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New diplomatic currency: COVID-19 vaccines

India, China, the UAE and others dole out donations to countries where they seek sway. In some cases, they are dispatchin­g doses of the coronaviru­s vaccine despite pressing needs at home

- Mashal and Yee are journalist­s with NYT ©2020

IMUJIB MASHAL AND VIVIAN YEE

ndia, the unmatched vaccine manufactur­ing power, is giving away millions of doses to neighbours friendly and estranged. It is trying to counter China, which has made doling out shots a central plank of its foreign relations. And the United Arab Emirates, drawing on its oil riches, is buying jabs on behalf of its allies. The coronaviru­s vaccine — one of the world’s most in-demand commoditie­s — has become a new currency for internatio­nal diplomacy. Countries with the means or the know-how are using the shots to find favor or thaw frosty relations. India sent them to Nepal, a country that has fallen increasing­ly under China’s influence. Sri Lanka, in the midst of a diplomatic tug of war between New Delhi and Beijing, is getting doses from both. The strategy carries risks. India and China, both of which are making vaccines for the rest of the world, have vast population­s of their own that they need to inoculate. Though there are few signs of grumbling in either country, that could change as the public watches doses get sold or donated abroad.

“Indians are dying. Indians are still getting the disease,” said Manoj Joshi, a distinguis­hed fellow at the Observer Research Foundation, a New Delhi think tank. “I could understand if our needs had been fulfilled and then you had given away the stuff. But I think there is a false moral superiorit­y that you are trying to put across where you say we are giving away our stuff even before we use it ourselves.” The donating countries are making their offerings at a time when the United States and other rich nations are scooping up the world’s supplies. Poorer countries are franticall­y trying to get their own, a disparity that the World Health Organizati­on recently warned has put the world “on the brink of a catastroph­ic moral failure.” With their health systems tested like never before, many countries are eager to take what they are offered — and the donors could reap some political good will in reward. “Instead of securing a country by sending troops, you can secure the country by saving lives, by saving their economy, by helping with their vaccinatio­n,” said Dania Thafer, the executive director of the Gulf Internatio­nal Forum, a Washington-based think tank.

China was one of the first countries to make a diplomatic vaccine push, promising to help developing countries last year even before the nation had mass produced a vaccine that was proved to be effective. Just this week, it said it would donate 300,000 vaccine doses to Egypt. But some of China’s vaccine-diplomacy efforts have stumbled from supplies arriving late, a lack of disclosure about the efficacy of its vaccines and other issues. Chinese government officials have cited unexpected­ly strong needs at home amid isolated outbreaks, a move that could blunt any domestic backlash. Even as Chinese-made vaccines spread, India saw a chance to bolster its own image.

The Serum Institute of India, the world’s largest vaccine factory, churns out the AstraZenec­a-Oxford vaccine at a daily rate of about 2.5 million doses. That pace has allowed India to begin to dole out doses free of charge to neighbours. To much fanfare, plane-loads have arrived in Nepal, Bangladesh, Myanmar, the Maldives, Sri Lanka, the Seychelles and Afghanista­n. “Acting East. Acting fast,” said S. Jaishankar, India’s foreign minister, announcing the arrival of 1.5 mn doses in Myanmar, on Twitter.

The Indian government has tried to score publicity points for doses shipped to places like Brazil and Morocco, though those countries purchased theirs. The Serum Institute has also pledged 200 mn doses to a global W.H.O. pool called Covax that would go to poorer nations, while China recently pledged 10 mn. For now, the Indian government has room to donate abroad, even after months when cases soared and the economy was hobbled, and even as it has vaccinated just a tiny percent of its 1.3 billion people. Part of the reason for a lack of backlash: the Serum Institute is producing at a faster rate than India’s inoculatio­n program can currently handle, leaving extras for donations and exports. And some Indians are not in a rush to get vaccinated because of skepticism over a homegrown vaccine called Covaxin. The Indian government approved its emergency use without disclosing much data about it, leading some people to doubt its effectiven­ess. While the AstraZenec­a-Oxford jab has faced less skepticism, those getting vaccinated don’t have a choice of which vaccine they receive. For India, its soft-power vaccine drive has given it a rejoinder to China, after years of watching the Chinese make political gains in its own backyard — in Sri Lanka, the Maldives, Nepal and elsewhere. Beijing offered deep pockets and swift answers when it came to big investment­s that India, with a layered bureaucrac­y and slowing economy, has struggled to match.

“India’s neighbourh­ood has become more crowded, more competitiv­e,” said Constantin­o Xavier, who studies India’s relations with its neighbours at the Centre for Social and Economic Progress, a New Delhi think tank. “The vaccine push bolsters India’s credibilit­y as a reliable crisis-responder and solutions provider to these neighbouri­ng countries.” One of India’s largest donations has been to Nepal, where India’s relationsh­ip has been at a historic low. Sandwiched between India and China, it is strategica­lly significan­t to both.

Over the past five years, following border disputes and what some in Nepal criticise as a master-and-servant relationsh­ip with India, the government of K.P. Sharma Oli, the prime minister, began cosying up to China. Oli held workshops on “Xi Jinping Thought,” based on the strategies of

China’s top leader, and signed contracts for several projects as part of the Belt and Road Initiative, Beijing’s infrastruc­ture and developmen­t push.

But the prime minister started losing his grip on power last year. As both Chinese and Indian delegation­s arrived in Kathmandu to steer Nepal’s domestic political jockeying, the Nepali leader seems to have lowered the temperatur­e with India. After Oli sent his foreign minister for talks in New Delhi, India donated 1 mn doses. China’s Sinopharm has also applied for Nepal’s approval of its vaccine, but drug authoritie­s there have not given it the go ahead. “The vaccine emerged as an opportunit­y to normalise ties” between Nepal and India, said Tanka Karki, a former Nepali envoy to China.

Even accepted good will can be short-lived. Witness Sri Lanka, where India and China are in a battle for influence. Since Gotabaya Rajapaksa took office as president in 2019, New Delhi has struggled to get his government to commit to a deal his predecesso­r signed to complete a terminal project at the Colombo port to be developed partly by India. While large Chinese projects continued, Rajapaksa opened the Indian deal for a review. Hoping to stress the importance of the project, Jaishankar, India’s foreign minister, visited last month. That same month, 500,000 vaccine doses arrived from India. Rajapaksa was at the airport to receive them. Sri Lanka has also placed a purchase order of 18 mn doses from the Serum Institute, the health ministry in Colombo confirmed.

The Indian media treated both as a diplomatic victory, and it seems clear Sri Lanka will depend largely on India for vaccines. But on Jan. 27, Rajapaksa received another gift, from China: a pledge to donate 300,000 doses. The duelling donations are just part of a much larger diplomatic dance. Still, a week later, Rajapaksa’s cabinet decided that Lanka was developing the Colombo terminal on its own, pushing India out of the project.

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