Outrage over faulty vaccines, again

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โ€”Lucas Niewenhuis (Jeremy will be back tomorrow)


Click HereYet another vaccine scandal punctures public trust in safety

Over the weekend, a scandal over reports that Changchun Changsheng, a vaccine producer in northeastern Chinaโ€™s Jilin Province, had produced and sold hundreds of thousands of substandard vaccines devolved into nationwide outrage. The initial reports of trouble brewing happened a few days earlier:

  • On July 15, Changchun Changsheng was first told to stop production of a rabies vaccine, according to a notice posted by the State Food and Drug Administration (in Chinese). The notice simply mentioned that โ€œfabricated records and other grave violationsโ€ (่ฎฐๅฝ•้€ ๅ‡็ญ‰ไธฅ้‡่ฟๅ jรฌlรน zร ojiวŽ dฤ›ng yรกnzhรฒng wรฉifวŽn) had been found. The report attracted some attention, but it was not a crisis yet.

  • Then on July 19, a nine-month investigation concluded that over 250,000 substandard DPT vaccines (diphtheria, pertussis, and tetanus; pertussis is more commonly known as whooping cough) had been produced and sold by the company to the Center for Disease Control and Prevention in eastern Chinaโ€™s Shandong Province, according to the Jilin Food and Drug Administration (in Chinese).

  • Panic spread on July 21, after a viral WeChat article excoriated Changchun Changsheng for its business practices, and reminded readers ominously, โ€œThese vaccines they produced are being injected into you and your kids every day.โ€ Sixth Tone says that the article โ€œpointed out that the same powerful individuals who run Changchun Changsheng are also responsible, through their ownership of other companies, for producing a large proportion of the most widely used vaccines in China, including those for hepatitis B, chicken pox, and influenza,โ€ and that it had been โ€œviewed over 100,000 times, the maximum number displayed by WeChatโ€ before it was censored.

  • You can read that WeChat article, titled โ€œVaccine kingโ€ (็–ซ่‹—ไน‹็Ž‹ yรฌmiรกo zhฤซ wรกng) and written by a blogger with the pen name Beast (ๅ…ฝ็ˆท shรฒuyรฉ), in a cached version (in Chinese). If youโ€™re big on blockchain, TechNode reports that some savvy Etherium users inserted the article text into the metadata of a transaction, where it cannot be censored by Chinese authorities.

Chinese officials rush to reassure

  • President Xi Jinping called the violations โ€œserious and appalling,โ€ the SCMP reports, and also urged severe punishment โ€œto cure the chronic disease [of corruption] and scratch poison from oneโ€™s bones.โ€

  • โ€œThis vaccine case has broken the moral bottom lineโ€ (ๆญคๆฌก็–ซ่‹—ไบ‹ไปถ็ช็ ดไบบ็š„้“ๅพทๅบ•็บฟ cวcรฌ yรฌmiรกo shรฌjiร n tลซpรฒ rรฉn de dร odรฉ dวxiร n), Premier Li Keqiang ๆŽๅ…‹ๅผบ said on July 22 (in Chinese).

  • Premier Li Keqiang has launched an investigation, but the New York Times notes (paywall) that his is a familiar and disappointing face for many on this issue:

โ€œOne image circulating online showed a screenshot of a news item touting a promise from Premier Li Keqiang on Sunday to โ€˜resolutely crack down on all illegal and criminal acts that endanger the safety of peopleโ€™s lives.โ€™โ€

โ€œNext to it was a similar statement that Mr. Li offered after another vaccine scandal in 2016, suggesting the government had done nothing to address the problem.โ€

  • โ€œBeijing does not have either of these two vaccines in question, the public can be at ease,โ€ an unidentified official at the Center for Disease Control and Prevention in Beijing said, while regulators in Guangdong and Sichuan Province also felt compelled to reassure that the problematic vaccines were restricted to Shandong Province, AFP reports.

  • Altogether, โ€œeight provinces or cities immediately announced they would be stopping or suspending the use of human rabies vaccine from Changsheng, while another four claimed they had never used it,โ€ CNN reported.

  • State media called for transparency, with an editorial in the China Daily urging that โ€œthe government needs to act as soon as possible to let the public know it is resolved to address the issue and will punish any wrongdoers without mercy.โ€ Meanwhile, the Global Times admitted in an op-ed that the governmentโ€™s reluctance to shed light on the facts allowed โ€œmany readersโ€ to side with โ€œpublic outrage over vaccine manufacturers and suspicion toward the nation’s supervision department.โ€

  • Lawmakers raised alarm in Hong Kong, which โ€œurgently requires a policy to ensure local children receive necessary vaccines before an influx of mainlanders drives up demand in the coming months,โ€ the South China Morning Post reports.

  • โ€œIn Hong Kong, all vaccines for children are imported from foreign brands. Private clinics usually see about 20 percent of their patients come from across the border to avoid jabs made on the mainland,โ€ a number that is โ€œexpected to soar in the coming one to two months,โ€ the SCMP adds.

A series of safety failures

Though no injuries or deaths have been reported from Changshengโ€™s vaccines in this case, this is far from the first time a wide-scale vaccine scandal has erupted in China, nor is it the first time that the central government has vowed to eliminate substandard vaccines in an attempt to restore the publicโ€™s trust in the countryโ€™s medicine supplies. The promise, however, seems to be unfulfilled given the latest scandal.

  • In 2010, the China Economic Times, a Beijing-based newspaper, reported that improperly stored vaccines administered by the Center for Disease Control and Prevention in Shanxi Province had killed four children and sickened more than 70 others who had been vaccinated between 2006 and 2008. Wang Keqing ็Ž‹ๅ…‹ๅ‹ค, the investigative reporter who exposed the scandal, was forced to leave the publication under pressure from higher-ups.

  • In 2013, โ€œeight infants died in…two months following injections that were meant to immunize them against hepatitis B,โ€ according to the New York Times (paywall).

  • In 2016, a pharmacist in Shandong Province was caught peddling 25 kinds of unrefrigerated vaccines to medical facilities across 23 provinces and cities since 2010. Premier Li Keqiang ordered (in Chinese) central agencies to conduct a thorough investigation into the incident and pledged to improve the regulatory system.

  • โ€œIn November 2017…at least another 400,000 doses of the same [DPT] vaccine, produced by a different, second company, the Wuhan Institute of Biological Products, were found to be substandard,โ€ CNN notes.

And in China, the memory of public health crises goes far beyond just vaccines:

  • โ€œIn 2008, six children died and 300,000 fell ill after drinking milk powder tainted with melamine, a case officials initially had covered up,โ€ the Guardian notes.

  • Some on social media compared milk powder with vaccines: Reuters quotes one commenter on Weibo, who said, โ€œYesterday it was milk powder, today vaccines. What will it be tomorrow?โ€

  • โ€œThis Chinese vaccine scandal is becoming as big of a [crisis] as the milk powder incident a decade ago,โ€ Bloomberg reporter Lulu Yilun Chen wrote on Twitter.

Blowback for Chinaโ€™s pharma industry

  • Changchun Changsheng was fined 3,442,887 yuan ($507,843) for its data forgery and substandard vaccine production, which the Wall Street Journal says (paywall) breaks down into a $380,610 penalty and $126,683 worth of assets seized from sales of the vaccine.

  • โ€œChangshengโ€™s shares fell by the 10 percent daily limit to 13.05 yuan on Monday after trading was halted in the morning. It was the sixth straight day that the stock had fallen by that magnitude, erasing 11.2 billion yuan (US$1.65 billion) in value from its market capitalization,โ€ the SCMP reports.

  • Other companies were hit: โ€œChongqing Zhifei Biological Products, which makes vaccines for pneumonia and rabies, led declines among pharmaceutical stocks on Monday, dropping by its 10 percent daily limit to 44.10 yuan. Hualan Biological Engineering, which makes serum albumin and other biological products, plunged by 9.9 percent to 31.32 yuan,โ€ the SCMP adds.

Rage on the Chinese internet

  • The word vaccine (็–ซ่‹— yรฌmiรกo) had over 320 million mentions on July 21, according to WeChat Index, an in-app feature that offers data on how many times a word has been used on the app within a certain period of time. In comparison, there were about 8 million mentions of trade war (่ดธๆ˜“ๆˆ˜ mร oyรฌzhร n) on the same day.

  • The relevant hashtag on social media platform Weibo had over 10 million views. The hashtag included the companyโ€™s name: #้•ฟๆ˜ฅ้•ฟ็”Ÿ็–ซ่‹—้€ ๅ‡# โ€œChangchun Changsheng fabricating vaccines.โ€

  • โ€œItโ€™s terrifying to raise a child in China. I am afraid that one day my daughter will ask me: โ€˜Dad, why am I fed with baby formula like this? Why do I receive vaccines like this? Why do I breathe air like this? Why do I drink water like this? Why do I receive education like this,โ€ one Weibo user commented (in Chinese).

  • Another viral article on WeChat (link here in Chinese) is instructing people to make complaints against the State Drug Administration (SDA) amid the two-month-long government-backed campaign named โ€œI give suggestions for the general inspection surveyโ€ (ๆˆ‘ไธบๅคง็ฃๆŸฅๆๅปบ่ฎฎ wว’ wรฉi dร  dลซ chรก tรญ jiร nyรฌ). โ€œLetโ€™s report the SDAโ€™s unsatisfying service to the State Council instead of just expressing anger and depression on your WeChat Moments,โ€ the author wrote.

  • What is the general inspection survey? Glad you asked โ€” hereโ€™s an article on The China Project about it.

  • A local procuratorate in Henan Province apologized on July 23 for making โ€œinappropriate remarksโ€ on the news using its official Weibo account. In a since-deleted post, the account shared an old Weibo post from SDA entitled โ€œItโ€™s unnecessary to trust imported vaccines blindly because China has already established a regulatory system covering all kinds of vaccines,โ€ commenting, โ€œGo f**k yourself.โ€

โ€”Lucas Niewenhuis and Jiayun Feng

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