(3 years ago)
Lords ChamberTo ask Her Majesty’s Government how many of the 100 million COVID-19 vaccines they have committed to donate to the rest of the world have been delivered and where they have been sent.
My Lords, the United Kingdom has delivered over 21.2 million doses to recipient countries. Some 16.6 million have been distributed through COVAX, a further 3.4 million doses are with COVAX for allocation and distribution and another 6.3 million will be delivered to it directly from AstraZeneca in the coming weeks. In addition, 4.6 million doses have been delivered bilaterally to 17 countries, including Jamaica, Kenya and Indonesia.
My Lords, unvaccinated populations will mean more variants and we must redouble our efforts to help to vaccinate the world. Will my noble friend agree to update the House in writing at the end of this calendar year, and at the next deadline of June next year, with details of how many vaccines the UK has shipped and indeed delivered? Responsibility for global vaccines seems to sit across multiple departments: FCDO, DHSC, BEIS, DIT and of course the Treasury. We have seen the success of our domestic vaccine efforts, thanks to a focused and dynamic Minister, so will the Government consider giving one Minister responsibility for global vaccination?
My Lords, on my noble friend’s first point, yes, of course, and I shall write to her with an update. We have already responded to the Foreign Affairs Committee’s report on this issue. I will take her suggestion of one single dynamic Minister for global vaccines back and share it with the department.
My Lords, what progress has been made so far on helping countries to provide their own capacity to build their own vaccines so that it is not left to other countries to donate but, instead, they would be able to manufacture their own?
My Lords, the noble Lord makes an important point. The UK has engaged and continues to engage thoroughly on the issues around the TRIPS waiver, which has been discussed. We have certainly seen how we can work though transferring technology, for example. Indeed, early on in the pandemic, that same working together aided the world, in bringing together India and the UK on the Serum Institute of India initiative with the University of Oxford.
My Lords, in the wake of the new omicron variant, which undermines existing vaccination efforts, will the Minister support the temporary TRIPS waiver proposed by South Africa and India to the WTO and supported by more than 100 countries, including the US? This would allow for widespread manufacturing scale-up regionally, ensure that all countries could get access to the vaccines they need to protect their populations and reduce the risk to all of us of new variants emerging.
My Lords, I share the noble Baroness’s concern. We are engaging pragmatically on the TRIPS waiver. However, when looking into some of the hurdles that developing parts of the world have faced, we see that the main issue is still a lack of skills, in terms not just of health infrastructure but physical distribution of the vaccine even once it is in country. Vaccine hesitancy is also a large barrier. As I have said, we are engaging on the TRIPS waiver, but we are very clear that any negotiation should not lead to a reduction in the quality of the vaccine.
My Lords, who decided that this country would donate 100 million Covid vaccines to the rest of the world and who chose which countries should be the beneficiaries?
On the 100 million vaccines, as my noble friend will be aware, this was very much part of our drive during our leadership at the G7 and it was announced by my right honourable friend the Prime Minister. On distribution, we are looking at key factors. Ultimately, we look at our own ability to provide vaccines, both through COVAX and bilaterally. We then make a decision on the availability of those vaccines as well as the ability to distribute them across the world. That decision is taken by the FCDO.
My Lords, as we have heard, the two key issues in reaching the target of 70% of the global population being vaccinated are delivery mechanisms and manufacture. At the Foreign Ministers meeting at the G7, Liz Truss stressed the importance of strengthening health systems, which is vital to ensuring that vaccines are administered. What she did not address is how we are going to do that. Can the Minister commit his department to giving us a strategy of implementation so that we are confident about reaching the target in June of 70% of the global population?
My Lords, the noble Lord makes a very practical point, and I share his view on the importance of having the necessary infrastructure around the world to ensure equitable and safe distribution of vaccines. We are working closely through the COVAX facility as well as the World Health Organization to ensure that we can support that principle fully. Equally, prior to our bilateral donations being made, we go through quite thoroughly the infrastructure in a given country and its ability to ensure the safe and equitable distribution of the vaccine once it arrives.
My Lords, it is not just a matter of quantity, supply and logistics but, as the Minister indicated, of vaccine hesitancy. What consideration have the Government given to working with partners such as the Anglican Communion, which is well placed at local level to work with local leaders to use the right language and to persuade local people to take the vaccines?
My Lords, the right reverend Prelate will know what a strong supporter I am of the Anglican Communion and other faith-based institutions in different countries as key partners on not just vaccine issues but civil society issues. I will certainly take back what the right reverend Prelate has said, but let me assure him that we are working with the Anglican Communion and other faith communities to tackle vaccine hesitancy. Indeed, we experienced it here in the UK as well, and the churches and faith groups played a sterling role in ensuring that it could be overcome.
My Lords, this country is in the midst of a damaging and costly response to a new variant of Covid-19. If we are to avoid a constant stream of disruptions of this sort, is it not in our country’s strategic interest that we work urgently to ensure the vaccination of the rest of the world?
My Lords, I totally agree with the noble Baroness.
My Lords, in response to my question on vaccine equity on 2 December, the Minister, the noble Lord, Lord Sharpe of Epsom, said:
“I think, actually, the first duty of a Government is to protect their own population.”—[Official Report, 2/12/21; col. 1456.]
Does the Minister recognise that omicron demonstrates that Governments cannot protect their own populations unless they first understand that, in a pandemic, acting in the global interest is the only way of protecting the national interest? If he does recognise that, why are the Government cutting support for African health services at their time of greatest need in delivering vaccines to their people?
My Lords, on the noble Lord’s second point, we allocated specific support for African nations and have continued to support them in that respect. On his first point about my noble friend’s response, it is important to secure domestic vaccinations, but I agree with what he has put forward: we are only as safe as everyone else is. Therefore, we must support other countries, but this is not a binary choice; we can do both. We can secure our own populations and help those elsewhere in the world as well.
My Lords, is it any wonder that we face a tidal wave of omicron when we have provided only one-fifth of the vaccine doses promised to countries overseas? Did the Minister hear the evidence given by an expert to the Select Committee in another place that it was very short-sighted of the Government not to support the facility at Livingston in Scotland which was ready to provide hundreds of millions of doses that could be sent overseas? Will he ask his colleagues in the departments concerned to think again about keeping that facility open?
My Lords, one thing that the challenge of Covid-19 has shown is our interdependency and the need to work together. We have certainly demonstrated that. On the noble Lord’s first point about short-sightedness, on the contrary, when my right honourable friend the Prime Minister returned from his own challenge with Covid-19, the first thing he did was to spearhead the COVAX facility. That is doing exactly what the noble Lord suggests in ensuring that the most vulnerable are supported. I shall follow up on his specific question about the Livingston facility.
My Lords, there have been reports in the press that the problems in sub-Saharan Africa relate not to supply but distribution. Which is the difficulty, supply or distribution of vaccines?
My Lords, there is a need to do more on supply to ensure equitable distribution of vaccines. However, as I have said in earlier answers, there is equally a real challenge with infrastructure in developing parts of the world to ensure that, once vaccines arrive, they can be distributed around the country.