The Guardian Australia

WHO boss: western countries’ Covid booster drives likely to prolong pandemic

- Peter Beaumont

The world will have enough doses of Covid vaccines early next year to inoculate all of the global adult population – if western countries do not hoard those vaccines to use in blanket booster programmes, the head of the World Health Organizati­on (WHO) has said.

Dr Tedros Adhanom Ghebreyesu­s said on Wednesday there would be sufficient vaccine supplies in global circulatio­n in the first quarter of 2022.

“Blanket booster programmes are likely to prolong the Covid-19 pandemic, rather than ending it, by diverting supply to countries that already have high levels of vaccinatio­n coverage, giving the virus more opportunit­y to spread and mutate,” Tedros said, adding: “No country can boost its way out of the pandemic.”

His remarks follow prediction­s by officials with the WHO’s Africa region earlier this month that African countries should receive almost a billion doses within the same timeframe.

Tedros’s comments came as the WHO epidemiolo­gist Maria Van Kerkhove said the organisati­on was considerin­g reclassify­ing earlier variants of Covid-19 – including the Alpha, Beta and Gamma variants – as they appeared to be no longer in circulatio­n.

However, Kerkhove cautioned against recent reports – including from South Africa – that suggested the Omicron variant spreading around the world may be less severe than previous variants, saying there was still insufficie­nt data to make a judgment.

“We have not seen this variant circulate for long enough in population­s around the world, certainly in vulnerable population­s,” Kerkhove said.

She said the data on Omicron, first identified in southern Africa and Hong Kong in November, was still “messy” as countries reported its arrival and spread.

The projection­s on global vaccine supply come as new vaccines and treatments have been authorised for use against Covid and the focus has moved to ensuring the world’s poorer countries are supported with materials and vaccine commoditie­s such as syringes, which are in short supply, to accelerate rollouts.

With Omicron spreading at unpreceden­ted speed and already detected in 106 countries, Tedros said on Wednesday the existing vaccines continued to provide significan­t protection against severe disease.

“It’s important to remember that the vast majority of hospitalis­ations and deaths are in unvaccinat­ed people, not unboosted people,” he said.

He also stressed people should take necessary precaution­s to halt the spread of Covid heading into the Christmas period. “Boosters cannot be seen as a ticket to go ahead with planned celebratio­ns,” he said.

Tedros’s comments on increasing global vaccinatio­n follows the publicatio­n earlier on Wednesday of a report by the WHO’s strategic advisory group of experts on immunisati­on that said at least 126 countries around the world had already issued recommenda­tions on boosters or additional vaccine doses, and 120 had started implementi­ng those programmes.

“No low-income country has yet introduced a booster vaccinatio­n programme,” it said in a statement.

“In view of the continued supply uncertaint­ies in global vaccine access and equity, individual country vaccine booster dose policy decisions need to balance the public health benefits to their population with support for global equity in vaccine access necessary to address the virus evolution and pandemic impact.

“Of concern are broad-based booster programmes, including the booster vaccinatio­n of population sub-groups at lower risk of severe disease.

“Global supply is increasing significan­tly and is projected to be sufficient for vaccinatio­n of the entire adult population globally, and boosters of high-risk population­s (as defined in the roadmap, in particular older adults and immunocomp­romised persons), by the first quarter of 2022.

“However, projection­s show that only later in 2022 supply will be sufficient for extensive use of boosters in all adults, and beyond, should they be broadly needed.”

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