Monday, October 19, 2020

 

Should Poland buy energy generated at a Russian nuclear plant in Belarus?

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At the beginning of November the first nuclear block in Belarus’s Astravets NPP will be launched. It will take time before it will actually begin commercial operation, but it is a good moment to ask the question that has been pondered over for years: should Poland buy power from that NPP? – 

Mariusz Marszałkowski, editor at BiznesAlert.pl, writes.

A discussion on energy from Belarus

The electricity deficit in north-eastern Poland has been a long standing problem. The discussions on how to solve it have continued for over a decade. The issue persists because the area is located far away from mining sites, e.g. of coal, and sufficient gas transmission infrastructure, which would make it possible to build conventional power plants. When discussions on tackling this issue started to emerge a decade ago, it seemed reasonable to consider working together with Poland’s neighbors, especially Ukraine and Belarus, to handle the problem.

Back in 2008, Member of Parliament Jarosław Matwiejuk officially asked the government whether it was planning any cooperation on the issue of addressing the energy needs of Poland’s north-eastern voivodships and if yes, which neighboring countries were being considered. The then secretary of state at the ministry of the economy, Joanna Strzelec-Łobodzińska replied that “the Polish government puts a high priority on cooperating with Belarus and Ukraine on power-related issues. During the proceedings of the inter-governmental committees on economic cooperation under the patronage of the Ministry of the Economy and during bilateral meetings, the parties discuss new investments in energy generation, modernization and expansion of the existing cross-border connections and the possibility of exchanging electricity. (…) The cooperation with Ukraine and Belarus is becoming especially important due to the possible increase in demand for power in Poland. (…) At the same time we are also seeing a lot of interest in cooperation with regard to the power sector between companies from Poland, Ukraine and Belarus. PGE SA is now in extensive negotiations with businesses and administrations of Poland’s eastern neighbors about modernization and construction of new cross-border links, but also on developing new capacities in those states with the participation of Polish capital.”

The interest in purchasing energy from the East started to emerge after 2011 when a few important events took place. The first one was PGE’s decision not to construct a nuclear power plant in Visaginas with the Baltic States. The company also rejected Russia’s offer to buy power from the Baltic NPP planned in Kaliningrad. The second was the contract to build a nuclear power plant in Belarus’s Astravets signed in 2012.

Since the idea to buy power from Kaliningrad was rightly criticized as a move that went against the overarching goal to become independent of energy imports from Russia, for many the purchase of energy from Belarus seemed reasonable. Especially that at that time there was a thaw in relations between Belarus and the EU. However, it quickly ended after the opposition had been brutally pacified after the presidential election in December 2010. The motivation behind transactions with Belarus was driven by the desire to create deeper business ties with Poland, the fact that the planned NPP would generate more electricity than Belarus could consume, the lack of any real possibility of building an NPP in Poland, as well as the piling up of issues caused not only by the energy deficit in eastern voivodships, but also the EU’s increasingly ambitious climate policy, which impacted the future of Poland’s energy sector as a whole, which is mostly based on lignite.

After the protests had been crushed, the EU sanctions against Belarus’s “elites” were reinstated and it quickly turned out that any hopes for an “economic westernization” of Belarus were false. Alexander Lukashenko did not intend to politically reorient from Moscow to the West, but he still counted on acquiring foreign currency by selling energy to the West. The picture was complete, when it was decided that the Belarusian NPP in Astravets would be based on Russian technology and paid for with Russian preferential credit under the control of Russia’s Rosatom.

Why shouldn’t we buy power from Astravets?

Today Poland’s ruling elites are not talking about buying power from Astravets, even though Belarusians are still hoping this will happen. Either way, it is worth explaining why this should not take place.

First, by buying power from Astravets we bolster Lukashenko’s regime in Minsk. The goal of the NPP (contrary to the propaganda claims on limiting energy dependence on Russia) was to create another, next to the petrochemical and fertilizer industries, state-run entity that would strengthen Belarus’s centrally managed economy. By exporting energy to Poland, Ukraine and the Baltic States, Lukashenko’s regime wanted to create another opportunity to acquire “hard” currency, without the necessity to introduce the free market in his own country. Moreover, for cooperation to flourish it needs to involve partners that are sensible and strategically stable. How sure could Warsaw be that if its relations with Minsk worsened (which happens regularly every few years), Belarus would not cut off the power? Even without such a tool, the Belarusian ruling class does not act logically. However, if it did have such leverage, Polish consumers would quickly experience “cold and darkness” in relations with Belarus, which is often the main goal of an economic blackmail.
Second, since Rosatom was chosen as the main contractor and provider of technology, and the Russian state is the creditor, the NPP in Astravets, apart from its location, will have little to do with Belarus. According to the credit agreement, whether or not the NPP will generate profits from exports, Russian companies will profit anyway from, among others, providing nuclear fuel, servicing or trainings, while the Russian state will earn on the interest from the USD 10 bn loan. Recently, it has been revealed that even though the facility has not been opened yet, it is already generating losses. Therefore, one cannot exclude that if Belarus defaults on the debt, the NPP will be taken over by some Russian energy company. The NPP in Astravets may be an attractive asset for Russia, but if its EU neighbors are not eager to buy power, Russia will not need to pretend it is a Belarusian investment. On the other hand, Belarus will be forced to set a minimum fixed price on the energy generated in the NPP, which would be paid by Belarusian clients. Poland is one of Europe’s leaders in implementing gas diversification. It would be hard to imagine a situation where under the pressure of short-term and uncertain interests, Warsaw would replace its dependency on Russian gas with reliance on Russian power.

Third, to make it possible to import energy from Astravets without intermediaries (i.e. without paying Lithuania for energy transfers via the LitPol Link), it would be necessary to invest in a power connection with Belarus. In 2018 Poland’s PSE dismantled a 220 KV Białystok-Roś link between the two countries. Therefore, at this point it is physically impossible to import energy from Belarus. It would cost millions to restore this possibility, and that investment would have to be paid for by Poland.

Fourth, the decision on not to import energy from Astravets is a gesture of solidarity with the Baltic States, especially Lithuania. Vilnius, which is located less than 50 km from Astravets, is the biggest opponent of the NPP. Lithuania meticulously recorded every issue that happened during the construction of the nuclear facility. And there were plenty of accidents and incidents to report, including the fall of the reactor core from a few meters above the ground, which happened during installation work. Belarus never commented on these reports, which suggests that the rush and the necessity to cut corners to save money were a direct threat for its safe functioning. Additionally, since the very beginning Vilinus has been outspoken about the real reason behind building an NPP in this location, which is to have another leverage to exert pressure on Poland and the Baltic States. This includes the attempts at undermining the plans to desynchronize Lithuania, Latvia and Estonia from the post-Soviet BRELL power system Thus, the NPP may also impact the Baltics’ attempts at finally breaking off with the issue that, despite so many years, has been gluing it to Russia. In Poland we are talking a lot about European solidarity, also in the context of energy security. Lithuania expects Poland to act in solidarity as well. By agreeing to economically doubtful profits, we would undermine the authority of a country that aspires to become a leader in Central Europe. This would enable Russia to pursue the “divide and conquer” policy.

Fifth, importing power from Astravets could impact Poland’s energy transition plans, including the construction of its own nuclear facilities. The Belarusian alternative could distract Poles from pursuing their own project, especially at a time when an economic crisis is possible. However, even without that, the plans to build an NPP in Poland are constantly postponed and time is running out. According to the latest version of the Polish Nuclear Power Programme, the first reactor is to be opened in 2033. This means we have 12 years to complete the investment. Still, the Polish energy sector has seen many plans and strategies, but despite the hype none of those have ever materialized. BiznesAlert.pl learned that this may change in October, when Poland will reportedly sign a contract with the U.S. on building an NPP.

How to get rid of the energy deficit in north-eastern Poland?

There are three ways to handle this issue. The first one is to build a combined cycle unit at the Ostrołęka power plant. Such an investment would provide enough power to cover the demand in northern Masovia, as well as Warmia, Masuria and Podlasie. The second solution is something that was not seriously considered a decade ago – dispersed power generation based on renewable energy sources. The dynamic growth of the PV sector shows that in practice, every household in Poland could add to the national power system electricity generated on its own roof or in its own garden. Additionally, there is PGNiG’s plan for biomethane plants , which may be a driver behind the emergence of micro-power plants that use gas from organic waste. Moreover, the power generated by offshore wind farms, that will be constructed on the Baltic Sea, will be of huge benefit as well. The third, temporary solution is to import power, e.g. via the LitPol Link. The power itself may come from the Swedish-Lithuanian link that runs on the bottom of the Baltic Sea.

All of the options have their pros and cons. None is free from drawbacks and imperfections. Despite that, all of them are a lot better than becoming dependant on power from a country that, in the face of a crisis, acts erratically and presents towards Poland an attitude that is unfriendly, to put it mildly. We should remember about this when during the pompous opening of the NPP in November, Lukashenko will be talking about unwise Poles who did not want power “from Belarus”.

USA
Covid-19 vaccine company under federal investigation after allegedly misrepresenting its role in government program

19 ოქტომბერი, 2020News In English

California biotech company Vaxart, which is working on a Covid-19 vaccine, is under federal investigation and is being sued by a number of investors for allegedly exaggerating its involvement in the US government's Operation Warp Speed program for developing Covid-19 vaccines and treatments.

Vaxart stated in an October 14 Securities and Exchange Commission filing that it's being investigated by the SEC and federal prosecutors, and that it was served with a grand jury subpoena in July from the US District Court for the Northern District of California.

In June, Vaxart issued a press release that said "Vaxart's Covid-19 Vaccine Selected for the US Government's Operation Warp Speed." The news helped propel Vaxart's stock price to nearly $17, up from approximately $3, and hedge fund Armistice Capital, which partly controlled Vaxart, sold shares for a profit of more than $200 million, according to its SEC filings.

A few weeks before the announcement, Vaxart granted amendments to the warrants agreements, which allowed Armistice to sell almost all of their stock, which they did once the stock price skyrocketed.

In July, the US Department of Health and Human Services (HHS) told the New York Times that it had not entered into a funding agreement or negotiations with Vaxart. Armistice and HHS did not respond to requests for comment.

Vaxart has not been chosen by Operation Warp Speed to receive research funding, but instead had limited involvement, HHS told the New York Times in July. Vaxart's vaccine, an oral tablet, was only involved in preliminary studies on primates sponsored by Warp Speed.

In a statement to CNN Business Saturday, the company said, "The Vaxart non-human primate challenge study was organized and funded by Operation Warp Speed, as stated in the June 26, 2020 company press release. The statements made in that press release are accurate and any allegation to the contrary is baseless."

In its October SEC filing, Vaxart wrote that it has provided documents called for by the subpoena to demonstrate its role in Operation Warp Speed. "The company has voluntarily provided documents requested by the SEC and is cooperating with this informal inquiry," it stated.

Vaxart and its board have been sued several times by shareholders who accuse the company of allegedly inflating Vaxart's stock price by misrepresenting its role in Operation Warp Speed. Vaxart addressed those lawsuits in its filing, saying that it's seeking to have two of the suits dismissed, while another class-action suit is still proceeding.

On October 14, Vaxart announced encouraging results from its study on hamsters that received oral dosages of its Covid-19 vaccine.

The stock was down 3.5%, to approximately $6, as of Friday evening.

CNN
UK
Outsourced Serco and Sitel test and trace system fails to reach contacts

Outsourced test and trace system fails to reach nearly quarter of a million close contacts of positive case

News18th October By Natasha Meek @journomeekReporter


THE outsourced test and trace system has failed to reach nearly a quarter of a million close contacts of people who have tested positive for coronavirus, according to a new analysis.

Private firms Serco and Sitel failed to contact 245,481 contacts in England either online or from call centres over four months - missing nearly 40% of contacts, the figures show.

Labour said the figures show test and trace is "on the verge of collapse" and highlight the need for a short national lockdown to allow the Government to fix the system.

The Government defended the system, saying test and trace is "breaking chains of transmission" and had told 900,000 people to isolate.

Boris Johnson pledged in May that the system, which has cost £12 billion, would be "world-beating" and a successful tracing programme has long been hailed as a way to ease lockdown measures.

Labour's analysis of official figures released this week showed more than 26,000 people in the week up to October 7 were not contacted in north-west England, where the Liverpool region and Lancashire have been plunged into the severest restrictions.

The Prime Minister has threatened to impose the Tier 3 measures on neighbouring Greater Manchester, even if local leaders do not consent because they are demanding greater financial support.

Shadow Cabinet Office minister Rachel Reeves (Labour, Leeds West) said: "We are at a decisive moment in our efforts to tackle coronavirus, and these figures are a new low for a test and trace system on the verge of collapse.

"The Government is wasting hundreds of millions on a system that doesn't seem to function or even use basic common sense.

"The Prime Minister must act now to reverse this trend. That is why Labour is calling for a short, sharp circuit break to fix testing, protect the NHS and save lives."

The figures showed that the private firms did reach 372,458 contacts in the period of the data, May 28 to October 7.

"Complex" cases - which include outbreaks linked to hospitals, care homes, prisons or schools - are handled by local health protection teams, which statistics show have far higher rates of success.

A Department of Health and Social Care spokesman said: "We're continuing to drive forward local contact tracing as part of our commitment to being locally led, with more than 100 Local Tracing Partnerships now operating, and more to come."

He added that, when including local teams, 84% of contacts had been traced "where communication details were provided".

Circuit breakers

This week Labour leader Sir Keir Starmer called for Mr Johnson to implement a two to three-week national circuit-breaker lockdown so test and trace can be improved.

The Prime Minister on Friday continued to resist the move, which has been suggested by the Government's Scientific Advisory Group for Emergencies (Sage), but said he "can't rule anything out".

Sage has also said in recently published documents that the system was only having a "marginal impact" on Covid-19 transmission.

The Prime Minister on testing plans

During the Downing Street conference earlier this week, Prime Minister Boris Johnson said: "We are backing our brilliant scientists leading the global effort to find a safe and effective vaccine. We have also secured early access to over 350 million vaccine doses through a portfolio of promising new vaccines to ensure we are in the best place, and we are taking every possible step to ensure we can move as quickly as possible to deploy a vaccine if and when one is found to work.

"And we’ve created a huge diagnostics industry from scratch, scaling up the ability to test from 2,000 in February to more than 300,000 today.

"I also want to update on our future approach to testing.

"We are now testing more people than any other country in Europe but we always want to go further.

"One of the most dangerous aspects of this disease is that people without any symptoms can infect many others without realising it. If we can catch more asymptomatic people before they unknowingly pass on the disease to the vulnerable, we can help to stop the virus’ vicious spread.

"So far it has been difficult to do this. But that is changing.

"Scientists and companies in Britain and around the world have been developing new tests which are faster, simpler and cheaper. They have been working hard to discover and evaluate new testing technologies. Though there is work to do, It’s becoming clear over the past few weeks that some of these new tests are highly effective and can help us save lives and jobs over winter.


"We have already bought millions of these tests, some of which are very simple – meaning you simply need to wipe the swab inside your mouth – and can give a result as quickly as in 15 minutes. Some of these fast tests work with saliva and we are already using these in hospitals.

"Over the next few weeks we will start distributing and trialling these tests across the country. This will enable us to do quick turnaround tests on NHS and care home staff much more frequently. By testing more frequently and quickly than ever before, we can hope we can help prevent the virus entering and spreading through care homes.

"And we will be able to test students in universities with outbreaks, as well as children in schools, helping us to keep education open safely through the winter.

"And we will make tests available to local directors of public health to help control localised outbreaks - handing more control from London to all parts of our country so that those on the ground can use the tools we give them as they think best. And I have instructed my team to ensure that Liverpool City Region, Lancashire, and any other areas which enter into the Very High alert level are immediately prioritised for those tests."
Vaccine storage issues could leave 3B people without access
By LORI HINNANT and SAM MEDNICK

1 of 15
A worker moves boxes at Snowman Logistics, India's largest cold storage company in Taloja, on the outskirts of Mumbai, India, Saturday, Oct. 17, 2020. The vaccine cold chain hurdle is just the latest disparity of the pandemic weighted against the poor, who more often live and work in crowded conditions that allow the virus to spread, have little access to medical oxygen vital to COVID-19 treatment, and whose health systems lack labs, supplies or technicians to carry out large-scale testing. (AP Photo/Rajanish Kakade)


GAMPELA, Burkina Faso (AP) — The chain breaks here, in a tiny medical clinic in Burkina Faso that went nearly a year without a working refrigerator.

From factory to syringe, the world’s most promising coronavirus vaccine candidates need non-stop sterile refrigeration to stay potent and safe. But despite enormous strides in equipping developing countries to maintain the vaccine “cold chain,” nearly 3 billion of the world’s 7.8 billion people live where temperature-controlled storage is insufficient for an immunization campaign to bring COVID-19 under control.

The result: Poor people around the world who were among the hardest hit by the virus pandemic are also likely to be the last to recover from it.

The vaccine cold chain hurdle is just the latest disparity of the pandemic weighted against the poor, who more often live and work in crowded conditions that allow the virus to spread, have little access to medical oxygen that is vital to COVID-19 treatment, and whose health systems lack labs, supplies or technicians to carry out large-scale testing.

Maintaining the cold chain for coronavirus vaccines won’t be easy even in the richest of countries, especially when it comes to those that require ultracold temperatures of around minus 70 degrees Celsius (minus 94 F). Investment in infrastructure and cooling technology lags behind the high-speed leap that vaccine development has taken this year due to the virus.

A woman waiting in a clinic outside Burkina Faso's capital

With the pandemic now in its eighth month, logistics experts warn that vast parts of the world lack the refrigeration to administer an effective vaccination program. This includes most of Central Asia, much of India and southeast Asia, Latin America except for the largest countries, and all but a tiny corner of Africa.

The medical clinic outside Burkina Faso’s capital, a dirt-streaked building that serves a population of 11,000, is a microcosm of the obstacles.

After its refrigerator broke last fall, the clinic could no longer keep vaccines against tetanus, yellow fever, tuberculosis and other common diseases on site, nurse Julienne Zoungrana said. Staff instead used motorbikes to fetch vials in insulated carriers from a hospital in Ouagadougou, making a 40-minute round-trip drive on a narrow road that varies between dirt, gravel and pavement.

A mother of two who visits the Gampela clinic says she thinks a coronavirus inoculation program will be challenging in her part of the world. Adama Tapsoba, 24, walks four hours under scorching sun to get her baby his routine immunizations and often waits hours more to see a doctor. A week earlier, her 5-month-old son had missed a scheduled shot because Tapsoba’s daughter was sick and she could only bring one child on foot.

“It will be hard to get a (COIVD-19) vaccine,” Tapsoba said, bouncing her 5-month-old son on her lap outside the clinic. “People will have to wait at the hospital, and they might leave without getting it.”

To uphold the cold chain in developing nations, international organizations have overseen the installation of tens of thousands of solar-powered vaccine refrigerators. Keeping vaccines at stable temperatures from the time they are made until they are given to patients also requires mobile refrigeration, reliable electricity, sound roads and, above all, advance planning.

For poor countries like Burkina Faso, the best chance of receiving a coronavirus vaccine is through the Covax initiative, led by the World Health Organization and the Gavi vaccine alliance. The goal of Covax is to place orders for multiple promising vaccine candidates and to allocate the successful ones equitably.

The United Nations’ children’s agency, UNICEF, began laying the global distribution groundwork months ago, in Copenhagen. At the world’s largest humanitarian aid warehouse, logistics staff are trying to foresee shortages by learning from the past, especially the spring chaos surrounding global shortages of masks and other protective gear that were commandeered off airport tarmacs or stolen and traded on the black market.

Empty vaccine bottles in a clinic in Burkina Faso

Currently, 42 coronavirus vaccine candidates are in clinical trials and another 151 are in pre-clinical evaluation, according to WHO. The ones most likely to end up in the Covax mix must be stored at 2 to 8 degrees Celsius (25-46 F).

A Pfizer candidate is among the ones in advanced testing requiring storage at ultracold temperatures. The company, which has designed a special carrying case for its vaccine, has expressed interest in Covax and signed contracts with the United States, Europe and Japan.

Medical freezers that go down to minus 70 degrees Celsius are rare even in U.S. and European hospitals. Many experts believe the West African countries that suffered through a 2014-16 Ebola outbreak may be the best positioned, because a vaccine against that virus also requires ultracold storage.

For more than two-thirds of the world, however, the advanced technology is nowhere on the horizon, according to a study by German logistics company DHL. Meanwhile, billions of people are in countries that don’t have the necessary infrastructure to maintain the cold chain for either existing vaccines or more conventional coronavirus candidates, the study said.

Opportunities for vaccines to be lost expand the farther a vaccine travels. DHL estimated that 15,000 cargo flights would be required to vaccinate the entire planet against COVID-19, stretching global capacity for aircraft and potentially supplies of materials such as dry ice.

“We need to find a bridge” for every gap in the cold chain, DHL chief commercial officer Katja Busch said. “We’re talking about investments ... as a society, this is something we have to do.”

Gavi and UNICEF worked before the pandemic to supply much of Africa and Asia with refrigeration for vaccines, fitting out 40,000 facilities since 2017. UNICEF is now offering governments a checklist of what they will need to maintain a vaccine supply chain and asking them to develop a plan.

“The governments are in charge of what needs to happen in the end,” said Benjamin Schreiber, who is among the directors of UNICEF’s vaccination program.

Cracks in the global cold chain start once vaccines leave the factory. Container ships are not equipped to refrigerate pharmaceutical products with a limited shelf life. Shipping vaccines by air costs a lot more, and air cargo traffic is only now rebounding from pandemic-related border closures.

Even when flights are cold and frequent enough, air freight carries other potential hazards. WHO estimates that as much as half of vaccines globally are lost to wastage, sometimes due to heat exposure or vials breaking while in transit. With coronavirus vaccines, which will be one of the world’s most sought-after products, theft is also a danger.

“They can’t be left on a tarmac and fought over because they would actually be spoiled and they would have no value — or worse still, people would still be trying to distribute them,” said Glyn Hughes, the global head of cargo for the International Air Transport Association.

Tinglong Dai, a Johns Hopkins University researcher who specializes in health care logistics, said creativity will be needed to keep the cold chain intact while coronavirus vaccines are distributed on a global scale. Gavi and UNICEF have experimented with delivering vaccines by drone. Indian officials have floated the idea of setting aside part of the country’s vast food storage network for the coronavirus vaccines.

UNICEF's giant humanitarian warehouse in Copenhagen

“If people can figure out how to transport ice cream, they can transport vaccines,” Dai said.

Temperature-sensitive labels that change color when a vaccine is exposed to heat too long and no longer safe to use, and live delivery tracking to ensure vaccines reach their destinations as intended also have allowed for progress in delivering safe shots.

Yet chances for something to go wrong multiply on the ground as vaccines are prepped to leave national depots. Since the cold chain is so fragile, logistics planning is crucial; syringes and disposal boxes must be available as soon as vaccine shipments arrive.

By the end of the year, UNICEF expects to have 520 million syringes pre-positioned for coronavirus vaccines in the developing world and maps of where the refrigeration needs are greatest “to ensure that these supplies arrive in countries by the time the vaccines do,” Executive Director Henrietta Fore said.

The last vaccine requiring cold storage that India’s national program adopted was for rotavirus, a stomach bug that typically affects babies and young children. Dr. Gagandeep Kang, who led the research for that vaccine, estimated that India has about 30% less storage capacity than it would need for a coronavirus vaccine.

In countries such as India and Burkina Faso, a lack of public transportation presents another obstacle to getting citizens inoculated before vaccines go bad.

Dr. Aquinas Edassery, who runs two clinics in one of India’s poorest and least developed regions, said patients must walk for hours to receive health care. The trip on a single road that winds 86 kilometers (53 miles) over steep hills and washes out for months at a time will pose an insurmountable barrier for many residents of the eastern district of Rayagada, Edassery said.

As with most logistics, the last kilometer (mile) is the hardest part of delivering a coronavirus vaccine to the people who need it. In Latin America, perhaps nowhere more than Venezuela provides a glimpse into how the vaccine cold chain could go dramatically off course.

When a blackout last year left much of the nation in the dark for a week, doctors in several parts of Venezuela reported losing stocks of vaccines. The country’s largest children’s hospital had to discard thousands of doses of vaccines for illnesses like diphtheria, according to Dr. Huníades Urbina, head of the Venezuelan Society of Childcare and Pediatrics.

“We won’t be able to halt either the coronavirus or measles,” Urbina said.

Preserving the cold chain has only grown more difficult since then. Gas shortages limit the ability to move vaccines quickly from one part of Venezuela to another. Dry ice to keep vaccines cool during transport is harder to find. And after years of economic decline, there also are fewer doctors and other professionals trained to keep the chain intact.

“I’m not optimistic on how the vaccine would be distributed in the inner states because there is no infrastructure of any kind to guarantee delivery — or if it gets delivered, guarantees the adequate preservation under cold conditions,” Dr. Alberto Paniz-Mondolfi, a Venezuelan pathologist, said.

Venezuela presents an extreme example, but a coronavirus vaccine also is likely to test parts of Latin America with more robust health care systems. In Peru, private businesses that typically transport fish and beef have offered their trucks, though it remains unclear whether the Health Ministry will accept.

Waiting for a vaccination in Burkina Faso

Back in Burkina Faso, vaccination days became an ordeal at the Gampela clinic when the refrigerator went out, said Zoungrana, the nurse. Staff members on hospital courier runs must buy fuel they often can’t afford and make a second trip to and from the capital to return any unused doses.

“We’re suffering,” said Zoungrana, who was run off the road on her motorbike just a few weeks ago.

Days after journalists from The Associated Press visited the clinic this month, a long-awaited solar refrigerator arrived. With technicians in short supply, the clinic was waiting to be sure the appliance would function properly before stocking it with vaccines.

Nationwide, Burkina Faso is about 1,000 clinical refrigerators short, and less than 40% of the health facilities that conduct vaccinations have reliable fridges, national vaccination director Issa Ouedraogo said.

Multi-dose vials — the equivalent of bulk storage for vaccines — can drastically reduce global transportation costs. But once a vial is opened, its shelf life counts down even faster; if too few people show up for their jabs in time, whatever remains in the larger vials must be discarded.

“It’s really upsetting to have wastage like that. It’ll result in loss of lives and pain and suffering. It’s a waste of resources, ” said University of Massachusetts at Amherst professor Anna Nagurney, who studies supply chain logistics.

For now, UNICEF is betting on 20-dose vials of coronavirus vaccine and hoping that the amount wasted will stay below 3% for closed vials and 15% for open multi-dose vials that do not get used up, according to Michelle Siedel, one of the U.N. agency’s cold chain experts.

If Burkina Faso were given 1 million doses of a coronavirus vaccine today, the country wouldn’t be able to handle it, Jean-Claude Mubalama, UNICEF’s head of health and nutrition for the African nation.

“If we had to vaccinate against the coronavirus now, at this moment, it would be impossible,” he said.

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This story corrects the spelling of professor’s last name to Nagurney.

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Hinnant reported from Paris. Aniruddha Ghosal in Delhi, Christine Armario in Bogota, Colombia, and Linda A. Johnson in Fairless Hills, Pennsylvania, also contributed.

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Follow all of AP’s coronavirus pandemic coverage at http://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak
'Our house is on fire': Suburban women lead charge vs. Trump


By CLAIRE GALOFARO  

TROY, Mich. (AP) — She walks with the determination of a person who believes the very fate of democracy might depend on the next door she knocks on, head down, shoulders forward. She wears nothing fussy, the battle fatigues of her troupe: yoga pants and sneakers. She left her Lincoln Aviator idling in the driveway, the driver door open -- if this house wasn’t the one to save the nation, she can move quickly to the next.

For most of her life, until 2016, Lori Goldman had been politically apathetic. Had you offered her $1 million, she says, she could not have described the branches of government in any depth. She voted, sometimes.

Now every moment she spends not trying to rid America of President Donald Trump feels like wasted time.

“We take nothing for granted,” she tells her canvassing partner. “They say Joe Biden is ahead. Nope. We work like Biden is behind 20 points in every state.”

Lori Goldman, talks with a voter while canvassing in Troy, Mich. (AP Photo/Paul Sancya)

Goldman spends every day door knocking for Democrats in Oakland County, Michigan, an affluent Detroit suburb. She feels responsible for the country’s future: Trump won Michigan in 2016 by 10,700 votes and that helped usher him into the White House. Goldman believes people like her -- suburban white women -- could deliver the country from another four years of chaos.

For many of those women, the past four years have meant frustration, anger and activism — a political awakening that powered women’s marches, the #MeToo movement and the victories of record numbers of female candidates in 2018. That energy has helped create the widest gender gap — the political divide between men and women — in recent history. And it has started to show up in early voting as women are casting their ballots earlier than men. In Michigan, women have cast nearly 56% of the early vote so far, and 68% of those were Democrats, according to the voting data firm L2.

“I hate the saying, 'when they go low, we go high.' That’s loser talk. You can be right all day, but if you’re not winning, what’s the point?”
LORI GOLDMAN

That could mean trouble for Trump, not just in Oakland County but also in suburban battlegrounds outside Milwaukee, Philadelphia and Phoenix.

Trump has tried to appeal to “the suburban housewives of America,” as he called them. Embracing fear and deploying dog whistles, he has argued that Black Lives Matter protesters will bring crime, low-income housing will ruin property values, suburbs will be abolished. Campaigning in Pennsylvania last week, he begged: “Suburban women, will you please like me?”

There’s no sign all this is working. Some recent polls show Biden winning support from about 60% of suburban women. In 2016, Democrat Hillary Clinton won 52%, according to an estimate by the Pew Research Center.


Talk to women across suburban Michigan, and you’ll find ample confirmation: the lifelong Republican who says her party has been commandeered by cowards. The Black executive who fears for the safety of her sons. The Democrat who voted for Trump in 2016 but now describes him as “a terrible person.”

Together, they create a powerful political force.

Goldman started her group, Fems for Dems, in early 2016 by sending an email to a few hundred friends that said she planned to help elect the first female president and asked if they’d like to join her. Four years later, their ranks have swelled to nearly 9,000.

There is one thing Goldman gives Trump credit for. He stormed into the White House on pure guts and bombast, unwilling to acknowledge failure, averse to saying sorry. Those are not natural traits for most women who’ve absorbed societal expectations to please and be polite, she says. But she dug deep within herself to find some hint of them.

Lori Goldman poses for a portrait next to campaign signs outside her home in Bloomfield Village, Mich. (AP Photo/Paul Sancya)

A married real estate agent with 12-year-old triplets and a 23-year-old daughter, she became simultaneously the stereotype of a suburban woman and its antithesis: She lives in a 6,000-square-foot home with seven bathrooms, and drinks Aperol spritzers. She also peppers almost every sentence with curse words and no longer gives one damn what people think.

“I hate the saying, ‘When they go low, we go high.’ That’s loser talk,” she says. “You can be right all day, but if you’re not winning, what’s the point?”

And it’s worked: She described her coalition to a newspaper once as “a bunch of dumpy, middle-aged housewives,” and a few got mad at her, but far more joined.

But she is terrified that the constant cycle of crises has left many women exhausted and that could stall this leftward lurch. The nation is reeling from a pandemic and protests, the death of a revered Supreme Court justice, the hospitalization of the president, a foiled plot to kidnap Michigan’s governor.

“Our house is on fire,” Goldman says, and so she steers her SUV to the next door on the cul de sac.
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Oakland County stretches from the edge of Detroit more than 30 miles, through moneyed subdivisions, quaint small towns and swanky shopping districts, into rural stretches with dirt roads and horse pastures. Goldman has covered nearly every inch of it.

Although Clinton won here in 2016, she won fewer votes than Barack Obama four years earlier, while the third-party vote soared. If Clinton had matched Obama’s total, Oakland County alone might have cut Trump’s margin of victory in Michigan by more than half.

But in 2018, some political scientists described it as the epicenter of a major political shift as women turned on Republicans.

“Women are pragmatic voters,” said Michigan’s Democratic governor, Gretchen Whitmer. “We care about our kids. We care about our parents. We care about economic security. And so candidates who stand up for those values and show that they can be good, decent human beings is something I know resonates. And I think this moment, with this White House, that is more acute than ever.”

Michigan Gov. Gretchen Whitmer campaigns with Dan O'Neil, a Democratic candidate for the Michigan House in Traverse City, Mich., Oct. 9, 2020. (AP Photo/John Flesher)

Whitmer nearly doubled Clinton’s margin in Oakland County in 2018. That same year, Democrat Elissa Slotkin flipped a congressional seat that was under Republican control for almost 20 years.

Some of Slotkin’s strongest supporters were Republican women.

Nancy Strole, a longtime elected township clerk in the rural northern part of the county, had not been able to bring herself to vote for Trump. She considers herself an “old-fashioned kind of Republican.” She hasn’t changed, she said — her party was “hijacked.”

“It’s not just Trump,” she said. “It wouldn’t happen unless there are others who acquiesced and were willing to go along with it either by their silence, by their lack of will, by their lack of courage.”

When Trump began his presidency by undermining international alliances and routinely denigrating people, she grew frustrated that Republicans did nothing about it.

Strole said she called her congressman, Mike Bishop, and never heard back. Meanwhile, Slotkin, a former CIA analyst, announced her bid against Bishop. Her reason for running jibed with Strole’s growing consternation: She had watched Bishop stand by at the White House, smiling, as Republicans worked to gut the Affordable Care Act.

Nancy Strole poses for a portrait in Springfield Township, Mich. (AP Photo/Paul Sancya)

In a lifetime as a Republican, Strole had never volunteered for a congressional campaign. But she knocked on 1,000 doors for Slotkin.

Andrea Moore, by contrast, was raised in a Democratic family. But she voted for Trump because she was fed up with career politicians who seemed interested only in money and power.

“He was an unknown quantity, but now we know,” said Moore, 45, who lives in a suburban community in Wayne County.

She can’t remember the precise moment she decided she’d made a mistake. It felt like a toxic relationship: You can make excuses for a while, but eventually disgust settles in.

“A million little things,” she said — the rapid-fire attacks on people, divisiveness, fear mongering. “They just kind of piled up.”

She can’t understand how anyone could support Trump after his response to his own bout with COVID-19 — how he flouted masks and held rallies, downplayed the threat, failed to acknowledge that he had access to treatments that others don’t, she said. All this when more than 219,000 Americans have died.

Moore, a stay-at-home mom who home-schools her 9-year-old son, doesn’t love Biden. But if the choice is between Trump and anyone else, she said, anyone else will do. She hopes the administration will be driven by Kamala Harris — a Black woman, the child of immigrants, young, sharp.

“It’s been an old white guy’s game for way too long,” Moore said.

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President Donald Trump arrives for a campaign rally at MBS International Airport, Sept. 10, 2020 in Freeland, Mich. (AP Photo/Evan Vucci)

Democratic presidential candidate former Vice President Joe Biden speaks during a campaign event with steelworkers in the backyard of a home in Detroit, Sept. 9, 2020. (AP Photo/Patrick Semansky)


Trump’s pitch to try to reclaim suburban female voters relies on an airbrushed version of America’s past. He has warned that “Biden will destroy your neighborhood and your American dream.” He revoked an Obama-era housing initiative meant to curtail racial segregation, claiming that property values would diminish, crime would rise and suburbs would “go to hell.”

“I think if this were 1950, his message would be perfect,” said Karyn Lacy, a sociologist at the University of Michigan. “The problem is it’s not 1950.”

Trump’s description of the suburbs seems to Alison Jones like nostalgia for “a `Leave it to Beaver’ time” when people who look like her could not have lived in her subdivision, where no house costs less than $1 million.

Now when Jones, a Black woman, sees Trump lawn signs, she wonders: Do her neighbors really want her here?

“I think 2020 has opened the wounds, pulled back the curtain so we can see what’s really here.”
ALISON JONES

Suburbs like this were once exclusively white by design: The federal government long underwrote segregationist policies that kept Black families out. Even now, Oakland County remains very white, but not as white as it once was. In 1990, the county was 88% white. By 2019, that dropped to 71.5%.

Jones watched as Trump stood on a debate stage and declined to condemn white supremacy, telling a hate group to “stand back and stand by.” She was a child in the South in the 1960s, when schools were integrating, and the message felt very familiar: It’s us against them.

She fears for her two sons, maybe even more in this predominantly white community than she would in a city, she said. In 2018, a Black 14-year-old boy got lost not far from where she lives and knocked on a door to ask for directions. The white homeowner shot at him.

Alison Jones poses for a portrait outside her home in Rochester, Mich. (AP Photo/Paul Sancya)

Jones believes the United States has reached a critical point. Police killings have exposed systemic racism, COVID-19 has disproportionally killed Black people, and they have borne the brunt of the economic fallout, too. “I think 2020 has opened the wounds, pulled back the curtain so we can see what’s really here.”

An executive at a Fortune 500 company, Jones moved here for the same reason as everybody else: good schools, secure property values, safety.

And like Jones, many women here work outside the home. Households aren’t all as they were depicted when Beaver and Wally lived in the fictional town of Mayfield.

Linda Northcraft moved to Oakland County in 1997 for a job as a rector of an Episcopal church, and bought a home with her partner, Ellen Ehrlich.

Ellen Ehrlich and Linda Northcraft pose for a portrait in Southfield, Mich. (AP Photo/Paul Sancya)

Some in the congregation left. “Gay priest splits parish,” the headline read. Skinheads protested in the parking lot. It was devastating, and some from their old church suggested maybe they should move back to Baltimore.

But they stayed, times changed, and they got married. Ehrlich said “my wife” recently to a stranger and reported back to Northcraft: “They didn’t even blink an eye,” she said. “It’s become normal.”

They became active in Democratic politics when Whitmer was running for governor. Before dinner, they pray for people sick from COVID-19, for Biden and Harris and, until recently, for Justice Ruth Bader Ginsburg.

Ehrlich had been in a “mini state of depression.” She’s an extrovert and the shutdown to curtail the spread of the coronavirus had left her demoralized. But Ginsburg’s death energized her. Without even speaking of it, they both understood the stakes: A stronger conservative majority on the Supreme Court could undo years of expanding protections for civil rights — including their own right to be married.

They sat down the next morning and made campaign donations to every Democrat they could think of.

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Lori Goldman poses for a portrait in Bloomfield Village, Mich. (AP Photo/Paul Sancya)

Lori Goldman doesn’t enjoy knocking on strangers’ doors, asking them to vote for Democrats.

She’s hungry because she often doesn’t take the time to eat. Her knee aches from a replacement surgery six months ago. Often the houses have Trump flags hanging from the porch rails.

“But this is war,” she says, and she considers herself a street fighter.

People look at her and make assumptions, she said: a $2 million house, fancy car, American Express black card that she always loses because she keeps it in her bra. But she grew up in a steel town not far away, one of six kids raised by a single mother, poor, dependent on government cheese.

Most of her family and childhood friends are Trump supporters, so she knows there are many whose minds she won’t change.

Like Ally Scully, 27, who hesitantly voted for him in 2016. She believes in traditional small-government Republican ideals like tax cuts and supporting small business. She prayed over her decision and walked into the booth still unsure. Now she thinks he earned her vote again.

“I’m surprised to be saying that because I didn’t think he would,” she said. “I think it’s just his willingness to go out on a limb, even if it was unpopular, that boldness has been remarkable.”

Ally Scully poses for a portrait outside her apartment building in Rochester, Mich. (AP Photo/Paul Sancya)

She believes he’s empowered women in his administration — including his own daughter — and thinks claims of his racism and sexism are overblown by the media. Scully, who now leads the county’s young Republican club, acknowledges that many women have fled the GOP under Trump. But she also believes another, quieter contingent is going the other way.

Goldman worries that she’s right.

But then again, some things have happened to spur more women to battle Trump.

Earlier this month, her phone started ringing one morning with call after call from women asking to knock on doors with her. The catalyst: Six men were charged with conspiring to kidnap Gov. Whitmer because of her “uncontrolled power.”

Whitmer has been a persistent target of right-wing vitriol since she implemented a strict lockdown to try to contain the coronavirus. Thousands of men stormed into the Capitol with guns. Trump egged them on: “Liberate Michigan,” he tweeted, dismissing Whitmer as “the woman from Michigan.”

Whitmer felt it was her duty to publicly blame Trump. Most women, she said, have been on the receiving end of belittling comments.

“I’m at a point in my life where I’m going to take it on every time,” she said. “There’s no room for it. I don’t have time to waste. I have a job to do.”

Women approached her at events to thank her, she said. Some said they were Republicans, tired of the divisiveness and determined to make a change.

Lori Goldman walks between houses as she canvasses in Troy, Mich. (AP Photo/Paul Sancya)

Goldman heard the same thing. “It’s because she’s a woman who dared to speak up and so now a bunch of men are going to teach her a lesson,” she said. “This is the violent version of mansplaining, and it’s happened since Adam and Eve.”

So Goldman conjures her Trumpian bluster. Sometimes she stands up in the middle of Starbucks and bellows, “Who here can’t take it anymore? Who wants this guy out of office?”

Some fraction of the room will be furious, but that’s OK with her, because some fraction will ask how they can help. Fems for Dems swells.

Her group has about 8,900 members. But that’s not what Trump would say, so it’s not what she does, either.

“Over 9,000,” she says. “And growing.”

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Associated Press journalists David Eggert, Hannah Fingerhut, Emily Swanson and Angeliki Kastanis contributed to this report.