Image: Facebook – 104.1 The DOCK
Image: Facebook – 104.1 The DOCK
President Cyril Ramaphosa will have to dispense with his “otherwise admirable political consensus management and wield the axe” against the members and officials in his administration responsible for the perilous Covid-19 vaccine fiasco and immediately set about correcting the course South Africa is currently on.
The world is in the grip of a massive resurgence of the Covid-19 pandemic in which the SARSCoV-2 coronavirus appears to have produced a “variant suspected of such great transmissibility that even the most stringent attempts at mitigation by non-pharmaceutical intervention is failing to contain the spread,” the group pointed out in an op-ed published by the Daily Maverick.
“Astonishingly, even now, in the full knowledge of what we face and with dozens of countries worldwide, including African nations, embarking on mass vaccination programmes against Covid-19, it is distressing to hear senior officials increasingly talking down the prospects for the availability and usefulness of Covid-19 vaccines in South Africa.”
The group, which includes Prof Glenda Gray, President, SA Medical Research Council; Prof James McIntyre, School of Public Health, University of Cape Town; Prof Marc Mendelson, Head of Infectious Diseases and HIV, University of Cape Town; and Dr. Aslam Dasoo, Convenor, Progressive Health Forum; noted that developed and developing nations alike appear to have proceeded with early negotiations for future vaccine procurement several months ago without any qualms.
“South African officials appear to have eschewed such efforts, but what unique insights they may have in this regard is unknown. Assertions that SA knew better than many advanced and peer nations might have been dismissed as misplaced confidence, were the consequences not so deadly.”
They say many more countries are preparing to receive vaccine supply in the next several weeks to join the vaccination drive, adding that for the rest, mainly the poorest nations on the planet, the global COVAX facility offers the only hope of receiving an adequate vaccine supply sometime in the next six to nine months, only after which can the months-long vaccination programmes begin.
This communication strategy bears the hallmarks of a “frantic cover-up and evasion of culpability,” the group of eminent scientists said.
“South African society has a fully justified expectation that, as a member of the G20 group of leading nations, most of whom are in the process of implementing vaccination programmes, this country will also imminently embark on its own vaccination,” they say.
“There appears to be a public narrative to deliberately diminish these expectations.”
The unconvincing and defensive exposition of the department’s efforts, or to be precise, the lack thereof, “deepens suspicions of and perhaps even confirms the absence of a coherent and composite vaccine acquisition strategy.”
The group further argues that this position is, at best, inexplicable, given the depth of available knowledge about efficacy and safety among several leading vaccine candidates being clinically trialed and evaluated right here in SA.
“That is why the recent commentary by senior officials regarding the government’s vaccine strategy in response to pointed enquiries from the press, health experts and labour and civil society formations, has sown great disquiet,” it added.
The group said public acknowledgement by officials that they didn’t think it “prudent” to begin bilateral negotiations with vaccine suppliers, because they could not ‘take the risk’ of ordering vaccines in the event that they would not work, is “shockingly disingenuous.”
“An Advanced Market Commitment does not require upfront payment for the vaccine and commits the buyer to purchase vaccine only when it becomes available, at an agreed price and quantity.”
It pointed out that several advisories of the vaccine committee have been issued, but “none have been published.”
“The committee’s silence on the matter has been deafening. This suggests that the committee either concurs with this lack of transparency and condones a wholly inadequate vaccine acquisition policy, or it does not, but has been officially muzzled.”
They say further that it is a dangerous misconception, often exercised by “arrogant local officialdom,” to presuppose that a populace will willingly believe any deliberate fiction put to them.
“However, it will be even more worrying if these officials’ comments were made in ignorance of an elementary advance purchase mechanism and impels urgent enquiry into their fitness to manage such a critical portfolio.”
The posture of the Ministerial Advisory Committee on Vaccines appointed last September, suggests that it has been dragooned into the specious approach of the department.
“The comments of the chairman of the vaccine committee align closely with the comments of the DDG and other officials of the department who are supposed to lead the vaccine acquisition programme of the government. Their admonishment that vaccines are not a silver bullet, or that they ‘do not end epidemics’ are frankly astounding.”
This can only mean that the responsible officials have indeed “missed the vaccine boat” and a huge “damage limitation exercise is underway” to escape scrutiny and likely censure for this “unforgivable failure, which will be measured in lives lost in their thousands, sickness for tens of thousands, a broken healthcare system and profound and ongoing economic damage.”
“It is unconscionable that this has been allowed to occur and it is to the discredit of the advisory committee that it appears to have been enlisted in this exercise… This dissonance deepens the suspicion that the committee is not free to do its work.”
“In a moment of existential threat, this incoherence in lead institutions is simply intolerable.”
They say South Africans, pummelled mercilessly by the pandemic, have an untrammeled right to demand the immediate public disclosure of the advisories of the vaccine MAC and a full account of the disposal of any of its recommendations.
“There must be no further cover-up of the ongoing failure” to secure a vaccine supply sufficient for South Africa’s needs.
“Getting beyond the pandemic is far more urgent and infinitely more important than preserving political fortunes, bureaucratic careers or ministerial appointments.”
The well-being of the people must always come first, they emphasised.
The President of the Republic, through his constitutional authority, must wield the axe against officials in his administration who are “responsible for this perilous (vaccine) fiasco,” they say.
Covid-19 leaves him no other choice, they point out, because, as it has so viciously demonstrated, it has no respect for the banal affairs of state or government, the group pointed out.
“This lack of foresight will visit on us the consequences of the greatest man-made failure to protect the population since the Aids pandemic; when we refused to provide life-saving medicines out of choice and against the desperate pleas of horrified medical and humanitarian agencies here and abroad and directly caused the deaths of hundreds of thousands of people.”
A high probability of a reprise of this is a monumental and unforgivable failing, the scientist group conclude.
Dr Aslam Dasoo, Convenor, Progressive Health Forum
Prof Glenda Gray, President, SA Medical Research Council
Prof Guy Richards, Emeritus Professor in Critical Care, Wits University
Prof Marc Mendelson, Head of Infectious Diseases and HIV, University of Cape Town
Dr Fareed Abdullah, AIDS and TB Research, SA Medical Research Council
Prof Francois Venter, CEO, Ezintsha, Wits University
Prof James McIntyre, School of Public Health, University of Cape Town
Dr Adrienne Wulfsohn, Specialist in Emergency Medicine, Inkosi Albert Luthuli Hospital
Prof Alex van den Heever, School of Governance, Wits University
(writing in their personal capacities and with the support of colleagues here and abroad.)