Denmark, Norway temporarily suspend AstraZeneca COVID shots after blood clot reports

By Nikolaj Skydsgaard and Jacob Gronholt-Pedersen

COPENHAGEN (Reuters) – Health authorities in Denmark and Norway said on Thursday they had temporarily suspended the use of AstraZeneca’s COVID-19 vaccine shots after reports of the formation of blood clots in some who have been vaccinated.

The move comes after Austria stopped using a batch of AstraZeneca shots while investigating a death from coagulation disorders and an illness from a pulmonary embolism.

Danish health authorities said the country’s decision to suspend the shots for two weeks came after a 60-year old woman in Denmark, who was given an AstraZeneca shot from the same batch that was used in Austria, formed a blood clot and died.

Danish authorities said they had responded “to reports of possible serious side effects, both from Denmark and other European countries.”

“It is currently not possible to conclude whether there is a link. We are acting early, it needs to be thoroughly investigated,” Health Minister Magnus Heunicke said on Twitter.

The vaccine would be suspended for 14 days in Denmark.

“This is a cautionary decision,” Geir Bukholm, director of infection prevention and control at the Norwegian Institute of Public Health (FHI), told a news conference.

FHI did not say how long the suspension would last.

“We … await information to see if there is a link between the vaccination and this case with a blood clot,” Bukholm said.

Also on Thursday, Italy said it would suspend use of an AstraZeneca batch that was different to the one used in Austria.

Some health experts said there was little evidence to suggest the AstraZeneca vaccine should not be administered and that the cases of blood clots corresponded with the rate of such cases in the general population.

“This is a super-cautious approach based on some isolated reports in Europe,” Stephen Evans, professor of pharmacoepidemiology at the London School of Hygiene & Tropical Medicine, told Reuters.

“The problem with spontaneous reports of suspected adverse reactions to a vaccine are the enormous difficulty of distinguishing a causal effect from a coincidence,” he said, adding that the COVID-19 disease was very strongly associated with blood clotting.

AstraZeneca on Thursday told Reuters in a written statement the safety of its vaccine had been extensively studied in human trials and peer-reviewed data had confirmed the vaccine was generally well tolerated.

The drugmaker said earlier this week its shots were subject to strict and rigorous quality controls and that there had been “no confirmed serious adverse events associated with the vaccine.” It said it was in contact with Austrian authorities and would fully support their investigation.

The European Union’s drug regulator, the European Medicines Agency (EMA), said on Wednesday there was no evidence so far linking AstraZeneca to the two cases in Austria.

It said the number of thromboembolic events – marked by the formation of blood clots – in people who have received the AstraZeneca vaccine is no higher than that seen in the general population, with 22 cases of such events being reported among the 3 million people who have received it as of March 9.

EMA was not immediately available for comment on Thursday.

Four other countries – Estonia, Lithuania, Luxembourg and Latvia – have stopped inoculations from the batch while investigations continue, the EMA said.

The batch of 1 million doses went to 17 EU countries.

Swedish authorities said they did not find sufficient evidence to stop vaccination with AstraZeneca’s vaccine. Sweden has found two cases of “thromboembolic events” in connection with AstraZeneca’s vaccine and about ten for the Pfizer-BioNTech vaccine.

“We see no reason to revise our recommendation,” Veronica Arthurson, head of drug safety at the Swedish Medical Products Agency, told a news conference. “There is nothing to indicate that the vaccine causes this type of blood clots.”

Spain on Thursday said it had not registered any cases of blood clots related to AstraZeneca’s vaccine so far and would continue administering the shots.

(Additional reporting by Ludwig Burger in Frankfurt, Johan Ahlander in Stockholm, Victoria Klesty in Oslo and Kate Kelland in London. Editing by Alex Richardson, Nick Macfie and Bernadette Baum)

Nagorno-Karabakh ceasefire strained by new fighting reports

By Nailia Bagirova and Nvard Hovhannisyan

BAKU/YEREVAN (Reuters) – Azerbaijan and ethnic Armenian forces accused each other on Monday of launching new attacks in and around Nagorno-Karabakh, increasing strains on a two-day old humanitarian ceasefire intended to end heavy fighting over the mountain enclave.

Russia, which brokered the ceasefire, appealed for both sides to respect it and Luxembourg reiterated European Union calls for Turkey, an ally of Azerbaijan, to do more to secure an end to hostilities that have killed hundreds of people.

The fighting, the deadliest over Nagorno-Karabakh in over 25 years, is being watched closely abroad partly because of the proximity of the fighting to Azeri gas and oil pipelines and the risk of regional powers Turkey and Russia being dragged in.

Both Ankara and Moscow are under growing pressure to use their influence in the region to end the fighting.

The humanitarian ceasefire is meant to allow ethnic Armenian forces and Azerbaijan to swap prisoners and bodies of people killed in two weeks of fighting over Nagorno-Karabakh, which is internationally recognized as part of Azerbaijan but governed and populated by ethnic Armenians.

But the ceasefire has frayed quickly. Azerbaijan said on Sunday it launched airstrikes against an Armenian regiment, following what it said was an Armenian rocket attack on an apartment building. Armenia denied carrying out such an attack.

On Monday, Azerbaijan’s defense ministry said Armenian forces had tried to attack its positions around the Aghdere-Aghdam and Fizuli-Jabrail regions, and were shelling territories in the Goranboy, Terter and Aghdam regions inside Azerbaijan.

Nagorno-Karabakh said its forces had inflicted losses on Azeri forces and that large-scale military operations were continuing in the Hadrut area of the mountain enclave.

Reuters could not independently verify the reports.

Kremlin spokesman Dmitry Peskov said Russia, which has a defense pact with Armenia, was monitoring the events and asked Azeri and ethnic Armenian forces to respect the ceasefire.

APPEALS TO TURKEY

Zohrab Mnatsakanyan, Armenia’s foreign minister, met Russian Foreign Minister Sergei Lavrov in Moscow. He accused Azerbaijan of acting to expand Turkey’s influence in the region and of using pro-Turkish mercenaries – charges Ankara has denied.

Accusing Azerbaijan of ceasefire violations, Mnatsakanyan said: “We want the ceasefire, we want verification mechanisms on the ground, which will indicate the perpetrator, which will demonstrate the party, which is not faithful to this ceasefire.”

Speaking before a meeting of EU foreign ministers in Berlin, Luxembourg’s foreign minister, Jean Asselborn, urged Turkey to do more to end the latest flare-up of the decades-old conflict.

“Turkey has not called for a truce yet, and I believe they are completely wrong with this position,” Asselborn said.

“I think the message from Luxembourg will be a call on Turkey, a NATO member, to help arrange a ceasefire quickly.”

Azeri President Ilham Aliyev repeated calls for Turkey, which has voiced strong support for Azerbaijan since the fighting began, to be involved in peacemaking. Mediation has for years been led by France, Russia and the United States.

“Even if many Western countries do not want to accept it, Turkey’s word is big, it’s fully independent,” he said.

The renewed fighting is the worst since a 1994 ceasefire ended a war over Nagorno-Karabakh that killed at least 30,000.

Azerbaijan said 41 Azeri civilians had been killed and 207 wounded in the fighting since Sept. 27. Azerbaijan has not disclosed information about military casualties.

Nagorno-Karabakh has said 429 of its servicemen and more than 20 civilians have been killed in the fighting.

(Additional reporting by Margarita Antidze in Tbilisi, Writing by Sujata Rao, Editing by Andrew Osborn and Timothy Heritage)

Turkey is an aggressive neighbor, Greek PM tells Europeans in Davos

Greece's Prime Ministers Alexis Tsipras gestures as he speaks during the World Economic Forum (WEF) annual meeting in Davos, Switzerland January 24, 2018.

DAVOS, Switzerland (Reuters) – Greek Prime Minister Alexis Tsipras said on Wednesday his European partners couldn’t always appreciate the challenges of living with an ‘aggressive’ neighbor such as Turkey, remarks reflecting the strained ties between the two NATO partners.

Tsipras was speaking at the World Economic Forum in Davos in a discussion about stabilizing the Mediterranean and addressing the migration crisis.

Hundreds of thousands of refugees and migrants crossed from Turkey into Greece and further into the European Union at the height of the migration crisis in 2015. It coincided with Greece negotiating its third financial bailout from international creditors to stave off bankruptcy.

Tsipras, who came to power in early 2015, said he took the helm at a very difficult time for Greece which didn’t only have to grapple with its worst debt crisis and the refugee crisis, but also an “aggressive neighbor, sometimes unpredictable with an aggressive military activity in the Aegean,” Tsipras said.

NATO partners Greece and Turkey have a long history of differences that have outlived the Cold War, ranging from jousting over airspace in the Aegean Sea to minority rights and the ethnically split island of Cyprus.

The two now cooperate in a deal brokered between Ankara and the European Union in March 2016 aimed at slowing migrant flows. Tsipras described the deal, which has been criticized by human rights groups, as ‘a difficult but necessary agreement’.

Tsipras said that implementing the agreement, making sure that international laws were not being violated as Greece has been processing thousands of asylum requests, and ensuring that national interests were also safeguarded, was important.

“At the same time we have to take a decision on what we are going to do with this aggressive behavior of Turkey,” he said in response to an observation that Turkey could change its mind on the migration deal at any time.

“For somebody (sic), it is very easy to be also aggressive if they are living in Luxembourg or Netherlands, because their neighbors are Belgium and Luxembourg, and not Turkey. But it’s not so easy for us.”

(Reporting By Michele Kambas and Renee Maltezou, Writing by Michele Kambas, Editing by William Maclean)