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歐洲疫苗接種速度反超美國

在今年年初世界各地剛剛開始推行新冠疫苗的接種時(shí),很少有人能夠預(yù)見到這種形勢逆轉(zhuǎn)。

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在全世界都在努力通過疫苗來擺脫新冠疫情的過程中,歐洲的新冠疫苗接種工作雖然開始時(shí)問題不斷,但在六個(gè)月后其成果已經(jīng)超過了美國。

上周,意大利、德國和西班牙至少接種一劑新冠疫苗的人口比例超過了美國,法國也已經(jīng)與美國相差不遠(yuǎn)。截至6月29日,意大利、西班牙和德國至少接種一季新冠疫苗的人口比例在56%和54.1%之間,而美國為53.8%。(英國以65.9%遙遙領(lǐng)先于所有國家。)

在今年年初世界各地剛剛開始推行新冠疫苗的接種時(shí),很少有人能夠預(yù)見到這種形勢逆轉(zhuǎn),而且當(dāng)時(shí)美國似乎擁有其他任何國家都難以匹敵的資源優(yōu)勢。

歐洲的疫苗接種工作一度并不順利。疫苗供應(yīng)不足導(dǎo)致各方對于誰應(yīng)該為漏洞百出的疫苗合同負(fù)責(zé)而相互推諉指責(zé),于是歐盟領(lǐng)導(dǎo)人做出了有欠考慮的決定,將民眾的怒火轉(zhuǎn)移到英國和疫苗廠商阿斯利康(AstraZeneca)身上,并減少了歐盟的對外疫苗出口。開局不利影響了歐元區(qū)的經(jīng)濟(jì),因?yàn)楦鞒蓡T國為了疫情防控采取了嚴(yán)格的封鎖措施。

但后來歐洲各國政府組織了積極的疫苗接種活動(dòng),大力宣傳支持疫苗接種的信息,最重要的是大批疫苗紛紛到貨。

后來居上

另外,歐洲各國領(lǐng)導(dǎo)人鼓勵(lì)接種疫苗,公眾也普遍較少對醫(yī)學(xué)持懷疑態(tài)度,這也是歐洲快速推動(dòng)疫苗接種的原因之一。

除了法國以外,主要?dú)W洲經(jīng)濟(jì)體的民眾接種疫苗的意愿都高于美國。美國有較高比例的民眾不愿意接種疫苗,延緩了疫苗接種計(jì)劃的進(jìn)展,導(dǎo)致美國的疫苗接種率始終維持在總?cè)丝诘?4%左右。

Our World in Data網(wǎng)站的最新數(shù)據(jù)顯示了歐洲如何快速趕上并超越美國鼓吹的“曲速行動(dòng)”(Operation Warp Speed)。該網(wǎng)站每天收集各國的新冠疫情數(shù)據(jù)。

益普索(Ipsos)提供給《財(cái)富》雜志的調(diào)查數(shù)據(jù)顯示,在6月最后一周,德國已經(jīng)接種或表示將會接種新冠疫苗的人口比例為81%,意大利為85%,西班牙為90%,美國和法國分別只有80%和74%。(YouGov的一項(xiàng)單獨(dú)調(diào)查顯示,美國和西班牙、德國與意大利之間的疫苗接受度差異更加明顯。)

不過,歐洲的疫苗接種工作依舊有很長的路要走。

在美國,約46%的民眾已經(jīng)完成了(大部分)兩劑疫苗接種,但在主要?dú)W洲國家,這個(gè)比例為31%至37%。

這對于防控正在成為主要病毒的德爾塔變種病毒有重要的影響。早期研究顯示,無論是BioNTech/輝瑞(Pfizer)疫苗還是牛津(Oxford)/阿斯利康疫苗,凡是需要接種兩劑的疫苗,只有全部接種之后才能夠形成對德爾塔病毒足夠的免疫保護(hù)。另外,德國衛(wèi)生部門表示,對于最早在印度發(fā)現(xiàn)的德爾塔病毒株,需要80%的人口完成疫苗接種才可以形成“基本保護(hù)”。

下文介紹了歐洲主要經(jīng)濟(jì)體在疫苗接種方面如何趕超美國。

意大利

3月,意大利新任總理馬里奧?德拉吉任命弗朗賽斯科?保羅?菲格利奧羅將軍負(fù)責(zé)全國疫苗接種工作。當(dāng)時(shí),意大利的疫苗接種工作陷入困境,他在其中帶來了軍事行動(dòng)般的精密度,隨著5月疫苗供應(yīng)量增加,疫苗接種工作開始加速。

目前,意大利每三周有超過10%的人口接種疫苗,有望兌現(xiàn)菲格利奧羅在3月做出的承諾。他當(dāng)時(shí)向質(zhì)疑者承諾在9月底之前使80%的意大利人完成疫苗接種。

菲格利奧羅上任時(shí),有超過3萬意大利人因?yàn)樾鹿谝咔槎≡褐委?,其?,800人正在接受重癥監(jiān)護(hù)。上周,意大利衛(wèi)生部部長羅伯托?斯佩蘭薩得意地宣布,這些數(shù)字下降了90%。

對大部分意大利人而言,本國的公共醫(yī)療保健體系依舊是民族自豪感的來源之一。這或許可以解釋為什么最近的民意調(diào)查數(shù)據(jù)顯示,意大利人具有相對較高的新冠疫苗接受度。隨著疫苗供應(yīng)不足的問題得到解決,被抑制的需求預(yù)計(jì)將幫助意大利在今年夏天之前,實(shí)現(xiàn)為所有成年國民接種至少一劑疫苗的目標(biāo)。

德國

上周早些時(shí)候,德國至少接種一劑疫苗的人口比例超過美國,這證明衛(wèi)生部部長延斯?施潘在6月初的決定是正確的。他當(dāng)時(shí)決定取消對成年人接種疫苗的優(yōu)先限制。例如柏林和巴伐利亞等州不久前也采取了類似的措施,一度遭到德國醫(yī)師協(xié)會(German Doctors’ Association)主席蘇珊娜?約翰納的批評。她曾經(jīng)抱怨稱“現(xiàn)在將有更多人爭搶稀缺的疫苗?!?/p>

但事實(shí)證明,疫苗稀缺的問題很快就得到了解決,而這一定程度上要得益于美國進(jìn)展緩慢的疫苗接種行動(dòng)。簡而言之,美國民眾對接種新冠疫苗的意愿較低,這意味著,未使用的疫苗必須在過期之前供應(yīng)給其他地區(qū),有些歐洲國家很快將這些疫苗搶購一空。

來自美國的Moderna疫苗出人意料地加快了供應(yīng)速度,令丹麥、克羅地亞和德國受益。德國本來預(yù)計(jì)本月每周可以獲得73.3萬劑Moderna疫苗,但周末,施潘表示,7月的疫苗進(jìn)口量達(dá)到每周133萬劑。根據(jù)目前的預(yù)測,預(yù)計(jì)9月每周將有約300萬劑Moderna疫苗供應(yīng)德國。

施潘在周六表示,疫苗很快就會供大于求,在各地醫(yī)療診所已經(jīng)有數(shù)以萬計(jì)未使用的牛津/阿斯利康和強(qiáng)生(Johnson & Johnson)疫苗。許多德國人認(rèn)為這兩款疫苗的效果低于Moderna和BioNTech/輝瑞的mRNA疫苗。

施潘表示,為了盡快為80%的人口接種疫苗和防止德爾塔變種病毒傳播,德國醫(yī)護(hù)人員很快將在市中心和教堂等地為行人接種疫苗。事實(shí)上,德國將有足夠的疫苗,甚至計(jì)劃在今年下半年對外出售3,000萬劑。

西班牙

西班牙疫苗接種工作的轉(zhuǎn)機(jī)出現(xiàn)在4月初。當(dāng)時(shí),西班牙政府因?yàn)橐呙缃臃N工作開展緩慢和經(jīng)濟(jì)困境而備受指責(zé),于是西班牙總理佩德羅?桑切斯宣布開啟“西班牙史上規(guī)模最大的疫苗接種行動(dòng)”。

2021年前三個(gè)月,西班牙獲得了970萬劑疫苗,但只有550萬西班牙人至少接種了一劑疫苗,僅占總?cè)丝诘?1.7%。桑切斯在4月的講話中表示,第二季度的疫苗供應(yīng)量將達(dá)到3,800萬劑,并提出了一系列疫苗工作的里程碑。

隨著疫苗供應(yīng)量增加,西班牙各地的醫(yī)療部門紛紛開始積極推動(dòng)疫苗接種。在巴塞羅那,加泰羅尼亞政府在巴塞羅那菲拉會展中心(Fira convention center)和巴塞羅那足球俱樂部(FC Barcelona)的諾坎普(Camp Nou)球場開展大規(guī)模疫苗接種,馬德里則在WiZink音樂廳和馬德里競技足球俱樂部(Atlético de Madrid)的球場進(jìn)行大規(guī)模疫苗接種。

5月,西班牙衛(wèi)生官員在巴塞羅那隊(duì)諾坎普球場等大型場館設(shè)立疫苗接種站。圖片來源:Xavi Torrent—Getty Images

上周,以熱鬧的夜生活著稱的馬德里在一家地區(qū)醫(yī)院設(shè)立了24小時(shí)大規(guī)模疫苗接種中心,首晚接種了827劑疫苗。馬德里相對較早解除了限制措施。在安達(dá)盧西亞南部地區(qū),當(dāng)?shù)卣扇×烁嗉?lì)措施,宣布為在本地停留超過一個(gè)月的游客接種疫苗。

雖然西班牙距離6月中旬1,500萬人完成疫苗接種的目標(biāo)仍然相差約57萬人,而且截至6月29日預(yù)計(jì)第二季度施打的3,800萬劑疫苗僅施打了3,550萬劑,但政府積極推動(dòng)疫苗接種的努力以及民眾較高的疫苗接種意愿,已經(jīng)使53.4%的人口(2,530萬)至少接種了一劑疫苗。YouGov調(diào)查發(fā)現(xiàn),有91%的西班牙人表示已經(jīng)接種或愿意接種一種疫苗。

原世界衛(wèi)生組織(WHO)主任和巴斯克地區(qū)衛(wèi)生部長拉斐爾?本戈亞稱:“西班牙制定了雄心勃勃的計(jì)劃,疫苗接種工作進(jìn)展順利。”他還表示在9月之前將有70%的成年人完成疫苗接種。

但本戈亞警告不能放松警惕,因?yàn)樵谖唇臃N疫苗的青少年當(dāng)中曾經(jīng)發(fā)生過超級傳播者事件,導(dǎo)致感染率再次攀升,比如馬略卡地區(qū)的大規(guī)模畢業(yè)派對造成超過1,200人感染。

法國

法國民眾接種疫苗的意愿普遍不高,而且與其他歐盟國家一樣,法國也面臨新冠疫苗短缺的問題。面對這種情況,法國總統(tǒng)埃馬紐埃爾?馬克龍選擇了謹(jǐn)慎的做法,因此自去年圣誕節(jié)以來,疫苗接種工作一直沒有起色。

法國只有約6萬名醫(yī)生被批準(zhǔn)為民眾接種疫苗。每次接種之前必須向醫(yī)生了解潛在的風(fēng)險(xiǎn),之后還需要簽署知情同意書。法國經(jīng)濟(jì)學(xué)家安托萬?列維當(dāng)時(shí)告訴《財(cái)富》雜志:“我們陷入了卡夫卡式的困境。”

今年春天,第二波疫情爆發(fā),每日新增病例超過35,000例,迫使馬克龍最終放棄了緩行策略。他在消防站安排消防員為民眾接種疫苗,并把巴黎可容納81,000人的國家足球場改造成大規(guī)模疫苗接種站,每天能夠?yàn)閿?shù)千人接種疫苗。

6月29日,法國衛(wèi)生官員在巴黎空曠的共和國廣場(Place de la République)設(shè)立了快閃式疫苗接種帳篷,為送餐員接種疫苗,因?yàn)樗麄兊墓ぷ鲿r(shí)間導(dǎo)致他們很難前往疫苗接種站接種疫苗。對許多送餐員而言,在騎車經(jīng)過的時(shí)候就可以接種疫苗,甚至不必鎖車,這是不容錯(cuò)過的便利措施。Uber Eats的送餐員吉堯姆?吉拉德告訴《費(fèi)加羅報(bào)》(Le Figaro):“這里不需要預(yù)約,而且我工作的地方距離共和國廣場不遠(yuǎn),所以我選擇來這里接種疫苗。”

法國現(xiàn)在每周接種疫苗的人口比例是美國的三倍以上。上周,法國接種疫苗的人口比例是8.6%,而美國只有約2.5%。(財(cái)富中文網(wǎng))

翻譯:劉進(jìn)龍

審校:汪皓

在全世界都在努力通過疫苗來擺脫新冠疫情的過程中,歐洲的新冠疫苗接種工作雖然開始時(shí)問題不斷,但在六個(gè)月后其成果已經(jīng)超過了美國。

上周,意大利、德國和西班牙至少接種一劑新冠疫苗的人口比例超過了美國,法國也已經(jīng)與美國相差不遠(yuǎn)。截至6月29日,意大利、西班牙和德國至少接種一季新冠疫苗的人口比例在56%和54.1%之間,而美國為53.8%。(英國以65.9%遙遙領(lǐng)先于所有國家。)

在今年年初世界各地剛剛開始推行新冠疫苗的接種時(shí),很少有人能夠預(yù)見到這種形勢逆轉(zhuǎn),而且當(dāng)時(shí)美國似乎擁有其他任何國家都難以匹敵的資源優(yōu)勢。

歐洲的疫苗接種工作一度并不順利。疫苗供應(yīng)不足導(dǎo)致各方對于誰應(yīng)該為漏洞百出的疫苗合同負(fù)責(zé)而相互推諉指責(zé),于是歐盟領(lǐng)導(dǎo)人做出了有欠考慮的決定,將民眾的怒火轉(zhuǎn)移到英國和疫苗廠商阿斯利康(AstraZeneca)身上,并減少了歐盟的對外疫苗出口。開局不利影響了歐元區(qū)的經(jīng)濟(jì),因?yàn)楦鞒蓡T國為了疫情防控采取了嚴(yán)格的封鎖措施。

但后來歐洲各國政府組織了積極的疫苗接種活動(dòng),大力宣傳支持疫苗接種的信息,最重要的是大批疫苗紛紛到貨。

后來居上

另外,歐洲各國領(lǐng)導(dǎo)人鼓勵(lì)接種疫苗,公眾也普遍較少對醫(yī)學(xué)持懷疑態(tài)度,這也是歐洲快速推動(dòng)疫苗接種的原因之一。

除了法國以外,主要?dú)W洲經(jīng)濟(jì)體的民眾接種疫苗的意愿都高于美國。美國有較高比例的民眾不愿意接種疫苗,延緩了疫苗接種計(jì)劃的進(jìn)展,導(dǎo)致美國的疫苗接種率始終維持在總?cè)丝诘?4%左右。

Our World in Data網(wǎng)站的最新數(shù)據(jù)顯示了歐洲如何快速趕上并超越美國鼓吹的“曲速行動(dòng)”(Operation Warp Speed)。該網(wǎng)站每天收集各國的新冠疫情數(shù)據(jù)。

益普索(Ipsos)提供給《財(cái)富》雜志的調(diào)查數(shù)據(jù)顯示,在6月最后一周,德國已經(jīng)接種或表示將會接種新冠疫苗的人口比例為81%,意大利為85%,西班牙為90%,美國和法國分別只有80%和74%。(YouGov的一項(xiàng)單獨(dú)調(diào)查顯示,美國和西班牙、德國與意大利之間的疫苗接受度差異更加明顯。)

不過,歐洲的疫苗接種工作依舊有很長的路要走。

在美國,約46%的民眾已經(jīng)完成了(大部分)兩劑疫苗接種,但在主要?dú)W洲國家,這個(gè)比例為31%至37%。

這對于防控正在成為主要病毒的德爾塔變種病毒有重要的影響。早期研究顯示,無論是BioNTech/輝瑞(Pfizer)疫苗還是牛津(Oxford)/阿斯利康疫苗,凡是需要接種兩劑的疫苗,只有全部接種之后才能夠形成對德爾塔病毒足夠的免疫保護(hù)。另外,德國衛(wèi)生部門表示,對于最早在印度發(fā)現(xiàn)的德爾塔病毒株,需要80%的人口完成疫苗接種才可以形成“基本保護(hù)”。

下文介紹了歐洲主要經(jīng)濟(jì)體在疫苗接種方面如何趕超美國。

意大利

3月,意大利新任總理馬里奧?德拉吉任命弗朗賽斯科?保羅?菲格利奧羅將軍負(fù)責(zé)全國疫苗接種工作。當(dāng)時(shí),意大利的疫苗接種工作陷入困境,他在其中帶來了軍事行動(dòng)般的精密度,隨著5月疫苗供應(yīng)量增加,疫苗接種工作開始加速。

目前,意大利每三周有超過10%的人口接種疫苗,有望兌現(xiàn)菲格利奧羅在3月做出的承諾。他當(dāng)時(shí)向質(zhì)疑者承諾在9月底之前使80%的意大利人完成疫苗接種。

菲格利奧羅上任時(shí),有超過3萬意大利人因?yàn)樾鹿谝咔槎≡褐委煟渲?,800人正在接受重癥監(jiān)護(hù)。上周,意大利衛(wèi)生部部長羅伯托?斯佩蘭薩得意地宣布,這些數(shù)字下降了90%。

對大部分意大利人而言,本國的公共醫(yī)療保健體系依舊是民族自豪感的來源之一。這或許可以解釋為什么最近的民意調(diào)查數(shù)據(jù)顯示,意大利人具有相對較高的新冠疫苗接受度。隨著疫苗供應(yīng)不足的問題得到解決,被抑制的需求預(yù)計(jì)將幫助意大利在今年夏天之前,實(shí)現(xiàn)為所有成年國民接種至少一劑疫苗的目標(biāo)。

德國

上周早些時(shí)候,德國至少接種一劑疫苗的人口比例超過美國,這證明衛(wèi)生部部長延斯?施潘在6月初的決定是正確的。他當(dāng)時(shí)決定取消對成年人接種疫苗的優(yōu)先限制。例如柏林和巴伐利亞等州不久前也采取了類似的措施,一度遭到德國醫(yī)師協(xié)會(German Doctors’ Association)主席蘇珊娜?約翰納的批評。她曾經(jīng)抱怨稱“現(xiàn)在將有更多人爭搶稀缺的疫苗?!?/p>

但事實(shí)證明,疫苗稀缺的問題很快就得到了解決,而這一定程度上要得益于美國進(jìn)展緩慢的疫苗接種行動(dòng)。簡而言之,美國民眾對接種新冠疫苗的意愿較低,這意味著,未使用的疫苗必須在過期之前供應(yīng)給其他地區(qū),有些歐洲國家很快將這些疫苗搶購一空。

來自美國的Moderna疫苗出人意料地加快了供應(yīng)速度,令丹麥、克羅地亞和德國受益。德國本來預(yù)計(jì)本月每周可以獲得73.3萬劑Moderna疫苗,但周末,施潘表示,7月的疫苗進(jìn)口量達(dá)到每周133萬劑。根據(jù)目前的預(yù)測,預(yù)計(jì)9月每周將有約300萬劑Moderna疫苗供應(yīng)德國。

施潘在周六表示,疫苗很快就會供大于求,在各地醫(yī)療診所已經(jīng)有數(shù)以萬計(jì)未使用的牛津/阿斯利康和強(qiáng)生(Johnson & Johnson)疫苗。許多德國人認(rèn)為這兩款疫苗的效果低于Moderna和BioNTech/輝瑞的mRNA疫苗。

施潘表示,為了盡快為80%的人口接種疫苗和防止德爾塔變種病毒傳播,德國醫(yī)護(hù)人員很快將在市中心和教堂等地為行人接種疫苗。事實(shí)上,德國將有足夠的疫苗,甚至計(jì)劃在今年下半年對外出售3,000萬劑。

西班牙

西班牙疫苗接種工作的轉(zhuǎn)機(jī)出現(xiàn)在4月初。當(dāng)時(shí),西班牙政府因?yàn)橐呙缃臃N工作開展緩慢和經(jīng)濟(jì)困境而備受指責(zé),于是西班牙總理佩德羅?桑切斯宣布開啟“西班牙史上規(guī)模最大的疫苗接種行動(dòng)”。

2021年前三個(gè)月,西班牙獲得了970萬劑疫苗,但只有550萬西班牙人至少接種了一劑疫苗,僅占總?cè)丝诘?1.7%。桑切斯在4月的講話中表示,第二季度的疫苗供應(yīng)量將達(dá)到3,800萬劑,并提出了一系列疫苗工作的里程碑。

隨著疫苗供應(yīng)量增加,西班牙各地的醫(yī)療部門紛紛開始積極推動(dòng)疫苗接種。在巴塞羅那,加泰羅尼亞政府在巴塞羅那菲拉會展中心(Fira convention center)和巴塞羅那足球俱樂部(FC Barcelona)的諾坎普(Camp Nou)球場開展大規(guī)模疫苗接種,馬德里則在WiZink音樂廳和馬德里競技足球俱樂部(Atlético de Madrid)的球場進(jìn)行大規(guī)模疫苗接種。

上周,以熱鬧的夜生活著稱的馬德里在一家地區(qū)醫(yī)院設(shè)立了24小時(shí)大規(guī)模疫苗接種中心,首晚接種了827劑疫苗。馬德里相對較早解除了限制措施。在安達(dá)盧西亞南部地區(qū),當(dāng)?shù)卣扇×烁嗉?lì)措施,宣布為在本地停留超過一個(gè)月的游客接種疫苗。

雖然西班牙距離6月中旬1,500萬人完成疫苗接種的目標(biāo)仍然相差約57萬人,而且截至6月29日預(yù)計(jì)第二季度施打的3,800萬劑疫苗僅施打了3,550萬劑,但政府積極推動(dòng)疫苗接種的努力以及民眾較高的疫苗接種意愿,已經(jīng)使53.4%的人口(2,530萬)至少接種了一劑疫苗。YouGov調(diào)查發(fā)現(xiàn),有91%的西班牙人表示已經(jīng)接種或愿意接種一種疫苗。

原世界衛(wèi)生組織(WHO)主任和巴斯克地區(qū)衛(wèi)生部長拉斐爾?本戈亞稱:“西班牙制定了雄心勃勃的計(jì)劃,疫苗接種工作進(jìn)展順利?!彼€表示在9月之前將有70%的成年人完成疫苗接種。

但本戈亞警告不能放松警惕,因?yàn)樵谖唇臃N疫苗的青少年當(dāng)中曾經(jīng)發(fā)生過超級傳播者事件,導(dǎo)致感染率再次攀升,比如馬略卡地區(qū)的大規(guī)模畢業(yè)派對造成超過1,200人感染。

法國

法國民眾接種疫苗的意愿普遍不高,而且與其他歐盟國家一樣,法國也面臨新冠疫苗短缺的問題。面對這種情況,法國總統(tǒng)埃馬紐埃爾?馬克龍選擇了謹(jǐn)慎的做法,因此自去年圣誕節(jié)以來,疫苗接種工作一直沒有起色。

法國只有約6萬名醫(yī)生被批準(zhǔn)為民眾接種疫苗。每次接種之前必須向醫(yī)生了解潛在的風(fēng)險(xiǎn),之后還需要簽署知情同意書。法國經(jīng)濟(jì)學(xué)家安托萬?列維當(dāng)時(shí)告訴《財(cái)富》雜志:“我們陷入了卡夫卡式的困境。”

今年春天,第二波疫情爆發(fā),每日新增病例超過35,000例,迫使馬克龍最終放棄了緩行策略。他在消防站安排消防員為民眾接種疫苗,并把巴黎可容納81,000人的國家足球場改造成大規(guī)模疫苗接種站,每天能夠?yàn)閿?shù)千人接種疫苗。

6月29日,法國衛(wèi)生官員在巴黎空曠的共和國廣場(Place de la République)設(shè)立了快閃式疫苗接種帳篷,為送餐員接種疫苗,因?yàn)樗麄兊墓ぷ鲿r(shí)間導(dǎo)致他們很難前往疫苗接種站接種疫苗。對許多送餐員而言,在騎車經(jīng)過的時(shí)候就可以接種疫苗,甚至不必鎖車,這是不容錯(cuò)過的便利措施。Uber Eats的送餐員吉堯姆?吉拉德告訴《費(fèi)加羅報(bào)》(Le Figaro):“這里不需要預(yù)約,而且我工作的地方距離共和國廣場不遠(yuǎn),所以我選擇來這里接種疫苗?!?/p>

法國現(xiàn)在每周接種疫苗的人口比例是美國的三倍以上。上周,法國接種疫苗的人口比例是8.6%,而美國只有約2.5%。(財(cái)富中文網(wǎng))

翻譯:劉進(jìn)龍

審校:汪皓

After a bumbling start, Europe has surpassed the U.S. in its COVID vaccine drive, just over six months into an international effort to vaccinate the world out of the coronavirus pandemic.

In the past week, Italy, Germany, and Spain have all overtaken the U.S. in terms of the percentage of the population that has received at least one shot against COVID-19, with France running close behind. As of June 29, Italy, Spain, and Germany have rates between 56% and 54.1%, while the U.S. stood at 53.8%. (The U.K., with a rate of 65.9%, is well ahead of them all.)

Few would have predicted this turn of events at the start of the year, when the world’s vaccine campaigns began taking off, and the U.S. resource advantage seemed insurmountable.

Europe’s vaccine rollout was disastrous. Supply shortfalls prompted a vicious blame game over who was responsible for negotiating what were seen as flawed vaccine contracts, and in response EU leaders engaged in an ill-advised effort to shift citizen ire to the U.K. and vaccine maker AstraZeneca and cut jab exports from the bloc. The slow start also sank the eurozone economy as member states adopted strict lockdown measures to curb contagion.

Since then, however, European governments have organized aggressive vaccination campaigns, engaged in intense pro-vaccine messaging, and, most important, received a flood of supply from vaccine makers.

Operation Overtake

Europe has also been aided by leaders who have promoted vaccine use, and a public that is generally less skeptical of medical science.

With the exception of France, vaccine willingness in major European economies is higher than that in the U.S., where high vaccine hesitancy has slowed the push, leading the U.S. vaccination rate to plateau at around 54% of the population.

The latest figures from Our World in Data, which collects national COVID data on a daily basis, shows how quickly Europe has caught up and overtaken America’s vaunted “Operation Warp Speed.”

In the final week of June, the number of people who said they had or would take the vaccine ranged from 81% in Germany to 85% in Italy to 90% in Spain, with the U.S. and France trailing, posting rates of 80% and 74%, respectively, according to survey data supplied to Fortune by Ipsos. (A separate survey, from YouGov, meanwhile, showed an even starker vaccine acceptance divide between the United States and the Spanish-German-Italian bloc.)

Still, Europe has a way to go in its vaccination efforts.

In the U.S., some 46% of people have fully completed their (mostly) two-dose vaccine regimens, while in major European countries the rates range from 31% to 37%.

That has major implications for handling the Delta variant of the coronavirus, which is on track to become the dominant strain. Early studies show both doses of the two-jab vaccines, such as those from BioNTech/Pfizer and Oxford/AstraZeneca, are needed to provide sufficient protection against Delta. For good measure, German health authorities say that full coverage of 80% of the population will be needed to provide “basic protection” against this particular strain, which was first identified in India.

Meanwhile, here is how Europe’s biggest economies caught up to the United States.

Italy

In March, Italy’s newly installed Prime Minister Mario Draghi appointed an army general, Francesco Paolo Figliuolo, to run the country’s vaccination drive. He brought military precision to a floundering campaign, and once supplies picked up in May, the campaign went into overdrive.

Italy is currently on pace to vaccinate a bit more than 10% of the country every three weeks, which should put it in line to hit Figliuolo’s vow, made in March to much skepticism, of fully vaccinating 80% of Italians by the end of September.

When Figliuolo took over, there were more than 30,000 Italians in the hospital with COVID, with 3,800 in intensive care. Those numbers have fallen by 90% since, Italy’s health minister, Roberto Speranza, triumphantly declared last week.

For most Italians, the public health care system is still a source of national pride. That may go some way to explaining the most recent polling data showing relatively high vaccine acceptance rates for the COVID jab. Now that the supply bottleneck of jabs is sorted out, pent-up demand is expected to help the country achieve its goal of getting all adult Italians at least one jab this summer.

Germany

Germany’s overtaking of the U.S. on initial doses earlier this week came as vindication of health minister Jens Spahn’s decision to remove prioritization limits on vaccinations for adults in early June. Some states, including Berlin and Bavaria, had made similar moves not long before, drawing criticism from Susanne Johna, head of the German Doctors’ Association, who complained that “even more people are now competing for a scarce commodity.”

As it turned out, the commodity quickly became less scarce—in part thanks to the slowdown in the U.S. vaccination drive. In short, American vaccine hesitancy means unused doses need to go somewhere before they expire, and some European countries have been quick to snap them up.

Along with Denmark and Croatia, Germany has been a major beneficiary of Moderna vaccines coming in from the U.S. at higher rates than previously foreseen. Germany was expecting to receive 733,000 Moderna doses per week this month, but on the weekend Spahn said the July intake would reach a whopping 1.33 million per week. Under current forecasts, nearly 3 million Moderna doses will be arriving per week in September.

Supply will soon outstrip demand, Spahn said Saturday, noting that hundreds of thousands of Oxford/AstraZeneca and Johnson & Johnson doses—seen by many Germans as inferior to Moderna and BioNTech/Pfizer’s mRNA-based vaccines—are already sitting unused in medical practices.

The minister said German health workers will soon be able to start offering shots to passersby in city centers and at places of worship, as the country races to hit the 80% target and beat the Delta variant. Indeed, Germany will be swimming in so many doses that it aims to sell on 30 million in the second half of the year.

Spain

Spain’s vaccine turnaround began in early April, when Prime Minister Pedro Sánchez, under fire for Spain’s slow rollout and devastated economy, announced the beginning of the “l(fā)argest vaccination campaign in the history of Spain.”

During the first three months of 2021, Spain had been supplied with 9.7 million vaccine doses and only 5.5 million Spaniards—or 11.7% of the population—had received at least one dose. In his April speech, Sánchez said deliveries in the second quarter would jump to 38 million doses, and set out a series of vaccination milestones.

Faced with a flood of vaccines, Spain’s regional health departments set up aggressive vaccination programs. In Barcelona, the Catalan government repurposed the Fira convention center and the Camp Nou stadium of FC Barcelona for mass vaccinations, while Madrid opened mass vaccination centers in the downtown WiZink concert hall and the Atlético de Madrid soccer stadium.

Last week, Madrid—a region known for its active nightlife and relatively early loosening of COVID restrictions—went further, opening a 24-hour mass vaccination center in an area hospital, which administered 827 doses the first night. And in the southern region of Andalucía, the regional government added another incentive, announcing that it would offer doses to tourists staying for more than a month.

While Spain fell some 570,000 short of its mid-June goal of 15 million fully immunized people, and by June 29 had only received 35.5 million of the 38 million doses expected in the second quarter, the aggressive vaccine rollout, aided by a low level of vaccine hesitancy—91% of Spaniards said they had received or would receive a vaccine, according to YouGov—had gotten 53.4% of the population, or 25.3 million, vaccinated with at least one dose.

“Vaccination in Spain has advanced well, according to an ambitious plan,” said Rafael Bengoa, a former WHO director and health minister of the Basque region, adding that Spain should have 70% of its adult population fully vaccinated by September.

Bengoa counseled caution, however, noting that infection rates are rising again after superspreader events among unvaccinated youth, such as massive end-of-school parties in Mallorca that left more than 1,200 people infected.

France

Facing widespread vaccine hesitancy among the French—and, like much of the European Union, a dire shortage of COVID-19 vaccines—President Emmanuel Macron chose such a cautious approach that the program virtually stalled on takeoff around Christmas last year.

Only the country’s 60,000 or so physicians were authorized to vaccinate people. And each jab required a consultation with a doctor about the possible risks, and after that, a signed consent form. “We are in Kafka territory here,” French economist Antoine Lévy told Fortune at the time.

Macron finally jettisoned his go-slow strategy after the second coronavirus wave sent new cases soaring in the spring, to more than 35,000 a day. He deployed firefighters to vaccinate people at their stations and turned the country’s national football stadium in Paris, which seats 81,000 people, into a mass vaccination site capable of jabbing thousands of people a day.

And on June 29 health officials erected a pop-up vaccination marquee in Paris’s huge Place de la République, specifically to vaccinate food-delivery gig workers, whose working hours made it difficult to get to vaccination sites. For many delivery workers, being able to cycle by for a vaccine without even locking up their bikes was too convenient an offer to pass up. “Since this is without an appointment, and I don’t work far from République, I came,” Guillaume Girard, who delivers for Uber Eats, told Le Figaro.

France is now vaccinating more than three times the percentage of people as the U.S., up to about 8.6 per 100 people over the past week, compared with the U.S. rate of about 2.5.

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