{"id":194329,"date":"2021-07-07T02:25:00","date_gmt":"2021-07-07T00:25:00","guid":{"rendered":"https:\/\/www.myza.co.za\/why-africas-push-to-make-vaccines-should-look-further-than-covid-19\/"},"modified":"2021-07-07T02:25:00","modified_gmt":"2021-07-07T00:25:00","slug":"why-africas-push-to-make-vaccines-should-look-further-than-covid-19","status":"publish","type":"post","link":"https:\/\/www.myza.co.za\/press\/why-africas-push-to-make-vaccines-should-look-further-than-covid-19\/","title":{"rendered":"Why Africa&#8217;s push to make vaccines should look further than COVID-19"},"content":{"rendered":"<div><img decoding=\"async\" src=\"http:\/\/www.myza.co.za\/press\/wp-content\/uploads\/2021\/07\/why-africas-push-to-make-vaccines-should-look-further-than-covid-19.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p>It\u2019s unlikely that vaccine manufacturing will offer Africa a quick fix for COVID-19. Countries on the continent are grappling with a diverse array of challenges. These include vaccine hesitancy, supply bottlenecks and a lack of operational funding and human resources to administer jabs. <\/p>\n<p>Still, the political will to boost local manufacturing of vaccines is rising across the globe, including in Africa \u2013 and has never been this high.<\/p>\n<p>The reason is simple. COVID-19 has shown that regions and countries take care of their own people first when crises hit. Africa wants to be able to do the same. To do so, the continent must seize new opportunities to fast-track the development of vaccine manufacturing capacity and to boost regulatory processes.<\/p>\n<p>In 2020, about 40 African countries participated in a World Health Organisation (WHO) <a href=\"https:\/\/www.who.int\/director-general\/speeches\/detail\/director-general-s-opening-remarks-for-panel-is-africa-ready-to-finance-its-own-vaccine\">training marathon<\/a> to build manufacturing capacity. All 54 countries on the continent also supported Ethiopia\u2019s recently passed resolution to the <a href=\"https:\/\/healthpolicy-watch.news\/us-backs-trips-waiver-to-strip-vaccines-of-patent-protection-as-wha-pushes-local-vaccine-capacity\/\">74th World Health Assembly<\/a>, focused on strengthening local production of medicine and health technology. At the recent <a href=\"https:\/\/www.g20.org\/the-global-health-summit-ended-with-the-signing-of-the-rome-declaration.html\">G20 Global Health Summit<\/a>, the European Commission also announced a new initiative on manufacturing in Africa, backed by \u20ac1 billion. <\/p>\n<hr>\n<p> <em> <strong> Read more: <a href=\"https:\/\/theconversation.com\/trips-waiver-us-support-is-a-major-step-but-no-guarantee-of-covid-19-vaccine-equity-160638\">TRIPS waiver: US support is a major step but no guarantee of COVID-19 vaccine equity<\/a> <\/strong> <\/em>\n<\/p>\n<hr>\n<p>That\u2019s critical because manufacturing vaccine doesn\u2019t come cheap. Success will depend heavily on support \u2013 in cash and in kind \u2013 from developed countries. It takes hundreds of millions of dollars to produce a <a href=\"https:\/\/www.thelancet.com\/journals\/langlo\/article\/PIIS2214-109X(18)30346-2\/fulltext\">new vaccine<\/a>. <\/p>\n<p>There is hope for relaxation of <a href=\"https:\/\/theconversation.com\/trips-waiver-us-support-is-a-major-step-but-no-guarantee-of-covid-19-vaccine-equity-160638\">intellectual property rights<\/a>. These are necessary to open the way to local manufacturing of existing vaccines. <\/p>\n<p>But the production process for new vaccines can take as long as five to 10 years. The typical vaccine roadmap begins with exploratory research, followed by pre-clinical and clinical safety and efficacy testing on animals and humans \u2013 and regulatory reviews and approvals for licensing. Only then can the manufacturing process begin.<\/p>\n<p>This requires a significant body of skills. Local expertise in areas such as research and development, regulatory expertise and quality assurance must be strengthened too. <\/p>\n<h2>Local manufacturing<\/h2>\n<p>It will take several more years before countries are fully prepared to manufacture new vaccines to the scale of contributing significantly to global output. Therefore, governments should adopt a longer-term view that prioritises the most urgent health challenges in the region. This vision must be about manufacturing vaccine generally, rather than COVID-19 vaccines specifically.<\/p>\n<p>Africa has <a href=\"https:\/\/www.nature.com\/articles\/d41586-021-01048-1\">54 countries<\/a> and 1.2 billion people, but produces only 1% of all the vaccines it administers. The continent also faces a heavy burden of disease. Over <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/malaria#:%7E:text=Disease%20burden&amp;text=cases%20in%202018.-,The%20estimated%20number%20of%20malaria%20deaths%20stood%20at%20409%20000,all%20malaria%20cases%20and%20deaths\">90%<\/a> of the world\u2019s malaria deaths and <a href=\"https:\/\/www.afro.who.int\/health-topics\/hivaids\">70%<\/a> of all people living with HIV are in Africa.<\/p>\n<p>So far, the continent has only a few producers of vaccines. Statutes signed between the government of Senegal and the Institut Pasteur in <a href=\"https:\/\/www.avmi-africa.org\/manufacturers\/#1490181278853-496b3000-e3fc\">2009<\/a> allowed the country to manufacture yellow fever vaccines. There are <a href=\"https:\/\/www.avmi-africa.org\/manufacturers\/#1490181277540-254a2bb0-9973\">six other vaccine manufacturing institutes<\/a>. One is <a href=\"https:\/\/www.vacsera.com\/\">VACSERA <\/a>in Egypt, the oldest vaccine manufacturer in Africa. Egypt is slated to complete the production of <a href=\"https:\/\/egyptindependent.com\/egypt-to-produce-40-million-doses-of-sinovac-vaccine-in-2021\/\">40 million<\/a> doses of China\u2019s Sinovac COVID-19 vaccine domestically by the end of 2021. In South Africa, the pharmaceutical company<a href=\"https:\/\/www.aspenpharma.com\/\"> Aspen<\/a> will be manufacturing doses of the <a href=\"https:\/\/www.reuters.com\/article\/uk-health-coronavirus-safrica-johnson-jo-idUSKBN2BO5IA\">Johnson &amp; Johnson<\/a> COVID-19 vaccine under licence.<\/p>\n<hr>\n<p> <em> <strong> Read more: <a href=\"https:\/\/theconversation.com\/vaccine-production-in-south-africa-how-an-industry-in-its-infancy-can-be-developed-153204\">Vaccine production in South Africa: how an industry in its infancy can be developed<\/a> <\/strong> <\/em>\n<\/p>\n<hr>\n<p>Most local companies engage only in packaging and labelling, and occasionally fill-and-finish steps. But it\u2019s noteworthy that there are about <a href=\"https:\/\/www.afro.who.int\/news\/what-africas-vaccine-production-capacity\">80 sterile injectables facilities<\/a> on the continent. These produce a broad range of fill-and-finish sterile solutions and emulsions including anaesthetics, eye drops and multi-drug resistant tuberculosis vaccines. Significant financial commitment would be required to transform them into fully integrated manufacturing facilities. But these operations have built solid track records with partners and suppliers that will benefit expansion plans.<\/p>\n<h2>Integrating policies<\/h2>\n<p>Africa\u2019s segmented markets, and often small economies, are at odds with the fact that vaccines are mostly produced in large quantities to keep prices down. They require large markets for sustainability. Regulatory bodies that meet international standards are also lacking, presenting a further hurdle.<\/p>\n<p>Integrating national and regional policies and strategies would in effect increase the size of the overall market. All countries could then benefit, regardless of the size of their economy.<\/p>\n<p>More integration will drive agreement on the manufacturing of products in high demand in Africa. It will also expand market access, and help avoid costly duplication. But most importantly, it will help ensure sustainability because most African countries\u2019 markets are too small to support their own manufacturing. <\/p>\n<p>African countries must make better use of regional economic integration platforms such as the <a href=\"https:\/\/www.ecowas.int\/\">Economic Community of West African States<\/a>, the <a href=\"https:\/\/www.comesa.int\/\">Common Market for Eastern and Southern Africa<\/a>, and the new <a href=\"https:\/\/au.int\/en\/cfta\">African Continental Free Trade Agreement<\/a>, all of which offer great opportunities. <\/p>\n<hr>\n<p> <em> <strong> Read more: <a href=\"https:\/\/theconversation.com\/africas-free-trade-area-offers-great-promise-but-only-if-risks-are-managed-with-resolve-161535\">Africa&#8217;s free trade area offers great promise. But only if risks are managed with resolve<\/a> <\/strong> <\/em>\n<\/p>\n<hr>\n<p>The <a href=\"https:\/\/www.un.org\/africarenewal\/magazine\/november-december-2020\/afcfta-africa-readying-free-trade-come-january-2021\">African Continental Free Trade Area<\/a>, for example, aims to reduce all trade costs \u2013 it will eliminate 90% of tariffs \u2013 and enable Africa to integrate further into global supply chains. Cutting red tape and simplifying customs procedures will bring significant income gains. <\/p>\n<p>Strong regulatory capacity and oversight is another building block for vaccine production and product safety. Countries must strengthen their regulatory systems to ensure that all medical products are of the highest quality, and that local manufacturers maintain international standards. This is why it\u2019s critical for member states to urgently ratify the treaty to support the creation of the <a href=\"https:\/\/au.int\/en\/pressreleases\/20200205\/african-medicine-agency-ama-treaty\">African Medicines Agency<\/a>. To date, <a href=\"https:\/\/au.int\/en\/pressreleases\/20210507\/republic-guinea-deposits-instrument-ratification-african-medicines-agency-ama\">seven<\/a> of the required 15 African Union member states have ratified the treaty.<\/p>\n<p>The World Health Organisation, where I am the regional advisor for vaccine research and regulation in the Africa region, works with member states and partners towards local vaccine manufacture.<\/p>\n<p>In Ethiopia, for example, we are working closely with the Ministry of Health. We\u2019re conducting a feasibility study in respect of the potential for high-standard manufacturing of vaccines. We\u2019re also developing cost estimates for a road map to success.<\/p>\n<p>Ethiopia, home to the second biggest population on the continent, had to pay a hefty US$707 million to procure routine vaccines between 2016 to 2020. That\u2019s an enormous financial burden and sends a very clear message about the urgency for local manufacturing.<\/p>\n<h2>Looking forward<\/h2>\n<p>Africa is facing <a href=\"https:\/\/www.dw.com\/en\/coronavirus-digest-who-says-africa-urgently-needs-20-million-vaccine-doses\/a-57695529\">delays in accessing life-saving vaccines<\/a> for COVID-19. The continent may experience similar delays in the future. The continent faces significant and enduring <a href=\"https:\/\/www.hsph.harvard.edu\/news\/features\/africa-cdc-head-is-driving-a-new-public-health-agenda-on-the-continent\/#:%7E:text=March%2012%2C%202020%20%E2%80%93%20Africa%20faces,growing%20burden%20of%20chronic%20diseases\">public health threats<\/a>, including measles, rotavirus, yellow fever and Ebola.<\/p>\n<p>To manage these public health threats, Africa needs its own capacity for vaccine development and production so that it can immunise for childhood diseases and help control outbreaks of highly infectious diseases \u2013 including COVID-19.<\/p>\n<p> <a href=\"https:\/\/theconversation.com\/africa\/\">Source: The Conversation<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s unlikely that vaccine manufacturing will offer Africa a quick fix for COVID-19. Countries on the continent are grappling with a diverse array of challenges. These include vaccine hesitancy, supply bottlenecks and a lack of operational funding and human resources to administer jabs. Still, the political will to boost local manufacturing of vaccines is rising [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":194330,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","ngg_post_thumbnail":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[4584],"tags":[3257],"class_list":{"0":"post-194329","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-africa-news-2","8":"tag-mypr","9":"entry"},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/www.myza.co.za\/press\/wp-content\/uploads\/2021\/07\/why-africas-push-to-make-vaccines-should-look-further-than-covid-19.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/posts\/194329","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/comments?post=194329"}],"version-history":[{"count":0,"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/posts\/194329\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/media\/194330"}],"wp:attachment":[{"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/media?parent=194329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/categories?post=194329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.myza.co.za\/press\/wp-json\/wp\/v2\/tags?post=194329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}