-general-leaflet

    Updates to this page

    Published 5 June 2025

    MIL OSI United Kingdom

  • MIL-OSI United Nations: 5 June 2025 Departmental update Vaccinating at every age is key to unlocking the full potential of immunization

    Source: World Health Organisation

    Yet, while childhood immunization programmes have saved millions of lives, vaccination of adults remains an overlooked tool—especially in low- and middle-income countries, where efforts have historically focused on reaching children, adolescents, and women of reproductive age. 

    A recent World Health Organization (WHO) study published in Vaccines underscores the value of adult vaccination to achieve healthy aging, while meeting the challenge of rising healthcare costs and antimicrobial resistance.  

    Although WHO recommends vaccines against diseases such as influenza, COVID-19, pneumococcal disease, tetanus, and respiratory syncytial virus (RSV), among others, for different adult population groups, the study finds that access remains unequal. Many low- and middle-income countries have yet to include vaccines targeting adults in their national schedules—leaving millions unprotected.  

    “As outbreaks of vaccine-preventable diseases increase, it’s more critical than ever that people receive every recommended dose—through every stage of life—to stay protected,” said Dr Alba Vilajeliu, lead author and technical officer in the Department of Immunization, Vaccines and Biologicals at WHO. “This isn’t just about saving lives; it’s also about increasing the quality of life for adults, their productivity within communities and alleviating the burden on already overstretched health systems.”  

    Under Immunization Agenda 2030, a global strategy for vaccination, countries envision a world where everyone, everywhere, at every age benefits from vaccines. Expanding adult immunization programmes will not only benefit older populations it will strengthen immunization programmes across the life course by enhancing health worker capacity, infrastructure and confidence in vaccines. 

    Adult immunization can be scaled quickly – as shown by COVID-19 

    The COVID-19 pandemic thrust adult vaccination into the global spotlight, driving major shifts in policies, attitudes, and health systems traditionally focused on childhood immunization. By the end of 2023, more than 13.6 billion COVID-19 vaccine doses had been administered globally, reaching 89% of health workers and 84% of older adults.  

    However, the WHO-study found those efforts have yet to translate to other adult vaccines. Despite seasonal influenza causing 3 to 5 million severe cases and up to 650 000 deaths annually, just 4% of low-income countries offer influenza vaccines to pregnant women, and only 8% to older adults. In contrast, high-income countries include them in 87% and 89% of national immunization schedules for these groups, respectively.  

    More than 50 years ago, countries began providing tetanus-containing vaccines for pregnant women to prevent maternal and neonatal tetanus. Today, 73% of low-income and 80% of lower-middle-income countries offer these vaccines. The experience of these and other vaccines for pregnant women offers valuable lessons for introducing new ones, like the maternal RSV vaccine to protect infants or future vaccines to prevent Group B streptococcus and malaria in pregnancy. 

    A recent Office of Health Economics (OHE) report also found that scaling up adult vaccination programmes for seasonal influenza, RSV, herpes zoster and pneumococcal disease in just 10 high- and upper middle-income countries returned up to 19 times their initial investment, offering a potential greater return in low- and middle-income countries. This amounted to up to US$ 4637 per individual full vaccination course. 

    New vaccines and innovations will broaden adult immunization 

    In addition to scaling up existing adult vaccines, new vaccines in development—like the next generation of tuberculosis vaccines, and vaccines for combinations of respiratory viruses—are expanding target groups beyond childhood. Through new platform technologies, such as mRNA, vaccine candidates are advancing into clinical testing at faster rates, without compromising safety. 

    Countries will need to continue to strengthen immunization programmes as part of primary health care services in order to introduce new- and under-utilized adult vaccines, scale-up existing vaccines, and ensure strong demand and uptake for adult immunization. Additionally, health workers will need to be trained to communicate on the importance of immunization across the life course. Engaging community leaders and healthcare professional networks will be essential for developing tailored communication for adult populations. 

    “As vaccination expands across the life course, now is the moment for countries to lay a strong foundation,” says Dr Kate O’Brien, Director of the Department of Immunization, Vaccines and Biologicals at WHO. “When we prioritize disease prevention to support lifelong health, we create continuous opportunities for health and well-being—and shift from a disease-centered model to one that truly puts people first. Adult immunization is central to that shift.” 

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    MIL OSI United Nations News

  • MIL-OSI Asia-Pac: President Lai welcomes President Bernardo Arévalo of Republic of Guatemala with military honors  

    Source: Republic of China Taiwan

    Details
    2025-06-03
    President Lai confers decoration on President Hilda C. Heine of Republic of the Marshall Islands, hosts state banquet  
    At noon on June 3, President Lai Ching-te, accompanied by Vice President Bi-khim Hsiao, conferred a decoration upon President Hilda C. Heine of the Republic of the Marshall Islands, and hosted a state banquet for President Heine and her husband at the Presidential Office. In remarks, President Lai thanked President Heine for her commitment to deepening the diplomatic partnership between our nations and speaking up for Taiwan in the international arena. He also expressed hope for Taiwan and the Marshall Islands to work together to address various challenges through an even greater diversity of exchanges, and that together, we can contribute even more to peace, stability, and development throughout the Pacific region. At the decoration ceremony, President Lai personally conferred the Order of Brilliant Jade with Grand Cordon on President Heine before delivering remarks, a translation of which follows:  The Marshall Islands was the first Pacific ally that I visited after taking office as president. When I arrived there, I was immediately drawn to its beautiful scenery. And I received a very warm welcome from the local people. This gesture showed the profound friendship between our two nations. I was truly touched. I also remember trying your nation’s special Bob Whisky for the first time. The flavor was as unique and impressive as the landscape of the Marshall Islands.  In addition to welcoming our distinguished guests today, we also presented President Heine with the Order of Brilliant Jade with Grand Cordon. On behalf of the people of Taiwan, I want to thank President Heine for her commitment to deepening the diplomatic partnership between our nations, and for staunchly speaking up for Taiwan in the international arena. Both I and the people of Taiwan are profoundly grateful to President Heine for her friendship and support. Over the past few years, cooperation between Taiwan and the Marshall Islands has grown ever closer. And this visit by our distinguished guests will allow our two countries to further expand areas of bilateral exchange. I have always believed that only through mutual assistance and trust can two countries build a longstanding and steadfast partnership. I once again convey my sincere aspiration that Taiwan and the Marshall Islands work together to address various challenges through an even greater diversity of exchanges. Together, we can contribute even more to peace, stability, and development throughout the Pacific region. In closing, I want to thank President Heine and First Gentleman Thomas Kijiner, Jr. for leading this delegation to Taiwan, which deepens the foundations of our bilateral relationship. May our two nations enjoy a long and enduring friendship. President Heine then delivered remarks, stating that she felt especially privileged to receive the Order of Brilliant Jade with Grand Cordon of the Republic of China (Taiwan), and humbly accepted the honor with the utmost gratitude, humility, and deep responsibility. This is a deep responsibility, she said, because she understands that since its inception in 1933, this order has been bestowed upon a select few. She then thanked President Lai for this great honor. President Heine stated that the banquet was not just a celebration of our bilateral friendship, but a true reflection of the generosity of the Taiwan spirit and a testament to the enduring ties between our nations, founded on shared values and aspirations, including a respect for the rule of law, the preservation of human dignity, and a deep commitment to democracy. President Heine stated that the Taiwan-Marshall Islands partnership continues to evolve through practical cooperation and mutual support. In recent years, she said, our countries have worked hand in hand across a range of vital sectors, including the recent opening of the Majuro Hospital AI and Telehealth Center and the ongoing and successful Taiwan Health Center, various technical training and scholarship programs, and various climate change adaptation projects in renewable energy, coastal resilience, and sustainable agriculture.   President Heine emphasized that the Marshall Islands continues to be a proud and vocal supporter of Taiwan’s meaningful participation in the United Nations system and other international organizations. Taiwan’s exclusion from these platforms, she said, is not only unjust, but is bad for the world, and the global community needs Taiwan’s voice and expertise.  President Heine also expressed sincere appreciation to all of the Taiwanese friends who have contributed their efforts to deepening bilateral relations, including government officials, healthcare workers, teachers, engineers, and volunteers. The people of the Marshall Islands, she said, deeply appreciate and value everyone’s efforts and service. President Heine said that as we celebrate our partnership, let us look to the future with hope and determination, continue to work together, learn from one another, and support one another to champion a world where all nations can chart their own course based on peace and international law. Also attending the state banquet were Marshall Islands Council of Iroij Chairman Lanny Kabua, Minister of Foreign Affairs and Trade Kalani R. Kaneko, Minister of Finance David Paul, Nitijela Standing Committee on Foreign Affairs and Trade Chairperson Joe Bejang, and Charge d’Affaires a.i. Anjanette Davis-Anjel of the Embassy of the Republic of the Marshall Islands.  

    Details
    2025-06-03
    President Lai and President Hilda C. Heine of Marshall Islands hold bilateral talks and witness signing of agreements
    On the morning of June 3, President Lai Ching-te, accompanied by Vice President Bi-khim Hsiao, held bilateral talks with President Hilda C. Heine of the Republic of the Marshall Islands at the Presidential Office following a welcome ceremony with military honors for her and her husband. The leaders also jointly witnessed the signing of a letter of intent for sports exchanges and a memorandum of understanding regarding the Presidents’ Scholarship Fund. President Lai then presided over a launch ceremony for a loan program to purchase aircraft. In remarks, President Lai thanked the government and the Nitijela (parliament) of the Marshall Islands for their longstanding support for Taiwan’s international participation and for voicing staunch support for Taiwan at numerous international venues. President Lai said that Taiwan looks forward to continuing to deepen its diplomatic partnership with the Marshall Islands and build an even closer cooperative relationship across a range of fields, engaging in mutual assistance for mutual benefits and helping each other achieve joint and prosperous development to yield even greater well-being for our peoples. A translation of President Lai’s remarks follows: I once again warmly welcome President Heine, First Gentleman Thomas Kijiner, Jr., and our guests to Taiwan. During my visit to the Marshall Islands last year, I said that Taiwan and the Marshall Islands are truly a family. When Vice President Hsiao and I took office last year, President Heine led a delegation to Taiwan. It is now one year since our inauguration, and I am delighted to see President Heine once again, just as if I were seeing family arrive from afar. Through my visit to the Marshall Islands, I gained a profound sense of the friendship between the peoples of our two nations, well-demonstrated by bilateral exchanges in such areas as healthcare, agriculture, and education. And it is thanks to President Heine’s longstanding support for Taiwan that our countries have been able to further advance collaboration on even more issues, including women’s empowerment and climate change. In recent years, the geopolitical and economic landscape has changed rapidly. We look forward to Taiwan and the Marshall Islands continuing to deepen our partnership and build an even closer cooperative relationship. In just a few moments, President Heine and I will witness the signing of several documents, including a memorandum of understanding and a letter of intent, to expand bilateral cooperation in such fields as sports, education, and transportation. Taiwan will take concrete action to work with the Marshall Islands and advance mutual prosperity and development, writing a new chapter in our diplomatic partnership. I would also like to take this opportunity to express gratitude to the government and Nitijela of the Marshall Islands. In recent years, the Nitijela has passed annual resolutions backing Taiwan’s international participation, and President Heine and Marshallese cabinet members have been some of the strongest advocates for Taiwan’s international participation, voicing staunch support for Taiwan at numerous international venues. Building on the pillars of democracy, peace, and prosperity, Taiwan will continue to work with the Marshall Islands and other like-minded countries to deepen our partnerships, engage in mutual assistance for mutual benefits, and help one another achieve joint and prosperous development. I have every confidence that the combined efforts of our two nations will yield even greater well-being for our peoples and see us make even more contributions to the world. President Heine then delivered remarks, and began by conveying warm greetings of iokwe from the people and government of the Republic of the Marshall Islands to the people and government of the Republic of China (Taiwan). She said she was deeply honored to be in Taiwan for an official visit, and extended appreciation to President Lai and his government for their gracious invitation and warm welcome. President Heine stated that this year marks 27 years of diplomatic ties between our two nations, and that they are proud of this enduring friendship. This special and enduring relationship, she said, is grounded in our shared Austronesian heritage, and strengthened by mutual respect for each other’s democratic systems and our steadfast commitment to the core values of freedom, justice, and the rule of law. President Heine stated that Taiwan’s continued support has been invaluable to the people and national development of the Marshall Islands, particularly in the areas of health, education, agriculture, and climate change. She also expressed deep appreciation to Taiwan for providing Marshallese students with opportunities to study in Taiwan, and for the care extended to Marshallese who travel here for medical treatment. President Heine also announced that she would be presenting a copy of a resolution by the people and government of the Republic of the Marshall Islands reiterating their appreciation for the support provided by the people and government of the Republic of China (Taiwan), and calling on the United Nations to take immediate action to resolve the inappropriate exclusion of Taiwan’s 23 million people from the UN system. She added that she looked forward to the bilateral discussions later that day, and to continuing the important work that both countries carry out together. After the bilateral talks, President Lai and President Heine witnessed the signing of a letter of intent regarding sports exchanges and a memorandum of understanding regarding the Presidents’ Scholarship Fund by Minister of Foreign Affairs Lin Chia-lung (林佳龍) and Marshallese Minister of Foreign Affairs and Trade Kalani R. Kaneko. President Lai then presided over a launch ceremony for a loan program to purchase aircraft, marking the formal beginning of Taiwan-Marshall Islands air transport cooperation. The visiting delegation also included Council of Iroij Chairman Lanny Kabua, Minister of Finance David Paul, and Nitijela Standing Committee on Foreign Affairs and Trade Chair Joe Bejang. They were accompanied to the Presidential Office by Charge d’Affaires a.i. Anjanette Davis-Anjel of the Embassy of the Republic of the Marshall Islands.

    Details
    2025-06-03
    President Lai welcomes President Hilda C. Heine of Republic of the Marshall Islands with military honors  
    President Lai Ching-te welcomed President Hilda C. Heine of the Republic of the Marshall Islands and her husband on the morning of June 3 with full military honors. In remarks, President Lai thanked President Heine and the people and government of the Marshall Islands for demonstrating such high regard for our nations’ diplomatic ties. The president said that over our 27 years of diplomatic relations, our cooperation in healthcare, agriculture, fisheries, education and training, and climate change has yielded many positive results. And moving ahead, he said, Taiwan will continue to deepen collaboration across all domains for mutual prosperity and growth. The welcome ceremony began at 10:30 a.m. in the plaza fronting the Presidential Office. President Lai and President Heine each delivered remarks after a 21-gun salute, the playing of the two countries’ national anthems, and a review of the military honor guard. A translation of President Lai’s remarks follows: On behalf of the people and government of the Republic of China (Taiwan), it is a great pleasure to welcome President Heine, First Gentleman Thomas Kijiner, Jr., and their delegation with full military honors as they make this state visit to Taiwan. When I traveled to the Marshall Islands on a state visit last December, I was received with great warmth and courtesy. I once again thank President Heine and the people and government of the Marshall Islands for demonstrating such high regard for our nations’ diplomatic ties. Taiwan and the Marshall Islands share Austronesian cultural traditions, and we are like-minded friends. Throughout our 27 years of diplomatic relations, we have always engaged with each other in a spirit of reciprocal trust and mutual assistance. Our cooperation in healthcare, agriculture, fisheries, education and training, and climate change has yielded many positive results. This is President Heine’s first state visit to Taiwan since taking office for a second time. We look forward to engaging our esteemed guests in in-depth discussions on issues of common concern. And moving ahead, Taiwan will continue to deepen collaboration with the Marshall Islands across all domains for mutual prosperity and growth. In closing, I thank President Heine, First Gentleman Kijiner, and their entire delegation for visiting Taiwan. I wish you all a pleasant and successful trip.  A transcript of President Heine’s remarks follows: Your Excellency President Lai Ching-te, Vice President [Bi-khim] Hsiao, honorable members of the cabinet, ambassadors, distinguished guests, ladies and gentlemen: It is my pleasure to extend warm greetings of iokwe on behalf of the people and the government of the Republic of the Marshall Islands. I wish to also convey my appreciation to Your Excellency President Lai, for the hospitality and very warm welcome – kommol tata. This visit marks my seventh official state visit to this beautiful country. It’s a testament to my strong commitment to further deepening ties between the Republic of the Marshall Islands and the Republic of China (Taiwan). During this visit, I look forward to engaging in meaningful discussions with Your Excellency President Lai to further strengthen the bilateral relationship between our two nations and our peoples.  For over a quarter-century, Taiwan has been a strong ally and friend to the Marshall Islands. Our partnership has thrived across many sectors, including education, healthcare, infrastructure, and economic development. Through Taiwan’s generous support and collaboration, we have made significant progress in improving the lives of our people, empowering our communities, and fostering sustainable growth. The Marshall Islands deeply values our partnership with Taiwan and appreciates Taiwan’s support over the years. Despite our small size and limited voice on the global stage, the Marshall Islands deeply cherishes our friendship with Taiwan, and to that end, I wish to reaffirm my government’s commitment to Taiwan’s meaningful participation in the United Nations system. Taiwan has consistently demonstrated its commitment to the principles of democracy, human rights, and the rule of law. In light of current constraints in global affairs, it is now more urgent than ever that the international community of nations recognize the fundamental rights of the 23 million Taiwanese people and recognize Taiwan’s aspiration to engage fully in global affairs. It is with this in mind that I wish to reiterate to Your Excellency President Lai, the Taiwanese people, and the world that under my government, Marshall Islands will continue to acknowledge Taiwan’s contribution on the global stage and urge like-minded countries to advocate for Taiwan’s meaningful engagement in the international arena. In closing, may I once again extend our sincere appreciation to Your Excellency President Lai, the people and government of the Republic of China (Taiwan), for your warm welcome.  Also in attendance at the welcome ceremony were Charge d’Affaires a.i. Anjanette Davis-Anjel of the Embassy of the Republic of the Marshall Islands, Dean of the Diplomatic Corps and Saint Vincent and the Grenadines Ambassador Andrea Clare Bowman, and members of the foreign diplomatic corps in Taiwan.  

    Details
    2025-05-29
    President Lai attends 2025 Europe Day Dinner
    On the evening of May 29, President Lai Ching-te attended the 2025 Europe Day Dinner. In remarks, President Lai stated that Taiwan looks forward to further establishing institutionalized mechanisms with Europe for our trade and investment ties and hopes to take an innovative and diverse approach to sign an economic partnership agreement with the European Union, to provide a more transparent, stable, and predictable business environment for our enterprises. The president said that Taiwan will actively work alongside other democracies, including those in Europe, to jointly build resilient, promising non-red supply chains, and noted that Taiwan and Europe have endless potential for collaboration, whether it is in safeguarding freedom and democracy or advancing our economic and trade relationship. He expressed hope to further strengthen our partnership and work together toward global peace, stability, and prosperity. A transcript of President Lai’s remarks follows: Chairman [Henry] Chang (張瀚書), thank you for the invitation, and congratulations on your second term. I’m confident that under your leadership, the ECCT [European Chamber of Commerce Taiwan] will build even more bridges for cooperation between Taiwan and Europe. I would also like to thank EETO [European Economic and Trade Office] Head [Lutz] Güllner and all the European country representatives stationed in Taiwan. Your hard work over the years has helped deepen Taiwan-Europe relations and brought about such fruitful cooperation. Thank you. This year we celebrate the 75th anniversary of the Schuman Declaration. In 1950, then-French Foreign Minister Robert Schuman proposed to create a European federation dedicated to preserving peace. The declaration symbolized a new flowering in the post-war era of democracy, unity, and cooperation. As we face the geopolitical challenges and drastic economic changes of today’s world, the Schuman Declaration still speaks to us profoundly. This year is also the 80th anniversary of the end of World War II in Europe. Moving forward, Taiwan will continue to advance cooperation with our democratic partners, and will join hands with Europe to build a partnership of even greater resilience and mutual trust. Europe is Taiwan’s third largest trading partner. It is also Taiwan’s largest source of foreign direct investment. Last year, bilateral trade between Taiwan and Europe totaled US$84.7 billion. This demonstrates our vibrant economic and trade ties and reflects the high levels of confidence our businesses have in each other’s markets and systems. We look forward to Taiwan and Europe further establishing institutionalized mechanisms for our trade and investment ties. And we hope to take an innovative and diverse approach to sign an economic partnership agreement with the EU, to provide a more transparent, stable, and predictable business environment for our enterprises. Today’s Taiwan has an internationally recognized democracy and a semiconductor industry vital to global security and prosperity. This enables us to play a key role in restructuring global democratic supply chains and the economic order. In particular, we see supply chains dominated by a new authoritarian bloc expanding their influence through non-market mechanisms, price subsidies, and monopolies on resources, as they seek global control of critical technologies and manufacturing capabilities. Their actions not only distort principles of market fairness, but also threaten the international community’s basic expectations for democracy, the rule of law, and corporate responsibility. In response, Taiwan will actively work alongside other democracies, including those in Europe, to jointly build resilient, promising non-red supply chains. We will also introduce an initiative on semiconductor supply chain partnerships for global democracies. This is more than a proposal for economic cooperation; it is an alliance of shared values and advanced technology. Security in the Taiwan Strait and regional peace and stability have always been issues of mutual interest for Taiwan and Europe. So here today, on behalf of all the people of Taiwan, I would like to thank the EU and European nations for continuing to take concrete actions in public support of peace and stability across the strait. Such actions are vital to regional security and prosperity. Taiwan will continue to bolster itself to achieve real peace through strength, and will work with democratic partners to safeguard freedom and democracy, thereby showing our determination for regional peace. At this critical time, Taiwan and Europe have endless potential for collaboration, whether it’s in safeguarding freedom and democracy or advancing our economic and trade relationship. I look forward to our joining hands at this strategic juncture to further strengthen our partnership and work together toward global peace, stability, and prosperity. Also in attendance at the event was British Office Taipei Representative Ruth Bradley-Jones.

    Details
    2025-05-28
    President Lai meets US delegation led by Senator Tammy Duckworth
    On the afternoon of May 28, President Lai Ching-te met with a delegation led by United States Senator Tammy Duckworth. In remarks, President Lai thanked the US Congress and government for their longstanding and bipartisan support for Taiwan. The president stated that Taiwan will continue to strengthen cooperation with the US and jointly safeguard regional peace and stability. He pointed out that the Taiwan government has already proposed a roadmap for deepening Taiwan-US trade ties and will encourage mutual investment between Taiwanese and US businesses. He then expressed hope of deepening Taiwan-US ties and creating more niches for both sides. A translation of President Lai’s remarks follows: I warmly welcome this delegation led by Senator Duckworth, a dear friend of Taiwan. Senator Duckworth previously visited in May last year to convey congratulations after the inauguration of myself and Vice President Bi-khim Hsiao. Your bipartisan delegation was the first group from the US Senate that I met with as president. Today, you are visiting just after the first anniversary of my taking office, demonstrating the staunch support of the US and our deep friendship. On behalf of the people of Taiwan, I extend my sincere appreciation and greetings. And I invite you to come back and visit next year, the year after that, and every year. Taiwan and the US share the values of democracy and the rule of law and believe in free and open markets. Both sides embrace a common goal of peace, stability, and prosperity in the Indo-Pacific region. I thank the US Congress and government for their longstanding, bipartisan, and steadfast support for Taiwan. In 2021, to help Taiwan overcome the challenges of the COVID-19 pandemic, Senator Duckworth made a special trip here to announce that the US government would be donating vaccines to Taiwan. In recent years, Senator Duckworth has also promoted the TAIWAN Security Act, STAND with Taiwan Act, and Taiwan and America Space Assistance Act in the US Congress, all of which have further deepened Taiwan-US cooperation and steadily advanced our ties. For this, I express my deepest appreciation. I want to emphasize that the people of Taiwan have an unyielding determination to protect their homeland and free and democratic way of life. Over the past year, the government and private sector have been working together to enhance Taiwan’s whole-of-society defense resilience. The government is committed to reforming national defense, and it has proposed prioritizing special budget allocations to ensure that our defense budget exceeds three percent of GDP. This will continue to bolster Taiwan’s self-defense capabilities. Moving forward, Taiwan will continue to strengthen cooperation with the US. In addition to jointly safeguarding regional peace and stability, we also aspire to deepen bilateral trade and economic ties. At the SelectUSA Investment Summit in Washington, DC, earlier this month, Taiwan’s delegation was once again the biggest delegation attending the event – proof positive of our close economic and trade cooperation. We have already proposed a roadmap for deepening Taiwan-US trade ties. We will narrow the trade imbalance through the procurement of energy and agricultural and other industrial products from the US. We will encourage mutual investment between Taiwanese and US businesses to stimulate industrial development on both sides, especially in such industries as national defense and shipbuilding. We therefore look forward to Congress passing the US-Taiwan Expedited Double-Tax Relief Act as soon as possible, as this would deepen Taiwan-US trade ties and create more niches for business. In closing, I once again thank Senator Duckworth for making the trip to Taiwan. Let us continue to work together to elevate Taiwan-US ties. I wish you a pleasant and successful visit. Senator Duckworth then delivered remarks, saying that she is happy to be back in Taiwan and that she wanted to make sure to come back just after President Lai’s one-year anniversary of taking office to show the dedication and the outstanding friendship that we have. She noted that because no matter who is in the White House, no matter which political party is in power in Washington, DC, she has always believed that if America wants to remain a leader on the global stage, it has to show up for friends like Taiwan.  Senator Duckworth mentioned that in the years that she has been coming to Taiwan since pre-COVID times, she has seen a remarkable increase in participation in its defense and the support of the Taiwanese people for defending the homeland. She then thanked Taiwan for making the commitment to its self-defense, and also for being a partner with other nations around the world.  The STAND with Taiwan Act, the senator noted, is so named because the US wants to stand side by side with Taiwan. Pointing out that Taiwan is an important leader in the Indo-Pacific and on the global stage, she reiterated that there is support on both sides of the aisle in Washington for Taiwanese democracy, and added that the people of Taiwan are showing that they are willing to shore up their own readiness. Senator Duckworth said that whether it is delivering vaccines to Taiwan or making sure that the US National Guard works with Taiwan’s reserve forces or even with its civilian emergency response teams, these are all important components to the ongoing partnership between our nations.  Senator Duckworth indicated that there are many great opportunities moving forward beyond our military cooperation with one another. Whether it is in chip manufacturing, agricultural investments, shipbuilding, or in the healthcare field, those investments in both nations will facilitate stability and development in both our nations. She said that is why she wants to continue the Taiwan-US relationship, underlining that they are in it for the long haul. The delegation was accompanied to the Presidential Office by American Institute in Taiwan Taipei Office Director Raymond Greene.

    Details
    2025-05-20
    President Lai interviewed by Nippon Television and Yomiuri TV
    In a recent interview on Nippon Television’s news zero program, President Lai Ching-te responded to questions from host Mr. Sakurai Sho and Yomiuri TV Shanghai Bureau Chief Watanabe Masayo on topics including reflections on his first year in office, cross-strait relations, China’s military threats, Taiwan-United States relations, and Taiwan-Japan relations. The interview was broadcast on the evening of May 19. During the interview, President Lai stated that China intends to change the world’s rules-based international order, and that if Taiwan were invaded, global supply chains would be disrupted. Therefore, he said, Taiwan will strengthen its national defense, prevent war by preparing for war, and achieve the goal of peace. The president also noted that Taiwan’s purpose for developing drones is based on national security and industrial needs, and that Taiwan hopes to collaborate with Japan. He then reiterated that China’s threats are an international problem, and expressed hope to work together with the US, Japan, and others in the global democratic community to prevent China from starting a war. Following is the text of the questions and the president’s responses: Q: How do you feel as you are about to round out your first year in office? President Lai: When I was young, I was determined to practice medicine and save lives. When I left medicine to go into politics, I was determined to transform Taiwan. And when I was sworn in as president on May 20 last year, I was determined to strengthen the nation. Time flies, and it has already been a year. Although the process has been very challenging, I am deeply honored to be a part of it. I am also profoundly grateful to our citizens for allowing me the opportunity to give back to our country. The future will certainly be full of more challenges, but I will do everything I can to unite the people and continue strengthening the nation. That is how I am feeling now. Q: We are now coming up on the 80th anniversary of the end of World War II, and over this period, we have often heard that conflict between Taiwan and the mainland is imminent. Do you personally believe that a cross-strait conflict could happen? President Lai: The international community is very much aware that China intends to replace the US and change the world’s rules-based international order, and annexing Taiwan is just the first step. So, as China’s military power grows stronger, some members of the international community are naturally on edge about whether a cross-strait conflict will break out. The international community must certainly do everything in its power to avoid a conflict in the Taiwan Strait; there is too great a cost. Besides causing direct disasters to both Taiwan and China, the impact on the global economy would be even greater, with estimated losses of US$10 trillion from war alone – that is roughly 10 percent of the global GDP. Additionally, 20 percent of global shipping passes through the Taiwan Strait and surrounding waters, so if a conflict breaks out in the strait, other countries including Japan and Korea would suffer a grave impact. For Japan and Korea, a quarter of external transit passes through the Taiwan Strait and surrounding waters, and a third of the various energy resources and minerals shipped back from other countries pass through said areas. If Taiwan were invaded, global supply chains would be disrupted, and therefore conflict in the Taiwan Strait must be avoided. Such a conflict is indeed avoidable. I am very thankful to Prime Minister of Japan Ishiba Shigeru and former Prime Ministers Abe Shinzo, Suga Yoshihide, and Kishida Fumio, as well as US President Donald Trump and former President Joe Biden, and the other G7 leaders, for continuing to emphasize at international venues that peace and stability across the Taiwan Strait are essential components for global security and prosperity. When everyone in the global democratic community works together, stacking up enough strength to make China’s objectives unattainable or to make the cost of invading Taiwan too high for it to bear, a conflict in the strait can naturally be avoided. Q: As you said, President Lai, maintaining peace and stability across the Taiwan Strait is also very important for other countries. How can war be avoided? What sort of countermeasures is Taiwan prepared to take to prevent war? President Lai: As Mr. Sakurai mentioned earlier, we are coming up on the 80th anniversary of the end of WWII. There are many lessons we can take from that war. First is that peace is priceless, and war has no winners. From the tragedies of WWII, there are lessons that humanity should learn. We must pursue peace, and not start wars blindly, as that would be a major disaster for humanity. In other words, we must be determined to safeguard peace. The second lesson is that we cannot be complacent toward authoritarian powers. If you give them an inch, they will take a mile. They will keep growing, and eventually, not only will peace be unattainable, but war will be inevitable. The third lesson is why WWII ended: It ended because different groups joined together in solidarity. Taiwan, Japan, and the Indo-Pacific region are all directly subjected to China’s threats, so we hope to be able to join together in cooperation. This is why we proposed the Four Pillars of Peace action plan. First, we will strengthen our national defense. Second, we will strengthen economic resilience. Third is standing shoulder to shoulder with the democratic community to demonstrate the strength of deterrence. Fourth is that as long as China treats Taiwan with parity and dignity, Taiwan is willing to conduct exchanges and cooperate with China, and seek peace and mutual prosperity. These four pillars can help us avoid war and achieve peace. That is to say, Taiwan hopes to achieve peace through strength, prevent war by preparing for war, keeping war from happening and pursuing the goal of peace. Q: Regarding drones, everyone knows that recently, Taiwan has been actively researching, developing, and introducing drones. Why do you need to actively research, develop, and introduce new drones at this time? President Lai: This is for two purposes. The first is to meet national security needs. The second is to meet industrial development needs. Because Taiwan, Japan, and the Philippines are all part of the first island chain, and we are all democratic nations, we cannot be like an authoritarian country like China, which has an unlimited national defense budget. In this kind of situation, island nations such as Taiwan, Japan, and the Philippines should leverage their own technologies to develop national defense methods that are asymmetric and utilize unmanned vehicles. In particular, from the Russo-Ukrainian War, we see that Ukraine has successfully utilized unmanned vehicles to protect itself and prevent Russia from unlimited invasion. In other words, the Russo-Ukrainian War has already proven the importance of drones. Therefore, the first purpose of developing drones is based on national security needs. Second, the world has already entered the era of smart technology. Whether generative, agentic, or physical, AI will continue to develop. In the future, cars and ships will also evolve into unmanned vehicles and unmanned boats, and there will be unmanned factories. Drones will even be able to assist with postal deliveries, or services like Uber, Uber Eats, and foodpanda, or agricultural irrigation and pesticide spraying. Therefore, in the future era of comprehensive smart technology, developing unmanned vehicles is a necessity. Taiwan, based on industrial needs, is actively planning the development of drones and unmanned vehicles. I would like to take this opportunity to express Taiwan’s hope to collaborate with Japan in the unmanned vehicle industry. Just as we do in the semiconductor industry, where Japan has raw materials, equipment, and technology, and Taiwan has wafer manufacturing, our two countries can cooperate. Japan is a technological power, and Taiwan also has significant technological strengths. If Taiwan and Japan work together, we will not only be able to safeguard peace and stability in the Taiwan Strait and security in the Indo-Pacific region, but it will also be very helpful for the industrial development of both countries. Q: The drones you just described probably include examples from the Russo-Ukrainian War. Taiwan and China are separated by the Taiwan Strait. Do our drones need to have cross-sea flight capabilities? President Lai: Taiwan does not intend to counterattack the mainland, and does not intend to invade any country. Taiwan’s drones are meant to protect our own nation and territory. Q: Former President Biden previously stated that US forces would assist Taiwan’s defense in the event of an attack. President Trump, however, has yet to clearly state that the US would help defend Taiwan. Do you think that in such an event, the US would help defend Taiwan? Or is Taiwan now trying to persuade the US? President Lai: Former President Biden and President Trump have answered questions from reporters. Although their responses were different, strong cooperation with Taiwan under the Biden administration has continued under the Trump administration; there has been no change. During President Trump’s first term, cooperation with Taiwan was broader and deeper compared to former President Barack Obama’s terms. After former President Biden took office, cooperation with Taiwan increased compared to President Trump’s first term. Now, during President Trump’s second term, cooperation with Taiwan is even greater than under former President Biden. Taiwan-US cooperation continues to grow stronger, and has not changed just because President Trump and former President Biden gave different responses to reporters. Furthermore, the Trump administration publicly stated that in the future, the US will shift its strategic focus from Europe to the Indo-Pacific. The US secretary of defense even publicly stated that the primary mission of the US is to prevent China from invading Taiwan, maintain stability in the Indo-Pacific, and thus maintain world peace. There is a saying in Taiwan that goes, “Help comes most to those who help themselves.” Before asking friends and allies for assistance in facing threats from China, Taiwan must first be determined and prepared to defend itself. This is Taiwan’s principle, and we are working in this direction, making all the necessary preparations to safeguard the nation. Q: I would like to ask you a question about Taiwan-Japan relations. After the Great East Japan Earthquake in 2011, you made an appeal to give Japan a great deal of assistance and care. In particular, you visited Sendai to offer condolences. Later, you also expressed condolences and concern after the earthquakes in Aomori and Kumamoto. What are your expectations for future Taiwan-Japan exchanges and development? President Lai: I come from Tainan, and my constituency is in Tainan. Tainan has very deep ties with Japan, and of course, Taiwan also has deep ties with Japan. However, among Taiwan’s 22 counties and cities, Tainan has the deepest relationship with Japan. I sincerely hope that both of you and your teams will have an opportunity to visit Tainan. I will introduce Tainan’s scenery, including architecture from the era of Japanese rule, Tainan’s cuisine, and unique aspects of Tainan society, and you can also see lifestyles and culture from the Showa era.  The Wushantou Reservoir in Tainan was completed by engineer Mr. Hatta Yoichi from Kanazawa, Japan and the team he led to Tainan after he graduated from then-Tokyo Imperial University. It has nearly a century of history and is still in use today. This reservoir, along with the 16,000-km-long Chianan Canal, transformed the 150,000-hectare Chianan Plain into Taiwan’s premier rice-growing area. It was that foundation in agriculture that enabled Taiwan to develop industry and the technology sector of today. The reservoir continues to supply water to Tainan Science Park. It is used by residents of Tainan, the agricultural sector, and industry, and even the technology sector in Xinshi Industrial Park, as well as Taiwan Semiconductor Manufacturing Company. Because of this, the people of Tainan are deeply grateful for Mr. Hatta and very friendly toward the people of Japan. A major earthquake, the largest in 50 years, struck Tainan on February 6, 2016, resulting in significant casualties. As mayor of Tainan at the time, I was extremely grateful to then-Prime Minister Abe, who sent five Japanese officials to the disaster site in Tainan the day after the earthquake. They were very thoughtful and asked what kind of assistance we needed from the Japanese government. They offered to provide help based on what we needed. I was deeply moved, as former Prime Minister Abe showed such care, going beyond the formality of just sending supplies that we may or may not have actually needed. Instead, the officials asked what we needed and then provided assistance based on those needs, which really moved me. Similarly, when the Great East Japan Earthquake of 2011 or the later Kumamoto earthquakes struck, the people of Tainan, under my leadership, naturally and dutifully expressed their support. Even earlier, when central Taiwan was hit by a major earthquake in 1999, Japan was the first country to deploy a rescue team to the disaster area. On February 6, 2018, after a major earthquake in Hualien, former Prime Minister Abe appeared in a video holding up a message of encouragement he had written in calligraphy saying “Remain strong, Taiwan.” All of Taiwan was deeply moved. Over the years, Taiwan and Japan have supported each other when earthquakes struck, and have forged bonds that are family-like, not just neighborly. This is truly valuable. In the future, I hope Taiwan and Japan can be like brothers, and that the peoples of Taiwan and Japan can treat one another like family. If Taiwan has a problem, then Japan has a problem; if Japan has a problem, then Taiwan has a problem. By caring for and helping each other, we can face various challenges and difficulties, and pursue a brighter future. Q: President Lai, you just used the phrase “If Taiwan has a problem, then Japan has a problem.” In the event that China attempts to invade Taiwan by force, what kind of response measures would you hope the US military and Japan’s Self-Defense Forces take? President Lai: As I just mentioned, annexing Taiwan is only China’s first step. Its ultimate objective is to change the rules-based international order. That being the case, China’s threats are an international problem. So, I would very much hope to work together with the US, Japan, and others in the global democratic community to prevent China from starting a war – prevention, after all, is more important than cure.

    MIL OSI Asia Pacific News

  • MIL-OSI Russia: China’s domestically produced 9-valent HPV vaccine aims to boost immunization coverage

    Translation. Region: Russian Federal

    Source: People’s Republic of China in Russian – People’s Republic of China in Russian –

    Source: People’s Republic of China – State Council News

    BEIJING, June 5 (Xinhua) — China’s medical device administration has approved the launch of the country’s first domestically produced 9-valent HPV (human papillomavirus) vaccine, ending a decade of foreign dominance in the Chinese market.

    The new vaccine, called Cecolin 9, was included in a list of approved drugs released Wednesday by China’s National Medical Products Administration.

    “The approval of Cecolin 9 not only opens up more opportunities for women to be vaccinated in China, but may also expand the availability and coverage of vaccination, helping to reduce the risk of cervical cancer,” said Zhang Jun, director of the Institute of Public Health at Xiamen University and a leading scientist on the vaccine development team.

    HPV vaccines are commonly used to prevent cervical cancer in women, as well as genital cancers and warts in both men and women.

    Cecolin 9, which targets nine HPV strains, was developed by Xiamen University, Xiang An Key Laboratory of Biomedicine and Xiamen Innovax Biotech Co., Ltd.

    With the approval of Cecolin 9, China has become the second country in the world after the United States to have independent self-sufficiency in the production of highly valent HPV vaccine.

    Compared with bivalent HPV vaccines, which are effective against two high-risk genotypes (HPV 16 and 18), 9-valent HPV vaccines additionally protect against five high-risk genotypes (HPV 31, 33, 45, 52, and 58) and two low-risk genotypes (HPV 6 and 11), and have been shown to be more effective in protecting against cervical cancer.

    After 18 years of hard work, Chinese researchers have overcome major technical challenges in producing virus-like particles (VLPs) from several HPV types using the E. coli platform and completed key clinical trial processes.

    Since 2019, five targeted clinical trials have been conducted in China, in which the new vaccine has demonstrated a favorable safety profile and a strong immune response comparable to similar international drugs on the market.

    Statistics show that there are approximately 700,000 cases of HPV-related cancer worldwide each year, including about 530,000 cases of cervical cancer. At the same time, the vaccination method can effectively prevent HPV infection by 94 percent.

    In 2020, the World Health Organization (WHO) launched a global programme to accelerate the elimination of cervical cancer, aiming to ensure that 90% of girls are fully vaccinated against HPV by age 15 by 2030.

    In line with the WHO programme, China’s National Health Commission has launched an action plan to eliminate cervical cancer for the period 2022-2030, which urges expansion of HPV immunisation coverage across the country. -0-

    MIL OSI Russia News

  • MIL-OSI Asia-Pac: President Lai confers decoration on President Hilda C. Heine of Republic of the Marshall Islands, hosts state banquet  

    Source: Republic of China Taiwan

    Details
    2025-06-03
    President Lai and President Hilda C. Heine of Marshall Islands hold bilateral talks and witness signing of agreements
    On the morning of June 3, President Lai Ching-te, accompanied by Vice President Bi-khim Hsiao, held bilateral talks with President Hilda C. Heine of the Republic of the Marshall Islands at the Presidential Office following a welcome ceremony with military honors for her and her husband. The leaders also jointly witnessed the signing of a letter of intent for sports exchanges and a memorandum of understanding regarding the Presidents’ Scholarship Fund. President Lai then presided over a launch ceremony for a loan program to purchase aircraft. In remarks, President Lai thanked the government and the Nitijela (parliament) of the Marshall Islands for their longstanding support for Taiwan’s international participation and for voicing staunch support for Taiwan at numerous international venues. President Lai said that Taiwan looks forward to continuing to deepen its diplomatic partnership with the Marshall Islands and build an even closer cooperative relationship across a range of fields, engaging in mutual assistance for mutual benefits and helping each other achieve joint and prosperous development to yield even greater well-being for our peoples. A translation of President Lai’s remarks follows: I once again warmly welcome President Heine, First Gentleman Thomas Kijiner, Jr., and our guests to Taiwan. During my visit to the Marshall Islands last year, I said that Taiwan and the Marshall Islands are truly a family. When Vice President Hsiao and I took office last year, President Heine led a delegation to Taiwan. It is now one year since our inauguration, and I am delighted to see President Heine once again, just as if I were seeing family arrive from afar. Through my visit to the Marshall Islands, I gained a profound sense of the friendship between the peoples of our two nations, well-demonstrated by bilateral exchanges in such areas as healthcare, agriculture, and education. And it is thanks to President Heine’s longstanding support for Taiwan that our countries have been able to further advance collaboration on even more issues, including women’s empowerment and climate change. In recent years, the geopolitical and economic landscape has changed rapidly. We look forward to Taiwan and the Marshall Islands continuing to deepen our partnership and build an even closer cooperative relationship. In just a few moments, President Heine and I will witness the signing of several documents, including a memorandum of understanding and a letter of intent, to expand bilateral cooperation in such fields as sports, education, and transportation. Taiwan will take concrete action to work with the Marshall Islands and advance mutual prosperity and development, writing a new chapter in our diplomatic partnership. I would also like to take this opportunity to express gratitude to the government and Nitijela of the Marshall Islands. In recent years, the Nitijela has passed annual resolutions backing Taiwan’s international participation, and President Heine and Marshallese cabinet members have been some of the strongest advocates for Taiwan’s international participation, voicing staunch support for Taiwan at numerous international venues. Building on the pillars of democracy, peace, and prosperity, Taiwan will continue to work with the Marshall Islands and other like-minded countries to deepen our partnerships, engage in mutual assistance for mutual benefits, and help one another achieve joint and prosperous development. I have every confidence that the combined efforts of our two nations will yield even greater well-being for our peoples and see us make even more contributions to the world. President Heine then delivered remarks, and began by conveying warm greetings of iokwe from the people and government of the Republic of the Marshall Islands to the people and government of the Republic of China (Taiwan). She said she was deeply honored to be in Taiwan for an official visit, and extended appreciation to President Lai and his government for their gracious invitation and warm welcome. President Heine stated that this year marks 27 years of diplomatic ties between our two nations, and that they are proud of this enduring friendship. This special and enduring relationship, she said, is grounded in our shared Austronesian heritage, and strengthened by mutual respect for each other’s democratic systems and our steadfast commitment to the core values of freedom, justice, and the rule of law. President Heine stated that Taiwan’s continued support has been invaluable to the people and national development of the Marshall Islands, particularly in the areas of health, education, agriculture, and climate change. She also expressed deep appreciation to Taiwan for providing Marshallese students with opportunities to study in Taiwan, and for the care extended to Marshallese who travel here for medical treatment. President Heine also announced that she would be presenting a copy of a resolution by the people and government of the Republic of the Marshall Islands reiterating their appreciation for the support provided by the people and government of the Republic of China (Taiwan), and calling on the United Nations to take immediate action to resolve the inappropriate exclusion of Taiwan’s 23 million people from the UN system. She added that she looked forward to the bilateral discussions later that day, and to continuing the important work that both countries carry out together. After the bilateral talks, President Lai and President Heine witnessed the signing of a letter of intent regarding sports exchanges and a memorandum of understanding regarding the Presidents’ Scholarship Fund by Minister of Foreign Affairs Lin Chia-lung (林佳龍) and Marshallese Minister of Foreign Affairs and Trade Kalani R. Kaneko. President Lai then presided over a launch ceremony for a loan program to purchase aircraft, marking the formal beginning of Taiwan-Marshall Islands air transport cooperation. The visiting delegation also included Council of Iroij Chairman Lanny Kabua, Minister of Finance David Paul, and Nitijela Standing Committee on Foreign Affairs and Trade Chair Joe Bejang. They were accompanied to the Presidential Office by Charge d’Affaires a.i. Anjanette Davis-Anjel of the Embassy of the Republic of the Marshall Islands.

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    2025-06-03
    President Lai welcomes President Hilda C. Heine of Republic of the Marshall Islands with military honors  
    President Lai Ching-te welcomed President Hilda C. Heine of the Republic of the Marshall Islands and her husband on the morning of June 3 with full military honors. In remarks, President Lai thanked President Heine and the people and government of the Marshall Islands for demonstrating such high regard for our nations’ diplomatic ties. The president said that over our 27 years of diplomatic relations, our cooperation in healthcare, agriculture, fisheries, education and training, and climate change has yielded many positive results. And moving ahead, he said, Taiwan will continue to deepen collaboration across all domains for mutual prosperity and growth. The welcome ceremony began at 10:30 a.m. in the plaza fronting the Presidential Office. President Lai and President Heine each delivered remarks after a 21-gun salute, the playing of the two countries’ national anthems, and a review of the military honor guard. A translation of President Lai’s remarks follows: On behalf of the people and government of the Republic of China (Taiwan), it is a great pleasure to welcome President Heine, First Gentleman Thomas Kijiner, Jr., and their delegation with full military honors as they make this state visit to Taiwan. When I traveled to the Marshall Islands on a state visit last December, I was received with great warmth and courtesy. I once again thank President Heine and the people and government of the Marshall Islands for demonstrating such high regard for our nations’ diplomatic ties. Taiwan and the Marshall Islands share Austronesian cultural traditions, and we are like-minded friends. Throughout our 27 years of diplomatic relations, we have always engaged with each other in a spirit of reciprocal trust and mutual assistance. Our cooperation in healthcare, agriculture, fisheries, education and training, and climate change has yielded many positive results. This is President Heine’s first state visit to Taiwan since taking office for a second time. We look forward to engaging our esteemed guests in in-depth discussions on issues of common concern. And moving ahead, Taiwan will continue to deepen collaboration with the Marshall Islands across all domains for mutual prosperity and growth. In closing, I thank President Heine, First Gentleman Kijiner, and their entire delegation for visiting Taiwan. I wish you all a pleasant and successful trip.  A transcript of President Heine’s remarks follows: Your Excellency President Lai Ching-te, Vice President [Bi-khim] Hsiao, honorable members of the cabinet, ambassadors, distinguished guests, ladies and gentlemen: It is my pleasure to extend warm greetings of iokwe on behalf of the people and the government of the Republic of the Marshall Islands. I wish to also convey my appreciation to Your Excellency President Lai, for the hospitality and very warm welcome – kommol tata. This visit marks my seventh official state visit to this beautiful country. It’s a testament to my strong commitment to further deepening ties between the Republic of the Marshall Islands and the Republic of China (Taiwan). During this visit, I look forward to engaging in meaningful discussions with Your Excellency President Lai to further strengthen the bilateral relationship between our two nations and our peoples.  For over a quarter-century, Taiwan has been a strong ally and friend to the Marshall Islands. Our partnership has thrived across many sectors, including education, healthcare, infrastructure, and economic development. Through Taiwan’s generous support and collaboration, we have made significant progress in improving the lives of our people, empowering our communities, and fostering sustainable growth. The Marshall Islands deeply values our partnership with Taiwan and appreciates Taiwan’s support over the years. Despite our small size and limited voice on the global stage, the Marshall Islands deeply cherishes our friendship with Taiwan, and to that end, I wish to reaffirm my government’s commitment to Taiwan’s meaningful participation in the United Nations system. Taiwan has consistently demonstrated its commitment to the principles of democracy, human rights, and the rule of law. In light of current constraints in global affairs, it is now more urgent than ever that the international community of nations recognize the fundamental rights of the 23 million Taiwanese people and recognize Taiwan’s aspiration to engage fully in global affairs. It is with this in mind that I wish to reiterate to Your Excellency President Lai, the Taiwanese people, and the world that under my government, Marshall Islands will continue to acknowledge Taiwan’s contribution on the global stage and urge like-minded countries to advocate for Taiwan’s meaningful engagement in the international arena. In closing, may I once again extend our sincere appreciation to Your Excellency President Lai, the people and government of the Republic of China (Taiwan), for your warm welcome.  Also in attendance at the welcome ceremony were Charge d’Affaires a.i. Anjanette Davis-Anjel of the Embassy of the Republic of the Marshall Islands, Dean of the Diplomatic Corps and Saint Vincent and the Grenadines Ambassador Andrea Clare Bowman, and members of the foreign diplomatic corps in Taiwan.  

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    2025-05-29
    President Lai attends 2025 Europe Day Dinner
    On the evening of May 29, President Lai Ching-te attended the 2025 Europe Day Dinner. In remarks, President Lai stated that Taiwan looks forward to further establishing institutionalized mechanisms with Europe for our trade and investment ties and hopes to take an innovative and diverse approach to sign an economic partnership agreement with the European Union, to provide a more transparent, stable, and predictable business environment for our enterprises. The president said that Taiwan will actively work alongside other democracies, including those in Europe, to jointly build resilient, promising non-red supply chains, and noted that Taiwan and Europe have endless potential for collaboration, whether it is in safeguarding freedom and democracy or advancing our economic and trade relationship. He expressed hope to further strengthen our partnership and work together toward global peace, stability, and prosperity. A transcript of President Lai’s remarks follows: Chairman [Henry] Chang (張瀚書), thank you for the invitation, and congratulations on your second term. I’m confident that under your leadership, the ECCT [European Chamber of Commerce Taiwan] will build even more bridges for cooperation between Taiwan and Europe. I would also like to thank EETO [European Economic and Trade Office] Head [Lutz] Güllner and all the European country representatives stationed in Taiwan. Your hard work over the years has helped deepen Taiwan-Europe relations and brought about such fruitful cooperation. Thank you. This year we celebrate the 75th anniversary of the Schuman Declaration. In 1950, then-French Foreign Minister Robert Schuman proposed to create a European federation dedicated to preserving peace. The declaration symbolized a new flowering in the post-war era of democracy, unity, and cooperation. As we face the geopolitical challenges and drastic economic changes of today’s world, the Schuman Declaration still speaks to us profoundly. This year is also the 80th anniversary of the end of World War II in Europe. Moving forward, Taiwan will continue to advance cooperation with our democratic partners, and will join hands with Europe to build a partnership of even greater resilience and mutual trust. Europe is Taiwan’s third largest trading partner. It is also Taiwan’s largest source of foreign direct investment. Last year, bilateral trade between Taiwan and Europe totaled US$84.7 billion. This demonstrates our vibrant economic and trade ties and reflects the high levels of confidence our businesses have in each other’s markets and systems. We look forward to Taiwan and Europe further establishing institutionalized mechanisms for our trade and investment ties. And we hope to take an innovative and diverse approach to sign an economic partnership agreement with the EU, to provide a more transparent, stable, and predictable business environment for our enterprises. Today’s Taiwan has an internationally recognized democracy and a semiconductor industry vital to global security and prosperity. This enables us to play a key role in restructuring global democratic supply chains and the economic order. In particular, we see supply chains dominated by a new authoritarian bloc expanding their influence through non-market mechanisms, price subsidies, and monopolies on resources, as they seek global control of critical technologies and manufacturing capabilities. Their actions not only distort principles of market fairness, but also threaten the international community’s basic expectations for democracy, the rule of law, and corporate responsibility. In response, Taiwan will actively work alongside other democracies, including those in Europe, to jointly build resilient, promising non-red supply chains. We will also introduce an initiative on semiconductor supply chain partnerships for global democracies. This is more than a proposal for economic cooperation; it is an alliance of shared values and advanced technology. Security in the Taiwan Strait and regional peace and stability have always been issues of mutual interest for Taiwan and Europe. So here today, on behalf of all the people of Taiwan, I would like to thank the EU and European nations for continuing to take concrete actions in public support of peace and stability across the strait. Such actions are vital to regional security and prosperity. Taiwan will continue to bolster itself to achieve real peace through strength, and will work with democratic partners to safeguard freedom and democracy, thereby showing our determination for regional peace. At this critical time, Taiwan and Europe have endless potential for collaboration, whether it’s in safeguarding freedom and democracy or advancing our economic and trade relationship. I look forward to our joining hands at this strategic juncture to further strengthen our partnership and work together toward global peace, stability, and prosperity. Also in attendance at the event was British Office Taipei Representative Ruth Bradley-Jones.

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    2025-05-28
    President Lai meets US delegation led by Senator Tammy Duckworth
    On the afternoon of May 28, President Lai Ching-te met with a delegation led by United States Senator Tammy Duckworth. In remarks, President Lai thanked the US Congress and government for their longstanding and bipartisan support for Taiwan. The president stated that Taiwan will continue to strengthen cooperation with the US and jointly safeguard regional peace and stability. He pointed out that the Taiwan government has already proposed a roadmap for deepening Taiwan-US trade ties and will encourage mutual investment between Taiwanese and US businesses. He then expressed hope of deepening Taiwan-US ties and creating more niches for both sides. A translation of President Lai’s remarks follows: I warmly welcome this delegation led by Senator Duckworth, a dear friend of Taiwan. Senator Duckworth previously visited in May last year to convey congratulations after the inauguration of myself and Vice President Bi-khim Hsiao. Your bipartisan delegation was the first group from the US Senate that I met with as president. Today, you are visiting just after the first anniversary of my taking office, demonstrating the staunch support of the US and our deep friendship. On behalf of the people of Taiwan, I extend my sincere appreciation and greetings. And I invite you to come back and visit next year, the year after that, and every year. Taiwan and the US share the values of democracy and the rule of law and believe in free and open markets. Both sides embrace a common goal of peace, stability, and prosperity in the Indo-Pacific region. I thank the US Congress and government for their longstanding, bipartisan, and steadfast support for Taiwan. In 2021, to help Taiwan overcome the challenges of the COVID-19 pandemic, Senator Duckworth made a special trip here to announce that the US government would be donating vaccines to Taiwan. In recent years, Senator Duckworth has also promoted the TAIWAN Security Act, STAND with Taiwan Act, and Taiwan and America Space Assistance Act in the US Congress, all of which have further deepened Taiwan-US cooperation and steadily advanced our ties. For this, I express my deepest appreciation. I want to emphasize that the people of Taiwan have an unyielding determination to protect their homeland and free and democratic way of life. Over the past year, the government and private sector have been working together to enhance Taiwan’s whole-of-society defense resilience. The government is committed to reforming national defense, and it has proposed prioritizing special budget allocations to ensure that our defense budget exceeds three percent of GDP. This will continue to bolster Taiwan’s self-defense capabilities. Moving forward, Taiwan will continue to strengthen cooperation with the US. In addition to jointly safeguarding regional peace and stability, we also aspire to deepen bilateral trade and economic ties. At the SelectUSA Investment Summit in Washington, DC, earlier this month, Taiwan’s delegation was once again the biggest delegation attending the event – proof positive of our close economic and trade cooperation. We have already proposed a roadmap for deepening Taiwan-US trade ties. We will narrow the trade imbalance through the procurement of energy and agricultural and other industrial products from the US. We will encourage mutual investment between Taiwanese and US businesses to stimulate industrial development on both sides, especially in such industries as national defense and shipbuilding. We therefore look forward to Congress passing the US-Taiwan Expedited Double-Tax Relief Act as soon as possible, as this would deepen Taiwan-US trade ties and create more niches for business. In closing, I once again thank Senator Duckworth for making the trip to Taiwan. Let us continue to work together to elevate Taiwan-US ties. I wish you a pleasant and successful visit. Senator Duckworth then delivered remarks, saying that she is happy to be back in Taiwan and that she wanted to make sure to come back just after President Lai’s one-year anniversary of taking office to show the dedication and the outstanding friendship that we have. She noted that because no matter who is in the White House, no matter which political party is in power in Washington, DC, she has always believed that if America wants to remain a leader on the global stage, it has to show up for friends like Taiwan.  Senator Duckworth mentioned that in the years that she has been coming to Taiwan since pre-COVID times, she has seen a remarkable increase in participation in its defense and the support of the Taiwanese people for defending the homeland. She then thanked Taiwan for making the commitment to its self-defense, and also for being a partner with other nations around the world.  The STAND with Taiwan Act, the senator noted, is so named because the US wants to stand side by side with Taiwan. Pointing out that Taiwan is an important leader in the Indo-Pacific and on the global stage, she reiterated that there is support on both sides of the aisle in Washington for Taiwanese democracy, and added that the people of Taiwan are showing that they are willing to shore up their own readiness. Senator Duckworth said that whether it is delivering vaccines to Taiwan or making sure that the US National Guard works with Taiwan’s reserve forces or even with its civilian emergency response teams, these are all important components to the ongoing partnership between our nations.  Senator Duckworth indicated that there are many great opportunities moving forward beyond our military cooperation with one another. Whether it is in chip manufacturing, agricultural investments, shipbuilding, or in the healthcare field, those investments in both nations will facilitate stability and development in both our nations. She said that is why she wants to continue the Taiwan-US relationship, underlining that they are in it for the long haul. The delegation was accompanied to the Presidential Office by American Institute in Taiwan Taipei Office Director Raymond Greene.

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    2025-05-27
    President Lai meets delegation led by US House Natural Resources Committee Chair Bruce Westerman
    On the afternoon of May 27, President Lai Ching-te met with a delegation led by Chair of the Natural Resources Committee of the United States House of Representatives Bruce Westerman. In remarks, President Lai stated that Taiwan and the US enjoy close industrial exchanges and continue to explore new opportunities for investment and collaboration. The president said that Taiwan will continue to increase purchases from and together build non-red supply chains with the US, expressing hope that economic and trade relations grow even closer and that both work together to jointly safeguard peace and stability throughout the region. A translation of President Lai’s remarks follows: I am delighted to meet and exchange views with members of the US House Committee on Natural Resources today. Chair Westerman, the leader of this delegation, is an old friend of Taiwan. On behalf of the people of Taiwan, I extend a very warm welcome to the delegation. I also want to thank you all for your long-term close attention to Taiwan-related affairs and your strong support for Taiwan. Taiwan and the US enjoy close ties and share ideals and values. There is an excellent foundation for cooperation between us, particularly in such areas as energy, the economy and trade, agriculture and fisheries, environmental protection, and sustainable development. In recent years, Taiwan-US ties have grown closer and closer. The US has become Taiwan’s largest destination for overseas investment, accounting for over 40 percent of Taiwan’s outbound investment. Taiwan is also the seventh largest trading partner of the US and its seventh largest export market for agricultural products. The SelectUSA Investment Summit held in Washington, DC earlier this month was the largest in its history. Taiwan’s delegation, representing 138 enterprises, was once again the biggest delegation attending the event. This shows that Taiwan and the US enjoy close industrial exchanges and continue to explore new opportunities for investment and collaboration. Looking ahead, with the global landscape changing rapidly, Taiwan will continue to increase purchases from the US, including energy resources such as natural gas and petroleum, as well as agricultural products, industrial products, and even military procurement. This will not only help balance our bilateral trade, but also strengthen development for Taiwan in energy autonomy, resilience, the economy, and trade. Taiwan and the US are also well-matched in such areas as high tech and manufacturing. As the US pursues reindustrialization and aims to become a global hub for AI, Taiwan is willing to take part and play an even more important role. We will strengthen Taiwan-US industrial cooperation and together build non-red supply chains. In addition to bringing our economic and trade relations even closer, this will also allow Taiwanese industries to remain rooted in Taiwan while expanding their global presence, helping bolster the US, and marketing worldwide. As for military exchanges, we are grateful to the US government for continuing its military sales to Taiwan and backing our efforts to upgrade our self-defense capabilities. Taiwan will continue to work with the US to jointly safeguard peace and stability throughout the region. In closing, I thank our guests once again for making the long journey here, not only offering warm friendship, but also demonstrating the staunch bipartisan support for Taiwan in the US Congress. Chair Westerman then delivered remarks, saying that it is an honor for him and his colleagues to be in Taiwan to talk about the strong relationship between the US and Taiwan and how that relationship can continue to grow in the future. The chair pointed out that natural resources are foundational to any kind of economic development, whether it is energy, which is key to manufacturing, or whether it is mining, which provides rare earth elements and all the minerals and metals needed for manufacturing. He said that as for natural resources including fish, wildlife, or timber, all are foundational to any society, but this is especially so for agriculture, noting that the US produces a lot of food and fodder and is always looking for more friends to share that with. Chair Westerman indicated that they are excited about opportunities to work with Taiwan, adding that Taiwan’s investments in the US have been greatly appreciated. He said they also are excited about the talks with the Trump administration and the future going forward on how we can have a stronger trade relationship, a stronger bilateral relationship, and how we can work with each other to help both economies grow and prosper. Chair Westerman concluded his remarks by expressing thanks for the opportunity to visit, saying that they treasure Taiwan’s friendship and our long-term relationship, and are very excited to be able to discuss in more detail how our two countries can work together. The delegation also included US House Natural Resources Committee Representatives Sarah Elfreth, Harriet Hageman, Celeste Maloy, and Nick Begich. The delegation was accompanied to the Presidential Office by American Institute in Taiwan Taipei Office Director Raymond Greene.  

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    2025-05-20
    President Lai interviewed by Nippon Television and Yomiuri TV
    In a recent interview on Nippon Television’s news zero program, President Lai Ching-te responded to questions from host Mr. Sakurai Sho and Yomiuri TV Shanghai Bureau Chief Watanabe Masayo on topics including reflections on his first year in office, cross-strait relations, China’s military threats, Taiwan-United States relations, and Taiwan-Japan relations. The interview was broadcast on the evening of May 19. During the interview, President Lai stated that China intends to change the world’s rules-based international order, and that if Taiwan were invaded, global supply chains would be disrupted. Therefore, he said, Taiwan will strengthen its national defense, prevent war by preparing for war, and achieve the goal of peace. The president also noted that Taiwan’s purpose for developing drones is based on national security and industrial needs, and that Taiwan hopes to collaborate with Japan. He then reiterated that China’s threats are an international problem, and expressed hope to work together with the US, Japan, and others in the global democratic community to prevent China from starting a war. Following is the text of the questions and the president’s responses: Q: How do you feel as you are about to round out your first year in office? President Lai: When I was young, I was determined to practice medicine and save lives. When I left medicine to go into politics, I was determined to transform Taiwan. And when I was sworn in as president on May 20 last year, I was determined to strengthen the nation. Time flies, and it has already been a year. Although the process has been very challenging, I am deeply honored to be a part of it. I am also profoundly grateful to our citizens for allowing me the opportunity to give back to our country. The future will certainly be full of more challenges, but I will do everything I can to unite the people and continue strengthening the nation. That is how I am feeling now. Q: We are now coming up on the 80th anniversary of the end of World War II, and over this period, we have often heard that conflict between Taiwan and the mainland is imminent. Do you personally believe that a cross-strait conflict could happen? President Lai: The international community is very much aware that China intends to replace the US and change the world’s rules-based international order, and annexing Taiwan is just the first step. So, as China’s military power grows stronger, some members of the international community are naturally on edge about whether a cross-strait conflict will break out. The international community must certainly do everything in its power to avoid a conflict in the Taiwan Strait; there is too great a cost. Besides causing direct disasters to both Taiwan and China, the impact on the global economy would be even greater, with estimated losses of US$10 trillion from war alone – that is roughly 10 percent of the global GDP. Additionally, 20 percent of global shipping passes through the Taiwan Strait and surrounding waters, so if a conflict breaks out in the strait, other countries including Japan and Korea would suffer a grave impact. For Japan and Korea, a quarter of external transit passes through the Taiwan Strait and surrounding waters, and a third of the various energy resources and minerals shipped back from other countries pass through said areas. If Taiwan were invaded, global supply chains would be disrupted, and therefore conflict in the Taiwan Strait must be avoided. Such a conflict is indeed avoidable. I am very thankful to Prime Minister of Japan Ishiba Shigeru and former Prime Ministers Abe Shinzo, Suga Yoshihide, and Kishida Fumio, as well as US President Donald Trump and former President Joe Biden, and the other G7 leaders, for continuing to emphasize at international venues that peace and stability across the Taiwan Strait are essential components for global security and prosperity. When everyone in the global democratic community works together, stacking up enough strength to make China’s objectives unattainable or to make the cost of invading Taiwan too high for it to bear, a conflict in the strait can naturally be avoided. Q: As you said, President Lai, maintaining peace and stability across the Taiwan Strait is also very important for other countries. How can war be avoided? What sort of countermeasures is Taiwan prepared to take to prevent war? President Lai: As Mr. Sakurai mentioned earlier, we are coming up on the 80th anniversary of the end of WWII. There are many lessons we can take from that war. First is that peace is priceless, and war has no winners. From the tragedies of WWII, there are lessons that humanity should learn. We must pursue peace, and not start wars blindly, as that would be a major disaster for humanity. In other words, we must be determined to safeguard peace. The second lesson is that we cannot be complacent toward authoritarian powers. If you give them an inch, they will take a mile. They will keep growing, and eventually, not only will peace be unattainable, but war will be inevitable. The third lesson is why WWII ended: It ended because different groups joined together in solidarity. Taiwan, Japan, and the Indo-Pacific region are all directly subjected to China’s threats, so we hope to be able to join together in cooperation. This is why we proposed the Four Pillars of Peace action plan. First, we will strengthen our national defense. Second, we will strengthen economic resilience. Third is standing shoulder to shoulder with the democratic community to demonstrate the strength of deterrence. Fourth is that as long as China treats Taiwan with parity and dignity, Taiwan is willing to conduct exchanges and cooperate with China, and seek peace and mutual prosperity. These four pillars can help us avoid war and achieve peace. That is to say, Taiwan hopes to achieve peace through strength, prevent war by preparing for war, keeping war from happening and pursuing the goal of peace. Q: Regarding drones, everyone knows that recently, Taiwan has been actively researching, developing, and introducing drones. Why do you need to actively research, develop, and introduce new drones at this time? President Lai: This is for two purposes. The first is to meet national security needs. The second is to meet industrial development needs. Because Taiwan, Japan, and the Philippines are all part of the first island chain, and we are all democratic nations, we cannot be like an authoritarian country like China, which has an unlimited national defense budget. In this kind of situation, island nations such as Taiwan, Japan, and the Philippines should leverage their own technologies to develop national defense methods that are asymmetric and utilize unmanned vehicles. In particular, from the Russo-Ukrainian War, we see that Ukraine has successfully utilized unmanned vehicles to protect itself and prevent Russia from unlimited invasion. In other words, the Russo-Ukrainian War has already proven the importance of drones. Therefore, the first purpose of developing drones is based on national security needs. Second, the world has already entered the era of smart technology. Whether generative, agentic, or physical, AI will continue to develop. In the future, cars and ships will also evolve into unmanned vehicles and unmanned boats, and there will be unmanned factories. Drones will even be able to assist with postal deliveries, or services like Uber, Uber Eats, and foodpanda, or agricultural irrigation and pesticide spraying. Therefore, in the future era of comprehensive smart technology, developing unmanned vehicles is a necessity. Taiwan, based on industrial needs, is actively planning the development of drones and unmanned vehicles. I would like to take this opportunity to express Taiwan’s hope to collaborate with Japan in the unmanned vehicle industry. Just as we do in the semiconductor industry, where Japan has raw materials, equipment, and technology, and Taiwan has wafer manufacturing, our two countries can cooperate. Japan is a technological power, and Taiwan also has significant technological strengths. If Taiwan and Japan work together, we will not only be able to safeguard peace and stability in the Taiwan Strait and security in the Indo-Pacific region, but it will also be very helpful for the industrial development of both countries. Q: The drones you just described probably include examples from the Russo-Ukrainian War. Taiwan and China are separated by the Taiwan Strait. Do our drones need to have cross-sea flight capabilities? President Lai: Taiwan does not intend to counterattack the mainland, and does not intend to invade any country. Taiwan’s drones are meant to protect our own nation and territory. Q: Former President Biden previously stated that US forces would assist Taiwan’s defense in the event of an attack. President Trump, however, has yet to clearly state that the US would help defend Taiwan. Do you think that in such an event, the US would help defend Taiwan? Or is Taiwan now trying to persuade the US? President Lai: Former President Biden and President Trump have answered questions from reporters. Although their responses were different, strong cooperation with Taiwan under the Biden administration has continued under the Trump administration; there has been no change. During President Trump’s first term, cooperation with Taiwan was broader and deeper compared to former President Barack Obama’s terms. After former President Biden took office, cooperation with Taiwan increased compared to President Trump’s first term. Now, during President Trump’s second term, cooperation with Taiwan is even greater than under former President Biden. Taiwan-US cooperation continues to grow stronger, and has not changed just because President Trump and former President Biden gave different responses to reporters. Furthermore, the Trump administration publicly stated that in the future, the US will shift its strategic focus from Europe to the Indo-Pacific. The US secretary of defense even publicly stated that the primary mission of the US is to prevent China from invading Taiwan, maintain stability in the Indo-Pacific, and thus maintain world peace. There is a saying in Taiwan that goes, “Help comes most to those who help themselves.” Before asking friends and allies for assistance in facing threats from China, Taiwan must first be determined and prepared to defend itself. This is Taiwan’s principle, and we are working in this direction, making all the necessary preparations to safeguard the nation. Q: I would like to ask you a question about Taiwan-Japan relations. After the Great East Japan Earthquake in 2011, you made an appeal to give Japan a great deal of assistance and care. In particular, you visited Sendai to offer condolences. Later, you also expressed condolences and concern after the earthquakes in Aomori and Kumamoto. What are your expectations for future Taiwan-Japan exchanges and development? President Lai: I come from Tainan, and my constituency is in Tainan. Tainan has very deep ties with Japan, and of course, Taiwan also has deep ties with Japan. However, among Taiwan’s 22 counties and cities, Tainan has the deepest relationship with Japan. I sincerely hope that both of you and your teams will have an opportunity to visit Tainan. I will introduce Tainan’s scenery, including architecture from the era of Japanese rule, Tainan’s cuisine, and unique aspects of Tainan society, and you can also see lifestyles and culture from the Showa era.  The Wushantou Reservoir in Tainan was completed by engineer Mr. Hatta Yoichi from Kanazawa, Japan and the team he led to Tainan after he graduated from then-Tokyo Imperial University. It has nearly a century of history and is still in use today. This reservoir, along with the 16,000-km-long Chianan Canal, transformed the 150,000-hectare Chianan Plain into Taiwan’s premier rice-growing area. It was that foundation in agriculture that enabled Taiwan to develop industry and the technology sector of today. The reservoir continues to supply water to Tainan Science Park. It is used by residents of Tainan, the agricultural sector, and industry, and even the technology sector in Xinshi Industrial Park, as well as Taiwan Semiconductor Manufacturing Company. Because of this, the people of Tainan are deeply grateful for Mr. Hatta and very friendly toward the people of Japan. A major earthquake, the largest in 50 years, struck Tainan on February 6, 2016, resulting in significant casualties. As mayor of Tainan at the time, I was extremely grateful to then-Prime Minister Abe, who sent five Japanese officials to the disaster site in Tainan the day after the earthquake. They were very thoughtful and asked what kind of assistance we needed from the Japanese government. They offered to provide help based on what we needed. I was deeply moved, as former Prime Minister Abe showed such care, going beyond the formality of just sending supplies that we may or may not have actually needed. Instead, the officials asked what we needed and then provided assistance based on those needs, which really moved me. Similarly, when the Great East Japan Earthquake of 2011 or the later Kumamoto earthquakes struck, the people of Tainan, under my leadership, naturally and dutifully expressed their support. Even earlier, when central Taiwan was hit by a major earthquake in 1999, Japan was the first country to deploy a rescue team to the disaster area. On February 6, 2018, after a major earthquake in Hualien, former Prime Minister Abe appeared in a video holding up a message of encouragement he had written in calligraphy saying “Remain strong, Taiwan.” All of Taiwan was deeply moved. Over the years, Taiwan and Japan have supported each other when earthquakes struck, and have forged bonds that are family-like, not just neighborly. This is truly valuable. In the future, I hope Taiwan and Japan can be like brothers, and that the peoples of Taiwan and Japan can treat one another like family. If Taiwan has a problem, then Japan has a problem; if Japan has a problem, then Taiwan has a problem. By caring for and helping each other, we can face various challenges and difficulties, and pursue a brighter future. Q: President Lai, you just used the phrase “If Taiwan has a problem, then Japan has a problem.” In the event that China attempts to invade Taiwan by force, what kind of response measures would you hope the US military and Japan’s Self-Defense Forces take? President Lai: As I just mentioned, annexing Taiwan is only China’s first step. Its ultimate objective is to change the rules-based international order. That being the case, China’s threats are an international problem. So, I would very much hope to work together with the US, Japan, and others in the global democratic community to prevent China from starting a war – prevention, after all, is more important than cure.

    MIL OSI Asia Pacific News

  • MIL-OSI USA: Duckworth, Warren, Blunt Rochester Condemn RFK for Making it Harder for Pregnant Women and Children to Receive COVID-19 Vaccines, Putting Their Health at Risk

    US Senate News:

    Source: United States Senator for Illinois Tammy Duckworth

    June 04, 2025

    [WASHINGTON, D.C.] – U.S. Senator Tammy Duckworth (D-IL), joined by U.S. Senators Elizabeth Warren (D-MA) and Lisa Blunt Rochester (D-DE), today condemned U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. for announcing changes to the Centers for Disease Control’s (CDC) recommended vaccine schedule that would dramatically limit access to COVID-19 vaccines for millions of pregnant women and children, needlessly endangering their health. In their letter, the Senators slam the decision as anti-science and politically motivated, criticizing Secretary Kennedy for failing to provide scientific justification for the policy change and for confirming their longstanding concerns that he would enact unscientific, anti-vax policies as HHS Secretary—despite all his clamoring before Senate committees that he would not restrict vaccine access.

    “Your politically driven, anti-science decision—made suddenly and behind closed doors, without input from the public or scientific and medical communities—flies in the face of your commitment to ‘not…take away anybody’s vaccines’ and will lead to an untold number of preventable illness and death of Americans,” wrote the Senators.

    “Enabled by President Trump and fueled by decades of anti-vaccine skepticism, you appear to be establishing a roadmap by which the United States’ government can implement unscientific, anti-vaccination policies,” the lawmakers continued. “By sowing distrust, creating chaos and justifying your actions with misinformation, you are laying the groundwork to undermine access to other safe, effective vaccines, including for those that prevent diseases like whooping cough, measles and more.”

    The full text of the letter is available on Senator Duckworth’s website and below:

    Dear Secretary Kennedy:

    We write to express our extreme concern regarding the Department of Health and Human Services’ (HHS’) recent policy changes to dramatically curtail access to the COVID-19 vaccine for those Americans who would choose to receive it. We are particularly alarmed by your May 27, 2025 announcement on X—along with Drs. Marty Makary and Jay Bhattacharya, Commissioner of the Food and Drug Administration (FDA) and Director of the National Institutes of Health (NIH), respectively—that the COVID-19 vaccine will no longer be included under the Centers for Disease Control and Prevention’s (CDC’s) recommended routine immunization schedule for healthy pregnant women.

    We are also concerned that the CDC changed its recommendation for administering the COVID-19 vaccine for healthy children and adolescents from routine to using “shared clinical decision-making” between clinicians and families. As of the writing of this letter, the CDC has updated the immunization schedule for adults, removing the previous recommendation for pregnant women. The unjustified announcement “blindsided” senior officials at the CDC and were designed to “further erode public trust in the [agency].” By side-stepping the CDC’s Advisory Committee on Immunization Practices’ (ACIP’s) open and transparent deliberation of the evidence, you have thrown into question coverage of vaccines under Medicare, Medicaid and private insurance for millions of Americans. Your politically driven, anti-science decision—made suddenly and behind closed doors, without input from the public or scientific and medical communities—flies in the face of your commitment to “not…take away anybody’s vaccines” and will lead to an untold number of preventable illness and death of Americans. We therefore strongly urge you to reverse this position until there is a thorough, transparent consideration of the body of evidence regarding the COVID-19 vaccine’s public health benefit.

    Political Motivations Threaten COVID-19 Vaccine Access for Millions of Americans

    The ACIP’s vaccine recommendations, as adopted by the CDC, form the basis of no-cost access to the vaccines for millions of Americans. For example, the Patient Protection and Affordable Care Act, as amended, requires that most commercial health insurance plans and Medicaid Alternative Benefit Plans cover ACIP-recommended vaccines for a given individual with no cost sharing. In addition, for the Vaccines for Children Program, authorized by the Omnibus Budget Reconciliation Act, ACIP determines which vaccines are provided at no cost to children who are uninsured, underinsured, Medicaid-eligible, Medicaid-enrolled or American Indian or Alaska Native. States must also cover ACIP-recommended vaccines and their administration for children enrolled in separate State Children’s Health Insurance Program (CHIP) programs without enrollee cost-sharing.

    More recently, the Inflation Reduction Act expanded no-cost coverage of ACIP-recommended vaccines and vaccine administration without cost-sharing to adults under Medicare Part D, Medicaid and CHIP. The uncertainty and confusion caused by your politically driven actions may lead to many insurers deciding to drop coverage of the COVID-19 vaccine for millions of people. Without insurance coverage, individuals who wish to receive the COVID-19 vaccine will be forced to pay up to $200 or more out-of-pocket—an insurmountable cost for many families, especially amid cost-of-living crisis exacerbated by the current administration’s policies.

    Politically Driven, Anti-Vaccination Decision-Making Circumvents Scientific Input

    You appeared to make this policy change without consulting the FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) and prior to the next scheduled public meeting of the ACIP, the members of which are leading vaccine experts tasked with developing vaccine recommendations. You did so even though the ACIP had independently been considering updating COVID-19 vaccine recommendations to take into account the risk levels of different populations and was expected to vote on those recommendations when it was next scheduled to meet on June 25-27, 2025.

    Your announcement is a striking departure from the transparent and evidence-informed manner by which vaccine approvals and recommendations are formulated by HHS. For decades, scientists have weighed in on vaccine recommendations through a strenuous process. Following a decision from FDA experts about whether to approve a new vaccine based on clinical trial evidence and other data, ACIP “weighs extensive evidence about safety, effectiveness and other data to determine the best recommendation for who should receive the vaccine, when and how often.” The CDC director may choose to adopt, reject or modify these recommendations, though rejection or modification of such recommendations is rare. In the past quarter century, the CDC director has acted only twice to expand access beyond the ACIP’s recommendation, both times in response to extraordinary circumstances—in 2002 for the smallpox vaccine in connection with a vaccination campaign to address potential bioterrorism attacks, and in 2021 for the COVID-19 vaccine for front-line workers during the early phase of the COVID-19 pandemic. However, in an unprecedented and deeply troubling abuse of your authority, you did not wait to hear ACIP’s expertise, and you exploited a key vacancy at CDC to set these recommendations yourself. According to the Washington Post, this is “the first time an HHS secretary has unilaterally altered an existing recommendation from the advisory committee and the CDC.”

    Your decision represents a significant public health threat that will endanger millions of Americans. Pregnant women are at higher risk of serious illness and hospitalization if infected with COVID-19, and the virus raises the risk of having a cesarean birth, preeclampsia or eclampsia and blood clots. COVID-19 infection during pregnancy has also been shown to result in higher risk of lower birthweight babies, preterm birth and stillbirth. Babies born to women who were not vaccinated against COVID-19 are at higher risk of needing intensive care. That is why the American College of Obstetricians and Gynecologists (ACOG), and the Society for Maternal-Fetal Medicine (SMFM) strongly recommend women who are pregnant, breastfeeding or planning to get pregnant get the COVID-19 vaccine. According to ACOG and SMFM, the COVID-19 vaccine has been demonstrated repeatedly to be safe and protective for such individuals. Because this vaccine is so protective and safe for this population, ACOG further recommends eliminating barriers to receiving the COVID-19 vaccine. This is likely why the CDC stated in its “Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States,” updated on May 12, 2025:

    “COVID-19 vaccination is recommended for everyone ages 6 months and older in the United States…Vaccination is especially important for people at highest risk of severe COVID-19, including people ages 65 years and older; people with underlying medical conditions, including immune compromise; people living in long-term care facilities; and pregnant women to protect themselves and their infants.” (emphasis added)

    After birth, infants under 6 months of age are at the same high level of risk of hospitalization due to COVID-19 as adults ages 65 to 74, and the only means of protecting these infants from COVID-19 is through maternal vaccination. An analysis of HHS data by the American Academy of Pediatrics found that 11,199 children were admitted to the hospital with COVID-19 during the 2024-2025 respiratory virus season, 7,746 of whom were younger than 5 years old. And 41 percent of children ages 6 months to 17 years old hospitalized with COVID-19 from October 2022 to April 2024 did not have a known underlying condition, meaning that “healthy” children are also at risk of severe disease.

    Establishing an Anti-Vaccination Policy Roadmap

    Enabled by President Trump and fueled by decades of anti-vaccine skepticism, you appear to be establishing a roadmap by which the United States’ government can implement unscientific, anti-vaccination policies. By sowing distrust, creating chaos and justifying your actions with misinformation, you are laying the groundwork to undermine access to other safe, effective vaccines, including for those that prevent diseases, such as pertussis (whooping cough), measles, respiratory syncytial virus (RSV), chickenpox, shingles, hepatitis A, as well as cancer caused by hepatitis B and human papilloma virus.

    The May 27, 2025 video announcement is just one action in a series of anti-vaccination, anti-science efforts you have led since becoming HHS Secretary. For example, while the ACIP made recommendations for meningococcal and RSV vaccines months ago, you have failed to adopt the recommendations. Further, even though the United States is experiencing the worst outbreak of measles in 25 years, you have downplayed the harm of one of the world’s most contagious diseases and made false claims that the measles, mumps and rubella vaccine has not been “safety tested.” This undermining of trust in vaccines has led to multiple preventable hospitalizations and deaths. Indeed, President Trump’s nominee to serve as your deputy at HHS expressed unqualified support for your recommendation “encourag[ing] parents to take the measles vaccine,” while saying nothing about vaccinating children against the disease. And the Trump administration clawed back over $11 billion in pandemic-era funding, which has hampered the ability of public health departments across the country to contain the measles outbreak.

    Moreover, on May 20, 2025, Dr. Vinay Prasad, Director of the FDA Center for Biologics Evaluation and Research and Commissioner Makary published an opinion piece in the New England Journal of Medicine (NEJM), outlining a new FDA approval framework that creates significant barriers for approval of annual COVID-19 vaccines for millions of Americans. This announcement indicated that the annual COVID-19 vaccine will generally be approved without a randomized, placebo-controlled clinical trial (RCT) only for people ages 65 and older and for those who have medical conditions that leave them at higher risk for severe COVID-19. The framework says nothing about the eligibly of healthy people at higher risk of being infected with COVID-19, such as healthcare professionals. This means that, unlike in most other countries, the annual vaccine will not be available to healthy individuals older than 6 months of age and under the age of 65 without an RCT. This change in the approval process will take away Americans’ freedom to choose to get the annual vaccine and put them and their loved ones at risk.

    Further, placebo-controlled trials for vaccines when a proven intervention exists are widely considered by the medical and research community to be unethical. Ethical guidance advises, “Extreme care must be taken to avoid abuse of [the option to conduct placebo-controlled trials when a proven intervention exists]”; the FDA and HHS have guidance accordingly restricting placebo-controlled trials to certain situations. There is no question that the existing safe and effective COVID-19 vaccines are such “proven interventions,” and withholding their use in new placebo-controlled trials would constitute a grave ethical violation.

    Your new approval process for the annual COVID-19 vaccine will significantly delay access to updated FDA-approved vaccines, jeopardizing the health and lives of the American people. Typically, vaccines, such as the annually updated flu shot, are approved after exhibiting immunogenicity data or other laboratory testing data comparable to previous vaccine versions, which themselves have provided robust safety and efficacy data. A multi-year study and lengthy approval process, which is generally considered by experts to be unnecessary, particularly for annually updated vaccines. The significant hurdles associated with FDA’s new RCT requirement could discourage vaccine manufacturers and researchers from developing new, innovative products that could prevent cancer, HIV and other diseases and ultimately save lives. Dr. Peter Hotez from the Baylor College of Medicine in Houston stated requiring RCTs for future vaccine development “would basically be a recipe for paralysis.”

    Indeed, the day after your announcement, Moderna withdrew an application for its new combined flu and COVID-19 vaccine, despite the new vaccine outperforming existing COVID-19 and flu vaccines. It also comes on the heels of the FDA delaying its approval of Novavax’s protein-based COVID-19 vaccine, missing its own April 1, 2025 deadline. When the FDA finally approved the vaccine, it did so for only a narrow population (adults 65 and older and those between ages 21-64 with an underlying medical condition). In a highly unusual step, FDA is also requiring that Novavax conduct a placebo-controlled RCT for less vulnerable populations.

    Given the suddenness of your May 27, 2025 announcement and its lack of detail or scientific justification, we respectfully request you provide written responses to the following questions no later than June 18, 2025:

    1. Despite “a commitment to gold-standard science,” you failed to provide an appropriate, detailed explanation for your change in the COVID-19 vaccination recommendations.

    1. What specific studies, scientific or clinical data did you consult as the basis for removing the COVID-19 vaccine from the CDC’s recommended vaccine schedule for pregnant women and children? Please provide citations for the research articles or publications you considered.
    2. Did you consult with any scientific or professional organizations, such as those representing obstetricians, pediatricians, family physicians, virologists, immunologists, epidemiologists or other relevant experts, in developing this new policy? Please provide the names of such stakeholders.
    3. Did you decide not to follow any recommendations from the scientific and medical communities? Why not?
    4. Did you submit a memo that explains the rationale and scientific justification for your decision? Please provide a copy of such memo, along with any attachments and communications related to it.

    2. Your directive implementing the new CDC recommendations suggests that the decision was made “[b]ased on a review of the recommendation of the FDA and the NIH.”

    1. Please list all individuals who carried out this review and their qualifications to weigh in on such decisions, such as their formal scientific and/or medical training, previously held professional positions or appointments, etc.
    2. Please provide a copy of the recommendation made by the NIH.
    3. Why were the CDC and ACIP apparently excluded from the process through which you imposed the new CDC recommendations?
    4. Given the former acting CDC director’s nomination to be CDC director, who is currently responsible for finalizing CDC recommendations?

    3. Why did you fail to consult the ACIP before changing the CDC’s COVID-19 vaccine recommendation for children and pregnant women, particularly before the ACIP’s next public meeting?

    4. The ACIP is scheduled to meet in June 2025 to discuss COVID-19 vaccine recommendations.

    1. Do you commit to allowing the ACIP to move forward with its meeting in June 2025? If so, when will the meeting be publicly noticed in the Federal Register?
    2. Do you commit to not altering the anticipated agenda that includes the discussion of the COVID-19 vaccine?
    3. Do you expect the ACIP’s future COVID-19 vaccine recommendations to be influenced by your decision to publish the new vaccine approval framework?
    4. If the ACIP issues a COVID-19 vaccine recommendation that differs from your May 27 announcement, will you commit to listening to the experts and consider adopting that recommendation?

    5. Why did you fail to consult the VRBPAC before granting a narrow approval for the Novavax COVID-19 vaccine?

    6. What role did you play in the decision to publish the new FDA framework outlined in the May 20, 2025 NEJM opinion piece, and in determining its content?

    7. Why did the FDA release this framework in an opinion piece, rather than formally publishing a regulation or guideline written by career vaccine experts?

    8. Does FDA plan to release a regulation, rule or formal guidance that formalizes the framework described in the NEJM article?

    1. If so, when will this policy be released?
    2. Will this policy be developed with the input of vaccine experts, providers, pharmacies, patient advocacy groups and/or other stakeholders?
    3. How will you and Commissioner Makary ensure vaccine experts, providers, pharmacies, patient advocacy groups and/or other stakeholders may provide input or feedback on the framework?

    9. Does the FDA’s new framework apply to initial doses (i.e., primary series) of new formulations of COVID-19 vaccines?

    1. Will this impact parents’ choices to vaccinate their children against COVID-19?
    2. Will you commit to preserving the current COVID-19 vaccine approval standards for the primary vaccine series?

    10. Given the ethical and recruitment challenges clinical trial sponsors may face because of new RCT requirements, how will FDA ensure the public has access to safe and effective vaccines if companies are unable to complete these trials in a timely manner?

    11. Figure 2 of the May 20, 2025 NEJM opinion piece listed pregnancy and recent pregnancy as underlying medical conditions that put an individual at risk of severe COVID-19.

    1. If the CDC is no longer recommending pregnant women get the COVID-19 vaccine, will such individuals still be eligible for the vaccine?
    2. If so, will they be able to get the vaccine at no cost?
    3. If there will be cost-sharing, what will be the cost-sharing policy for the vaccine, and who will make such decisions?

    12. Is the list in Figure 2 of the NEJM piece an exhaustive list for what medical conditions will be considered putting an individual at risk for severe COVID-19 disease?

    13. How do the conditions in the list align with the fact that the only high-risk condition now stated on the CDC immunization schedule for COVID-19 is “moderately or severely immunocompromised”?

    14. Do you believe that parents should have the right to vaccinate their children against COVID-19? If not, why not?

    15. Do you expect the current version of the COVID-19 vaccine to remain available in the primary vaccine series for individuals under 65 without underlying medical conditions?

    16. Will healthcare workers under age 65 who do not have a condition that predisposes them to severe COVID-19 and hospitalization be able to obtain a COVID-19 vaccine?

    17. Do you believe that young, healthy adults should be able to receive a COVID-19 vaccine to reduce the risk of getting Long COVID or of transmitting the virus to individuals with a higher risk of severe infection?

    1. If so, how will the FDA’s new framework preserve this choice?
    2. Why does the FDA’s new vaccine approval framework fail to consider a broad range of potential benefits of booster shots, such as reduced risk of Long COVID-19 and a shorter duration of illness?

    18. Has the FDA communicated with pharmacies about whether they plan to restrict COVID-19 vaccine access in response to the new vaccine approval framework?

    1. If so, will pharmacies require patients to verify they have health conditions putting them at a higher risk of severe COVID-19 to receive the vaccine?
    2. What will be an acceptable means of verification?

    19. What information did you provide health insurers (including Medicaid and Medicare) regarding their requirements for coverage of the COVID-19 vaccine going forward?

    1. Do you expect insurers to drop or alter coverage of the COVID-19 vaccine for children and pregnant women due to the altered CDC recommendation?
    2. If so, was that taken into consideration when formulating the recommendation?

    20. Have you communicated with the vaccine manufacturers to ensure there will be enough supply of the vaccine for the upcoming respiratory illness season? What steps are you taking to ensure supply chains will not be disrupted?

    21. Do you have any plans to change FDA approval frameworks or the CDC immunization schedule for any other vaccines? If so, which ones?

    Your anti-vaccine, anti-science stance has taken priority over the public health and well-being of the American people. We urge you to save lives by reversing course and making evidence-based policy in an open, transparent and clear manner.

    -30-

    MIL OSI USA News

  • MIL-OSI China: China’s homegrown 9-valent HPV vaccine expected to boost immunization coverage

    Source: People’s Republic of China – State Council News

    A nurse shows human papillomavirus (HPV) vaccines developed by Chinese researchers at the provincial Maternity and Child Healthcare Hospital in Wuhan, central China’s Hubei province, May 18, 2020. [Photo/Xinhua]

    China’s drug regulator has approved the country’s first domestically developed 9-valent human papillomavirus (HPV) vaccine, ending over a decade of foreign dominance in the market.

    The vaccine, Cecolin 9, has been included on a list of approved medical products that was made public by the National Medical Products Administration on Wednesday.

    “The approval of Cecolin 9 not only offers more vaccination options for eligible women in China, but is also expected to improve vaccine accessibility and coverage, reducing the risk of cervical cancer further,” said Zhang Jun, dean of the School of Public Health at Xiamen University and a leading member of the vaccine development team.

    HPV vaccines are commonly used to prevent cervical cancer in women, as well as genital cancers and warts in both men and women.

    Cecolin 9, which targets nine HPV strains, was developed by Xiamen University, the Xiang An Biomedicine Laboratory and Xiamen Innovax Biotech Co., Ltd., marking a breakthrough in China’s ability to produce high-valency HPV vaccines independently.

    China is now the second country — after the United States — capable of supplying 9-valent HPV vaccines.

    Compared to bivalent HPV vaccines, which are effective against two high-risk genotypes (HPV 16 and 18), 9-valent HPV vaccines protect against an additional five high-risk genotypes (HPV 31, 33, 45, 52 and 58) and two low-risk genotypes (HPV 6 and 11), and provide better protection against cervical cancer.

    Over 18 years of research, scientists overcame major technical challenges in producing virus-like particles (VLPs) from multiple HPV types using an E. coli platform, and completed crucial clinical trial validation processes.

    Five related clinical trials have been conducted across China since 2019, and the vaccine has demonstrated a favorable safety profile and a strong immune response, comparable to those of similar international products.

    Statistics show that globally, approximately 700,000 cancer cases each year are associated with HPV, including an estimated 530,000 cases of cervical cancer. Vaccination is up to 94 percent effective in preventing HPV infection.

    In 2020, the World Health Organization (WHO) launched a global strategy to accelerate the elimination of cervical cancer, aiming for 90 percent of girls to be fully vaccinated against HPV by the age of 15 by 2030.

    In alignment with the WHO strategy, China’s National Health Commission launched a cervical cancer elimination action plan for the 2022-2030 period, urging the expansion of HPV vaccination coverage nationwide.

    MIL OSI China News

  • MIL-OSI Australia: Enjoy Dark Mofo and stay safe

    Source: New South Wales Community and Justice

    Enjoy Dark Mofo and stay safe

    Thursday, 5 June 2025 – 11:24 am.

    As thousands of people descend on Hobart for the Dark Mofo festival, Tasmania Police is urging pedestrians and motorists to prioritise safety, particularly during the darker hours of the event.
    Tasmania’s popular Dark Mofo winter festival is back with a full program of events in Hobart including the opening night of the Winter Feast, on Castray Esplanade, on Thursday.
    There will be road closures and traffic disruptions across the Hobart CBD during the two-week festival, with further information available at www.darkmofo.net.au/info/road-closures
    While it is an amazing time of the year for locals, and our interstate and international visitors, police are urging everyone to enjoy it safely and responsibly.
    “Pedestrians are among our most vulnerable road users, especially during busy events such as Dark Mofo,” Hobart Police Inspector John Toohey said.
    “This year already, three pedestrians have died on Tasmanian roads, with a further 14 seriously injured.
    “We’re asking everyone to stay alert, avoid distractions such as phones or headphones, and only cross at designated crossings.
    “With many festival events taking place at night and in low-light conditions, we’re hoping to see responsible behaviour, that is, people looking out for each other, obeying traffic signals and being visible in the dark.”
    Supporting Inspector Toohey, Tasmania Police State Road Safety Co-ordinator Inspector Justin Lawson urged motorists and pedestrians to take extra care in Hobart’s city and waterfront precincts.
    “Our message is, we are just as excited as you that Dark Mofo is back,” Inspector Lawson said.
    “And while savouring all that is on offer in our city, please be mindful of each other’s safety on our streets and footpaths.
    “With thousands anticipated to move between different venues, there will be a marked increase in pedestrian and vehicle traffic.
    “Please cross the road only when safe and if driving, be alert to festival-goers on foot.”

    CAPTION: Tasmania Police officers (from left) Constable Scott Hill, Constable Erin McNamara, Constable Tess Allanby and Constable Aaron Eaton urge locals and visitors to Hobart to enjoy the Dark Mofo festival safely. Picture: Tasmania Police

    MIL OSI News

  • MIL-OSI Canada: Change in Measles Immunization Recommendations for Infants with a High Risk of Exposure

    Source: Government of Canada regional news

    Released on June 4, 2025

    Saskatchewan is making the measles vaccine available to younger children in areas with measles cases and high chance of exposure. 

    Infants ages six months to 11 months who live in, are traveling to, or have contact with individuals in areas where there is a high risk of measles exposure can now receive an early dose of measles vaccine.

    “Our government wants to make sure that those who are most vulnerable and at high risk of exposure have the best protection possible,” Health Minister Jeremy Cockrill said. “Providing parents with the option for an additional dose of measles vaccine for infants, helps to protect those who cannot protect themselves.”

    Immunization is the single most effective way to protect against measles. 

    Routine measles vaccination is still needed at 12 and 18 months to provide lifelong protection. 

    “Most children in Saskatchewan should follow the regular schedule for measles immunization, however, in outbreak situations infants six to 11 months can be offered an earlier dose,” Chief Medical Health Officer Dr. Saqib Shahab said. “This is similar to what is already being offered to some infants travelling internationally or to other parts of Canada with higher measles case numbers.”

    Measles is highly contagious and spreads easily to others through open air. Symptoms can include fever, cough, red eyes and a blotchy red rash. Severe complications of measles may include pneumonia, swelling of the brain and death.

    Individuals with symptoms of measles should stay home and call HealthLine 811 for instructions. Do not go to a clinic, health care facility or hospital in person without calling ahead.

    The measles vaccine has been safely used for over 50 years and is free in Saskatchewan at public health offices. 

    “As we move into the summer months, measles continues to pose a risk for people in Saskatchewan,” SHA Senior Medical Health Officer Dr. Julie Kryzanowski said. “Please check your measles vaccination records and ensure you are up to date.”

    For a current list of areas with a high risk of exposure and more information on measles, please visit: saskatchewan.ca/measles.

    -30-

    For more information, contact:

    Media Desk
    Health
    Regina
    Phone: 306-787-4083
    Email: media@health.gov.sk.ca

    Media Relations
    Saskatchewan Health Authority
    Regina
    Phone: 1-833-766-4392
    Email: media@saskhealthauthority.ca

    MIL OSI Canada News

  • MIL-OSI Russia: China approves first domestically produced nine-valent HPV vaccine

    Translation. Region: Russian Federal

    Source: People’s Republic of China in Russian – People’s Republic of China in Russian –

    Source: People’s Republic of China – State Council News

    BEIJING, June 4 (Xinhua) — China’s National Medical Products Administration has approved the first domestically developed nonavalent vaccine against human papillomavirus (HPV), the agency said in a statement Wednesday.

    The move would end more than a decade of foreign drug dominance in China’s market.

    The vaccine, which targets nine strains of HPV, is the second of its kind in the world. HPV vaccines are widely used to prevent cervical cancer in women, as well as genital cancers and warts in both men and women. -0-

    MIL OSI Russia News

  • MIL-OSI China: China approves first domestically developed 9-valent HPV vaccine

    Source: People’s Republic of China – State Council News

    BEIJING, June 4 — China’s drug regulator has approved the country’s first domestically developed 9-valent human papillomavirus (HPV) vaccine, authorities announced Wednesday.

    The move ends over a decade of foreign dominance in the market.

    The vaccine, which targets nine HPV strains, is the second of its kind globally. HPV vaccines are commonly used to prevent cervical cancer in women and genital cancers and warts in both men and women.

    MIL OSI China News