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Why COVID-19 vaccine distribution methods fall short and 3 ways to improve them

Several proposals have emerged on how to distribute the COVID-19 vaccine, but they fall short in ensuring that the vaccine is distributed fairly.

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Several proposals have emerged on how to distribute the COVID-19 vaccine, but they fall short in ensuring that the vaccine is distributed fairly. A team including Binghamton University professor Nicole Hassoun suggests three ways to more fairly and effectively distribute the vaccine so that people in poor countries get the vaccine as soon as possible.

“Although many people in rich countries will receive a vaccine for COVID-19 this year, many people in poor countries will likely have to wait years to get one,” said Hassoun. “Ethical vaccine allocation requires closing this gap and ensuring that everyone can access a vaccine as soon as possible. We should increase vaccine manufacturing, distribution and uptake. Rich countries should not get to prioritize their populations first.”

Several proposals have emerged offering guidelines for how to distribute the COVID-19 vaccine fairly. These include the COVID-19 Vaccines Global Access (COVAX) facility, a collaboration that brings together governments, companies, international organizations, and others to accelerate the development and manufacture of COVID-19 vaccines. Currently, COVAX is set up so that in a first phase poor countries can vaccinate 3% of their populations, while rich countries can vaccinate up to 50%. Another sophisticated proposal, the “Fair Priority” model, suggests countries with vaccines contribute to global distribution once their COVID-19 transmission rates drop below 1.

However, insofar as the aim is to have the greatest health impact, these proposals fall short, according to Hassoun and her team. They offer three suggestions:

  1. Proposals for fair distribution must address health problems for individuals. Moreover, since most individuals have little choice as to their country of origin or residence, we should not discriminate against them based on location. A fair proposal cannot allow rich countries to hoard vaccines or prioritize their own populations first. Nor can it give individuals’ less priority simply because they live in a country with less infrastructure, capacity, or willingness to distribute vaccines.
  2. Allocation principles must explicitly focus on both direct and indirect health effects of COVID-19. Direct health effects include death and disability caused (in full or in part) by the virus. Indirect health effects include death and disability caused (in full or in part) by the social response to the virus.
  3. Having greatest global health impact requires assisting countries in their vaccine distribution, production, and consumption. A fair allocation system must consider how vaccine distribution will determine the success of whatever strategy is adopted.

“Many proposals for equitable allocation let rich countries prioritize their populations,” said Hassoun. “We must combat this scarcity mindset and expand access rather than just shift resources around.”

Additional researchers contributing to this paper include Anders Herlitz, Zohar Lederman, Jennifer Miller, Caesar Atuire, Lisa Eckenwiler, Sridhar Venkatapuram, and Marc Fleurbaey.

The paper, “Just Allocation of COVID-19 Vaccines,” was published in BMJ Global Health.

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Men with sensory loss are more likely to be obese

The association between physical activity and obesity was higher in men with hearing loss, who were 2.319 times more likely to be obese than women who reported difficulty hearing. Obesity in those with sight loss was 1.556 times higher in inactive men than women.

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Photo by @blocks from Unsplash.com

Men who suffer sensory loss, particularly hearing loss, are more likely to be physically inactive and obese than women, according to a new study published in the European Journal of Public Health.

Researchers analysed data from more than 23,000 Spanish adults, and examined associations with physical inactivity and obesity in people with vision and hearing loss, and explored differences between men and women.

Results suggest inactive people with hearing loss were 1.78 times more likely to be obese compared to those who did not have any hearing loss. In people who had difficulty seeing, the odds ratio is slightly smaller, with a likelihood of obesity being 1.375 times higher than those who did not report vision loss.

The association between physical activity and obesity was higher in men with hearing loss, who were 2.319 times more likely to be obese than women who reported difficulty hearing. Obesity in those with sight loss was 1.556 times higher in inactive men than women.

Those with combined seeing and hearing difficulties had the highest prevalence of physical inactivity (44.8%) and obesity (26.1%). Analysis showed a significant association between physical inactivity and obesity in men with vision or hearing loss, but not in women.

Around 62% of adults in Spain are overweight, with 26% reporting as obese. In the UK, the figures are broadly similar at around 64% and 28% respectively, suggesting strong similarities between the countries.

A total of 11.04% of the people surveyed self-reported vision loss, 6.96% reported hearing loss, and 3.93% reported suffering both vision and hearing loss.

Lead author Professor Shahina Pardhan, Director of the Vision and Eye Research Institute at Anglia Ruskin University, said: “It is clear from our study that there are significant differences between genders.

“Although women were overall less physically active than men, we found an association between physical inactivity and obesity in men, but not in women. This indicates that, especially in people with vision and hearing losses, exercise and being active has a very important role in preventing obesity for men.

“Adults, especially those with sensory losses, should be encouraged to be as physically active as possible but there are obviously challenges, strongly suggesting that intervention and encouragement would play a very important role.

“An effective strategy to increase the levels of physical activity in this population group would be through targeted intervention programmes based on health awareness on the importance of physical activity.”

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Dad tips we take for granted but go a long way

With all the pressure that comes with responsibilities, dads also need to look after their own wellbeing too.

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Photo by @picsea from Unsplash.com

There is no one-size-fits all way to being a father, but most working dads want to do the best to support their loved ones. With all the pressure that comes with these responsibilities, dads also need to look after their own wellbeing too. 

Donato Avellana is the Health and Wellbeing Lead for the Vibe Team at Canva Philippines, and as a father himself, he acknowledges the importance of work-life balance. He has helped build programs at Canva that empower employees to have a healthy work-life balance, with holistic programs for all domains of wellness. Taking his learnings from this, he shares some helpful and practical tips to help dads to develop healthy habits that can boost their happiness at work and at home. 

1. Rest and recover well

Rest and relaxation is crucial to improve our overall health. Try your best to get at least 7 hours of sleep, go to bed an hour before you go to sleep, and stay away from your TV or mobile phone, as several studies show that the blue light from screens can disrupt sleep. Sleep is often a neglected component of overall well-being, but this is where the body repairs itself to get ready for another day. Remember that you deserve to rest.

2. Start your day with a cold shower 

Showering can also offer more benefits than many realise.  By using water that is a little cold, you can improve blood circulation, with the lower temperature causing blood to run to the skin’s surface. Good blood circulation plays an important role in our health for proper nutrient distribution throughout our body.

This is also a good time for dads to have their ‘me’ time. Breathing exercises are a great way to start the day, by offering the opportunity to regroup and reflect. 

3. Move more, make it a habit

The health benefits of movement have been scientifically proven time and time again. Your body is connected to your brain and your movement habits can positively impact how you think and feel. Inactivity can make you feel sluggish and tired, making it hard to find motivation and deliver on responsibilities.

Add regular walks, stand often, or follow stretching routines that you can commit to during the day. Taking time for a short 10-15-minute walk is a great way to have a mental and physical break.

4. Eat smart: practice a mindful eating habit. 

We have been educated about what healthy eating is since we were kids. Eating intuitively on a regular schedule is very important. Eating with no structure creates mindless eating that can lead to poor nutrition choices. Think of nourishing your body with healthy fuel for efficient performance instead of just eating. Eat a variety of whole foods, have fruits and vegetables, and hydrate smartly.

5. It’s okay to ask for help

This shortlist might not be easy for everyone, so I encourage dads to seek help when they need it. You might want to start at home with your spouse, ask for help from co-workers, peers, fellow fathers, professionals such as your doctor.

Showing appreciation to your father

If you’re still looking for heart-felt gift ideas for your dad, you can browse through Canva for free design ideas and inspiration. 

Make your dad, grandfather or any other special figure feel loved and appreciated by designing personalized cards. A wide variety of photos, customizable templates, and full-color professional layouts are available. You can also find Filipino templates by changing the language settings to Tagalog and searching for the word ‘tatay’.

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Sun Life Philippines holds ‘Tiny Habits’ workshop

The interactive event carried a fitness theme and was conducted by certified Tiny Habits Coaches TJ Agulto and Claire Limof AHA! Behavorial Design.They shared tips on creating tiny habits in a continuous period of two weeks and also emphasized the importance of celebrating small wins.

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Members of Sun Life Philippines’ Bright Habit Starters community were recently treated to an exclusive workshop on Tiny Habits, the breakthrough method for building habits by world-renowned Behavior Scientist Dr. BJ Fogg.

The interactive event carried a fitness theme and was conducted by certified Tiny Habits Coaches TJ Agulto and Claire Limof AHA! Behavorial Design.They shared tips on creating tiny habits in a continuous period of two weeks and also emphasized the importance of celebrating small wins.

The event was followed by one-on-one coaching sessions to help the participants commit to their habits. This was supervised through the Bright Habits Chatbot, which prompted them to perform daily check-ins for two weeks. This led to the participants achieving 93% success rate in practicing their Bright Tiny Habits.

Following the launch, a second batch of participants is now undergoing the same program, this time with the goal of creating habits to improve their relationships.

The Tiny Habits workshop is just one of the many perks enjoyed by the Bright Habit Starter community. Members are also provided with helpful tips, exclusive promos, and other activities designed to create a sustained behavior change in the present so they can reach their goals in the future. Launched just last March as part of Sun Life’s Ito Ang Araw Mo campaign, the community now has over 3,000 members.

Those interested to be a part of the Bright Habit Starters Community simply have to join via Facebook https://www.facebook.com/groups/itoangarawmo.

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