Logistics, regulatory bottlenecks loom as Southeast Asia embarks on COVID-19 vaccine rollout

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Malaysia’s Health Ministry completed a 550km practice run in rural Sarawak to test its Covid-19 vaccine supply chain, while Indonesia’s president rolled up his sleeve on live television to get the jab.

But political will, logistics and regulation will also weigh on the pace of immunization.

Health officials wrapped up a vaccine-delivery practice run last week that started in Belgium, where Pfizer-BioNTech makes its Covid-19 shot, and ended at a rural health clinic in Belaga, Sarawak, in the heart of Borneo. Singapore started vaccinations in late December and expects to have enough doses to cover all citizens and residents by September.

Vietnam and Thailand will not be sufficiently immune until the middle of 2022 at the earliest. Indonesia’s ambition to vaccinate 181.5 million people over the next 15 months will take twice as long.The resulting patchwork of immunity versus vulnerability risks giving the virus a chance to mutate. Neighbors will need to pool resources to extend vaccination to the poorer neighbors to keep the pandemic at bay.

In the Philippines, disorganization and past trauma may also be slowing its vaccine roll-out. The government has made few firm plans to buy any foreign vaccine except for a combined half million from Pfizer and AstraZeneca in February and two million doses a month from China’s Sinovac between now and early next year for its 108 million residents.

While the tally is low by comparison with the United States and Brazil, it strains Indonesia’s health infrastructure. The country has half the hospital beds per thousand people than neighboring Malaysia.

 

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