Coronavirus vaccine access could come back to old alliances as world powers ramp up search for COVID-19 cure
First it was Tim Tams. Then it was Marmite. Could a coronavirus vaccine be next?
The footage of UK Prime Minister Boris Johnson using a packet of Tim Tams to kickstart formal negotiations for a new free trade agreement with Australia is the proverbial ship that launched a thousand memes.
But there’s a chance — an outside one — that the next image out of the UK could be the mop-haired Eton graduate brandishing an all-important vial of medicine, saying: “Here it is, mate, and it’s coming to you.”
This week, the global search for one of the most important medical prizes ever entered a new chapter.
The UK’s Oxford University, considered one of the leaders in the search for a COVID19 vaccine, announced its candidate is safe and has produced an immune response in early-stage clinical trials.
The UK Government has committed to producing 100 million doses of the Oxford vaccine candidate, if it is successful.
It came amid further news this week that the UK, which has been ravaged by the disease, signed two separate deals, one with a French company and the other with global pharma giant Pfizer — understood to be at least in the hundreds of millions of dollars — to receive as many as 130 million doses of possible coronavirus vaccines.
Though all three vaccine candidates might not be successful, the deals effectively reserve supply for the UK if they are.
Back in Australia, the moves understandably triggered a question: so the UK has its plan … but what are we doing?
Australia’s wait-and-see approach
Australia has invested $5 million in the University of Queensland (UQ) vaccine candidate — which entered into human trials earlier this month — and Australian manufacturer CSL hopes to produce up to 100 million doses of a COVID-19 vaccine by the end of next year, if it is successful.
The Government has also invested a further $14 million to help with vaccine development, and claims it has spent $256 million in “vaccine-related activity”.
Australians would be first in line to receive the UQ vaccine, but no formal commercial arrangement like the UK’s has yet been announced by the Australian Government.
And according to vaccine expert and Federal Government adviser Tony Cunningham, the UK’s broader strategy of looking at multiple vaccines is something the Government needs to consider.
“We’re in an interesting position at the moment,” he told the ABC. “And I do think we need to look closely at what the UK’s been doing.
“But the issue is, and numerous experts have said this, we just don’t know what’s going to win — we don’t know which type of vaccine is going to be best.”
And he would know.
An infectious diseases physician, clinical virologist and scientist, Professor Cunningham was heavily involved in the vaccine rollout for the last global pandemic, 2009’s swine flu.
He’s now director for virus research at The Westmead Institute for Medical Research and lead author of the Australian Academy of Science’s vaccine advice to the Government, where 21 Australian-based scientists and researchers outline which vaccines they think are “most promising”.
But it’s a crowded field.
There are now more than 200 COVID-19 vaccine candidates across the world, with 22 in clinical trials.
Professor Cunningham described it as like an “upside-down triangle”.
“And, eventually, as the triangle gets smaller, you’ve got to back one in,” he said.
“But, maybe, the first vaccines may not be the best.”
At the moment, although not sitting on its hands, it appears the Government is taking that “wait-and-see” approach, and backing in more global initiatives.
Through a spokesman, Health Minister Greg Hunt said Australia was a “leading contributor” to Gavi Vaccine Alliance’s COVAX initiative.
COVAX is an alliance that includes the Bill Gates-funded Coalition for Epidemic Preparedness Innovations and the World Health Organization, to fund a “global response” to accelerate the development, production and equitable delivery of COVID-19 vaccines.
But despite this approach, there do appear to be alliances forming — and Australia is manoeuvring.
The Government this week confirmed it was discussing “international licensing arrangements for COVID-19 vaccines” with the Johnson Government, which would allow Australia to “access and supply” vaccines developed in the UK.
Speaking at a press conference following Friday’s National Cabinet meeting, Prime Minister Scott Morrison confirmed the UK discussions, describing the Oxford results as “very exciting”.
The Prime Minister also confirmed he’d had discussions with French President Emmanuel Macron. France’s Sanofi — a dedicated vaccine company — has two candidates in development.
The Prime Minister said he was confident “in the majority” of cases that CSL would be able to reproduce vaccines locally.
CSL told the ABC the UQ vaccine — which it has committed to manufacture — was its priority
However, CSL product development vice-president Anthony Stowers said the company was committed to “leveraging [its] skills and manufacturing capabilities” to support the development of any vaccine candidate.
“This includes the capacity to undertake the “downstream” aspects of vaccine production, such as processing licensed vaccine material into vials at our [facilities] in Melbourne,” Dr Stowers said.
“We are exploring ways to support the manufacture of other vaccines under development and will keep discussions open.”
But despite all the manoeuvring and global uncertainty, Professor Cunningham said he was confident Australia was in a good position.
“We don’t know which particular strategy will work best — there are so many unknowns,” he said.
“But I will say I am enthused by how well the Government has been listening to the scientists.
“And looking around the world, I wouldn’t want to be anywhere else.”