RUSSIAN VACCINE MIGHT PROVE A GAME CHANGER IN INDIA

           

             RUSSIAN VACCINE MIGHT PROVE A GAME CHANGER IN INDIA 

                                                                                                    Nikunja Bihari Sahu     

      

        The arrival of the two consignments of the Russian vaccine Sputnik V in Hyderabad at a time when the country is embarking on the crucial third phase of its national vaccination programme amidst the second surging wave of the pandemic  is hailed as a welcome step and is expected to augment the shortage of vaccines in the country. Produced jointly by the Gamaleya National Research Centre of Epidemiology and Microbiology, Moscow and Russian Direct Investment Fund (RDIF), the vaccine has already cleared emergency approval authorization by the Drugs Control General of India (DCGI) on 13th April for inclusion in the country's immunization mission. As many as 60 countries around the world have so far accorded approvals to this vaccine including Russia, Belarus, Serbia, Argentina, Bolivia, Algeria, Palestine, Venezuela, UAE and Turkmenistan as the drugs controllers of the EU are also expected to give their nods very soon. In India, the vaccine production will be headed by Dr Reddy’s Lab in Hyderabad which will soon be joined by  6 other pharma companies - Hetero Biopharma, Gland Pharma, Stelis Biopharma, Virchow Biotech, Panacea Biotec and Shilpa Medicare- with an estimated roll out of 85 crore  doses per year to cater to the  growing demand of the world’s largest vaccination programme.

         The vaccine has been named as Sputnik V by Russia to glorify the launch of its first artificial satellite Sputnik 1 on 4th October, 1957 which it considers as the greatest achievement in space exploration of the Soviet era at the height of the Cold War.

        The question is whether the new vaccine is going to be a real game changer in the Indian scenario especially when the country is struggling with its 18+ immunization programme that forms the bulk of the population. The two vaccines now in use in India are the Covishield produced by the Serum Institute of India with technical support from AstraZeneca having an efficacy rate of 80% and the Covaxine produced by the Bharat Biotech jointly with ICMR and National Institute of Virology with an efficacy rate of 81%. In contrast, the Russian candidate with a proven efficacy rate of 91.6% is poised to be the most effective one in India. Secondly, the monthly production capacity  of these two vaccines is 4 crore doses with which a total of 25 lakh people can be administered daily in contrast to the 35 lakh  doses of  daily demand in the country. This, in turn, requires a monthly supply of 7 crore doses for which additional vaccine sources are required and Sputnik V is expected to bridge the gap very soon. Thirdly, according to Dr Reddy’s Lab, the price of the imported vaccines in Indian market will be around Rs 995 per shot which will be brought down substantially once the local manufacturing starts making it one of the cheapest in the world considering its high efficacy rate.  Fourthly, it can be stored in a temperature range of 2 to 8 degrees C making it very much suitable in the existing supply chain conditions of India. Fifthly, the vaccine has demonstrated its effectiveness against the new variant strains of the virus.

         One issue regarding the Russian vaccine that has always been debated by the scientific communities ever since its approval by the  Russian authority in August, 2020 is regarding its true efficacy rate due to lack of transparency in the early clinical trial results. However, the phase 3 trials of the vaccine were later conducted in Russia with the results published in the international research journal Lancet that silenced all its critics. The outcome of the research confirmed that the vaccine is really effective with an efficacy rate of around 92% and is capable of providing robust protection mechanism against the spike proteins of the virus by producing antibodies. In India, Dr Reddy’s also conducted bridging trials with nearly 1500 volunteers and confirmed the outcome as very encouraging. The vaccine has been found to be most effective against critical patients and even can save life by triggering body’s own immune response system.

                    Although the vaccine uses a vector platform like the Covishield, it employs two different viruses (Ad26 and Ad5 human adenovirus) that generally cause common cold in humans. The adenoviruses are lab engineered to be  made  weakened so that they cannot multiply in humans to cause disease. They are also modified so that the vaccine delivers a code for synthesizing the coronavirus spike proteins in the body. This aims to ensure that when the real virus tries to invade the body, it can mount an effective immune response in the form of antibodies production. Using two different adenovirus vectors may also help create a more powerful immune response (compared with using the same vector twice) as it minimizes the risk of the immune system developing resistance to the initial virus vector. The two shots with different adenovirus vectors are given 21 days apart. The study found no strong allergies caused by Sputnik V jabs so far. There are also plans to introduce a single-dose version of the vaccine named Sputnik Lite with an efficacy rate of 79.4% soon in India. At a time when the shortage of vaccine shots has slowed down or halted inoculations in many states, introduction of a single-dose vaccine could be also come as a relief.



                                                                                 Education Officer
                                                                                 Regional Science Centre
                                                                            Bhopal


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