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A mammoth vaccination drive: Looking back at the COVID-19 pandemic Premium

A mammoth vaccination drive: Looking back at the COVID-19 pandemic
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<h2 class&equals;"sub-title">Two years have passed since the official end of the COVID-19 pandemic&period; We take a look at the unprecedented vaccine mobilisation that helped bring it to a close&period;<&sol;h2>&NewLine;<p><&sol;p>&NewLine;<div id&equals;"content-body-66537140" class&equals;"articlebodycontent col-xl-9 col-lg-12 col-md-12 col-sm-12 col-12" itemprop&equals;"articleBody">&NewLine;<p>On May 5&comma; 2023&comma; Dr&period; Tedros Adhanom Ghebreyesus&comma; Director-General of the World Health Organization &lpar;WHO&rpar;&comma; officially declared that the global COVID-19 pandemic was no longer an emergency&period; <&sol;p>&NewLine;<p>Earlier that year&comma; in January 2023&comma; WHO still maintained that the COVID-19 pandemic remained a public health emergency of international concern &lpar;PHEIC&rpar;&comma; three years to the day after it sounded the highest level of global alert&period; In September 2022&comma; Dr&period; Tedros said that the &OpenCurlyDoubleQuote;end is in sight” for the COVID-19 pandemic&period; However&comma; the world was on its guard again at the beginning of 2023&comma; with new waves breaking out in China after it lifted restrictions in December 2022&period;<&sol;p>&NewLine;<p>Vaccination had widely been considered the mode to bring an end to the pandemic&comma; and the COVID-19 era witnessed a global mobilisation effort&period; The UNICEF COVID-19 market dashboard noted that 17&period;2 billion doses had been secured globally&period; Of these&comma; 13&period;64 billion had been administered across the world&comma; according to the WHO-UNICEF COVID-19 Vaccination information hub&period;<&sol;p>&NewLine;<p>The fear about COVID-19 has&comma; by and large subsided&comma; although it remains extant in pockets across the world&period; The global vaccination drive&comma; however&comma; is at an end&period; A<a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;pewresearch&period;org&sol;short-reads&sol;2024&sol;11&sol;19&sol;60-of-americans-say-they-probably-wont-get-an-updated-covid-19-vaccine&sol;"> recent study by the Pew Research Center<&sol;a> found that more adults in America reported getting the updated flu shot than the updated COVID-19 shot after both vaccines became available in August last year&period; <&sol;p>&NewLine;<div class&equals;"also-read print-hide" data-ga-label&equals;"AlsoReadArticle">&NewLine;<div class&equals;"element">&NewLine;<div class&equals;"title">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;COVID-19 lockdown&colon; How India shut down and opened gradually to battle a pandemic<&sol;div>&NewLine;<div class&equals;"picture"><&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p>Here is a throwback to the historic effort to vaccinate the world’s public&comma; amid loss&comma; fear&comma; skepticism and anti-vaccination sentiment&period; <&sol;p>&NewLine;<h4 class&equals;"sub&lowbar;head">The vaccination rate<&sol;h4>&NewLine;<p>As of March 13&comma; 2023&comma; the global rate for vaccination stood at 72&period;3&percnt; vaccinated &lpar;at least one dose&rpar; and 67&percnt; fully vaccinated&comma; according to a <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;nytimes&period;com&sol;interactive&sol;2021&sol;world&sol;covid-vaccinations-tracker&period;html">coronavirus tracker run by <i>The<&sol;i><i>New York Times<&sol;i><&sol;a>&period; This was the last update since many countries stopped regularly reporting vaccine data post this period&period; <&sol;p>&NewLine;<p>Of this&comma; four nations- Macau&comma; Brunei&comma; U&period;A&period;E and Qatar- reported vaccination rates above 99&percnt; &&num;8211&semi; including those who were fully vaccinated&period; Per government data&comma; Macau used inactivated virus vaccines from Sinopharm CNBG Beijing and mRNA vaccines from Fosun-BioNTech&period; Meanwhile&comma; Brunei approved the emergency use of the Sinopharm &lpar;BBIBP-CorV&rpar;&comma; Oxford-AstraZeneca&comma; Moderna and Pfizer-BioNTech vaccines&period; Per the Emirates Health Services&comma; U&period;A&period;E residents had access to Pfizer-BioNTech&comma; Sinopharm&comma; Moderna&comma; and Hayat Vax&comma; and the GEN2-Recombinant COVID-19 Vaccine &lpar;CHO Cell&rpar; for booster doses&period; Qatar offered the Moderna and Pfizer-BioNTech vaccines&period; <&sol;p>&NewLine;<p>India still updates its <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;covid19dashboard&period;mohfw&period;gov&period;in&sol;">COVID-19 dashboard<&sol;a>&comma; managed by the Ministry of Health and Family Welfare&comma; noting active cases&comma; discharged patients and total deaths&period; The vaccination tracker however has not been updated since June 19&comma; 2024&comma; where the total vaccination was reportedly 220&comma;68&comma;94&comma;861 — above 2&period;2 billion doses&period; At this point&comma; India reported a vaccination rate of 75&percnt;&comma; with 70&percnt; fully vaccinated&period; Several persons also took boster doses&period;<&sol;p>&NewLine;<div class&equals;"also-read print-hide" data-ga-label&equals;"AlsoReadArticle">&NewLine;<div class&equals;"element">&NewLine;<div class&equals;"title">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;COVID-19 in India &vert; What is the current scenario and how are we tackling it&quest;<&sol;div>&NewLine;<div class&equals;"picture"><img src&equals;"data&colon;image&sol;gif&semi;base64&comma;R0lGODlhAQABAIAAAAAAAP&sol;&sol;&sol;ywAAAAAAQABAAACAUwAOw&equals;&equals;" fifu-lazy&equals;"1" fifu-data-sizes&equals;"auto" fifu-data-srcset&equals;"https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;75&resize&equals;75&ssl&equals;1 75w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;100&resize&equals;100&ssl&equals;1 100w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;150&resize&equals;150&ssl&equals;1 150w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;240&resize&equals;240&ssl&equals;1 240w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;320&resize&equals;320&ssl&equals;1 320w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;500&resize&equals;500&ssl&equals;1 500w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;640&resize&equals;640&ssl&equals;1 640w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;800&resize&equals;800&ssl&equals;1 800w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;1024&resize&equals;1024&ssl&equals;1 1024w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;1280&resize&equals;1280&ssl&equals;1 1280w&comma; https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1&w&equals;1600&resize&equals;1600&ssl&equals;1 1600w" fifu-data-src&equals;"https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1" data-original&equals;"https&colon;&sol;&sol;i1&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;todays-paper&sol;tp-national&sol;tp-tamilnadu&sol;u6nmjc&sol;article67927426&period;ece&sol;alternates&sol;SQUARE&lowbar;80&sol;Anaemia-poor-wGRSCGQDAC&period;3&period;jpg&period;jpg&quest;ssl&equals;1" alt&equals;"" data-device-variant&equals;"SQUARE~SQUARE~SQUARE~SQUARE" class&equals;"media-object lazy adaptive placeholder lazy" width&equals;"100&percnt;" height&equals;"100&percnt;"><&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p>Mainland China&comma; the origin point for the pandemic&comma; reported a total of 94&percnt; first-dose coverage- with 91&percnt; fully vaccinated&period; In December 2022&comma; China lifted zero-COVID restrictions after almost three years&comma; followed immediately by a major spike in COVID-19 infections and deaths&period; <&sol;p>&NewLine;<p>China’s vaccination programme largely relied on indigenously developed vaccines- CoronaVac&comma; manufactured by Sinovac&comma; and Sinopharm&comma; which are both inactivated whole- virus vaccines&period; Researchers&comma; however&comma; say that mRNA vaccines manufactured by Pfizer and Moderna are more effective&period; A paper published in December <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;thelancet&period;com&sol;journals&sol;lanwpc&sol;article&sol;PIIS2666-6065&percnt;2822&percnt;2900269-3&sol;fulltext">analysed data from Singapore<&sol;a> and found that mRNA vaccines were more effective than Chinese vaccines in preventing severe illness in those over 60&period; China&comma; however&comma; refused offers of surplus mRNA vaccines from the EU&period; <&sol;p>&NewLine;<p>While there were still countries struggling to achieve widespread vaccination in 2023&comma; the greatest number of vaccines had already been given out in 2021&period; By June 2022&comma; world COVID-19 vaccinations had touched 12 billion&comma; which increased gradually to 12&period;9 billion by November 2022&period; The vaccination programme slowed down considerably in 2022&comma; because most people worldwide had either received two vaccine doses or developed better resistance due to exposure to the virus&period; <&sol;p>&NewLine;<p>As of March 2023&comma; there were still a few countries which struggled with a low vaccination rate&period; At the bottom of the ladder were Burundi &lpar;0&period;3&percnt;&rpar;&comma; Yemen &lpar;2&period;6&percnt;&rpar;&comma; Haiti &lpar;2&period;1&percnt;&rpar;&comma; Papua New Guinea &lpar;4&period;2&percnt;&rpar;&comma; Madagascar &lpar;8&period;6&percnt;&rpar;&comma; Democratic Republic of Congo &lpar;13&percnt;&rpar;&comma; Congo &lpar;13&percnt;&rpar;&comma; Gabon &lpar;14&percnt;&rpar;&comma; Cameroon &lpar;15&percnt;&rpar;&comma; Senegal &lpar;16&percnt;&rpar; Mali &lpar;18&percnt;&rpar;&comma; Algeria &lpar;18&percnt;&rpar; and Syria &lpar;19&percnt;&rpar;&period; It is unclear whether vaccination rates went up after the official end of the pandemic&period; Further&comma; some countries were absent from the <i>NYT<&sol;i> tracker&comma; since they do not report vaccination data&period; <&sol;p>&NewLine;<p>Causes for poor vaccination rates included both lack of access to vaccines and vaccine hesitancy&comma; among other factors&period; Vaccine hesitancy is an issue even in developed countries&comma; with approximately 30&percnt; of Americans never choosing to get fully vaccinated&period; A <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;documents&period;worldbank&period;org&sol;en&sol;publication&sol;documents-reports&sol;documentdetail&sol;099500109262235034&sol;idu00dcb6062035fc0463008980026592b384da5">World Bank working paper estimated<&sol;a> that one in five adults in 53 low and middle-income countries had been hesitant to receive a vaccine between late 2020 and the first half of 2021&period; <&sol;p>&NewLine;<h4 class&equals;"sub&lowbar;head">The vaccines<&sol;h4>&NewLine;<div class&equals;"info-box">&NewLine;<h5 class&equals;"sub-title">The following are some vaccines used to stem the spread of the COVID-19 pademic&comma; along with the manufacturer &lpar;data from WHO’s COVID-19 vaccination dashboard&rpar;&colon;<&sol;h5>&NewLine;<div class&equals;"info-element">Oxford Astra Zeneca- Vaxzevria<&sol;div>&NewLine;<div class&equals;"info-element">Beijing CNBG- BBIBP-CorV<&sol;div>&NewLine;<div class&equals;"info-element">Bharat Covaxin<&sol;div>&NewLine;<div class&equals;"info-element">CanSino- Convidecia<&sol;div>&NewLine;<div class&equals;"info-element">Chumakov- Covi-Vac<&sol;div>&NewLine;<div class&equals;"info-element">Finlay- Soberana Plus<&sol;div>&NewLine;<div class&equals;"info-element">Finlay- Soberana-02<&sol;div>&NewLine;<div class&equals;"info-element">Gamaleya- Gam-Covid-Vac<&sol;div>&NewLine;<div class&equals;"info-element">Gamaleya- Sputnik-Light<&sol;div>&NewLine;<div class&equals;"info-element">Janssen- Ad26&period;COV2-S<&sol;div>&NewLine;<div class&equals;"info-element">Julphar- Hayat-Vax<&sol;div>&NewLine;<div class&equals;"info-element">Moderna- Spikevax<&sol;div>&NewLine;<div class&equals;"info-element">Pfizer BioNTech- Comirnaty<&sol;div>&NewLine;<div class&equals;"info-element">Serum Institute of India- Covishield<&sol;div>&NewLine;<div class&equals;"info-element">Sinovac- CoronaVac<&sol;div>&NewLine;<h5 class&equals;"sub-title"><&sol;h5>&NewLine;<&sol;div>&NewLine;<p>Covishield&comma; Covaxin&comma; Sputnik V&comma; CorBEvax&comma; Covovax were the main vaccines in use in India&period; Others&comma; such as ZyCov-D received the nod for emergency use&period; Bharat Biotech also launched a nasal COVID-19 vaccine— iNCOVACC&period;<&sol;p>&NewLine;<p>Other vaccine candidates were developed and tested later&comma; with oral&comma; intra-nasal&comma; aerosol and inhaled vaccines&period; A total of 64 vaccines were approved for use by at least one national regulatory authority&period;<&sol;p>&NewLine;<p>Of this&comma; 12 were a part of the <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;unicef&period;org&sol;supply&sol;covid-19-market-dashboard">WHO’s Emergency use listing &lpar;EUL&rpar;<&sol;a>&colon; AstraZeneca Vaxzevria&comma; BBIL- Covaxin&comma; CanSino Convedicia&comma; Janssen Ad26&period;COV 2&period;S&comma; Moderna Spikevax&comma; Novavax- Nuvaxovid&comma; Pfizer BioNTech Comirnaty&comma; Pfizer BioNTech Comirnaty &lpar;bivalent&rpar;&comma; SII Covishield&comma; SII Covavax&comma; Sinopharm Beijing -BBIBP- CorV&comma; and SinoVac- CoronaVac&comma; SK Bio- SKYCovione&period; <&sol;p>&NewLine;<p>The EUL process seeks to establish if new health products are suitable for use during public health emergencies&period; The <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;who&period;int&sol;news&sol;item&sol;31-12-2020-who-issues-its-first-emergency-use-validation-for-a-covid-19-vaccine-and-emphasizes-need-for-equitable-global-access">first vaccine which received emergency use validation during the pandemic<&sol;a> was the Comirnaty COVID-19 mRNA vaccine manufactured by Pfizer&sol;BioNTech&period; The Comirnaty vaccine required storage using an ultra-cold chain&comma; needing to be stored at -60°C to -90°C degrees&period; Several other vaccines too needed to be stored at a precise&comma; cooler temperatures&comma; posing dual challenges for storage and distribution&comma; particularly in hot countries&period;<&sol;p>&NewLine;<p>Not every vaccine has been equally effective against COVID-19&period; For example&comma; data indicates that monovalent Omicron XBB vaccines provide slightly better protection as contrasted with those containing bivalent variants or monovalent index viruses&period; <&sol;p>&NewLine;<h4 class&equals;"sub&lowbar;head">The global vaccination drive<&sol;h4>&NewLine;<p>A total of 13&period;64 billion COVID vaccine doses were administered globally&period; As <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;data&period;who&period;int&sol;dashboards&sol;covid19&sol;vaccines">per data from the WHO<&sol;a>&comma; as of December 31&comma; 2023&comma; 67&percnt; of the world population had been vaccinated with a complete primary series &lpar;in most cases two shots&rpar; of a COVID-19 vaccine&comma; while 32&percnt; had been vaccinated with at least one booster dose&period; <&sol;p>&NewLine;<p>While WHO and UNICEF maintained a COVID-19 vaccination information hub during the pandemic years&comma; annual COVID-19 vaccination data will now be collected through the WHO-UNICEF Joint Reporting Form on Immunisation&period; Final figures for 2024 will be collected from March to June 2025 and released in July 2025 with other immunisation data&period; <&sol;p>&NewLine;<p>A detailed visualisation about the global efforts to <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;the-delivery&period;org&sol;">vaccinate people against COVID-19 was created<&sol;a> by a collaborative effort between CEPI&comma; GAVI&comma; UNICEF and WHO&comma; noting milestones in the production and distribution of the vaccine&period; The COVID-19 vaccine was unique in that its development and clinical trials had to be squeezed into a narrow timeframe&comma; making it the fastest-developed vaccine in history&period; Just 326 days after the virus’s genomic sequence was published&comma; WHO issued the first EUL authorisation for the Pfizer-BioNTech vaccine&period; Normally&comma; new vaccines usually take an average of 10 years to develop&period; <&sol;p>&NewLine;<p>By the end of April 2021&comma; nearly every country had introduced the vaccine&period; Adequate supply was the next issue&period; High income countries had a headstart and signed contracts with pharmaceutical companies for more supply than needed&period; Vaccine hoarding and control over the supply chain hindered access to vaccinations for lower-income countries&period; <&sol;p>&NewLine;<p>Establishment of cold storage chains for storage and transport of the heat-sensitive vaccines was important&comma; too&period; Further&comma; manufacturing infrastructure was also vulnerable to the impact of the virus&period; An example was what happened in March 2021 in India&period; At this point&comma; India was the home of the largest vaccine manufacturing industry in the world&period; In February and March 2021&comma; it seemed like India would escape the worst of the pandemic&colon; althought it saw high caseloads&comma; it also saw record recovery rates and a lower number of deaths contrasted with its enormous population&period; However&comma; the arrival of the Delta variant upended the nation&period; There were around 60&comma;000 new cases a day and a crushing load on the country’s health infrastructure&comma; which faced a shortage of hospital beds&comma; oxygen cylinders and medicines&period; This was a stiff hike from 15&comma;000 cases a day barely weeks ago&period; In the face of this new&comma; deadly wave&comma; India suspended vaccine exports to other nations&comma; even with signed purchase orders&period; Supply was redirected to domestic shores&comma; to try to quell the rising caseload&period; <&sol;p>&NewLine;<p>An additional challenge was that the COVID-19 vaccines had to be delivered to all age groups&comma; and not just children&comma; as was the case with other immunisation programmes&period; The three groups which were sought to be prioritised were frontline workers&comma; the immunocompromised and the elderly&period; Although some regions had adult vaccination programmes— for flu&comma; for example— not every country had this set-up in place&period;<&sol;p>&NewLine;<p>Ensuring global vaccine access was an uphill task for global health networks&period; GAVI&comma; the Vaccine Alliance&comma; led a global effort to send vaccines to poor and middle-income countries&comma; termed a &OpenCurlyDoubleQuote;historic attempt to achieve global equity&period;” GAVI&comma; the Coalition for Epidemic Preparedness Innovations &lpar;CEPI&rpar;&comma; WHO and UNICEF co-convened COVAX&comma; the vaccines pillar of the Access to COVID-19 Tools &lpar;ACT&rpar; Accelerator&comma; which in turn was a global collaborative framework to end the pandemic&period; The COVAX Country Readiness and Delivery team &lpar;CRD&rpar; developed the COVID-19 Vaccine Introduction Readiness Assessment Tool &lpar;VIRAT&rpar;&comma; which sought to prepare countries for the quick licensing of vaccines&comma; and also help them deal with policy measures&comma; and logistics pertaining to the introduction and deployment of the COVID-19 vaccines&period; <&sol;p>&NewLine;<p>The G7 group of advanced economies called for donation of at least one billion vaccines by high-income countries&comma; to aid 92 low and middle income countries which were part of the GAVI Advance Market Commitment supported by the COVAX facility&period; 1&period;97- 1&period;99 billion doses were delivered to 146 countries through COVAX&comma; with prices per dose ranging from &dollar;2 to &dollar;120&period; To help vaccinate the public&comma; GAVI&comma; UNICEF and WHO launched the COVID-19 Vaccine Delivery Partnership &lpar;CoVDP&rpar; in January 2022&comma; which supported the AMC 92 and focused on 34 countries which were at or below 10&percnt; vaccination coverage&period; COVAX and the UN Inter-Agency Standing Committee &lpar;IASC&rpar; had also set up the COVAX Humanitarian Buffer to fill in the gaps in global vaccine access&period; &lpar;The Buffer stopped accepting new applications after December 31&comma; 2022&period;&rpar;<&sol;p>&NewLine;<p>Although GAVI’s programme was to be wound up towards the end of 2022&comma; on December 8&comma; 2022 its board approved the continuance of its COVID-19 vaccinations in countries supported by the GAVI COVAX -AMC&period; As per a <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;gavi&period;org&sol;news&sol;media-room&sol;gavi-board-decisions-outline-year-renewal-vaccine-alliance">press release<&sol;a>&comma; while priority was to &OpenCurlyDoubleQuote;help countries raise coverage levels and boost high risk groups&comma;” the Board also endorsed plans to start preparing for future evolutions of the virus&period; COVAX had in place plans for worst-case scenarios and explored &OpenCurlyDoubleQuote;integrating future COVID-19 vaccinations into GAVI’s core programming…” also recognising the need to reduce &OpenCurlyDoubleQuote;the additional burden a specialised emergency response places on countries&period;” <&sol;p>&NewLine;<h4 class&equals;"sub&lowbar;head">Post pandemic observations<&sol;h4>&NewLine;<div class&equals;"article-picture verticle">&NewLine;<div class&equals;"picture zoom-img "><img src&equals;"data&colon;image&sol;gif&semi;base64&comma;R0lGODlhAQABAIAAAAAAAP&sol;&sol;&sol;ywAAAAAAQABAAACAUwAOw&equals;&equals;" fifu-lazy&equals;"1" fifu-data-sizes&equals;"auto" fifu-data-srcset&equals;"https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1&w&equals;75&resize&equals;75&ssl&equals;1 75w&comma; 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https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1&w&equals;800&resize&equals;800&ssl&equals;1 800w&comma; https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1&w&equals;1024&resize&equals;1024&ssl&equals;1 1024w&comma; https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1&w&equals;1280&resize&equals;1280&ssl&equals;1 1280w&comma; https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1&w&equals;1600&resize&equals;1600&ssl&equals;1 1600w" fifu-data-src&equals;"https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1" data-original&equals;"https&colon;&sol;&sol;i3&period;wp&period;com&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png&quest;ssl&equals;1" alt&equals;"" class&equals;" lazy" width&equals;"100&percnt;" height&equals;"100&percnt;"><&sol;div>&NewLine;<p><span itemtype&equals;"https&colon;&sol;&sol;schema&period;org&sol;ImageObject" itemscope&equals;"itemscope" itemprop&equals;"image"><&sol;span><meta itemprop&equals;"url" content&equals;"https&colon;&sol;&sol;th-i&period;thgim&period;com&sol;public&sol;news&sol;national&sol;g7hi6w&sol;article69360943&period;ece&sol;alternates&sol;FREE&lowbar;1200&sol;Covid&percnt;20vaccine&percnt;20uptake&percnt;20in&percnt;20US&period;png"><meta content&equals;"1200" itemprop&equals;"width"><meta content&equals;"675" itemprop&equals;"height"><&sol;div>&NewLine;<p>Seemingly&comma; the COVID-19 vaccine has not become a mainstay of the vaccine basket&period; In a <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;pewresearch&period;org&sol;short-reads&sol;2024&sol;11&sol;19&sol;60-of-americans-say-they-probably-wont-get-an-updated-covid-19-vaccine&sol;">study<&sol;a> conducted in November 2024&comma; 60&percnt; of Americans said they would not get an updated COVID-19 shot&period; Per another <a rel&equals;"nofollow noopener" target&equals;"&lowbar;blank" href&equals;"https&colon;&sol;&sol;www&period;pewresearch&period;org&sol;short-reads&sol;2025&sol;03&sol;20&sol;more-americans-report-getting-a-flu-shot-than-the-updated-covid-19-vaccine-since-august&sol;">Pew Research Center study in March 2025<&sol;a>&comma; 53&percnt; of the surveyed Americans got neither the flu shot nor updated COVID-19 shot&comma; contrasted with 22&percnt; who have gotten both&period; One-in-five got the flu shot but not the COVID shot&comma; while 5&percnt; had gotten the COVID shot but not the flu shot&period; Democrats were far more likelier than Republicans to get either vaccine&semi; further&comma; Democrats were also more likely than Republicans to report getting the updated COVID-19 vaccine &lpar;42&percnt; vs&period; 12&percnt;&rpar;&period; This is even as the Centers for Disease Control and Prevention has recommended the updated vaccine to everyone aged 6 months and older before the fall and winter months to protect from severe disease and hospitalization&period;<&sol;p>&NewLine;<p>Efforts are still underway to strengthen health networks for future pandemic preparedness&period; In April 2025&comma; after nearly three-and-a-half years and 13 rounds of meetings&comma; WHO member-states agreed on measures to prevent&comma; prepare for and respond to pandemics&period; On April 16&comma; the Intergovernmental Negotiating Body finalised a proposal for the WHO Pandemic Agreement&period; The draft&comma; described as a &OpenCurlyDoubleQuote;generational accord to make the world safer&comma;” is to be adopted this month by the World Health Assembly&period; <&sol;p>&NewLine;<p>The African Union&comma; GAVI&comma; and the G7 group of nations are engagaing in a 10-point action plan to enhance diversification of regional vaccine manufacturing&period; Meanwhile&comma; CEPI is building a network of vaccine manufacturers in the countries of the Global South&comma; building capacity to produce advanced vaccines to combat emerging public health crises within 100 days&period; <&sol;p>&NewLine;<p>Some infrastructure gains made during the pandemic are sought to be retained&period; Africa CDC’s Pathogen Genomics Initiative used data from the pandemic to increase training in genetic sequencing and data analytics&comma; and deliver equipment to researchers&period; Further&comma; WHO and its partners launched an mRNA vaccine technology hub in Cape Town&period; Cold storage facilities and disease surveillance systems had been scaled up during the pandemic&semi; these are now being put to use for other purposes&period; <&sol;p>&NewLine;<p>So also&comma; vaccination networks built during the devastating dates of the pandemic can now be used to address other public health concerns&period; <&sol;p>&NewLine;<div class&equals;"articleblock-container" id&equals;"arthardpv"><&sol;div>&NewLine;<div class&equals;"update-publish-time article-published-time-end"><&sol;div>&NewLine;<div class&equals;"comments-shares share-page flex print-hide" data-artid&equals;"66537140" data-title&equals;"A mammoth vaccination drive&colon; Looking back at the COVID-19 pandemic" data-url&equals;"https&colon;&sol;&sol;www&period;thehindu&period;com&sol;news&sol;international&sol;a-mammoth-vaccination-drive-looking-back-at-the-covid-19-pandemic&sol;article66537140&period;ece">&NewLine;<div class&equals;"left">&NewLine;<div class&equals;"share">&NewLine;<ul class&equals;"share-list bottom" style&equals;"display&colon; none&semi;">&NewLine;<li class&equals;"copy-link" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; copytext&lpar;'https&colon;&sol;&sol;www&period;thehindu&period;com&sol;news&sol;international&sol;a-mammoth-vaccination-drive-looking-back-at-the-covid-19-pandemic&sol;article66537140&period;ece'&rpar;&semi;" data-cf-modified-c79141dc824963fe0d528c13-&equals;"">&NewLine; 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&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;Inarticle&lowbar;1x1"&comma; minHeight&colon; '250px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;3 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;Hindu&lowbar;Desktop&lowbar;Inarticle&lowbar;1x1&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'Desktop&lowbar;Inarticle&lowbar;1x1'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;Hindu&lowbar;Desktop&lowbar;Inarticle&lowbar;1x1&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid02"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;6 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid02&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid02'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid02'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid02'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid02&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid03"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;9 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid03&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid03'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid03'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid03'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid03&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid04"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;12 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid04&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid04'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid04'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid04'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid04&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid05"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;15 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid05&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid05'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid05'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid05'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid05&comma; publisher&colon; The Hindu --><&sol;div>&NewLine;<div class&equals;"d-block d-sm-none "><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle01"&comma; minHeight&colon; '280px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;1 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle01&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle01'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Mweb&lowbar;Inarticle&lowbar;1x1"&comma; minHeight&colon; '250px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;3 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Mweb&lowbar;Inarticle&lowbar;1x1&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'Mweb&lowbar;Inarticle&lowbar;1x1'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Mweb&lowbar;Inarticle&lowbar;1x1&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle02"&comma; minHeight&colon; '280px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;6 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle02&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle02'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle02'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle02'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle02&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle03"&comma; minHeight&colon; '280px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;9 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle03&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle03'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle03'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle03'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle03&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle04"&comma; minHeight&colon; '280px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;12 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle04&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle04'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle04'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle04'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle04&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle05"&comma; minHeight&colon; '280px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;15 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle05&comma; publisher&colon; The Hindu --><script type&equals;"c79141dc824963fe0d528c13-text&sol;javascript">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; &NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle05'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle05'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle05'&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; 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