When oxygen supplies at Shri Ram Singh Hospital in New Delhi ran critically low a week ago, Dr. Gautam Singh, who runs the facility, hit the road at night to plead for oxygen from suppliers and also put out a desperate appeal on social media. Finally, a local official helped secure some cylinders to help alleviate the crisis.But after the nightmare of ensuring that his patients are not left gasping for oxygen, Singh has drastically cut back on the number of COVID-19 patients he takes into his facility even as the raging second wave of the pandemic has led to an acute shortage of hospital beds in the city.“We run the same race daily, we have to beg for oxygen but supplies are still very short. It breaks my heart to turn away people, they come in bad shape, but what can I do?” said Singh in a quivering voice. “We have the beds but not adequate oxygen and the sad part is we can keep only as many patients as we can support on oxygen as that is the only thing that lets us buy time to save them,” he added. Although his facility has 50 beds for COVID-19 patients, he said he now treats about 12 or 13 patients.From smaller hospitals like Singh’s to large ones, the desperate battle to ensure sufficient supplies of oxygen needed to treat COVID-19 patients whose oxygen levels run low is now in its second week.Relatives of a woman suffering from the COVID-19, carry an oxygen cylinder as she receives treatment in the emergency room of Holy Family Hospital in New Delhi, India, May 1, 2021.Sometimes they have lost the battle — patients have died when oxygen stocks ran critically low. “This is one of the biggest tragedies I have seen in my life. Patients are dying because we don’t have oxygen,” S.C. L. Gupta, medical director of Batra Hospital in New Delhi told local television channels after 12 patients died on Saturday, when delivery of the lifesaving gas was delayed by 90 minutes. It is one of the city’s most prestigious hospitals.Mukesh Bhardwaj cries next to his wife, who receives oxygen support outside a Gurudwara (Sikh temple) in Ghaziabad, India, May 3, 2021.The federal government denies reports of shortages and says the bottleneck is due to transportation from key production centers that lie in eastern and southern India to the worst affected parts of the country.”There is enough oxygen available in the country,” Lav Agarwal, a Health Ministry spokesman, said at a press conference on Monday.The government is using “oxygen express” trains to transport the lifesaving gas to some of the worst-hit parts of the country – two such trains arrived in New Delhi on Wednesday according to Railway Minister Piyush Goyal. Officials say India has ramped up oxygen production and diverted all industrial oxygen for medical use. Two oxygen plants have also been installed at two of the largest government hospitals in New Delhi.A health worker checks oxygen cylinders stored next to a train at a railway station in Gauhati, India, May 6, 2021.But the situation on the ground continues to be grim and health experts say surging cases of COVID-19 could only exacerbate the crisis – on Thursday India reported its highest tally of 412, 262 cases so far.Courts have stepped in to direct the government to address the oxygen crisis — the Supreme Court has told the federal government to ensure that the capital city gets its full quota of 700 tons of oxygen and asked how it plans to deal with a third wave, which scientists have said is “inevitable.”Some judges have made strong comments — on Tuesday, the Delhi High Court that has been hearing urgent appeals by hospitals wanting oxygen told officials, “You can put your head in sand like an ostrich. We will not,” and asked “Are you living in ivory towers?”Funeral pyres of 25 COVID-19 victims burn at an open crematorium on the outskirts of Bengaluru, India, May 5, 2021.On the same day a high court in Uttar Pradesh, one of the worst affected states in North India, said that “death of COVID-19 patients just for non-supplying of oxygen to the hospitals is a criminal act and not less than a genocide by those who have been entrusted the task to ensure continuous procurement and supply chain of the liquid medical oxygen.”Public health experts blame the situation on a lack of sufficient planning and complacency that the country would not be hit by a second wave after cases in a first wave were brought down to less than 15,000 earlier this year.“Some of these challenges were identified but not followed through after the first wave of the pandemic began to subside,” points out Chandrakant Lahariya, a public policy and health expert in New Delhi. “For example, plans were made to set up oxygen generation plants in 160 districts but most of those have not come up. The standard approach is that when the crisis is at hand you identify the problem, but soon after it is forgotten.”The government announced last month it will set up 500 oxygen production plants across the country.For doctors like Singh, it is a hard time but he is not giving up the fight. “Patients are going from door to door desperate for help. Hopefully we will again be able to serve more people as soon as supplies stabilize. Officials say the situation will improve,” he said. 
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Sixty years after Alan Shepard became the first American in space, everyday people are on the verge of following in his cosmic footsteps.Jeff Bezos’ Blue Origin used Wednesday’s anniversary to kick off an auction for a seat on the company’s first crew spaceflight — a short Shepard-like hop launched by a rocket named New Shepard. The Texas liftoff is targeted for July 20, the date of the Apollo 11 moon landing. Richard Branson’s Virgin Galactic aims to kick off tourist flights next year, just as soon as he straps into his space-skimming, plane-launched rocketship for a test run from the New Mexico base.And Elon Musk’s SpaceX will launch a billionaire and his sweepstakes winners in September. That will be followed by a flight by three businessmen to the International Space Station in January.”We’ve always enjoyed this incredible thing called space, but we always want more people to be able to experience it as well,” NASA astronaut Shane Kimbrough said from the space station Wednesday. “So I think this is a great step in the right direction.”It’s all rooted in Shepard’s 15-minute flight on May 5, 1961. Shepard was actually the second person in space — the Soviet Union launched cosmonaut Yuri Gagarin three weeks earlier, to Shepard’s everlasting dismay. The 37-year-old Mercury astronaut and Navy test pilot cut a slick sci-fi figure in his silver spacesuit as he stood in the predawn darkness at Cape Canaveral, looking up at his Redstone rocket. Impatient with all the delays, including another hold in the countdown just minutes before launch, he famously growled into his mic: “Why don’t you fix your little problem and light this candle?”His capsule, Freedom 7, soared to an altitude of 116 miles (186 kilometers) before parachuting into the Atlantic.Twenty days later, President John F. Kennedy committed to landing a man on the moon and returning him safely by decade’s end, a promise made good in July 1969 by Apollo 11’s Neil Armstrong and Buzz Aldrin. Shepard, who died in 1998, went on to command Apollo 14 in 1971, becoming the fifth moonwalker — and lone lunar golfer.Since Gagarin and Shepard’s pioneering flights, 579 people have rocketed into space or reached its fringes, according to NASA. Nearly two-thirds are American and just over 20% Soviet or Russian. About 90% are male and most are white, although NASA’s crews have been more diverse in recent decades. A Black community college educator from Tempe, Arizona, sees her spot on SpaceX’s upcoming private flight as a symbol. Sian Proctor uses the acronym J.E.D.I. for “a just, equitable, diverse and inclusive space.”NASA wasn’t always on board with space tourism, but is today.”Our goal is one day that everyone’s a space person,” NASA’s human spaceflight chief, Kathy Lueders said following Sunday’s splashdown of a SpaceX capsule with four astronauts. “We’re very excited to see it starting to take off.” Twenty years ago, NASA clashed with Russian space officials over the flight of the world’s first space tourist.California businessman Dennis Tito paid $20 million to visit the space station, launching atop a Russian rocket. Virginia-based Space Adventures arranged Tito’s weeklong trip, which ended May 6, 2001, as well as seven more tourist flights that followed.”By opening up his checkbook, he kicked off an industry 20 yrs ago,” Space Adventures co-founder Eric Anderson tweeted last week. “Space is opening up more than it ever has, and for all.”There’s already a line.A Russian actress and movie director are supposed to launch from Kazakhstan in the fall. They’ll be followed in December by Space Adventures’ two newest clients, also launching on a Russian Soyuz rocket. SpaceX will be next up in January with the three businessmen; the flight from Florida’s Kennedy Space Center was arranged by Axiom Space, a Houston company run by former NASA employees. And as early as 2023, SpaceX is supposed to take a Japanese entrepreneur and his guests around the moon and back.While no fan of human spaceflight — he prefers robotic explorers — Duke University emeritus history professor Alex Roland acknowledges the emergence of spaceflight companies might be “the most significant change in the last 60 years.” Yet he wonders whether there will be much interest once the novelty wears off and the inevitable fatalities occur.Then there’s the high price of admission.The U.S., Canadian and Israeli entrepreneurs flying SpaceX early next year are paying $55 million — each — for their 1 1/2-week mission.Virgin Galactic’s tickets cost considerably less for minutes versus days of weightlessness. Initially $250,000, the price is expected to go up once Branson’s company starts accepting reservations again.Blue Origin declined Wednesday to give a ticket price for future sales and would not comment on who else — besides the auction winner — will be on board the capsule in July. A couple more crew flights, each lasting minutes, would follow by year’s end.As for SpaceX’s private flight on a fully automated Dragon capsule, tech entrepreneur Jared Isaacman won’t say what he’s paying. He considers his three-day flight a “great responsibility” and is taking no shortcuts in training; he took his crewmates hiking up Mount Rainier last weekend to toughen them up.”If something does go wrong, it will set back every other person’s ambition to go and become a commercial astronaut,” Isaacman said recently.John Logsdon, professor emeritus at George Washington University, where he founded the Space Policy Institute, has mixed feelings about this shift from space exploration to adventure tourism.”It takes the romance and excitement out of going to space,” Logsdon said in an email this week. Instead of the dawn of a new era like so many have proclaimed, it’s “more like the end of the era when space flight was special. I guess that is progress.”
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The Biden administration has agreed to support waiving intellectual property (IP) restrictions on COVID-19 vaccines at the World Trade Organization (WTO), a breakthrough in the global fight against the pandemic that can empower governments to tackle vaccine scarcity and inequity.U.S. Trade Representative Katherine Tai announced the administration’s position in a FILE – A logo is seen at the headquarters of the World Trade Organization in Geneva, Switzerland, June 2, 2020.Biden agrees; now what?Now that Biden has agreed to support the waiver, it doesn’t mean U.S. pharmaceutical companies must start giving away vaccine recipes so developing countries can make their own.The WTO is a consensus-based organization and cannot move forward unless the European Union, which is against the waiver, and everyone else agrees. Once all WTO members agree, the next steps would be for countries to implement it at the national level by removing legal risks that hinder production and supply by alternative producers. To clarify these implementation options, countries must start text-based negotiations at the WTO, going through each item of the complex and multilayered IP legal requirements — a process that could take months, or even years.”I’m not going to put odds on how likely it is to find an agreement,” said WTO spokesman Keith Rockwell, summarizing the WTO closed-door General Council meeting on the TRIPS waiver Wednesday.But he said there was consensus on the need for wider access to COVID-19 vaccines and treatments.”When people begin to voice very clearly their share objectives, it makes it easier to get to ‘yes,’ ” Rockwell said.There is not a single “recipe” for a COVID-19 vaccine — the vaccines are complex in terms of ingredients, manufacturing technology, delivery vehicles, etc., and each vaccine has dozens, if not hundreds, of IPs attached, many of them under patent pending litigation, making the granting of waivers an even more complicated and lengthy process.FILE – Boxes of the Johnson & Johnson COVID-19 vaccine are seen at the McKesson Corp., amid the coronavirus disease outbreak, in Shepherdsville, Ky., March 1, 2021.There are many complex challenges in scaling up COVID-19 vaccine production. The waiver is just one tool and does not offer a blanket solution, said Yuanqiong Hu, a senior legal and policy adviser with Doctors Without Borders, one of the organizations that support the TRIPS waiver.But as an important enabler, Hu added, “the earlier the waiver can be adopted, the sooner its impact can be realized.”If countries are given the permission and know-how to produce vaccines, waiver proponents say, they don’t have to wait in line while pharmaceutical companies fulfill orders from rich countries who have the resources to do so.But even if a full waiver is not approved, proponents are hoping the pressure will become leverage to force vaccine producers to ramp up global manufacturing capacity via additional licensing agreements, or donate or sell doses at a reduced cost.TRIPS waiver opponentsDrug manufacturers, including Pfizer and Moderna, oppose the waiver, saying that easing patent rules FILE – Microsoft founder Bill Gates holds a vaccine for meningitis during a news conference at U.N. headquarters in Geneva, Switzerland, May 17, 2011.Another big opponent is Microsoft co-founder Bill Gates, whose Bill and Melinda Gates Foundation sponsored Gavi, the Vaccine Alliance — the driving force behind COVAX, the U.N. mechanism to improve low- and middle-income countries’ access to vaccines. Despite more than two decades of philanthropic work to immunize the world’s poor, Gates is a fierce defender of IP protection.On Wednesday, WTO Director-General Ngozi Okonjo-Iweala spoke to representatives from developing and developed countries and again urged them to quickly agree on this issue, over which countries have been at odds for six months.The ‘third way’Opponents insist a waiver would not help accelerate vaccine access or address supply chain and logistical constraints. It would still take a long time for governments to set up factories, train staff and procure materials to make vaccines.They say the faster and better way to do it is through technology transfer partnerships and licensing agreements, such as the one between AstraZeneca and the Serum Institute of India, which produced doses for COVAX. The agreement has been halted by the government of Indian Prime Minister Narendra Modi, which wants to prioritize doses for its own populations as it deals with another wave of COVID-19 cases.Licensing agreements, including those between Britain’s AstraZeneca and Brazil’s Fiocruz, or the Chinese company Sinovac Biotech and the Indonesian firm Bio Farma, have shown that middle-income countries have the capacity to produce vaccine doses within months after technology transfer.These licensing agreements and other means of technology transfer have been praised by Okonjo-Iweala as the “third way,” an alternative to vaccine protectionism and waiving IP rights.However, these agreements can include restrictions — for example, geographical limitations on where, when and to whom the doses can be sold. Most bilateral agreements on COVID-19 vaccine production are contract manufacturing agreements through which the contracted entity manufactures on behalf of a licenser that maintains full control over the use of its technology, the volume of production, and where and at what prices vaccines may be supplied.The Biden administration said it would continue to ramp up efforts, working with the private sector and all possible partners to expand vaccine manufacturing and distribution, and increase the raw materials needed to produce the vaccines.VOA’s Katherine Gypson contributed to this report.
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The head of the U.S. Centers for Disease Control and Prevention (CDC) said current projections see COVID-19 cases remaining low and dropping sharply by July, provided vaccination rates remain high and people continue to observe basic prevention practices.At a briefing, CDC Director Rochelle Walensky said the projections are based on a study published Wednesday by the CDC. The study used data taken from recent trends to create models showing what could happen if current vaccination and prevention practices, such as mask use and social distancing, continue.Walensky said nationwide, U.S. COVID-19 statistics continue to trend well, with the daily average of new cases falling by 12%, to 42,494 per day, while average daily hospitalizations dropped by 9.5%. She said daily average deaths also fell by nearly 1%.But she said the wild card in the CDC models is variant coronavirus strains that cause COVID-19. Walensky said data show current vaccines are performing well against the predominant variants, so it is even more imperative to get more people vaccinated.  To that end, White House COVID-19 Response Team Senior Adviser Andy Slavitt announced that anyone in the United States can simply send a mobile text message with their Zip (postal) code to GETVAXED and they will be sent three vaccination locations near them. He said people can also get information on where they might receive a preferred vaccine.  Slavitt said the texts will also provide information on how people can get a free ride to a vaccine location through ride share services. He said those without access to mobile devices or the internet will be provided with telephone numbers they can call to obtain the information.Slavitt said the measures are all part of meeting goals laid out in a speech Tuesday by President Joe Biden. The president said he would like to see 70% of all Americans with at least one vaccination and 160 million Americans fully vaccinated by July 4, the U.S. Independence Day holiday. As of Tuesday, the CDC reports just less than 45% of people in the U.S. have received at least one shot while more than 106 million – 32% – of Americans are fully vaccinated.
 
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A senior Indian government scientific adviser warned Wednesday that a third wave of coronavirus infections would sweep the country as it struggles with the devastating effects of the current wave that officially claimed nearly 4,000 lives in the course of one day.The government’s principal scientific adviser, K. Vijay Raghavan, issued the warning as the World Health Organization said in its weekly report that India accounted for almost half the cases reported globally last week and about a quarter of all fatalities.“Phase 3 is inevitable, given the high levels of circulating virus,” Raghavan told a news briefing in New Delhi. “But it is not clear on what timescale this phase 3 will occur … We should prepare for new waves.”India’s crisis is aggravated by a critical lack of oxygen needed to treat critically ill patients, along with the raw materials needed to manufacture doses of the COVID-19 vaccine. While India is home to the Serum Institute of India, the world’s largest vaccine manufacturer, only 2% of the country’s 1.3 billion people have been vaccinated, according to local reports. COVID-19 is the disease caused by the coronavirus.Sorry, but your browser cannot support embedded video of this type, you can
download this video to view it offline.Download File360p | 10 MB480p | 15 MB540p | 20 MB720p | 38 MB1080p | 81 MBOriginal | 243 MB Embed” />Copy Download AudioTo help address the oxygen shortage, India’s Supreme Court ordered the government Wednesday to submit a plan to meet oxygen needs in New Dehli hospitals within one day.Prime Minister Narendra Modi and his Bharatiya Janata Party have been roundly criticized over the last several weeks for holding massive election rallies in West Bengal. Health experts have suggested the rallies may have contributed to a record surge in the state.Other political parties also held rallies there.Award-winning author Arundhati Roy called for Modi to resign in an opinion piece that was published Tuesday by the independent news website Scroll.in.“This is a crisis of your making,” she wrote. “You cannot solve it. You can only make it worse … So please go.”In a related development, Agence France-Presse reported that India’s Reserve Bank has pledged to provide $6.7 billion in cheap financing for the country’s vaccine makers, hospitals and other health firms.
  
The United Nations Children’s Fund announced shipments of medical supplies to India Wednesday, including 2 million face shields and 200,000 surgical masks. UNICEF also said it is supporting other endeavors in India, such as the acquisition of 25 oxygen plants for hospitals in the northeast and in the western state of Maharashtra.  India’s Health Ministry reported another 382,315 new cases of coronavirus cases on Wednesday, including 3,780 COVID-related deaths. The South Asian nation has more than 20 million total coronavirus infections, second only behind the United States, and 226,188 fatalities, according to Johns Hopkins Coronavirus Resource Center. Sorry, but your browser cannot support embedded video of this type, you can
download this video to view it offline.Download File360p | 4 MB480p | 5 MB540p | 8 MB720p | 16 MB1080p | 32 MBOriginal | 163 MB Embed” />Copy Download AudioIntellectual property rights
 
Member nations of the World Trade Organization were wrapping up two days of talks in Geneva Wednesday on waiving intellectual property rights on new COVID-19 vaccines.  
 
Ambassadors from the WTO’s 164 member states had been debating a proposal first floated by South Africa and India last October that would temporarily lift patent rights held by pharmaceutical companies that developed the vaccines. Supporters of the proposal say the waiver will allow for the faster manufacture of vaccines for use by developing countries, where vaccination rates have lagged behind those of wealthier nations.
 
But pharmaceutical companies claim that granting the waiver could hurt future innovation and will not lead to the quick production of vaccines.   
 
Dozens of civil society groups and former heads of state, including former British Prime Minister Gordon Brown and Mikhail Gorbachev of the former Soviet Union, have urged U.S. President Joe Biden to support the proposed waiver. More than 100 members of the Democratic-led U.S. House of Representatives signed a letter to Biden, urging him to support the proposal.   
 
The International Network of Civil Liberties Organizations also urged Biden to support the proposal, saying in a letter it would help “ensure universal and equitable access to COVID-19 vaccines.”
 
Biden said he has not made a decision on the matter. The proposal must be agreed on by all the WTO member nations.
 Global tracker
 
Also on Wednesday, Germany and the World Health Organization announced plans to establish a global monitoring operation to help prevent future threats like the current pandemic.
 
The Berlin-based “global hub for pandemic and epidemic intelligence” would track and monitor “exposed gaps in the global systems for pandemic and epidemic intelligence,” WHO Director-General Tedros Adhanom Ghebreyesus said.
 
The monitoring center will get about $36 million from Germany and search for funds from other sources.   
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In marking World Hand Hygiene Day, the World Health Organization is stressing the importance of good hand hygiene practices in stopping the spread of deadly infections. It says this is especially true at a time when the world is battling the coronavirus, which causes the COVID-19 disease.
 
COVID has dramatically amplified the importance of hand washing. The head of WHO’s infection prevention and control, Benedetta Allegranzi, says this simple action can prevent the risk of transmitting the infection, when used as part of a comprehensive package of public health measures.
    
“Effective hand hygiene also prevents any infection acquired in health care, the spread of antimicrobial resistance and other emerging health threats. Hand hygiene is a simple action that has a central role in contributing to quality care and to the whole of society efforts to prevent infection spread and saves lives,” Allegranzi said.
    
A WHO survey of 88 countries finds low-and-middle-income countries have made significantly lower progress than high-income countries in implementing hand hygiene and infection prevention programs.
 
The report notes one in four health care facilities in poorer countries does not have basic water services and one in three lacks hand hygiene supplies.
 
Allegranzi said the poorer countries lack the money needed to shore up their crumbling health care infrastructure. Consequently, she noted, most do not meet the minimal requirements to make a significant dent in reducing often life-threatening infections.
    
“For example, in some low-and-middle-income countries, only one in 10 have workers who practice proper hand hygiene while caring for patients at high-risk of health care susceptibility infection in intensive care units.  While, also in high-income countries, hand hygiene compliance rarely exceeds 60% to 70%.”
 
WHO reports every year, health care-acquired infections affect millions of patients and health workers globally. Europe alone, it says, records nearly nine million infections yearly. The U.N. agency says highly effective and low-cost hand hygiene strategies are available that could reduce these infections by half.
 
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Relentless wind and rain keeps pummeling much of the southeastern United States, spawning tornadoes, sparking a flash flood emergency in Alabama and damaging homes from Texas to Virginia. The storms have prompted boat rescues and toppled trees and power lines.
Crews were preparing to continue cleaning up debris and assessing destruction across the region early Wednesday, as some schools canceled classes or moved them online due to damage on campuses and surrounding areas.
The National Weather Service’s prediction center warned Wednesday morning that flash flooding also could now affect the Central Gulf Coast with storms shifting southeast and rain continuing to soak much of the region.
The storms have been responsible for at least three deaths and dozens of injuries this week, and more than 200,000 customers were without power from Arkansas to Maryland early Wednesday, including about 75,000 in Alabama, about 66,000 in Mississippi, about 13,800 in Georgia and about 25,700 in Virginia, according to the website poweroutage.us.
Torrential rains Tuesday near Birmingham, Alabama, dumped more than 7 inches (17.7 centimeters) of water in a few afternoon hours, causing flooding problems across much of the state’s most populous areas.
Emergency Management officials in the area urged residents to stay off roads because so many were flooded, including some downtown. In the Birmingham suburb of Homewood, fire department rescuers in a small boat paddled past submerged cars in a parking lot, slowly removing more than a dozen people from the waters surrounding an apartment complex.
Strong winds blowing behind a line of storms were toppling trees across central Alabama, where soil was saturated with water, and lightning struck a church in central Alabama, causing extensive damage from a fire. The National Weather Service in Birmingham said late Tuesday it planned to send two crews to Greene and Tuscaloosa Counties to assess wind and possible tornado damage from storms that started Sunday.
Strong winds and heavy rain whipped through Mississippi’s capital city of Jackson late Tuesday while thunder rattled windows. The high winds cracked some limbs off trees and sent them onto nearby houses. The storms left streets littered with branches and leaves.
At least eight people were injured when storms that brought tornadoes to Texas flipped tractor-trailers on an interstate and damaged structures.
In Tennessee, at least 11 counties were hit by possible EF-0 tornadoes, according to an official with the National Weather Service in Nashville. A tornado that struck Virginia’s Northumberland County near the Chesapeake Bay destroyed one home and severely damaged a few others Monday.
On Monday, tornadoes also touched down in South Carolina and southern Kentucky while a possible tornado hit West Virginia.
In Mississippi, forecasters confirmed 12 tornadoes Sunday evening and night, including the Yazoo City twister, which stretched for 30 miles (50 kilometers), and another tornado that moved through suburbs south of Jackson, producing a damage track 910 meters (1,000 yards) wide.
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During coronavirus-mandated lockdowns, millions of people started following the so-called “cleanfluencers” — online bloggers who inspired others to clean and organize their homes while gaining useful knowledge about keeping things neat and tidy. Nina Vishneva has the story, narrated by Anna Rice.  Camera:  Natalia Latukhina, Alexander Barash  
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Member nations of the World Trade Organization are wrapping up two days of talks in  Geneva Wednesday focused on waiving intellectual property rights on new COVID-19 vaccines.  Ambassadors from the WTO’s 164 member states have been debating a proposal first proposed by South Africa and India back in October that would temporarily lift patent rights held by pharmaceutical companies that developed the vaccines.  Supporters of the proposal say the waiver will allow for the faster manufacturing of COVID-19 vaccines for use by developing countries, where vaccination rates have lagged behind those of wealthier nations. But pharmaceutical companies claim that granting the waiver could hurt future innovation and will not lead to the quick production of coronavirus vaccines.   Dozens of civil society groups and former heads of state, including former British Prime Minister Gordon Brown and Mikhail Gorbachev of the former Soviet Union have urged U.S. President Joe Biden to support the proposed waiver. More than 100 members of the Democratic-led U.S. House of Representatives signed a letter to President Biden also urging him to support the proposal.   Biden says he has not made a decision on the matter.  The proposal must be agreed on by all 164 WTO member nations. India
In a related development, Agence France-Presse is reporting that India’s Reserve Bank has pledged to provide $6.7 billion in cheap financing for the country’s vaccine makers, hospitals and other health firms as the world’s second-most populous country is mired in a catastrophic surge of the virus. Workers load empty oxygen cylinders onto a supply truck for refilling, at the Medical College and Hospital, amid the spread of the coronavirus disease (COVID-19), in Kolkata, India, May 5, 2021.”The devastating speed with which the virus affects different regions of the country has to be matched by swift and wide-ranging actions,” said Reserve Bank of India governor Shaktikanta Das in making the announcement.   India’s Health Ministry reported another 382,315 new cases of coronavirus cases on Wednesday, including 3,780 COVID-related deaths. The South Asian nation has more than 20 million total coronavirus infections, second only behind the United States, and 226,188 fatalities, according to Johns Hopkins Coronavirus Resource Center. 
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A Malian woman gave birth to nonuplets in Morocco on Tuesday, and all nine babies are “doing well,” her government said, although Moroccan authorities had yet to confirm what would be an extremely rare case.    Mali’s government flew 25-year-old Halima Cisse, a woman from the northern part of the West African state, to Morocco for better care on March 30. She was initially believed to have been carrying septuplets. Cases of women successfully carrying septuplets to term are rare; nonuplets, even rarer. Moroccan health ministry spokesman Rachid Koudhari said he had no knowledge of such a multiple birth having taken place in one of the country’s hospitals.   But Mali’s health ministry said in a statement that Cisse had given birth to five girls and four boys by cesarean section. “The mother and babies are doing well so far,” Mali’s Health Minister Fanta Siby told AFP, adding that she had been kept informed by the Malian doctor who accompanied Cisse to Morocco.   They are due to return home in several weeks’ time, she added. Doctors had been concerned about Cisse’s health, according to local press reports, as well as her babies’ chances of survival.  Mali’s health ministry said in a statement that ultrasound examinations conducted in both Mali and Morocco had suggested that Cisse was carrying seven babies. Siby offered her congratulations to “the medical teams of Mali and Morocco, whose professionalism is at the origin of the happy outcome of this pregnancy.” 
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President Biden set a goal of reducing U.S. greenhouse gas emissions by half by 2030. His pledge to a virtual summit of world leaders in April is welcomed by those hit hardest by climate change and looking for as much quick action as possible.  VOA’s Arash Arabasadi has more.  Camera: AP/REUTERS/NASA/SKYPE/NATIONAL AUTONOMOUS UNIVERSITYProduced by: Arash Arabasadi 
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Taiwan, largely spared from the global coronavirus pandemic since it began last year, is grappling with a small but still uncontained outbreak that appeared last month. Since April 20, Taiwan’s Central Epidemic Command Center has confirmed infections of 10 pilots working for the Taiwan-based international carrier China Airlines and eight relatives of pilots. At the Novotel Taipei Taoyuan International Airport hotel, which is next to the island’s chief international airport, four employees, three of their family members and a hotel contractor have been diagnosed since April 29. On Tuesday, the command center reported two new COVID-19 cases, both airline employees. Authorities expect it will take another week or two to determine how wide the outbreak has spread. Health Minister Chen Shih-chung told a news conference Sunday the cluster does not qualify yet as a “community outbreak” but cautioned people to follow guidance on avoiding infections. “Until May 17 we will be in a period of high-level alert, so please everyone cooperate,” Chen told a Tuesday news conference. Command center officials have disclosed the movements of people who were recently infected so anyone who might have crossed paths can be tested for the virus. Potential infection spots include buses, convenience stores and restaurants in northern Taiwan including the capital Taipei, Centers for Disease Control deputy director Luo Yi-jun said. The command center says hundreds of contacts and potential contacts of the 24 patients confirmed through Monday had already been tested for infection. “Two days before these people showed symptoms, they were infectious, so this outbreak poses a very big challenge to the whole community,” said Chiu Cheng-hsun, vice superintendent at Linkou Chang Gung Hospital’s pediatric respiratory department. “Right now, there’s an extremely high risk, an extremely high chance, of a community [caseload].” Any more COVID-19 cases pegged to the airline, or the hotel should show up within the month, Chiu said. A wider outbreak would be Taiwan’s first runaway caseload since COVID-19 began gripping the world in early 2020. FILE – People wearing masks to protect against the coronavirus shop ahead of the Lunar New Year holiday, in Taipei, Taiwan, Feb. 9, 2021.Most people in Taiwan, population 24 million, are keeping their hands clean, wearing masks and disinfecting their surroundings, health professionals in Taiwan say. But they show few signs of changing their lifestyles otherwise. “I think the general Taiwanese public at this moment probably doesn’t believe Taiwan overall is so dangerous or so dire, and they’re not on such high alert, because Taiwan was a good student over the past last year, like it performed well,” said Wu Chia-yi, associate professor in the National Taiwan University College of Medicine’s nursing faculty. But she said some people feel “depressed” or “anxious,” especially if in a hospital and exposed to patients’ blood. People around Taiwan should step up disease prevention habits, such as mask wearing and hand washing, that might have slacked before the recent outbreak, Chiu said. The command center said last week it is exploring whether pilots of foreign-registered airlines set off the Novotel cluster. “Novotel teams are fully cooperating and following protocols and measurements as advised by the local authorities,” Novotel said in a statement. “Meanwhile, our focus is to closely monitor the progress of our staff members and guests who are currently under quarantine. The safety and wellbeing of our staff and guests are our absolute priority.” China Airlines has not answered requests for comment.Taiwan’s success in warding off COVID-19 has allowed people to keep working and going out as usual. The government controlled the virus spread in early 2020 through inspections of inbound aircraft, strict quarantine rules and rigorous contact tracing. Taiwan has logged a cumulative 1,153 cases with 12 deaths. The most recent localized outbreak occurred in December when an infected Eva Airways pilot sparked cluster of four people. Those cases prompted a wave of event cancellations and new restrictions on inbound pilots. Almost all other cases since the start of the pandemic are Taiwan residents returning from overseas. On Tuesday, the command center said it would step up disease controls by restricting bedside visits to hospital patients. Hospitals are tightening their own precautions, particularly in emergency rooms. 
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Turkey was recently heralded as one of the most successful nations in containing the spread of COVID 19, prompting the government to ease controls. But a surge in infections coupled with vaccine shortages has forced a U-turn, with the country now under its most severe lockdown, as Dorian Jones reports for VOA from Istanbul.
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