BioSpectrum Asia

A United Front against COVID-19

- Narayan Kulkarni Editor narayan.kulkarni@mmactiv.com

As on September 29, 2021, 44.9 per cent of the world population has received at least one dose of a COVID-19 vaccine with 33.04 per cent share of people fully vaccinated against COVID-19. 6.2 billion doses have been administer­ed globally, and 26.02 million are now being administer­ed each day. Only 2.3 per cent of people in low-income countries have received at least one dose.

In Asia, as of September 28, Singapore is the leading country with 79.39 per cent share of people vaccinated against COVID-19 (76.59 per cent fully vaccinated) (September 26) followed by China 76.22 per cent (70.78 per cent) (as on September 18), Japan 69.98 per cent (59 per cent), India 46.07 per cent (16.61 per cent), Indonesia 32.04 per cent (17.97 per cent), Vietnam 31.52 per cent (8.44 per cent) (September 26), Pakistan 25.94 per cent (12.17 per cent), the Philippine­s 22.69 per cent (14.53 per cent) (September 9) and Bangladesh 14.96 per cent (9.98 per cent), according to Our World in Data.

Realising the need to support the low- and lower-middle-income countries, on September 8, 2020, the world came together to support COVAX, a multilater­al initiative aimed at guaranteei­ng global access to life-saving COVID-19 vaccines. In the last two months, COVAX has already achieved significan­t progress: more than

$10 billion has been raised; legally-binding commitment­s for up to 4.5 billion doses of vaccine; 240 million doses have been delivered to 139 countries in just six months. Yet the global picture of access to COVID-19 vaccines is unacceptab­le. Only 20 per cent of people in low- and lower-middle-income countries have received a first dose of vaccine compared to 80 per cent in high- and uppermiddl­e income countries.

According to COVAX’s latest Supply Forecast, it expects to have access to 1.425 billion doses of vaccine in 2021, in the most likely scenario and in the absence of urgent action by producers and high-coverage countries to prioritise COVAX. Of these doses, approximat­ely 1.2 billion will be available for the lower income economies participat­ing in the COVAX Advance Market Commitment (AMC). This is enough to protect 20 per cent of the population, or 40 per cent of all adults; in all 92 AMC economies with the exception of India. Over 200 million doses will be allocated to self-financing participan­ts. The key COVAX milestone of 2 billion doses released for delivery is now expected to be reached in the first quarter of 2022.

Responding to the global need, leaders from across the world attended the Global COVID-19 Summit on September 22, hosted by Joe Biden, President of the United States of America. The leaders have again underlined their commitment to ensuring equitable access to COVID-19 vaccines for all countries through COVAX – noting that equitable access is essential to end the acute stage of the pandemic.

The commitment­s made at the Summit offer the promise of reaching the targets that the World Health Organisati­on and its partners have set to vaccinate 40 per cent of the population of all countries by the end of 2021 and 70 per cent by the middle of next year. Responding to the global support, Tedros Adhanom Ghebreyesu­s, DirectorGe­neral, World Health Organisati­on (WHO) said “To reach this year’s target, we need 2 billion doses for low- and lower- middle income countries now. To quote President Biden, “we can do this.”

President Biden in his remarks pointed out “We will work with global vaccine manufactur­ers to expand global and regional manufactur­ing for mRNA, viral vector, and/ or protein subunit COVID-19 vaccines and to enhance transparen­cy of data on production and projection­s for dose manufactur­ing.”

But it is clear that commitment­s alone won’t save lives, stop transmissi­on, immunise people, scale up manufactur­ing capacity, and prepare the world to prevent future health emergencie­s. What is needed now – finally – is for commitment­s to turn into immediate actions to equitably end the pandemic.

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