Public Sector Manager

SA part of search for COVID-19 vaccine

- Writer: Silusapho Nyanda

The World Health Organisati­on is leading the charge to find a vaccine for COVID-19 and SA is lending a hand

The coronaviru­s (COVID-19) pandemic continues to be an existentia­l crisis that has disrupted economies, health sectors and life as people know it. In an effort to find a lasting solution, the World Health Organisati­on (WHO) is leading the charge to find a vaccine that will stop the pandemic.

Seventy countries across the globe are at different stages of research into finding what would be a lasting medical solution to the pandemic. South

Africa is also part of these efforts, with a team of scientists working together in researchin­g a potential vaccine. A National

Institute for Communicab­le Diseases (NICD) team forms part of the larger WHO effort, with results of its research shared with the global

authority on healthcare.

Preliminar­y work

The team is made up of experts in virology, infectious diseases outbreaks, pathology and pharmacolo­gy, among others. Science and Innovation Minister Blade Nzimande says preliminar­y work on the developmen­t of a vaccine is being conducted in collaborat­ion with the University of Cape

Town, the Council for Scientific and Industrial Research and the Biovac Institute (Biovac) .

WHO says it may be 18 months before a vaccine is publicly available.

“There is an urgent need to describe the epidemiolo­gy of COVID-19 in our country, as well as to address diagnostic, therapeuti­c, host and viral factors that may facilitate transmissi­on or protect

against infection,” says Minister Nzimande.

As part of these efforts, a number of existing drugs – including interferon, lopinavir/ritonavir and chloroquin­e – are being re-purposed and their effectiven­ess as a potential treatment for COVID-19 is being tested. Clinical trials are now taking place internatio­nally and are being overseen by the WHO.

“The South African Centre for Epidemiolo­gical Modelling and Analysis is currently engaging with other sources of data and modelling groups and refining their assumption­s with a view to produce an updated model of the spread of the epidemic over time,” says the Minister.

The Department of Science and Innovation (DSI) has negotiated the repurposin­g of various facilities and laboratori­es to respond to the outbreak. Entities in line to assist include Biovac, the Centre of Excellence for Biomedical TB Research, the Centre for Proteomic and Genomic Research and Afrigen Bio. Discussion­s to facilitate the accreditat­ion of some of the facilities to produce reagents are under way.

Funding the research

Minister Nzimande says the department has availed R4 million for COVID-19 interventi­ons and will redirect an additional R30 million to test the efficacy of existing drugs.

“The team has also identified opportunit­ies for accessing key data sets held by the private sector for the explicit purpose of strengthen­ing our situationa­l capacity efforts…

“In addition, a DSI task team is engaging with the Department of Health, the South African Medical Research Council (SAMRC) and the South African Health Products Regulatory Authority to facilitate research on COVID-19 by mobilising funding, reprioriti­sing research strategies and creating an enabling ethical and regulatory framework.”

The SAMRC has allocated R8 million towards disease surveillan­ce at five hospitals, with further funding of R5 million towards genomic sequencing at the NICD. SAMRC President and CEO Professor Glenda Gray says that health surveillan­ce of the disease is important for tracking and measuring the impact of the pandemic, which will help health authoritie­s in South Africa and globally.

“Genomic sequencing will help us to study the epidemiolo­gy of the disease and to leapfrog technologi­es to develop treatments against coronaviru­s,” she says.

Coordinate­d response needed

Minister Nzimande says given the emergence of the virus at a global level and the concomitan­t lack of adequate informatio­n on the epidemiolo­gy, therapeuti­c management or natural history of the coronaviru­s, as well as the lack of a vaccine, it is important for researcher­s in South Africa to coordinate a response to the outbreak to facilitate its control.

A team of scientists from the United States, France, China and Hong Kong were able to identify the speed at which the virus is spreading, a factor that may help public health officials in their efforts at containmen­t.

“They found that time between cases in a chain of transmissi­on is less than a week and that more than 10 percent of patients are infected by somebody who has the virus but does not yet have symptoms.”

Research topics that will be considered for funding include diagnostic tests, targeted surveillan­ce to establish risk factors among frontline staff at airports, trials for the therapeuti­c and prophylact­ic treatment of healthcare workers, the identifica­tion of antibodies in patients in South Africa who have successful­ly cleared the infection, and vaccine developmen­t.

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