Global Vaccine Access

Philippa Whitford Excerpts

Thursday 13th January 2022 Westminster Hall

[Theo Clarke (Stafford) (Con)]

It is a pleasure to serve under your chairmanship, Mrs Murray. I congratulate the hon. Member for North East Fife (Wendy Chamberlain) on securing this important debate on global vaccine access.

I start by thanking the healthcare workers, NHS staff and volunteers who have helped Britain to have one of the most successful coronavirus vaccination programmes in the world. I also pay tribute to our scientists who have worked to develop coronavirus vaccines, and thank the Government for funding this vaccine development. I was grateful to receive my vaccines at the Kingston Centre and St George’s Hospital in Stafford, and I was delighted to hear that over 2.5 million vaccines were given in the west midlands in December alone. Seeing the vaccine roll-out in my own Stafford constituency has made me passionate about the need for global vaccine access.

Britain has always been at the forefront of global healthcare. The efforts of consecutive British Governments and the generosity of the British public has helped to eliminate many diseases globally. Britain was a founding member of GAVI, the Vaccine Alliance, and this Government are continuing to champion access to vaccines.

As Chair of the International Development Sub-Committee, I welcomed the Independent Commission for Aid Impact’s recent information note on GAVI that highlighted the need to establish worldwide vaccination programmes for dangerous diseases, such as polio, as well as rolling out coronavirus vaccinations. In September, I met with GAVI at its headquarters in Geneva, to discuss the coronavirus vaccine roll-out, and to ensure that the poorest and most marginalised communities in the world are not left behind.

I welcome that Britain is one of the most generous donors to GAVI, pledging £1.65 billion from 2020 to 2025. During the height of the pandemic in June 2020, Britain led the hosting of the GAVI replenishment conference, and I was pleased that fundraising target the was exceeded, with world leaders pledging $8.8 billion. That was a crucial step in tackling the coronavirus pandemic, which, as we know from experience, shows that vaccines do work in protecting us from infectious illnesses.

Polio provides another example of how vaccines can be used to tackle terrible diseases. In 1988, over 70 million people worldwide were infected with polio, and more than 350,000 people developed paralytic polio. The Government’s generous financial support for the Global Polio Eradication Initiative meant that 2018 saw only 33 cases of polio worldwide. That represents millions of people being saved from the perils of polio by one simple vaccine. That is a real example of how vaccination programmes do work, and why we must follow this model and continue to provide global access to vaccines in order to end the coronavirus pandemic.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Will the hon. Member give way?

[Theo Clarke]

I will not take interventions at the moment. As vice-chair of the all-party parliamentary group for Africa, and having visited numerous health programmes across eastern, southern and western Africa, I have seen at first hand the devasting impact that diseases can have on people already living in challenging circumstances. I welcome the recent breakthrough with the malaria vaccine which, like the coronavirus vaccine, has the potential to make a real difference throughout the developing world.

I repeatedly raised the importance of COVAX with the then Foreign Secretary, my right hon. Friend the Member for Esher and Walton (Dominic Raab), and have done so again with other Foreign Office Ministers, including raising the issue in the Chamber and in International Development Committee evidence sessions. I welcome that Britain took the lead regarding COVAX when hosting the G7 last summer, committing the UK to providing 80 million vaccine doses and helping to secure commitments to COVAX of nearly $10 billion from other developed countries. The Government should be commended for meeting their ambitious target to donate 30 million vaccines to COVAX by the end of 2021.

On my visits to Kenya, as trade envoy, I have seen at first hand the difference these COVAX vaccines have made. On my most recent visit in November, I went to the Kenyatta University Hospital and met with Kenyan doctors and healthcare professionals. This hospital in Nairobi works in partnership with the University of Manchester in order to improve healthcare treatments and tackle infectious diseases. The British also developed the Oxford AstraZeneca vaccine, which has helped to save lives and improve the life chances of people living in Kenya; I am pleased this has been replicated across the Commonwealth, with over 2.5 billion doses being used in over 170 countries. At the G7 the Prime Minister said that we need a plan to vaccinate the world. If we want a definitive end to this pandemic, then I agree with him.

--- Later in debate ---

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Thank you very much, Mrs Murray. I pay tribute to the hon. Member for North East Fife (Wendy Chamberlain) for securing the debate. I declare an interest as chair of the all-party parliamentary group on vaccinations for all and vice-chair of the all-party parliamentary group on coronavirus, which has been taking evidence every fortnight since July 2020, including hearing from Health Ministers across sub-Saharan Africa and other places who emphasise what we have been hearing today—the difficulties they have in accessing supply and the poor quality of supply they actually get.

It is certainly true that all of us have gained from the researchers who have developed new vaccines, and I pay tribute to the staff of the four national health services across the UK for the speed and skill with which they have delivered them. We have vaccinated almost 80% of adults with a third—or booster—shot, whereas access to even one shot in low-income countries is well below 10%. That simply highlights the inadequate access and inequity across the globe. High-income countries have literally hoovered up the vaccines as they were developed over the last year. That is indefensible. It is very reminiscent of AIDs, when people in Africa who were suffering from HIV or AIDs could not access the treatments that were available in the richer countries.

Last spring—well, actually, the spring before: 2020; I keep forgetting it is a new year—we heard lots of warm words about a global response to a global crisis. That is simply not what we have seen. We have seen that COVAX was established, and that the UK Government gave more than £500 million to it, but they did not give any vaccines until quite late last year. COVAX was meant to procure directly from companies. That never happened. Therefore, COVAX has ended up completely dependent on getting donated doses from wealthy countries that simply did advance procurements. That is the reason COVAX has delivered less than half of the 2 billion doses it was aspiring to deliver last year.

The UK Government promised 100 million doses in June 2021 at the G7—80 million to COVAX, and 20 million bilaterally. Less than a quarter of that has actually been delivered to COVAX. We are at the beginning of 2022. The 100 million is meant to be delivered by this coming June, which means 9.1 million per month to COVAX and a total of 11.5 million if we include any bilateral donations. The UK needs to radically step up donations of doses. That is the acute response, because that can be done in the short term. The UK has enough excess that it could carry out its third doses—and for many vulnerable patients, fourth doses, which I have had myself, as an immunocompromised person—and still accelerate the donation of doses to more than meet its target by June.

The problem is that wealthy countries think they can protect their own populations purely by vaccinating them. Omicron shows that that simply is not true. When we have large parts of the world, particularly in the global south, with low access to vaccines, that will generate high spread, and therefore more mutations—eventually, there will be new variants. Some of those variants may be as infectious as omicron—as transmissible and as good at escaping either natural immunity or previous vaccination—but may turn out to be much more severe. The fairy story that, inevitably, a virus is committed to becoming milder, is something that we are not in a position to count on.

We still, right now, two years into this crisis, need a global response. I therefore call on the Government to accelerate their donations, using the excess that we have. However, those must be predictable and in collaboration with the low-income countries that are receiving them. They also must have a decent shelf life.

We heard of Ministers having to visit their ports, every day, in case something had arrived. They had to keep stopping their own programmes because, suddenly, they got a delivery with a few weeks left on it. That is disrespectful to countries that do not have the health infrastructure that we have across the UK. It is critical to include consumables such as syringes and needles. It is also important to try to support the wider covid-19 responses.

Anyone looking at the WHO data will notice the incredibly low levels of covid—supposedly—in Africa. Africa does not have low levels; it has low levels of access to tests which means that cases are not being registered. We should not be using the doses as part of the already-reduced ODA budget, and certainly not charging more than the UK Government have paid for them.

That is the short-term approach, but the medium-term approach is to massively increase global production. The problem is that the TRIPS waiver has been being discussed for basically over a year. We would be in a totally different position if that had been moved on at the beginning. The UK is one of a dwindling number of countries that is blocking it. Over 130 countries now support it.

It is important to recognise that most of the leading covid-19 vaccines have been developed with public funding, either from university settings, which are largely publicly funded, or through the huge injection of funding made by the UK, US and EU Governments, and others. We touched on polio. The fact is that Salk did not patent his vaccine, Alexander Fleming did not patent penicillin and Röntgen did not patent X-rays, because they saw them as part of the global good.

As well as getting rid of the blockage of intellectual property rights and patents, it is important that there is proper sharing of data and technology transfer. Médecins Sans Frontières has identified 100 companies across Africa, Asia and Latin America that are certified by the European Medicines Agency, the United States Food and Drug Administration or the WHO for good manufacturing practice. To imply that it is not possible to produce vaccines to high qualities in the global south is frankly insulting.

The technology of messenger RNA vaccines holds hope for action against many tropical diseases in the future, such as TB, malaria and others. Sharing that technology now is not just about dealing with covid-19. It opens up the ability to tackle the scourges of infectious diseases that many countries face.

The UK should be increasing production of vaccines, to become a net exporter, instead of an importer. It is inexplicable why the UK Government pulled funding from the Valneva production site in Livingstone, when the trial data was about to be published. That vaccine was successfully developed using a traditional whole-virus approach, and people who were unwilling to take the messenger RNA vaccines may have been willing to receive the Valneva vaccine. It has not yet been trialled, but because it uses a whole-virus approach, it may provide a broader reaction that remains viable even when other variants arrive.

In comparison to delta, which had four mutations on the spike protein, omicron has 32 mutations. It is a totally different shape. Therefore, sadly with the AstraZeneca vaccine, the key no longer fits the lock. Pfizer does, but it wanes. We need to have broader vaccines so that we might be a bit more resistant to variants in the future.

The Government must maintain their support for routine vaccination. That means honouring the replenishment commitments to GAVI, because routine vaccinations have suffered due to the disruption of the pandemic. The UK has always been a leading funder of vaccination, and it must not pull back now. We must also think about future pandemics. The replenishment of the Coalition for Epidemic Preparedness Innovations is coming up this year. The UK needs to commit to that.

We are all talking about the humanitarian and the moral need to support people in poorer countries to have the access we have had, but on top of the lives lost and the huge, multi-trillion economic hit to the world, it is important that we recognise that this was a global challenge. The international community has failed, so far. If we cannot get our act together now in facing this, that does not give great hope for that other challenge—the climate crisis.