Malawi burns nearly 20,000 doses of expired Covid-19 vaccine

WHO advice not to destroy expired doses came too late, health spokesman says

Malawi has burned nearly 20,000 doses of the AstraZeneca Covid-19 vaccine because they had expired.

The government incinerated 19,610 doses of the vaccine at Kamuzu Central Hospital in the capital Lilongwe on Wednesday morning.

The vaccines were the remainder of 102,000 doses that arrived in Malawi on March 26th with just 18 days until they expired on April 13th, according to health secretary Charles Mwansambo.

All other doses of the shipment, donated by the African Union, were successfully administered, he said.


Malawi's burning of the vaccines defies calls not to do so by the World Health Organisation and the Africa Centres for Disease Control and Prevention (CDC).

Last month, those organisations urged African countries not to destroy Covid-19 vaccines that had passed their expiration dates, saying they were still safe to use.

But the calls came too late for Malawi, a small southern African country of about 20 million people, ministry of health spokesman Joshua Malango told the Associated Press.

“We had stopped observation of proper storage mechanisms and the vaccines would have still been damaged in one way or the other,” he said.

The destruction of the vaccines was witnessed by several top officials from the auditor-general’s office, the treasury and the anti-corruption bureau “in order to enhance transparency”, Mr Mwansambo said.

Adequate stocks

Malawi will still have adequate stocks of Covid-19 vaccines in both public and private health facilities, he said.

The country got its first consignment of 360,000 AstraZeneca doses in early March from the United Nations-backed Covax initiative, which is providing vaccines to low and middle-income countries.

The country received another batch of 50,000 AstraZeneca doses from the Indian government.

With the African Union donation, Malawi had a total of 512,000 AstraZeneca doses.

So far, 212,615 doses have been given in Malawi, which has had 34,216 confirmed coronavirus cases, including 1,153 deaths, according to the Africa CDC.

The country is seeing a decrease in the disease, with the seven-day rolling average of daily new cases in Malawi dropping from 0.07 new cases per 100,000 people on May 4th to 0.04 new cases per 100,000 people on May 18th.

Official deaths from Covid-19 are also declining, according to statistics from Johns Hopkins University.

Malawi, like many other African countries, has relied on the AstraZeneca vaccine that has been distributed by Covax and the African Union.

But now supplies of the vaccine have become more scarce because India, the main supplier of vaccines to Covax, has stopped exports until it has adequately vaccinated large numbers of its population of 1.4 billion people.

The Serum Institute of India says it hopes to start delivering coronavirus vaccines to Covax and to other countries by the end of the year.

The delay will significantly set back global efforts to immunise people against Covid-19.

India’s Serum Institute is the world’s biggest vaccine-maker. The company said in March that it was postponing all exports of coronavirus vaccines to deal with the explosive surge of cases on the subcontinent.

At the time, the World Health Organisation said it expected Covid-19 vaccine deliveries from India to resume by June and the interruption would affect about 90 million doses. – Associated Press