World Bank Approves $12B to Finance Virus Vaccines, Care | Business News

The World Bank has approved $12 billion in financing to help developing countries buy and distribute coronavirus vaccines, tests, and treatments, aiming to support the vaccination of up to 1 billion people.

The $12 billion “envelop” is part of a wider World Bank Group package of up to $160 billion to help developing countries fight the COVID-19 pandemic, the bank said in a statement late Tuesday.

The World Bank said its COVID-19 emergency response programs are already reaching 111 countries.

Citizens in developing countries also need access to safe and effective COVID-19 vaccines, it said.

“We are extending and expanding our fast-track approach to address the COVID emergency so that developing countries have fair and equal access to vaccines,” said the bank’s president, David Malpass, said in the statement.

“Access to safe and effective vaccines and strengthened delivery systems is key to alter the course of the pandemic and help countries experiencing catastrophic economic and fiscal impacts move toward a resilient recovery,” he said.

The International Finance Corporation, the private sector lending arm of the World Bank is investing in vaccine manufacturers through a $4 billion Global Health Platform, the statement said.

Development and deployment of vaccines is crucial to helping stem outbreaks of the coronavirus that has killed more than 1 million people and sickened more than 38 million, while devastating economies and leaving many millions jobless.

The World Bank said it will draw on expertise and experience from its involvement in many large-scale immunization programs and other public health efforts.

The funding is meant to also help countries access tests and treatments and to support management of supply chains and other logistics for vaccinations in developing countries, the bank said.

Copyright 2020 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Van Nuys dentist says nearby homeless encampments may force her out of business

VAN NUYS, LOS ANGELES (KABC) — Dr. Elizabeth Rojas says she wanted to invest in her community, but she says nearby homeless encampments may force her out of business and she fears her dream is now shattered.

“It’s just become a scary situation,” says Rojas.

She set up a dentistry office in Van Nuys where she grew up. She says the area is now surrounded by homeless encampments and it is not safe.

“They’re defecating, urinating but now it’s just become violent, it’s constant, they’re always fighting — they have machetes, they have knives, they have hammers,” Rojas says.

She says her security camera have caught people naked on the street, others armed with knives or screwdrivers, and two men breaking into her building. There is video of two people attacking someone on the ground.

“They’re fighting over ‘get my knife, she stole my drugs’ and they’re just attacking each other,” says Rojas.

This area is in the district of L.A. City Council President Nury Martínez.

“The County and our service agencies need to step up and address the severe mental health and addiction crisis on the streets,” she said in a statement.

The county says it can’t do it alone.

“Effectively addressing homelessness requires a complex interaction of many entities and, when we are successful, it is because willing partners have worked collaboratively to help people move from homelessness to housing,” Supervisor Sheila Kuehl told Eyewitness News.

The mayors office was direct saying, “No one should have to live in fear of violence, and Mayor Garcetti has been clear with the LAPD that while we should never criminalize homelessness, illegal behavior will not be tolerated on our streets.”

Rojas says she has called the city asking for help and despite what officials say nothing has changed. She feels it’s gotten worse. The city opened up a Bridge shelter facility just a few blocks away, but Rojas says the people on the streets won’t go there.

“I am empathetic to them, I see homeless shelters come out all the time and offer them services and they don’t want it. I don’t know what to do. Why should we bear the burden of having to see them do drugs in plain sight?” asks Rojas.

Rojas says she’s actually considering if it’s perhaps time to give up and get out

“We employ 10 assistants, hygienists, two other doctors. I’m at the point where I ask myself, should I leave? Should I just sell and get out of here?” I don’t know,” she says. “Take a loss and leave?

Copyright © 2020 KABC-TV. All Rights Reserved.

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Six iCoreConnect Products Selected for the Missouri Dental Association Perks Dentist Business Ally Program

Windermere, FL – ( NewMediaWire ) – October 07, 2020 – iCoreConnect, Inc. (OTCQB: ICCT) announces the Missouri Dental Association’s (MDA) acceptance of six iCoreConnect SaaS products into the association’s Perks Dentist Business Ally Program: iCoreRx, iCoreExchange, iCoreDental, iCoreHuddle, iCoreIT, iCoreCodeGenius.

The MDA is a non-profit, professional organization with more than 2,000 members statewide, representing all areas of dentistry. “These six, interconnected products set up dental practices to increase operational speed, gather in-depth analytics for business growth and incorporate managed IT services specific to the dental industry,” explains iCoreConnect President and CEO Robert McDermott.

Members and consumers call on the Missouri Dental Association because they need help finding a resource for a specific situation. “We initially looked at iCoreRx for its integrated e-Prescribing functionality,” states MDA Treasurer Dr. Jon Copeland, DDS. “Once we understood the depth of services offered by iCoreConnect, we wanted to expand the offerings to make each of these resources accessible to our members.”

The MDA Perks Program Dentist Business Ally partnership includes:

–       iCoreRx: Electronic prescribing software

–       iCoreExchange: HIPAA-compliant email 

–       iCoreDental: Practice management system 

–       iCoreHuddle: Practice revenue optimizer

–       iCoreIT: Managed IT services

–       iCoreCodeGenius: Dental medical cross-coding 

iCoreConnect’s entire platform of enterprise software solutions are cloud-based, designed to solve specific business problems and drive revenue. iCoreConnect builds and improves all of its software based on the feedback of currently-engaged healthcare providers. 

iCoreConnect recognitions include:

– Top 25 IoT Solution Providers 2019 by CIO Applications Magazine

– Top 10 Encryption Solution Providers 2018 by Enterprise Security Magazine

– Top 10 Dental Solutions 2018 by Healthcare Tech Outlook

– Top 50 Products of 2017 by Dental Products Report Magazine

iCoreConnect’s unequivocal commitment responding to the market has resulted in agreements with the following organizations:

–       Colorado Dental Association (iCoreExchange)

–       Florida Dental Association Crown Services (iCoreExchange, iCoreDental)

–       Georgia Dental Association (iCoreExchange)

–       Louisiana Dental Association (iCoreExchange)

–       Maine Medical Association (iCoreExchange, iCoreMD)

–       Michigan Dental Association (iCoreExchange, iCoreRx)

–       Mississippi Dental Association (iCoreRx)

–       Missouri Dental Association (iCoreRx, iCoreExchange, iCoreDental, iCoreHuddle, iCoreIT, iCoreCodeGenius)

–       Montana Dental Association (iCoreRx, iCoreDental, iCoreExchange, iCoreHuddle)

–       New Orleans Dental Association (iCoreDental)

–       New York State Dental Association (iCoreExchange)

–       North Carolina Dental Society (iCoreRx, iCoreExchange)

–       Oklahoma Dental Association (iCoreRx)

–       Oregon Dental Association (iCoreRx)

–       South Carolina Dental Association (iCoreExchange, iCoreRx)

–       StartUp Health (iCoreExchange, iCoreMD, iCoreDental, iCoreCodeGenius, iCoreHuddle, iCoreFlex, iCoreRx, iCoreIT)

–       Texas Dental Association Perks Program (iCoreExchange, iCoreDental, iCoreHuddle, iCoreRx)

–       Virginia Dental Association/VDA Services (iCoreExchange, iCoreRx)

–       Wyoming Medical Society (iCoreExchange, iCoreMD, iCoreCodeGenius)

About iCoreConnect

iCoreConnect is a cloud-based software and technology company focused on increasing profit and operational speed in high-compliance industries. iCoreConnect is most notably known for its innovation in solving healthcare business problems. The company’s philosophy is built on a high level of customer feedback, allowing iCoreConnect to respond to the market’s needs. iCoreConnect touts a platform of more than a dozen SaaS enterprise solutions and more than 40 agreements with state or regional healthcare associations. iCoreConnect is a member

Coronavirus taking toll on small fitness centers | Business

NEW YORK – There’s little evidence of Americans’ passion for fitness at the tens of thousands of small and independent gyms around the country.

Gyms, health clubs and workout studios began reopening in late spring following government-ordered shutdowns aimed at halting the coronavirus spread. But most are only allowed to have a fraction of their regular clientele onsite at one time. And some clients are staying away for fear of catching the virus.

The International Health Racquet & Sportsclub Association, an industry group, estimates that gyms, health and fitness clubs lost an aggregate $13.9 billion during shutdowns as of Aug. 31. The group warns that without government help, at least a quarter could close by Dec. 31 as limits on indoor workouts continue.

Michael Hanover is lucky if he gets 45 client hours a week in his Northbrook, Illinois gym, Fitness Hero Wellness Center, down from his usual 60. He sometimes opens at 5 a.m. or stays late at night to get those hours; many clients are too uneasy to come in when other people are there.

“We don’t have people pounding on the door trying to get in,” Hanover says.

In Illinois, gyms can operate at 50% of capacity, leaving Hanover with no more than 10 people onsite at any time. He feels small gyms have been lumped in unfairly with big fitness chains where there might be hundreds of people exercising at once and coming into contact with one another. He’d like to be able to bring in more clients.

Hanover’s big worry: A surge in cases that might prompt officials to force gyms to go back to holding only outdoor classes and one-on-one training sessions indoors.

“It will be devastating and most likely, the end of Fitness Hero Wellness Center,” Hanover says.

Over 80% of the 40,000 to 50,000 health and fitness clubs in the U.S. are small businesses, according to the Health Racquet & Sportsclub Association. Whether yoga studios or fully equipped gyms, these businesses provide a livelihood to their owners. Last year, the overall industry employed 3 million trainers, instructors and other workers.

In a thriving fitness center or small gym, people run on treadmills or pedal stationary bikes nearly side by side, exercise classes are crowded and trainers work with clients just inches or a few feet apart. Following a good exercise, people tend to breathe more frequently and harder.

When it comes to the coronavirus, all those scenarios concern health officials because they can increase the spread of the respiratory droplets that carry the virus.

To allay those fears, owners follow Centers for Disease Control and Prevention guidelines calling for bikes and treadmills to be spaced farther apart or unplugged so some can’t be used. Equipment is disinfected after each use. Masks are required.

Owners are also installing ventilation equipment to lessen the chances of breathing in concentrated amounts of coronavirus germs. But these procedures don’t reassure many people who used to work out several times a week.

Vincent Miceli, owner of Body

Arizona mask mandates, business closures slowed spread of COVID-19, CDC says

Oct. 6 (UPI) — Local mask mandates, restrictions on public events, and closing bars, gyms, movie theaters and restaurants in mid-June slowed a surge in COVID-19 cases in Arizona that began earlier that month, according to data released Tuesday by the U.S. Centers for Disease Control and Prevention.

By Aug. 7, less than two months after the measures were implemented, daily rates of new cases in the state had dropped by 75%, the agency said.

“The primary goal of implementing widespread enhanced mitigation measures in Arizona was to protect and save lives and maintain capacity in the healthcare system,” CDC researchers wrote. “A combination of voluntary and enforceable measures is more effective than any single measure.

Between June 1 and 15, the number of daily confirmed cases of COVID-19 increased 151%, from 808 on the first of the month to 2,026 two weeks later, according to the CDC.

State officials had lifted statewide “stay-at-home” orders designed to encourage social distancing and limited the spread of the virus June 1, the agency said.

With the rise in confirmed cases that occurred after the orders were lifted, city, county and state officials began to implement measures to reverse the trend.

Among them: mandates requiring the wearing of face coverings in public places and closing businesses considered to be at high risk for COVID-19 spread, including bars and gyms.

In some cities, members of the public and businesses that failed to comply with the mandates faced fines and, in the case of businesses that failed to enforce the rules among customers, loss of operating licenses.

Although controversial, the measures eventually succeeded in reducing daily case counts in the state. Daily COVID-19 cases peaked at 4,160 in Arizona on July 12, but declined to 867 by Aug. 7, or just above where they were when stay-at-home orders were in place.

“The number of COVID-19 cases stabilized and began to decrease approximately two weeks after local officials began mandating mask wearing,” the CDC researchers wrote.

Decreases were seen in daily case numbers after mitigation measures were put in place, including limiting large gatherings, pausing operations at some businesses, mandating and enforcing mask wearing, and promoting voluntary resident actions for both staying home and wearing masks, they said.

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Gnosis by Lesaffre Fully Merges Human Health Capabilities, Unveils New Business Strategy

The business unit uses microorganisms to create solutions for human health and wellbeing

Gnosis by Lesaffre is striving to create a world that moves better, digests better, ages better, feels better, and, ultimately, lives better thanks to microorganisms and biotransformation. Earlier this month, Gnosis by Lesaffre unveiled its new, fully integrated brand and business strategy to help make this vision a reality.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20201006005855/en/

Gnosis by Lesaffre, a business unit of the Lesaffre Group, is unveiling its new, fully integrated brand and business strategy to the dietary supplement, functional food and beverage, and pharmaceutical industries. (Graphic: Business Wire)

Gnosis by Lesaffre, a business unit of the Lesaffre Group, harnesses the power of microorganisms and biotransformation processes like fermentation to cultivate nutritional actives, probiotics, and nutritional and functional yeasts that benefit human health and wellbeing. The business unit collaborates with dietary supplement, functional food and beverage, and pharmaceutical brands to develop game-changing products for their customers.

“The term ‘biotransformation’ may be unfamiliar to some in the industry, but it refers to fermentation and other natural processing methods that involve transforming compounds within a living system,” General Manager Marc Philouze said. “It describes exactly what we do. We use living microorganisms to transform compounds into usable nutritional actives.”

The business unit draws on its focused research and applications capabilities, rigorous quality and regulatory compliance, and extensive clinical validation procedures to develop effective solutions for its key markets: Wellness & Immune Health, Digestion & Gut Health, Mobility & Joint Health, Reproduction & Women’s Health, and Mood & Cognitive Health.

“In the past, we have focused solely on building awareness for our renowned ingredients, such as Quatrefolic® and Lynside® nutritional yeasts,” Global Marketing Director Philippe Caillat said. “At the same time, we have been building our expertise and market leadership for our key market segments, so we are proud to bring those to the forefront of our brand strategy.”

Within its market segments, Gnosis by Lesaffre has developed a portfolio of solutions that improve health and wellbeing throughout the entire body:

  • Wellness & Immune Health: Immunity, Daily Nutrition, Cardiovascular Health, Beauty, and General Wellbeing

  • Digestion & Gut Health: Microbiome Balance, Digestive Comfort, and Liver Health Support

  • Mobility & Joint Health: Bone Health, Joint Health, Muscle Health, and Sports Nutrition

  • Reproduction & Women’s Health: Vaginal Care, Urinary Health, Fertility, Pregnancy, and Menopause

  • Mood & Cognitive Health: Mood Health, Cognition, and Stress & Anxiety

The Lesaffre Group entered the human health market in 2007 with the establishment of Lesaffre Human Care, which quickly became a world expert in fermentation dedicated to the human nutrition and health market. Over the following decade, the Lesaffre Group integrated several leaders in human health, including Gnosis Advanced Biotech, Omniabios, and invested in Envera and Intralytix.

“We’ve brought together leaders in human health and nutrition from around the world to form the now fully integrated Gnosis by Lesaffre,” Philouze said. “We’re committed to always exploring the potential of biotransformation, which

Huge Questions for UK Govt After Spike in Virus Cases | Business News

By PAN PYLAS`, Associated Press

LONDON (AP) — The British government faced huge questions Monday over its coronavirus testing system after a tripling in the number of daily positive cases over the weekend that was blamed on a technical glitch.

Health Secretary Matt Hancock is due to make a statement to lawmakers later Monday after the opposition Labour Party asked the government to explain why the cases were not tabulated when they should have been.

The latest problems to afflict the U.K.’s test and trace program emerged over the weekend when public health officials revealed that a total of 15,841 virus cases weren’t tabulated from Sept. 25 to Oct. 2. The government said the “technical issue” was discovered Friday night and has now been resolved.

The unreported cases were added to the government’s daily new infections total over the weekend, boosting Saturday’s number to 12,872 cases and Sunday’s to 22,961. Before that, there had been signs that the number of new infections had been leveling off around the 7,000 a day mark, which Britain hit the preceding four days.

While all of those who tested positive were informed of the results, Public Health England said their contacts had not been traced.

For the test-and-trace program to work well, contacts should be notified within 48 hours. So authorities’ failure to inform people potentially exposed to the virus could lead to many more positive cases and the need for the government to impose further unwanted restrictions on everyday life.

Jonathan Ashworth, Labour’s spokesman on health issues, described the error as “shambolic’’ and said the public “will be understandably alarmed.’’

He said Hancock should tell lawmakers “what on Earth has happened, what impact it has had on our ability to contain this virus and what he plans to do to fix test and trace.”

The reporting error is just the latest problem with Britain’s test and trace system, which is seen as crucial to slowing the spread of COVID-19 and reducing the need for further limits on social interaction. Lawmakers from all parties have previously criticized Prime Minister Boris Johnson’s Conservative government for a shortage of testing capacity and delays in notifying people of their test results.

Paul Hunter, a professor in medicine at the University of East Anglia, said the news about the glitch is “very disappointing.”

“For the test, track and trace system to have a real impact on reducing transmission of COVID-19, it is essential that test results are communicated rapidly,” he said.

Like other countries in Europe, the U.K. has seen rising coronavirus infections over the past few weeks, which has prompted the government to announce a series of restrictions, both nationally and locally, to keep a lid on infections. They are largely centered on limiting the number of people allowed to gather together and putting a curfew on pubs in order to suppress the virus.

The U.K. has Europe’s highest virus-related death toll at more than 42,400. The government’s chief scientific advisers warned two weeks ago that the

Wisconsin business groups sue to keep COVID lists secret

MADISON, Wis. (AP) — Three business groups filed a lawsuit Thursday seeking to block Gov. Tony Evers’ administration from releasing the names of more than 1,000 businesses with employees who have tested positive for COVID-19, saying the release would blacklist those operations as the disease surges across the state.

Wisconsin Manufacturers and Commerce along with the Muskego and New Berlin chambers of commerce filed the lawsuit in Waukesha County, a Republican stronghold. They allege that Evers is preparing to release on Friday a list of more than 1,000 businesses that have had two or more employees test positive in response to media requests.

They argue that the data is extrapolated from the employees’ medical records, which are considered private under state law. Releasing the information would violate the employees’ privacy and ruin the businesses’ reputations, the groups contend.

The lawsuit seeks an injunction blocking the release and unspecified damages.


Evers, a Democrat, told reporters during a teleconference Thursday afternoon that he hadn’t seen the lawsuit and couldn’t comment on it. However, he said the administration is trying to satisfy requests for information under Wisconsin’s open records law.

“We’re not going to be putting these lists of businesses on our website,” Evers aid. “We’ve been asked by media for lists of businesses under investigation. Our lawyers have worked on that and it its a legitimate release that we’ll be doing. We have an obligation to the public to obey the law in that area.”

The dust-up comes as COVID-19 is tearing unchecked across the state, leading to a record number of deaths and patients jamming hospitals.

State health officials reported 27 deaths on Wednesday, a new daily record. On Thursday, they reported 2,887 newly confirmed cases, another record. The state has now seen 125,161 cases and 1,348 deaths since the pandemic began. It now ranks third in the nation for per-capita increases in cases over the last two weeks.

Nearly 700 people are currently hospitalized with the disease. According to state health officials, only 17% of hospital beds were available as of Thursday afternoon.

Kelly McBride Moore, a spokeswoman for Green Bay-based Bellin Health, said over the last week their emergency department has seen so many patients that at times nurses had to place them in beds on hallways.

Matt Heywood, president and CEO of Wausau-based Aspirus Health Care, said his system was averaging about 10 COVID-19 patients a day until about three weeks ago, when the average jumped to 47. As of Thursday, 61 of the system’s 345 total patients had the disease, he said, making it more difficult to move patients between facilities because beds aren’t available.

Dr. Emron Andrandi, president and CEO of Appleton-based ThedaCare, said the number of COVID-19 patients in his hospital has grown from 13 a month ago to 64 on Thursday. He added that 250 employees didn’t show up for work Thursday because they may have been exposed to the disease in the community.

Evers issued an executive order Thursday allowing health care workers

Orange Business Services Gains Ground in e-health and Consolidates Healthcare Activities Within Enovacom Subsidiary

  • Enovacom will consolidate and develop the Orange Business Services Healthcare division from October 1, 2020

  • The ambition of Orange Business Services, through Enovacom, is to become one of the leaders in digital Health in France

The healthcare sector is a key focus of Orange’s 2025 strategic plan. As part of this, Orange Business Services is reorganizing its healthcare entities, Enovacom and Orange Healthcare, to fully meet the needs of the players in this sector, which is currently undergoing a digital transformation, both in France and abroad.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20201001005451/en/

Enovacom and Orange Healthcare, to fully meet the needs of the players in the health sector, which is currently undergoing a digital transformation (Photo: Orange Business Services)

As of today, Orange Healthcare B2B activities have been transferred to Enovacom. With a team of 250 people, this unique hub will boost synergies and support the digital shift in healthcare. With headquarters in Marseille, the integrated team also supports the Group’s commitment to reinforce its strategic activities in local regions, as close as possible to local players and talent. This transformation is being complemented by an ambitious recruitment plan.

Orange Business Services understands the need to gain momentum in the healthcare sector. Thanks to this integration, Enovacom—which is already a leader in terms of interoperability in France—will see its expertise enhanced and expand its portfolio to offer tailored solutions for all healthcare players. Enovacom will be able to take advantage of the strengths of the Orange Group to face the many healthcare challenges ahead and take part in larger scale projects. Enovacom has all the attributes required to become a leader in e-health in France,” says Pierre-Louis Biaggi, Senior Vice President, Digital and Data, Orange Business Services and CEO of Enovacom.

A new page of Enovacom’s history is being written. By focusing on the healthcare ambitions of the Digital and Data unit of Orange Business Services from now on, we are taking on a new dimension. Now more than ever we need to work alongside those who care for us in order to improve medical devices. The support and expertise of Orange Business Services will help solidify the foundations of Enovacom solutions. Our commitment at present is to develop new products to meet the current and future needs of our 1,600 customers,” adds Laurent Frigara, Deputy CEO of Enovacom.

Within the Digital and Data business unit, Enovacom will be led by Laurent Frigara and Renaud Luparia — Co-founders and current Deputy CEOs. The organization, whose 250 employees are spread across Marseille, Paris, London and Montreal, hosts the Healthcare activities of Orange Business Services, structured around three main Departments:

The Operations and Transformation Department under the leadership of Eric Pieuchot. This department will ensure the deployment and operation of services to customers while ensuring the compliance of processes and the security of operations related to ISO-27001- and HDS-certified Data Hosting activities.
The Business Department, in particular

Push to Bring Coronavirus Vaccines to the Poor Faces Trouble | Business News

By MARIA CHENG and LORI HINNANT, Associated Press

LONDON (AP) — An ambitious humanitarian project to deliver coronavirus vaccines to the world’s poorest people is facing potential shortages of money, cargo planes, refrigeration and vaccines themselves — and running into skepticism even from some of those it’s intended to help most.

In one of the biggest obstacles, rich countries have locked up most of the world’s potential vaccine supply through 2021, and the U.S. and others have refused to join the project, called Covax.

“The supply of vaccines is not going to be there in the near term, and the money also isn’t there,” warned Rohit Malpani, a public health consultant who previously worked for Doctors Without Borders.

Covax was conceived as a way of giving countries access to coronavirus vaccines regardless of their wealth.

It is being led by the World Health Organization, a U.N. agency; Gavi, a public-private alliance, funded in part by the Bill & Melinda Gates Foundation, which buys immunizations for 60% of the world’s children; and the Coalition for Epidemic Preparedness Innovations, or CEPI, another Gates-supported public-private collaboration.

Covax’s aim is to buy 2 billion doses by the end of 2021, though it isn’t yet clear whether the successful vaccine will require one dose or two for the world’s 7.8 billion people. Countries taking part in the project can either buy vaccines from Covax or get them for free, if needed.

One early problem that emerged: Some of the world’s wealthiest nations negotiated their own deals directly with drug companies, meaning they don’t need to participate in the endeavor at all. China, France, Germany, Russia and the U.S. don’t intend to join.

And so many rich countries bought vaccines from manufacturers — before the shots have even been approved — that they have already snapped up the majority of the vaccine supply for 2021.

The European Union has contributed 400 million euros ($469 million) to support Covax, but the 27-country bloc won’t use Covax to buy vaccines, in what some see as a vote of no-confidence in the project’s ability to deliver. Instead, the EU has signed its own deals to buy more than 1 billion doses, depriving Covax of the bulk negotiating power of buying shots for the continent.

Gavi, WHO and CEPI announced in September that countries representing two-thirds of the world’s population had joined Covax, but they acknowledged they still need about $400 million more from governments or elsewhere. Without it, according to internal documents seen by The Associated Press before the organization’s board meeting this week, Gavi can’t sign agreements to buy vaccines.

Covax did reach a major agreement this week for 200 million doses from the Indian vaccine maker Serum Institute, though the company made clear that a large portion of those will go to people in India.

By the end of next year, Gavi estimates, the project will need $5 billion more.

Covax said negotiations to secure vaccines are moving forward despite the lack of funds.

“We are working