COVID-19: Nigeria replaces Pfizer with 16million doses of Astrazeneca-Oxford vaccine

By JOHN NWOKOCHA, Abuja

The Executive Director of National Primary Health Care Development Agency (NPHCDA), Dr Faisal Shuaib, Saturday in Abuja said that Nigeria is replacing Pfizer with 16 million doses of Astrazeneca Oxford vaccine because it will invariably reach more population and suited to country’s existing cold chain.

Shuaib disclosed this at a Joint Press Conference with World Health Organisation (WHO) as WHO debunked rumours of disqualification of African countries in accessing COVID-19 vaccines through WHO.

Shuaib noted that Pfizer 100,000 vaccine doses would have been a drop in the ocean, adding that it is a welcome development that Nigeria will receive 16 million doses of Astrazeneca oxford vaccine in the same month of February.

His words: “As clearly stated by the WHO Regional Director, there are a number of factors that were considered in allocating the small quantity of the 320,000 doses of Pfizer vaccine to Covax countries.

“These include the mortality rates from COVID-19, the number of new cases, the trend in the number of cases, the population of countries and the availability of the appropriate Cold Chain equipment.

“It is clear that countries such as South Africa which received the Pfizer allocation have the new strain of the COVID-19 virus, has the highest mortality rates and is struggling to contain transmission.

“Furthermore, giving smaller countries such as Cape Verde and Rwanda few doses of the Pfizer vaccine would have a larger public health impact considering their population size.

“Many of you were with us at the National Strategic Cold store to physically see the ultra-cold chain equipment that we have.

“This visit was conducted in the spirit of transparency and accountability on the part of the Presidential Task Force on COVID-19 (PTF) and Federal Ministry of Health (FMOH).

“These Ultra Cold Chain equipment would have been able to store over 400,000 doses of the Pfizer vaccine if these were brought to Nigeria. So we are ready for any type of vaccine that is allocated to us.”

According to the Country Representative of World Health Organisation (WHO), Dr Walter Kazadi Molumbo, WHO has not disqualified any country in Africa from accessing COVID-19 vaccines through the COVAX facility, but rather is supporting all countries to access vaccines as quickly as possible.

As Molumbo puts it, “Currently, all countries on the continent are expected to start accessing the AstraZeneca Oxford vaccines by the end of February.

“The vaccine is under review by WHO for Emergency Use Listing and the outcome is expected soon.

“Of the 88 million AstraZeneca doses allocated to African countries for the first phase, Nigeria has received by far the largest allocation, with 16 million doses.

“In addition to the Astra Zeneca doses, there is an initial limited volume of Pfizer vaccine available through COVAX.

“Demand for the initial allocation of 1.2 million Pfizer doses was exceptionally high. COVAX received interest from 72 countries around the world, of which 51 countries were considered by the review committee as “ready” (Nigeria was among these countries) and 18 countries in total were finally chosen to receive initial Pfizer doses.

“On the Africa continent, as of the 18 January deadline, COVAX received 13 submissions and a multi-agency committee evaluated the proposals of which 9 were recommended as ready to deploy the Pfizer vaccine including Nigeria.

“Unfortunately, it was not feasible to provide each of these 51 countries with Pfizer doses, due to a number of factors including the limited capacity for Pfizer to handle many countries at once.

“Therefore, spreading the limited doses across all the 51 countries deemed ‘ready’, could have not achieve the intended public health benefit.

“After epidemiological data was taken into account, the decision was taken to proportionally balance the number of self financing and as well as Participants across all 6 WHO regions.”