Europe’s stumbling vaccine rollout provides a lesson in EU politics

ula von der Leyen said it herself: “The start was tough.”

The European Union has had a bumpy Covid-19 vaccine rollout. The campaign has prompted complaints that regulators were too slow to approve the shots and led to a simmering tussle with AstraZeneca as the pharmaceutical giant repeatedly slashed its delivery commitments.

More recently, several countries briefly halted their use of the Oxford-AstraZeneca vaccine amid safety concerns, a move that baffled health experts and raised questions about future uptake.

The World Health Organization expressed concern earlier this week that the region’s ongoing coronavirus crisis now appears “more worrying” than it has for several months. The warning comes as many countries introduce new measures in an attempt to curb a third wave of infections.

The health agency also described Europe’s vaccination campaign as “unacceptably slow” and said it was crucial to speed up the rollout because new infections are currently increasing in every age group apart from those aged 80 years or older.

It’s a messy picture, further complicated by the unique nature of European politics.

“There have been various problems with the system, and it is a complex system, so I think it’s key not to point the finger to one pointed failure but recognize that it’s very complex,” Linda Bauld, professor of public health at the University of Edinburgh.

The European Commission, the executive arm of the EU, has been in charge of negotiating contracts with the pharmaceutical firms on behalf of the 27 member states. The institution is also responsible for overseeing the exports of the shots produced in the bloc.

However, health policy matters are a competence of the member states, which means the 27 capitals organize the inoculations in their own countries and can ultimately decide to buy Covid shots outside the deals struck by the commission, for example.

This juxtaposition between national and EU institutions has often hindered the reputation of the bloc in the wider vaccination efforts.

“There is issues to do with both (national and EU institutions). There clearly are politics in it and we have all heard about that in the media, but there are also issues to do with the decision-making structures, the commissions’ views and the priorities of member states,” Bauld told CNBC.

AstraZeneca shot suspension
This was highlighted recently when 13 EU countries decided to halt the use of the Oxford-AstraZeneca shot while possible side effects were investigated.

At the time, the European Medicines Agency – the drugs regulator for the entire 27-member region — recommended that countries continue to use the vaccine even while it was reviewing data of blood clots in some vaccinated people. But some member states preferred to be cautious and used their sovereign power to stop the use of this vaccine while the EMA completed its review. The drug regulator’s safety committee concluded in a preliminary review that the benefits of the vaccine continue to outweigh the risk of side effects.

It has also been the case that heads of state have used the institutions in Brussels to complain about the hiccups in the process. Earlier in March, Austrian Chancellor Sebastian Kurz said there was “secrecy” in the decision to distribute the vaccines at the commission’s steering board.

The group, which is chaired by the commission, has representatives from all the member states, including Austria.

“Why do they come up with this now knowing that Austria is a member of the steering board, like the 26 other member states, and has been informed of the previous allocations like the others?” an EU official from another member state, who did not want to be named due to the sensitivity of the issue, asked during a CNBC interview in March.

The distribution of the vaccines is carried out on a pro-rata basis, depending on the size of the countries’ population. But some EU nations were particularly keen to have more of the AstraZeneca shot, since it is cheaper and easier to store than the Pfizer-BioNTech vaccine.

“If a member state decides not to take up its pro rata allocation, the doses are redistributed among the other interested member states,” the commission said in a statement in March.

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