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Global increases in cases https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---20-april-2021 Cases, increased for past 8 weeks Cases, + 5.2 million (7 days) Deaths increased for past 5 weeks Deaths, + 83,000 (7 days) up 7% on last week South-East Asia, India, Western Pacific Region United Arab Emirates Population 9.8 million Sinopharm and Pfizer At least one dose, 65% Two doses, 38% Considering restricting movements of unvaccinated National Emergency Crisis and Disasters Management Delaying or refraining from taking the vaccine will pose a threat to the safety of society … as it poses a major challenge to the national efforts to recover strict measures are being considered restrict the movement of unvaccinated individuals implement preventive measures such as restricting entry to some places and having access to some services Israel Some indoor venues, theatres and restaurants Italy National government decree, that if a health care worker, hospitals, nursing homes, or other facilities where they are in contact with patients Then they have to accept a different work position with no contact with patients, or they will be dismissed. Introducing Green Pass while waiting for the official EU health passport Indian airline flight, Delhi to Hong Kong, 4th April https://nypost.com/2021/04/20/dozens-of-passengers-test-positive-for-covid-on-flight-from-india/ Up to 188 passengers All tested negative within 72 hours of boarding 53 tested positive Emerged during mandatory three-week quarantine Also several cases from Mumbai flights Introduced an emergency 2 week ban on flights from India, Pakistan and the Philippines Brazil Johnson & Johnson coronavirus vaccine, EMA, 20th April Confirms positive risk benefit analysis https://www.jnj.com/johnson-johnson-covid-19-vaccine-roll-out-to-resume-in-europe-following-european-medicines-agency-ema-reviewema-confirms-overall-benefit-risk-profile-remains-positive https://www.washingtonpost.com/nation/2021/04/21/coronavirus-covid-live-updates-us/ https://edition.cnn.com/2021/04/20/europe/ema-johnson-johnson-vaccine-blood-clot-ruling-intl/index.html https://www.ema.europa.eu/en/medicines/human/EPAR/covid-19-vaccine-janssen Concluded that a warning about unusual blood clots with low blood platelets should be added to the product information Should be listed as very rare side effect of the vaccine Based on 7 million vaccinations in the US, 8 cases All cases occurred in people under 60 Within three weeks after vaccination The majority in women Specific risk factors have not been confirmed Plausible explanation, an immune response, similar to heparin induced thrombocytopenia, HIT Report for senior review Shortness of breath Chest pain Leg swelling Persistent abdominal (belly) pain Neurological symptoms, such as severe and persistent headaches or blurred vision Tiny blood spots under the skin beyond the site of the injection

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