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		Wanted: More high-tech manufacturing space for a global vaccine push
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		 [February 25, 2021] 
		By Allison Martell, Carl O'Donnell and Julie Steenhuysen 
 (Reuters) - The number of available 
		COVID-19 vaccine doses is steadily rising, but a shortage of physical 
		space that meets standards for pharmaceutical manufacturing is a major 
		bottleneck to further expansion, according to drugmakers, industry 
		construction experts and officials involved in the U.S. vaccine program.
 
 The production of raw materials, vaccine formulation and vial filling 
		all require "clean rooms" with features like air cleaners, sterile water 
		and sterilizing steam designed and in some cases built by specialists.
 
 Moderna Inc on Wednesday announced plans to expand vaccine manufacturing 
		capacity, but said it will be a year before that can add to its 
		production.
 
 With vaccines needed for billions of people to end a pandemic that has 
		claimed more than 2.5 million lives globally, drugmakers have even had 
		to turn to rivals for help to churn out doses. Space at third-party 
		contract manufacturers in the United States is largely allocated, 
		according to one major contract manufacturer and other smaller 
		companies.
 
		 
		
 A recent U.S. Government Accountability Office report flagged a shortage 
		of manufacturing capacity as a challenge in scaling up vaccine 
		production.
 
 And the emergence of new coronavirus variants is likely to increase the 
		strain on production capacity.
 
 Public health experts say global vaccination as soon as possible is 
		critical to curbing the rise of highly contagious additional variants. 
		Many are counting on authorization of Johnson & Johnson's vaccine this 
		week.
 
 Longer term, tackling COVID-19 may require annual shots to protect 
		against new virus mutations, similar to the flu. Vaccine companies are 
		already designing potential booster shots addressing variants first 
		identified in South Africa and Brazil.
 
 "What's happening now indicates the importance of markedly strengthening 
		the capacity of manufacturing capabilities in the United States," said 
		Larry Corey, a virologist at the Fred Hutchinson Cancer Research Center 
		who helped design U.S.-backed vaccine trials. "We should be investing, 
		large scale, in our abilities to manufacture."
 
 Pfizer and Moderna can increase output some by speeding fill and finish, 
		said Moncef Slaoui, former chief scientific adviser for the government's 
		Operation Warp Speed vaccine program. Making much more vaccine itself is 
		more challenging.
 
 "To change that substantially in terms of drug substance would take 
		ramping up global manufacturing infrastructure. That takes months," he 
		said. "You would have to build, train, validate, and get regulators to 
		visit and approve a site."
 
 Leading vaccine developers Pfizer and partner BioNTech, Moderna, 
		AstraZeneca, J&J, Novavax, Russia’s Gamaleya Research Institute, and 
		CureVac are aiming to make enough vaccine with manufacturing partners to 
		inoculate some 5.2 billion people in 2021, according to a Reuters tally 
		of public statements and media reports.
 
 China's Sinovac and Sinopharm will likely deliver significant supplies 
		as well, though their 2021 targets are unclear. Several drugmakers have 
		struggled to meet early production targets.
 
 BUILDING FASTER
 
 Building new facilities and even expanding existing manufacturing sites 
		has typically taken years. During the pandemic, some projects have been 
		completed in as little as 6-to-10 months, according to some specialized 
		construction companies involved with Warp Speed.
 
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			The word "COVID-19" is reflected in a drop on a syringe needle in 
			this illustration taken November 9, 2020. REUTERS/Dado Ruvic/Illustration 
            
			 
            Emergent BioSolutions , which is making J&J and AstraZeneca vaccines 
			for the United States, cannot add any more equipment to facilities 
			dedicated to those vaccines. 
            The company is not alone. "The contract manufacturing network, like 
			our facility, is pretty full," said Emergent Executive Vice 
			President Sean Kirk.
 Adding new clean rooms that meet good manufacturing practices 
			standards is complex and time consuming, said Phil DeSantis, a 
			consultant and pharmaceutical engineer.
 
 "Building the clean room is probably what we call the critical 
			path," he said. "That's the part that takes the longest."
 
 Vaccine makers have sidestepped this in part by retrofitting 
			existing facilities. BioNTech bought a facility in Marburg, Germany, 
			from Novartis in September, and began producing messenger RNA - the 
			active ingredient in its vaccine - in early February.
 
 When Emergent joined Warp Speed last year, it stopped everything 
			else it was working on at its Baltimore facility to make room for 
			the COVID-19 vaccines.
 
 The U.S. government can use the Defense Production Act to force that 
			kind of reshuffling. Supply orders with a federal "rating" under the 
			law must be filled first. But there are limits to what it can do 
			without threatening supplies of other injectable medicines.
 
 Pfizer last week said it had engaged two U.S. contract manufacturers 
			and would add capacity to formulate vaccines and make raw materials 
			at its own sites, but did not specify whether new clean rooms would 
			be installed.
 
 In adding clean room space to existing sites, drugmakers and their 
			suppliers have leaned heavily on pre-fabricated wall panels and pods 
			that speed the process, according to specialist companies that build 
			those spaces.
 
 G-CON Manufacturing provided pods to some Warp Speed projects. One 
			contract manufacturer dedicated space to COVID-19 vaccines, and then 
			used G-CON pods to add clean room space for a different project for 
			an existing customer, said Chief Executive Maik Jornitz.
 
 "It was sort of the only way," Peter Walters, director of advanced 
			therapies at CRB, which designs and manages construction of the 
			facilities, said of the pre-fabricated systems.
 
 
            
			 
			CRB has worked on more than 20 coronavirus vaccine-related projects. 
			The program has "certainly redefined, to a lot of the industry, what 
			could be possible," Walters said.
 
 Adding more capacity would help the United States tackle COVID-19 
			variants and future pandemics, said Prashant Yadav, a senior fellow 
			at the U.S.-based Center for Global Development.
 
 "We can use it for our own needs," he said. "We can use it to serve 
			the world."
 
 (Additional reporting by Mike Erman in New Jersey, Roxanne Liu in 
			Beijing and Polina Ivanova in Moscow; Editing by Caroline Humer, 
			Michele Gershberg and Bill Berkrot)
 
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