Covid: Oxford-AstraZeneca vaccine’s protection against South Africa variant ‘limited’

The Oxford-AstraZeneca Covid vaccine gives limited protection against mild disease caused by the South Africa variant, the firm said early trials had suggested.

AstraZeneca vaccine has not been approved for emergency use yet by WHO, because evaluation processes are still underway.

This development came when South Africa took delivery of its first million doses of the Oxford/AstraZeneca Covid-19 vaccine on Monday the 1st of February 2021, with another 500,000 expected later this month. It will begin inoculating health workers in February, the health ministry told CNN, becoming one of the first countries in Africa to receive large doses of the Covid-19 vaccines. South Africa has also ordered another 20 million vaccines through a deal with Pfizer/BioNTech and expects to purchase another 9 million from Johnson & Johnson, Health Minister Zweli Mkhize told a local media channel on Monday.

South Africa’s neighbour Namibia is set to receive at least 127 200 doses of the AstraZeneca/Oxford Covid-19 vaccine through the Covax facility by the middle to the end of this month.

It also said it had not yet fully determined whether the vaccine protects against severe disease caused by the more transmissible coronavirus variant.

Annual vaccines or a booster in the autumn could be required to combat variants, the vaccine minister said.

More than 100 cases of the South Africa variant have been found in the UK.

The preliminary findings from a small study of more than 2,000 people have not yet been peer-reviewed.

First reported by the Financial Times, the study suggest the vaccine offers limited protection against mild and moderate disease caused by the variant.

The study is due to be published on Monday.

A spokesman for AstraZeneca said they had not yet been able to properly establish whether the jab would prevent severe disease and hospitalisation caused by the South Africa variant because those involved in the study had predominantly been young, healthy adults.

But the company expressed confidence that the vaccine would offer protection against serious cases, because it created neutralising antibodies similar to those of other coronavirus vaccines.

Vaccine minister Nadhim Zahawi told BBC’s Andrew Marr Show: “We see very much probably an annual or booster in the autumn and then an annual (jab), in the way we do with flu vaccinations where you look at what variant of virus is spreading around the world, rapidly produce a variant of vaccine and then begin to vaccinate and protect the nation.”

Prof Sarah Gilbert, the architect of the Oxford-AstraZeneca vaccine, said researchers were already working on a new vaccine designed to combat the South African variant.

“This year we expect to show that the new version of the vaccine will generate antibodies that recognise the new variant. Then it will be very much like working on flu vaccines. It looks very much like it will be available for the autumn,” Prof Gilbert told Andrew Marr.

“We’re already working on the first part of the manufacturing process in Oxford, that will be passed on to other members of the manufacturing supply chain as we go through the spring.”

Dr Michael Head, a senior research fellow in global health at the University of Southampton, said if the Oxford-AstraZeneca vaccine was less protective against mild disease but prevented severe disease this would “still be a pretty good outcome”.

“I don’t think we need to be too alarmed by [the reported findings] as yet but we do need to see the full study to work out what the implications really are,” he told the BBC.

Dr Nikki Kanani, medical director of primary care at NHS England, encouraged people to take a vaccine when offered, adding that evidence shows they were “very protective” – particularly against hospitalisation and death from Covid.

However, she told BBC Breakfast that scientists would have to keep looking at how coronavirus vaccines were working as they would likely have to be given on a yearly basis to “reflect any changes” in variants of the virus, like the flu jab.

It comes as the company on Saturday said its vaccine provided good protection against the variant first discovered in Kent, which is now dominant in the UK.

Current vaccines were designed around earlier versions of coronavirus, but scientists believe they should still work against the new ones, although it is not yet clear how well they work against different mutations.

Early results suggest the Pfizer-BioNTech vaccine protects against the new variants.

Experts say vaccines could be redesigned and tweaked to be a better match for new variants in a matter of weeks or months if necessary. According to WHO there is a deal that was announced on 18 December 2020 include the signing of an advance purchase agreement with AstraZeneca for 170 million doses of the AstraZeneca/Oxford candidate