Coronavirus (COVID-19) was first seen in late December in Hubei province of Wuhan city in China. The highly contagious disease, caused by a virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is transmitted from humans to humans. After the first case in Wuhan, the disease rapidly spread to other parts of the globe. On 11th March 2020, the World Health Organization (WHO) made an assessment that COVID-19 can be characterized as a pandemic. Thus, social-distancing became an important measure to stop the spread of this disease. Various countries across the world adopted nationwide lockdowns. This led to a completely new scenario for the world, where every business in each industry faced new challenges and witnessed new opportunities. Similarly, the vaccines industry, a vital part of the healthcare sector, was also hit in a deleterious manner. Before COVID-19, growth of the vaccines industry was expected to show a gradual increase, owing to various factors such as high investments in R&D and rise in awareness related to immunization. However, COVID-19 spread led to a sudden change in scenario, with unexpected changes in the vaccines industry. Major part of the vaccines industry was hit in a negative manner, whereas some areas grew, owing to rise in demand for vaccine against COVID-19.
The spread of the virus led to a major disruption in the starting phase
of the lockdown where business related restrictions were strict, which, in
turn, caused disturbances in supply chain as logistics were compromised in every
part of the world initially. Other changes included incorporation of safety
measures such as social distancing at work places and shortage of human
resources.
Impact of COVID-19 on several industries in context with the vaccines
industry
Vaccine are suspension of weakened or killed microorganisms or toxins or
antibodies, which are administered to a healthy individual to prevent disease. These
products are very vital in healthcare as these biological preparations are used
to build immunity against deadly contagious diseases, which pose threat to
human civilization. Children need immunity against different types of viral
diseases in initial years where vaccines play a major role. A vaccine is
administered by a qualified healthcare staff, which has sufficient knowledge
about dosage and other aspects associated with the administration.
The COVID-19 outbreak impacted the vaccines segment in a negative manner
in the initial month of the outbreak. Vaccination efforts that help to control
infectious diseases were put on hold to concentrate on medical care for
COVID-19. Medical staff was more inclined toward providing healthcare to
COVID-19 patients to understand the new virus and stop its spread among healthcare
individuals. This led to a scenario where needs related to vaccination were put
on hold, owing to stringent social distancing measures. This majorly impacted
availability of vaccines throughout the world during the outbreak. For instance,
according to the National Foundation for Infectious Diseases, routine
vaccination rates declined in the U.S. with demand plummeting as much as 95%
for certain vaccines.
Similarly, according to a study conducted by the Centers for Disease
Control and Prevention (CDC), fewer than half of infants aged 5 months and
younger were up-to-date on recommended vaccinations in Michigan. In addition,
according to a data from statewide immunization registry Florida SHOTS (State
Health Online Tracking System), Miami-Dade County recorded an approximate 60%
decline in children vaccines administered in April 2020, when compared to 2019.
WHO also quoted that it is the first time in 28 years that the world could see
a reduction in diphtheria-tetanus-pertussis (DTP3) coverage. A similar trend of
decline in vaccination rates was seen in other parts of the world in the
initial phase of the outbreak. Thus, this decline in demand for immunity
providing vaccines negatively impacted the vaccines industry.
As the airline industry collapsed during COVID-19 which had a profound
impact on shipments of vaccines leading to a negative impact on the supply of
vaccines. Profound decline in flights and closed airports at destination
countries, owing to lockdown obstructed UNICEF’s capability to ship vaccines as
per country and supplier shipment plans. Although availability of commercial
flights is improving with time, these improvements are limited. Some
destinations are still difficult to access with limited flight and charter
options. This disruption in supply chain has led to dire conditions in
countries in various regions such as West and Central Africa, East and South
Africa, and East Asia and South Asia. Stocks form major vaccines have reached critical
levels in these regions, which include vaccines such as measles, Bacillus
Calmette-Guérin (BCG), pentavalent (diphtheria, tetanus, pertussis (whooping
cough), hepatitis B, and haemophiles influenza type b, human papillomavirus
(HPV); hepatitis B, oral polio vaccine (OPV), rotavirus, and pneumococcal
conjugate vaccine (PCV).
Moreover, with time stringent social distancing guidelines have eased
and governments of several countries all over the globe have started taking
measures to restore vaccination programs. In addition, importance of
vaccination has led to restoration of vaccination programs in many parts of the
world. World health organization has called on countries to make sure that
immunization is maintained wherever possible. It is also ensuring that observation
for vaccine preventable diseases remains undisrupted during the ongoing
pandemic.
However, in the midst of a staggering impact on demand and supply of
vaccines, COVID-19 outbreak also presented a huge opportunity to the vaccines industry.
Measures to control the spread included vaccination against the virus, which
can induce immunity in healthy individuals against COVID-19. This led to
emergence of an urgent demand for vaccine against COVID-19. This demand is recognized
by major key players across the globe and governments of nations worldwide.
Table 01.
Global VACCINE market, 2019–2027 ($BILLION)
|
|
2019 |
2020 |
2021 |
2022 |
2023 |
2024 |
2025 |
2026 |
2027 |
|
Global Market |
32.5 |
34.5 |
36.7 |
39.1 |
41.74 |
44.6 |
47.5 |
50.7 |
54.1 |
Source: Primary & Secondary Research and AMR Analysis
Expectations from the vaccination industry
The vaccine industry is taking tremendous efforts to develop the first
effective COVID-19 vaccine. Anticipation around the novel vaccine has become
stronger as the virus is spreading at a rich pace. The sooner a vaccine is
developed the more lives could be saved. Thus, the vaccine industry has a very
dynamic role in the battle against COVID-19 infection.
Major players across the globe have started with research related to the
vaccine and some products have reached late stages of clinical trials. In
addition, governments, multilateral agencies, not-for-profit institutions, and
the private sector are funding for research and development of COVID-19
vaccine. For instance, COVID-19 Therapeutics Accelerator (CTA) is a
philanthropic collaboration. This collaboration supports efforts taken for
R&D to bring effective treatments against COVID-19 in market quickly and
accessibly. Many vaccine giants have joined this program.
Companies such as Johnson & Johnson (Janssen Pharmaceutical
Companies), Cadila Healthcare Limited, GlaxoSmithKline plc, Merck Sharp &
Dohme, and Sinovac Biotech Ltd. are conducting research related to COVID-19
vaccines. Some vaccine products of these companies are present in the stage III
clinical trials and some are in early stages of clinical trials. For instance, Johnson
& Johnson’s candidate vaccine is currently being studied in phase III
clinical trials. Other companies with their candidate vaccines in the stage III
clinical trials include Sinovac Biotech Ltd. and Novavax, Inc.
There are approximately 48 candidate vaccines, which are currently being
tested against COVID-19 in clinical trials on humans. Thus, strong pipeline
vaccines are anticipated to hit the market in 2021 to change the COVID-19
scenario worldwide.
Post COVID-19 Scenario
As nations are emerging out of strict lockdowns, economy is expected to still
need time to stabilize gradually. Players operating in the vaccine industry are
anticipated to face new challenges related to different aspects. Decision
making management of vaccine companies is anticipated to face challenges such
as improvement of liquidity, management of working capital, better management
of expenditures, and redefined contracts with suppliers.
Another scenario is anticipated to arise as governments of nations
across the globe are becoming more particular about resuming immunization
programs. Thus, this is expected to bring stability to the vaccine industry.
Flights and land logistics are also anticipated to normalize, which may lead to
steady rise in supply of vaccines post COVID-19.
Furthermore, the vaccine industry is expected to face a scenario related
to constant demand for COVID-19 vaccine, once it is launched in the market.
Certain factors are expected to become very important once the vaccines against
COVID-19 are launched. For instance, vaccine manufacturers would have to adapt to
a range of demand scenarios such as flexible manufacturing, collaboration with
others to drive vaccine delivery, track the adoption, and monitoring of
vaccines across various regions.
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Recent news in the vaccine industry during the pandemic
Vaccine manufacturers around the world are actively participating and
taking efforts toward the development of a vaccine effective against COVID-19.
On April 14, 2020, Sanofi S.A. and GlaxoSmithKline plc., entered into a
collaboration to develop an adjuvanted vaccine for COVID-19, using innovative
technologies from both companies to help address the ongoing pandemic. Sanofi is
expected to contribute its S-protein COVID-19 antigen, which is based on
recombinant DNA technology and GSK would contribute its proven pandemic
adjuvant technology.
On September 15, 2020, Novavax, Inc., announced an amendment to its
existing agreement with Serum Institute of India Private Limited (SIIPL) under
which SIIPL would manufacture the antigen component of NVX‑CoV2373,
Novavax’ COVID‑19 vaccine candidate.
On September 23, 2020, Sinovac Biotech Ltd., received National Medical
Products Administration (NMPA) approval to study CoronaVac, inactivated
COVID-19 vaccine candidate developed by company in clinical trial in
adolescents and children.
On October 23, 2020, Johnson & Johnson, announced that it is
preparing to resume recruitment in the pivotal Phase 3 ENSEMBLE trial of its
investigational Janssen COVID-19 vaccine in the U.S. after a temporary pause.

