India: kick-off of the mega-vaccination campaign against Covid-19

L’India began on Saturday its huge vaccination campaign against Covid-19, a phenomenal challenge in this country of 1.3 billion inhabitants, complicated by security constraints, uncertain infrastructure and public mistrust.

The second most populous nation on the planet plans to vaccinate 300 million people, almost the equivalent of the U.S. population, by July, as part of one of the world’s largest vaccination campaigns.

“I was so happy to see my name on the list!” Said Mohan Ganpat Nikam, 53, a warden in a hospital in Bombay, the economic capital of the country, visibly relieved that he could finally be vaccinated.

“a glimmer of hope”

“I have seen people die”, testifies Santa Roy, working in a hospital in Calcutta (east). “We now have a silver lining.”

India is the second most affected country – after the United States – by Covid-19, with more than 10 million reported cases, even though the death rate is one of the lowest in the world.

The 30 million healthcare workers and those most exposed to the disease will be the first to be vaccinated, followed by around 270 million people over 50 or particularly vulnerable.

On the first day of the campaign, which Prime Minister Narendra Modi virtually launched from New Delhi, some 300,000 people were due to receive the first dose of the vaccine.

“The world believes in Indian scientists and in our country’s ability to produce our vaccines,” the Prime Minister said in a video message.

The campaign is based on two vaccines: Covaxin developed by Bharat Biotech and the Indian Council for Medical Research; and Covishield, a version developed by AstraZeneca and the University of Oxford. Both produced by the Serum Institute of India and approved “urgently” in early January.

Logistics and security

In the capital, 81 vaccination centers are ready to operate four days a week (Saturday, Monday, Tuesday and Thursday), the local government announced. “240,000 health workers have registered” to benefit from it, he said, “about 8,000 of them can be vaccinated in a single day”.

“The 274,000 doses of vaccine received (in New Delhi) are sufficient to (vaccinate) around 120,000 health workers” during the first phase of the campaign, said Arvind Kejriwal, Chief Minister of Delhi.

About 150,000 staff in 700 districts have been specially trained. India has conducted several national preparedness exercises involving the simulation of vaccine dose transport and dummy injections.

The authorities say they will build on the experience gained from the elections and the polio and tuberculosis vaccination campaigns.

However, these campaigns represent “a much smaller exercise”, recalled Satyajit Rath, of the National Institute of Immunology, while vaccination against Covid-19 is “deeply demanding”.

In such a vast and poor country, with often poor road networks and one of the most poorly funded health systems in the world, the operation presents a colossal challenge, not least as both vaccines require be stored at a very low temperature.

If India has four “mega-depots” to receive vaccines and transport them to distribution centers in temperature-controlled vehicles, the final step may prove to be much more difficult to master.

Mistrust and skepticism

The government intends to manage the entire process using digital technologies through, among other things, a government application, CoWIN – of which there are already several counterfeits.

In addition, the authorities have set up an important high security police and technological device around the “precious” vaccine convoys across the country.

More than 150,000 Indians have died from Covid-19 and the Indian economy is one of the most affected in the world, with millions of people without a livelihood.

But the infection rate has fallen sharply in recent months, although experts fear a third epidemic wave following a series of religious holidays drawing crowds.

The arrival of the vaccine arouses some skepticism fueled by a flood of disinformation online. According to a recent survey of 18,000 people, 69% of them said they were in no rush to get the vaccine.

The approval granted to Covaxin, even before the conclusion of its phase 3 trials, was part of the ambient anxiety.

“I am not reassured because these vaccines have not been massively tested in India,” Sushma Ali, a 54-year-old banker told AFP, saying “prefer to wait and observe how it goes for health workers who get vaccinated first “.

burs-stu / reb / ​​lth / ial / sg

16/01/2021 15:12:54 – New Delhi (AFP) – © 2021 AFP

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