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Analysis

COVID-19: NHS now facing biggest vaccination campaign in UK history

AstraZeneca is confident about getting the green light from regulatory authorities and then distribution can begin.

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There will be huge relief that the Oxford vaccine prevents nine聽out of 10 COVID cases - and may even reduce transmission of the virus.

With 100 million doses pre-ordered by the government there was always a lot riding on its success.

An illustration picture shows vials with Covid-19 Vaccine stickers attached and syringes, with the logo of the University of Oxford and its partner British pharmaceutical company AstraZeneca, on November 17, 2020. (Photo by JUSTIN TALLIS / AFP) (Photo by JUSTIN TALLIS/AFP via Getty Images)
Image: There has been a positive reaction to the news

The reduction in asymptomatic infections is significant. If the vaccine stops the virus, as well as the disease, it means it has a better chance of ending the pandemic in the UK.

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It's the first time that has been shown for any of the vaccines reporting late-stage clinical data.

At first reading the 90% figure on effectiveness may seem disappointing - it's slightly less than the 95% efficacy of the Pfizer/BioNTech and Moderna vaccines.

But this is interim data, not the full analysis, and it matches the reported reduction in disease of the Pfizer jab at the equivalent stage.

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For reasons that AstraZeneca and Oxford have yet to explain, the vaccine was more effective when the first dose was given at half strength, followed a few weeks later by a booster.

If two full strength doses were given the vaccine was only 62% effective. That is perplexing.

The company is confident about getting the green light from regulatory authorities. It has now started mass production in 10 countries with plans for a full-scale global rollout.

The challenge now shifts to the NHS, which faces the prospect of the biggest vaccination campaign in UK history.