COVID-19 vaccination in the WHO African Region – Monthly Bulletin, March 2022

Since the deployment of the multi-partner country support teams in January 2022, there has been good progress in vaccine absorption and uptake in the African Region.

Among countries that reported an increase in vaccine uptake in February and/or March, Mozambique, Ethiopia,

Uganda, Kenya and Ghana recorded the highest increase in vaccination coverage. In February and March 2022, Ethiopia implemented the second round of a mass vaccination campaign, which further boosted COVID-19 vaccine coverage in the country, with increased numbers of people receiving their second dose, more people starting with their first dose, and increased uptake of booster doses.

Two countries, Seychelles and Mauritius, surpassed the target of 70% of the population fully vaccinated by the end of December 2021. Four countries – Rwanda, Botswana, Cabo Verde and Mozambique – are on track to reach this target, having vaccinated between 40% and 70% of their populations by the end of December 2021.

However, challenges remain. In the African Region, 12.8% of the population were fully vaccinated as of 27 March 2022 (10.2% at the end of February 2022), compared to 57.5% globally. Thirteen countries are yet to surpass 10% of their population fully vaccinated including two of the most populous countries in the Region (Nigeria and Democratic Republic of the Congo).

The COVAX Facility continues to be the leading source of vaccines delivered in the African Region, accounting for 68% of doses received.

The absorption rate of the vaccines received remains suboptimal overall, with only 54.9% of doses administered of the quantity received. Twentyfour countries out of 46 (52%) have administered fewer than 50% of doses received. Vaccine doses administered increased by 23% in February 2022 compared to January 2022, but in March 2022 the number of vaccine doses administered decreased by 35%.

On average, 8 271 347 doses were administered per week in March 2022 compared to 12 734 357 doses per week in February 2022.

The Region needs a twelvefold increase in the weekly number of doses to be administered from April 2022 to June 2022 to continue to move towards 70% target .

Thirty-one countries out of 46 have reported expired doses. The percentage of expired doses of all doses received was 1.7% among the 31 countries and 0.9% in the African Region overall.

As a result of mass vaccination campaigns, nine countries out of the 20 priority countries in the WHO African Region recorded an increase in doses administered in February 2022 (Democratic Republic of the Congo, Ethiopia, Kenya, GuineaBissau, Madagascar, South Sudan, Ghana, Uganda and United Republic of Tanzania). However, only three have continued to record increased vaccine uptake in March 2022 (Ghana, Cameroon and South Sudan) in addition to Mozambique, Mali and Burundi. This shows that it is necessary to keep up the momentum in vaccine uptake between mass vaccination campaigns. It is critical for countries to intensify activities aimed at promoting continued use of health facility vaccination sites, as well as implement the provider-initiated vaccination approach in health facilities. In January 2022, WHO, UNICEF and Gavi, the Vaccine Alliance launched the COVID-19 Vaccine Delivery Partnership (CoVDP) as an inter-agency initiative. This will build on existing resources globally, regionally and incountry in order to accelerate vaccination coverage in those countries most in need of support. CoVDP complies with the principles of one country team, one plan, one budget and one support team. In March 2022, in-depth country calls were held with Nigeria, Ethiopia, Kenya, Democratic Republic of Congo, Burkina Faso, Nigeria, and Sierra Leone to discuss issues around urgent funding requests, and identify sources of funding, enhance operational planning and improve vaccination service delivery. The first quarter of 2022 has shown improvements in vaccine uptake and coverage across the Region, which is benefiting from the deployment of the WHO AFRO multi-partner country support teams, which started in January 2022. Although challenges remain, this initiative, along with CoVDP, promises to continue to improve vaccine absorption and uptake and move more countries in the Region closer to the 70% target.

Source: World Health Organization

Covid-19: Vaccine supply outstrips demand, access inequity remains

After two years of racing to vaccinate the world against Covid-19, the number of available doses now surpasses demand in many areas.

Yet a gap remains in vaccination rates between the richest and poorest countries.

On Friday, Gavi, which co-leads the Covax global distribution scheme, is holding a summit calling for more funds to address the issue of inequality in vaccine access.

More than 13 billion doses have been produced since the pandemic, 11 billion of which have been administered, according to the International Federation of Pharmaceutical Manufacturers and Associations (IFPMA).

Science research group Airfinity expect nine billion more doses to be produced this year. Pfizer alone plans to make four billion doses.

Yet demand could fall to six billion doses this year, IFPMA’s director general Thomas Cueni said.

“Since mid-2021, global vaccine production has exceeded global vaccine demand and this gap has continuously risen,” Cueni said.

By next year, production could exceed demand by 1.3 to 3.1 billion doses, he added.

Many richer nations are now approaching oversupply. European Union and G7 countries had a surplus of 497 million doses at the end of last month.

There are fears that doses could go to waste. Covid vaccines have a relatively short shelf-life — AstraZeneca and Novavax’s jabs have a six-month expiry date.

Airfinity says 241 million doses have passed their sell-by date so far during the pandemic.

Nevertheless, billions of people remain unvaccinated around the world, most of them in developing nations.

Covax, an international public-private partnership co-led by WHO and Gavi, has delivered 1.4 billion doses to 145 countries — far short of the planned two billion doses by end-2021.

World Health Organisation chief Tedros Adhanom Ghebreyesus has warned that inequality in vaccine access could lead to the emergence of new, possibly more contagious variants.

The WHO wants 70 percent of every country’s population vaccinated by July.

But records are uneven.

Nearly 80 percent of France’s population, for example, has received two doses. But only 15 percent of the population on the continent of Africa is fully vaccinated, according to Oxford University data.

An average of 42 percent of the population of 92 low- and middle-income countries participating in Covax have had two doses.

“Vaccine inequity is the biggest moral failure of our times and people and countries are paying the price,” UN Secretary-General Antonio Guterres said earlier this year.

Covax says it now has enough doses to vaccinate around 45 percent of the population in the 92 countries receiving donations. But 25 of those countries lack the infrastructure for an effective immunisation campaign.

Making matters worse, many developing countries are being donated doses too close to their expiry date.

UNICEF’s supply division director Etleva Kadilli said that in December almost more than 100 million doses had been refused, “the majority due to product shelf life”.

Gavi has ruled that doses must be valid for at least 10 weeks on arriving in countries.

Countries like South Africa and India have long called for the World Trade Organisation to suspend intellectual property rights for vaccines and anti-Covid treatments, so they can massively boost production.

After fierce opposition from pharmaceutical giants, a first compromise was reached between the United States, European Union, India and South Africa last month.

But several key countries like Switzerland have yet to sign on. Doctors Without Borders also says there are “key limitations” in the deal, such as covering only vaccines and geographical limits.

Pharmaceutical companies argue that patents are not the real problem.

Cueni of IFPMA, a big pharma lobby group, said the problem was now logistics.

“What we need is money to have storage, transportation, more trained health workers, campaigns to counter misinformation: these are the real challenges and not the patent waiver,” he said.

Current vaccines target the virus that swept the world in 2020. While they greatly reduce the risk of serious illness from Covid, they only provide partial protection — particularly against newer variants such as the now dominant Omicron.

Several vaccine manufacturers have begun testing jabs that target Omicron. They have hit delays but could be available in a few months, if approved by health authorities.

And despite the billions yet to receive a first dose, the United States, Britain, France and Israel have started rolling out a fourth, starting with the most vulnerable.

On Wednesday, the EU’s medicines watchdog approved a second booster for people aged 80 years and over.

“No country can boost its way out of the pandemic,” Tedros has warned.

Source: NAM NEWS NETWORK