The Sunday Guardian

‘Centralise­d vaccine procuremen­t is the right step’ ‘PK unifier of Opposition ahead of 2024 elections’

- CHIRAYU PRAHLAD NEW DELHI ARUP KALI KOLKATA

In a recent developmen­t, the US Food and Drug Administra­tion (FDA) official statement said that Bharat Biotech’s Covaxin was not given emergency usage approval. While the Government of India says this neither affects the production nor the vaccinatio­n drive of Covaxin in India, many who have already been vaccinated with Covaxin are now confused. Since WHO has also not granted EUA (emergency usage approval) status to India’s vaccine, many are questionin­g whether they will be allowed to travel internatio­nally and what happens if such travel is declined to them. Students going abroad for studies are the most affected by these developmen­ts. With not much time left for them to start the visa procuremen­t process, they are justifiabl­y anxious.

This is actually a strange developmen­t as America’s own expert epidemiolo­gist Dr Anthony Fauci and many in the healthcare system have publicly said that there was evidence that Covaxin protects those taking it against variants of Covid-19.

Dr Chandrakan­t Lahariya, a highly credited epidemiolo­gist, public health expert and author, told The Sunday Guardian, “Indian vaccines are in no way inferior to foreign made vaccines. It is merely a matter of paperwork as these processes generally take 2-3 months to complete.”

This raises the question as to why Bharat Biotech did not start the process of applying for emergency usage early on before releasing the vaccines? Some may recall that many heavyweigh­t Opposition leaders had condemned the Covaxin early in January and this led to vaccine hesitancy among many elderly citizens eligible during Phase 2 of the drive in India. This was the phase when the policy of Centre’s procuremen­t of the vaccines and distributi­on to various states was the norm. While some were given Covishield, others were given only Covaxin. Neither did the states have a choice, nor did its people.

After much politics played out, the Centre suddenly decided that it would go for a policy shift, wherein the states could procure vaccines directly from the manufactur­ers. In addition, the Centre also allowed everyone in the age group of 45+ to be vaccinated.

An official communicat­ion from the Ministry of Health dated 21 April stated that vaccine manufactur­ers would supply 50% of their monthly Central Drugs Laboratory (CDL) released doses to the Government of India and would be free to supply the remaining 50% doses to the state government­s.

Manufactur­ers would in a transparen­t manner make an advance declaratio­n of the price for 50% supply that would be available to the state government­s and in the “other than Govt. of India channel”, before 1 May 2021. Based on this price, states, private hospitals, and industrial establishm­ents through their hospitals could procure vaccine doses from the manufactur­ers. Private hospitals would have to procure their supplies of Covid-19 vaccine exclusivel­y from the 50% supply earmarked for “other than Govt. of India channel”. The price charged for vaccinatio­n by private hospitals was to be monitored.

By this time, India was seeing the worst of the second wave of the pandemic, with shortage of beds, oxygenator­s, and ventilator­s. The pandemic spread like a wildfire, with over 4 lakh cases daily and record number of deaths. There was a virtual collapse of the healthcare system, with doctors, nurses and hospital staff appearing on television channels begging for oxygen supply.

The states were contending with the rising number of cases, on the one hand, and being unable to float global tenders for vaccines on the other, with some multi-national companies refusing to deal with them directly and the indigenous vaccines suddenly being in short supply, began blaming the Central government for this chaos.

Vaccinatio­n rates in India, during the decentrali­zed period of May, were at the lowest they have been since March 2021, despite being open for all age groups.

Daily vaccinatio­n rates slowed down in at least 21 states, with states such as Maharashtr­a reporting a drop of almost 40% compared to April 2021. The lowest decrease in vaccinatio­n rates was in Uttar Pradesh, reporting a 27% drop, while Telangana had the highest, with a 71% decrease in daily vaccinatio­n rates. (source: cowin.gov.in)

The Prime minister, on 7 June, announced that the Central government will take over the responsibi­lity of procuring Covid-19 vaccines and will provide free doses to states in order to vaccinate all above the age of 18. This system will come into effect from 21 June.

Dr Lahariya said that this is a step in the right direction. “Centraliza­tion of the procuremen­t of vaccines will make the vaccinatio­n process much more efficient and will make it cheaper as well. India was not well prepared for the second wave with regard to its population, but has now caught up with the rest of the world when it comes to the vaccine manufactur­ing.”

“In order to ensure the highest possible rate of vaccinatio­n, it is important that the Centre makes the vaccinatio­ns free for the private sector as well,” Dr Lahariya said. Under the new policy, private hospitals will be able to purchase 25% of the vaccines produced in India, and the people who are willing to pay for a shot can do so at private hospitals and healthcare centers. The hospitals can apply a maximum service charge of Rs 150, over the base cost of the vaccine itself.

Dr Lahariya also said that it is important that the government ensures that the vaccines are taken to every part of India, from the mountains to the tribal population, in order for such a large country to defeat Covid-19.

Political strategist Prashant Kishor calling on Nationalis­t Congress Party (NCP) president Sharad Pawar at Pawar’s residence in Mumbai on Friday has set off much speculatio­n, including that it was part of West Bengal Chief Minister Mamata Banerjee’s attempts to prepare the ground to form an anti-nda alliance ahead of the 2024 general elections.

The meeting between Pawar and Kishor lasted for over three hours, triggering much speculatio­n. In 2019, Mamata had taken the initiative to form an anti-nda (National Democratic Alliance) alliance, but the exercise fell flat. This time, speculatio­n is that Mamata Banerjee is trying to use Kishor’s skills to prepare the ground for a similar exercise.

After defeating the Bharatiya Janata Party in the recent Assembly polls, the Bengal Chief Minister has been in the forefront as an anti-modi face. Mamata Banerjee has been challengin­g the Prime Minister on every issue, from the Covid pandemic situation in the country, the short supply in vaccines to the CAA issue.

After losing some vote share to the BJP in the 2019 Lok Sabha elections, the TMC supremo roped in Kishor for the recently concluded Assembly polls and got results, retaining Bengal for the third time with a thumping majority. In the process she has proved that the BJP can be challenged.

Kishor’s journey is largely remembered for the number of times he has jumped camps, from Punjab to West Bengal, from Uttar Pradesh to Andhra Pradesh and from Delhi to Tamil Nadu, making him a “power centre” in Indian politics in his own right.

In 2013, Kishor created the Citizens for Accountabl­e Governance (CAG), a media and publicity company, as part of his campaign for Narendra Modi for the 2014 Lok Sabha elections. Before that, he had worked as Modi’s strategist in Gujarat in 2011. After Modi’s win in 2014, Kishor has worked as a strategist for the Congress, JDU, AAP, Shiv Sena, Trinamool Congress and DMK.

CAG was later converted into a specialist policy outfit, the Indian Political Action Committee (I-PAC). In 2018, Kishor had joined the JDU, but had a fall-out with Nitish Kumar over the Citizenshi­p Amendment Act. In 2020, he was expelled from the party.

Kishor has delivered several impressive results—from Modi in 2014, the Mahagatban­dhan in Bihar in 2015 to Amarinder Singh in 2017 and Jagan Reddy in 2019, and now Mamata Banerjee in 2021. Kishor does well when he is with the winning side. But when he had, for instance, Rahul Gandhi to convince voters with and to build a brand around, he simply couldn’t.

Kishor carefully chooses strong sides—jagan, Mamata Banerjee, Kejriwal, DMK. This is precisely the astuteness that has kept him afloat.

More than selling the politician he is working with, Kishor knows how to sell himself.

However, in the 2017 Uttar Pradesh polls, not only did the BJP win without Kishor, it actually won against him. The poll strategist came on board for the Congress campaign, backing Sheila Dikshit as the Chief Minister. The results left the Congress-samajwadi Party combine in a disaster. The biggest sufferer was the Congress.

In 2019, Mamata Banerjee met NCP chief Sharad Pawar and leaders of some regional parties as well as NDA ally Shiv Sena to explore a “federal front” option to take on the BJP in the next Lok Sabha polls, mooting a “one-to-one” fight in all the states. But the exercise fell flat, with the “Modi wave” decimating all.

Newspapers in English

Newspapers from India