Why world's first malaria shot won't reach millions of children who need it - SABC News - Breaking news, special reports, world, business, sport coverage of all South African current events. Africa's news leader.

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After decades of work, the World Health Organisation endorsed the first-ever malaria vaccine last year – a historic milestone that promised to drive back a disease that kills a child every minute.

A nurse holds malaria vaccine vials before administering it to an infant at the Lumumba Sub-County hospital in Kisumu, Kenya, July 1, 2022.A nurse holds malaria vaccine vials before administering it to an infant at the Lumumba Sub-County hospital in Kisumu, Kenya, July 1, 2022.

“Demand over the next five to 10 years will probably outstrip the current forecasts on supply,” said Thomas Breuer, GSK’s chief global health officer. Rebecca Adhiambo Kwanya in the Kenyan city of Kisumu needs no convincing: her four-year-old child Betrun has suffered numerous malaria bouts since birth, yet her 18-month-old Bradley – vaccinated in the pilot program – hasn’t caught it.

“This is a disease of the poor, so it’s not been that appealing in terms of the market,” said Corine Karema, chief executive of the nonprofit RBM Partnership to End Malaria, which is working with governments in Africa to eliminate the disease.

GSK also has to upgrade its manufacturing capacity to reach its target. It said it had set up a funding deal with international vaccine alliance Gavi to help stockpile a key ingredient of the shot to ensure there was no gap in supply during that process.The drugmaker has invested 700 million pounds in the vaccine’s development and says it won’t charge more than 5% above the cost to produce it.

The WHO said safety questions had to be addressed before approval, and that it was working urgently to boost supply. In the past, such real-world data on a vaccine has often been tracked after it has been authorized for use. “It’s not a silver bullet, and it’s relatively expensive compared to other interventions used for malaria,” said Peter Sands, head of the Global Fund. “The fundamental issue with malaria isn’t actually about tools. It’s about the fact that we spend far too little money on it.”

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