Indonesia halts use of AstraZeneca vaccine batch for toxicity tests

A healthcare worker takes a swab sample from a man to be tested for COVID-19 as travelers return to the capital city after Eid festivities on Monday. (Reuters)
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Updated 18 May 2021
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Indonesia halts use of AstraZeneca vaccine batch for toxicity tests

  • Precautionary measure follows the death of a 22-year-old man one day after receiving jab

JAKARTA: Indonesia has temporarily suspended the use and distribution of an Oxford-AstraZeneca coronavirus disease (COVID-19) vaccine batch pending sterility and toxicity tests by the Drug and Food Monitoring Agency (BPOM), the Health Ministry said on Sunday.

The ministry announced the move following advice from the National Commission on Post-Immunization Accidents to carry out the tests.

It follows the death of a 22-year-old man in East Jakarta, who suffered from a high fever and eventually died after receiving his first jab earlier this month.

Siti Nadia Tarmizi, a Health Ministry spokesperson for the national COVID-19 vaccination program, said that the suspension of the batch would not deter the use of other AstraZeneca batches in the jabs program, which began four months ago.

“We continue to use the AstraZeneca vaccine because it provides a much greater benefit. The suspension is the government’s precautionary measure to ensure the safety of the vaccine,” Tarmizi said, adding that the test results are expected to be released no later than two weeks.

The commission recommended the drug monitoring agency conduct the tests. Its chairman, Hindra Irawan Satari, said that the commission “did not have enough data to determine” whether the man’s death was related to the vaccine from the suspended batch, which he received a day before his demise.

The batch consisted of 448,480 doses and is part of the 3,852,000 doses Indonesia received from the World Health Organization’s COVAX facility’s vaccine distribution scheme on April 26.

The ministry said that the vaccine batch in question had been distributed in the capital city, Jakarta, among the military, and in the North Sulawesi province.

Tonang Dwi Ardyanto, an epidemiologist of the clinical pathologist association PDS PatKlin said while the suspension was necessary, it would slow down the national vaccination progress.

“We hope the test results will come out soon so that the matter is clear,” he told Arab News on Monday.

“We are well aware that there is no vaccine or medicine that is 100 percent safe, but we just have to look for the ones with the least possible risks,” he added.

Indonesia received 6.4 million doses of the AstraZeneca vaccine, which were distributed to seven provinces, with Bali and East Java getting a majority of the share.

The Oxford jab is a small fraction compared to more than 68 million doses of China’s Sinovac vaccine used in the government’s vaccination program.

A study conducted by the Health Ministry from January to March on health workers who received the Sinovac vaccine showed that it is “almost 100 percent effective in protecting them from infections, hospitalization, and death.”

Pandji Dhewantara, the ministry’s lead researcher, said last week that two shots of the Sinovac vaccine “provided 98 percent protection against death” in the 128,290 health workers who were monitored for the study.

Dhewantara added that the vaccine was 94 percent effective in protecting health workers from being infected with COVID-19 and 96 percent effective in preventing them from being hospitalized.

“We can conclude from this study that vaccination is important to reduce the risks of someone being infected by COVID-19,” he added.

A private vaccination scheme, coordinated by the Indonesian Chamber of Commerce, through which private entities can pay to inoculate their employees and families, will be using China’s Sinopharm and CanSino vaccines, with Russia’s Sputnik expected to be added.

The scheme is expected to commence on Tuesday, with almost 18,000 private entities registered to inoculate about 8.6 million people from labor-intensive manufacturing companies to micro-enterprises with as few as three employees.

Indonesia aims to inoculate 181.5 million people out of its 270 million population, which it expects to complete by the end of the year. But four months into the program, only 8.8 million people have received the second dose of their vaccines, just five percent of the targeted population.


US and Mideast countries seek Kyiv's drone expertise as Russia-Ukraine talks put on ice

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US and Mideast countries seek Kyiv's drone expertise as Russia-Ukraine talks put on ice

KYIV, Ukraine: The United States and its allies in the Middle East are seeking Ukraine's expertise in countering Iran's Shahed drones, according to Ukrainian President Volodymyr Zelenskyy.

Various countries, including the United States, have approached Ukraine for help in defending against the Iranian drones, Zelenskyy said late Wednesday. He said he has spoken in recent days with the leaders of the United Arab Emirates, Qatar, Bahrain, Jordan and Kuwait about possible cooperation.

Russia has fired tens of thousands of Shaheds at Ukraine since it invaded its neighbor just over four years ago, launching a swarm of more than 800 drones and decoys in its biggest nighttime barrage. Iran has responded to joint U.S.-Israeli strikes by launching the same type of drones at countries in the Middle East.

Ukrainian assistance in countering Iranian drones will be provided only if it does not weaken Ukraine's own defenses, and if it adds leverage to Kyiv's diplomatic efforts to stop the Russian invasion, according to the Ukrainian leader.

"We help to defend from war those who help us, Ukraine, bring a just end to the war" with Russia, Zelenskyy said. Later Thursday, Zelenskyy said he had received a U.S. request for support to defend against the drones in the Middle East and had given the order for equipment to be provided along with Ukrainian experts without providing further details.

"Ukraine helps partners who help our security and the protection of our people's lives," he added in a social media post.

Trump, in an interview Thursday with Reuters, said, "Certainly I'll take, you know, any assistance from any country."

Ukraine has battle-tested drone defenses

Ukraine has pioneered the development of cut-price drone killers that cost as little as $1,000, rewriting the air defense rule book and making other countries take notice.

European countries got a wake-up call last September on the changed nature of air defense when Poland scrambled multimillion-dollar military assets, including F-35 and F-16 fighter jets and Black Hawk helicopters, in response to airspace violations by cheap drones.

Ukrainian manufacturers have developed low-cost interceptor drones specifically designed to hunt and destroy Shaheds, and its rapidly expanding drone industry is producing excess capacity.

Zelenskyy announced earlier this year that Ukraine would begin exporting the battle-tested systems.

The European Union's top diplomat, Kaja Kallas, said before chairing a meeting of EU and Gulf foreign ministers via video link Thursday that the talks would look at how Ukraine's experience can help countries counter Iranian drones.

Middle East war delays Russia-Ukraine talks

The Iran war, now in its sixth day, has drawn international attention away from Europe's biggest conflict since World War II, and forced the postponement of a new round of U. S-brokered talks between Russia and Ukraine planned for this week, Zelenskyy said.

Western governments and analysts say the Russia-Ukraine war has killed hundreds of thousands of people, while there is no sign that yearlong U.S.-led peace efforts will stop the fighting any time soon.

"Right now, because of the situation around Iran, there are not yet the necessary signals for a trilateral meeting," Zelenskyy said. "But as soon as the security situation and the overall political context allow us to resume that trilateral diplomatic work, it will be done."

Zelenskyy thanked the United States for the return from Russia on Thursday of 200 Ukrainian prisoners of war. Russia's Defense Ministry also said it received the same number of prisoners from Ukraine and thanked the U.S. and United Arab Emirates for mediating.

Prisoner swaps have been one of the few tangible results of the talks. Vladimir Medinsky, a Russian negotiator, said on social media that a total of 500 prisoners from each side would be exchanged between Thursday and Friday.

Oleksandr Merezhko, the head of Ukraine's parliamentary foreign affairs committee, said Russian President Vladimir Putin is trying to drag out the negotiations so that he can press on with Russia's invasion while escaping further U.S. sanctions.

He urged the U.S. administration to look at the Russia-Ukraine war and the war in the Middle East as linked.

"In reality, Russia and Iran are close allies that act in concert — Iran supplies weapons and Russia helps Iran develop its defense industry. These are interconnected conflicts," Merezhko told The Associated Press.

Ukraine's army has recently pushed back Russian forces at some points along the roughly 1,250-kilometer (750-mile) front line, according to the Institute for the Study of War.

Localized Ukrainian counterattacks liberated more territory than Ukrainian forces lost in the last two weeks of February, the Washington-based think tank said this week, estimating the recovered land at about 257 square kilometers (100 square miles) since Jan. 1.