Keeping faith: on WHO approval for Covaxin

After months of speculation, World Health Organization (WHO) Provided Emergency Use List (EUL) to covaxin, Manufactured by Bharat Biotech. This now allows for better availability of the vaccine in many more countries, particularly through global groups such as Covax. One of the WHO’s key objectives is for at least 40% of people in all countries to be vaccinated by the end of the year – a tall order, as the latest estimates show that only 1% of people in low-income countries have access to their vaccine. Jobs have been found. Seventy countries have not yet vaccinated 10% of their population, and 30 countries – including most of Africa – have vaccinated less than 2%. In Latin America, only one in four of the population has received a dose of the vaccine, according to british medical journal. Covaxin is an indigenous, inactivated whole-viral vaccine developed based on well-established protocols. This means it was put on the regulatory speed belt at almost every stage, the most important being emergency approval by India’s drug regulators without any published Phase-3 efficacy data. The direct reason for the haste was that India needed a low-cost indigenous vaccine that could be quickly administered to many people.

Although Bharat Biotech has years of experience in the production of hundreds of millions of vaccines, the scale of accelerating the delivery of Covaxin has so far been beyond its capability. In any month since July, Bharat Biotech has actually delivered on its promise to supply the vaccine, and even after more than 107 crore shots have been given, only 12% have received the vaccine; Many people in India have been vaccinated against Kovishield. Furthermore, before the center agreed to take more than 75% of the public supply, Covaxin offered no cost advantage compared to CovaShield – and was costlier in some cases. Bharat Biotech, however, quickly took WHO approval for its vaccine as part of its emergency listing process in July. But unlike the rapid-fire clearance by India’s Central Drugs Standard Control Organisation, the WHO’s evaluation process has become much more involved. The WHO approved the AstraZeneca (Covishield) vaccine in four weeks, but requiring more than 20 weeks of Covaccine – especially in an environment where much of the world is desperate – raises many questions. Bharat Biotech is no newbie to the WHO approval process and will certainly be aware of all the requirements. While Covaxin’s EUL may now ease overseas travel for a fraction of Indians, there is a real need to know that, despite Bharat Biotech’s claims that it had submitted the necessary data whenever sought, this approval Took so long As Covaxin is closer to being approved for children, there will now be significant demand for this population segment; However, the company must work to improve its manufacturing supply and contribute to the larger share of globally administered vaccines.

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