San Antonio Express-News

» Chile has become one of the top countries in the world at vaccinatin­g its population against COVID-19.

- By Eva Vergara and Patricia Luna

SANTIAGO, Chile — After being among the world’s hardest-hit nations with COVID-19, Chile is now near the top among countries at vaccinatin­g its population against the virus.

With more than 25 percent of its people having received at least one shot, the country of 19 million on South America’s Pacific coast is the champion of Latin America, and globally it is just behind Israel, the United Arab Emirates and the United Kingdom.

That’s a far cry from the beginning of the pandemic, when Chile was criticized over its inability to trace and isolate infected people.

So what is the secret to its success?

Government officials and health experts say it was the country’s early negotiatio­ns with vaccine producers, as well as its past experience with robust vaccinatio­n programs, a record praised by the World Health Organizati­on.

During the first months of the pandemic, the headlines in Chile were bleak, with the country’s intensive care units almost full and the government unable to control the virus’s spread despite restrictio­ns that included mandatory lockdowns.

But another story was developing in parallel that few people knew about, one that had begun months before and would later guarantee Chile fast access to vaccines.

Andres Couve, Chile’s minister of science, told the Associated Press that formal negotiatio­ns with vaccine-producing companies started last April, only a month after COVID-19 was declared a pandemic.

By May, Couve said, a team of experts and officials presented a plan to President Sebastian Pinera, including a road map about how to use the country’s network of trade agreements and its previous contacts with pharmaceut­ical companies to get vaccines once they were developed. Recommenda­tions included being part of clinical trials.

This effort was helped by contacts made months earlier in China. In October 2019, Chilean biochemist Dr. Alexis Kalergis had traveled to Beijing with two Chilean colleagues for an internatio­nal congress on immunology. There Kalergis met experts from the Chinese pharmaceut­ical Sinovac Biotech Ltd.

Kalergis had already approached Sinovac about working on vaccine research. So when China announced in January 2020 that it had identified a new virus, and within weeks the world saw it spreading around the globe, Kalergis knew he needed to reach out to his colleagues at Sinovac.

“Taking advantage of our experience, the contacts and the interest that we expressed . we started conversati­ons with Sinovac,” said Kalergis, director of the Milenio Institute for Immunology and Immunother­apy at Chile’s Catholic University.

He spoke to Sinovac colleagues in January and February 2020, then went to Catholic University Dean Ignacio Sanchez with the details, saying they needed to be passed on to the government.

Sanchez approached Chile’s health minister and foreign secretary, urging early negotiatio­ns with Sinovac and other pharmaceut­icals and for Chile to be part of their clinical trials. The ministers agreed, and the Chilean government began making diplomatic contacts.

By June, long before any other country in Latin America, Chile had secured a contract with Sinovac.

Rodrigo Yanez, undersecre­tary for internatio­nal economic relations and lead negotiator with companies to get the vaccines, said Chile understood from the beginning that it needed to work with different pharmaceut­ical companies at the same time.

“We looked at different alternativ­es and didn’t put all the eggs in the same basket,” he said.

Chile was part of a Sinovac clinical trial that started in December and involved 2,300 medical workers. The government has not published its results, saying only that they were good.

Chile was administer­ing more than 100,000 shots almost daily since early February, and that more than tripled this week.

On Wednesday, it reached a daily global record of 1.3 shots per 100 inhabitant­s, followed by Israel with 1.04 doses, according to Our World in Data, a collaborat­ion between researcher­s at the University of Oxford and the nonprofit Global Change Data Lab.

Health Minister Enrique Paris said Chile has now secured 35 million doses to vaccinate 15 million people. Earlier this month, Chilean authoritie­s donated 20,000 Sinovac doses to Paraguay and the same amount to Ecuador.

 ?? Esteban Felix / Associated Press ?? Chileans show their vaccinatio­n cards. No other Latin American nation has come close to Chile’s success in vaccinatin­g its population.
Esteban Felix / Associated Press Chileans show their vaccinatio­n cards. No other Latin American nation has come close to Chile’s success in vaccinatin­g its population.

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