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Some countries like the United States and United Kingdom have already begun vaccinating priority groups and the public. In Asia, only a handful of countries have reached this stage — the biggest being China and India, which have the extensive manufacturing capabilities necessary to serve as regional vaccine production hubs.

Most other countries are still waiting on local regulators to approve vaccine candidates before they can roll out inoculation programs — and in the meantime, are scrambling to sign deals with pharmaceutical companies to buy the coveted doses in advance.

Here’s what we know about Covid-19 vaccines in Asia Pacific.

India, second only to the US in the number of coronavirus cases worldwide, approved two vaccines for emergency use on January 3.

The two vaccines: The Serum Institute of India (SII) has been manufacturing the vaccine developed by Oxford University and AstraZeneca. Meanwhile, private Indian company Bharat Biotech and the government-run Indian Council of Medical Research (ICMR) jointly developed the Covaxin vaccine, and manufactured it locally.

Both vaccines will be administered in two doses. According to Indian Health Minister Dr. Harsh Vardhan, the first phase will be free for the “most prioritized beneficiaries.”
Safety data: Oxford-AstroZeneca have released interim Phase 3 trial data, showing an average vaccine efficacy of 70.4%. Bharat Biotech has not yet released any Phase 3 efficacy data, but said its vaccine showed “acceptable safety profile and high immune response” with no serious side effects.

The timeline: The Serum Institute of India is expecting to sign a formal deal with the Indian government “imminently.” When it does, vaccinations could start in the “next seven to 10 days,” said the company’s CEO.

The first phase of the government’s plan covers 300 million high-priority people, including health care workers and vulnerable citizens like the elderly and those with serious comorbidities. They’re expected to receive two doses by the end of August.
Manufacturing hub: India produces more than 60% of all vaccines sold across the globe. As a manufacturing hub, India can churn out vaccines — developed either by Western pharmaceutical companies or domestically — faster and cheaper than most other countries.

But the emergency-use approval comes with restrictions on global distribution. SII is allowed to produce the Oxford-AstraZeneca vaccine for use within India, but the government has barred them for export until at least March or April — meaning other countries may have to source their Oxford-AstraZeneca doses from other production sites.

Meanwhile, Russia has signed agreements with four Indian manufacturers to produce about 300 million doses of the Russian-developed Sputnik V vaccine, according to Russian officials quoted by state media.

China sends its vaccines across Asia

China approved its first homegrown coronavirus vaccine for general public use on December 31.

The vaccines: The approved vaccine is developed and manufactured by state-owned pharmaceutical giant Sinopharm. The company said its vaccine is 79.34% effective, citing interim analysis of Phase 3 clinical trials.

Aside from the approved Sinopharm vaccine, China has four vaccine candidates which have reached Phase 3 trials.

Safety data: A Sinopharm executive said the Phase 3 trials covered more than 60,000 people, but no detailed efficacy data has been released. An official with China’s drug regulator, Zeng Yixin, said the vaccine’s clinical trials are still ongoing, and its manufacturer will be required to submit follow-up data to authorities.

Among those who have already received the vaccine, fewer than 0.1% developed a light fever, and about two people per million developed “relative serious adverse reactions” such as allergies, according to Zeng.

China approves Sinopharm Covid-19 vaccine, promises free shots for all citizens

The timeline: The country has already administered 4.5 million doses under its emergency use program, which included frontline workers such as health care workers and customs officers. The next step is to inoculate vulnerable groups such as the elderly and people with underlying diseases, before vaccinating the general population.

The vaccine will be free of charge, with a goal to vaccinate 50 million people ahead of February’s Lunar New Year celebrations.

Global manufacturing hub: Like India, China has the resources and infrastructure to mass produce vaccines and distribute doses across the region.

With ongoing trials in more than a dozen countries, China will be sending out hundreds of millions of doses in the coming months. Chinese leaders have promised a growing list of developing countries priority access to its successful vaccines. Chinese Premier Li Keqiang said some Southeast Asian countries would be given priority, including Cambodia, Laos, Myanmar, Thailand and Vietnam.

China’s capabilities mean it could produce vaccines developed by other countries as well. For instance, the company Shenzhen Kangtai Biological Products has already struck a deal to manufacture millions of doses of the Oxford-AstraZeneca vaccine in China.

Taiwan and Hong Kong

Hong Kong has granted emergency approval for the Oxford-AstraZeneca vaccine, and secured supply deals with Oxford-AstraZeneca, Sinovac, and Pfizer-BioNTech. There will be enough doses to cover the entire population, according to the city’s leader.

Elderly citizens, health care workers, and those with chronic illness will be first in line to receive a free dose when the initial batch of a million Sinovac doses arrives in January. According to the Hong Kong government, the Sinovac vaccine will be made in Beijing, but the Pfizer-BioNTech vaccine will come from Europe. It did not disclose where the AstraZeneca vaccine would be produced.

Taiwan has secured deals with AstraZeneca, the global COVAX initiative, and a third unnamed vaccine maker for 20 million doses, according to its Centers for Disease Control. The doses are expected to arrive by March and should cover 65% of the population.

The vaccines will be funded by the government and given to priority groups first, including medical workers, military members, the elderly, those with severe diseases, and essential personnel.

Japan speeds up process as cases surge

Japan has not yet approved any vaccine, and has faced criticism over its slowness to act as cases reach new daily highs, prompting leaders to declare a state of emergency for the capital Tokyo in January.

The vaccines: Pfizer applied for approval of its vaccine in mid-December and has agreed to supply Japan with 120 million doses, enough for 60 million people, according to public broadcaster NHK.

Other major vaccine makers including Oxford-AstraZeneca, Moderna, and Novavax have also signed deals to provide Japan hundreds of millions of doses in total.

Local production: Japanese companies have received funding to manufacture some of the vaccines locally. Takeda Pharmaceutical will manufacture the Novavax vaccine, with funding from the government, while three other companies will produce a portion of the Oxford-AstraZeneca vaccine.
Japanese Prime Minister Yoshihide Suga at a press conference in Tokyo on January 4.

The timeline: Vaccinations will begin in late February, according to Prime Minister Yoshihide Suga. He said frontline medical workers and the elderly would be the first groups to receive the shots.

The central government will cover the cost, allowing residents to receive the vaccine free of charge.

Vaccine skepticism: Besides approving and procuring the vaccines, Japanese authorities will also have to deal with a domestic problem: anticipated widespread antipathy towards getting the shot.

Japan ranks “among the countries with the lowest vaccine confidence in the world,” according to a recent study by The Lancet. In a recent poll by NHK, 36% of respondents didn’t want to take a Covid-19 vaccine.

South Korea aims for herd immunity

Like Japan, South Korea has yet to approve any vaccine, but has signed contracts with a number of pharmaceutical companies for access to their vaccine candidates.

The vaccines: The country has agreed to import doses for 6 million people from Janssen, the pharmaceutical company owned by Johnson & Johnson. It will also import doses for 10 million people each from Pfizer, AstraZeneca, Moderna, and the global Covax initiative.

The timeline: AstraZeneca is expected to be the first to receive approval, with an expedited approval and quality assurance process. The first vaccinations could roll out by February, according to President Moon Jae-in.

Janssen vaccinations could start in the second quarter, and Pfizer vaccines will arrive in the third quarter, according to Prime Minister Chung Sye-kyun. He added that they are working to move up the Pfizer vaccine, to potentially the second quarter.

With enough doses secured for 44 million people, the government is aiming to vaccinate 80% of its population of 51 million people by November to reach herd immunity.

Local manufacturing: The AstraZeneca vaccine will be produced in South Korea by local company SK BioScience, according to the Ministry of Food and Drug Safety. Authorities are now preparing cold chain storage and logistical methods to deliver the vaccines.

Southeast Asia: A flurry of supply contracts

Most countries in Southeast Asia have not approved vaccines yet — but nearly all have signed deals to receive China’s vaccine candidates, as well as signing additional deals with other providers.

Singapore leads the vaccine race, having approved the Pfizer-BioNTech vaccine in December. The vaccination program has already begun, with healthcare workers receiving the shot first. Those over the age of 70 will be vaccinated next, starting February. All Singaporeans are expected to be vaccinated by the end of 2021, free of charge, according to the Ministry of Health.

The country is still evaluating other candidates, including China’s Sinovac vaccine.
A coolroom at Singapore's Changi Airport, preparing for the arrival of its first shipment of Pfizer-BioNTech vaccines, on December 16, 2020.

Indonesia has already received at least 3 million doses of the Sinovac vaccine. Though regulators have not yet signed off on approval, authorities announced the mass vaccination program will begin on January 13, with the first shot given to President Joko Widodo.

The vaccines will be free for the public, Widodo said in December. The government plans to prioritize working-age adults over the elderly, hoping to reach herd immunity and boost the economy.

The country also secured deals with AstraZeneca and Novavax to secure 50 million doses from each company, but no details were released on when the shipments will arrive.

Thailand has signed a deal with AstraZeneca to import 26 million doses of the vaccine, and to set up a local manufacturing facility to produce the vaccine in Thailand. The locally produced shots will be provided to people in Thailand as well as across Southeast Asia, with distribution expected to begin in May, according to Thai authorities.

The country will also receive 2 million doses of the Sinovac vaccine in three batches, delivered in February, March and April.

The Philippines has not approved a vaccine yet — but several of the president’s military guards received an unnamed and unauthorized vaccine as early as September. President Rodrigo Duterte, who did not give prior approval for the doses, defended the guards’ actions, saying they could not afford to wait for regulatory approval.
The country is also working to secure deals with American companies Moderna and Arcturus, while regulators review Pfizer’s vaccine for emergency-use authorization.
Vietnam has struck a deal to receive 30 million doses from AstraZeneca to be delivered throughout the year, while the government continues negotiations with other vaccine makers, state-run news reported on January 4.
Cambodia has secured doses for 3.2 million people under the COVAX initiative, but no details have been released on when those will arrive. Additional doses will be ordered from unspecified vaccine providers, said the prime minister, according to national press agency Agence Kampuchea Press.
Laos has received 2,000 doses of China’s Sinopharm vaccine, and is inoculating volunteers and frontline medical workers, according to the government news agency. Laos will also receive vaccines from Russia and the COVAX initiative.
Myanmar has signed a deal to receive their first vaccines from India, with vaccination expected to begin for priority groups in February, authorities announced on New Year’s. Discussions are ongoing with vaccine providers in other countries, including China.

The Pacific waits for approval

In the Pacific, neither New Zealand nor nearby Australia have approved any vaccines yet. However, both countries have struck deals with several vaccine developers to access to their candidates once local regulators give the green light.

Both governments have said the vaccines will be free and voluntary for citizens.

New Zealand hasn’t had a locally transmitted case since November 18. The country has signed agreements to secure 1.5 million doses of the Pfizer-BioNTech vaccine, 5 million doses of the Janssen vaccine, 7.6 million doses of the Oxford-AstraZeneca vaccine, and 10.72 million doses of the Novavax vaccine.
Prime Minister Jacinda Ardern has said upon approval, the first batches will be delivered to frontline workers and essential staff by the second quarter of 2021. The country will also secure enough vaccines to cover Pacific Islands including Samoa, Tuvalu, Tokelau, Niue, and the Cook Islands, according to CNN affiliate Radio New Zealand.
New Zealand commits to travel bubbles with Australia, Cook Islands
Australia has also signed four deals: 10 million doses of the Pfizer-BioNTech vaccine, 53.8 million doses of the Oxford-AstraZeneca vaccine, 51 million doses of the Novavax vaccine, and 25 million doses under COVAX.

Australia’s Pfizer doses will be manufactured in the US and Europe, the Oxford-AstraZeneca vaccine will be imported then manufactured in Australia by a domestic company, and Novavax doses will come from European production sites.

Australia expects to start administering the first dose in mid-to-late February to priority groups, including quarantine and border workers, frontline healthcare workers, and residents in aged and disability care.

By the end of March, four million people should have been vaccinated, according to Prime Minister Scott Morrison.

The Pfizer-BioNTech vaccine is expected to approved by Australian regulators by the end of January, Morrison said. The Oxford-AstraZeneca vaccine could be approved in February. No estimate was given for Novavax.



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Pelosi to move forward with impeachment if Pence doesn’t act to remove Trump

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“In protecting our Constitution and our Democracy, we will act with urgency, because this President represents an imminent threat to both,” Pelosi said in the letter to Democrats on Sunday night laying out next steps.

The House will try to pass a measure on Monday imploring Pence to invoke the 25th Amendment, through which he and the Cabinet declare Trump “incapable of executing the duties of his office, after which the Vice President would immediately exercise powers as acting president.” If Republicans object, as is virtually certain, Democrats will pass the bill via a roll call vote on Tuesday.

“We are calling on the Vice President to respond within 24 hours,” Pelosi wrote. “Next, we will proceed with bringing impeachment legislation to the Floor.”

But it’s not clear when exactly the Senate will take up the House’s measure. The Senate isn’t scheduled to return until Jan. 19, but will hold pro forma sessions on Tuesday and Friday. In theory, a senator could try to pass the House resolution by unanimous consent, but as of now it appears unlikely that it would pass.

On Monday, multiple House Democrats plan to introduce impeachment resolutions that would become the basis of any impeachment article considered by the House later this week.

Rep. David Cicilline (D-R.I.), who will introduce an article of impeachment against Trump on Monday, said on Sunday that roughly 200 Democrats have co-sponsored the measure.

Currently, 211 voting members (plus three nonvoting members) support Cicilline’s legislation, and they are hoping to reach 217 voting members by Monday morning, enough for the House to impeach Trump, one Democratic source familiar with the matter told POLITICO.

A small number of Democrats have opted not to co-sign the bill, but privately say they will vote to support the resolution on the floor, the source added.

The impeachment effort in the House is likely to be bipartisan, with Democrats expecting at least one GOP lawmaker — Rep. Adam Kinzinger of Illinois — to sign on. A handful of other House Republicans are seriously weighing it, according to several sources, though those lawmakers are waiting to see how Democrats proceed, and some are concerned about dividing the country even further.

Among the GOP members whom Democrats are keeping an eye on are Reps. John Katko of New York, Brian Fitzpatrick of Pennsylvania, Fred Upton of Michigan, Liz Cheney of Wyoming and Jaime Herrera Beutler of Washington.

Across the Capitol, at least two Republicans — Sens. Pat Toomey of Pennsylvania and Lisa Murkowski of Alaska — have called on Trump to resign. On Saturday, Toomey told Fox News, “I do think the president committed impeachable offenses,” but told CNN the next day that he does not believe there is enough time to impeach.

Sen. Ben Sasse (R-Neb.) has also said he would consider articles of impeachment.

Another option has emerged among some Republican and moderate Democratic circles — censuring Trump — though it remains highly unlikely to advance.

A censure resolution would gain far more support in the GOP than impeachment. Some Republicans have privately been pushing for that route and are trying to get Biden on board, according to GOP sources. That group of Republicans is also warning that impeachment could destroy Biden’s reputation with Republicans.

But censure is considered a nonstarter in an incensed House Democratic Caucus, where members see it as a slap on the wrist that gives Republicans an easy out.

The Democrats’ enormous step toward impeachment on Sunday comes after Pelosi and other top Democrats held a private call on Saturday night in which they discussed the potential ramifications that a lengthy impeachment trial could have on Biden’s presidency.

Democratic leaders discussed several options to limit the political effects on Biden’s first 100 days, with one option — floated by House Majority Whip Jim Clyburn (D-S.C.) — for the House to delay the start of an impeachment trial in the Senate by holding on to the article of impeachment.

Senate Majority Leader Mitch McConnell (R-Ky.) has sent out a memo to senators explaining that the Senate could not take up impeachment until Jan. 19 at the earliest, absent unanimous consent.

A final decision has not been made, and House Democrats will discuss the matter on a 2 p.m. caucus call on Monday.

Lawmakers are already privately expressing concerns about returning to the Capitol for multiple days this week, worried about both a potential coronavirus outbreak and whether the building is secure, given how easily an armed pro-Trump mob invaded on Wednesday.

The Capitol physician urged House lawmakers and staff to get tested in a memo Sunday, saying they might have been exposed to someone who had the virus while huddling for safety in a large committee room for hours on Wednesday. During the hourslong lockdown, several Republican members refused to wear masks despite being offered them by Democrats worried about the spread of the deadly virus.

Melanie Zanona, Olivia Beavers and Marianne LeVine contributed to this report.

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Matt Hancock Scraps “Unnecessary Training Modules” Blamed For Slowing Vaccine Rollout

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Matt Hancock has agreed to remove some of the training modules required for volunteers to sign up to deliver the Covid-19 vaccine (PA)


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Matt Hancock said people will no longer need to undertake training including an anti-terrorism course to give the coronavirus jab after MPs said “bureaucratic rubbish” was delaying mass vaccination.

It comes as MPs called for the government to produce targets for the number of people given immunity before lockdown can be lifted.

The health secretary said a series of “unnecessary training modules” are being scrapped to speed up the process of getting people qualified to deliver the jab.

Speaking in the Commons, Sir Edward Leigh said he was shown by his fellow the Tory MP, a qualified GP, the “ridiculous form” he had filled out to start delivering the vaccine.

“When he’s inoculating an old lady, he’s not going to ask her if she’s come into contact with Jihadis or whatever, so the Secretary has got to cut through all this bureaucratic rubbish,” he said.

In response Mr Hancock said: “I am a man after Sir Edward’s heart and I can tell the House that we have removed a series of the unnecessary training modules that had been put in place, including fire safety, terrorism and others.

“I’ll write to him with the full panoply of the training that is not required and we have been able to remove, and we made this change as of this morning and I am glad to say it is enforced.

“I am a fan of busting bureaucracy and in this case I agree with him that it is not necessary to undertake anti-terrorism training in order to inject vaccines.”

Dr Fox had earlier challenged Boris Johnson to drop the “bureaucracy” and “political correctness” of the forms vaccine volunteers must fill out.

He told MPs: “As a qualified but non-practising doctor, I volunteered to help with the scheme and would urge others to do the same. 

“But, can I ask the Prime Minister why I’ve been required to complete courses on conflict resolution, equality, diversity and human rights, moving and handling loads and preventing radicalisation in order to give a simple Covid jab?”

Mr Johnson said he had been “assured by the Health Secretary that all such obstacles, all such pointless pettifoggery has been removed”.

The government has been attempting to recruit thousands of volunteers to help with a mass vaccination programme, and with the recent approval of the more easily deliverable Oxford/AstraZeneca version has today revealed the location of seven mass vaccination centres set to open next week.

The Prime Minister’s official spokesman told journalists at a briefing they would be at Robertson House in Stevenage, the ExCel Centre in London, the Centre for Life in Newcastle, the Etihad Tennis Centre in Manchester, Epsom Downs Racecourse in Surrey, Ashton Gate Stadium in Bristol and Millennium Point in Birmingham, and it is expected they will be run with a combination of NHS staff and volunteers.

But so far the government has not said how many people need to be inoculated before it has an impact on the coronavirus restrictions.

Mr Hancock was asked by a number of MPs if the measures could be eased once the top few tiers in the vaccine priority list had been clear.

Former Conservative chief whip Mark Harper said once the top four groups, which includes care home residents and staff, frontline NHS workers, the clinically extremely vulnerable and everyone over 70 “we’ve taken care therefore of 80% of the risk of death”.

Adding: “What possible reason is there at that point for not rapidly relaxing the restrictions that are in place on the rest of our country?”

The health secretary replied: “We have to see the impact of that vaccination on the reduction in the number of deaths, which I very much hope that we will see at that point, and so that is why we will take this – an evidence-led move down through the tiers, when we’ve broken the link, I hope, between cases and hospitalisations and deaths.”

The ex-Tory minister and another doctor, Andrew Murrison, said: “The logic of anticipating what is going to happen in two or three or four weeks’ time from the number of cases we are getting at the moment is that we can do the same in reverse.

“That is to say, when we have a sufficient number of people vaccinated up we can anticipate in two or three or four weeks’ time how many deaths have been avoided. 

“That means, since it cuts both ways he will be able to make a decision on when we should end these restrictions.”

Mr Hancock replied: “The logic of the case that Dr Murrison makes is the right logic and we want to see that happen in empirical evidence on the ground.

“This hope for the weeks ahead doesn’t take away, though, from the serious and immediate threat posed now.”

The Cabinet minister said the challenge for the government is to increase the amount of doses available, claiming “the current rate-limiting factor on the vaccine rollout is the supply of approved, tested, safe vaccine”.

He added: ”We are working with both AstraZeneca and Pfizer to increase that supply as fast as possible and they’re doing a brilliant job.”

But Labour’s shadow health secretary Jonathan Ashworth called for the government to ramp up its vaccination programme to six million doses a week.

He told the Commons: “The Prime Minister has promised almost 14 million will be offered the vaccine by mid-Feb. That depends on around two million doses a week on average.

“Both [Mr Hancock] and the Prime Minister have reassured us in recent days that it’s doable based on orders.

“But in the past ministers have told us that they had agreements for 30 million AstraZeneca doses by September 2020 and 10 million of Pfizer doses by the end of 2020.

“So, I think people just want to understand the figures and want clarity. Can ministers tell us how many of the ordered doses have been manufactured?”

Mr Ashworth added: “Two million a week would be fantastic but it should be the limit of our ambitions, we should be aiming to scale up to three, then five, then six million jabs a week over the coming months.”

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How South African police are tackling pangolin smugglers

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Quiet, solitary and nocturnal, the pangolin has few natural enemies, but researchers believe it is the most trafficked mammal in the world. The tough scales covering its body are sought after for use in Chinese medicine, in the erroneous belief that they have healing properties.

The animal has also been of interest to researchers during the coronavirus pandemic. Related viruses have been found in trafficked pangolins, though there is continued uncertainty around early theories that pangolins were involved in the transmission of the virus from animals to humans.

After South African police seized a pangolin from suspected smugglers, BBC Africa correspondent Andrew Harding witnessed how vets tried to save the animal’s life.

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