Butantan and the government talk, but do not understand each other about Coronavac – 12/16/2020 – Balance and health



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The presentation of a plan without dates and defined parameters for national immunization against Covid-19 by the federal government was viewed with consternation by the São Paulo authorities.

Although the plan emphasizes in relation to Coronavac, a Chinese vaccine developed in association with the Butantan Institute, as a priority in a national calendar together with the immunizer AstraZeneca / Oxford University / Fiocruz, the opacity of the announcement predominated in the evaluations.

The São Paulo government expected more. On Tuesday (15), the day before the announcement, an emissary of Minister Eduardo Pazuello (Health) was with Dimas Covas, president-director of Butantan, and Antonio Imbassahy, representative of São Paulo in Brasilia.

In conversation with adviser Airton Cascavel, the ministry said it was committed to buying Coronavac and including it in the national plan. So far everything is going well, but the question of dates remains open.

It was not addressed at Pazuello’s press conference in Brasilia and there were no new contacts.

The impression in the Palácio dos Bandeirantes was that the federal government is making a mistake, since it has not prepared for reality, courtesy of the official denialism of the government of Jair Bolsonaro.

In interviews, members of the state government said they prefer Coronavac to be included in a national plan, which would make the state initiative announced in the second withdrawal (7) by Governor João Doria (PSDB) a part of it.

With Pazuello reducing the estimate for the approval of a definitive registration of any vaccine from 60 days to around 45, there is almost a convergence now in the presumed dates for the start of vaccination: January 25 for Doria, February for the minister.

Of course, Coronavac and others must first receive your application for registration with Anvisa. Like leaf showed on Monday (14), Doria changed tactics.

The scheduled delivery of the Coronavac effectiveness results and the registration request to Anvisa (National Health Surveillance Agency) and its Chinese counterpart were postponed from Tuesday to next Wednesday (23).

This was due to the fact that the number of infected among the volunteers in the so-called phase 3 trial exceeded the 151 needed to make a definitive report, thus skipping this intermediate stage.

Doria expects the final Chinese registration in three days, which will then open the legal period of the same time for Anvisa to analyze Coronavac. If you do not approve it without giving compelling technical reasons, you will have to register it based on an external evaluation, as determined by the February pandemic law.

In the technical area of ​​the state government, Anvisa is expected to resist, which will eventually lead to the inevitable prosecution of the case.

Supreme Ministers heard by leaf They believe that Luiz Fux, president of the court who will be on duty for the judicial recess, will be very sensitive to the arguments in favor of immediate vaccination.

Thus, the existence of the state plan ended up becoming an instrument of pressure that forced the Planalto to move.

Bolsonaro’s advisers already warned him last week about the political damage that his rejection of Coronavac, a vaccine that he sees as a rival to Doria’s electoral passport for 2022, could cause.

This led the president to enter the traditional modus operandi. He spoke ill of vaccination on Tuesday and, on Wednesday, he participated with a more measured tone in the launch of Pazuello’s plan without details.

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