India to expand vaccinations but supplies tight, imports delayed

INDIA : Under fire for his handling of the world’s worst COVID-19 surge, Indian Prime Minister Narendra Modi has opened vaccinations for all adults from next month, but supplies are already running short.

Public forecasts by its only two vaccine producers show their total monthly output of 70-80 million doses will increase only in two months or more, though the number of people eligible for vaccines will double to an estimated 800 million from May 1.

Imports from Russia have also been delayed. India could start receiving the Sputnik V vaccine only by end-May, its local distributor Dr. Reddy’s Laboratories (REDY.NS) told Reuters, at least a month later than New Delhi had expected.

That could lead to chaos at inoculation centres – and possibly help the virus spread further – as people horrified by COVID-19 patients’ struggle for hospital beds and medical oxygen rush to seek immunity, government officials warn privately.

India has the world’s biggest vaccine-making capacity, but has decided to delay big exports for now to focus on its own needs. read more

Still, supplies are already running short even for currently prioritised recipients over 45 years old.

“Eligibility doesn’t guarantee availability,” said a senior government official who declined to be identified.

“There are fears that the entire infrastructure will collapse but at this point all channels are being opened to ramp up supplies from other countries … India needs a lot of help to deal with this crisis.”

India is currently administering about 3 million doses a day, above the daily production of about 2.5 million and using existing inventories to fill the gap. Many states have reported they are out of stock.

Another government official said on the vaccination outlook: “(There will be) nothing dramatic by May, but more cases and deaths.”

India recorded the world’s highest daily tally of 314,835 infections on Thursday, taking its total to nearly 16 million, around 185,000 of whom have died.

The health ministry did not immediately respond to a request for comment on vaccines.

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India has also urged Pfizer (PFE.N), Moderna (MRNA.O) and Johnson and Johnson (JNJ.N) to provide it with vaccines. Pfizer said it was talking to the government, while J&J has sought approval to do a small local trial but has not made any plans to sell it. Moderna has not commented.

Of the three, only J&J has a local production partner.

At the current rate of immunisation, using the AstraZeneca (AZN.L) shot and homegrown Covaxin, it will take India more than two years to cover 70% of its 1.35 billon people, said Ramanan Laxminarayan, founder of the Center for Disease Dynamics, Economics & Policy in Washington and New Delhi.

“India has to produce at least 12 million doses for its own consumption every day,” he said.