India-made Covid vaccines open a new chapter in New Delhi’s continuing medical diplomacy

by Abbas Adil

Continuing its long-standing legacy as first responder to crises in the region, India reached out to most of its neighbours even before the World Health Organisation and the Covax initiative of GAVI (Global Alliance for Vaccines and Immunization).

While China too promised supplies to South Asian nations, only India delivered it so far. Perhaps, the only exception to this would be Islamabad, which has neither requested nor discussed the delivery of India-made Covid vaccines.

India’s vaccines

The beginning of 2021 saw India’s drugs regulator granting emergency use approval for two domestically-made vaccines.

One is Covishield, manufactured by the Pune-based Serum Institute of India, the largest vaccine producer in the world, and the other is Covaxin, manufactured by Hyderabad-based Bharat Biotech. The former is made in partnership with AstraZeneca and the University of Oxford, and the latter entirely indigenous.

Government of India has procured hundreds of millions of vaccine doses at reduced prices offered by these two domestic companies. More domestic manufacturers are awaiting approval for their respective in the coming months. Currently, at this stage, India also has four vaccines in active clinical trials and fifteen vaccines in the pre-clinical stages, as well.

Adding a new dimension to ‘Neighbourhood First’ policy

For about seven years now, one of the key tenets of the Modi government’s foreign policy has been ‘Neighbourhood First’, as a means to improve cooperation with partner countries in South Asia and the Indian Ocean. The pandemic opened up new prospects to this highly-held policy.

Even though India has its own big challenges such as the task lying ahead to inoculate a billion-plus population in phases, as it began the world’s largest inoculation drive for Covid-19 on January 16, with the first phase targeting 30 million frontline and healthcare workers.

Notwithstanding the domestic challenges, three days after the beginning of inoculation drive, Indian government announced its decision to dispatch vaccines to countries in its neighbourhood such as Bhutan, Maldives, Bangladesh, Nepal, Myanmar, and Seychelles, which began the very next day after the announcement, mostly as gifts and grant assistance, free of cost, and some on a commercial basis.

Just four days after India began its inoculation drive, the Himalayan kingdom of Bhutan became the first country in South Asia to receive India-made Covishield vaccines, followed by the Indian Ocean island state of Maldives on the same day.

As gift and grant assistance, India supplied “150,000 doses of vaccines to Bhutan, 100,000 doses to Maldives, one million doses to Nepal, two million doses to Bangladesh, 1.5 million doses to Myanmar,  100,000 to Mauritius, and 50,000 doses to Seychelles”, the country’s foreign ministry said.

Sri Lanka and Afghanistan will also receive India-made vaccines soon after getting regulatory clearances. These moves come amid Chinese attempts to extend its influence in India’s backyard, as seen in the recent years.

When the world plunged into coronavirus-induced lockdowns in March 2020, India quietly began its medical diplomacy bidding for a collective response to this new health emergency by convening a virtual meet of the South Asian Association for Regional Cooperation (SAARC) and by leading the effort to institute a new relief fund to tackle the pandemic.

Previously, the regular meetings of the organisation remained stalled due to India’s bilateral tensions with Pakistan. But, New Delhi used the pandemic as a good opportunity to revive the regional grouping which was followed by governmental level meetings in the later months.

India has also provided training to several neighbouring countries to enhance and strengthen their clinical trials of vaccines, through various assistance programmes.

‘Pharmacy of the world’

Being the global hub of vaccine production, New Delhi’s diplomacy is very much focused on reaching out to all needy countries, and it is not limited to the immediate neighbourhood. Throughout the pandemic period, the world also saw India projecting its soft power beyond its traditional spheres of influence to a truly global scale.

An effective conduct of medical diplomacy by providing medicinal tablets last year and this year through the supply of domestically-made Covid vaccines, India reaffirmed its position as the ‘pharmacy of the world’, being the world leader in the production of generic drugs and vaccines, and making three-fifth of the world’s total vaccines.

Even while battling the challenge of inoculating a very large population, Indian Prime Minister has recently stated that India’s vaccine production and delivery capacity will be used for the benefit of ‘all humanity’ to fight the pandemic.

Contractual supply of India-made vaccines to Saudi Arabia, South Africa, Brazil, and Morocco are also currently underway.

Indian government has made clear that continue to supply vaccines to friendly and partner countries even while the second phase of inoculation drive goes on at home. India also comes with an experience of running a successful immunization programme for more than four decades now.

Being a leader in drugs manufacturing, India was approached by many countries including the United States, last year, for the supply of medicinal tablets like hydroxychloroquine, which was exported to more than a hundred countries around the world from Asia to Africa toLatin America.

India also exported other tablets such as remdesivir and paracetamol, as well as diagnostic kits, ventilators, masks, gloves and other medical supplies to a large number of countries around the world.

When it comes to immunization against Covid through vaccines, India’s potential lies well beyond just its domestic population due to its invaluable experience in the pharmaceutical front.

Statistics say one in every six humans on earth reside in India. If this Asian powerhouse succeeds in its fight against the coronavirus pandemic, it simply means, a sizeable proportion of humanity is saved, so do the countries it assisted, contributing to the global response and continuing efforts of the scientific community in bringing the pandemic to an end.

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