World Brazil struggles to vaccinate as Covid toll spirals
COVID-19 Lays Bare the Price of Populism
A raging outbreak in Brazil threatens gains against the virus.In 2018, a burst of anger over government corruption propelled a populist politician named Jair Bolsonaro to Brazil’s presidency. Brazil, which is currently suffering from one of the world’s worst coronavirus outbreaks, is a prime example of how populist governance in one country can threaten the whole world. If the way out of the pandemic is through science, in the form of mass vaccination and other containment measures, the corollary is also true: The way we remain mired in it is, in large part, through the kind of anti-science worldview that populists frequently champion.
Four months into a Covid-19 vaccination campaign marred by shortages and delays, hard-hit Brazil is still struggling to find enough doses, as political and diplomatic blunders prolong its pandemic nightmare.
Around 33 million people -- 15 percent of the population -- have received at least one vaccine dose in Brazil, a proportion still too small to have a substantial impact on the virus' spread.
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Dr Khan explains how India’s troubles are spreading across the sub-continent, while pregnant women are dying in Brazil.India has seen a rapid and well-publicised increase in COVID cases. After a stepwise easing of restrictions across the country throughout 2020, India’s leader, President Narendra Modi, declared the country was in the “end game” of the pandemic. Soon after this bold statement, large religious and political gatherings were allowed to take place with little regard for social distancing and, inevitably, cases began to soar. On May 3, India hit the grim milestone of 20 million COVID cases, though the true number is thought to be much higher.
Targeted by a Senate inquiry over its handling of the pandemic, President Jair Bolsonaro's government is facing criticism for failing to secure more vaccines, including its refusal of offers to purchase millions of doses and diplomatic tension with China that may be slowing the import of vaccine ingredients.
"We don't have enough doses right now to vaccinate as fast as we should," said Margareth Dalcolmo, a pulmonologist and researcher at leading public health institute Fiocruz.
"We ought to be vaccinating younger people already, especially given that younger demographic groups are currently driving transmission," she told AFP.
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Covax wanted to send 2 billion doses worldwide this year. It’s 3.4 percent of the way there.To prevent this, the experts set up an international initiative called Covax, designed to make sure every country in the world gets access to vaccines regardless of its ability to pay. In the fall of 2020, Covax set a clear goal: Buy 2 billion doses and make them available to nations in need before the end of 2021.
But first, Brazil still has to vaccinate 80 million people from high-priority groups, including the elderly, indigenous people and health workers.
Vaccine doses meanwhile continue to arrive in a trickle -- although the government maintains it will be able to vaccinate all adults by the end of the year.
Brazil has lost more lives to Covid-19 than any country except the United States -- more than 430,000 -- and has one of the highest death tolls per capita in the world.
Though the current wave has eased somewhat since April, the virus is still killing a staggeringly high number of people in the country -- nearly 2,000 a day.
- Rejected deal -
Despite its huge size, the South American country is known for executing turbo-charged vaccination campaigns.
In 2010, Brazil vaccinated more than 80 million people against H1N1 -- the swine flu virus -- in less than three months.
"We need to be vaccinating two million people a day," said Dalcolmo.
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As it stands, Brazil has rarely managed more than one million Covid-19 shots a day.
"We've gotten better since the start of the year, but we're still a long way from where we need to be," said Joao Viola, president of the Brazilian Immunological Society's scientific committee.
Brazil started out using two vaccines, Oxford/AstraZeneca's and Chinese-developed CoronaVac, both of which it has licenses to produce locally.
The drive got a boost last month with the arrival of the Pfizer vaccine. But only about two million of the 100 million doses Brazil has ordered have been delivered so far.
All three shots require two doses.
Brazil could have secured more Pfizer doses faster, but Bolsonaro's government refused an offer last August to purchase more than 70 million of them.
The far-right president, who has persistently snubbed expert advice on handling the pandemic, joked that the vaccine could "turn you into an alligator" -- only to change course months later and allow a deal with the US pharmaceutical giant.
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"Worldwide demand for vaccines is very high, so those who were slow to sign deals are receiving their orders later," said Viola.
- Diplomatic tension -
Bolsonaro, whose government often has strained relations with China, also refused to purchase CoronaVac, calling it the vaccine from "that other country."
But a political opponent, Joao Doria, governor of Brazil's most populous state, Sao Paulo, pursued a deal for CoronaVac anyway.
The vaccine now accounts for more than 70 percent of the doses administered in Brazil.
However, the public health center manufacturing it in Brazil, the Butantan Institute, announced Friday it would have to halt production because it had run out of the active ingredient, which has to be imported from China.
Brazil is due to start producing the active ingredient for CoronaVac itself, but only in September.
The Butantan Institute said "diplomatic problems" could prevent it from delivering new doses in June.
Last week, Bolsonaro provoked China by saying it may have created the novel coronavirus in a lab to wage "germ warfare."
"There are 10,000 liters (of active ingredient for CoronaVac) ready, just waiting for the Chinese government to authorize shipment," said Doria.
"But every time someone here makes a disparaging remark about China, that clearly makes it more difficult."
United States. The Pfizer / Biontech Anti-Covid Vaccine now available for 12-15 years .
© Frederic J. Brown / AFP in the United States Vaccination is now open for 12-15 years. The effectiveness of the vaccination campaign is confirmed in the United States with the opening of it to a new age group, the 12-15 year old. The Vaccine Authorization against Covid-19 of Pfizer / Biontech was extended to adolescents aged 12 to 15 in the United States, Monday announced the US medicine agency.