September 21, 2021

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India: the challenge of vaccinating 1.35 billion people against the coronavirus

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India has a great challenge ahead that will start Saturday. In hand, the vaccination program that the Indian authorities have called

“the largest vaccination campaign in the world.” The nation has not carried out a large-scale sanitary operation in almost 20 years,

when the campaign against polio was launched, which vaccinated about one hundred million children under three years of age in one

day, according to Efe.

But the vaccine is already eagerly awaiting. Prime Minister Narendra Modi has advised those who get vaccinated to follow the rules.

India has granted emergency use authorization for the Bharat Biotech’s Covaxin vaccine and the Indian version of the Oxford and

AstraZeneca vaccine , after following the recommendations of an expert committee.

“We have a large and experienced vaccination network and the country will take advantage of these advantages,” Modi himself said just

a few days ago. Despite having the largest vaccination program in the world, the challenges are great. The entire adult population

must be vaccinated, avoiding obstacles, inventory limitations, poor structure and geographic complexity. Furthermore, each recipient

will also have to be followed to verify that the second dose is also given.

How will it be done?
India has 27,000 cold chain points , between freezers and refrigerators, to keep vaccines at the correct temperature, 700

refrigerated trucks and nearly 50,000 cold chain technicians and some 2.5 million health workers to manage vaccines. dose, according

to the British newspaper The Guardian .

However, not all refrigerators or cold system points are in good condition. Some temperature indicators do not work and there are

also power cuts, a fact that could cause some doses to be thrown away if they are damaged. Precisely because of this and because

summer begins in March, the government ruled out the Pfizer vaccine that requires a temperature of negative 70 degrees. But it is

that with this panorama, the Moderna or Oxford vaccine that need a temperature between 2 and 8 degrees, also pose a significant


According to the British newspaper, trucks and trains will take the vaccine from the manufacturing plant to the temperature-

controlled storage centers of each state capital, equipped with refrigerators and freezers . From the centers, they will be

transferred by truck, train or plane in the district headquarters and hospitals, health centers, clinics where they will have to be

kept until they are administered.

In addition, as Efe collects, the government of India has designed Co-Win , the technological platform for management, which not only

sends information on the temperature of all warehouses to the center, but also allows each receiver to be identified and sent a

message from where each vaccine will be received.

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