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COVID-19 vaccine update | Europe's medicines regulator clears way for use of Pfizer in EU

European Union countries including Germany, France, Austria and Italy have said they plan to start vaccinations from December 27 as Europe tries to catch up with the United States and Britain, where inoculations began earlier this month.

December 21, 2020 / 10:33 PM IST
LANSING, MI - DECEMBER 13: Shipments of the Pfizer And BioNTech COVID-19 vaccine are loaded into a UPS plane at the Capital Region International Airport on December 13, 2020 in Lansing, Michigan. The first doses of the coronavirus (COVID-19) vaccine will be distributed to all 50 states.   Rey Del Rio/Getty Images/AFP

LANSING, MI - DECEMBER 13: Shipments of the Pfizer And BioNTech COVID-19 vaccine are loaded into a UPS plane at the Capital Region International Airport on December 13, 2020 in Lansing, Michigan. The first doses of the coronavirus (COVID-19) vaccine will be distributed to all 50 states. Rey Del Rio/Getty Images/AFP

Europe's medicines regulator on Monday approved the use of the COVID-19 vaccine developed by U.S. company Pfizer and its German partner BioNTech, putting the EU on course to start inoculations just after Christmas.

European Union countries including Germany, France, Austria and Italy have said they plan to start vaccinations from Dec. 27 as Europe tries to catch up with the United States and Britain, where inoculations began earlier this month.

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Having gained the green light from the European Medicines Agency (EMA), the final step is approval by the European Commission, expected later on Monday.

"Now we will act fast. I expect a European Commission decision by this evening," Commission head Ursula von der Leyen wrote on Twitter.

COVID-19 Vaccine

Frequently Asked Questions

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How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

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Italian Health Minister Roberto Speranza hailed the approval as "the news we have been waiting for," adding it "opened up a new phase and gives us more strength and confidence," in tackling a pandemic has killed about 470,000 Europeans.

Preparations for the vaccine rollout come as the identification of a highly infectious new strain of the coronavirus in Britain caused chaos across the region, with countries shutting off travel ties with the UK and disrupting trade ahead of the Christmas holiday.

EMA officials said it was highly likely the vaccine would work against the new variant of the coronavirus.

EMA executive director Emer Cooke said it would take a long time to inoculate the 450 million people of the 27 EU countries.

"Vaccines alone will not be the silver bullet that will allow us to return to normal lives, but the authorisation of this first vaccine is definitely a major step in the right direction and an indication that 2021 can be brighter than 2020," she told a news briefing.

VACCINATION DRIVE

Student medics, retired doctors, pharmacists and soldiers are being drafted into a European vaccination campaign of unprecedented scale.

A phased-in approach means frontline healthcare workers and elderly residents of care homes are being prioritised, with most national schemes not reaching the general public until the end of the first quarter of 2021 at the earliest.

The EMA had started a rolling review of preliminary data from Pfizer trials on Oct. 6 in an effort to speed an approval process that usually takes at least seven months.

The EMA clearance, initially granted as conditional marketing approval (CMA), is valid for one year and can be renewed annually. It can be converted into a standard marketing authorisation after further data checks. This would be valid for five years but can be renewed for unlimited validity.

The process took longer than the ultra-fast emergency authorisation given by Britain, the first western country to endorse a COVID-19 shot.

EUROPE'S DRUG TEST

The roll-out will be a test for Brussels' ability to unify Europe amid political pressure to speed up the process and tame the pandemic which has killed more than 1.6 million people globally.

The EU has ordered 200 million doses of the Pfizer-BioNTech shot, enough to vaccinate 100 million people, paying 15.50 euros ($18.90) per dose.

It will also buy an extra 100 million with a timetable for delivery still to be negotiated.

EMA officials denied any political interference and defended the speed of the approval process.

"The focus was exclusively on the science, there were too many involved of the member states who would look into the science as to allow any political whitewashing or adaption," said Harald Enzmann, chair of EMA's Human Medicines Committee (CHMP).

Reuters