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Pfizer CEO On Covid Vaccine Manufacturing Outlook

CNBC Exclusive: CNBC Transcript: Pfizer Chairman and CEO Albert Bourla speaks with CNBC’s “Squawk Box” today about the Covid vaccine manufacturing outlook. Q3 2020 hedge fund letters, conferences and more   Pfizer CEO Albert Bourla On Covid Vaccine…

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vaccine manufacturing Pfizer CEO Albert Bourla

CNBC Exclusive: CNBC Transcript: Pfizer Chairman and CEO Albert Bourla speaks with CNBC’s “Squawk Box” today about the Covid vaccine manufacturing outlook.

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Q3 2020 hedge fund letters, conferences and more

 

Pfizer CEO Albert Bourla On Covid Vaccine Manufacturing Outlook

 

MEG TIRRELL: Joining us now to discuss is one of the premier vaccine makers in this pandemic, Pfizer's CEO Albert Bourla, and so much more of course from the JP Morgan healthcare conference. Albert, thanks for being with us this morning. You know, talking about this idea that more people could become eligible to get a vaccine that just puts more pressure on you and Moderna to manufacture these doses. Tell us about how the vaccine manufacturing is going and your confidence and being able to keep up a steady pace.

ALBERT BOURLA: Thank you very much, Meg. First of all, let me say that if this is true what we're hearing it is very positive. I think that's exactly what needs to be done. And I think so far, I don't think that we have an issue of offering less vaccines in the country, or the countries frankly need. We have much more than they can use right now. So, I think the main bottleneck right now is to make sure that we ramp up operation so it's going to administer more vaccines. When it comes to our ability to manufacture yesterday our partner already announced what I'm going to announce also myself today that we can now feel very confident that we will increase their mitochondrial production for this year, up to 2 billion doses. And if you're comfortable that we will be able to deliver that. That was the result of multiple steps that we do. But this is where we are right now. So I feel very comfortable with the contracts that we have with the U.S. government we will be able to deliver on schedule.

TIRRELL: Well, you just mentioned you have more vaccines than are being used right now. And that's just sort of mind boggling because we thought it was going to be the opposite problem – that everybody’s just going to be pounding down the door and there wouldn't be enough supply. What can you tell us about how much you've already made that you have sitting there ready to go once the gates are opened? And we do understand that the policy change today could also include releasing some of the doses that are being held for a second dose.

BOURLA: Yeah, at the end of last week of 2020 for example, we had already manufactured more than 70 million doses and we had released from there, because there's a quality control that you need to release – around 50 million doses. Then we manufactured more the first week of January. Right now I think we've released 33 million doses. And we have, let's say, half of what we have manufactured sitting on the shelves.

TIRRELL: It sounds like from your increased forecasts for how much you can make this year – now up to 2 billion doses in 2021, that's up from 1.3 billion. We understand some of that is because this fortuitous finding that there's an extra dose in those five dose files, that accounts for 20% of that. But it also means that your vaccine manufacturing seems to be going better than you expected. So should we be expecting an increased pace, really, of output from you on a steady drumbeat throughout the year?

BOURLA: Well yes, this is what I'm very confident that this will happen much higher than what we had forecasted before, and to the tune of going from 1.3 to 2 billion doses. The 20% increase because they have 6 doses in the vial, was a result of data but also that we generated and we submitted to all regulatory authorities. And right now, the 6 doses have been approved by FDA, the European authorities the WHO, Israeli authorities, Switzerland authorities, you name it. So basically the entire world is using our 6 doses. But also, we have done tremendous steps to improve production of lipids by our third party manufacturers, our reduction of the drug substance in our vaccine manufacturing sites. We did a lot of things. Actually, I have to say that what our manufacturing team did was almost another miracle following what our research team did to bring this vaccine in such record time. They are scaling up manufacturing in speeds that we didn't think that were possible. So they are also making the impossible possible.

BECKY QUICK: Yeah, Albert, that has been no – that you alone, released last year and you consider that that's not the only vaccine out there and then you realize that only nine, maybe nine and a half million Americans have gotten a shot to this point. We talk all the time about the bottlenecks. Where are the bottlenecks that you see?

BOURLA: Yes and to make sure what we were vaccine manufacturing was global. So in the U.S., we offer to the U.S., 20 million doses of the 50 we had, but as you said, they took less. It has to do with bottleneck I think in the execution. I think they are gearing up to fix them. I think has to do with how centers operates with states, it has to do with some of the policies that they are implementing – for good reasons, but you know, they are debatable. Bottom line, I think it is – they are all trying to improve right now this because everybody feels that this is way behind what they wished to be. And I feel confident that within let's say a month or so, we will be able to reach the level we always want.

TIRRELL: Albert, it's Meg again. You know, yesterday the governor of Michigan, Gretchen Whitmer, wrote a letter to Secretary Alex Azar requesting permission to just buy 100,000 doses directly from Pfizer. Do you think that that would help? Could you do that with permission from HHS, sell directly to states? Could that fix some of these bottlenecks?

BOURLA: I don't know if that will fix some of the bottlenecks but looks like the government believes so. And right now, we can't. It's up to HHS to indicate to whom we can sell as you know, we operate under a special emergency use authorization in the US. So, if they permit us to do so, we will but they need to agree or not.

ANDREW ROSS SORKIN: Albert. It's a small issue but I'm curious from a, just a corporate governance perspective what you made of the decision by Moderna and their team to go ahead and vaccinate all of their senior level employees, their families, and also their board members and their families.

BOURLA: It's not appropriate for me to comment what Moderna or any other company are doing and I respect all of them enormously. I'll tell you what we do and what we do, I didn't get the vaccine. I, we've had the received a license for me to get the vaccine because I'm now without knowing or without wanting a public figure that could enhance the confidence by me taking the vaccine but I didn't do it because, you know, what if someone was telling you, you do it but you cannot do it your colleagues are working on this all, right? So, I feel the same. Why should I do it when my leadership team cannot do it and why the board should do it when our other employees cannot do it. Right now, we receive the license to vaccinate with Pfizer the essential workers and the essential workers are the people but they are working in the vaccine manufacturing side but producing all these medicines and in the research side that they are working in critical research programs and we started already doing that. This will be a number of 30,000 approximately people out of a total of almost 80,000 employees and contractors that we have in Pfizer and we do not plan to vaccinate, prioritize let me put it this way, our executives or our board members before our essential workers. You know, people are pressing me and I’ve told them many times, my dad taught me that is not nice to cut the line. So, we will wait our turn.

TIRRELL: I think there's gonna be a lot of debate about that especially whether you'd be considered an essential worker Albert, but I want to ask you about what's going to come next in terms of data around the vaccine. I know you haven't stopped working on it. When are you expecting data on whether the vaccine prevents transmission. What do you expect about the durability of the protection and I understand you and your partner BioNTech are also working on new formulations so that it's more stable, it can be stored not in those ultra-cold freezers, tell us about what's next.

BOURLA: All of this very good question. I believe that the beginning of February somewhere there, we should know about the, your first question was about the…

TIRRELL: Transmission.

BOURLA: Transmission. And we should be having enough data to be able to know if that is the case. As regards, new formulations, yes we are working on new formulations. From months back, we were started designing the lifecycle of this vaccine what would be the next better version. We're thinking how to make it more effective, frankly, we reach a level of effectiveness that you can go better. So right now, we are focusing all our efforts to make it simpler to transport which means that you can use not ultra-cold thing but let's say a different type of temperature. Although also this has been proven to be a non-issue given the innovations that we did in our logistics to transport this vaccine.

JOE KERNEN: Albert.

BOURLA: And I wanted to finish by saying the duration of the activity is something that we don't know yet. I think we will monitor all the subjects of our study for two years to see for how long they, they remain protected and we will release these data when we have it.

KERNEN: You know, Albert, the unfortunate stigma of cutting a line I just hope it never gets to the point where some of the slow rollout that we're seeing that you're even talking about isn't because there's not a 75 year old or a fireman there that needs it. Hopefully there's always lines and there's someone ready to get the vaccine if the vaccine is available but you can imagine if that's not the case. If you had taken it and given it to your board and to some of your employees, everyone who got it suddenly is a person who can't give it to somebody else. And every time you don't do it when it's sitting there on a shelf and there's no 75 year old just sitting there waiting to get it, there could be someone that, that's old and gets it from one of the people that you decided you didn't want the stigma of the cut line and dies from it. So, it just seems like the, you know, once again we're talking about the perfect being the enemy of the good, we should do all we can to get the people who need it the most. But anyone who gets it, even if it's inadvertent or somehow out of the guideline, that person can't give it to somebody else all of a sudden. You see what I'm saying I mean that this, this hyper awareness of who should get it and who shouldn't it, that's fine, as long as that's not a part of what’s keeping it from being rolled out more quickly.

BOURLA: I think you have a very, very good point and believe me, there are a lot of people who are telling you the same. Keep in mind that I didn't expect that we will have more though I think the time will come but I will get it. I can't tell you how much I want to get it and how much I want to give it to my family. But, as I said, I found that demonstrating some, some, let's say, humility, or demonstrating some, some respect to the order was essential for me and it is who I am.

TIRRELL: Albert, we have to let you go but we always have you on and we can't resist asking you a million questions about the vaccine obviously because it's what's going to get us out of this pandemic but you are presenting at JP Morgan today, you're going to be talking about the entire company which is going through a major transition. In the short time we have left and we'll talk more at earnings I hope, choose your favorite pipeline products that you want people to know about that Pfizer is working on as well.

BOURLA: Come on if someone asked parents, choose your favorite child, how can you, how can you do that. I think there are so many in all areas but I would say that our vaccine’s pipeline is fascinating. I would say that we are about to launch our first new generation and I'm very, very excited about that. The DMD Rare Disease therapy program, the same muscle dystrophy program now looks like is not only the best but also first in class or could be, could be best first in class. So, we're very excited about this program. So, there are so many that we need maybe the entire time of your show to discuss about this pipeline. But so many diseases, I think, that we need significant solutions.

TIRRELL: Absolutely Albert, we know you called your vaccine effort project lightspeed and we're sure you're applying that same speed and focus to the rest of the pipeline. We appreciate you being here. Thanks again.

BOURLA: Thank you very much.

The post Pfizer CEO On Covid Vaccine Manufacturing Outlook appeared first on ValueWalk.

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Analyst reviews Apple stock price target amid challenges

Here’s what could happen to Apple shares next.

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They said it was bound to happen.

It was Jan. 11, 2024 when software giant Microsoft  (MSFT)  briefly passed Apple  (AAPL)  as the most valuable company in the world.

Microsoft's stock closed 0.5% higher, giving it a market valuation of $2.859 trillion. 

It rose as much as 2% during the session and the company was briefly worth $2.903 trillion. Apple closed 0.3% lower, giving the company a market capitalization of $2.886 trillion. 

"It was inevitable that Microsoft would overtake Apple since Microsoft is growing faster and has more to benefit from the generative AI revolution," D.A. Davidson analyst Gil Luria said at the time, according to Reuters.

The two tech titans have jostled for top spot over the years and Microsoft was ahead at last check, with a market cap of $3.085 trillion, compared with Apple's value of $2.684 trillion.

Analysts noted that Apple had been dealing with weakening demand, including for the iPhone, the company’s main source of revenue. 

Demand in China, a major market, has slumped as the country's economy makes a slow recovery from the pandemic and competition from Huawei.

Sales in China of Apple's iPhone fell by 24% in the first six weeks of 2024 compared with a year earlier, according to research firm Counterpoint, as the company contended with stiff competition from a resurgent Huawei "while getting squeezed in the middle on aggressive pricing from the likes of OPPO, vivo and Xiaomi," said senior Analyst Mengmeng Zhang.

“Although the iPhone 15 is a great device, it has no significant upgrades from the previous version, so consumers feel fine holding on to the older-generation iPhones for now," he said.

A man scrolling through Netflix on an Apple iPad Pro. Photo by Phil Barker/Future Publishing via Getty Images.

Future Publishing/Getty Images

Big plans for China

Counterpoint said that the first six weeks of 2023 saw abnormally high numbers with significant unit sales being deferred from December 2022 due to production issues.

Apple is planning to open its eighth store in Shanghai – and its 47th across China – on March 21.

Related: Tech News Now: OpenAI says Musk contract 'never existed', Xiaomi's EV, and more

The company also plans to expand its research centre in Shanghai to support all of its product lines and open a new lab in southern tech hub Shenzhen later this year, according to the South China Morning Post.

Meanwhile, over in Europe, Apple announced changes to comply with the European Union's Digital Markets Act (DMA), which went into effect last week, Reuters reported on March 12.

Beginning this spring, software developers operating in Europe will be able to distribute apps to EU customers directly from their own websites instead of through the App Store.

"To reflect the DMA’s changes, users in the EU can install apps from alternative app marketplaces in iOS 17.4 and later," Apple said on its website, referring to the software platform that runs iPhones and iPads. 

"Users will be able to download an alternative marketplace app from the marketplace developer’s website," the company said.

Apple has also said it will appeal a $2 billion EU antitrust fine for thwarting competition from Spotify  (SPOT)  and other music streaming rivals via restrictions on the App Store.

The company's shares have suffered amid all this upheaval, but some analysts still see good things in Apple's future.

Bank of America Securities confirmed its positive stance on Apple, maintaining a buy rating with a steady price target of $225, according to Investing.com

The firm's analysis highlighted Apple's pricing strategy evolution since the introduction of the first iPhone in 2007, with initial prices set at $499 for the 4GB model and $599 for the 8GB model.

BofA said that Apple has consistently launched new iPhone models, including the Pro/Pro Max versions, to target the premium market. 

Analyst says Apple selloff 'overdone'

Concurrently, prices for previous models are typically reduced by about $100 with each new release. 

This strategy, coupled with installment plans from Apple and carriers, has contributed to the iPhone's installed base reaching a record 1.2 billion in 2023, the firm said.

More Tech Stocks:

Apple has effectively shifted its sales mix toward higher-value units despite experiencing slower unit sales, BofA said.

This trend is expected to persist and could help mitigate potential unit sales weaknesses, particularly in China. 

BofA also noted Apple's dominance in the high-end market, maintaining a market share of over 90% in the $1,000 and above price band for the past three years.

The firm also cited the anticipation of a multi-year iPhone cycle propelled by next-generation AI technology, robust services growth, and the potential for margin expansion.

On Monday, Evercore ISI analysts said they believed that the sell-off in the iPhone maker’s shares may be “overdone.”

The firm said that investors' growing preference for AI-focused stocks like Nvidia  (NVDA)  has led to a reallocation of funds away from Apple. 

In addition, Evercore said concerns over weakening demand in China, where Apple may be losing market share in the smartphone segment, have affected investor sentiment.

And then ongoing regulatory issues continue to have an impact on investor confidence in the world's second-biggest company.

“We think the sell-off is rather overdone, while we suspect there is strong valuation support at current levels to down 10%, there are three distinct drivers that could unlock upside on the stock from here – a) Cap allocation, b) AI inferencing, and c) Risk-off/defensive shift," the firm said in a research note.

Related: Veteran fund manager picks favorite stocks for 2024

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Major typhoid fever surveillance study in sub-Saharan Africa indicates need for the introduction of typhoid conjugate vaccines in endemic countries

There is a high burden of typhoid fever in sub-Saharan African countries, according to a new study published today in The Lancet Global Health. This high…

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There is a high burden of typhoid fever in sub-Saharan African countries, according to a new study published today in The Lancet Global Health. This high burden combined with the threat of typhoid strains resistant to antibiotic treatment calls for stronger prevention strategies, including the use and implementation of typhoid conjugate vaccines (TCVs) in endemic settings along with improvements in access to safe water, sanitation, and hygiene.

Typhoid Conjugate Vaccine Introduction in Madagascar vaccination

Credit: IVI

There is a high burden of typhoid fever in sub-Saharan African countries, according to a new study published today in The Lancet Global Health. This high burden combined with the threat of typhoid strains resistant to antibiotic treatment calls for stronger prevention strategies, including the use and implementation of typhoid conjugate vaccines (TCVs) in endemic settings along with improvements in access to safe water, sanitation, and hygiene.

 

The findings from this 4-year study, the Severe Typhoid in Africa (SETA) program, offers new typhoid fever burden estimates from six countries: Burkina Faso, Democratic Republic of the Congo (DRC), Ethiopia, Ghana, Madagascar, and Nigeria, with four countries recording more than 100 cases for every 100,000 person-years of observation, which is considered a high burden. The highest incidence of typhoid was found in DRC with 315 cases per 100,000 people while children between 2-14 years of age were shown to be at highest risk across all 25 study sites.

 

There are an estimated 12.5 to 16.3 million cases of typhoid every year with 140,000 deaths. However, with generic symptoms such as fever, fatigue, and abdominal pain, and the need for blood culture sampling to make a definitive diagnosis, it is difficult for governments to capture the true burden of typhoid in their countries.

 

“Our goal through SETA was to address these gaps in typhoid disease burden data,” said lead author Dr. Florian Marks, Deputy Director General of the International Vaccine Institute (IVI). “Our estimates indicate that introduction of TCV in endemic settings would go to lengths in protecting communities, especially school-aged children, against this potentially deadly—but preventable—disease.”

 

In addition to disease incidence, this study also showed that the emergence of antimicrobial resistance (AMR) in Salmonella Typhi, the bacteria that causes typhoid fever, has led to more reliance beyond the traditional first line of antibiotic treatment. If left untreated, severe cases of the disease can lead to intestinal perforation and even death. This suggests that prevention through vaccination may play a critical role in not only protecting against typhoid fever but reducing the spread of drug-resistant strains of the bacteria.

 

There are two TCVs prequalified by the World Health Organization (WHO) and available through Gavi, the Vaccine Alliance. In February 2024, IVI and SK bioscience announced that a third TCV, SKYTyphoid™, also achieved WHO PQ, paving the way for public procurement and increasing the global supply.

 

Alongside the SETA disease burden study, IVI has been working with colleagues in three African countries to show the real-world impact of TCV vaccination. These studies include a cluster-randomized trial in Agogo, Ghana and two effectiveness studies following mass vaccination in Kisantu, DRC and Imerintsiatosika, Madagascar.

 

Dr. Birkneh Tilahun Tadesse, Associate Director General at IVI and Head of the Real-World Evidence Department, explains, “Through these vaccine effectiveness studies, we aim to show the full public health value of TCV in settings that are directly impacted by a high burden of typhoid fever.” He adds, “Our final objective of course is to eliminate typhoid or to at least reduce the burden to low incidence levels, and that’s what we are attempting in Fiji with an island-wide vaccination campaign.”

 

As more countries in typhoid endemic countries, namely in sub-Saharan Africa and South Asia, consider TCV in national immunization programs, these data will help inform evidence-based policy decisions around typhoid prevention and control.

 

###

 

About the International Vaccine Institute (IVI)
The International Vaccine Institute (IVI) is a non-profit international organization established in 1997 at the initiative of the United Nations Development Programme with a mission to discover, develop, and deliver safe, effective, and affordable vaccines for global health.

IVI’s current portfolio includes vaccines at all stages of pre-clinical and clinical development for infectious diseases that disproportionately affect low- and middle-income countries, such as cholera, typhoid, chikungunya, shigella, salmonella, schistosomiasis, hepatitis E, HPV, COVID-19, and more. IVI developed the world’s first low-cost oral cholera vaccine, pre-qualified by the World Health Organization (WHO) and developed a new-generation typhoid conjugate vaccine that is recently pre-qualified by WHO.

IVI is headquartered in Seoul, Republic of Korea with a Europe Regional Office in Sweden, a Country Office in Austria, and Collaborating Centers in Ghana, Ethiopia, and Madagascar. 39 countries and the WHO are members of IVI, and the governments of the Republic of Korea, Sweden, India, Finland, and Thailand provide state funding. For more information, please visit https://www.ivi.int.

 

CONTACT

Aerie Em, Global Communications & Advocacy Manager
+82 2 881 1386 | aerie.em@ivi.int


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US Spent More Than Double What It Collected In February, As 2024 Deficit Is Second Highest Ever… And Debt Explodes

US Spent More Than Double What It Collected In February, As 2024 Deficit Is Second Highest Ever… And Debt Explodes

Earlier today, CNBC’s…

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US Spent More Than Double What It Collected In February, As 2024 Deficit Is Second Highest Ever... And Debt Explodes

Earlier today, CNBC's Brian Sullivan took a horse dose of Red Pills when, about six months after our readers, he learned that the US is issuing $1 trillion in debt every 100 days, which prompted him to rage tweet, (or rageX, not sure what the proper term is here) the following:

We’ve added 60% to national debt since 2018. Germany - a country with major economic woes - added ‘just’ 32%.   

Maybe it will never matter.   Maybe MMT is real.   Maybe we just cancel or inflate it out. Maybe career real estate borrowers or career politicians aren’t the answer.

I have no idea.  Only time will tell.   But it’s going to be fascinating to watch it play out.

He is right: it will be fascinating, and the latest budget deficit data simply confirmed that the day of reckoning will come very soon, certainly sooner than the two years that One River's Eric Peters predicted this weekend for the coming "US debt sustainability crisis."

According to the US Treasury, in February, the US collected $271 billion in various tax receipts, and spent $567 billion, more than double what it collected.

The two charts below show the divergence in US tax receipts which have flatlined (on a trailing 6M basis) since the covid pandemic in 2020 (with occasional stimmy-driven surges)...

... and spending which is about 50% higher compared to where it was in 2020.

The end result is that in February, the budget deficit rose to $296.3 billion, up 12.9% from a year prior, and the second highest February deficit on record.

And the punchline: on a cumulative basis, the budget deficit in fiscal 2024 which began on October 1, 2023 is now $828 billion, the second largest cumulative deficit through February on record, surpassed only by the peak covid year of 2021.

But wait there's more: because in a world where the US is spending more than twice what it is collecting, the endgame is clear: debt collapse, and while it won't be tomorrow, or the week after, it is coming... and it's also why the US is now selling $1 trillion in debt every 100 days just to keep operating (and absorbing all those millions of illegal immigrants who will keep voting democrat to preserve the socialist system of the US, so beloved by the Soros clan).

And it gets even worse, because we are now in the ponzi finance stage of the Minsky cycle, with total interest on the debt annualizing well above $1 trillion, and rising every day

... having already surpassed total US defense spending and soon to surpass total health spending and, finally all social security spending, the largest spending category of all, which means that US debt will now rise exponentially higher until the inevitable moment when the US dollar loses its reserve status and it all comes crashing down.

We conclude with another observation by CNBC's Brian Sullivan, who quotes an email by a DC strategist...

.. which lays out the proposed Biden budget as follows:

The budget deficit will growth another $16 TRILLION over next 10 years. Thats *with* the proposed massive tax hikes.

Without them the deficit will grow $19 trillion.

That's why you will hear the "deficit is being reduced by $3 trillion" over the decade.

No family budget or business could exist with this kind of math.

Of course, in the long run, neither can the US... and since neither party will ever cut the spending which everyone by now is so addicted to, the best anyone can do is start planning for the endgame.

Tyler Durden Tue, 03/12/2024 - 18:40

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