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Covid vaccine: India shortfall behind UK’s supply delay

An expected reduction in the UK’s Covid vaccine supply next month is due to a delay in the delivery of five million Oxford-AstraZeneca doses from India.

The shipment, produced by the Serum Institute of India, has been held up by four weeks, the BBC has been told.

NHS England warned of a reduction in supply in April in a letter to local health organisations on Wednesday.

The Department of Health insists it is still on track to offer a first dose to all adults by the end of July.

A spokesperson for the Serum Institute said: “Five million doses had been delivered a few weeks ago to the UK and we will try to supply more later, based on the current situation and the requirement for the government immunisation programme in India.”

A source told the BBC that although the original aim had been to deliver the next five million in March, there was not a stipulated time for the delivery of the doses.

Housing Secretary Robert Jenrick said the UK had less supply of the vaccine “than we might have hoped for in the coming weeks but we expect it to increase again through the course of April”.

He told BBC Breakfast the vaccine rollout would be “slightly slower than we might have hoped but not slower than the target we had set ourselves” of offering a first dose to all people aged over 50 by 15 April, and all adults by the end of July.

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He said that anyone who had an appointment for a second jab “should have complete confidence” that they will go ahead.

“The month of April will be different – and it was always going to be – because I think this will be the month that second jabs exceed first jabs,” he added.

More than 25 million people in the UK have had a first dose of a Covid vaccine, while around 1.7 million have had a second jab.

After opening up appointments to all over-50s on Wednesday, the NHS in England was then told not to offer jabs to younger age groups throughout April.

Prof Adam Finn, a member of the government’s Joint Committee for Vaccinations and Immunisation (JCVI), said the disruption to supply meant the UK’s rollout would be going from “extremely fast to somewhat less fast”, rather than “juddering to a halt”.

He told BBC Radio 4’s Today programme that the supply issues could have an impact on infection rates but should not have an impact on hospital admissions, as those who are most vulnerable to Covid-19 were being prioritised for the jab.

Health Secretary Matt Hancock said vaccine supply is “always lumpy, but we’re on course”

The Serum Institute is the world’s largest manufacturer of vaccines and is making one billion doses of the AstraZeneca jab this year for low and middle income countries.

Earlier this month, it agreed to supply 10 million doses for the UK, but only half of these will arrive this month with the rest delayed for several weeks.

These supplies were always part of the contract and the UK is not taking vaccines away from supplies for lower-income countries.

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All the rest of the UK’s AstraZeneca doses are being produced domestically and the company says there are no supply issues.

Pfizer, which produces its vaccine in Belgium, says its deliveries to the NHS are also on track.

Although, on Wednesday, European Commission President Ursula von der Leyen said if Covid vaccine supplies in Europe do not improve, the EU “will reflect whether exports to countries who have higher vaccination rates than us are still proportionate”.

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Analysis box by Nick Triggle, health correspondent

We were always warned supply was fragile – and these developments are a reminder of that.

The UK has its own plants that are supplying one to two million doses of the AstraZeneca vaccine each week.

There are also stocks coming from Pfizer’s Belgium plant – these would be the ones that would be susceptible to any restrictions on exports the EU is threatening.

The Indian supplies were supposed to give the UK the “bumper” end to March, allowing the government to push ahead with vaccination of the under-50s within weeks.

This has now been put on hold, given significant numbers will need their second doses from the start of next month.

The government is still on track to hit its target to offer all adults a vaccine by the end of July – and therefore this development does not affect the lifting of restrictions.

By late Spring the first doses of Moderna – the third vaccine to have been approved in the UK – should start arriving.

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But the delay to the second shipment from India means rollout is going to take a little longer than was hoped at the start of this week.

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Health Secretary Matt Hancock is due to give a statement to MPs in the Commons later on Thursday.

Shadow health secretary Jonathan Ashworth tweeted that people “across the country” would be “anxious and worried” about news of delays.

Labour is also backing a call from bereaved families for a public inquiry into the handling of the Covid pandemic, saying it should take place once the end of the government roadmap for leaving lockdown restrictions is reached.

Boris Johnson has previously promised an “independent inquiry” into the pandemic.

www.bbc.co.uk

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