Jon Worth Profile picture
1 Apr, 11 tweets, 4 min read
2 days ago I wrote about Janssen / Johnson & Johnson ๐Ÿ’‰, with the tentative conclusion that an ๐Ÿ‡ช๐Ÿ‡บ-based supply chain was solid enough to mean there would be no EU-US-J&J spat to mirror the EU-UK-AZ spat

Does that still hold?
What changed?

15m J&J doses at the Baltimore ๐Ÿ‡บ๐Ÿ‡ธ plant had to be ditched

nytimes.com/2021/03/31/worโ€ฆ
So will J&J divert doses intended for the EU to the USA to make up for that shortfall?

The answer to that is:
* We don't know *

We have nothing yet to indicate doses are diverted
How many ๐Ÿ’‰ doses have been sent from ๐Ÿ‡ช๐Ÿ‡บ to ๐Ÿ‡บ๐Ÿ‡ธ so far?

* We don't know *
(or not with any precision anyway)
The European Commission was last week happy to announce 77 million ๐Ÿ’‰ doses exported from ๐Ÿ‡ช๐Ÿ‡บ to ๐ŸŒŽ and even told us 21 million went to ๐Ÿ‡ฌ๐Ÿ‡ง, but what was the number to ๐Ÿ‡บ๐Ÿ‡ธ?

* We don't know *

It was 950k between 31 Jan and 9 Mar, but what % was J&J? And what happened before or since?

* We don't know *

theguardian.com/world/2021/marโ€ฆ
Volkskrant mentions 4 million, but the report dates from end of February (thanks @TWPieterse for the link) - so it that right?

* We don't know *

volkskrant.nl/nieuws-achtergโ€ฆ
New York Times thinks it might be up to 24 million, but what of that has been sent from Netherlands already? Thanks for the link @FaktaShake, but you guessed it...

* We don't know *

nytimes.com/2021/03/26/us/โ€ฆ
So, what *do we know*?

Some J&J ๐Ÿ’‰ have been exported from ๐Ÿ‡ณ๐Ÿ‡ฑ to ๐Ÿ‡บ๐Ÿ‡ธ, probably closer to 4m than 24m

J&J does not have to export vaccine for finishing in ๐Ÿ‡บ๐Ÿ‡ธ because that can be done at Reig Jofre ๐Ÿ‡ช๐Ÿ‡ธ and IDT Biologika ๐Ÿ‡ฉ๐Ÿ‡ช
J&J is not *reliant* on plants in ๐Ÿ‡บ๐Ÿ‡ธ to supply ๐Ÿ‡ช๐Ÿ‡บ (either for production or finishing), nor vice versa, when times are normal
The conclusion:

What impact on J&J deliveries will the 15m lost doses in Baltimore have on ๐Ÿ‡ช๐Ÿ‡บ supply?

* We don't know *

So please don't assume there is an impact until we all know more!

/ends

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More from @jonworth

1 Apr
A fortnight ago I wanted to answer a question: would a ๐Ÿ‡ช๐Ÿ‡บ vaccine export ban be justified?

I was somehow instinctively against any such ban, and still am

But digging into it revealed the worst of out politics, media and social media, and how badly we cope with complexity

1/22
The essence of the issue is that this is both an ideological/ethical matter, and a practical one - and the interplay between the two is complicated

No person's response to the question ban-or-not can be based either all on ethics or all on practicality

2/22
Or - putting it another way - export of a small number of vaccines might be easier to justify than export of a massive number that would slow down the exporting region's own vaccination drive

3/22
Read 22 tweets
30 Mar
This New York Times political GeoGuessr is *fascinating*

I am just missing those micro-signals that I would *know* in UK or DE, but don't know for the USA...

nytimes.com/interactive/20โ€ฆ
Take this for example

Is there some micro-signal in that building I am missing that screams Biden?
Or a suburb like this?

It has sidewalks, so I'd lean Biden, but it was Trump

What about two-storey houses in suburbs like this? Does that make any difference?
Read 6 tweets
29 Mar
OK, so next in the series of Jon looking at supply of each different COVID vaccine it's:

Novavax
This one is different to AZ, BioNTech, J&J etc., in that the EU has no APA with Novavax *yet*

Even that is somewhat confusing - Reuters reports that this is because Novavax is dragging its heels, citing production problems
reuters.com/article/healthโ€ฆ
The UK meanwhile has a contract for 60 million doses
thesun.co.uk/news/14314756/โ€ฆ

As does the USA
cnbc.com/2020/07/07/us-โ€ฆ
Read 9 tweets
29 Mar
* Very tentative conclusions on Janssen / Johnson & Johnson vaccine supply *

It looks like EU legitimately feared a UK/AstraZeneca situation with USA for J&J - that vaccine produce in NL and finished in USA would be prevented from leaving back to EU
But two things have happened

First, J&J supply issues in the USA have not been fully solved, especially finishing
npr.org/sections/healtโ€ฆ
(thanks @el_snoop)
Second, EU countries together with Janssen and J&J, have found ways to do finishing (and even step up production) in the EU

At Reig Jofre ๐Ÿ‡ช๐Ÿ‡ธ
reuters.com/article/idUSKBโ€ฆ

And IDT Biologika ๐Ÿ‡ฉ๐Ÿ‡ช (temporarily)
idt-biologika.com/idt-biologika-โ€ฆ
Read 7 tweets
29 Mar
Deep breath

It has been *repeatedly alleged* that J&J/Janssen vaccine being manufactured in Europe (Janssen plant in ๐Ÿ‡ณ๐Ÿ‡ฑ) and finished in USA *could* be a problem for EU supply of that vaccine

But do we have *evidence* this is the case?

bloomberg.com/news/articles/โ€ฆ
Please do not reply to me about the rights or wrongs of this. Before we can answer the rights and wrongs, we need to know what is happening
We know USA has started using J&J/Janssen already - 2.8m doses as stated here:
fiercepharma.com/pharma/covid-1โ€ฆ

11m due this week:
reuters.com/article/us-heaโ€ฆ
Read 7 tweets
28 Mar
Number 10 to @ShippersUnbound & @cazjwheeler: will you write us a story for Sunday Times on how weโ€™ll donate extra ๐Ÿ’‰ to ๐Ÿ‡ฎ๐Ÿ‡ช?

Times: sure! But how many will you donate...?

(Noise of keys tapping on the line)

Number 10: 3.7 million! ImageImage
Ok, do I know this happened? No. But that looks like a pretty big coincidence to me.

Not least because @nealerichmond @oconnellhugh also confirmed no offer had been made.
Iโ€™ve tried to work out if there was any other rationale for choosing that number. And I canโ€™t find one. Iโ€™m happy to hear if there is one, and Iโ€™ll delete this thread if so.
Read 5 tweets

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