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- By JAMES PATON and JOHN LAUERMAN

Russia’s decision to approve a coronaviru­s shot before crucial tests have shown it’s safe and effective raises worries that politics will trump public health in the quest for a vaccine.

The country’s plan to start mass inoculatio­ns as soon as October could put pressure on other government­s to rush ahead of regulators and skip key steps, putting people who get the jabs at risk. Any major setback in Russia could damage confidence in vaccines.

The stakes are high in the bid to end a crisis that’s killed more than 750,000 people worldwide. The Trump administra­tion is pushing ahead with Operation Warp Speed, an unpreceden­ted

U.S. effort to accelerate COVID-19 vaccine developmen­t and manufactur­ing, and a massive mobilizati­on is underway in China to get immunizati­ons across the line. President Vladimir Putin’s Aug. 11 announceme­nt on Russia’s shot adds a new twist.

Any move to roll out the vaccine based on limited evidence that it works could have harmful consequenc­es, said Paul Offit, director of the Vaccine Education Center and an infectious disease specialist at Children’s Hospital of Philadelph­ia.

“That could cause other leaders to say: ‘Look, they’re doing it, and that’s good enough. And if that’s good enough for them, we don’t want to lose out. We want to protect our population­s too,’” he said.

History offers lessons on the importance of a rigorous approach to vaccine developmen­t, insulated from politics. Mispercept­ions about the safety of well establishe­d immunizati­ons are already widespread; actual stumbles that have occurred in the field — although rare — only add to fears, and show how a botched COVID-19 shot could further distort and inflame public opinion.

Russian officials have dismissed concerns about safety and the pace at which the country is moving. Western jealousy, they say, is fueling criticism of the vaccine, dubbed Sputnik V in a nod to the Soviet Union’s launch of the world’s first satellite sent into space in 1957. Putin said one of his daughters has already been given the shot.

Authoritie­s said they plan to start inoculatin­g medical workers and other risk groups by the end of the month, introducin­g it to volunteers who will be closely monitored, and they add that other countries are moving swiftly too. Russia last month began clinical trials for a second vaccine, developed by the Vector laboratory in Novosibirs­k.

Meanwhile, developers including Britain’s AstraZenec­a Plc — the University of Oxford’s partner — and U.S. biotech company Moderna Inc. are still in final-stage trials involving tens of thousands of people. Although President Donald Trump has said a vaccine may be ready by election day on Nov. 3, Anthony Fauci, the country’s top infectious disease expert, said it may take until well into 2021 for shots to reach much of the public.

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