Coronavirus vaccines have been shown by their developers as a solution to the coronavirus pandemic that has killed thousands of people, and there are many countries suffering from the fact that pharmaceuticals are taking their toll.
The Dominican Republic is no exception, and Gobierno’s authorities have pronounced on him when he claims to have received the 10 million inoculations agreed with the AstraZeneca pharmaceutical in the October finals.
The Minister of Public Health, Plutarco Arias, confirmed in November 2020 that the vacancies will be available in the country for the next March, unless a specific agreement is reached on the full termination of a portion.
“It is possible that we will have the vacancies available in February, but the safest, we are the ones who will be in charge in March”, the official said during an interview.
Sinembargo, for the interval that signaled Arias only a list of 400,000 inoculations, agreed with the contracted contractor.
In such a document, obtained in its integrity by this medium, AstraZeneca calculates that the entry will take place within the first semester of this year, and the scheme will be sent in a gradual manner during this period.
The first group of vacancies will be held on March 21, following the preliminary chronology of entry; the second, 800,000, will be launched on April 21; a month after AstraZeneca hopes to send another country cargo with this same amount, and on June 21st will send another 700 miles.
On July 21, a mayoral candidate was elected, on the occasion of 1.9 million; 3.9 million inoculation mediations in August, and another 1.4 million in September 2021.
Los envíos
One of the important aspects of the contract is that the pharmaceutical company must notify with training days at the moment when the vacancies are available, as well as the time that the series is extended.
These series are exported from the distribution center, located in Mexico. At the moment it is imported, the vacancas pass to be the responsibility of the Dominican Governor, who also tends to assume the responsibility of the life of the people, without the possibility of return in case of overtaking.
Price
Each dose costs 4 dollars (232 Dominican pesos), although this price could increase by 20 per cent. If this is not possible then the State will charge the extra cost. Of any form, the agreement states that in no case the price for the excess will exceed US $ 6 (RD $ 349).
The contract also contains the structure of the total payment for the vacancies, which rises to 40 million dollars (more than 2,300 million pesos), in which three distinct payments are made, when specific situations are planned.
The first will be equal to 20 per cent of the total agreed, or US $ 8 million (including RD $ 464,612,690). It is worth one equivalent of 40 per cent (RD $ 929,225,381), when the vacancy of AstraZeneca is approved by one of these sanitary agencies: the Administration of Medicines and Foodstuffs (FDA, by its seal in English) of Medicinal Products and Products of the United Kingdom (MHRA), the European Medicines Agency (EMA) or the Dominican Health Authorities.
The remaining amount will be deducted when AstraZeneca notifies the payment of the first entry of the vacancies.
The Dominican authorities have paid 60 per cent of the contract, and the first request was made when the National Congress approved the agreement, while the second took place three weeks ago.
On Wednesday, December 30, the MHRA approved the AstraZeneca vaccine, with the aim of accelerating its vaccination process against COVID-19, a move that has increased since the appearance of a new, much more contagious one.
Termination
The contract will be valid until the AstraZeneca dose is finalized, or if the Dominican Governor finishes the agreement prematurely.
It is only possible to do so in both situations, given the fact that the pharmaceutical referral shows its efforts to develop and manufacture the vaccine, or if it can not be administered in a safe and effective manner.
In these cases, each of the parties can finalize the agreement, and the laboratory will compromise to evade the State, in the next 30 days of the cancellation, “any portion of the purchase price not used”, after deducing the guests that hayan tenido during the vignancy of the contract.
At the same time, the country will have to reimburse AstraZeneca for “all reasonably unwelcome and unpaid guests”, in addition to the unavailable guests.
Dominican Republic tampoco may not advertise any type of compensation, in terms of gifts and benefits, for this cancellation.
This is another case in which one of the terms of the contract with AstraZeneca is complied with. If the Governor tends to notify you by writing of the pharmaceuticals of his intentions, he describes them in his reasons.
If this is the case, the laboratory will have no more than ten days to rectify, and if the termination requirements are continuous, the payment form will be vigilant.
What happens if you have defective vacancies?
In this case, the agreement details that each of the firms can present a sample of some dose that is estimated to be defective, agreeing to send to an independent laboratory for which it was analyzed and determined to be established in this state before being delivered. the entrance.
The cost of the tests and evaluation corrected by the Dominican State, less than the failure caused by the negligence or irregular conduct of AstraZeneca.
If it is proven that the error in the pharmaceutical’s fault is canceled the delivery, changing the product affected by a condition that coincides with the establishment estates, having the delivery of the package of manner of dispatch “expedited”. This is at no extra cost to the Dominican Republic.
However, if the result is the fault, then the same process is carried out, with the Governor paying for all the necessary guests.
Similarly, the Dominican Republic assumes guests will materialize a scenario in which the AstraZeneca inoculation is related to the withdrawal of the market, less the reason for the laboratory failure.
Details of the vacuum
At the moment of the contract of the contract, the vacancy of AstraZeneca was designed for major people of 18 years, with a life expectancy of around six months.
These will be applied in intramuscular manner in doses, with 28 separation days between inoculations, of 0.5 milliliters. Deberán ser alacenadas en frio, entre 2 y 8 grados Celsius.
Vacation
Although the contract of contract with AstraZeneca has been slashed for two months, Gobierno has not officially announced his evacuation plan to fill the vacancy.
However, the program to evacuate the citizens is listed below by the Deputy Minister of Public Health, Ivelisse Acosta, and the difference is that the first doses of the vacancies are available.
Similarly, the title of Public Health goes beyond my detailed details of this plan, ensuring that the first ones receive the “first line of work” workers as medics, nurses and military personnel.
In spite of these people, inoculated women who present comorbidities in front of the virus will be 60 years old.
This is in line with the media advertised for great potential that he is still golfing at COVID, like the United States, the United Kingdom and China.
Other indications are that the logistics are in place, including the necessary refrigerators to accommodate the vacancies, and the result is that the evacuation process will go beyond the next October, with the help of primary care centers and private medical centers.
Effectiveness
The efficiency percentage that presents the AstraZeneca vacancy (of 70 per cent) has raised alarms in the Dominican Republic, while others have presented a mayoral point.
In this case, AstraZeneca’s director general, Pascal Soriot, said that his vacancy was effective against the new coronavirus virus detected in the London region, which is in the Dominican Republic, and that there are 70 more contagious than the original.
Among the critics of the acquisition of this vacancy is the President of the Dominican Medical College (CMD), Waldo Ariel Suero, who said that the country pays to buy the Moderna and Pfizer-BioNTech, by its mayor in his respective offices, both for only 90 per cent.
Without embarrassment, AstraZeneca has some sales, as well as the price. Modern tax rates are around $ 35 (2,035 Dominican pesos) per dose, Pfizer announced that it will cost US $ 20 (RD $ 1,163), while AstraZeneca alone will cost $ 4 (232 pesos).
Moreover, it is a question of whether the maneuvering of the AstraZeneca is more easy than the ones, and only to be maintained at a temperature between 2 and 8 degrees Celsius, with the Modern required -20 ° C and the of Pfizer-BioNTech, which should be maintained at -70 degrees.
As for the doubts, the Minister of Public Health has shown that it has done the most important thing to achieve the level of efficacy of the AstraZeneca vaccine, while increasing the first dose by covering 70 per cent, and the second part will cover 90 per cent. “He did the most important thing than what he really is. We believe that a first dose, media dose, will cover 70% and the second part will cover 90%, ”said Arias. “It’s the probability that a blank cube the 100% is not real but 90 or 95% and that is what happens with the first part of the cave that we contracted”.
Another contract
The Vice President of the Republic, Raquel Peña, announced last week that the Government agreed with Pfizer and BioNTech, to acquire 7.9 million doses of its vaccine, expressing that it takes a decision to guarantee that the Dominicans have access to a vaccine.
According to the information shared by Peña, the inoculations in the country during the second quarter of 2021, one receives the vacancy BNT162b2, one receives the good view of the World Health Organization (OMS), receives the Transitional Permit of Medicines, Foods and Sanitary Products (Digemaps) in its acquisition approved by the National Congress.
At the same time, President Luis Abinader announced that he hopes to receive from Pfizer and BioNTech 25,000 of his vacancies, which will be accompanied by an “emergency response”, as he and the Vice President will be inoculated with them.
Although the period of introduction may be in the doldrums, there are production problems that have caused the pharmaceutical debt to increase in the large demand that exists for its product.
For example, Pfizer has been informed that it is withdrawing between three and a half weeks in order to promote it to the countries of the European Union (EU), with various countries in this continent criticizing tardance.
Oostenryk receives 20 per cent less than the vacancies that I hope for this month, and Italy including the decision to demand the developers for the poster.
Canada is seeing more people affected by the devastation, which will gradually reduce the number of vacancies sent to North American countries.
Hecho, the same day that the contract with Pfizer was announced, the pharmaceutical company explained that its entrees are slowing down in the finals of this month’s principles of February, in order to make changes in the production process and increase the rhythm in the following weeks .
According to a press release, there may be fluctuations in payments in its facilities in Belgium, which states that this will significantly increase the doses available for March.