Mia Malan Profile picture
Dec 9, 2021 12 tweets 7 min read Read on X
Martin Friede, WHO
[Thread]

1. The mRNA technology transfer hub in Africa forms part of a larger plan to make #vaccines more available in less developed countries
2. The hub forms part of the last arm of the strategy: "to initiate regional health security via vaccine production"
2. The #COVAX manufacturing taskforce has 3 workstreams that address different needs. The #mRNAHub falls under workstream 3. The aim = to improve the nr of Africa companies that can make vaccines.
3. Many issues had to be considered when setting up the hub. For instance, how they will deal with IP rights, regulatory issues (how jabs will be approved in countries), funding and how clinical trials will be conducted.
4. SA will play a central role in the #mRNAHub. A SA company, Afrigen, will develop the continent's 1st locally produced mRNA jab (they'll be the hub). Another SA company, Biovac, will then manufacture the jab (Biovac will show them how, so do tech transfer. Biovac = a spoke).
5. Here's the timeline for the development of the #mRNAHub. The project was announced in April.
40 countries have so far indicated that they would like to receive tech transfer for the mRNA #COVID19 vaccine that the hub is developing.
6. The initial vaccine for the Africa #mRNAHub will be for #COVID (there will be hubs in other regions too, e.g. Latin America) . But the longterm goal is to develop the capacity to also produce non-mRNA vaccines and also jabs for other illnesses (so not just COVID).
7. How are decisions made for the Africa #mRNHub? The WHO makes the decisions and they are advised by various committees and structures.
8. This is the timeline for the development and production of the mRNA jab the hub will produce. The current goal is for Biovac to start with commercial production in quarter 2 (April- June) of 2023.
9. How will the SA hub be governed? There will be a (WHO) secretariat, a steering committee and a funders forum.
10. What is the budget for the SA hub?
1. Setting up of the hub (Afrigen): 55 mil Euros
2. Setting of the spoke (Biovac): 42 mil Euros
3. Development of local innovation 27 mil Euros

Total budget = 92 mil Euros (2021-2026)
11. Where do the funds for the #mRNAHub come from and how much money been secured?
- 50%+ of the money has been raised
- Donors: France, Canada (confirmed), Elma Foundation, KFW Development Bank (not yet confirmed)
12. There is still a 28mil to 40 mil Euros funding gap for the 92 mil Euros budget of the #mRNAHub.

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More from @miamalan

Jul 24
🧵1. BREAKING: The peer-reviewed results of the study of a 6-monthly jab, #lenacapavir, in which not a single of the 2134 women between 16-25 years who received the jab contracted #HIV, were released at #Aids2024.

Find the full study here:

bhekisisa.org/wp-content/upl…
Image
2. Women often find it hard to adhere to daily #oralPrEP. In the Purpose 1 trial, 91.5% of women returned on time for their next #lenacapavir jab at 26 weeks and 92.8% at week 52. Image
3. Only 4 women out of 2134 (0.2%) who received #lenacapavir dropped out of the trial because of injection-site reactions. Image
Read 15 tweets
Jan 17
[Thread] 12 things to know about the the proportion of pregnant women infected with #HIV from SA’s latest antenatal HIV survey. The survey is conducted by the @nicd_sa.

(Analysis of our 95-95-95 goals in my next thread later in Jan).

1/12 Image
2. What is the antenatal #HIV survey?

1. It measures the % of HIV+ pregnant women between the ages of 15 + 49.
2. Only women using state pregnancy clinics take part.
3. The survey has been conducted each year between 1990-2015, then in 2017, 2019 +2022. Image
3. How many pregnant women between 15-49’s blood was tested for #HIV? 37 828 out of 40 542 collected samples.
- 37 7171 = Black African women
- 37 541 didn’t live with the dad of their child
- 35,635 of dads were 5 years+ older than moms (this makes them more likely to get HIV) Image
Read 12 tweets
Jan 10, 2023
JUST IN [Thread]:
1.@healthza's Lesley Broomberg:
An extra #COVID19 booster jab for people of 18+ in SA will become available towards the end of JANUARY
- People of 50+ qualify for a 5th dose
- People of 18+ qualify for a 4th dose
2. Lesley Broomberg: Can you mix and match with additional boosters? Yes. You can choose whether you want a #JnJ or #Pfizer booster.
3. Lesley Broomberg:
Will teens of 12-17 qualify for boosters? Not at this stage. Why not? The #VMAC = not recommended booster doses for 12-17, based on an understanding that the protection provided by 2 #Pfizer doses = adequate, as 12-17 = @ low risk of severe #COVID19 illness
Read 5 tweets
Jan 10, 2023
[Thread] #JoePhaahla:
- Genomic surveillance Network reported the detection of the new subvariant XBB.1.5 in SA of a sample of a patient tested on 22 Dec
- Details of the patient = not known, it was a random sample taken for testing
- XBB.1.5 = also common in US
2. XBB.1.5 = common in US
#JoePhaahla:
- 97%+ of #COVID19 cases worldwide = still #Omicron
- XBB.1.5 cases = no major change in hospitalisations or deaths
- Immunity of SAs (vax and natural immunity) = still strong, so that is why we haven't seen much change in terms of hospital admissions/deaths
Read 5 tweets
Dec 13, 2022
🧵1. SA's @aspenpharma will be making 4 jabs (fill + finish) — pneumococcal, rotavirus, meningococcal, hexavalent — from 2023.

How will they finance this?
With a $30 million grant from @CEPIvaccines + @gatesfoundation.

Which APIs will Aspen use?
India's Serum Institute's
2. Why is it NB that an African company makes these jabs?

#Africa imports almost all its jabs. #COVID19 showed us this results in Africa being last in line to get vaccines during pandemics. The grant to Aspen is 1 of the 1st steps to change that.
3. What's the goal?

By 2040, the African Union wants #Africa to make 60% of the jabs the continent uses.

Why?
So that Africa is better equipped 2 respond 2 outbreaks (by developing the ability to make jabs + have technology in place to also make new jabs during pandemics).
Read 6 tweets
Dec 2, 2022
🧵1. BREAKING: @SAHPRA1 has confirmed the registration of the #HIV prevention jab, #CABLA in South Africa. On Thursday, #ViiVHealthcare issued their statement. ImageImage
2. Who can use the jab? @SAHPRA1 didn't specify restrictions for use in their statement, only that it is "a highly effective option for people at substantial risk of #HIV infection." Image
3. How does the jab work? It uses an #ARV called cabotegravir that prevents #HIV from replicating and entering someone’s cells. It’s taken every two months. Read my latest story for more. bit.ly/3ER7ejq
Read 5 tweets

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