Explainer – When and how will COVID-19 vaccines become available?

NEW YORK (Reuters) – Pfizer Inc with partner BioNTech SE and Moderna Inc have released trial data showing their COVID-19 vaccines to be about 95% effective at preventing the illness, while AstraZeneca Plc last week said its vaccine could be up to 90% effective.

If regulators approve any of the vaccines in coming weeks, the companies have said distribution could begin almost immediately with governments around the world to decide who gets them and in what order. The following is an outline of the process:

WHEN WILL COMPANIES ROLL OUT A VACCINE?

Pfizer, Moderna and AstraZeneca have already started manufacturing their vaccines. This year, Pfizer said it will have enough to inoculate 25 million people, Moderna will have enough for 10 million people and AstraZeneca will have enough for more than 100 million people.

The U.S. Department of Defense and the Centers for Disease Control and Prevention (CDC) will manage distribution in the United States, likely starting in mid-December with an initial release of 6.4 million doses nationwide.

UK health authorities plan to roll out an approved vaccine as quickly as possible, also expected in December.

In the European Union, it is up to each country in the 27-member bloc to start distributing vaccines to their populations.

WHEN WILL DEVELOPING COUNTRIES HAVE ACCESS TO VACCINES?

COVAX, a program led by the World Health Organization and the GAVI vaccine group to pool funds from wealthier countries and nonprofits to buy and distribute vaccines to dozens of poorer countries, has raised $2 billion.

Its first goal is to vaccinate 3% of the people in these countries with a final goal of reaching 20%. It has signed a provisional agreement to buy AstraZeneca’s vaccine, which does not require storage in specialized ultra cold equipment like the Pfizer vaccine.

It is expected but not certain that less wealthy countries in Africa and South East Asia, such as India, will receive vaccines at low or no cost under this program in 2021. Other countries such as those in Latin America may buy vaccines through COVAX. Several are also striking supply deals with drugmakers.

HOW MUCH WILL IT COST?

Vaccine makers and governments have negotiated varying prices, not all of which are public. Governments have paid from a few dollars per AstraZeneca shot to up to $50 for the two-dose Pfizer regimen. Many countries have said they will cover the cost of inoculating their residents.

WILL THESE VACCINES STOP THE COVID-19 PANDEMIC?

Experts say this is unlikely. More realistic, they say, is that we will have to live alongside the SARS-CoV-2 virus. Evidence so far suggests that COVID-19 vaccines developed by Pfizer-BioNtech, Moderna and AstraZeneca will help stop people developing the disease. Only AstraZeneca’s data, so far, shows signs that its shot may also help prevent transmission of the virus.

“Protection against illness has a value for an individual,” says Penny Ward, a visiting professor in pharmaceutical medicine at King’s College London. She added, however, that vaccines that do not prevent transmission will not halt the pandemic.

“Until the vaccination and other measures result in the virus being close to elimination in any particular country, and worldwide, there will still be a need for distancing, masks and hand washing to reduce transmission further than will be achieved by the vaccine alone,” said Stephen Evans, a professor of pharmacoepidemiology at the London School of Hygiene and Tropical Medicine. “(A) vaccine is no good until people are vaccinated, and even then, it will not result in a situation where all other protective measures can be immediately abandoned.”