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Russia’s Sputnik V is the third coronavirus vaccine approved for use in India amid a deadly second wave of infections.

The Russian vaccine has been deemed to be safe, and works in a way similar to the Oxford-AstraZeneca vaccine which is being made in India as Covishield.

Sputnik V gives around 92% protection against Covid-19, late stage trial results published in The Lancet reveal.

India has so far given more than 100 million doses of two approved vaccines – Covishield and Covaxin.

Sputnik V’s approval came on a day when India overtook Brazil to become the country with the second-highest number of cases globally.

With the total case tally of more than 13.5 million cases, India is now only behind the US which has reported more than 31 million cases. With 13.4 million cases, Brazil is now at number three.

The Indian government aims to vaccinate 250 million “priority people” by the end of July. But experts say that the pace of vaccination has been slow and unless the drive is scaled up, the target could be missed.

Sputnik V, developed by Moscow’s Gamaleya Institute, initially generated some controversy after being rolled out before the final trial data had been released.

But scientists say its benefits have now been demonstrated.

The vaccine uses a cold-type virus, engineered to be harmless, as a carrier to deliver a small fragment of the coronavirus to the body.

Safely exposing the body to a part of the virus’s genetic code in this way allows it to recognize the threat and learn to fight it off, without the risk of becoming ill.

After being vaccinated, the body starts to produce antibodies especially tailored to the coronavirus.

This means that the immune system is primed to fight coronavirus when it encounters it for real.

Sputnik V can be stored at temperatures of between 2 and 8C degrees (a standard fridge is roughly 3-5C degrees) making it easier to transport and store.

The Russian Direct Investment Fund (RDIF), which is marketing the vaccine, has signed deals to produce more than 750 million doses of Sputnik V in India with six domestic vaccine makers, according to reports.

Unlike other similar vaccines, the Sputnik shot uses two slightly different versions of the vaccine for the first and the second dose – given 21 days apart.

They both target the coronavirus’s distinctive “spike”, but use different vectors – the neutralized virus that carries the spike to the body.

The idea is that using two different formulas boosts the immune system even more than using the same version twice – and may give longer-lasting protection.

As well as proving effective, it was also safe with no serious reactions linked to the vaccine during the trial.

Some side-effects to a vaccine are expected, but these are usually mild, including a sore arm, tiredness and a bit of a temperature. There were no deaths or serious illnesses in the vaccinated group linked to the jab.

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As well as Russia, Sputnik V is being used in a number of other places, including Argentina, Palestinian territories, Venezuela, Hungary, UAE and Iran.

It will be weeks before Sputnik will be rolled out in India and until then, the country has to make do with Covaxin and Covishield.

Covaxin is an inactivated vaccine which means that it is made up of killed coronaviruses, making it safe to be injected into the body.

Bharat Biotech, a 24-year-old vaccine maker with a portfolio of 16 vaccines and exports to 123 countries, used a sample of the coronavirus, isolated by India’s National Institute of Virology.

When administered, immune cells can still recognize the dead virus, prompting the immune system to make antibodies against the pandemic virus.

The two doses are given four weeks apart. The vaccine can be stored at 2C to 8C.

The vaccine has an efficacy rate of 81%, preliminary data from its phase 3 trial shows.

India’s regulators gave the vaccine an emergency approval in January while the third phase of the trial was still underway, sparking skepticism and questions from experts.

Bharat Biotech says it has a stockpile of 20 million doses of Covaxin, and is aiming to make 700 million doses out of its four facilities in two cities by the end of the year.

The Oxford-AstraZeneca vaccine is being manufactured locally by the Serum Institute of India, the world’s largest vaccine manufacturer. It says it is producing more than 60 million doses a month.

The vaccine is made from a weakened version of a common cold virus (known as an adenovirus) from chimpanzees. It has been modified to look more like coronavirus – although it can’t cause illness.

When the vaccine is injected into a patient, it prompts the immune system to start making antibodies and primes it to attack any coronavirus infection.

The shot is administered in two doses given between four and 12 weeks apart. It can be safely stored at temperatures of 2C to 8C and can easily be delivered in existing health care settings such as doctors’ surgeries.

The vaccine developed by Pfizer-BioNTech, which is currently being administered in several countries, must be stored at -70C and can only be moved a limited number of times – a particular challenge in India, where summer temperatures can reach 50C.

International clinical trials of the Oxford-AstraZeneca vaccine showed that when people were given a half dose and then a full dose, effectiveness hit 90%.

But there was not enough clear data to approve the half-dose, full-dose idea.

However, unpublished data suggests that leaving a longer gap between the first and second doses increases the overall effectiveness of the jab – in a sub-group given the vaccine this way it was found to be 70% effective after the first dose.

Image source: indiatvnews.com

India has become the “fastest country in the world” to administer more than 100 million doses of Covid-19 vaccines, amid a deadly second wave of infections.

The country achieved the feat in 85 days, whereas the US took 89 days and China 102 days, the Indian health ministry said.

However, India reported a record daily increase of over 150,000 cases – and more than 800 new deaths – on April 11.

There are reports the vast vaccination drive itself is struggling.

This week, half a dozen states reported a shortage of doses even as the federal government insisted that it had 40 million doses in stock and that the “allegations” of vaccine scarcity were “utterly baseless”.

The inoculation drive aims to cover 250 million people by July, but experts say the pace needs to pick up further to meet the target.

Everyone aged over 45 is now eligible for immunization at vaccination centers and hospitals. Most doses have so far been given to frontline workers and the over-60s.

The third phase – which began on April 1 – opened amid a sharp uptick in Covid-19 cases. India has been reporting an average of more than 90,000 cases every day since then.

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On April 4, India became the second country after the US to report 100,000 new cases in a single day. More than half of those were confirmed in Maharashtra, which has India’s largest city Mumbai as its capital.

The country’s caseload had dropped sharply by the time it began vaccinating people early this year. It was adding under 15,000 infections daily. But cases began to spike again in March, largely driven by poor test-and-trace and lax safety protocols.

Experts say India’s second wave is being fuelled by people being less cautious – and mixed messaging by the government.

Since the pandemic began, India has confirmed more than 12 million cases and over 167,000 deaths. It’s the third-highest number of Covid-19 infections in the world after the US and Brazil.

India launched its vaccination program on January 16, but it was limited to healthcare workers and frontline staff – a sanitation worker became the first Indian to receive the vaccine.

From March 1, the eligibility criteria was expanded to include people over 60 and those aged between 45 and 59 with other illnesses.

The third phase included everyone above the age of 45.

India’s drugs regulator has given the green light to two vaccines – one developed by AstraZeneca with Oxford University (Covishield) and one by Indian firm Bharat Biotech (Covaxin). Several other candidates are at different stages of trials.

Image source: AP

Five people have died in a fire at Serum Institute of India, the world’s largest vaccine manufacturer.

The fire started at a building which was still under construction at the Serum Institute facilities in Pune on January 21.

Footage showed thick plumes of smoke billowing from a building on the company’s sprawling site.

However, the company said vaccine production would not be affected. The cause of the fire has not been identified.

The blaze was later brought under control, but the city’s mayor confirmed that five people had died.

Serum Institute’s CEO Adar Poonawalla tweeted: “We have just received some distressing updates; upon further investigation we have learnt that there has unfortunately been some loss of life at the incident.

“We are deeply saddened and offer our deepest condolences to the family members of the departed.”

Adar Poonawalla said there would be no impact on the production of the Oxford-AstraZeneca vaccine, known locally as Covishield, “due to multiple production buildings that I had kept in reserve to deal with such contingencies”.

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Covishield is one of two vaccines approved by the Indian government for use in its inoculation program, which began last week and is the largest in the world.

India aims to vaccinate 300 million people by early August.

Many other low and middle-income countries are also depending on the Serum Institute for production of the Oxford-AstraZeneca vaccine.

India has recorded the second-highest number of Covid-19 infections in the world after the United States. Since the pandemic began India has confirmed more than 10.6 million cases and almost 153,000 deaths, according to figures from Johns Hopkins University.