This presentation gives very clear picture of Covid-19 vaccination in India and challenges assosciated with it.

1. COVID-19 Vaccination:
Current status and
Challenges
DR. BHUSHAN KAMBLE,
ASST. PROFESSOR, DEPT. OF CM & FM
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2. Contents
Introduction
Current status of vaccination
COVID-19 Vaccines approved in India
Vaccine sequencing
Vaccination in pregnancy and lactation
Vaccination for children
Challenges in vaccination
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3. Introduction
Launched on 16th Jan 2021 in phase
wise manner pan-India
Phase-I 1cr HCWs & 1cr FLWs
Co-WIN App developed by UNDP.
Free of cost
COVISHIELD and COVAXIN Vaccine
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Date Beneficiary
16th Jan 21 Health Care Workers
(HCWs)
1st Feb 21 Front Line Workers
(FLWs)
1st Mar 21 Geriatric population age
>60 years and
Between 45-59 years
with co-morbidities
1st Apr 21 All people ≥45 years
1st May 21 All >18 years of age

4. Current status of COVID-19 VACCINATION
Availability of more vaccines,
Advance visibility of vaccine
availability to States and UTs
Providing them COVID
Vaccines free of cost.(75%)
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VACCINE
DOSES
(As on 16
August 2021)
SUPPLIED 56,81,14,630
CONSUMPTI
ON
54,22,75,723
BALANCE
AVAILABLE
2,89,47,890
The new phase of universalization of COVID-19
vaccination has commenced from 21st June, 2021.

5. Cumulative Vaccine
Dose Coverage
On 16th August 2021
Total 55,85,834 vaccine doses given on 16th :
1st Dose: 43,18,152
2nd Dose: 12,67,682.
Cumulative vaccine doses 55,14,89,821
1st Dose: 428426418 (31.7%)
2nd Dose: 123063403 (9.1%)
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Healthcare workers
1st Dose: 103518482nd Dose: 8114959.
Frontline workers
1st Dose: 18283967 2nd Dose: 12226514
People Aged 18-44 Years
1st Dose: 200068334
2nd Dose: 15935853
People Aged ≥ 45 Years
1st Dose: 118223789 2nd Dose: 46231673
. People Aged ≥ 60 Years 1st Dose:
81498480 2nd Dose: 40554404

6. Statewise Covid-19 vaccination status
Five States namely Madhya Pradesh, Gujarat, Rajasthan, Maharashtra and Uttar
Pradesh: have administered more than 1 Crore Cumulative Doses of COVID-19 Vaccine in
the age group 18-44 years.
Highest doses are given by UP (5,74,28,780), Maharashtra(4,91,99,401), Gujrat
(3,98,45,089), Madhypradesh (3,98,45,089) and Rajsthan (3,75,16,981)
Maharashtra and UP are vaccinating daily approx. 10 lakh dosages and GJ, RJ and Bihar
are vaccinating around 5 lakh people.
Telangana: Total vaccination: 1,62,25,901 (1,64,339), 1st dose:1,20,73,758 2nd
dose:41,52,143
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7. Vaccination Coverage
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8. COVID-19 Vaccines approved in India
DCGI has given approval for following 5 COVID-19 vaccines for restricted use in
emergency situation till 16th Aug 2021
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• COVISHIELD
• COVAXIN
Jan
21
Sputnik
V
Apr
21
Moderna
Jun
21
Johnson
&
Johnson
Aug
21

9. COVID-19 Vaccines approved in India
Vaccine
Type of Vaccine No of
doses
Time gap
between 2 dose Vaccine
Efficacy
Effectivene
ss against
Delta
Variant
Covishield Viral Vector 2 12-16 weeks 70.4%
82.4%*
63%
Covaxin Inactivated virus 2 4 weeks 77.8% 65.2%
Sputnik V Viral Vector 2 3 weeks 91.6% 83%
Moderna mRNA 2 4 weeks 94.1% 76%
Johnson &
Johnson
Viral Vector 1 NA 92.4% 71%
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*At 4 weeks interval
ZyCov-D
DNA
3 ID2856
Corbevax
Bio E
Protein
subunit
2IM28
Novovax
SII
Protein
subunitIM2
1days

10. Children and Vaccination
The development of the COVID-19 vaccine for
children is in the advanced stages of clinical trials
AIIMS has started the second dose trial of
COVAXIN in 2-6 year old Children.
Zydus Cadila's ZyCOV-D has already submitted
data for approval children over 12 to 18 years.
Conducted trial in 50 centers over 28,000
participants and having efficacy of 66.6% against
symptomatic covid
Moderna vaccine already got emergency use
authorization in USA for 12 to 17 years children
and claimed full protection.
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11. COVID vaccination for pregnant & lactating mothers
DCGI didn’t give license for Pregnant and lactating mother women due to lack of
trial data.
FIGO, RCOG and FOGSI emphasized vaccination these women despite of limited
availability of data as the risk of getting COVID-19 in pregnancy and its resulting
morbidity is much more than the theoretical risks from the vaccine
Supported by interim recommendation of WHO for use of Covishield vaccine
(ChAdOx1-S) during pregnancy and lactation.
NTAGI, MoHFW approved the vaccination against COVID-19 on 19th May for all
lactating mother and for pregnant women on 2nd July 2021.
 Pregnant women can get Covishield, Covaxin or Sputnik V any time during
pregnancy
If already infected with COVID during pregnancy then she can get vaccine after
delivery.
Till 30 July only 2.3 lakh pregnant women received their Jab. TN, AP, Odisha, MP,
Karala and Karnataka are leading.
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12. Challenges in COVID Vaccination
COVID
Vaccination
Vaccine
Hesitancy
Vaccine
Wastage
Vaccine
Shortage
Online
Registration
Crowd
Manageme
nt
Effect on
RI
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 Many states such as JH (37.3%), CG(30.2%), TN(15.5%)
J&K (10.8%) and MP(10.7%) reported much higher
wastage than national average (6.3%)
 Due to vaccine supply shortage many beneficiaries could
not receive their 2nd Dose on time
 Frequent change in policy and update in Co-Win portal.
 Diversions from Vaccine sequencing at many places
 Fear of derailing other Immunisation Programmes
 Vaccine hesitancy reduces vaccine uptake and
compromises herd immunity

13. Vaccine Hesitancy and solutions
Vaccine hesitancy refers to delaying or refusing vaccines despite the availability of vaccine services.
Concerns about vaccine safety, adverse effects, toxicity, Perceptions of low risk , worry about unforeseen future
negative effects or lack of information and support
Possible ways to overcome: Awareness programmes, Dialogue-based interventions, CSR Activities, Training
healthcare professionals, Partner with diverse stakeholders
 WHO Based increasing vaccination model
At the heart of this model is motivation
to be vaccinated. Motivation can be captured by
concepts like readiness, willingness, or intention
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14. Upcoming Challenges in Covid Vaccination
COVID-19 vaccine breakthrough infections
Variants of Concern: Delta Plus(K417N)
 Vaccine Escape
Duration of protection: 3months to 8 months
Booster doses
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