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    Saudi executions are glossed over for oil | Brief letters

    Saudi executions are glossed over for oilImproved human rights | A chant for Putin | Dame Caroline Haslett | Boycotting P&O During his trip to Saudi Arabia, Boris Johnson praised the country’s improved human rights record (Boris Johnson upbeat on Saudi oil supply as kingdom executes three more, 16 March). As only three men were executed during his visit there, compared with 81 at the weekend, is that what Johnson means by an improving human rights record?Jim KingBirmingham During the Vietnam war, when Lyndon B Johnson was US president, demonstrators chanted daily outside the White House: “Hey, hey, LBJ, how many kids did you kill today?” The same question would no doubt be asked of Putin by Russians (Survivors leaving basement of Mariupol theatre after airstrike, say officials, 17 March), if they did not live yet again under a repressive dictatorship.David WinnickLondon Alas, Dame Caroline Haslett can’t quite claim Haslett Avenue, Crawley, in the name of balancing up memorials to women (Letters, 17 March). Crawley Development Corporation declared the new road in the name of her father, Robert, a popular railwayman, rather than the electrifying dame herself.John CoobanCrawley, West Sussex Can you publish a list of all companies owned by P&O and its parent firm DP World, so that we consumers can ensure we never use them again (‘Scandalous betrayal’: MPs condemn P&O Ferries for mass sacking of 800 staff, 17 March)?Michael Griffith-JonesLondonTopicsSaudi ArabiaBrief lettersBoris JohnsonHuman rightsMohammed bin SalmanOilUS politicsVladimir PutinlettersReuse this content More

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    Test to Treat: pharmacists say Biden’s major new Covid initiative won’t work

    Test to Treat: pharmacists say Biden’s major new Covid initiative won’t workProgram to facilitate access to antivirals will have a limited impact because pharmacists are restricted from prescribing the pills A major new Biden administration initiative to facilitate access to Covid-19 antivirals will have a limited impact and fail to mitigate certain health inequities, major pharmacist groups argue, because pharmacists are restricted from prescribing the pills.Announced in Joe Biden’s State of the Union address, the “Test to Treat” program is meant to address the maddening difficulty Americans have had in accessing Covid-19 treatments. The administration will channel newly increasing stocks of antiviral pills to major retail pharmacies that have in-house clinics, providing one-stop testing and antivirals access.The program, which the administration aims to provide for free (in the face of fierce Republican opposition to new Covid-19 spending), is also slated to roll out in Veterans Affairs clinics, community health centers and long-term care facilities.Major participants include some 250 Walgreens stores, 225 Kroger Little Clinics and 1,200 CVS MinuteClinics. CVS clinics in particular are staffed by nurse practitioners and physician assistants, authorized by the Food and Drug Administration (FDA) to prescribe the two currently available Covid antivirals, Pfizer’s Paxlovid and Merck and Ridgeback Biotherapeutics’ molnupiravir.In a 9 March letter to Biden calling for pharmacists to be granted authority to prescribe these pills, 14 organizations representing pharmacies and pharmacists insisted Test to Treat’s impact will be compromised by the fact that such in-house clinics are relatively limited in number and largely in urban areas.“Unfortunately, rural and underserved communities are less likely to benefit from your test to treat approach because of this limitation,” the letter states.According to the Centers for Disease Control and Prevention (CDC), 90% of Americans live within five miles of one of approximately 60,000 pharmacies.“The FDA is still blocking us from leveraging the most accessible healthcare provider out there to make sure that these patients can get these drugs easily,” said Michael Ganio, a Columbus, Ohio pharmacist, senior director of pharmacy practice and quality at the American Society of Health-System Pharmacists, which is a signatory of the letter to Biden.“As far as expanding access,” said Ganio, Test to Treat is “not doing a lot”.The need for Covid-19 antivirals is likely to be greater in rural areas, at least on a per-capita basis. A recent CDC study found that through January, 58.5% of people aged five and older in rural counties had received at least one coronavirus vaccination shot, compared with 75.4% in urban counties.Paxlovid and molnupiravir are authorized for individuals at high risk of severe Covid-19, in particular unvaccinated people with certain medical conditions. Paxlovid was 88% effective at preventing hospitalization and death in its clinical trial. Molnupiravir proved just 30% effective. The FDA only authorizes its use when other treatments are unavailable or aren’t advised for an individual.Sufficient supply of Paxlovid will be key to Test to Treat. Since late December, the federal government has delivered a woefully inadequate 700,000 Paxlovid courses to states, the biweekly allotment increasing from 100,000 in January to 175,000 in March.The administration has claimed it will distribute 1m courses in March and 2.5m in April. A Pfizer representative would only state that the company plans to deliver a cumulative 10m courses by the end of June. The administration has agreed to purchase 20m courses, slated to be delivered by the end of September.In September 2021, the US Department of Health and Human Services amended a federal public health emergency law, the Prep Act, to grant licensed pharmacists the authority “to order and administer select Covid-19 therapeutics” – which at the time meant monoclonal antibodies and vaccines.But when the FDA authorized Paxlovid and molnupiravir in December, it explicitly restricted pharmacists from prescribing them.Authors of the letter to Biden say they submitted data to the FDA at the end of January, hoping to persuade it to grant pharmacists prescribing authority.These groups have also lobbied the federal government to ensure Medicare Part B would reimburse pharmacists for such prescribing – a move that would probably lead health insurers to follow.Prescribing Paxlovid safely can be challenging, because it may interact harmfully with other medications. Additionally, the FDA advises against providing the treatment to those with severe kidney or liver impairment. Experts have also raised concerns about molnupiravir’s potential toxicities. It cannot be prescribed to minors and is not advised for pregnant women.Chanapa Tantibanchachai, an FDA press officer, said the agency’s decision to forbid pharmacists from prescribing Paxlovid and molnupiravir “was based on several factors, including the drugs’ side-effect profiles, the need to assess potential for drug interactions, the need to assess potential kidney function problems (including the severity of potential problems), and the need to evaluate patients for pre-existing conditions” linked to severe Covid-19.Tantibanchachai said the FDA could revise the policy “as new data and information become available”.On 4 March, the American Medical Association said the “pharmacy based clinic component of the Test to Treat plan flaunts patient safety and risks significant negative health outcomes”. The AMA argued that by prescribing Covid antivirals at such clinics, providers may endanger patients for whom they lack a comprehensive medical history.The pharmacy groups insisted in their letter to Biden they have the expertise to prescribe these medications.In an email to the Guardian, Al Carter, executive director of the National Association of Boards of Pharmacy, stated: “Pharmacists have more complete access to the patients’ medication in comparison to physicians, especially since most patients have more than one prescriber, who don’t necessarily talk with each other.“Pharmacists spend their whole education focused on medications and their impacts on the body; whereas physicians take the minimal number of classes on pharmacology.”Katherine Yang, a clinical pharmacist at the University of California, San Francisco, said: “There are a lot of studies that show that when you increase services in community pharmacies, you improve care. In a lot of neighborhoods and rural areas, people may not have access to primary care, and pharmacists are the most accessible public health provider the patients can see.”TopicsCoronavirusBiden administrationUS domestic policyUS politicsPfizerPharmaceuticals industrynewsReuse this content More

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    How the US ban on Russian oil risks splitting the west’s response

    How the US ban on Russian oil risks splitting the west’s responseAnalysis: The lights will not be going out in America but the same cannot be said for the EU, given its energy dependence on Moscow

    Ukraine-Russia war – latest updates
    Joe Biden’s decision to ban imports of Russian oil increases the economic pressure on Vladimir Putin – but it is not without risk.On the face of it, the announcement from the White House looks like a bit of a free hit, given the fact that Russia accounts for just 7% of the oil imported by the world’s biggest economy. Three-fifths of Russia’s oil exports go to the EU, only 8% to the US.Even so, Biden is taking a gamble for three important reasons. The first is that a toughening up of sanctions has given another upward twist to oil prices. American motorists were already paying higher pump prices, even before the latest surge in the cost of Brent crude above $130 a barrel and, as the US president admitted, they will soon be paying even more.Oil prices are up by 70% since the start of the year and there is no sign of them coming down anytime soon. The Oslo-based consultancy Rystad Energy has predicted a complete ban on Russian oil and gas could send crude prices to $200 a barrel. The previous milestone was the $147-a-barrel peak reached in 2008.The second risk is that Biden’s action fractures the western coalition against Putin, which in the first two weeks of the conflict has been solid. While support from the UK (phased in by the end of the year) means the US is not going it alone with its ban, other European countries clearly have misgivings. That is hardly surprising, because the EU gets 40% of its gas and just over a quarter of its oil from Russia.European oil receipts boosting Putin’s war chest by $285m a day, study findsRead moreSo when Biden said the west remained united in its determination to keep the pressure on Russia, that is not strictly true. The EU, as the German chancellor, Olaf Scholz, made clear 24 hours before the US ban was announced, is worried about its energy security and has decided not to follow suit, for now at least. There is no risk of the lights going out in the US; the same could not be said of every country in Europe.This dependency on Russian energy creates a third risk, namely that Putin gets in his retaliation first by cutting off supplies. The EU has announced steps to reduce its dependency on Russian oil and gas, and the crisis could well have the effect of speeding up the transition from fossil fuels to clean energy, but in the short term the loss of such a big chunk of its energy supply would result in weaker growth and higher inflation.While high energy prices eventually prove self-correcting because they tend to lead to recessions, the damage they can cause is considerable. UK living standards are on course for their biggest one-year fall since modern records began in the mid-1950s, with the war in Ukraine putting at risk the post-pandemic recovery. All of which makes it important that sanctions work quickly. The longer the economic war, the higher the cost.TopicsOilGasCommoditiesUS politicsEuropean UnionEuropeRussiaanalysisReuse this content More

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    Tackling inflation is ‘top priority’, says Biden in State of the Union address

    Tackling inflation is ‘top priority’, says Biden in State of the Union addressPresident acknowledges ‘too many families are struggling’ as climbing prices hit him in polls Getting runaway prices in America under control is “my top priority” Joe Biden told Congress on Tuesday in his first State of the Union address.Soaring inflation – now at a 40-year high – has hurt Biden in the polls and the US president bluntly acknowledged “too many families are struggling to keep up with the bills. Inflation is robbing them of the gains they might otherwise feel”.Tell us: how are rising US prices changing the way you shop, work and live ?Read moreThe US has added 6.6m jobs since Biden took office and the unemployment rate has dropped to 4%, down from a pandemic high of 14.8% in April 2020. But soaring inflation has overshadowed his economic successes, rising at an annual rate of 7.5% over the year through January.Biden said he would cut energy costs, the price of prescription drugs, and childcare in the US while ​​increasing competition between companies and making sure “corporations and the wealthiest Americans start paying their fair share”.“Economists call it ‘increasing the productive capacity of our economy’. I call it building a better America,” said Biden.Biden’s plans face heavy headwinds. On Tuesday, oil prices spiked again, passing $100 a barrel again as the war in Ukraine escalated. The rise will further increase costs for US consumers who are already paying high prices at the pump due to Covid 19-related issues. The average gallon of gas in the US was $3.61 as of 1 March, compared with $2.72 a gallon one year ago.Many of Biden’s initiatives will also struggle to pass in a deeply divided Washington as the US heads into midterm elections this November, with polling suggesting Republicans could take control of Congress.TopicsJoe BidenInflationUS politicsEconomicsUS economyDemocratsnewsReuse this content More

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    Biden bans Russian aircraft in US airspace and vows to go after oligarchs

    Biden bans Russian aircraft in US airspace and vows to go after oligarchsBiden says DoJ taskforce will stop ‘crimes of Russian oligarchs’Moves will further isolate Vladimir Putin, president says Joe Biden announced on Tuesday night that the US is banning Russian aircraft from its airspace and pledged to go after Russian oligarchs in retaliation for the invasion of Ukraine.Biden said the moves would further isolate Vladimir Putin. “The Ruble has lost 30% of its value,” he said. “The Russian stock market has lost 40% of its value and trading remains suspended. Russia’s economy is reeling and Putin alone is to blame.”State of the Union: Joe Biden pledges to make Putin pay for Ukraine invasionRead moreBiden said the US Department of Justice was assembling a dedicated taskforce to go after “the crimes of Russian oligarchs. We are joining with our European allies to find and seize their yachts, their luxury apartments, their private jets. We are coming for their ill-begotten gains,” he said.The announcements are the latest in a series of sanctions against Russia and follows similar actions by Canada and the European Union this week.Biden offered an ominous warning that without consequences, Putin’s aggression wouldn’t be contained to Ukraine.“Throughout our history we’ve learned this lesson: when dictators do not pay a price for their aggression, they cause more chaos,” Biden said. “They keep moving. And, the costs and threats to America and the world keep rising.”On Sunday, the EU and Canada announced they were closing their airspace to Russian airlines and private planes owned by wealthy Russians.Russia’s largest airline, Aeroflot, on Monday said that it had suspended flights to New York, Washington, Miami and Los Angeles through Wednesday because of Canada’s decision.No US airlines fly to Russia, though a few flights to India pass through Russian airspace. American Airlines routes its lone flight between Delhi and New York to avoid Russian airspace. FedEx and UPS both fly over Russia, although they announced this weekend that they were suspending deliveries to that country.European airlines fly over Russia far more often than their US counterparts. Before the war, about 600 flights to or from Europe passed through Russian airspace, according to aviation data firm Cirium.Aviation experts say Russia derives a sizable amount of money from fees that it levies to use its airspace or land at its airports.The ban would come on top of a wide range of sanctions the US, Europe and other countries have imposed on Russia that are expected to hammer its economy including cutting off Russian banks from the Swift international banking system, preventing the Russian central bank from deploying its international reserves, and freezing the assets of people close to Putin.Wires contributed to this reportTopicsJoe BidenRussiaUkraineUS politicsEuropeAirline industrynewsReuse this content More

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    Shell cuts ties with Gazprom as Britain steps up sanctions on Russia over Ukraine invasion

    Shell ditched billions of pounds worth of investments in Russia on Monday and cut all ties with Gazprom as western allies announced fresh sanctions on Moscow.The UK oil giant said it also intends to end its involvement in the Nord Stream 2 pipeline as firms come under pressure to reconsider deals after Vladimir Putin launched a deadly invasion of Ukraine.“We are shocked by the loss of life in Ukraine, which we deplore, resulting from a senseless act of military aggression which threatens European security,” said Shell’s chief executive officer, Ben van Beurden.Liz Truss, the foreign secretary, said all Russian banks would be hit with a full asset freeze within days as she announced new powers to limit them clearing payments in sterling, which will initially target the nation’s largest bank, Sberbank.“With over 50 per cent of Russian trade denominated in dollars or sterling, our coordinated action with the United States will damage Russia’s ability to trade with the world,” she said.She also said full asset freezes would be imposed on the VEB, Sovcombank and Otkritie banks.The next steps include legislation to isolate Russian companies from access to UK capital markets, and a ban on exports to Russia in critical sectors. This includes “high-end technological equipment” – including marine and navigation equipment – which “will blunt Russia’s military industrial capabilities”.She admitted the export ban would hit British companies causing “some economic hardships”, but added: “Those hardships are nothing compared to the people of Ukraine.”Meanwhile, transport secretary Grant Shapps ordered UK ports to deny access to Russian flagged, registered or operated vessels.Shell said it had around $3bn (£2.2bn) of assets in its main ventures in Russia. They included a 27.5 per cent stake in the Sakhalin-2 joint venture, which operates a liquified natural gas facility. Gazprom owns 50 per cent of the venture, based on Sakhalin island in Russia’s far eastern boundary.“We cannot – and we will not – stand by,” Mr Van Beurden added. “Our immediate focus is the safety of our people in Ukraine and supporting our people in Russia.“In discussion with governments around the world, we will also work through the detailed business implications, including the importance of secure energy supplies to Europe and other markets, in compliance with relevant sanctions.” More

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    US fossil fuel industry leaps on Russia’s invasion of Ukraine to argue for more drilling

    US fossil fuel industry leaps on Russia’s invasion of Ukraine to argue for more drillingPetroleum lobby calls for looser regulation and drilling on public lands to ‘ensure energy security’ The US oil and gas industry is using Russia’s invasion of Ukraine to pressure the Biden administration to throw open more land and ocean for domestic drilling and to loosen regulations for large companies attempting to ramp up their fossil fuel extraction.Just hours before Russian troops began their unprovoked assault on Ukraine, the American Petroleum Institute (API) posted a string of tweets calling for the White House to “ensure energy security at home and abroad” by allowing more oil and gas drilling on public lands, extend drilling in US waters and slash regulations faced by fossil fuel firms.API, which represents oil giants including Exxon, Chevron and Shell, has called on Biden to allow an expansion of drilling and to drop regulations that impede new gas pipelines in order to help reduce fuel costs for Americans and support European countries that have seen gas costs spiral due to concerns over supply from Russia, which provides Europe with around a third of its gas.“At a time of geopolitical strife, America should deploy its ample energy abundance – not restrict it,” said Mike Sommers, the chief executive of API. Sommers added that Biden was “needlessly choking our own plentiful supply” of fossil fuels.Some leading Republicans have joined the calls. “No administration should defend a Russian pipeline instead of refilling ours,” Senator Lisa Murkowski, an Alaska Republican, told her state’s legislature this week. “Every day, I remind the Biden administration of the immense benefits of Alaska production, energy and minerals alike, and every day I remind them that refusing to permit those activities can have harmful consequences.”Environmental groups were quick to criticize the renewed push for more drilling, accusing proponents of cynically using the deadly Ukrainian crisis to benefit large corporations and worsen the climate crisis.“Expanding oil and gas production now would do nothing to impact short term prices and would only accelerate the climate crisis, which already poses a major threat to our national security,” said Lena Moffitt, chief of staff at Evergreen Action, a climate group. “We stand in solidarity with the people of Ukraine, and stand opposed to actions by leaders of the fossil fuel industry that attempt to profit off of these harrowing atrocities.”Russia has faced a barrage of sanctions from the US and the European Union, although the western allies have so far largely steered clear of targeting the country’s vast oil and gas industry. Biden has said the sanctions will “end up costing Russia dearly, economically and strategically” but has not applied punitive measures to Rosneft, Russia’s state-owned oil company.The US president faces the opposing pressures of dealing with the climate crisis while avoiding the political headache of rising gasoline prices for American drivers. On Thursday, the price of a barrel of crude oil rose to more than $100 on the global market for the first time since 2014, amid fears over Russia’s supply.A group of 10 congressional Democrats wrote to Biden on Thursday to urge the president to release more oil from the US’s strategic petroleum reserve in order to lower fuel costs for consumers in the short term. “We know that in the long-term, eliminating US dependence on oil will provide the stability we need to keep energy costs low for American households,” the lawmakers acknowledged.The European bloc is thrashing out a plan for a long-term shift away from dependence on the fluctuating fossil fuel markets, with Ursula von der Leyen, president of the European Commission, outlining the need for “strategic independence on energy”. Europe is “doubling down on renewables”, she added.The Ukraine crisis could prove to be a “turning point” in global energy consumption, said Fatih Birol, executive director of the International Energy Agency. “There will be a transition to clean energy… it will be a difficult one, but I believe the governments will have to manage a transition if we want a planet that is safe and clean in the future,” he said.The development of solar and wind power has grown strongly in the US in recent years, although fossil fuels still account for about 80% of domestic energy consumption. Scientists have warned that emissions from the burning of coal, oil and gas must be rapidly and drastically slashed if the world is to avoid catastrophic climate impacts such as heatwaves, floods, food insecurity and societal unrest.“Clean energy is affordable and reliable; we can’t afford to wait any longer to free ourselves from the volatility of the fossil fuel market and the dictators and violence it enables,” said Moffitt.TopicsUkraineOilEuropeUS politicsBiden administrationFossil fuelsReuse this content More