In a move that is sure to trigger widespread discussion concerning the independence, objectivity and wisdom of granting authority to the WHO to manage global infectious diseases responses, the monkeypox outbreak has been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization.
The declaration was made unilaterally, in direct contradiction of independent review panel advice, by WHO director Tedros Adhanom Ghebreyesus. Tedros made the declaration despite a lack of consensus among members of the WHO’s emergency committee on the monkeypox outbreak, and in so doing overruled his own review panel, who had voted 9 against, 6 for declaring the PHEIC. Tedros asserted that this committee of experts (who met on Thursday) was unable to reach a consensus, so it fell on him to decide whether to trigger the highest alert possible.
Any objective outside observer would conclude that the committee failed to endorse moving to a PHEIC. When a similar meeting was previously held on June 23, 2022, the committee resolved by consensus to advise the WHO Director-General that at this stage the outbreak should be determined to not constitute a PHEIC. An official United Nations article summarizing this can be found here.
When the group met in June, the breakdown was 11 against and three for. It is not clear what has changed in the intervening four weeks to justify the change in Tedros’ position, although comments from internet pundits raise concerns that the unilateral action was taken in response to pressure from special interest advocacy groups.
There has also been a sudden burst of coordinated social media postings raising concerns regarding Monkeypox risks to children, which raises the question “If Monkeypox is a sexually transmitted disease, why are kids getting it?”
On Friday, the U.S. confirmed the first two cases of monkeypox in children, Centers for Disease Control Prevention and Control (CDC) Director Rochelle Walensky said Friday. The CDC has said children, especially those under 8 years old, are among those at “especially increased risk” for severe monkeypox disease.
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At a virtual event with the Washington Post on Friday focused on new coronavirus variants, Walensky stated that:
“Both of those children are traced back to individuals who come from the men-who-have-sex-with-men community, the gay men’s community,”
Clearly, the WHO committee did not reach the desired decision to declare a PHEIC, and so for some extraordinary reason Tedros stepped in.
Though the committee does not formally vote, a survey of the members revealed that nine thought a PHEIC should not be declared and six supported a declaration. “Nine and six is very, very close,” Tedros said in a news conference called to announce the decision. “Since the role of the committee is to advise, I then had to act as a tie-breaker.”
Tedros made the declaration despite a lack of consensus among members of the WHO’s emergency committee on the monkeypox outbreak. It’s the first time a leader of a UN health agency has made such a decision unilaterally.
In the event of a deadly disease outbreak, a group of World Health Organization (WHO) experts can declare a “public health emergency of international concern,” or PHEIC, to trigger global action. Since the procedures to declare a PHEIC were implemented in 2005, the WHO has only done so six times. The last time the WHO declared an international emergency was in early 2020, for Covid-19.
The designation of a Public Health Emergency of International Concern is the WHO’s highest alert level. It is based on international health regulations established in 2005, to define countries’ rights and obligations in handling cross-border public health occurrences.
The WHO defines a PHEIC as “an extraordinary event which is determined to constitute a public health risk to other States through the international spread of disease and to potentially require a coordinated international response.”
The WHO further explains how this definition implies a situation that is serious, sudden, unusual or unexpected; carries implications for public health beyond an affected country’s border and may require immediate international action.
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Tedros’ statements clearly demonstrate that he unilaterally substituted his own opinions for those of the convened panel, raising questions of his objectivity, commitment to process and protocol, and whether he has been unduly influenced by external agents:
I have decided that the global monkeypox outbreak represents a public health emergency of international concern”
“WHO’s assessment is that the risk of monkeypox is moderate globally and in all regions, except in the European region where we assess the risk as high”
“We have an outbreak that has spread around the world rapidly through new modes of transmission about which we understand too little and which meets the criteria in the international health regulations,” Tedros said.
“I know this has not been an easy or straightforward process and that there are divergent views among the members” of the committee,” he added.
“Although I am declaring a public health emergency of international concern, for the moment this is an outbreak that is concentrated among men who have sex with men, especially those with multiple sexual partners,” Tedros went on. “That means that this is an outbreak that can be stopped with the right strategies in the right groups.”
As the outbreak continues to grow, epidemiologists are split as to whether the WHO’s decision was correct. The meeting was the second time the emergency committee convened, after a meeting on June 23 when it decided the outbreak had not met that threshold.
Dr. Jimmy Whitworth, a professor of international public health at the London School of Hygiene & Tropical Medicine:
“It is a tricky decision for the committee, in some senses, it meets the definition — it is an unprecedented outbreak widespread in many countries and would benefit from increased international coordination.
On the other hand, it seems to be an infection for which we have the necessary tools for control; most cases are mild and the mortality rate is extremely low”
The PHEIC designation comes from the International Health Regulations (IHR) created in 2005, and it represents an international “agreement” to help the prevent and respond to public health risks that have the potential to spread around the globe.
The US Centers for Disease Control and Prevention (US CDC) describes the IHR regulations as “a legally binding agreement of 196 countries to build the capability to detect and report potential public health emergencies worldwide. IHR require that all countries have the ability to detect, assess, report, and respond to public health events.”
These are the same IHR which the Biden administration sought to further strengthen, but the attempt to implement proposed modifications were placed on hold after an international, multi-country outcry concerning loss of national autonomy. The unilateral actions of Tedros in this current situation clearly demonstrate that these concerns were warranted.
Despite the statement by the US CDC, the WHO IHR are not a treaty which has been endorsed by the US Senate, and the assertion that these are legally binding has been challenged.
In an article supportive of the declaration, Vox news provided a summary of the potential financial beneficiaries of this declaration; that being vaccine manufacturers and the holding companies who have invested in them.
The emergency ought to get countries to share vaccines. But it’s not guaranteed.
Vaccination plays a key role in controlling monkeypox transmission during an outbreak, and crucially, these vaccines already exist.
The Covid-19 pandemic taught the world some painful lessons about the importance of global coordination to ensuring fast and equitable vaccine distribution. The PHEIC alarm bell hopefully will spur action so the same mistakes are not repeated.
A major reason global health experts have been anxious over the timeliness of a WHO emergency declaration for monkeypox is the declaration’s potential to get vaccines to the most vulnerable groups quickly.
Vaccines do exist to prevent monkeypox, and while many countries have a quantity of these vaccines on hand as part of their national stockpiles, US demand has greatly outpaced supply, and the global supply of vaccines isrelativelysmall.Countries have been scrambling to order more vaccines, and while the producer of the most popular monkeypox vaccine has not disclosed which countries have put down orders, the nations that have announced vaccine purchases have generally been higher-income ones, like Germany, Britain, and Canada.
That portends a pattern of vaccine inequity that unfolded to tragic effect during the Covid-19 vaccine rollout, with poorer countries struggling to acquire vaccines and cut off from vaccine production efforts. In his announcement of the WHO’s Emergency Committee’s plan to convene in June, WHO Europe director Hans Kluge said following a more equitable blueprint for monkeypox vaccine distribution would be a key step in controlling the outbreak.
“A ‘me first’ approach could lead to damaging consequences down the road if we do not employ a genuinely collaborative and far-thinking approach,” Kluge said. “I beseech governments to tackle monkeypox without repeating the mistakes of the pandemic — and keeping equity at the heart of all we do.”
When the WHO declares an emergency, it also makes recommendations to affected countries, which often relate to vaccination strategies. This spurs countries to coordinate vaccine strategies to increase vaccine supply in less wealthy countries. It can also spur donors to fund vaccination efforts that prioritize equitable access to vaccines. However, the WHO’s recommendations in the face of an emergency are ultimately just recommendations.
The ACT Accelerator, a collaboration to raise funds to distribute Covid-19 tests, therapies, and vaccines to low-resource countries, was an attempt at an equitable solution in the pandemic. However, in the eyes of many, it did not succeed. Public health experts are hopeful earlier action on monkeypox could avoid some of the ACT Accelerator’s pitfalls.
In its announcement today, WHO representatives said it was encouraging countries with large vaccine stockpiles to share and donate vaccines to other countries who do not currently have access to vaccines.
“There’s no way to enforce that globally,” Heymann said.
Please see previous coverage of this issue, which clearly demonstrate the concerted effort to weaponize fear by a variety of stakeholders including corporate media and Bill and Melinda Gates affiliated organizations.
About the Author
Robert W. Malone is a physician and biochemist. His work focuses on mRNA technology, pharmaceuticals, and drug repurposing research. You can find him at Substack and Gettr
Reposted from the author’s Substack via Brownstone Institute.
Five Things New “Preppers” Forget When Getting Ready for Bad Times Ahead
The preparedness community is growing faster than it has in decades. Even during peak times such as Y2K, the economic downturn of 2008, and Covid, the vast majority of Americans made sure they had plenty of toilet paper but didn’t really stockpile anything else.
Things have changed. There’s a growing anxiety in this presidential election year that has prompted more Americans to get prepared for crazy events in the future. Some of it is being driven by fearmongers, but there are valid concerns with the economy, food supply, pharmaceuticals, the energy grid, and mass rioting that have pushed average Americans into “prepper” mode.
There are degrees of preparedness. One does not have to be a full-blown “doomsday prepper” living off-grid in a secure Montana bunker in order to be ahead of the curve. In many ways, preparedness isn’t about being able to perfectly handle every conceivable situation. It’s about being less dependent on government for as long as possible. Those who have proper “preps” will not be waiting for FEMA to distribute emergency supplies to the desperate masses.
Below are five things people new to preparedness (and sometimes even those with experience) often forget as they get ready. All five are common sense notions that do not rely on doomsday in order to be useful. It may be nice to own a tank during the apocalypse but there’s not much you can do with it until things get really crazy. The recommendations below can have places in the lives of average Americans whether doomsday comes or not.
Note: The information provided by this publication or any related communications is for informational purposes only and should not be considered as financial advice. We do not provide personalized investment, financial, or legal advice.
Secured Wealth
Whether in the bank or held in a retirement account, most Americans feel that their life’s savings is relatively secure. At least they did until the last couple of years when de-banking, geopolitical turmoil, and the threat of Central Bank Digital Currencies reared their ugly heads.
It behooves Americans to diversify their holdings. If there’s a triggering event or series of events that cripple the financial systems or devalue the U.S. Dollar, wealth can evaporate quickly. To hedge against potential turmoil, many Americans are looking in two directions: Crypto and physical precious metals.
There are huge advantages to cryptocurrencies, but there are also inherent risks because “virtual” money can become challenging to spend. Add in the push by central banks and governments to regulate or even replace cryptocurrencies with their own versions they control and the risks amplify. There’s nothing wrong with cryptocurrencies today but things can change rapidly.
As for physical precious metals, many Americans pay cash to keep plenty on hand in their safe. Rolling over or transferring retirement accounts into self-directed IRAs is also a popular option, but there are caveats. It can often take weeks or even months to get the gold and silver shipped if the owner chooses to close their account. This is why Genesis Gold Group stands out. Their relationship with the depositories allows for rapid closure and shipping, often in less than 10 days from the time the account holder makes their move. This can come in handy if things appear to be heading south.
Lots of Potable Water
One of the biggest shocks that hit new preppers is understanding how much potable water they need in order to survive. Experts claim one gallon of water per person per day is necessary. Even the most conservative estimates put it at over half-a-gallon. That means that for a family of four, they’ll need around 120 gallons of water to survive for a month if the taps turn off and the stores empty out.
Being near a fresh water source, whether it’s a river, lake, or well, is a best practice among experienced preppers. It’s necessary to have a water filter as well, even if the taps are still working. Many refuse to drink tap water even when there is no emergency. Berkey was our previous favorite but they’re under attack from regulators so the Alexapure systems are solid replacements.
For those in the city or away from fresh water sources, storage is the best option. This can be challenging because proper water storage containers take up a lot of room and are difficult to move if the need arises. For “bug in” situations, having a larger container that stores hundreds or even thousands of gallons is better than stacking 1-5 gallon containers. Unfortunately, they won’t be easily transportable and they can cost a lot to install.
Water is critical. If chaos erupts and water infrastructure is compromised, having a large backup supply can be lifesaving.
Pharmaceuticals and Medical Supplies
There are multiple threats specific to the medical supply chain. With Chinese and Indian imports accounting for over 90% of pharmaceutical ingredients in the United States, deteriorating relations could make it impossible to get the medicines and antibiotics many of us need.
Stocking up many prescription medications can be hard. Doctors generally do not like to prescribe large batches of drugs even if they are shelf-stable for extended periods of time. It is a best practice to ask your doctor if they can prescribe a larger amount. Today, some are sympathetic to concerns about pharmacies running out or becoming inaccessible. Tell them your concerns. It’s worth a shot. The worst they can do is say no.
If your doctor is unwilling to help you stock up on medicines, then Jase Medical is a good alternative. Through telehealth, they can prescribe daily meds or antibiotics that are shipped to your door. As proponents of medical freedom, they empathize with those who want to have enough medical supplies on hand in case things go wrong.
Energy Sources
The vast majority of Americans are locked into the grid. This has proven to be a massive liability when the grid goes down. Unfortunately, there are no inexpensive remedies.
Those living off-grid had to either spend a lot of money or effort (or both) to get their alternative energy sources like solar set up. For those who do not want to go so far, it’s still a best practice to have backup power sources. Diesel generators and portable solar panels are the two most popular, and while they’re not inexpensive they are not out of reach of most Americans who are concerned about being without power for extended periods of time.
Natural gas is another necessity for many, but that’s far more challenging to replace. Having alternatives for heating and cooking that can be powered if gas and electric grids go down is important. Have a backup for items that require power such as manual can openers. If you’re stuck eating canned foods for a while and all you have is an electric opener, you’ll have problems.
Don’t Forget the Protein
When most think about “prepping,” they think about their food supply. More Americans are turning to gardening and homesteading as ways to produce their own food. Others are working with local farmers and ranchers to purchase directly from the sources. This is a good idea whether doomsday comes or not, but it’s particularly important if the food supply chain is broken.
Most grocery stores have about one to two weeks worth of food, as do most American households. Grocers rely heavily on truckers to receive their ongoing shipments. In a crisis, the current process can fail. It behooves Americans for multiple reasons to localize their food purchases as much as possible.
Long-term storage is another popular option. Canned foods, MREs, and freeze dried meals are selling out quickly even as prices rise. But one component that is conspicuously absent in shelf-stable food is high-quality protein. Most survival food companies offer low quality “protein buckets” or cans of meat, but they are often barely edible.
Prepper All-Naturals offers premium cuts of steak that have been cooked sous vide and freeze dried to give them a 25-year shelf life. They offer Ribeye, NY Strip, and Tenderloin among others.
Having buckets of beans and rice is a good start, but keeping a solid supply of high-quality protein isn’t just healthier. It can help a family maintain normalcy through crises.
Prepare Without Fear
With all the challenges we face as Americans today, it can be emotionally draining. Citizens are scared and there’s nothing irrational about their concerns. Being prepared and making lifestyle changes to secure necessities can go a long way toward overcoming the fears that plague us. We should hope and pray for the best but prepare for the worst. And if the worst does come, then knowing we did what we could to be ready for it will help us face those challenges with confidence.
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