All you need to know about Covid-19 vaccinations in Tunisia

Pfizer, Sputnik V or AstraZeneca/Oxford - which vaccines will be administered in Tunisia against Covid-19? Who will be vaccinated first? When will it start? Inkyfada provides you with the latest information.
Written by | 02 March 2021 | reading-duration 7 minutes

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As of the 5th of February 2021, nearly 120 million people have been vaccinated worldwide. In Tunisia, however, the vaccination campaign has not yet started. According to the government, the first doses are due to arrive mid-February 2021, with the vaccination campaign following suit.
ANNOUNCED CHRONOLOGY OF VACCINE ARRIVAL IN TUNISIA Sources : Scientific Committee for Combating the Coronavirus | Ministry of Health FEBRUARY 2021 doses COVAX WHO (Pfizer) 93 600 doses COVAX WHO (AstraZeneca/Oxford) 1 million MARCH 2021 doses Direct purchase (Pfizer) CDC Africa 2 million doses Direct purchase 2 million doses 2,4 million APRIL 2021 COVAX WHO doses 4 million 11 493 600 TOTAL doses ANNOUNCED CHRONOLOGY OF VACCINE ARRIVAL IN TUNISIA Sources : Scientific Committee for Combating the Coronavirus | Ministry of Health doses COVAX WHO (Pfizer) 93 600 COVAX WHO (AstraZeneca/Oxford) doses 1 million FEBRUARY 2021 doses Direct purchase 2 million CDC Africa doses 2,4 million MARCH 2021 Direct purchase (Pfizer) doses 2 million APRIL 2021 COVAX WHO de doses 4 million 11 493 600 TOTAL doses

This infographic is based on an official document from the Ministry of Health (20th January, 2020), and on clarifications made by the Minister of Health on the 30th of January, 2021. The figures are therefore subject to change, according to regular information updates provided by the government.   

For the time being, the Tunisian authorities have only issued marketing authorisations (AMM) for the Pfizer and Sputnik V vaccines. Others are still under review, including the AstraZeneca/Oxford vaccine which is due to arrive imminently, as well as the Chinese vaccine from Sinovac.

Initially set at 50,000 doses, Covax's emergency aid was finally increased to more than a million doses by mid-February. The vaccines supplied by the WHO (World Health Organisation) and CDC Africa come from several laboratories: Pfizer, AstraZeneca/Oxford, and Johnson & Johnson. 

Meanwhile, Tunisia has purchased 4 million doses directly from foreign laboratories. In addition to the Pfizer vaccine, the government is also negotiating with Russia.

"Negotiations are well underway and it is very likely that we will secure the Sputnik V vaccine", explains Riadh Daghfous, General Director of the National Pharmacovigilance Centre, and member of the Scientific Commission for combating the coronavirus. 
VACCINE TYPES Sources : France 24 | TV5 monde | Jeune Afrique | Ouest France German-American vaccine Global efficiency: 95% 2 injections Storage temperature: -70° to -80°C American vaccine Global efficiency: 94.1% 2 injections Storage temperature: -20°C The RNA vaccine, what is it? Discovered in the 1990s, the mRNA vaccine is being used on humans for the first time in the fight against Covid-19. It consists of injecting the genetic material of the virus (messenger RNA) into human cells, which then produces harmless proteins. The immune system recognises them as foreign and produces effective antibodies against the virus. ? Swedish-British vaccine Global efficiency: 70% 2 injections Storage temperature: 2° to 8°C Russian vaccine Global efficiency: 91.4% 2 injections Storage temperature: 2° to 8°C The viral vector vaccine, what is it? Like the mRNA vaccine, the viral vector vaccine is also based on the genetic material of the virus. The only difference is that the latter is injected into human cells via a harmless virus. It replicates itself and then spreads, triggering the body's immune response. ? Chinese vaccine Global efficiency: 79% 2 injections Storage temperature: 2° to 8°C The inactivated virus vaccine, what is it? The inactivated virus vaccine is the most traditional method of vaccination, which was developed by Louis Pasteur. It consists of injecting a chemically inactivated form of the virus into the cells. The human body then identifies the virus and produces antibodies to neutralise it. ? Inactivated virus vaccine Viral Vector Vaccines Messenger RNA (mRNA) vaccines VACCINE TYPES Sources : France 24 | TV5 monde | Jeune Afrique | Ouest France German-American vaccine Global efficiency: 95% 2 injections Storage temperature: -70° to -80°C American vaccine Global efficiency: 94.1% 2 injections Storage temperature: -20°C The RNA vaccine, what is it? Discovered in the 1990s, the mRNA vaccine is being used on humans for the first time in the fight against Covid-19. It consists of injecting the genetic material of the virus (messenger RNA) into human cells, which then produces harmless proteins. The immune system recognises them as foreign and produces effective antibodies against the virus. ? Swedish-British vaccine Global efficiency: 70% 2 injections Storage temperature: 2° to 8°C Russian vaccine Global efficiency: 91.4% 2 injections Storage temperature: 2° to 8°C The viral vector vaccine, what is it? Like the mRNA vaccine, the viral vector vaccine is also based on the genetic material of the virus. The only difference is that the latter is injected into human cells via a harmless virus. It replicates itself and then spreads, triggering the body's immune response. ? Chinese vaccine Global efficiency: 79% 2 injections Storage temperature: 2° to 8°C The inactivated virus vaccine, what is it? The inactivated virus vaccine is the most traditional method of vaccination, which was developed by Louis Pasteur. It consists of injecting a chemically inactivated form of the virus into the cells. The human body then identifies the virus and produces antibodies to neutralise it. ? Messenger RNA (mRNA) vaccines Viral Vector Vaccines Inactivated virus vaccine

Currently, only the Pfizer vaccine has been approved by the WHO. On the 2nd of February, 2021, the British scientific journal The Lancetpublished a study confirming the efficiency of the Russian Sputnik V vaccine to be at 91.6%.

In regards to the AstraZeneca/Oxford vaccine, there is a lack of data available for assessing its effectiveness on people over 65 years of age. Germany, for example, has for the time being decided to only administer it to people between the ages of 18 and 64.

"50% OF THE POPULATION VACCINATED WITHIN A YEAR"

5 18+ years old with no comorbidities Objective: vaccinating 50% of the population over the course of a year People living or working with people at risk Other service professionals 4 April 2021 3 Under 60 with pre-existing illnesses Essential service professionals (Security, military, education, and transport sectors, etc.) March 2021 2 60+ years old Employees at hemodialysis centres Dentists Other healthcare employees February 2021 Covid healthcare employees 75+ years old Elderly people in institutions/retirement homes 1 Announced vaccination strategy in Tunisia PHASES Sources : Scientific Committee for Combating the Coronavirus | Ministry of Health 5 18+ years old with no comorbidities Objective: vaccinating 50% of the population over the course of a year People living or working with people at risk Other service professionals 4 April 2021 3 Under 60 with pre-existing illnesses Essential service professionals (Security, military, education, and transport sectors, etc.) March 2021 2 60+ years old Employees at hemodialysis centres Dentists Other healthcare employees Covid healthcare employees 75+ years old Elderly people in institutions/retirement homes February 2021 1 PHASES Announced vaccination strategy in Tunisia Sources : Scientific Committee for Combating the Coronavirus | Ministry of Health

The Tunisian government aims to vaccinate 50% of its population within a year. " This will limit the spread but it will not lead to herd immunity ", notes the health strategy consultant Emna El Hammi. " The assumption is that widespread vaccination is not immediately feasible ", admits Riadh Daghfous.

For Emna El Hammi, the worry is rather about a lack of awareness regarding the vaccination campaign.

"How can we make sure that people will come back for the second dose, and that they will continue to protect themselves between the two injections? It will require a huge amount of information, raising awareness and logistical work that I think is very difficult to implement and which should already have begun. "
Objective: 10 people vaccinated per employee and hour, and 120,000 injections per day vaccination teams consisting of 12 vaccinators 200 vaccination centres announced throughout the country 1 to 3 per governorate, open 7 days a week 1 per delegation operating per campaign 300 Where? Post-vaccination waiting area with 15 to 30 min of close observation 5 If deemed eligible, vaccination 4 Eligibility verification at the vaccination centre 3 Appointment confirmation: place, date and time 2 Register on the "E-vax" website or text 85355 with "eVAX" or USSD using the code *2021# 1 HOW AND WHERE TO GET VACCINATED? Source : Ministry of Health How? Objective: 10 people vaccinated per employee and hour, and 120,000 injections per day vaccination teams consisting of 12 vaccinators 200 vaccination centres announced throughout the country 1 to 3 per governorate, open 7 days a week 1 per delegation operating per campaign 300 Where? Post-vaccination waiting area with 15 to 30 minutes close observation 5 If deemed eligible, vaccination 4 Eligibility verification at the vaccination centre 3 Appointment confirmation: place, date and time 2 Register on the "E-vax" website or text 85355 with "eVAX" or USSD using the code *2021# 1 HOW AND WHERE TO GET VACCINATED? Source : Ministry of Health How?

As of the 30th of January 2021, 300,000 Tunisians have already registered on the " E- vax " platform. Vaccination is free and voluntary. " People are identified by their national identity card, which allows us to facilitate the procedure " explains Hechmi Louzir, director of the Pasteur Institute of Tunis, and president of the committee in charge of vaccination. " We are in the process of scheduling on-site vaccinations for essential workers within healthcare and other strategic sectors, so that they don’t need to be concerned with the E-vax registration ", he adds. 

As for the vaccination sites, he explains that they will be located in both basic health centres and district hospitals. While the vaccination centres in the governorates will be open every day, the mobile centres will instead operate on a five-day campaign basis, explains Hechmi Louzir. 

VACCINE DELIVERY Source : Ministry of Health Route 1 Vaccines stored between 2° and 8°C “Quarantine" cold rooms at the Central Pharmacy Central warehouse (Soukra) or regional warehouses (Sousse, Sfax, Medenine, Gafsa, Kef) 1 2 3 Route 2 Direct transport from the airport by the supplier 2 3 Vaccines stored between -20° and -80°C 1 Central warehouse (Soukra) or regional warehouses (Sousse, Sfax, Medenine, Gafsa, Kef) VACCINE DELIVERY Source : Ministry of Health Route 1 Vaccines stored between 2° and 8°C “Quarantine" cold rooms at the Central Pharmacy Central warehouse (Soukra) or regional warehouses (Sousse, Sfax, Medenine, Gafsa, Kef) 1 2 3 Route 2 Direct transport from the airport by the supplier 2 3 Vaccines stored between -20° and -80°C 1 Central warehouse (Soukra) or regional warehouses (Sousse, Sfax, Medenine, Gafsa, Kef)

The Pfizer vaccine must be stored at a very low temperature: between -70° and -80°, which requires restrictive transportation conditions. " We have a sufficient number of freezers to start the vaccination campaign ", Riadh Daghfous assures, adding that an order has indeed been placed. According to Hechmi Louzir, Pfizer is committed to delivering the doses to the vaccination site.

While the Tunisian government announced that the first batch of doses is due to arrive in mid-February, the actual strategy and administration of the vaccine remains unclear.