Tag Archives: Medical System

WHY CUBA’S EXTRAORDINARY COVID VACCINE SUCCESS COULD PROVIDE THE BEST HOPE FOR LOW-INCOME COUNTRIES

Published Thu, Jan 13 20221:18 AM EST Updated Thu, Jan 13 20225:05 AM EST

Sam Meredith@smeredith19

Original Article: CNBC, Cuba’s Covid Vaccine Success

  • Cuba’s prestigious biotech sector has developed five different Covid vaccines to date, including Abdala, Soberana 02 and Soberana Plus — all of which Cuba has said provide upwards of 90% protection against symptomatic Covid when administered in three doses.
  • The country of roughly 11 million remains the only country in Latin America and the Caribbean to have produced a homegrown shot for Covid.
  • The WHO’s potential approval of Cuba’s nationally produced Covid vaccines would carry “enormous significance” for low-income nations, John Kirk, professor emeritus at the Latin America program of Dalhousie University in Nova Scotia, Canada, told CNBC via telephone.

Cuba has vaccinated a greater percentage o of its population against Covid-19 than almost all of the world’s largest and richest nations. In fact, only the oil-rich United Arab Emirates boasts a stronger vaccination record.  The tiny Communist-run Caribbean island has achieved this milestone by producing its own Covid vaccine, even as it struggles to keep supermarket shelves stocked amid a decades-old U.S. trade embargo.

“It is an incredible feat,” Helen Yaffe, a Cuba expert and lecturer in economic and social history at the University of Glasgow, Scotland, told CNBC via telephone.   “Those of us who have studied biotech aren’t surprised in that sense, because it has not just come out of the blue. It is the product of a conscious government policy of state investment in the sector, in both public health and in medical science.”

To date, around 86% of the Cuban population has been fully vaccinated against Covid with three doses, and another 7% have been partly inoculated against the disease, according to official statistics compiled by Our World in Data.  These figures include children from the age of two, who began receiving the vaccine several months ago. The country’s health authorities are rolling out booster shots to the entire population this month in a bid to limit the spread of the highly transmissible omicron Covid variant.

I think it is clear that many countries and populations in the global south see the Cuban vaccine as their best hope for getting vaccinated by 2025.  Helen Yaffe  Lecturer in economic and social history at the University of Glasgow

The country of roughly 11 million remains the only country in Latin America and the Caribbean to have produced a homegrown shot for Covid.

“Just the sheer audacity of this tiny little country to produce its own vaccines and vaccinating 90% of its population is an extraordinary thing,” John Kirk, professor emeritus at the Latin America program of Dalhousie University in Nova Scotia, Canada, told CNBC via telephone.

Cuba’s prestigious biotech sector has developed five different Covid vaccines, including Abdala, Soberana 02 and Soberana Plus — all of which Cuba says provide upwards of 90% protection against symptomatic Covid when three doses are administered.

Cuba’s vaccine clinical trial data has yet to undergo international scientific peer review, although the country has engaged in two virtual exchanges of information with the World Health Organizationto initiate the Emergency Use Listing process for its vaccines.

Unlike U.S. pharmaceutical giants Pfizer and Moderna, which use mRNA technology, all of Cuba’s vaccines are subunit protein vaccines — like the Novavax vaccine. Crucially for low-income countries, they are cheap to produce, can be manufactured at scale and do not require deep freezing.  It has prompted international health officials to tout the shots as a potential source of hope for the “global south,” particularly as low vaccination rates persist. For instance, while around 70% of people in the European Union have been fully vaccinated, less than 10% of the African population have been fully vaccinated.

Vicente Verez, head of Cuba’s Finlay Vaccine Institute, told Reuters last month that the U.N. health agency was assessing Cuba’s manufacturing facilities to a “first-world standard,” citing the costly process in upgrading theirs to that level.

Verez has said previously that the necessary documents and data would be submitted to the WHO in the first quarter of 2022. Approval from the WHO would be an important step in making the shots available throughout the world.

‘Enormous significance’

When asked what it would mean for low-income countries should the WHO approve Cuba’s Covid vaccines, Yaffe said: “I think it is clear that many countries and populations in the global south see the Cuban vaccine as their best hope for getting vaccinated by 2025.”  “And actually, it affects all of us because what we are seeing with the omicron variant is that what happens when vast populations have almost no coverage is that you have mutations and new variants developing and then they come back to haunt the advanced capitalist countries which have been hoarding vaccines,” she added.

Kirk agreed that the WHO’s potential approval of Cuba’s nationally produced Covid vaccines would carry “enormous significance” for developing countries.

“One thing that is important to bear in mind is that the vaccines don’t require the ultra-low temperatures which Pfizer and Moderna need so there are places, in Africa in particular, where you don’t have the ability to store these global north vaccines,” Kirk said.

He also pointed out that Cuba, unlike other countries or pharmaceutical companies, had offered to engage in the transfer of technology to share its vaccine production expertise with low-income countries.  “The objective of Cuba is not to make a fast buck, unlike the multinational drug corporations, but rather to keep the planet healthy. So, yes making an honest profit but not an exorbitant profit as some of the multinationals would make,” Kirk said.

WHO chief Tedros Adhanom Ghebreyesus warned last month that a “tsunami” of Covid cases driven by the omicron variant was “so huge and so quick” that it had overwhelmed health systems worldwide.  Tedros repeated his call for greater vaccine distribution to help low-income countries vaccinate their populations, with more than 100 countries on track to miss the U.N. health agency’s target for 70% of the world to be fully vaccinated by July.

The WHO said last year that the world was likely to have enough Covid vaccine doses in 2022 to fully inoculate the entire global adult population — provided that high-income countries did not hoard vaccines to use in booster programs.

Alongside pharmaceutical industry trade associations, a number of Western countries — such as Canada and the U.K. — are among those actively blocking a patent-waiver proposal designed to boost the global production of Covid vaccines.  The urgency of waiving certain intellectual property rights amid the pandemic has repeatedly been underscored by the WHO, health experts, civil society groups, trade unions, former world leaders, international medical charities, Nobel laureates and human rights organizations.

An absence of vaccine hesitancy

The seven-day average of daily Covid cases in Cuba climbed to 2,063 as at Jan. 11, reflecting an almost 10-fold increase since the end of December as the omicron variant spreads.  This comes as the number of omicron Covid cases surges across countries and territories in the Americas region. The Pan American Health Organization, the WHO’s regional Americas office, has warned that a rise in cases may lead to an uptick in hospitalizations and deaths in the coming weeks.

PAHO has called on countries to accelerate vaccination coverage to reduce Covid transmission and has repeated its recommendation of public health measures, such as tight-fitting masks — a mandatory requirement in Cuba.

Yaffe has long been confident in Cuba’s ability to boast one of the world’s strongest vaccination records. Speaking to CNBC in February last year — before the country had even developed a homegrown vaccine — she said she could “guarantee”that Cuba would be able to administer its domestically produced Covid vaccine extremely quickly.  “It wasn’t conjecture,” Yaffe said. “It was based on understanding their public health care system and the structure of it. So, the fact that they have what they call family doctor and nurse clinics in every neighborhood.”

Many of these clinics are based in rural and hard-to-reach areas and it means health authorities can quickly deliver vaccines to the island’s population.  “The other aspect is they don’t have a movement of vaccine hesitancy, which is something that we are seeing in many countries,” Yaffe said.

Posted in Blog | Tagged , , | Leave a comment

CUBA’S COVID 19 DASHBOARD

Cuba’s Covid 19 Dashboard Website

The ultimate source for information on Covid 19 in Cuba

Posted in Blog | Tagged , , | Leave a comment

WHY CUBANS PROTESTED ON JULY 11. Is this the beginning of the end of fear in Cuba?

Samuel Farber July 27, 2021

Original Article

he street demonstrations that broke out all over Cuba on July 11 are an unprecedented event in the more than 60 years since the triumph of the Cuban Revolution. But why now? This essay explores the historic, economic and political factors that help to clarify the causes of Cuba’s July 11, considers the role of the United States, and briefly reflects on Cuba’s future.

On Sunday, July 11, Cuba erupted in street protests. Unlike the major street protest that took place in 1994 and was limited to the Malecón, the long multi-lane Havana road facing the Gulf of Mexico, the July 11 outbreak of protest was national in scope. There were protests in many towns and cities, including Santiago de Cuba in the east, Trinidad in the center of the island, as well as Havana in the west. The growing access to social media in the island played an important role in the rapid spread of the protests; no wonder the government immediately suspended access to certain social media sites and brought all telephone calls from abroad to a halt. 

The street presence and participation of Black women and men was notable everywhere. This should not be surprising since Black Cubans are far less likely to receive hard currency remittances from abroad even though over 50% of the population receive some degree of financial support through that channel. These remittances have become the key to survival in Cuba, particularly in light of the ever-diminishing number of goods available in the peso-denominated subsidized ration book. Cuban Blacks have also been the victims of institutional racism in the growing tourist industry where ​“front line” visible jobs are mostly reserved for conventionally attractive white and light skinned women and men. 

The demonstrators did not endorse or support any political program or ideology, aside from the general demand for political freedom. The official Cuban press claims that the demonstrations were organized from abroad by right-wing Cubans. But none of the demands associated with the Cuban right-wing were echoed by the demonstrators, like the support for Trump often heard in South Florida and among some dissident circles in Cuba. And no one called for ​“humanitarian intervention” espoused by Plattistas (Platt Amendment, approved by Congress in 1901and abolished in 1934, gave the United States the right to militarily intervene in Cuba), such as biologist Ariel Ruiz Urquiola, himself a victim of government repression for his independent ecological activism. The demonstrators did speak about the scarcity of food, medicine and essential consumer items, repudiated President Díaz-Canel as singao—a phrase that in Cuba translates as ​“fucked” but means a wicked, evil person, and chanted patria y vida (fatherland and life). ​“Patria y Vida” is the title of a very popular and highly polished rap song by a group of Cuban Black rappers (available on YouTube.) I have seen and heard the song more than a dozen times to enjoy it as well as to search for its explicit and implied meanings including in its silences and ambiguities.

“Patria y Vida” counterposes itself to the old Cuban government slogan of ​“Patria o Muerte” (“Fatherland or Death”). While that slogan may have made sense in the 1960s when Cuba was faced with actual invasions, it borders on the obscene when voiced by second generation bureaucrats. It is certainly high time that the regime’s macho cult of violence and death be challenged, and this song does it very well.

But what does it mean to implicitly repudiate the year 1959, the first year of the successful revolution, as the song does? There was no Soviet style system in Cuba at the time and the year 1959 is not equivalent to the Castro brothers. Many people of a wide variety of political beliefs fought and died to bring about the revolution that overthrew the Batista dictatorship. The song does express many important democratic sentiments against the present Cuban dictatorship, but it is unfortunately silent about the desirable alternative, which leaves room for the worst right-wing, pro-Trump elements in South Florida to rally behind it as if it was theirs. 

True to form, President Díaz-Canel called on the ​“revolutionaries” to be ready for combat and go out and reclaim the streets away from the demonstrators. In fact, it was the uniformed police, Seguridad del Estado (the secret police), and Boinas Negras (black berets, the special forces) that responded with tear gas, beatings and hundreds of arrests, including several leftist critics of the government. According to a July 21 Reuters report, the authorities had confirmed that they had started the trials of the demonstrators accused of a variety of charges, but denied it according to another press report on July 25. These are summary trials without the benefit of defense counsel, a format generally used for minor violations in Cuba but which in this case involves the possibility of years in prison for those found guilty. 

Most of the demonstrations were angry but usually peaceful and only in a few instances did the demonstrators behave violently, as in the case of some looting and a police car that was overturned. This was in clear contrast with the violence frequently displayed by the forces of order. It is worth noting that in calling his followers to take to the streets to combat the demonstrators, Díaz-Canel invoked the more than 60-year-old notion that ​“the streets belong to the revolutionaries.” Just as the government has always proclaimed that ​“the universities belong to the revolutionaries” in order to expel students and professors that don’t toe the government’s line. One example is René Fidel González García, a law professor expelled from the University of Oriente. He is a strong critic of government policies, who, far from giving up on his revolutionary ideals, has reaffirmed them on numerous occasions.

But Why Now?

Cuba is in the middle of the most serious economic crisis since the 1990s, when, as a result of the collapse of the Soviet bloc, Cubans suffered innumerable and lengthy blackouts due to the severe shortage of oil, along with endemic malnutrition with its accompanying health problems.

The present economic crisis is due to the pandemic-related decline of tourism, combined with the government’s long term capital disinvestment and inability to maintain production, even at the lower levels of the last five years. Cuba’s GDP (Gross Domestic Product) fell by 11% in 2020 and only rose by 0.5% in 2019, the year before the pandemic broke out. The annual sugar crop that ended this spring did not even reach 1 million tons, which is below the 1.4 million average of recent years and very far below the 8 million tons in 1989. The recent government attempt to unify the various currencies circulating in Cuba — primarily the CUC, a proxy for the dollar, and the peso — has backfired resulting in serious inflation that was predicted among others by the prominent Cuban economist Carmelo Mesa-Lago. While the CUC is indeed disappearing, the Cuban economy has been virtually dollarized with the constant decline of the value of the peso. While the official exchange rate is 24 pesos to the dollar, the prevailing black market rate is 60 pesos to the dollar, and it is going to get worse due to the lack of tourist dollars. This turn to an ever more expensive dollar, may be somewhat restrained in light of the government’s recent shift to the euro as its preferred hard currency. 

Worst of all, is the generalized shortage of food, even for those who have divisas, the generic term for hard currencies. The agricultural reforms of the last years aimed at increasing domestic production have not worked because they are inadequate and insufficient, making it impossible for the private farmers and for the usufructuarios (farmers who lease land from the government for 20 year terms renewable for another 20 years) to feed the country. Thus, for example, the government arbitrarily gives bank credits to the farmers for some things but not for others, like for clearing the marabú, an invasive weed that is costly to remove, but an essential task if crops are to grow. Acopio, the state agency in charge of collecting the substantial proportion of the crop that farmers have to sell to the state at prices fixed by the government is notoriously inefficient and wasteful, because the Acopio trucks do not arrive in time to collect their share, or because of the systemic indifference and carelessness that pervade the processes of shipping and storage. This creates huge spoilage and waste that have reduced the quality and quantity of goods available to consumers. It is for reasons such as these that Cuba imports 70% of the food it consumes from various countries including the United States (an exemption to the blockade was carved out in 2001 for the unlimited export of food and medicines to Cuba but with the serious limitation that Cuba has to pay in cash before the goods are shipped to the island.)

The Cuban economist Pedro Monreal has called attention to the overwhelming millions of pesos that the government has dedicated to the construction of tourist hotels (mostly in joint ventures with foreign capital) that even before the pandemic were filled to well below their capacity, while agriculture is starved of government investments. This unilateral choice of priorities by the one-party state is an example of what results from profoundly undemocratic practices. This is not a ​“flaw” of the Cuban system any more than the relentless pursuit of profit is a ​“flaw” of American capitalism. Both bureaucracy and the absence of democracy in Cuba and the relentless pursuit of profit in the United States are not defects of but constitutive elements of both systems.

Similarly, oil has become increasingly scarce as Venezuelan oil shipments in exchange for Cuban medical services have declined. There is no doubt that Trump’s strengthening of the criminal blockade, which went beyond merely reversing Obama’s liberalization during his second period in the White House, has also gravely hurt the island, among other reasons because it has made it more difficult for the Cuban government to use banks abroad, whether American or not, to finance its operations. This is because the U.S. government will punish enterprises who do business with Cuba by blocking them from doing business with the United States. Until the events of July 11,the Biden administration had left almost all of Trump’s sanctions untouched. Since then, it has promised to allow for larger remittances and to provide staff for the American consulate in Havana. 

While the criminal blockade has been very real and seriously damaging, it has been relatively less important in creating economic havoc than what lies at the very heart of the Cuban economic system: the bureaucratic, inefficient and irrational control and management of the economy by the Cuban government. It is the Cuban government and its ​“left” allies in the Global North, not the Cuban people, who continue, as they have for decades, to blame only the blockade. 

At the same time, the working class in the urban and rural areas have neither economic incentives nor political incentives in the form of democratic control of their workplaces and society to invest themselves in their work, thus reducing the quantity and quality of production. 

Health Situation in Cuba 

After the Covid-19 pandemic broke out in the early spring of 2020, Cuba did relatively well during the first year of the pandemic in comparison with other countries in the region. But in the last few months the situation in Cuba, for what are still unclear reasons except for the entry of the Delta variant in the island, made a sharp turn for the worse, and in doing so seriously aggravated the economic and political problems of the country. Thus, as Jessica Domínguez Delgado noted in the Cuban blog El Toque (July 13), until April 12, a little more than a year after the beginning of the pandemic, 467 persons had died among the 87,385 cases that had been diagnosticated as having Covid-19. But only three months later, on July 12, the number of the deceased had reached 1,579 with 224, 914 diagnosed cases (2.5 times as many as in the much longer previous period).

The province of Matanzas and its capital city of the same name located 100 kilometers east of Havana became the epicenter of the pandemic’s sudden expansion in Cuba. According to the provincial governor, Matanzas province was 3,000 beds short of the number of patients that needed them. On July 6, a personal friend who lives in the city of Matanzas wrote to me about the dire health situation in the city with a lack of doctors, tests, and oxygen in the midst of collapsing hospitals. My friend wrote that the national government had shown itself incapable of controlling the situation until that very day when it finally formulated a plan of action for the city. The government did finally take a number of measures including sending a substantial number of additional medical personnel, although it is too early to tell at the time of this writing with what results.

Cuban scientists and research institutions deserve a lot of credit for the development of several anti-Covid vaccines. However, the government was responsible for the excessive and unnecessary delay in immunizing people on the island, made worse by its decision to neither procure donations of vaccines from abroad nor join the 190-nation strong COVAX (Covid-19 Vaccines Global Access) sponsored by several international organizations including the World Health Organization (WHO), an organization with which the Cuban government has good relations. Currently only 16% of the population has been fully vaccinated and 30% has received at least one dose of the vaccine.

The medical crisis in the province and capital city of Matanzas fits into a more general pattern of medical scarcity and abandonment as the Cuban government has accelerated its export of medical personnel abroad to strengthen what has been for some time its number one export. This is why the valuable family doctor program introduced in the 1980s has seriously deteriorated. While the Cuban government uses a sliding scale (including some pro bono work) in what it charges its foreign government clients, Cuban doctors get an average of 10 – 25% of what the foreign clients pay the Cuban government. Needless to add, Cuban medical personnel cannot organize independent unions to bargain with the government about the terms of their employment. Nevertheless, going abroad is a desired assignment for most Cuban doctors because they earn a significant amount of hard currency and can purchase foreign goods. However, if they fail to return to Cuba after their assignments are over, they are administratively (i.e., not judicially) punished with a forced exile of 8 years duration. 

The Political Context 

Earlier this year, the leadership old guard, who fought the Batista regime and are in their late eighties and early nineties, retired from their government positions to give way to the new leadership of Miguel Díaz-Canel (born in 1960) as president and Manuel Marrero Cruz (born in 1963) as prime minister. This new leadership is continuing Raúl Castro’s policy of economic and social liberalization without democratization. For example, in 2013 the government liberalized the regulations that controlled the movement of people to make it easier for most Cubans to travel abroad. However, at the same time, the government made it virtually impossible for many dissidents to leave the country, by for example delaying their departure so they could not make it on time to conferences held abroad, and by creating a list of some 200 ​“regulados” (people subject to regulatory rules) that are not allowed to leave the country at all. It is important to point out that as in the case of other measures adopted by the Cuban government mentioned earlier, these actions continue the policies of Fidel and Raúl Castro, in which political and administrative decisions are made outside of the regime’s own judicial system. The same applies to the hundreds of relatively brief detentions that the government of Raúl Castro carried out every year, especially to try to impede public demonstrations not controlled by the government (a police method that only works for previously planned political protests, unlike the ones that took place on July 11). 

The One-Party State

The one-party state continues to function as under Fidel and Raúl Castro’s rule. In reality, however, the Cuban Communist Party (PCC, its Spanish acronym) is not really a party — that would imply the existence of other parties. Neither is the PCC primarily an electoral party although it does firmly control from the top the periodic so-called elections that always result in the unanimous approval of the political course followed by the authorities.

Sometimes people disillusioned with the existing corrupt parties in Latin America and even in the United States itself, react with indifference if not approval to the Cuban one-party state because they perceive elections as reinforcing corrupt systems. Thus such people think that is better to have one honest political party that works than a corrupt multi-party system that doesn’t work. The problem with this type of thinking is that one-party bureaucratic systems do not work well at all, except perhaps to thoroughly repress any opposition. Moreover, corruption sooner or later works its way into the single party system as history has repeatedly shown. In the case of Cuba, Fidel Castro himself warned in a famous speech on November 17, 2005, that the revolution was in greater danger to perish because of endemic corruption than because of the actions of counterrevolutionaries.

The organizational monopoly of the PCC — explicitly sanctioned by the Cuban constitution — affects far more than elections. It extends its power in a highly authoritarian manner to control Cuban society through the so-called mass organizations that function as transmission belts for the decisions taken by the PCC’s Political Bureau. For example, the CTC, the official trade union, is the transmission belt that allows the Cuban state to maintain its monopoly of the organization of Cuban workers. Beyond enforcing the prohibition of strikes, the CTC is not an organization for the defense of working class interests as determined by the workers themselves. Rather, it was established to advance what the ruling PCC leadership determines are the workers’ best interests.

The same control mechanisms apply to other ​“mass organizations” such as the Federation of Cuban Women (FMC) and to other institutions such as editorial houses, universities and the rest of the educational system. The mass media (radio, television and newspapers) continue to be under the control of the government, guided in their coverage by the ​“orientations” of the Ideological Department of the Central Committee of the PCC. There are however, two important exceptions to the state’s control of media organs: one, is the internal publications of the Catholic Church. Nevertheless, the Cuban Catholic hierarchy is extremely cautious, and the circulation of its publications is in any case limited to its parishes and other Catholic institutions. A far more important exception is the Internet, which the government has yet been unable to place under its absolute control and remains as the principal vehicle for critical and dissident voices. It was precisely this less than full control of the Internet that made the nationwide politically explosive outbreaks of July 11 possible. 

Where is Cuba Going?

Without the benefit of Fidel Castro’s presence and the degree of legitimacy retained by the historic leadership, Díaz-Canel and the other new government leaders were politically hit hard by the events of July 11, even though they received the shameful support of most of the broad international Left. The fact that people no longer seem to be afraid may be the single largest threat for the government emerging from the events on July 11. In spite of that blow, the new leadership is on course to continue Raúl Castro’s orientation to develop a Cuban version of the Sino-Vietnamese model, which combine a high degree of political authoritarianism with concessions to private and especially foreign capital.

At the same time, the Cuban government leaders will continue to follow inconsistent and even contradictory economic reform policies for fear of losing control to Cuban private capital. The government recently authorized the creation of private PYMES (small and medium private enterprises), but it would not be at all surprising if many of the newly created PYMES end up in the hands of important state functionaries turned private capitalists. There is an important government stratum composed of business managers and technicians with ample experience in such sectors as tourism, particularly in the military. The most important among them is the 61-year-old Gen. Alberto Rodríguez López-Calleja, a former son-in-law of Raúl Castro, who is the director of GAESA, the huge military business conglomerate, which includes Gaviota, the principal tourist enterprise in the island. It is significant that he recently became a member of the Political Bureau of the PCC. 

Perhaps this younger generation of business military and civilian bureaucrats may try to overcome the rentier mentality that 30 years of ample Soviet assistance created among the Cuban leadership as witnessed the failure to modernize and diversify the sugar industry (as Brazil did) during those relatively prosperous years that ended in 1990. To be sure, the U.S. economic blockade contributed to the rentier mentality by encouraging a day-to-day economic survival attitude rather than of increasing the productivity of the Cuban economy to allow for a more prosperous future. 

Finally, what about the United States? Biden is unlikely to do much in his first term to change the United States’ imperialist policies towards Cuba that were significantly aggravated by Trump. Whether a possible second Democratic administration in Washington beginning in 2025 will do anything different remains an open question.

There is, however, a paradox underlying the U.S. government’s Cuba policy. While U.S. policy is not at present primarily driven by ruling class interests but, rather, by electoral considerations, particularly in the highly contested state of Florida, it is not for that reason necessarily less harsh or, what is more alarming, less durable. The U.S. Chamber of Commerce, probably the most politically active business institution in the United States has advocated the resumption of normal business relations with Cuba for many years. Thomas J. Donohue, its long-time director who retired earlier this year, visited Cuba in numerous occasions and met with government leaders there. Big agribusiness concerns are also interested in doing business with Cuba as are agricultural and other business interests in the South, Southwest and Mountain States represented by both Republican and Democratic politicians. However, it is doubtful that they are inclined to expend a lot of political capital in achieving that goal.

This places a heavy extra burden on the U.S. Left to overcome the deadlock, which clearly favors the indefinite continuation of the blockade, through a new type of campaign that both zeroes in on the grave aggression and injustice committed against the Cuban people without at the same time becoming apologists for the political leadership of the Cuban state. 

Be that as it may, people on the Left in the United States have two key tasks. First, they should firmly oppose the criminal economic blockade of Cuba. Second, they should support the democratic rights of the Cuban people rather than an ossified police state, in the same way that they have supported the struggle for human rights, democracy, and radical social and economic change in Colombia and Chile in Latin America as well as Myanmar and Hong Kong in Asia.

Posted in Blog | Tagged , , , , , , , , , , | Leave a comment

CUBA SAYS ABDALA VACCINE 92.28% EFFECTIVE AGAINST CORONAVIRUS

Mon, June 21, 2021, 8:05 PM·2 min read

Marc Jranjk

Original Article: Abdala Vaccine

HAVANA, June 21 (Reuters) – Cuba said on Monday its three-shot Abdala vaccine against the coronavirus had proved 92.28% effective in last-stage clinical trials.   The announcement came just days after the government said another homegrown vaccine, Soberana 2, had proved 62% effective with just two of its three doses.

“Hit by the pandemic, our scientists at the Finlay Institute and Center for Genetic Engineering and Biotechnology have risen above all the obstacles and given us two very effective vaccines,” President Miguel Diaz-Canel tweeted.

The announcement came from state-run biopharmaceutical corporation BioCubaFarma, which oversees Finlay, the maker of Soberana 2, and the Center for Genetic Engineering and Biotechnology, the producer of Abdala. Both vaccines are expected to be granted emergency authority by local regulators shortly.

Cuba, whose biotech sector has exported vaccines for decades, has five coronavirus vaccine candidates.

The Caribbean’s largest island is facing its worst COVID-19 outbreak since the start of the pandemic following the arrival of more contagious variants, setting new records for daily coronavirus cases.

The Communist-run country has opted not to import foreign vaccines but to rely on its own. Some experts said it was a risky bet but it appears to have paid off, putting Cuba in position to burnish its scientific reputation, generate much-needed hard currency through exports and strengthen the vaccination drive worldwide.

Several countries from Argentina and Jamaica to Mexico, Vietnam and Venezuela have expressed an interest in buying Cuba’s vaccines. Iran started producing Soberana 2 earlier this year as part of late-phase clinical trials.

Cuba’s authorities have already started administering the experimental vaccines en masse as part of “intervention studies” they hope will slow the spread of the virus.  About a million of the country’s 11.2 million residents have been fully vaccinated to date.

Daily cases have halved in the capital, Havana, since the start of the vaccination campaign a month ago, using Abdala, according to official data.  Cuba has reported a total of 169,365 COVID-19 cases and 1,170 deaths.

Posted in Blog | Tagged , , | Leave a comment

CUBA DEPLOYS HOMEGROWN COVID JABS BEFORE REGULATORS GIVE GO-AHEAD

Daily U.K. News, 14 May, 2021

DUK Editor Team

Original Article: Cuba deploys homegrown Covid jabs

Cuba has begun a mass Covid-19 vaccination drive using two homegrown shots before they have full regulatory approval, after declaring a health emergency as cases surge.

The government said it aimed to vaccinate the entire adult population with its Abdala and Soberana 2 shots. The programme began in Havana on Wednesday for residents aged 60 years or older, with frontline workers in other provinces also receiving the vaccines.

The Pan American Health Organization said this week that Cuba was driving most new Covid-19 infections in the Caribbean. Although case rates in the communist-ruled nation have been low by international standards, it recorded its worst month for infections in April since the pandemic began, with 31,346 cases and 229 deaths among its 11m population. The number has continued to creep up this month.

José Angel Portal Miranda, public health minister, said he expected full approval for both vaccines in June but that Cuban law allowed the step to be bypassed in an emergency. “This makes it possible to initiate intervention in risk groups and territories with Cuban vaccine candidates,” he said after announcing the emergency last Friday.

Abdala’s phase 3 trials — the final stage before regulatory approval is normally sought — ended on May 1 while those for Soberana 2 will be completed this weekend. More than 300,000 Cubans have been vaccinated to date, including trial participants and frontline workers.

Cuban health authorities say both shots have proved safe and highly effective but have not released trial data.

Cuba opted not to join the World Health Organization-backed Covax vaccine procurement facility or accept jabs from allies such as Russia and China. The island nation has been manufacturing vaccines for years and authorities cite long experience and a policy of not depending on others as behind the decision.

A scientist works on the Abdala vaccine at a Havana biotechnology centre © Ramon Espinosa/AP

All but bankrupted by US economic sanctions and the Covid-induced crisis, Cuba is suffering its worst economic crisis since the collapse of the Soviet Union three decades ago. The economy declined 11 per cent last year and local economists said it continued to lose ground during the first quarter as the pandemic crippled tourism, which accounts for about 11 per cent of gross domestic product.

Both of Cuba’s vaccines require two doses, and a third booster shot has been added to combat new variants of the virus.

Portal Miranda said 70 per cent of the population would be vaccinated by September and the remainder by the end of the year.

Patients and medics preparing for vaccination on Wednesday expressed confidence in the programme. Physiotherapist Vladimir Lahenes did not believe Abdala, named after a famous poem by national revolutionary hero José Martí, which he was about to receive in the Havana municipality of Playa de Este, would prove unsafe or ineffective.

“Here there’s lots of experience with Cuban vaccines. Everyone knows, everyone is confident,” he said.

Family doctor Yolanda, who asked that her full name not be used, said she had been preparing for weeks. “I have been giving Cuban vaccines forever. I’m already vaccinated and very glad my patients will now be too,” she said.

Eduardo Martínez Díaz, president of BioCubaFarma, the state pharmaceutical monopoly, said last week that Cuba “will probably be the first country to immunise its entire population with its own vaccine”.

Posted in Blog | Tagged , , | Leave a comment

CUBA SAYS IT’S ‘BETTING IT SAFE’ WITH ITS OWN COVID VACCINE

“We are seeing a safety profile with the vaccine [Soberana 2] that is very good,” Dr. Vicente Verez, director of the Finlay Institute of Vaccines, told NBC News.

NBC News, April 10, 2021, 3:35 PM EDT

By Orlando Matos and Carmen Sesin

Original Article: Cuba’s Covid Vaccine

HAVANA — Cuba is “betting it safe” with the later development of their own Covid-19 vaccines and encouraged by what they’re seeing in late stage and experimental studies, a top Cuban vaccine scientist said.

If the trials are successful, the relatively small, communist island of 11 million — that has been sanctioned by the United States for decades — would be one of just very few countries with vaccines to fight the coronavirus pandemic, drawing worldwide attention to its potential feat.

The other countries that have developed vaccines, including the United States, the United Kingdom, China, Russia and India, have significantly larger economies and population sizes.

Two of Cuba’s five vaccine candidates are in Phase 3 trials: Soberana 2, which translates to ‘sovereignty,’ and Abdala, named after a book by the Cuban independence hero José Martí.

Around 44,000 people are getting the Soberana 2 vaccine as part of the Phase 3 double-blind study. An additional 150,000 health care workers are being inoculated with Soberana 2 as part of an “interventional study.”

Unlike the mRNA vaccines from Pfizer-BioNTech and Moderna, the Soberana 2 uses synthesized coronavirus proteins to trigger the body’s immune system.

“We are seeing that the vaccine is very safe, the potential risk for applying it to more people is decreasing, and the potential benefits are increasing. There is evidence of certain efficacy and that is why we decided to expand the interventional studies,” Dr. Vicente Verez, director of the Finlay Institute of Vaccines, told NBC News. The institute is named after the Cuban epidemiologist Dr. Carlos Finlay who discovered yellow fever is transmitted through mosquitoes.

The institute was established in 1991 by the late Cuban leader Fidel Castro who invested heavily in the country’s health care system and pharmaceutical sector. Its cancer research center developed a vaccine being tested in the United States and other countries.  

In Cuba, “we began a bit later than the rest of the vaccines [in the world] because we had to wait and know a little more about the virus and the mechanism though which it infects cells,” Verez said. “We are seeing a safety profile with the vaccine [Soberana 2] that is very good.”

With its economy ravaged by the pandemic, decades of sanctions and a decline in aid from its ally Venezuela, the island has been grappling with shortages in food and medicine. Its economy shrank 11 percent in 2020. But it has managed to keep the number of Covid-19 infections and deaths down with strict measures and lockdowns, compared to many developed countries around the world. In recent weeks, the country has averaged around 1,000 cases per day, but it had very low infection rates last year.

The final results of the Phase 3 trials are not expected for months. The government’s plan is to have nearly all the inhabitants of the capital, Havana, vaccinated by May through the interventional study, and the entire country’s population inoculated before the year ends.

Verez said that while the vaccination won’t be mandatory, he thinks “the immense majority of the population wants the vaccine.”

For Cuba, the vaccine is as much about public health as it is a show of force; that a small communist country sanctioned by the U.S. can compete on the world stage with its own vaccine candidates.  Cuba could have acquired vaccines from its allies, China and Russia, but developing its own gives it the opportunity to sell vaccines to underdeveloped countries that have seen few doses, giving it a source of badly-needed hard currency. As U.S. and British vaccines advanced in clinical trials last year, wealthy countries in North America and Europe preordered large quantities, leaving poor and developing countries with a large gap in access.

Verez said some countries have approached Cuban officials with the intent to purchase more than 100 million annual doses of some of its vaccines. He said Cuba’s vaccine production system is being reorganized to produce 100 million doses.  Iran, which banned U.S. and British vaccines, will host a Phase 3 trial of Soberana 2 as part of an agreement that includes producing millions of doses there. Venezuela will produce Abdala vaccines, its government announced Thursday. Mexico and Argentina have also expressed interest in Cuba’s vaccines.

“They are very safe,” Dr. Eduardo Martínez Díaz, president of the state-run BioCubaFarma, said in emailed responses to questions. “After applying thousands of doses, only slight and moderate side effects were seen in a small percentage of volunteers.”

Díaz added that both vaccines are creating a high amount of immunity. If exported, the prices would be affordable, he said.

Verez said the vaccines will be adapted to the new variants, and extra doses could be required to boost immunity.

Posted in Blog | Tagged , , | Leave a comment

EL COVID EN CUBA , EN LINEA ASCENDENTE E IMPLANTANDO RÉCORDS (GRÁFICOS)

Por Humberto Herrera Carles

Articulo Original: Cuba y la Economía,  EL COVID EN CUBA,  Enero 10 de 2021

Decía Jose Martí, nuestro héroe nacional, que “En prever está todo el arte de salvar “, y además dijo que “Gobernar es  prever”.

Al parecer  los modelos matemáticos de pronósticos publicados por nuestras autoridades,  hasta el presente, han fallado, no se han cumplido y se han ignorado otras recomendaciones a las cuales he tenido acceso producto de las preocupaciones que todos tenemos con esta pandemia, por ejemplo de un INDICE de Alarma Epidemiológica (IAE) que predice mejor el comportamiento que nos presentan, así como el ” Método estadístico matemático para identificar el estado de la COVID-19 con relación al pico epidémico publicado en este sitio ( tomado de la Revista Información Científica)  de la autoría del Profesor Javier Pérez Capdevila.

Ahora bien, no me detendré en las comparaciones, pero evidentemente cuando se introdujo en los modelos oficiales, la variable  exógena que representaban la necesaria apertura de nuestras fronteras y la incidencia de los visitantes externos, al parecer una vez más no fueron correctos los pronósticos.  Se trataba de prever  (ex ante), y las medidas previstas hacerlas cumplir. Sin embargo, con solo observar que desde el 16 de diciembre del 2020, excepto un día, pasaban del centenar  el número de confirmados diarios, y ver que la última semana de diciembre 2020 ya era de 165 confirmados diarios como promedio, era suficiente para adoptar las medidas correctoras días atrás.  Así en los últimos 7 días de este 2021, en cinco días los casos diarios han sido por encima de 300, y los últimos 4 días es de 314, 344, 365 y 388 confirmados, además de los récords lamentables, la cota máxima no sabemos hasta donde llegará. Deberían pedir  colaboración nuestras autoridades a los que tienen otros pronósticos y metodos, para tomar las decisiones correctas en tiempo real.  Las ciencias matemáticas en estos momentos  juegan un papel fundamental, esencial.

Ayer se comunicaron varios retrocesos a diferentes fases en las provincias más comprometidas con el rebrote, la Habana paso a fase I de recuperación , cuando se encontraba en la III. 

El presente escrito solo pretende llamar la atención,  con los gráficos elaborados , de la gravedad en que nos encontramos, porque al final esto es tarea de todos. He vistopor ejemplo,  en otros países en colas a los super  que guarda distancia de 1.5 m para entrar entre las personas, e incluso es uno solo por familia y no pueden entrar los menores. En nuestro país, son “molotes” fuera de las tiendas.¿?

Los gráficos a continuación y tablas son elaboración propia con datos del MINSAP. 


Como se observa en el gráfico # 1 desde el día uno de la pandemia, muestra que este tercer rebrote hasta ayer, es casi 5 veces mayor que el momento peor del primero, y que la línea de tendencia polinómica de grado 4 (roja)  de excel va en  ascenso. Aquí es donde se requieren los “otros” pronósticos. 

Los Activos acumulados diarios ( los que tienen la enfermedad y no se han recuperado) en el gráfico # 2 y su línea de tendencia, se han incrementado desde la anterior cota máxima de 847 activos el 25 de abril del 2020 en el primer brote , en 2.99 veces, significando , al no incrementarse el número de fallecidos, que el tiempo de hospitalización- recuperación es menor ( días) ¿ nuevo protocolo médico  ?. Sin embargo, no se publican los casos activos por provincias como una información oficial del MINSAP.  El día cero de casos activos, parece cada vez más lejos, primero hay que aspirar a casos cero de confirmados durante días, y desde que empezó la Covid en nuestro país solo hemos tenido un día con caso cero, el 19 de julio del 2020, esa es la meta a lograr, otra vez.

Observar que la tasa de incidencia con importados (azul) y sin (azul) del gráfico # 3 del MINSAP , desde que empezó la pandemia eran similares, sin embargo hay una diferencia  que inició  diciembre -enero , y esto demuestra dos cosas 1- la tasa de incidencia con los casos importados es mucho mayor que la  autóctona,y 2- que sin los importados (roja) no obstante, hay igualmente un incremento de la tasa de incidencia, es decir el incremento se dio aunque no se hubieran abierto las fronteras. 

Continue Reading:

Posted in Blog | Tagged , , | Leave a comment

CUBAN MEDICAL TEAMS FOR 2021 NOBEL PEACE PRIZE

Media Statement

Monday, November 16, 2020 – 17:00

The Council of Canadians’ statement on nominating Cuban international health teams for the 2021 Nobel Peace Prize. 

At the June 2020 Annual Meeting, Council of Canadians’ members voted to endorse and promote a Canadian nominating process for the 2021 Nobel Peace Prize to go the Henry Reeve medical teams from Cuba for their international work in the context of COVID-19.

In 2005, Cuba’s leaders looked ahead and saw a world increasingly beset by pandemics and natural disasters. This led them to initiate a program to train professional medical personnel to be able to respond quickly to emergency requests from other nations. This initiative resulted in the mobilization of thousands of Cuban medical personnel with the skills and training to deal with a variety of global calamities, known as the Henry Reeve brigades.

When COVID-19 hit in 2020, Cuba responded to emergency requests for trained medical personnel by sending 53 health teams to 39 countries on four continents. The health teams were able to assist countries with fragile health systems that were ill-equipped to deal with COVID-19.

Cuba’s response to COVID-19 eclipses all other front-line efforts from industrialized nations in the fight against COVID-19. This response is more remarkable given that the island nation has been under a decades-long embargo by the United States of America. The U.S. State Department has made it known since the beginning of the pandemic that they might retaliate against any country receiving Cuban medical personnel. Only one country has capitulated to these threats from the U.S., and that country is Canada.

We are fortunate to have Dr. John Kirk as the nominator. As an expert on Cuba’s humanitarian efforts and its medical internationalism and a professor at Dalhousie University’s Department of Spanish and Latin American Studies, Dr. Kirk easily meets all of the strict requirements outlined by Oslo for those individuals heading up a nomination process for the Nobel Peace Prize. Read Dr. Kirk’s nomination.

The Council of Canadians fully supports this nomination effort, and are honoured to be working in solidarity with the endorsers listed below.

Individual Canadian endorsers for the 2021 Nobel Peace Prize Nomination for the international work of Cuban medical personnel

  • The Hon. Lloyd Axworthy – Canadian politician, elder statesman and academic served as Canadian Minister of Foreign Affairs under P.M. Chretien, invested as a Companion of the Order of Canada and honoured at a sacred pipe ceremony as Waappski Pinaysee Inini (Free Range Frog Man), Chair of the World Refugee Council, among other prestigious international and academic positions;
  • Dr. Anna Banerji – Pediatrics and infectious disease specialist and Associate Professor at University of Toronto Faculty of Medicine, Faculty lead for Indigenous and Refugee Health, invested in the Order of Ontario, 2014 Women’s Courage Award International, among other citations;
  • Jane Bunnett – Flautist, saxophonist and bandleader and jazz legend is a five-time Juno Award winner, invested in The Order of Canada and has more than a dozen albums featuring Cuban music, jazz, and classical as well as dance and pop music;
  • John Cartwright – Chairperson of the Council of Canadians Board of Directors and a long-time labour leader and social justice advocate. He is also the President of the Toronto and York Region Labour Council, and over the years helped develop the Campaign for Public Education, Public Transit for the Public Good, the Toronto Waterwatch and Toronto Hydro campaigns as well as crafting the “Green Jobs Strategy” for the Canadian Labour Congress.
  • George Elliot Clarke – Canadian poet, playwright and literary critic, known for chronicling the experience and history of the Black Canadian communities of Nova Scotia and New Brunswick (“Africadia”), has served as Poet Laureate of Toronto and Canadian Parliamentary Poet Laureate, appointed to the Order of Nova Scotia and as an Officer of the Order of Canada, and has received many other distinctions;
  • Bruce Cockburn – Canadian roots-rock legend, 13-time Juno Award winner, Officer of the Order of Canada, recipient of the Governor General’s Performing Arts Award for Lifetime Artistic Achievement, recipient of the environmental Earth Day Award, and many others honours;
  • Elizabeth Hay – Prize winning author of numerous novels, short stories, non fiction and essays. Among many honours, she was the co-winner of the Edna Staebler Award for Creative Non-Fiction, received the Ottawa Book Award, won the Giller Prize in 2007, was accorded the 2012 Diamond Jubilee Medal, and most recently won the Hilary Weston Writers’ Trust Prize for Nonfiction. Elizabeth worked for ten years as a CBC radio broadcaster in Yellowknife, and also did radio documentaries for CBC’s Sunday Morning.
  • The Rt. Hon. Michaelle Jean – Canadian stateswoman, journalist and a refugee from Haiti, was the 27th Governor General of Canada and the third Secretary-General of the Organisation Internationale de la Francophonie, named member of the Queen’s Privy Council for Canada, and has received many Appointments, Medals, and Awards as well as multiple Honorary degrees;
  • Dr. Noni E. MacDonald – Paediatrics infectious disease specialist and Professor in the Department of Pediatrics at Dalhousie University, invested in the Order of Nova Scotia and in the Order of Canada, and recipient of the Lifetime Achievement Award by the Canadian Society for International Health, among other honours;
  • MP Elizabeth May – Canadian politician who served as leader of the Green Party of Canada from 2006 to 2019. An environmentalist, author, activist and lawyer, May founded and served as Executive Director of the Sierra Club of Canada from 1989 to 2006. Elizabeth has been an officer of the Order of Canada since 2005, and has been named by the United Nations as one of the leading women environmentalists worldwide, among other citations.
  • Senator Pierrette Ringuette – The first francophone woman to be elected to the Legislative Assembly of New Brunswick. In the 1993 federal election she won a seat in the House of Commons of Canada as a Liberal Member of Parliament. In 2002 she was appointed to the Senate on the recommendation of Prime Minister Jean Chretien. In 2007 she received the grade of Officer of the Ordre de la Pleiade in recognition of her contribution to the development of francophone and Acadian culture.  In 2016 she chose to sit as part of the Independent Senators Group. Senator Ringuette continues to be a member of several standing committees and is currently a Counselor of The Inter-Parliamentary Forum of the Americas, Co-Chair of the Canada-Cuba Inter-Parliamentary Group.
  • Svend Robinson – Canadian politician and Member of Parliament for the New Democratic Party, a strong environmentalist and outspoken advocate for the rights of indigenous peoples both in Canada and internationally, he was adopted into the Haida Nation (“White Swan”), J.S. Woodsworth Resident Scholar at Simon Fraser University, and among several awards…the Elena Iberoamerican Award on Ethics and the Hero Award, Sexual Orientation and Gender Identity;
  • David T. Suzuki – Canadian academic, science broadcaster and environmental activist is a Companion of the Order of Canada and invested in the Order of British Columbia, recipient of the Right Livelihood Award and has been awarded honorary degrees from over two dozen universities around the world, and is the host the CBC’s long running series The Nature of Things;

Organizational Canadian endorsers for the 2021 Nobel Peace Prize Nomination for the international work of Cuban medical personnel

Posted in Blog | Tagged , , | Leave a comment

CUBA’S COVID-19 DASHBOARD

 Cuban Government Covid 19 Web Site and Dashboard

 https://covid19cubadata.github.io/#cuba

Posted in Blog | Tagged , , | Leave a comment

CUBA AND COVID-19: WHY IS THEIR MODEL SO SUCCESSFUL?

Original Article: Cuba and Covid-19

McLeod Group guest blog by John M. Kirk, October 29, 2020 

Original Article: Cuba and Covid-19

As the cold winter looms, along with the dreaded “second wave” of COVID-19, Canadians are faced with some alarming facts. While pleased that our infection and death rates are only half those found in the United States, we are doing poorly compared with one country barely mentioned in our media: Cuba. Their death rate (adjusted to population differences) is roughly 1/25 what ours is, while Canadians are ten times more likely to become infected by the virus than Cubans.

How did they manage to do this? Is there anything that we can learn from them?

The world is in a parlous state. There is the possibility that 500,000 Americans might die by February. The intensive care wards are rapidly filling up in Europe. In Canada, we are now hitting almost 1,000 new cases daily in the two most populous provinces of the country, Ontario and Quebec.

Yet, Cuba has managed to control the situation there, with fewer than 7,000 people infected and 128 dead. It has also faced, and curbed, a second wave of infections. Cubans are also over 40 times less likely to contract the virus than people in the United States. Countries of a similar size to Cuba offer interesting data in terms of fatalities. As of October 25, Cuba has experienced 128 deaths, compared with 10,737 in Belgium, 2,081 in Switzerland, 2,297 in Portugal, 5,933 in Sweden, and 1,390 in Hungary.

While there are some aspects of the Cuban model that are not transferable to Canada – largely because of radically different political systems – there are things that we can learn from them.

Cuba is fortunate that it is a small country, with 11.2 million people in an island about twice the surface area of Nova Scotia. It also has an excellent healthcare system, with three times the number of physicians per capita as Canada – the highest rate in the world. Its system emphasizes preventive medicine, as opposed to the curative approach used here. The Cubans moved with enormous speed to limit COVID-19, in part because of a finely tuned system to respond to natural disasters.

When COVID arrived in the island in March, brought by Italian tourists, the government decided to forego the funds derived from the tourism industry, and closed the island to tourists. Healthcare for all was deemed far more important than economic growth.

Continue Reading: Cuba and Covid-19

John M. Kirk is Professor of Latin American Studies at Dalhousie University, and the author/co-editor of 17 books on Cuba, including two on its healthcare system.

Posted in Blog | Tagged , , | Leave a comment