èƵ

Flu sample stand-off resolved, for now

An international crisis over pandemic vaccines lessens, as Indonesia ends its boycott on sending samples from people with deadly H5N1 flu

AN INTERNATIONAL crisis over pandemic vaccines has been resolved – but only partially. As èƵ went to press, Indonesia announced at an emergency meeting in its capital, Jakarta, that it would end its boycott on sending viral samples from people with deadly H5N1 flu to foreign labs. However, it will only let the samples be used for research. Any use for vaccine development will have to wait for a “new mechanism” to convince Indonesia to consent to such work.

It could take some doing. Virtually all flu vaccine is made in rich countries, which have laws prohibiting its export in an emergency. So poor countries hit hard by H5N1 are effectively sending virus samples to develop pandemic vaccines that they may never have access to.

“Poor countries are effectively helping make vaccines they may never have access to”

Indonesian health minister Siti Fadilah Supari stopped sending H5N1 samples to the World Health Organization late last year, saying she needed some assurance that Indonesia will get vaccine in return (èƵ, 17 February, p 3). Last week Thai health official Suwit Wibulpolprasert told èƵ that Thailand could join Indonesia, “depending on what happens in Jakarta”.

What has also emerged from the meeting, which included delegates from 16 countries hit by H5N1, plus vaccine makers and donors including the Bill & Melinda Gates Foundation, is that the WHO has few immediate assurances to offer. It is trying to arrange a “virtual stockpile” of pandemic vaccines for developing countries, but it is not clear how this will evade the export restrictions of manufacturing countries. And while it is also trying to fund six new vaccine plants in countries such as Brazil and China so they can make their own vaccine, this will take years.

The WHO hopes that member states meeting in Geneva, Switzerland, in May will back a new rule that countries must share samples of novel viruses.

Topics: Bird flu