Staff members get ready to receive the Sputnik V vaccine at a hospital in Quilmes, Argentina. Picture: GETTY IMAGES/MARCOS BRINDICCI
Staff members get ready to receive the Sputnik V vaccine at a hospital in Quilmes, Argentina. Picture: GETTY IMAGES/MARCOS BRINDICCI

Moscow — Russia is accusing the West of maligning its achievements in the global race to defeat Covid-19 as its attempts to win key markets for its Sputnik V vaccine run up against the demands of regulators.

“We understand the game,” Kirill Dmitriev, CEO of the Russian Direct Investment Fund, which backed Sputnik V’s development and negotiates its international rollout, said in an interview. “It’s a combination of some misunderstanding, some strong bias and, really, some very strong efforts to undermine the Russian vaccine.”

Like neighbouring China, which is struggling to reassure nations testing its vaccines, Russia’s drive to convert what it calls a scientific triumph into geopolitical dividends has hit unexpected headwinds.

President Vladimir Putin has pushed the inoculation in calls with other world leaders since touting Russia’s approval of Sputnik V in August as the globe’s first Covid-19 vaccine. But many countries’ regulators have been unwilling to give Sputnik V fast-track approval — even as they welcome US and European vaccines that first completed comprehensive trials.

The contest for access carries echoes of the Cold War space race triggered by the Soviet Union’s 1957 launch of the world’s first satellite, Sputnik, for which Russia’s vaccine is named. While Moscow was first into space, it was overtaken by the US which landed a man on the moon 12 years later.

Russian officials blame Sputnik’s difficulties on bias. The foreign ministry recently described the vaccine race as the latest phase in a long-running disinformation “war” against Russia.

Regulators that have demanded more data say they are just trying to ensure Sputnik V, which Russia approved weeks before the start of Phase 3 studies to show its safety and effectiveness, is as good as its backers say.

Critics say Russia’s decision to approve the vaccine so quickly, before its developers had published scientific data and after only limited trials, has undermined confidence.

Take-up has been slow. Not until December 21 did neighbouring Belarus became the first country outside Russia to approve Sputnik V, and Argentina followed two days later. Argentina began vaccinations on Tuesday with about 300,000 people expected to be given the Russian shot initially, and Belarus started its programme the same day.

But India, Brazil and other major markets are not expected to sign off until 2021, after more trials are done.

“Russia is using its vaccine programme for soft power diplomacy,” said John Moore, a vaccine researcher at Weill Cornell Medical College in New York. “It’s an international race, there’s nationalism at stake. But it all depends on the vaccines being effective and safe.”

The Russian vaccine got a boost earlier in December when AstraZeneca agreed to test a combination of its inoculation with one of the two shots that make up Sputnik V. Putin took part in the video-conference announcing the signing of the deal live on national television.

Still, the 68-year-old leader said on December 17 he was waiting to get the vaccine until it had been cleared for people his age.

Putin’s comments flummoxed Argentinian officials, who had planned to start their campaign on the elderly. His spokesperson this week indicated the president is now willing to get inoculated after research extended the age range for safe use of Sputnik V.

Critics say Russia’s decision to approve the vaccine so quickly, before its developers had published scientific data and after only limited trials, has undermined confidence. Western officials including US secretary of state Mike Pompeo have described that move as premature, publicly questioning Sputnik’s safety.

Russian officials brush those attacks off as unfair competition even as polls show many of Russia’s own citizens are sceptical about the safety of available vaccines. They say they already have orders for 1.2-billion doses and plan to produce 500-million next year in several countries, while predicting other vaccine makers may struggle to meet the expected demand.

“We’re focused on regulators in Asia, the Mideast, Africa and Latin America, where political sentiment is more balanced,” Dmitriev said. He added that several are expected to follow Argentina and approve Sputnik V based on the Russian trials in January and February, with Venezuela the first in line. “People will understand there’s a major shortage of vaccine in 2021 and maybe 2022,” he said.

In India, hopes of fast-track regulatory approval for Sputnik V were dashed in October after authorities demanded more comprehensive trials than its local partners had proposed. RDIF said it hopes to apply for emergency-use approval by the end of January, but its Indian partner said the go-ahead is unlikely until the second quarter of 2021.

It’s a similar story in Brazil, where Russia’s plan to start supplies in November failed to materialise. The Anvisa regulator said on Tuesday it had received an application for Phase 3 trials of Sputnik V.

A month after the announcement of a production and distribution deal with a company in Beijing, Dmitriev said RDIF will  not sell Sputnik V inside China but instead export the millions of doses it plans to make there, including to Russia.

EU member state Hungary has received 6,000 doses, though its regulator has not yet cleared the drug for use.

While Russia may have hurt its credibility by rushing ahead, it will find markets for Sputnik V if it “can show the vaccine works and is reliable”, said Anthony McDonnell, a former UK government health adviser who is now a senior policy analyst at the Washington-based Centre for Global Development.

Bloomberg

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