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Vaccines that are not assigned by COVAX in this round can be allocated again later.

While wealthy countries are opening up their economies, the WHO and other public health experts warn that the slow roll-out of vaccines in poorer regions will give the coronavirus a chance to mutate again and potentially create new variants.

The low demand for vaccines in the January allocation is partly explained by recent increases in supplies. COVAX has already assigned tens of millions of doses to be delivered in the first quarter and delivered its billionth dose in January.

Officials involved in vaccine distribution said that meant countries were reluctant to take on more doses that they would not be able to use.

A summit to address distribution challenges is taking place on Wednesday in Abuja, Nigeria, convened by the African Union’s Africa Vaccine Delivery Alliance with WHO, Gavi and others rolling out shots across Africa attending.

There had been hopes that African countries would be able to administer billions of doses of Covid-19 vaccines given their experience in dealing with deadly diseases from Ebola to malaria.

But two years into the crisis, a survey seen by Reuters by the United Nations Children’s Fund (UNICEF) in January on the equipment needed to ramp up vaccine distribution highlighted some of the challenges.

It found “critical gaps” across 44 of the African Union’s 55 member states: 24 countries said they needed fridges, 18 were in need of deep freezers, 22 required walk-in freezers and 16 did not have sufficient walk-in cold rooms.

A healthcare professional prepares a dose of AstraZeneca vaccine at the Narok County Referral Hospital, in Narok, Kenya, on Dec. 1, 2021.Baz Ratner / Reuters file

The problem is particularly acute for COVAX because the Pfizer-BioNTech shot that needs to be kept super-cold has replaced AstraZeneca’s vaccine as the main one being offered by the global program.

Some African countries, such as Burundi and Guinea, have gaps at every point in the cold chain, from national level to local distribution centres, the UNICEF survey showed.

The findings are likely to underscore growing concerns that COVAX did not invest quickly enough in infrastructure and equipment for countries it was delivering vaccines to.

The issue is exacerbated by a lack of funding and because countries have not had enough notice of deliveries — particularly donations — making it harder for them to plan vaccination campaigns, public health officials have said.

Officials involved in the distribution of vaccines in Africa also said more focus needed to be placed on communicating the importance of getting vaccinated — and addressing disinformation.

“Communication is one of the biggest issues … if we don’t get the messaging right, everything else we are doing is futile,” one of the officials said, speaking on condition of anonymity.

Money has also started to dry up for global initiatives as richer nations seek to move on from Covid.

Gavi says it has only raised $195 million out of the $5.2 billion it has asked for this quarter. The money is used to procure and ship vaccines, as well as provide syringes and delivery support in countries.

Efforts to distribute tests and therapeutics, such as the new antivirals, are facing similar cashflow issues, according to Philippe Duneton, executive director of Unitaid.

“There is not a lot of money left from what we have received,” he told Reuters, referring to therapeutics particularly.

“There is around $100 million, but we need more to make access to these drugs, including access to tests, in a way that is affordable for the international community.”

Source: This post first appeared on NBC News

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