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and he will be introduced by father carlos de rosario padre calloway good morning your excellencies our resource speaker is a filipino-american molecular biologist and a dominican priest he was born on november 1 1968 he attended the university of pennsylvania where he earned a bachelor of science engineering summa laude in 1989 in 1997 after a brief fellowship at the ludwig institute of cancer research at the university college of london he entered the order of prior scriptures and was ordained a priest for the province of saint joseph in the united states he has two doctorates one in molecular biology from the massachusetts institute of technology and one in moral theology from the university of fiber in switzerland he is an associate professor of biology and professor of theology at providence college rhode island he is also the founder and chief researcher at the astriatico laboratory majority of his work focuses on the development of stem cells cell apoptosis and the role of science in religions father astriatico is currently a visiting professor of biological sciences at the university of santo tomas manila last year 2020 father nicholar has started to bring his molecular biology expertise into the fight against kobit 19 with a project on yeast based oral vaccine for filipinos as a fellow of the octa research team he is very much involved in pandemic management for the philippines let good morning excellencies from the united states i actually arrived here just two nights ago i will be here for one month uh working in my laboratory before i return to the philippines so uh can can i either share my screen or let me see if i can or have my screen shared let me see very good so so i have prepared a 10-minute presentation on the science and ethics of the kovit 19 vaccines at this after the presentation i will be very happy uh to answer any questions you may have on the covet 19 vaccines or on covet 19 as an infection with a special emphasis in the philippines so my presentation is going to be divided into three parts first i would like to to uh inform you on how the kovid 19 vaccines actually work because it's really important that you understand why vaccines do what they do we will then discuss the kovid 19 vaccines that will be available in the philippines both with a special emphasis on the moral dimension the moral dimension of some of these vaccines i will then conclude with a discussion of a timeline for the kovit 19 vaccine arrival in the country i currently serve on two vaccine procurement and deployment task forces one for the sit for quezon city the largest city in the country and second for the city of las pinas where my mother actually works so hopefully i will be able to help you to understand the challenges and struggles that we will have over the next year as we attempt to vaccinate the filipino people so this is an image of sars kovitu which is the virus that is responsible for covid19 and i show it to you because we are going to refer back to this picture several times during this presentation so we'll begin by talking about the covid19 vaccines and how they work so the key take home message here is that antibodies destroy sarskovitu and the reason why the pandemic has been so devastating around the world so as of yesterday 100 million people have been infected with sarskovitu in the in less than a year uh and the reason why we are so vulnerable to covet 19 is because no one has any antibodies against sarsko v2 and so the goal of the vaccines is to help our bodies to make these antibodies that will destroy sars kobe 2 and this is a picture a very famous picture this is helen keenan she is 91 years old and she is the first person to be vaccinated against uh govid19 in the uk she was vaccinated in the middle of december and what people may not realize is that the nurse who vaccinated her is actually a filipina who had been serving in the national health service of the united kingdom for 25 years so returning back now to the picture of the sarskov2 virus what i would like to point out to you and it's encircled in red is um what is called the spike protein and the spike protein is a bump on the surface of the virus so if you took your hand and you touched the skin of the virus what you would see on the surface of the virus is about 75 of these spike proteins and the spike protein is used by the virus as a key to enter each one of our cells it is also the part of the virus that is being used to generate the vaccines that we are currently deploying around the world and so there are several kinds of vaccines that are being deployed but the major idea behind these vaccines is we take the spike protein that covers the surface of the virus and we inject that into your body or we inject the information that will allow your body to make just that protein so there is no living virus that is injected directly into you if they do that and the chinese vaccines have that approach the virus has been killed before it is injected into your body so which vaccines will be available in the philippines i would like to begin by just pointing out a very important ethical consideration so this is a picture of hec293 cells and these are the cells that were obtained from the remains of an aborted female fetus in 1972 in the netherlands so these are the cells that remain so there's there is no part of the fetal body other than cells that were descended from um fragments of this a child's kidneys and what is important to know is that some of the vaccines were made using these cells and i wanted you to see the cells because so many people imagine that what you are dealing with here are parts uh visible parts of a fetal body and some people i know have asked me whether or not there are baby parts actually inside the virus and one of the things i want to show you is that these are the cells that were used to make the vaccine but none of these cells are actually injected into you they were used during manufacture but they are destroyed in the process of making the vaccine and i'm going to indicate vaccines that were made with these aborted cell lines these aborted cells with this icon this orange icon of an unborn baby human fetus now uh in terms of the church's uh teaching on this the congregation for the doctrine of the faith released a note on december 21st and i am quoting this text here for your reference um and basically what the most important part is the part in red so the holy see has said the following it must therefore be considered that in such a case all vaccinations recognize as clinically safe and effective can be used in good conscience with a certain knowledge that the use of such vector vaccines does not constitute formal cooperation with the abortion from which the cells use in the production of the vaccines derives so i would i'm going to simply end here and i can discuss this document from the cdf with you further during the question and answer session however when i teach this in my class so i'm a moral theologian so i teach classes in moral theology when people talk about formal cooperation or formal appropriation with evil acts in the past i point out that roman roads were constructed by slaves many thousands of years ago and i asked the question may a virtuous tourist may a catholic bishop walk on these roads that were constructed by slaves 2 000 years ago without implicating themselves in slavery and we understand today that because the event happened 2000 years ago and that that we are morally distant from the slavery that was used to construct these roads and so we do not have moral problems with catholic bishops or catholic people walking on the streets of rome it would be different if our walking on these streets led to future acts of slavery and so what the church has determined and moral theologians are in agreement is that because the abortion happened in the past and the use of vaccines for reasons i can explain during the question and answer will not lead to future abortions then we may avail ourselves of these vaccines for grave reasons including and especially ending the pandemic in the same way that we can walk on roman roads that were constructed by slaves uh thousands of years ago so returning now to the vaccines for the philippines this is a map that i obtained online that will identify the vaccines that we are expected to receive in the philippines i'm going to divide them into three categories so the first category are the vaccines we will expect to receive from the west so correct right now we have moderna and pfizer and astrazeneca so these are the three vaccines more about them shortly but these are the three vaccines that have currently been approved for distribution around the world from the west we also have the gamalia vaccine from russia and then we have two vaccines that have been improved by different countries sign of and sign a farm from china so these are the major categories and i would like to go over each one of them now so these are this is a chart to compare the different vaccines these are the vaccines produced in the west and the following slide will add the information from the chinese vaccines so what you will see here are the first two that were approved were boderna and pfizer they're about 95 effective uh and they have to be given in two doses separated by either three weeks or four weeks now the challenge of these vaccines in the philippines is especially that the pfizer vaccine must be transported and stored at minus 70 degrees celsius this is colder than the temperature in antarctica and so in the philippines we do not have sufficient freezers and refrigerators to store these vaccines the pfizer vaccine now but during a vaccine can be kept in a regular freezer for ice cream or for frozen meat for uh up to six months uh we then have the astrazeneca vaccine and the russian gamalia both of these can be kept at the regular fridge temperatures but both of these were made using uh fetal cell lines from the aborted from the abortion in 1972. with regards to uh effectiveness or efficacy you can see that moderna pfizer and the russian vaccines are relatively good the astrazeneca ranges from 60 to 90 percent the standard approved protocols in the united kingdom is 62 is what we would be expected to use here in the philippines with regards to the chinese vaccines um neither of these have are morally controversial they actually are made up of dead virus their efficacy ranges from 50 to 91 for sinovac and sign of farm is 78 they can be kept in a regular refrigerator like the refrigerators you find in your home and so this is one of the advantages of this vaccine in the philippines now in terms of price so let me just uh this is a price list of the vaccines that were that was released by senator sonny angara's office we have learned since then that the government is negotiating specific prices for each vaccine uh based upon their bilateral a agreements with the vaccine companies what is most important to see though is the the cheapest vaccine that is currently approved is astrazeneca and that was the one that was the vaccine that was made in the united kingdom using the fetal cell lines and uh i know because uh quezon city bought these vaccines and so did las pinas at the discount rate of about 500 pesos per filipino um moderna and synovac so we have been told by senator by secretary galvez that the synovac vaccine even though the list price is 3 600 pesos the philippine government was able to purchase it for around 600 between 600 and 700 pesos per person now i i point this out because what became very clear during the negotiations for these vaccines over the last month or so is that the poorest filipinos will be receiving vaccines uh primarily astrazeneca that were created using the fetal cell lines we also expect that the philip the poorest filipino will receive a synovac and and sign a farm and probably gamalaya as well from russia let me explain why uh by this final part the kovit 19 vaccines when will they arrive in our country so the first thing you have to realize is that in 2021 there will be a significant shortage of vaccines uh produced in the west so there are 7.8 billion people living on the planet at this time uh given the best manufacturing capacity of all the western vaccines not including the vaccines from china we will only be able to produce about 5.6 for doses for 5.6 billion people that means 2.2 billion people still will not have the ability to receive vaccines and this is why the chinese vaccines play such an important role in fulfilling global supply you will see that the majority of the vaccines were bought by five groups the united states the european union england the united kingdom canada and japan just these five um groupings were able to purchase 80 of all the vaccines that the west will produce what this means is that there are only 800 million western vaccines available for the rest of the world this is why you will see if you see in the news why the philippines is focusing on chinese vaccines so there's a lot of people going why are the philippine philippine government focusing on russian and chinese vaccines it is because of this there are not enough western vaccines to cover the entire planet so most of the developing countries most of the resource poor countries have had to reach out to china and to russia in order to buy our vaccines now in terms of possible deployment we expect the first batch of vaccines to arrive in the philippines next month in february uh this will come from the world health organization this is the kovacs facility there will this will be primarily western vaccines it will allow us to vaccinate about three percent of the filipino population which will cover first and foremost the medical front liners because they are most at risk we then expect the majority of the vaccines to begin arriving at the earliest around june probably in july so june july until december we expect most of the vaccines to arrive by then now the philippines has categorized priority lists in the following way so i will put so the world health organization provided a list a priority list and the philippine government has also complied with at least list so first priority will go to frontline health workers this is justified morally because they have the highest risk of contact of of clinical exposure to coven 19 and if our frontline health workers are sick they are not able to provide care for everyone else so this is about uh 0.57 of the philippine population the second priority is senior citizens and the national government has prioritized within that group the indigent senior citizens first so in the quezon city and in las pinas currently these two lgus are conducting a census to identify all the senior citizens especially the the poorest senior citizens you have to know that this is unlike any other country in the entire world so most other countries will prioritize senior citizens but not the poorest first the third priority in the uh in the national government scheme is all of the other poors the remaining indigent population another 12 percent again this is unprecedented in the entire world and this is actually uh the the national government has justified this and this would be supported by catholic catholic social teaching that the poorest of the poor are most vulnerable and most at risk for the long-term detrimental effects of the pandemic the fourth priority is essential workers and outside health um health individuals um and education and um what is interesting is an argument can be made that our priests will fall on the fourth priority because of their high exposure to large groups of people now to conclude my presentation before i open to questions i just want to highlight the challenge the enormous challenge of this vaccination it will be the largest and most complicated public health effort in the history of our country it will especially benefit the poor and most vulnerable amongst us to give you a sense of what must be done we have to vaccinate at least 75 million people to end the pandemic in the philippines this is every single filipino adult and the reason why is because the filipinos the philippines is a relatively young country so 30 to 35 percent of filipinos are 17 years or younger and the vaccines are not approved for them so in order to vaccinate the 70 of the population that we need to end the pandemic we have to vaccinate basically every filipino every filipino adult has to be vaccinated that the particular logistical challenge is we will have to vaccinate most of them twice within a month i can tell you already that the lg use where i uh uh where i consult this is the largest challenge how do you convince lolo and lola who live in a slum to come back to the hospital or to come back to the vaccination center 28 days after they were vaccinated so most filipinos believe that when they are vaccinated once tapusna but for this particular cobit 19 they must be vaccinated twice so we have to we have to vaccinate them once send them home and then we have to find them 28 days later and bring them back and then we have to vaccinate the second batch while we are still vaccinating the first batch and then we have four or five or six different vaccines and we have to vaccinate the first the person with the same vaccine so one of the things that we are developing now is the data capacity to keep track of the 75 million filipinos that will have to be vaccinated and the particular challenge is i have been involved in trying to understand vaccine hesitancy we were able to deploy a survey around the country we now have 10 000 responses and 40 percent of filipinos say that they are not sure if they will be vaccinated if we do not vaccinate 40 of the adults the pandemic will not end we will continue to have a pandemic every single year we will have lockdowns every three months in order to keep this under control this is why it is such a difficult logistical problem and it's such a critical problem for our country and so uh i would like to make two requests to you excellencies first i humbly ask that the bishops of the philippines uh consider adding the intention to the orazio imperata that we are already praying for um to beg god to bless our efforts to end the pandemic and second and this is what i know because i i talk to the poorest people they are scared and so they are so scared to be vaccinated and it breaks my heart because they're the most vulnerable ones the oldest ones the poorest ones and they are terrified and so i ask that the bishops of the philippines that you consider being vaccinated on tv alongside the mayors of your lg use because we are trying you know so at ust we are trying to uh we have started a campaign a public awareness campaign to help the filipinos to understand vaccines but one of the things we have discovered is that science is not enough they do not trust science but they trust their bishops and so it's most important that the church uh help the country to fight this pandemic otherwise it will not end this is this is the challenge we have if 40 of the filipinos do not vaccinate we will not be able to end this pandemic and they will have to be vaccinated every year in order to keep this this this pandemic at bay so you can imagine you know i have been working on this for eight months now and the last two months on the vaccines and it is so heartbreaking to to talk to filipinos who are terrified about the vaccines but it's so important for them to to be vaccinated so um thank you so much i'll be open to questions thank you father uh enhance race for questions let us not waste time uh very interesting presentation uh where bernie please help me uh i see bishop pabilio villa pabilio thank you very much for your beautiful and orderly presentation i'd like to know about the efficacy of the vaccine how long will it stay you have mentioned that you have to be vaccinated every year because of this so excellency uh the corona we do not know how long these vaccines will be effective for because it's been so short of a time the data right now shows they're at least effective for eight months but that's only as long as we've had them for uh second thing is based on our experience with the other coronaviruses so there are other coronaviruses that cause the common cold the immune system only defends against those common coronaviruses for about a year which is why we expect the same thing to happen with covet 19 uh and the expectation therefore is that the filipinos will have to be vaccinated at least once a year or maybe every two years and then how and then who will pay for these vaccines in the government or what though that is a wonderful question excellency uh no one knows the answer to that question so at this time uh the vaccine manufacturers are selling their vaccines at cost to end the pandemic but the agreement is that after the pandemic is ended they will be able to sell their vaccines one of the reasons why i am back in the united states for one month is to try to develop a yeast based vaccine for the philippines that will be cheap and effective and will be able to stored and transported without free without uh refrigeration thank you thank you bishop de leon francis can you hear me now yes yes we can we can okay i read uh further that johnson and johnson is developing vaccine that can be uh used only once so instead of two doses only once is that true so johnson and johnson johnson's vaccine the clinical trial data is expected to be released next week excellency uh if it is efficacious if it is effective we will know about it um and yes the advantage of that vaccine is that it would be required only what you would only need one dose of that vaccine rather than two however supplies of that vaccine will also be severely limited this year so we expect that it will probably be part of the vaccine portfolio of the philippines but it will there will not be enough doses for the first year maybe the second or third year when they ramp up production we will be able to use that more frequently but for now most of the vaccines that are available require two doses thank you is this a suggestion since many people now are going to sunday masses we can use the church and the occasion to have them vaccinated because next sunday or two sundays after they will go again tomas that is a wonderful in fact excellency i am aware from talking to mayor joy belmonte that the diocese of novaliches has volunteered the parishes in quezon city for vaccination sites and there are there are particular demands for a vaccination site but as i explained to me to the mayora two days ago it is an excellent idea because right now the filipinos are terrified about going to hospitals to get their vaccines because they are worried they will get covered while they're being vaccinated and so a church for filipinos is a safe place and so hopefully there will be parishes with large parking lots or large halls that are ventilated well that will be able to be converted into a vaccine a vaccination center so i urge the bishops to contact your mayor or your mayora the lgu the vaccine deployment program for our country is being run primarily at the lgu level so it is the lg us that have the responsibility of identifying places and people to be vaccinated so i encourage and i will actually you know when i work with the national government i will encourage the national government to reach out to the church to the bishops so this will be a collaboration between the church and the and the state because it is so essential for the well-being of our country especially for the poor thank you are you connected can i be heard now yeah yes yes all right i thank you father for that wonderful very informative uh sharing my first the experience is not even all of us bishops are really 100 convinced that we should have uh ourselves vaccinated because sometimes because of the fear of the side effect do you have some kind of a side effect that may also uh produce a negative effect for to your health and that is one thing that we we need to be you know clarified on no side beta or completely or therefore we should all take it no questions asked thank you excellency so i found out this morning that i will be vaccinated on friday here in the united states because my home state of rhode island requires everyone living will the elderly and we have elderly priests in our community so we are now required to be vaccinated on friday we do yes excellency there will be side effects so we know of those side effects uh for a 24 hour to 48 hour period you will you might have fever you might have uh exhaustion you will stay in bed your arm will probably be painful but it will not last only 24 to 48 hours and the reason is because after 48 hours the vaccine has actually been removed from your body so the idea is that you we inject it with you and then it will in it trigger a response and it will be removed there is also a very rare chance of allergic response so for the modern vaccine there were i believe there were something like 20 people out of 4 million vaccinated and these are people who have a history of allergies severe allergies so if you have a severe allergy allergy excellency then you should speak to your doctor to to check that but we have for those people who have extreme allergic reactions they usually walk around with what is called an epipen so if they eat uh a peanut or something they will immediately inject themselves with uh the with the um with epinephrine to prevent the the allergic shock so one of the things that will happen in the philippines is that every vaccination point is going to have that epipen that will allow us to respond to you if you have a rare allergic react reaction and it usually happens within 15 minutes which is why the protocol is that you will be vaccinated and then you have to stay in the vaccination site for 15 minutes while they watch you to see if you have an allergic response so yes there will be there will be um you will feel like you have to stay at home and you will probably be in bed you will feel like you have a little flu for two days but as one person told me who was already vaccinated it is better than being on a respirator yeah good thank you thank you cortes next thank you thank you father for enlightening me because i was hesitating from the many texts internet survival bibles that i received they always say the best prevention is increase your immunity and they specify all the things that increases our immunity and all that decreases okay but just to share with what you have inform us i have a brother doctor in the states his son is a doctor i have a sister who is a nurse who is a frontliner in the states so my brother and my brother and his wife received all these vaccines because senior citizens and american citizens they have the rights and they have even the money or my brother and sister-in-law there was no problem meaning to say after one week they say only one week they got the second shot is that true anyway there is a scene for that so it's probably three excellency okay okay but what i'm interested in is my sister who is a nurse and a frontliner he received she received the vaccine and all the symptoms that you were saying she got fever she got the breathing problem she got pains in her body what is beautiful is my brother doctor assured her kitan that's part of the game taligang and then after a week i received a viber from my brother doctor etan is well and back to work so what i'm trying to say is thank you for enlightening me and thank you for giving us the true warning and giving us the means how to prevent this pandemic it has to be all filipinos or otherwise we cannot control thank you very much father and i will do my best to convince my people thank you we have bishop milo and we have ambo afterwards also yes yes uh father thank you for the presentation um just a query because uh first there have been talks like getting the like you presented it well getting the vaccines from china no it's like politicize also something like that no and because of what you presented in terms of percentage you know has a like uh it's acceptable but has a lower percentage compared to the to the other uh vaccine producers in the west no so and uh i think it's it's it's quite clear here that um uh perhaps government is trying to look at china because also of the situation of the population we have and the supply you know so uh in terms of your immersion also given local government units and the national level uh is it really politicized is there is there a problem and it will be a a situation also where there will be you know corruption this is one question i'd like to ask so um you've asked multiple questions so i will i will answer them in order so the first thing about the 50 efficacy you have to understand that the goal of the vaccination program is not to prevent covid19 people are shocked by that it is to prevent severe covet 19 that will kill you so even if you have a 50 efficacious vaccine what that means is if you got coveted 19 you will have a bad gold instead of going to the hospital no one you know so so i tell people if we can vaccinate some people with 95 some people with 50 percent prob 70 what we are doing is we're giving the filipino people enough immunity so that no one will die and no one will go to the hospital so that will end the pandemic even if some people get go with 19 if none of them get sick enough to go to the hospital if you are just staying at home because you have a bad cold or a flu for two days then it's okay so that's the first thing the second thing with um with corruption uh i will answer first as a priest and so excellency as you know as a priest yourself uh there is people are trying to make money out of this left right and center and but from the people i work with are doing their best to avoid um to avoid the corruption one of the things one of the things most people are worried about are actually fake vaccines and so what we are trying to do while we set up this vaccine procurement and deployment program is we have to make sure that we destroy all the vials of the vaccine after the vaccines have been used because we are worried that the black market will take them and use them so and third with regards to china i think that that one of the things that you have to realize is the reason why so many why the government is trying to buy from china and from from russia is because there's not enough so we have to buy from as many people as possible and yet our survey has shown that because of the controversy over the chinese vaccines 90 percent of filipinos are very hesitant about the chinese vaccines they are not confident about them at all and so this will be a particular challenge for the national government for all of us to try to help our kabbabayans understand everything that is true about the chinese vaccines thank you very much bishop first yeah archbishop archbishop okay arpeggio please uh sorry sorry brother nick hello argentina nice to see you archbishop uh can you explain the phase one phase two phase three trials and then which of the vaccines have undergone which face so in order to uh have a vaccine in fact any drug the drug or the vaccine has to pass through different stages the first stage is called pre-clinical trials where the vaccine or the drug is tested in animals the second stage which is called phase one clinical trial is a safety trial what happens here is we invite uh maybe 30 healthy volunteers to be vaccinated we want to see whether or not the vaccine makes them sick the stage 2 clinical trial has to do with dosing how much do you have to vaccinate someone with now for many of these vaccines they combined the phase one phase two clinical trial so what they did is they invited healthy volunteers and they increased the size of the number of healthy volunteers and they gave different amounts to each group to look at the safety and the efficacy you see that's called a phase two clinical trial the phase three clinical trial is involves usually uh tens of thousands of people it must be done in a community setting where the risk of getting sick is high so for example um i know that clinical trials have begun here in the philippines and some of our uh most affected barangays so what will happen is they will inoculate maybe 2 000 people living in a barangay 1 000 with placebo 1000 with vaccine and then they ask how many of these people will get sick with kovid 19 just walking around and then they count what percentage of those people were vaccinated that's how we calculate the 95 percent efficacy and so all of the approved vaccines have passed through phase one phase two and phase three and uh what you what one of the advantages of being um of having a delayed vaccine trial vaccination campaign in the philippines is we are learning from the vaccination campaigns elsewhere in the world so right now that's why i can tell you you know after millions of americans and millions of europeans we have a better sense of the side effects we have better sense of the allergic response because now millions of people are being vaccinated thank you now bishop ambo and bishop abigail uh thank you very much father nick i am bishop amber david of the diocese of kali um thank you for changing my attitude towards the other vaccines like the the chinese and the russian vaccines i realized that the issues about them are really more political than scientific with regard to our situation in the diocese uh i have had a meeting already with the local government unit and i was informed that they have uh already uh ordered uh from astrazeneca a while ago you identified as your excellency which lgu did you speak with nicest uh lg of color okay yes um yes and um so you mentioned that uh astrazeneca is one of the vaccines that uh used uh fetal cell lines no but i followed your own uh reflection uh and uh the moral theological aspect of it uh do i understand you write that even those that used fetal cell lines are not necessarily morally compromised strictly speaking because they did not really abort them for this purpose but they used dead fetal cell lines it's as good as asking the question because you asked the question may a virtuous tourist use a roman road that was constructed by slaves 2000 years ago you know you can reformulate the question and say may a virtuous doctor use a cadaver of a murdered person without being considered as an accomplice in the murder of that person you know that that enlightened me or it's a moral theological question so in a sense we're not morally theologically compromised if we open to astrazeneca that's correct excellency but one of the things that one of the things because of social media what you will discover is that people have a heightened sensitivity to some of these questions so even though in principle they do they you know they are not morally compromising themselves or endangering their salvation what you will see is that especially here in the united states some catholics simply do not wish to be associated with abortion in any way and i deeply understand their convictions now what what the difference is that here in the united states um people are able to wait and people are able to buy their own vaccines because the united states has is ahead of the line and is basically hoarding all the vaccines it possibly can so but in the philippines the particular challenge we have is that because of the severe limitations and supply it is unlikely that the filipino people will be able to wait um they if they waited they would wait for many years uh and delayed the end of the pandemic and then it would be the pricing would be such that it would be difficult for most of the filipinos especially those who are poor to avail themselves of the of the alternative vaccines which is why i i just wanted to give you an honest assessment of in a sense not only the morals but just the prudential circumstances of the choices that our people are going to make in the months ahead thank you thank you and thank you very much we have bishop apigo bishop abella pigo of the south father nick good morning in your presentation father nick towards the end you were asking us or you were campaigning for support scenes in your in your discourse you made mention that people trust more the bishops their shepherds along this area and so in your presentation you also said that the government is targeting the month of february as the beginning of this vaccination the first wave of the vaccination so along this line may i ask you or your permission because many of us are enlightened with your with your discourse this morning and much more our priests also need this uh this enlightenment so can i or can we ask your this section since this recorded to us your presentation so that we will use this in our presbyterian meeting or our this month so that most of the priests are also enlightened and in this manner we can right away or we can convince more people to support us because you being an expert along this area is a really really something that we really have to believe so that's my first point in the second also the consideration of okay changing a little bit on our imperative to ask god to enlighten the people on this the good side of this vaccination thank you very much father thank you already the secretariat is prepared to to have the special session uh ready for for use okay did i hear it correctly that father would allow it okay so thank you father bernie mr bernie has already foreseen the possibility so it's it's good second before we forget the commission and liturgy uh bishop vic that consideration to add uh to our prayer uh a special line uh coming from uh our uh resource person um bishop yes yeah yeah yeah noted that and then you can circulate the prayer again to us a new new text okay in this time of vaccination okay thank you very much thank you father uh nika or father nick um i have this question one um they say that normally vaccines will have to take more years to manufacture to be tested and all these things more or less around five years or even more now with these vaccines that we have are those vaccines that have been manufactured both in europe and in the united kingdom they seem to be less than even less than a year okay that's number one how true is this that vaccines are to be manufactured and has to be tested um more or less with the length of time second there is one of the fears which you father nick has also um agreed that one of the fears that we have with the people that we have is this that in this manufacturers of the vaccines some of the negative effects are not being publicized how true is this because i've been hearing among some of my people that there is these things that are being hidden um of these uh manufacturers they are not revealed or they are not being publicized the third one is this um i was in communication with a businessman from india and he was of the thought that you know some of these uh vaccines that we have are european um united kingdom or whatever no um he said um india is more or less or together with china is more or less having the context of asian or with the same you know um context that we have um india is a pork country but he has uh it has also manufacturers um i don't know if this is correct if he says that if we are to be vaccinated then we are to be vaccinated with an asian um manufacturers because they have an asian mind when they manufacture this i mean even even with the ingredients so to speak with these vaccines thank you very much father thank you excellency uh to answer your first question it is not about time but money so the reason why it usually takes years to make vaccines is because money is limited uh this because of the pandemic excellency money was unlimited billions of dollars and euros were being thrown at scientists in order to generate this vaccine the first thing the second reason why vaccines usually take time excellency is you need as i explained to bishop sock you have to wait to watch you have to do a clinical trial that exposes people that where people are exposed to the infection most infections for example ebola are very rare so it's very hard to finish your clinical trial in a short period of time because there are few so few people who have ebola but here as of yesterday 100 million people around the world have been sick with covert 19 so it was so easy all they had to go to was brazil and within a few weeks so many people were getting sick that they accelerated the time of infection so that's why it's take it took the shorter period of time does not mean that it was shortcuts were taken what it means is that with unlimited money and with a were global pandemic you can do a lot of things uh with regards to the um the un the hidden data um especially here in the united states that is a common story it's a conspiracy that the big pharma is trying to reprogram people there's data of dying patients that were not included of course you know we do not know what we do not know but the data that was published by moderna and pfizer um are complete they involve numerous countries so if you so so you have to in order to to gauge the the truth of the claim you have to say that people from all over the world not affiliated with the company so people regulators of different countries had to be part of the conspiracy to hide the data and so that's much less i'm much less willing to do that and finally with the indian uh concern so india there are two vaccines being produced in india one is novavax and novovax is an american vaccine that will be manufactured in india and the philippines has already made an advanced purchase agreement for i believe 20 million of these even though nova vavx has not yet published its clinical trials now india has made its own vaccines but unfortunately india has not released its phase three clinical trials so uh you know we i i don't know if it's safe i don't know if it works so even though it was made in asia we don't know anything about it so that's the reason why you will notice the philippine government has not yet um indicated any interest in that indian made vaccine because the science has not yet been completed thank you thank you excellent other hand okay okay father nick can you please tell us more about her immunity no and then uh with this what about the children who are not re-vaccinated is it because of hurt immunity that they need not be vaccinated and together with this once we get vaccinated do we still have to use mask do you still have to have physical distancing when you are vaccinated so i will start with the with the last question first it will take about one month after the second dose before you are completely vaccinated so what that means is that if you are vaccinated you are actually still vulnerable for about two months because it takes your body two months uh two doses and two months to completely protect itself now in terms of herd immunity herd immunity is the following um not everyone can be vaccinated in a country because there are some people who will be allergic to the vaccine there will be some people who simply cannot be vaccinated for one reason or another uh when this happens we rely on herd immunity what this means is the following with this with this scovid 19 170 so 170 of the population is vaccinated the virus cannot infect someone who is not vaccinated because it cannot find that person so if you if you understand now the re so in mountain province we are the b117 variant that was identified three days ago or four days ago one of the reasons why that can spread is because one person can talk to another person and they can spread that virus but if i am sick and there is herd immunity 70 of the people around me have been vaccinated so the probability that i will vaccinate i will infect someone is practically zero so there's no way for the virus to get from me through the herd to the 30 who are not vaccinated it just and and i would just it the group protects the vulnerable now with regards to children and infants and there was also a question uh on the chat room the chat box it is not that children will not be vaccinated it is that the clinical trials that have been completed were not done with children so we cannot approve the vaccines for children yet yesterday moderna announced that they have fully they have begun another clinical trial with children that we expect the results by the end of this year depending upon those results the vaccine may or may not be approved to inoculate our children hopefully though if the 70 of the adult all the adults are inoculated that will destroy the pandemic in our country so our children will not get sick because there's no more virus around okay thank you a time check it's past 12 two more two more please yes thank you father for the enlightening presentation may i just ask about the prioritization of the indigen indigent population does it have to be all the poor or can it be subdivided into the indigent population in densely populated areas like cities but in the rural areas we observe here in our area in northern michigan that there are very few cases of kovid in the remote areas because also of social distancing so they they may not need to be prioritized in the scheme of implementation thank you excellency so you actually brought up a question i did not have the time to address in my presentation there is also a geographical priority in the in the vaccination scheme uh based upon number of cases in the region so for example we expect that the ncr and region 4a will be prioritized in the um vaccination scheme so and the idea is that the 62 of the pandemic is isolated in those two regions of the country so if you if you add the ncr and and region 4a calabarzon 60 of the pandemic is in that a region these two regions so one of the strategies is to try to if you think of it as a snake the ncr and region 4a is the head of the snake so we can cut off the head and we hopefully will be able to significantly diminish the pandemic in the country simply by removing the head of the pandemic so for example next month when the covax vaccines arrive and when we also get the moderna vaccines so the the philippines has secured 20 million doses of the modern vaccines if you remember the modern vaccine requires very cold temperatures minus 20. i i believe though it has not been confirmed that those vaccines will be focused in on the ncr in region 4a and maybe region 3 so that we will vaccinate primarily the the heart of the pandemic so that your uh diocese excellency uh if you know after 14 days if the virus will die so if we see if we isolate your diocese in northern mindanao for 14 days all the viruses will be killed and hopefully if we are able to do that in manila then the travelers we're from manila and those who will bring the virus to your diocese will not be able to bring any virus anymore so there's going to be a geographic priority as well um i didn't have a chance to to to discuss that primarily because the decisions with regard to the prioritization of the regions will depend upon what the pandemic looks like when the vaccines start to arrive in larger quantities so in the middle of the year depending upon which regions have the most cases that will be prioritized first but so your your your diocese excellency may not even receive any vaccines for a while because there are such low numbers in your diocese thanks be to god and last year thank you for watching uh thank you for father nick for the beautiful presentation i am bishop marvin from antiques you mentioned a while ago in your presentation that you're trying to develop a locally based ies based vaccine which if developed hopefully would really have helped to us nick how are you doing with the with the experiment but we we are in pre-clinical uh trials right now so i am in the united states to finish the engineering of the yeast and then i will return to the philippines at the end of february or the beginning of march and we we have already set up a laboratory it's a ust we will test our vaccine with animals and if it passes the preclinical trial our hope is to approach the the national government to uh ask for volunteers in the filipino population to test this because you have to understand uh the cost of this if our vaccine works and i have a vow of poverty so i'm not really looking for money so people are saying how much will it cost i said i'm willing to give it for free i have a poverty so um it will cost to produce probably five pesos per person that because what we will do is we will go there are yeast factories already in laguna so we will just ask them to grow the yeast that i am making in my laboratory and then the you what what you do is you add the yeast to your milk so you add it to milk and you drink it every day for seven days and the idea would be that you would then develop enough immunity uh to prevent you from getting coveted 19 severely you may still get covet 19 but it it will become a cold rather than a severe illness and if this is the case we can just mail these packets of yeast to the 7 000 islands you know the the dominicans uh we have the pastoral care of two islands in the babuyanes uh kalyan and camiguin and so my brothers at the convent of santo um convent of in santo tomas are always saying how do we get the vaccines to come again to to correct to create to the northern islands of and it's very difficult if we have to keep them in refrigeration because they require a six to seven hour crossing to the island so this is why i decided to to try to develop this vaccine so excellency we i i told our lady i will do the best science i can do but she has to take care of it we will pray for the success of the experiment of father nick thank you very much thank thank you father nick this is bishop thank you for the help that you extended not only now but even before when we work together but i'd like to say that there are many bishops now and even they would like to get your number the one i got from father pablo chong to contact you for this is it okay to give that so that they can get in touch with you or ask even after this especially that you will still be in the stage for next month yes i can i can uh provide you with my email address so any of the bishops if you wish to contact me we can zoom because um you know it's it's midnight here in the states but my i am jet lagged at the moment so midnight is not a problem at all and i teach on two sides of the planet so my time schedule is completely changed so yes you can share my contact information with the bishops as they wish um there is a yes archbishop of uh in the name of the office of bioethics thank you so much for the help and i hope to return to cagayan one day what can you say about the virgin coconut oil i use as prevents kobe prevention so excellency i know that there are scientists in the philippines who are testing that possibility but there is no evidence at this time to support that claim thank you uh father nick in the name of the bishops of the conference i'm very sure that they agree with me that it is a very enlightening very educative presentation we really uh have gratitude in our hearts for your presence uh for all of us thank you excellencies good night and can we pray uh just uh uh offer one prayer to our blessed mother hail mary full of grace the lord is with you blessed are you among amen mary queen of apostles pray for us for us in the name of the father and of the son and of the holy spirit amen amen in your lunch and at 2 30 we will begin our afternoon session thank you thank you very nice representation it is okay i will end this mythic for allah that's very well explained