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Pfizer, BioNTech join halting effort to produce COVID vax in Africa

Pfizer Inc. and its partner BioNTech SE said Wednesday that their Covid-19 vaccine will be partly produced in South Africa from next year, joining a halting effort to manufacture shots on a continent that has been left behind in the global fight against the pandemic.

The deal—under which the Cape Town-based Biovac Institute will fill vials of the Pfizer/BioNTech vaccine and ready them for shipment—follows growing pressure from the U.S., Europe and international organizations for drugmakers to do more to tackle global inequities in accessing Covid-19 shots. They said Biovac will deliver more than 100 million doses annually once its plant is fully operational next year.

This spring, the U.S. said it would back a proposal led by South Africa and India to suspend protections on intellectual property underlying Covid-19 vaccines to widen production, especially in developing countries. The initiative is vehemently opposed by most big drugmakers, including Pfizer.

Just 1.5% of Africa’s 1.3 billion people have been fully vaccinated against Covid-19, after rich countries bought up much of this year’s supply of the shots and deliveries from the World Health Organization-backed Covax program, which many developing countries counted on to inoculate their most at-risk citizens, fell far behind schedule. That has left much of the continent with few defenses as the more transmissible Delta variant drives a record surge of infections.

African officials say that one of the main reasons that they have struggled to secure Covid-19 shots is the lack of manufacturing facilities on the continent. Many governments, including the U.S. and the world’s biggest vaccine maker, India, have restricted exports of shots as they race to inoculate their own populations.

“The only way to solve this is to allow Africa to produce,” Strive Masiyiwa, a Zimbabwean telecommunications tycoon who heads the African Union’s vaccine-purchasing task team, said last month. “It hasn’t been allowed to produce.”

The deal between Pfizer/BioNTech and Biovac, a public-private partnership between the South African government and a consortium of local drugmakers, only partially addresses demands from African officials to have more control over their vaccine supply chains.

The drug substance for the two-dose Pfizer/BioNTech shot, one of the most widely used Covid-19 vaccines in the world, will be exported to South Africa from Europe, the companies said.

The companies said in a statement that Biovac-produced doses at the Cape Town plant will go to African Union countries. A Pfizer spokesman said the doses will likely be distributed through existing supply agreements with African governments or its own deal with Covax, or feed into the 500 million Pfizer/BioNTech doses that the U.S. plans to donate to Covax.

The WHO and other public-health organizations have been pushing to bring new mRNA technology, on which the Pfizer/BioNTech vaccine is based, to Africa. They say it could eventually be used to fight other diseases, including some such as HIV/AIDS, malaria or Ebola that are prevalent in Africa. Manufacturing experts also say that making mRNA shots is easier in many ways than producing traditional vaccines, which require the handling of live pathogens.

Last month, the WHO launched a new initiative to support the transfer of mRNA technology to Biovac, the first effort of this kind world-wide, and said it was in talks with Pfizer, BioNTech and Moderna Inc., whose Covid-19 vaccine also uses mRNA.

But Pfizer said that the deal with Biovac was exclusively among the three companies and not part of a government-initiated technology transfer or compulsory licensing agreement.

Pfizer Chief Executive Albert Bourla is slated to speak later Wednesday at the World Trade Organization, where talks on the patent waiver have progressed slowly amid opposition from the European Union and are likely to miss a self-imposed six-week deadline that expires at the end of the month.

The Pfizer/BioNTech announcement follows a similar deal forged late last year between South Africa-based Aspen Pharmacare Holdings Ltd. and Johnson & Johnson to fill vials and package 300 million doses of the U.S. company’s Covid-19 shot.

Aspen also doesn’t have a license to make the drug substance used in the J&J shot, a setup that has led to delays in delivering shots ordered by the South African government. In June, Aspen had to destroy some two million finished vaccine doses, which had potentially been contaminated by the Baltimore-based plant that produced the drug substance for J&J.

South African President Cyril Ramaphosa said this month that there were negotiations to produce the J&J drug substance locally “in time,” without disclosing further details. Aspen’s chief executive said that the company was in early discussions around extending vaccine production. J&J declined to comment on whether it is in talks with Aspen to produce the drug substance for its vaccine locally.

The Pfizer spokesman declined to say whether there were plans to expand the partnership with Biovac to eventually also produce the drug substance in South Africa, saying the company was focused on efforts to maximize its supply chain and would continue to look for opportunities. But BioNTech’s chief executive, Ugur Sahin, suggested in Wednesday’s statement that there might be more announcements in the future.

“We believe that our mRNA technology can be used to develop vaccine candidates addressing other diseases as well,” said Dr. Sahin. “This is why we will continue to evaluate sustainable approaches that will support the development and production of mRNA vaccines on the African continent.” The Wall Street Journal

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