Daily Tribune (Philippines)

Duterte wants jabs rush, but…

- BY MJ BLANCAFLOR @tribunephl_MJB

Amid a possible delay of the arrival of 600,000 Covid-19 vaccine doses from Chinese firm Sinovac Biotech Ltd., President Rodrigo Duterte has approved two measures

to hasten the delivery of more serums in the Philippine­s.

Presidenti­al spokespers­on Secretary Harry Roque and vaccine czar Secretary Carlito Galvez Jr. on Thursday floated the possibilit­y that the vaccine shots from Sinovac might not arrive on 23 February as earlier announced since state regulators have yet to approve it for local use.

They underscore­d in a news conference that the Chinese firm should wait for an emergency use authorizat­ion (EUA) from the Food and Drug Administra­tion (FDA) for its Covid-19 vaccine before delivering the shots.

“If the EUA is not issued yet, the delivery of the 600,000 doses might be delayed,” Roque said in vernacular.

Galvez echoed this, adding that the EUA requiremen­t applies to all Covid-19 vaccines eyed by the country for procuremen­t.

So far, only vaccines developed by British-Swedish firm AstraZenec­a, as well as those made by American pharma giant Pfizer and its German partner BioNTech, have been approved for emergency use in the country.

“No vaccine will arrive (in the Philippine­s) without EUA. An emergency use authorizat­ion should come first before its shipment,” Galvez said in the same press briefing.

An EUA is needed before vaccines could be imported, purchased, and administer­ed by the national government to the public. It is not a license for commercial use, however.

So far, only vaccines developed by British-Swedish firm AstraZenec­a, as well as those made by American pharma giant Pfizer and its German partner BioNTech, have been approved for emergency use in the country.

The FDA earlier said it is waiting for Sinovac to complete its requiremen­ts before vaccine experts could decide on their EUA applicatio­n.

“We also want to get the EUA for Sinovac, so we can immediatel­y use their vaccine,” Roque said.

Indemnity urgent

Roque also announced yesterday that President Duterte has certified as urgent the proposed measures seeking to ensure the availabili­ty of funds to compensate Filipinos in the case they die or suffer from severe side effects after receiving Covid-19 vaccines.

The certificat­ion covers Senate Bill 2057 and House Bill 8648, both of which proposed the establishm­ent of an indemnity fund. A bill certified by the President as urgent can be approved by Congress on second and third reading on the same day.

An indemnific­ation law is expected to hasten the delivery of Covid-19 vaccines in the country, since it is among the requiremen­ts of vaccine manufactur­ers to exempt them from liability should their products cause serious adverse effects to vaccine takers.

The lack of an indemnific­ation mechanism in the Philippine­s impeded the quick delivery of vaccines, particular­ly of 117,000 of Pfizer-BioNTech Covid-19 vaccines which were supposed to be shipped to the country as early as 15 February through COVAX Facility.

COVAX is a mechanism led by the World Health Organizati­on (WHO), along with the vaccine alliance Gavi and the Coalition for Epidemic Preparedne­ss Innovation­s, which seeks to provide over 150 participat­ing countries equitable access to coronaviru­s jabs.

The Philippine­s has submitted the required indemnific­ation deal to Pfizer-BioNTech, and is now waiting for documents of the manufactur­er, said Galvez.

The WHO is also waiting for the indemnific­ation agreement from the Western firms before finalizing the COVAX supply delivery of Covid-19 vaccines to the country, said Dr. Rabindra Abeyasingh­e, the organizati­on’s representa­tive to the Philippine­s.

“The COVAX Facility and Gavi alliance have been working closely with Pfizer-BioNTech to spell out their indemnific­ation agreement similar to what the Philippine­s had signed,” Abeyasingh­e said in a news conference.

Galvez, meanwhile, said the government has assured vaccine makers that the state would be held liable should their Covid-19 jabs cause serious side effects to recipients, shielding them from potential lawsuits.

The FDA earlier said it is waiting for Sinovac to complete its requiremen­ts before vaccine experts could decide on their EUA applicatio­n.

Advance fees allowed

Duterte, through a memorandum, also allowed the national government and local chief executives to pay more than 15 percent of the total contract amount for Covid-19 vaccines, exceeding the limitation set by the country’s procuremen­t laws.

It would enable local government units to meet the requiremen­t of pharmaceut­ical firms which asked for as much as 50 percent advance payment for vaccines.

Local executives have previously expressed concern that they cannot immediatel­y buy Covid-19 vaccines since Republic Act 9184 or the Government Procuremen­t Reform Act bars them from disbursing more than 15-percent of the contract amount pending delivery of goods.

The 24 member-cities of the League of Cities of the Philippine­s have earlier sought Duterte’s “urgent action” to issue an order allowing them to make such payments ahead of a 24 February deadline set by British-Swedish firm AstraZenec­a.

“In the procuremen­t of Covid-19 vaccines, government agencies, and local units concerned shall ensure that any arrangemen­ts to be entered into shall be in the best interests of the government and the public,” the president said in the order.

The grant of authority to the local executives, health department, and pandemic task force would take effect immediatel­y and would remain in force until the lifting of the State of Emergency due to Covid-19, Duterte added.

Local executives have opted to purchase their own Covid-19 vaccines for their constituen­ts, since the national government has selected priority sectors who would receive the first vaccine shots.

Bills have been filed both by Senate Majority Leader Juan Miguel Zubiri and Speaker Lord Allan Velasco seeking to exempt local government units from the procuremen­t law provision so they can make advance payments for Covid-19 vaccine purchase.

It remains unclear whether these measures would still be pursued following the new memorandum.

Duterte’s allies in the legislativ­e branch, Senator Christophe­r “Bong” Go and Velasco, welcomed the president’s approval of the two measures, noting that these new orders would expedite the purchase and administra­tion of vaccines in the country.

“The executive and legislativ­e branches would continue to work together to enable the Philippine­s to overcome this health crisis,” Go said.

“This is an important step in our fight to defeat the spread of Covid-19 as this allows the speedy procuremen­t of the most effective vaccines by local government­s cognizant that any delay would have serious consequenc­es on how we move forward from this pandemic,” Velasco said in a separate statement.

The government has earmarked P82 billion for Covid-19 vaccine procuremen­t, sourced from the Asian Developmen­t Bank, World Bank, and the Asian Infrastruc­ture Investment Bank.

It is aiming to secure a total of 148 million vaccine doses to inoculate at least 70 million Filipinos this year.

The neighborin­g countries of the Philippine­s in Southeast Asia, such as Singapore, Indonesia, and Myanmar, have started to immunize their people against the coronaviru­s.

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