India’s vaccine rollout-for-all stumbles before it starts amid record case numbers

World

India is still hitting yet more staggering new global highs for daily coronavirus cases as its vaccine rollout-for-all stuttered and stumbled even before it got properly off the ground.

Most states and many hospitals around the country reported being forced to postpone the programme for days, maybe longer as stocks failed to make it to the vaccination centres charged with inoculating everyone 18 years and older.

The citizens of India were left reeling, not for the first time, over how the world’s biggest manufacturer of vaccines has been left without enough for its own population.

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An out of stock sign at an Indian vaccine centre
Image:
An out of stock sign at an Indian vaccine centre

We watched as people lined up, some dressed in hazmat suits, to make sure they got their vaccinations from the few centres in Delhi which had managed to procure the vaccine.

The centre we were at didn’t want to disclose exactly how many vaccines it had but a nurse told me they’d vaccinated 600 people the day before.

In a country of more than a billion, they have a long way to go yet if they’re to halt or even slow the rise in infections.

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One woman told us: “I’m not sure India should have given so many vaccines away before vaccinating its own population.”

The government’s own data showed it had sent nearly 70 million doses overseas since January – enough to easily vaccinate the entire populations of Delhi, Mumbai and Calcutta.

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A long queue outside a vaccine centre in India
Image:
A long queue outside a vaccine centre in India

The country famously sent out vaccine stocks to Bhutan which inoculated 93% of its population in just over a fortnight.

The Indian government had reassured its citizens only days before the 1 May rollout that the vaccination programme which began in January for its elder population would be extended to everyone 18 years old and over.

There’s been a very slow take-up in the vaccines up until now, (around 2% are fully inoculated), possibly because they’d been informed the country had beaten coronavirus – and possibly because of worries over the vaccine side-effects.

But that was a few months ago.

Since then, the virus has ripped through the Indian population, overwhelming its fragile health service; causing an acute shortage in oxygen supplies; and transformed the country which once boasted it was in the pandemic end-game into the global epicentre of the disease.

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People queue to get fresh supplies of oxygen in India
Image:
People queue to get fresh supplies of oxygen in India

Many scientists believe the only way India is going to get on top of the virus is to vaccinate.

Many will be questioning why this wasn’t started earlier and with vigour.

But the country which is home to the world-famous Serum Institute India (SII), the globe’s biggest vaccine manufacturer, must surely be in a good position to do just that now?

The institute seemed well ahead of the game having signed a deal with AstraZeneca and the University of Oxford, long before the vaccine had been authorised in mid 2020.

It was to manufacture a “billion doses for low and middle income countries”.

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A man gets his vaccination at an Indian vaccination centre
Image:
A man gets his vaccination at an Indian vaccination centre

But it was still attempting to fulfil its contractual obligations overseas up until mid-April when the country was recording world record highs in daily coronavirus infections.

The Indian government has now temporarily halted vaccine exports while it gets to grip with one of the worst crises it has ever endured.

But the signs are not good. And vaccines are far from the only shortage.

Despite days ago promising that the oxygen shortfall would be sorted, we still saw queues and queues of people in Delhi, some of whom have waited 10 hours to try to fill up a cylinder of oxygen for hospitals who don’t have supplies for their sick relatives.

One young woman who’s mother is ill in hospital with COVID said she’d been looking for oxygen for the past three days.

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A sign advertising what India says it the world's largest vaccination drive
Image:
A sign advertising what India says it the world’s largest vaccination drive

“When cases started rising up,” Urvashi Sharma told us, “I thought the government had a plan… but it turns out they didn’t… within the first week, I understood the government had no idea and they’re not prepared for anything… that we don’t have enough ventilators in one hospital, never mind whatever we need for the entire city or entire nation.”

Delhi’s High Court judges have now been forced to step in, warning the government it needs to fulfil its obligations, follow through on its guarantees to sort the oxygen and provide the capital with enough oxygen.

“Enough is enough,” the judges ruled. “Water has gone above the head. Now we mean business. You will arrange everything now.”

This is all happening nearly two weeks after the crisis ignited – and as the capital city is hearing that yet more patients – including a doctor – died when oxygen supplies ran out at a Delhi hospital for about 80 minutes.

People wait to be given their vaccine against COVID in India
Image:
People wait to be given their vaccine against COVID in India

Hospital chiefs from the Batra Hospital reported at time of writing that 12 people had died after their oxygen stocks were depleted.

SOS calls from hospitals and relatives across the country are still filling social media pleading for oxygen, just days after the prime minister said he was putting the nation on a war-footing to try to solve the crisis.

I’m sitting late at night in Delhi listening to an official from Batra Hospital saying he only has enough oxygen until early morning.

“It’s been a harrowing nine days,” he said. “We are battling all the time. We are constantly running out of oxygen. The enemy is not at the doorstep. It’s right inside our houses.”

The worry for India is that the virus spread, the virus deaths and the virus chaos does not seem to be abating one bit. Rather, it seems to be growing.

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