This week’s edition of the Pandora Report covers the FDA’s recent approval of updated COVID-19 vaccines, more mpox updates as cases continue to crop up outside of Africa, updates on Russia’s targeting of Ukrainian healthcare facilities, and more.
FDA Approves Updated COVID-19 Vaccines
The Food and Drug Administration (FDA) approved updated COVID-19 vaccines on Thursday, allowing Pfizer and Moderna to begin shipping millions of doses of their updated products. Novavax expects its updated offering to become available soon. As the AP notes, the FDA’s decision came earlier this year than last year amid a summer wave of infections across much of the country.
The same piece explains, “This fall’s vaccine recipe is tailored to a newer branch of omicron descendants. The Pfizer and Moderna shots target a subtype called KP.2 that was common earlier this year. While additional offshoots, particularly KP.3.1.1, now are spreading, they’re closely enough related that the vaccines promise cross-protection. A Pfizer spokesman said the company submitted data to FDA showing its updated vaccine “generates a substantially improved response” against multiple virus subtypes compared to last fall’s vaccine.”
The FDA included in its statement on the approvals: ‘“Vaccination continues to be the cornerstone of COVID-19 prevention,” said Peter Marks, M.D., Ph.D., director of the FDA’s Center for Biologics Evaluation and Research. “These updated vaccines meet the agency’s rigorous, scientific standards for safety, effectiveness, and manufacturing quality. Given waning immunity of the population from previous exposure to the virus and from prior vaccination, we strongly encourage those who are eligible to consider receiving an updated COVID-19 vaccine to provide better protection against currently circulating variants.”’
Mpox Updates
Department of Health and Human Services Releases Statement on US Government Response to Mpox
In response to Africa CDC’s declaration of the current mpox outbreak as a Public Health Emergency of Continental Security and the WHO’s subsequent Public Health Emergency of International Concern declaration, the United States has expressed support for these declarations and pledged to work closely with “African governments, Africa CDC and WHO to ensure an effective response to the current outbreak and to protect the health and lives of people of the region.”
The Department of Health and Human Services emphasized in its statement that, while clade I tends to cause a higher number of severe infections, the Department expects outcomes would be much less severe in the United States than in the Democratic Republic of the Congo (DRC).
The same statement also explains that “CDC has issued an updated Health Alert Network advisory urging clinicians to consider clade I mpox in people who have been in DRC or neighboring countries in the previous 21 days; clinicians are also asked to submit specimens for clade-specific testing for these patients if they have symptoms consistent with mpox. Given the geographic spread of clade I mpox, the U.S. CDC issued an updated Travel Health Notice on Aug. 7, 2024, recommending travelers to DRC and neighboring countries practice enhanced precautions.”
United States Announces Addition Support for Africa’s Mpox Response
The United States Agency for International Development (USAID) announced this week a further $35 million in emergency health assistance in response to the current mpox outbreak in Central and East Africa. USAID said in its press release that “The additional assistance announced today will enable USAID to continue working closely with affected countries, as well as regional and global health partners, to expand support and reduce the impact of this outbreak as it continues to evolve. USAID support includes assistance with surveillance, diagnostics, risk communication and community engagement, infection prevention and control, case management, and vaccination planning and coordination.”
European Centre for Disease Prevention and Control Recommends Enhancing Preparedness
In a recently prepared risk assessment, the European Centre for Disease Prevention and Control (ECDC) said that it is “highly likely that the EU/EEA will see more imported cases of mpox caused by the clade I virus currently circulating in Africa. However, the likelihood of sustained transmission in Europe is very low provided that imported cases are diagnosed quickly and control measures are implemented.”
Furthermore, “ECDC recommends that public health authorities in the EU/EEA maintain high levels of preparedness planning and awareness raising activities to enable rapid detection and response of any further MPXV clade I cases that may reach Europe. Ensuring effective surveillance, laboratory testing, epidemiological investigation and contact tracing capacities will be vital to detecting cases of MPXV clade I on the continent and activating any response.”
Asia on High Alert Following Case in Thailand
Countries across Asia are sounding the alarm on mpox following Thailand’s confirmation of the first case of mpox clade Ib in Asia in Bangkok this week. The patient, a 66-year-old European, landed in Bangkok on August 14 and was sent to the hospital with mpox symptoms. Thailand’s Department of Disease Control said in a statement “We have monitored 43 people who have been in close contact with the patient and so far they have shown no symptoms, but we must continue monitoring for a total of 21 days.”
In response, China, South Korea, and other countries have announced screening and testing measures for passengers arriving from certain countries. In addition to taking similar measures, Taiwan has also begun stockpiling vaccines and starting targeted immunization campaigns for those at higher risk. South Korea identified Rwanda, Burundi, Uganda, Ethiopia, Central African Republic, Kenya, Congo, and the Democratic Republic of Congo as origin points requiring extra precautions for travelers. Furthermore, the Korea Disease Control and Prevention Agency said it will be monitoring waste from aircraft toilets in addition to distributing mpox information pamphlets at airports.
New Vaccines, Tests on the Way
A growing number of countries are promising vaccine donations in response to the outbreak, explains CIDRAP’s Lisa Schnirring, though the DRC argues they are not doing enough. Agence France-Presse reported this week that French Prime Minister Gabriel Attal announced his country will send 100,000 doses of vaccine to impacted African countries in the coming weeks. However, DRC Health Minister Samuel-Roger Kamba told Politico this week “We would like the EU to pledge more.” Kamba elaborated, saying “As we don’t know yet how the disease will progress, the amount promised by the EU would not allow us to protect our entire population should the disease affect more people.”
Politico explains that “The DRC alone needs 3.5 million doses to respond to the current level of infection, Kamba said, while Jean Kaseya, head of the Africa Centres for Disease Control and Prevention (Africa CDC) has said the continent needs at least 10 million doses.”
An official from the European Commission speaking anonymously told Politico “Nobody’s holding onto stocks that Africa desperately needs” and that the donation made by the Commission was the most the organization could get its hands on. Germany is reportedly considering whether or not to donate any vaccine doses, having given its 117,000 doses of JYNNEOS to the German Army.
Schnirring also explained that Swiss manufacturer Roche “… announced that it is working with its partners to enhance mpox lab capacity worldwide. It is also providing training for labs across Africa at the Roche Scientific Campus in South Africa and at other locations. The company also confirmed that its Cobas mpox PCR test, as well as its research-only test kits, can detect the latest mpox variants.”
Further Reading
- “The Resurgence of Mpox in Africa,” Caitlin Rivers, Crystal Watson, and Alexandra Phelan, JAMA
- “Pulling Back the Curtain,” Jon Cohen and Abdullahi Tsanni, Science
- “Another Pandemic Looms. Guess What? We’re Still Not Ready,” Lawrence Gostin, Sam Hablai, Alexandra Finch, The New York Times
- “Mpox is a Global Health Emergency. Will It Case a Lockdown Like COVID? Experts Say No,” Carolin Kee, Today
World Marks 11th Anniversary of Ghouta Sarin Gas Attack
Wednesday marked the 11th anniversary of the 2013 sarin gas attack in Ghouta, Syria, a suburb of Damascus. In a statement on the anniversary, Mina Rozei, CWC Coalition Coordinator, said “The Syrian government of Bashar al-Assad, which was waging a nationwide counterinsurgency campaign, launched rockets carrying sarin gas warheads against targets in the towns of Zamalka, Ein Tarma, and Irbin in the Ghouta region outside of Damascus. The attack, which was launched in the middle of night when many residents were sleeping, killed an estimated 1,127 people and left almost 6,000 more with respiratory problems.”
Rozei continued, “In the days that followed, international condemnation and the possibility of a U.S. military strike against Syria’s chemical weapons facilities led to an unprecedented U.S.-Russia proposal that called on the Syrian Arab Republic to formally accede to the Chemical Weapons Convention, make a comprehensive declaration of its chemical weapons holdings, and allow for the verified removal and eventual destruction of its chemical weapons facilities and stockpile of more than 1,000 metric tonnes of chemical agent. (See the Arms Control Association’s “Timeline of Syrian Chemical Weapons Activity, 2012-2022” for more details.)”
Read more here.
European Medicines Agency Issues Updated Guidance on Treatment, Prophylaxis for Chemical and Biological Agents
The European Medicines Agency (EMA) recently issued two pieces of updated guidance pertaining to medicines used for treatment or prophylaxis following patient exposure to chemical or biological agents used in terrorist attacks. As highlighted by Regulatory News, the guidance focused on chemical agents “covers general information on emergency treatments such as decontaminating victims and principles of treating symptoms for the purposes of basic life support, and summary information, such as descriptions of clinical symptoms and possible treatments, and the main classes of chemical agents that might be deliberately released.”
Furthermore, “The chemical agents covered by the guidance include blister or vesicant agents, nerve agents, cyanides, lung-damaging agents and pharmaceutically based agents. The list of substances is mainly derived from a list developed by the US Center for Disease Control and Prevention (CDC). The guidance supersedes a previous version issued in April 2003.”
The new guidance on biological agents was prepared in response to a request from the European Commission and “… includes a database of scientific information on pathogenic agents that might be deliberately released and information on the existence of vaccines and other medicines available to prevent or treat their effects.”
World Health Organization Records 1,940 Attacks Against Health Care in Ukraine Since February 2022
On Monday, the WHO confirmed 1,940 attacks on healthcare facilities and personnel have been carried out by Russia in Ukraine since February 2022. In its statement, the WHO said “…we aim to remind the world about one of the biggest ongoing emergencies in the WHO European Region with a grim milestone – 1940 WHO-confirmed attacks on healthcare— the highest number WHO has ever recorded in any humanitarian emergency globally to date. In addition, we are noting new patterns in the progression of the attacks.”
“For over 2.5 years now, 86% of all such attacks have impacted health facilities, with a significant proportion of such attacks involving heavy weapons. Moreover, WHO-verified attacks on health facilities have intensified significantly since December 2023 – occurring on a near-daily basis.”
““In 2024, we are observing a lot of double-tap attacks,” said Dr Jarno Habicht, WHO Representative in Ukraine. “Now we have more shelling of civilian infrastructure than before. We are losing colleagues – healthcare workers, nurses, doctors, paramedics. This year, many more healthcare workers have also been injured than before. According to WHO data, first responders and health transportation are three times more likely to suffer harm from attacks compared to the rest of the healthcare personnel.”’
Read more here.

“First Biolab in South America for Studying World’s Deadliest Viruses is Set to Open”
Meghie Rodrigues recently published this Nature News piece discussing Brazil’s BSL-4 lab-Orion-that is nearing completion of its construction at the Brazilian Center for Research in Energy and Materials. Rodrigues also talked to Biodefense Graduate Program Director Gregory Koblentz, writing in the piece “Another challenge for Orion will be training staff members to work in a type of facility that is new for the region. The facility must also develop a regulatory framework to ensure that risky experiments have oversight from a governing panel, and must install security measures to prevent unauthorized access by people or organizations that might intentionally release pathogens, says Gregory Koblentz, a biodefence specialist at George Mason University and a co-author of the 2023 Global BioLabs report.”
“How U.S. Farms Could Start a Bird Flu Pandemic”
Apoorva Mandavilli discusses how H5N1 continues to plague the US in this piece for the New York Times, explaining in part “Without a sharp pivot in state and federal policies, the bird flu virus that has bedeviled American farms is likely to find a firm foothold among dairy cattle, scientists are warning. And that means bird flu may soon pose a permanent threat to other animals and to people. So far, this virus, H5N1, does not easily infect humans, and the risk to the public remains low. But the longer the virus circulates in cattle, the more chances it gains to acquire the mutations necessary to set off an influenza pandemic.”
“AI and Biosecurity: The Need for Governance”
Bloomfied et al. recently published this Policy Forum piece in Science: “Great benefits to humanity will likely ensue from advances in artificial intelligence (AI) models trained on or capable of meaningfully manipulating substantial quantities of biological data, from speeding up drug and vaccine design to improving crop yields (1–3). But as with any powerful new technology, such biological models will also pose considerable risks. Because of their general-purpose nature, the same biological model able to design a benign viral vector to deliver gene therapy could be used to design a more pathogenic virus capable of evading vaccine-induced immunity (4). Voluntary commitments among developers to evaluate biological models’ potential dangerous capabilities are meaningful and important but cannot stand alone. We propose that national governments, including the United States, pass legislation and set mandatory rules that will prevent advanced biological models from substantially contributing to large-scale dangers, such as the creation of novel or enhanced pathogens capable of causing major epidemics or even pandemics.”
“Preventing and Controlling Global Antimicrobial Resistance — Implementing a Whole-System Approach”
Don Goldmann, Sowmya Rajan, and Krishna Udayakumar recently published this perspective piece with The New England Journal of Medicine, explaining in part “We recently participated in a public–private collaboration (the Surveillance Partnership to Improve Data for Action on Antimicrobial Resistance [SPIDAAR], funded by Pfizer and the Wellcome Trust) aimed at assisting ministries of health (MOHs) and hospitals in Ghana, Kenya, Malawi, and Uganda in implementing, scaling up, and sustaining improved AMR surveillance capacity. This demonstration project evolved from focused detection of AMR in pathogens targeted by the WHO’s Global Antimicrobial Resistance and Use Surveillance System (GLASS) program2 to include broader efforts to leverage real-time AMR data to improve patient care. SPIDAAR provided insights into the type of integrated system that would be required to address gaps between aspirational national action plans and progress on the ground. The Ugandan MOH’s surveillance-system diagram captures a vision of the high-level systems required for improvement and MOH–hospital coordination (see figure).”
“Five Ways Science is Tackling the Antibiotic Resistance Crisis”
Nature News’ Amber Dance discusses various approaches to combating antibiotic resistance and the threat this issue poses in this piece, writing in part “Hongzhe Sun, a chemical biologist at the University of Hong Kong, says that in his part of the world, “we anticipate maybe the next pandemic will be the crisis of antibiotic resistance”. Indeed, a global crisis is already happening. According to a Lancet study, about 1.27 million deaths worldwide in 2019 could be attributed to drug-resistant infections, making them a leading cause of death1. By 2050, such infections could kill as many as ten million people every year2, according to an expert panel commissioned by the UK government in 2014.”
“Tropical Nights, Burning Eyes: Chloropicrin in Hawaii”
Markus K. Binder discusses the 2017 use of chloropicrin by a criminal gang in Hawaii and lessons learned from the incident in this piece for CBNW. Binder writes in his conclusion “…there is the effective invisibility of criminal actors to the various tools that have been developed to identify and interdict international terrorist operatives, particularly through interception of their communications. Criminal plots frequently have very short cycle times from inception to execution and are unlikely to involve foreign controllers such as those that exposed the 2017 Sydney hydrogen-sulfide plot.”
What We’re Listening to 🎧
Tech Can’t Save Us: Reshaping Biosecurity with Kevin Flyangolts, Founder & CEO of Aclid
“In this week’s episode of Tech Can’t Save Us, hosts Paul David and Maya Dharampal-Hornby are joined by Kevin Flyangolts, Founder & CEO of Aclid.”
“With biotechnology becoming increasingly digital and automated, biosecurity guidelines are constantly changing. Aclid enables end-to-end compliance for gene synthesis providers by automating biosecurity screenings, promoting education in the life science sector, and building trust between companies and customers.”
“Tune into this episode now to hear Kevin discuss how biosecurity concerns have evolved since covid-19, and explain why adaptive regulations, responsible practices, and automated screenings and verifications are the future of biosecurity.”

NEW: BSL4ZNet International Conference
“The Biosafety Level 4 Zoonotic Laboratory Network (BSL4ZNet) is an international group of federal institutions in Australia, Germany, United Kingdom, United States and Canada responsible for high-containment laboratories that allows countries to work together to respond to dangerous zoonotic diseases that spread between animals and people.”
“The 2024 BSL4ZNet International Conference is taking place in September 2024. This year’s theme is “Emerging disease meets innovative science. The working language of the BSL4ZNet is English. The 2024 BSL4ZNet International Conference will be presented in English only.”
“The 2024 BSL4ZNet International Conference includes 4 sessions:
- Wednesday, September 4: Threats and challenges – Delving into topics such as Highly Pathogenic Avian Influenza (HPAI), Climate-Related Risks, and the nuanced landscape of Science Communication amidst Misinformation/Disinformation Challenges.
- Wednesday, September 11: Innovation and emerging technologies – Innovation and Emerging Technologies: Exploring the latest advancements and breakthroughs in the realm of emerging technologies shaping our response to infectious diseases.
- Wednesday, September 18: Biosecurity and biosafety – Addressing critical issues surrounding biosecurity and biosafety measures, crucial pillars in combating zoonotic diseases
- Wednesday, September 25: Innovation for BSL4 activities and challenges – Featuring an enlightening panel discussion focusing on innovative approaches to address challenges inherent to BSL4 activities.”
Register for free here.
Safeguarding the Food Supply: Integrating Diverse Risks, Connecting with Consumers, and Protecting Vulnerable Populations – A Workshop
From the National Academies: “On September 4-5, the Food Forum will host a workshop that explores the state of the science around hazard- and risk-based approaches to safeguarding both domestic and global food systems. Workshop presenters will examine nutrition, economic, and equity implications in food safety decision-making, and considerations and strategies for communicating hazard and risk across sectors. The workshop will also include national and international perspectives on risk assessment and tools to mitigate risk, as well as opportunities for the future of risk management and assessment, food safety, and public health.”
Learn more and register for this virtual event here.

NEW: Horizon Fellowship Applications Open
Applications are now open for the 2025 Horizon Fellowship cohort
What do you get?
- The fellowship program will fund and facilitate placements for 1-2 years in full-time US policy roles at executive branch offices, Congressional offices, and think tanks in Washington, DC.
- Horizon has placed fellows at the Department of Defense, White House, Department of Commerce, Senate committees, House personal offices and prominent think tanks. You can learn more about past fellows and their placements at Meet our Fellows and Fellow Accomplishments.
- It also includes ten weeks of remote, part time policy-focused training, mentorship, and an access to an extended network of emerging tech policy professionals.
Who is it for?
- Entry-level and mid-career roles
- No prior policy experience is required (but is welcome)
- Demonstrated interest in emerging technology
- US citizens, green card holders, or students on OPT
- Able to start a full time role in Washington DC by Aug 2025
- Training is remote, so current undergraduate and graduate school students graduating by summer 2025 are eligible
Research shows that great candidates often disqualify themselves too quickly, especially if they are from underrepresented groups. If you are excited about the program but on the fence about whether you are eligible or qualified, we strongly encourage you to apply. The application deadline is August 30th, 2024.
NEW: International Science Reserve, Center for Advanced Preparedness and Threat Response Simulation Launch Serious Game
“The International Science Reserve (ISR), in partnership with the Center for Advanced Preparedness and Threat Response Simulation (CAPTRS), has launched a free, digital game to help scientists and experts worldwide explore and improve their decision-making in public health crisis contexts.”
“In the new game, launched today, players must navigate an evolving and hypothetical public health crisis, evaluating new information that is shared as the game progresses. To simulate real-world situations, players are presented with dynamic information and surveillance data about a pathogen outbreak. In a series of game rounds, they are asked to practice their decision-making skills using data to identify outbreak trends and better prepare for and reduce the public health threat.”
“The game, the first of a series, fills a major gap in global scientific research planning on crisis preparedness and response. “Serious games” can help experts explore risk and response to situations that could arise, related to climate change adaptation and public health crises.”
“For example, despite lessons from the COVID pandemic, there is currently a slow response to the initial spread to humans of bird flu. More advance experience of scenarios like the digital pathogen game can help accustom policymakers to assessing different sources of scientific information to make decisions, while it can help scientists explore how their research could be prioritized and adapted when most needed.”
Read more here.
Call for Experts-Potential Research Priorities to Inform Readiness and Response to Highly Pathogenic Avian Influenza A (H5N1): A Workshop
From the National Academies: The National Academies is seeking suggestions for experts to participate in a new workshop exploring research priorities to inform readiness and response to the ongoing Highly Pathogenic Avian Influenza (HPAI) A (H5N1) outbreak in the United States. Recognizing the interconnection between people, animals, and their shared environment, the workshop will take a One Health approach to bring together federal government agencies, the academic community, and the private sector, as well as other relevant stakeholders across the health, agriculture, and food safety sectors and will focus primarily on basic science and research questions of specific concern.
Approximately 8-10 volunteer experts are needed to build a committee for a future workshop and any publications resulting from this activity. Expertise in the following areas is desired:
- One Health and emerging infectious diseases
- National, state, and/or local public health and medical readiness and response
- Epidemiology and surveillance
- Medical countermeasures (diagnostics, vaccines, therapeutics)
- Agricultural and veterinary health and sciences
- Food safety
- Social sciences, risk communication, and community engagement
- Modeling, risk assessment, and strategic foresight
- Regulatory issues
Please submit nominations by August 30, 2024. For any additional questions regarding the forum, please view the project page or email Shalini Singaravelu at SSingaravelu@nas.edu.
Learn more and submit nominations here.




