AAA Chasing the light at the end of the tunnel

Chasing the light at the end of the tunnel

When lockdowns were implemented around the world six months ago, there was a cautious optimism that the short-term inconvenience was necessary but would allow us all to emerge on the other side in a significantly better place to beat the pandemic.

Some countries have done a good job, though almost all have found it challenging to continue keeping the virus at bay: New Zealand, for example, had effectively eradicated the virus on its shores (though some travellers have brought it with them) but the city of Auckland was forced back into lockdown when a local outbreak occurred in August.

Others are, to put it mildly, stumbling along. England (specifically England, not the UK) managed to fumble its way through the crisis but took no measures to protect its elderly population in care homes and the prime minister’s own adviser broke the law to travel across the country during lockdown – somehow staying in his job despite a huge public outcry.

England has also had to implement local lockdowns but in another example of early success being no guarantee for continued safety, the town of Caerphilly in Wales – which had done comparatively better at preventing community spread than its neighbour – was also put into lockdown in early September.

The UK parliament’s financial watchdog has even concluded that there was an “astonishing” failure by the government to plan for the economic impact to the possibility of a flu-like pandemic. You could argue nobody expected one, but it has only been 10 years since the swine flu pandemic, when the same party was in power (albeit not the same government).

Some have handled it outright catastrophically. Cases are finally dropping in 30 US states – but this good news hides the fact that the country is adding some 36,000 new infections per day as of September 11. Overall, the US has approximately 6.4 million cases – more than 22% of the world’s confirmed infections – and is responsible for just over 21% of global deaths (191,802 out of 910,157 casualties), according to figures collated by Johns Hopkins University by September 11. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, has warned that things will get worse for America as it heads into autumn.

If we were all hoping in March to be cautiously emerging from lockdowns everywhere by now, as a species we have utterly failed. The reason is entirely political, motivated by a populist idea that shops and restaurants need to reopen to save “the economy” (the long-term effect, of course, will be an economy weakened beyond anything that enforced restrictions would have caused).

But while we will certainly need politicians to ensure vaccines are deployed fairly and made mandatory for anyone bar those with medical restrictions, politicians were never going to be the ones to ultimately save us. The people who will save us are the scientists.

The World Health Organisation is currently tracking the development of 180 potential vaccines, including 35 already in clinical trials – some being developed by spinouts such as Moderna (Harvard University), CureVac (Eberhard Karls University of Tübingen) and Biontech (Johannes Gutenberg University Mainz).

The fastest vaccine ever developed in human history so far was the one for mumps and that took four years, but there is reason to be optimistic about a quicker vaccine for covid-19. For one, the urgency of the situation has meant that government, institutional and private investors have been throwing billions of dollars at the research.

On July 20, University of Oxford and pharmaceutical firm AstraZeneca revealed the results of their phase 1/2 trial for a vaccine candidate with the catchy name of ChAdOx1 nCoV-19 in medical journal The Lancet. The research group’s Prof Andrew Pollard told the BBC the results were “extremely promising”, though the long-term viability of the vaccine remains to be determined. The study involved 1,077 participants, 90% of which were shown to develop antibodies and T-cells that can fight off the virus. The UK government immediately proceeded to pre-order 100 million doses of the final product.

The potential vaccine hit a bump in the road in early September when a volunteer fell ill and the trial was paused as standard practice to investigate whether the sickness was an adverse effect or unrelated. It has now been ruled unrelated and the trial has resumed.

But for now, we will continue to all be stuck in limbo: even if Oxford’s, or any of the other vaccines, pass all regulatory hurdles by the end of the year, it will be until mid-2021 for doses to become widely available. If politicians, and citizens, fail to take the situation seriously for that long, it could mean tens of thousands of additional deaths.

Yet if you look carefully, you can see light at the end of this seemingly never-ending tunnel, as faint as it might be. And while Oxford is conducting its research with a corporate partner, the fact that there are multiple spinouts working on a vaccine too means there is a decent chance that a spinout will save humanity – be honest, how many of you really had that in their sights when becoming a tech transfer professional?

By Thierry Heles

Thierry Heles is editor-at-large of Global University Venturing and Global Corporate Venturing, and host of the Beyond the Breakthrough podcast.

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