International Covid-19 Response: Innovation and Access to Treatment

Jim Shannon Excerpts

Thursday 5th November 2020 Commons Chamber

[Wendy Chamberlain (North East Fife) (LD)]

I beg to move,

That this House has considered the UK Government’s role in ensuring innovation and equitable access to treatment within the international covid-19 response.

I thank the Backbench Business Committee for giving us the time to have this debate. I also thank the hon. Member for Rotherham (Sarah Champion), who is in her place, for co-sponsoring the debate with me. We applied for the debate before the summer, but it arguably could not be more timely, given the encouraging news yesterday from the chief investigator of the University of Oxford covid vaccine trial. Results of the trial are due before the end of the year, and there is a small chance of a vaccine being available by then. I echo the comments of the chair of the all-party parliamentary group on coronavirus, my hon. Friend the Member for Oxford West and Abingdon (Layla Moran): that is promising news, but we should not rely on a vaccine alone.

As has become increasingly clear over the course of this pandemic, a vaccine will not be a silver bullet, and for any vaccine to work effectively, we have to suppress the virus sufficiently within the general population in the first place. None the less, the production of a successful vaccine would be a landmark moment in the fight against covid-19; I recognise and commend that.

In that regard, the reality in the UK is that we are, in relative terms, fortunate. Our scientists and researchers are leading the battle through their ongoing work. We have deals in place in relation to six of the vaccine candidates currently being developed. The Government have now bought access to 340 million potential future doses of vaccine. That equates to five doses for each person in the UK. When a vaccine candidate’s efficacy is proven, we will be at the global forefront of rolling it out—with, I am sure, a particular focus on our healthcare workers and the most vulnerable in our society, many of whom, including in my constituency of North East Fife, have been shielding or taking extra precautions for some months.

As we consider our own situation, we also have to recognise that, as things stand, if a vaccine candidate is approved soon, billions of people—two thirds of the world’s population—are likely to have no access to such a vaccine until 2022 at the earliest. While we might live in hope that a vaccine will be with us in the next six months in the UK, for others, it is a matter of years. That is because, right now, access to covid vaccines is a zero-sum game. A limited number of candidates are being manufactured by a small handful of companies only, and between them, they do not have the capacity to produce dosages in the billions required at a global level.

When the world’s wealthy countries, representing about 13% of the world’s population, bought up access to 50% of future covid vaccine doses, it became very hard for the remaining 6.8 billion people on the planet to obtain the same protections. Almost inevitably, it is less affluent nations, and in particular the most vulnerable countries, that are crowded out. It is important to remember that this is not limited to vaccines, and we are not talking hypothetically about what might happen in the future. It is happening right now, because there are already huge inequalities in access to covid treatments that already exist.

[Jim Shannon (Strangford) (DUP)]

The hon. Lady is laying out clearly the inequalities in the world. I have been present in a number of debates this week in which Members have highlighted the inequalities faced by some ethnic groups and religious minorities. When it comes to receiving any covid help, they are at the end of the queue. When it comes to getting the vaccine, they will be at the very end of the end of the queue. Does she agree that those ethnic minorities and persecuted people must have an opportunity to get a vaccine?

[Wendy Chamberlain]

Absolutely. I thank the hon. Gentleman for his intervention, and I entirely agree with his sentiments. We have seen that those who are on the frontline, those who are marginalised in our society and those from minority backgrounds are often the most impacted, so it is even more important that we consider the treatments and vaccines that are available for them.

The two drugs that have been proven so far to help treat covid-19 are dexamethasone and remdesivir. The entire global stock of remdesivir was bought up by the United States Government during the summer, hence Donald Trump was in a position to receive the drug when he became unwell. What is left of the stock is currently accessible only at a very high price. The manufacturer, Gilead, sells it at almost £2,000 for a five-day course of treatment, yet it is believed that the cost to produce it is £7.

Fortunately, dexamethasone is widely available and a cheaply sourced steroid. If a patient suffering from covid requires ventilation, administering this drug reduces the chance of death by up to a third. That is great news and has greatly improved outcomes for patients who need to be ventilated. But for there to be a chance for that drug to be effective, there must be enough ventilators available for patients who need them, and there must be enough oxygen to supply those ventilators. Again, in some of the most vulnerable places globally, access to those things are very limited. In South Sudan, for example, a report earlier this year stated that there were only four ventilators available in the whole country—four.

This debate is not just about the cost of drugs or vaccines. It is also about the resources, technology and equipment needed to manage a pandemic successfully. Even with easily accessible and cheaper treatments, there is no equality of access internationally. As things stand, we run a serious risk that by 2022 we will inhabit a two-tier planet in terms of the pandemic response.