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The first arrival of COVID-19 vaccines to Kenya is offloaded from a Qatar Airways flight at Jomo Kenyatta International Airport, in Nairobi, on March 3, 2021.The Associated Press

More African countries received the long-awaited first deliveries of COVID-19 vaccines on Wednesday, with Kenya, Rwanda and Lesotho benefiting from the global COVAX initiative that aims to ensure doses for the world’s low-and middle-income nations.

African and other health officials have been frustrated by the sight of a handful of rich countries rolling out vaccines after snapping up large amounts for themselves.

“We will be known as the continent of COVID” if Africa doesn’t quickly reach its target of vaccinating 60 per cent of its population of 1.3 billion people, the director of the Africa Centers for Disease Control and Prevention, John Nkengasong, said last week. The continent last month surpassed 100,000 confirmed deaths.

So far Ghana, Ivory Coast, Nigeria, Angola, Gambia and Congo also have received their first vaccine doses via COVAX, with several other countries including Mali, Senegal, Malawi and Uganda set to receive them this week.

Rwanda is becoming the first African nation to receive the Pfizer vaccine via COVAX. The vaccine needs storage at ultracold temperatures, making rollout complex in hot countries and rural areas, for example.

Moderna, Pfizer, AstraZeneca or Johnson & Johnson: Which COVID-19 vaccine will I get in Canada?

Canada pre-purchased millions of doses of seven different vaccine types, and Health Canada has approved four so far for the various provincial and territorial rollouts. All the drugs are fully effective in preventing serious illness and death, though some may do more than others to stop any symptomatic illness at all (which is where the efficacy rates cited below come in).

PFIZER-BIONTECH

  • Also known as: Comirnaty
  • Approved on: Dec. 9, 2020
  • Efficacy rate: 95 per cent with both doses in patients 16 and older, and 100 per cent in 12- to 15-year-olds
  • Traits: Must be stored at -70 C, requiring specialized ultracold freezers. It is a new type of mRNA-based vaccine that gives the body a sample of the virus’s DNA to teach immune systems how to fight it. Health Canada has authorized it for use in people as young as 12.

MODERNA

  • Also known as: SpikeVax
  • Approved on: Dec. 23, 2020
  • Efficacy rate: 94 per cent with both doses in patients 18 and older, and 100 per cent in 12- to 17-year-olds
  • Traits: Like Pfizer’s vaccine, this one is mRNA-based, but it can be stored at -20 C. It’s approved for use in Canada for ages 12 and up.

OXFORD-ASTRAZENECA

  • Also known as: Vaxzevria
  • Approved on: Feb. 26, 2021
  • Efficacy rate: 62 per cent two weeks after the second dose
  • Traits: This comes in two versions approved for Canadian use, the kind made in Europe and the same drug made by a different process in India (where it is called Covishield). The National Advisory Committee on Immunization’s latest guidance is that its okay for people 30 and older to get it if they can’t or don’t want to wait for an mRNA vaccine, but to guard against the risk of a rare blood-clotting disorder, all provinces have stopped giving first doses of AstraZeneca.

JOHNSON & JOHNSON

  • Also known as: Janssen
  • Approved on: March 5, 2021
  • Efficacy rate: 66 per cent two weeks after the single dose
  • Traits: Unlike the other vaccines, this one comes in a single injection. NACI says it should be offered to Canadians 30 and older, but Health Canada paused distribution of the drug for now as it investigates inspection concerns at a Maryland facility where the active ingredient was made.

How many vaccine doses do I get?

All vaccines except Johnson & Johnson’s require two doses, though even for double-dose drugs, research suggests the first shots may give fairly strong protection. This has led health agencies to focus on getting first shots to as many people as possible, then delaying boosters by up to four months. To see how many doses your province or territory has administered so far, check our vaccine tracker for the latest numbers.

COVAX has faced delays related to the severely limited global supply of vaccine doses as well as logistical issues.

And COVAX alone will not supply Africa’s 54 countries with the doses needed to reach the 60 per cent population coverage for achieving so-called herd immunity, when enough people are protected through infection or vaccination to make it difficult for a virus to continue to spread.

That’s why some countries such as South Africa, the hardest-hit African nation, are also pursuing COVID-19 vaccines via bilateral deals or via the African Union’s bulk-purchasing program.

COVID-19 news: Updates and essential resources about the pandemic

Despite the various challenges, some health officials expressed jubilation as the first vaccine doses via COVAX arrived.

“We have been fighting the pandemic with rubber bullets but what we have acquired today is equivalent, metaphorically speaking, to bazookas and machine-guns,” Kenyan Health Minister Mutahi Kagwe said.

Kenya received 1.02 million doses of the AstraZeneca vaccine manufactured by the Serum Institute of India. The minister said the vaccines will be administered to some 400,000 medical workers and the rest will go to other front-line workers such as teachers and police officers.

“This first shipment of 1 million vaccines is part of an order of 3.5 million to Kenya,” UNICEF spokesman Andrew Brown told The Associated Press.

Kenya, East Africa’s commercial hub, has more than 106,000 confirmed virus cases including more than 1,800 deaths. Many health workers for months have been disgruntled over the inadequate supply of personal protective equipment. They also say they were never paid the allowances that the government promised them for the extra work and risk while combatting COVID-19.

Rwanda received 240,000 doses of the AstraZeneca vaccine, with 102,960 Pfizer doses expected later Wednesday. The health ministry said these first doses will target front-line workers, those above 65 and people with underlying health conditions.

Health Minister Daniel Ngamije said Rwanda’s goal is to vaccinate 30 per cent of the population by the end of this year, and 60 per cent by the end of 2022. Rwanda has recorded 19,111 cases and 265 deaths.

And the southern African kingdom of Lesotho received 36,000 doses of the AstraZeneca vaccine Wednesday. The country has had more than 10,000 infections including 295 deaths.

Large and producing nations are cutting strategic deals for vaccines across the globe, which critics say threatens fair distribution.

Reuters

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