
A nurse takes a photo of the Covishield vaccine in Mumbai on January 16th.
Photographer: Dhiraj Singh / Bloomberg
Photographer: Dhiraj Singh / Bloomberg
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Most of the world is struggling to get enough vaccines to inoculate its populations. India has the opposite problem: a lot of photos, but a lack of people willing to take them.
As India launches one of The world’s largest inoculation programs, some health workers and other front-line workers are hesitant about safety concerns over a vaccine that has not yet completed phase III studies. Since Monday, only about 56% of people eligible to get shot have taken a step forward in a country with the second worst outbreak in the world of Covid-19.
Unless the inoculation rate increases significantly, India will not reach its goal of inoculating 300 million people – or about a quarter of the population – by July. This will hinder global efforts to counteract and eliminate the virus optimism that the recovery is taking root in an economy set for the greatest annual contraction in records since 1952.
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“At least 40 percent of doctors here are insecure and want to wait,” said Vinod Kumar, a resident physician at the All India Institute of Medical Sciences in Patna, eastern Bihar. “Carrying out a vaccination process on us when India has no doctors, health workers make no sense.”
While the vaccine hesitation has appeared in places like Japan and Brazil, and China’s candidates also faced questions over time, the scale of the problem in India is by far the largest. The major difficulties facing places like the US and Europe are mainly due to the scarce supply rather than the acceptance of vaccines, and some countries are turning to New Delhi for help: India says it can produce 500 million photos a month for export and countries like the US Britain, Belgium and Saudi Arabia sought to buy them.

Covishield production at a Serum Institute facility in Pune, Maharashtra, on January 22nd.
Photographer: Dhiraj Singh / Bloomberg
India’s domestic vaccine program manages one of two fires: AstraZeneca Plc vaccine, manufactured by Serum Institute of India Ltd. or the film Covaxin developed by Bharat Biotech International Ltd., a private company based in Hyderabad. India’s approval of the Bharat Biotech shooting, which was developed with government-backed research groups, has been met with widespread criticism from scientists due to a lack of complete data.
“Many in our institute do not feel comfortable with Covaxin because we do not know how effective it is,” said Adarsh Pratap Singh, a member of the Association of Resident Physicians at the All India Institute of Medical Sciences in New Delhi. “In order to build trust among the people, the government must present data, evidence of trials and encourage free and fair discussions.”
Both the company and the government defended the shooting. Krishna Ella, president of Bharat Biotech, said earlier this month that the company had conducted “200% honest clinical trials” and had experience in producing 16 safe and effective vaccines. “Indian scientists want to rely on other Indian scientists,” he said. he said while rejecting criticism in a virtual press briefing on January 4th. A Bharat Biotech spokesman did not immediately respond to a request for comment.
Meanwhile, the government has asked health workers to get vaccinated. Health Minister Harsh Vardhan tweeted “#CoronaWarriors” to take shooting, while dispelling rumors that the vaccine could cause infertility. A spokesman for the federal health ministry was not immediately available for comment.

Harsh Vardhan owns a bottle of Covaxin from Bharat Biotech on January 16th.
Photographer: Anindito Mukherjee / Bloomberg
“The reluctance of the vaccine among health workers should end – I plead on behalf of the government, please adopt it, because no one knows how this pandemic will take shape in the future,” said VK Paul, a member of the planning Niti Aayog, noticing that he took the blow Covaxin without side effects.
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“These two vaccines are safe,” he said. “We have a tracking system and if there is an unusual signal, it will be answered the way it should be.”
Initial fears and doubts at the beginning of any vaccine launch are normal, said Preeti Sudan, a former secretary of the federal ministry of family health and welfare. She was successful in her polio immunization program noted, following the launch of a massive campaign involving children, mothers and opinion leaders to help allay vaccine fears.
Low vaccination rates
As of Monday, India has distributed about 2 million photos nationwide. In Madhya Pradesh, the largest state in central India, about 75% of those enrolled were vaccinated on January 21, while two days later in Bihar the rate was much lower at 51.6%. On January 19, about 55% of those eligible were vaccinated in Rajasthan and 54% in southern Tamil Nadu, according to state government data.
While the hesitation relates to both vaccines, people are paying more attention to Covaxin from Bharat Biotech. In Tamil Nadu, for example, only 23.5% of those given Covaxin were shot on January 19, compared to 56% for Covishield of the Serum Institute, the data show.
Nirmalya Mohapatra, a doctor at Ram Manohar Lohia Hospital in New Delhi, intends to “wait and watch” for more clarity before getting vaccinated with Bharat Biotech’s shot. If given a choice now, he would opt for Covishield because his efficacy data have been reviewed by leading medical journals.
“Covaxin could prove to be a better vaccine in the future,” said Mohapatra, who is also vice president of the hospital’s residents’ association. “For now, there is some fear about the lack of a full trial.”