Friday 29 January 2021

Uncertainty continues over Australian rollout dates for COVID-19 mass vaccinations



The Sydney Morning Herald, 27 January 2020:


Australia’s vaccine rollout plan is under a cloud after the European Union slapped export controls on COVID-19 vaccines produced within their territory, including the Pfizer and AstraZeneca jabs the Morrison government is relying on.


The controls, which effectively mean vaccine producers must ask for permission before shipping vials outside the region, will at the very least slow the distribution process for countries outside Europe. 


A spokesman for Health Minister Greg Hunt did not answer specific questions about what the European decision means for Australia’s vaccine rollout. Australia has ordered 10 million doses of the Pfizer vaccine, which is being manufactured in Belgium. The first shipment of at least 80,000 doses is due by the end of February.


On ABC News on 25 January 2021, Pfizer Australia Managing Director Anne Harris says surging demand for the Pfizer vaccine around the world has delayed the rollout of the vaccination program in Australia. She is anticipating that there will be a two week delay so the Pfizer vaccine will not arrive until later in February at the earliest.


Bloomberg, 26 January 2021:


European Union regulators proposed requiring drugmakers to flag exports of coronavirus vaccines in advance as the bloc seeks to step up inoculations amid growing anger about delivery delays by AstraZeneca Plc, which faces a fresh grilling at mid-week. 


The proposed “transparency mechanism” for vaccine exports comes after the European Commission expressed “deep dissatisfaction” with a disclosure by Astra that planned deliveries of its Covid-19 vaccine would face delays. The EU’s executive arm says that this would mean significantly fewer deliveries of the jab this quarter than what was foreseen in the advance purchase agreement struck between the two sides last summer.....


The federal government's phased rollout plan is that the vaccines will initially be available at between 30-50 hospitals around the country, with exact locations yet to be confirmed. Then the rollout will be extended to est. 1,000 locations, including GP practices, dedicated vaccine clinics and community health centres. Residential aged care and disability care facilities will be delivered doses to be injected into residents and staff on-site.


The rollout is intended to cover 25.7 million people.


In Phase 1a quarantine and border staff, frontline health workers, aged care and disability staff and residents, will receive the Pfizer-BioNTech vaccine. Up to 1.4 million doses expected to be available.


Phase 1b will see anyone aged over 70, Aboriginal and Torres Strait Islander people who are over 55, other healthcare workers, younger adults with an underlying condition and high-risk workers will receive a vaccine - likely to be the AstraZeneca vaccine. Up to 14.8 million doses expected to be available.


Phase 2a covers Aboriginal and Torres Strait Islander people who are between 18-54 years of age, along with others in the population over 50 years old and other critical high-risk workers. Up to 15.8 million doses expected to be available.


Phase 2b is the rest of the adult population, plus anyone from the previous phases that have been missed out. Up to 16 million doses expected to be available.


Phase 3 will see child vaccination but only, but only if medically recommended. Up to 13 million does expected to be available.


NOTE: It is unclear whether the term "dose" is for the preliminary first dose of the two-dose vaccines or refers to the total vaccination per person. As other government documents mention an expectation of acquiring over 104.8 million doses of these two COVID-19 vaccines in 2021, it would appear it is likely the first dose which is mentioned in the three phases. 


UPDATE


The Guardian reported on 29 January 2021 that due to supply issues AstraZeneca is unable to meet the Morrison Government's initial order of 3.8 million doses of its vaccine and the order has been reduced to 1.2 million doses. At this stage Australia's order of 10 million vaccine doses from Pfizer remains unchanged.


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