The story that @BharatBiotech's US partner Ocugen has decided to hold its application to the US FDA (Food and Drugs Administration) for an Emergency Use License and file later for a full license has been widely reported. reuters.com/business/healt…
But what is an Emergency Use Authorization (#EUA) and what does a company need to to satisfy @US_FDA? here's a video explaining it:
But, in essence, it is a provision to make availabile and permit the "use of medical countermeasures (MCMs)" in a public health emergency.
But that doesn't mean open season. The emergency may justify some risk-taking but the process seeks to mitigate it as much as possible and strike a balance between benefit and harm. A classic public policy dilemma. Actually the process is quite ONEROUS. re an #EUA for a vaccine
There are 10 steps before @US_FDA writes that all-important letter informing a vaccine manufacturer that its product has been granted Emergency Use Authorisation. In addition to the summary flow chart above, here is an excellent explainer: fda.gov/vaccines-blood…
Applying the same detailed process to the #Covaxin case it seems to be the company tried to go from Step 3 - conduct the trial (on Jan 3 2021 the Phase-3 trial was still recruiting) to EUA )
India's far-Right Internet warriors are so quick to jump on the desi v Amreeka bandwagon. This @Twitter exchange is being shared on Whatsapp groups with comments s/as: "Typical mentality that keeps us enslaved psychologically".
The US FDA's action might seem arbitrary, and Pfizer's demands may well seem arrogant, but to link the two in some kind of #Bharat as #Vishwaguru v America as Foreign #Angrez#Gora bad guy is silly, unhelpful, and won't get us anywhere. There are two questions that are relevant
Q1. Is the @US_FDA singling out @BharatBiotech's Covaxin for discriminatory treatment because it is a #desi#vaccine?. BTW, that is not my descriptive term it was used by @blsanthosh.
A. No. Not if you consider that so far ONLY 3 vaccines have had #EUA from the FDA.
Some fascinating insights from @jyotiyadaav from rural India. She describes one location where you have to travel 20 kilometers (or is it miles) just to be able to send or receive a whatsapp message? And we complain of slow 4G!!
Her account of vaccine hesitancy (VH) in villages have changed my perspective. Yes there is vaccine hesitancy everywhere but at least thus far in India VH is NOT the rate limiting factor but that may be bec we have not yet taken it out to the villages
Please don't embarrass yourself and your Institution, @NITIAayog, with this statistically naive, low level spin. The numbers you are reeling off are "Free-Floating Numerators" and mean zilch unless expressed as a %age of the denominator population of 850 million 18+ adults.
The Prime Minister understood the concept of population "coverage", when, in his 7 June TV Address he referred to #Mission#IndraDhanush which aimed to raise vaccine coverage (this is the general immunisation programme, not Covid) to 90%.
My #sanghified, #Bhakt-riddled NRI doctors group is an amusing place. In response to my columns on India's vaccine policy reversals some one posted this message aboput how Western Media are always negative aboput India:
You may have missed this bit of genius:
Under the heading,
Conflict of Interest:, the ICMR/Bharat Biotech team wrote:
"Authors do not have a conflict of interest among themselves."
I comment on this in science.thewire.in/the-sciences/n…
This is like the story:
6 year old, "Mummy, what is sex?"
Mum (all flustered), "you'll have to ask your dad... why do you want to know?"
6 yr old, "We got this form to fill out and after Name, and Date of Birth ( I can write my name and I know my birthday) it says,
Sex:"
I am taking a screenshot before they twig to it and amend it. Also to defend myself against any accusation that I am making it up. This is from the pdf file here: biorxiv.org/content/10.110…
Jan 02, 2021. 23,000 subjects enrolled. This press rlease also announces " 5 publications, 4 of which have been accepted by international peer reviewed journals and will be published soon." bharatbiotech.com/images/press/c…