Safety fears hamper India’s COVID-19 vaccination drive

A medical worker inoculates a colleague with a COVID-19 coronavirus vaccine at the north central railway hospital in Allahabad on Friday. (AFP)
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Updated 23 January 2021
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Safety fears hamper India’s COVID-19 vaccination drive

  • Only half of the government’s target has been inoculated

NEW DELHI: The world’s biggest vaccination drive to inoculate 1.3 billion people against the coronavirus is slowing down in India as concerns over safety fuel vaccine hesitancy, especially among health workers.

Indian Prime Minister Narendra Modi launched the campaign on Jan. 16, with 30 million frontline health care workers the first to get the jab. A week into the drive, however, Health Ministry data suggest that on average only 150,000 people have been inoculated a day — half of the government’s target.
“There is a general hesitancy among healthcare workers, particularly doctors, about the efficacy of the vaccines,” Adarsh Pratap Singh, president of the Resident Doctors Association of the premier Delhi-based All India Institute of Medical Sciences (AIIMS), told Arab News on Friday.
Two coronavirus vaccines have been approved for emergency use in India: the Oxford-AstraZeneca vaccine produced domestically as Covishield by the Pune-based Serum Institute of India, and a locally developed vaccine called Covaxin, produced by Indian company Bharat Biotech, which is still in its trial stage and has no final data on its efficacy.
“Lack of transparency is at the core of vaccine hesitancy,” Dr. Nirmalya Mohapatra of Delhi-based Ram Manohar Lohia Hospital, told Arab News.
“We doctors should have jointly taken up the issue and asked the government to demonstrate more transparency in introducing the vaccine,” he said.
Mohapatra was one of the doctors who on Jan. 16 refused to take a Covaxin shot at his hospital.
Progressive Medicos and Scientists Forum (PMSF) president, Dr. Harjit Singh Bhattialso, says that the absence of data is fueling “fear about the vaccination” among members of the medical community.
 Concerns also exist about the Covishield vaccine.

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Instead of digital campaigns, some doctors say that Indian leaders themselves should get the jabs to inspire trust in vaccination.

“Even there is hesitancy about Covishied. There is no enthusiasm for it. However, people will prefer Covishied over Covaxin,” Bhatti said.
In response to vaccine hesitancy, Health Minister Dr. Harsh Vardhan on Thursday launched an information campaign to address what he said were “rumors and misinformation.”
“We have launched a digital media package with impactful messages from key technical experts from the country who have taken COVID-19 vaccine,” Vardhan told reporters.
The messages, he said, are that “vaccines are safe and efficacious,” and cover the “critical role of vaccines in controlling the pandemic.”
But instead of digital campaigns, some doctors say that Indian leaders themselves should get the jabs to inspire trust in vaccination.
“If the Indian PM Narendra Modi and other political high-ups take the vaccine then it will have a huge impact,” Singh said. “There is a lack of political consensus on vaccines. To inspire confidence all the state chief ministers should also take the shot.”
According to media reports, Modi may get vaccinated in the second phase of the campaign, in March or April, when 270 million people above the age of 50 will be inoculated.
Other health experts argue, however, that vaccinating leaders is not a substitute for scientific processes.
“Leadership taking the vaccine is more of a tokenism than coming out clean on the efficacy and the actual and effective profile of the vaccine,” said Amar Jesani, a Mumbai-based health expert and editor of the Indian Journal of Medical Ethics.
“What is tragic is that our PM might be ready to take the risk of vaccination (but) he is not ready to offend the companies, which are sitting on the data. Why can’t they make the data public? This is what the doctors are asking for,” he told Arab News.
In the absence of scientific data, he argued, people with underlying health problems would be hesitant to get vaccinated when the immunization campaign reaches the general public.
“When you are not transparent today, then tomorrow comorbid people will be hesitant and then the general population will be reluctant,” he said.


Al-Shabab extremists are greatest threat to peace in Somalia and the region, UN experts say

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Al-Shabab extremists are greatest threat to peace in Somalia and the region, UN experts say

  • The UN Security Council on Tuesday voted unanimously to extend authorization for the African Union’s “support and stabilization” force in Somalia until Dec. 31, 2026

UNITED NATIONS: The Al-Shabab extremist group remains the greatest immediate threat to peace and stability in Somalia and the region, especially Kenya, UN experts said in a report released Wednesday.
Despite ongoing efforts by Somali and international forces to curb operations by Al-Qaeda-linked Al-Shabab, “the group’s ability to carry out complex, asymmetric attacks in Somalia remains undiminished,” the experts said.
They said the threat comes not only from Al-Shabab’s ability to strike — including within the capital, Mogadishu, where it attempted to assassinate the president on March 18 — but from its sophisticated extortion operations, forced recruitment and effective propaganda machine.
The UN Security Council on Tuesday voted unanimously to extend authorization for the African Union’s “support and stabilization” force in Somalia until Dec. 31, 2026. The force includes 11,826 uniformed personnel, including 680 police.
The extremist group poses a significant threat to neighboring Kenya “by conducting attacks that vary from attacks with improvised explosive devices, which predominantly target security personnel, to attacks on infrastructure, kidnappings, home raids and stealing of livestock,” the experts said.
This year, Al-Shabab averaged around six attacks a month in Kenya, mostly in Mandera and Lamu counties, which border Somalia in the northeast, the panel said.
The experts said Al-Shabab’s goal remains to remove Somalia’s government, “rid the country of foreign forces and establish a Greater Somalia, joining all ethnic Somalis across east Africa under strict Islamic rule.”
The panel of experts also investigated the Islamic State’s operations in Somalia and reported that fighters were recruited from around the world to join the extremist group, the majority from east Africa. At the end of 2024, they said the group known as ISIL-Somalia had a fighting force of over 1,000, at least 60 percent of them foreign fighters.
“Although small in terms of numbers and financial resources compared with Al-Shabab, the group’s expansion constituted a significant threat to peace and security in Somalia and the broader region,” the panel said.