Advertisement
Advertisement
A worker loads vials to be used in the production line for a Covid-19 vaccine at Chinese company Sinovac in Beijing. Photo: AP
Opinion
Zachary Abuza
Zachary Abuza

As China doles out coronavirus vaccine in Southeast Asia, US withers in a leadership vacuum

  • Beijing’s success in stopping the spread of Covid-19 is a source of soft power that will be magnified by providing vaccines in the region
  • Washington, meanwhile, has earned no capital in its approach to vaccine diplomacy – indeed, its parsimoniousness may be causing harm
The Covid-19 pandemic is the first major crisis since World War II that the United States has not been a leader in resolving. That role has largely fallen to China, which continues to reap diplomatic accolades for its efforts. Nowhere is this truer than in Southeast Asia, where the US and China compete most directly.
While China and Russia are offering vaccines at cost or in co-development deals, the US is all but absent. The attitude of the administration of US President Donald Trump has been that countries are welcome to enter into purchase agreements with American pharmaceutical companies, but they should expect little in the way of US government support.

China was responsible for the initial spread of the virus, turning it into a global pandemic. Rejecting the unfounded conspiracy theories that it was an intentional release by a covert Chinese bio-weapons programme, Beijing covered up the outbreak because that is what authoritarian regimes instinctively do.

The world owes a debt of gratitude to the Shanghai lab that released without approval the genetic sequence of Covid-19, as well as whistle-blowers such as Dr Li Wenliang or journalist Zhang Zhan.
But China recovered quickly from the initial outbreak. Using its supply-chain dominance, Beijing provided desperately needed personal protective equipment and other gear when global procurements had slowed. Though some equipment was faulty or below international standards, China was still able to stave off international criticism or a formal investigation by the World Health Organization (WHO) as a condition of its help.
And when countries like Australia had the temerity to demand an investigation into the outbreak’s origins, and the Chinese government’s initial cover-up, it was rewarded with tariffs.

The Chinese government’s success in stopping the spread of the virus deserves credit. And clearly it’s a source of soft power for the regime that wants to juxtapose its handling of the pandemic with the Trump administration’s utter incompetence.

China is now moving into a new phase, providing Covid-19 vaccines. There are currently eight different Chinese vaccines under various stages of development. The three that the government is pushing for diplomatic purposes are from Sinovac, CanSino Biologics and SinoPharm.

Sinovac did phase-two and phase-three trials in the Philippines and Indonesia, the two hardest-hit countries in Southeast Asia. Indonesia has over 735,000 confirmed cases and the Philippines has over 472,000, though both countries have low levels of testing and the actual number of cases is far higher.

03:32

Chinese citizen journalist Zhang Zhan sentenced to four years in jail for Wuhan coronavirus reports

Chinese citizen journalist Zhang Zhan sentenced to four years in jail for Wuhan coronavirus reports

Sinovac quickly signed an agreement with the Indonesian government for priority access, and has already delivered 1.2 million doses, with 1.8 million more to be delivered in January. More important, China pledged the raw materials for local production of 45 million doses by the end of January.

In all, Sinovac will provide Indonesia with 125 million doses. CanSino Biologics, whose phase-three trials are still ongoing, is negotiating with Indonesia for 20 million to 50 million doses.

When Asian states plan to vaccinate their people for Covid-19

The Philippines is currently negotiating a purchase of 25 million doses from Sinovac. This week, it was revealed that a handful of cabinet members and members of President Rodrigo Duterte’s security team had been vaccinated with the SinoPharm vaccine, even though the Philippine Food and Drug Administration had not authorised its use.
The Malaysian government has already signed an agreement for priority access with China. They will get 23.9 million doses from two Chinese firms, Sinovac and CanSino. Singapore, likewise, entered into a purchase agreement with Sinovac, although it has not been approved yet.

01:50

China’s Sinovac Covid-19 vaccine proves more than 50 per cent effective in Brazil trials

China’s Sinovac Covid-19 vaccine proves more than 50 per cent effective in Brazil trials

A home-grown vaccine by Arcturus Therapeutics and Duke-National University of Singapore is under development.

And it’s not just the Chinese who are filling the American-created vacuum. Russia has also negotiated to sell vaccines to Malaysia and some 50 million to 150 million doses to Vietnam. It has offered access to Indonesia, the Philippines, and Laos, though no agreements have been finalised.

Russia anticipates delivering one billion doses of Sputnik-V by the end of 2021.

Pandemic wipes out years of progress on Asian poverty

Southeast Asian states have been negotiating to procure US vaccines, but through pharmaceutical firms themselves and not the government. Singapore received its first doses of Pfizer’s vaccine and entered into a purchase agreement with Moderna, the only Southeast Asian country so far to do so.

Indonesia has negotiated the purchase of 100 million doses from Pfizer; Malaysia 12.8 million doses in the first quarter of 2021, and 11.8 million doses through the end of 2021. Pfizer has applied for emergency use authorisation in the Philippines, which is said to be currently negotiating 20 million to 50 million doses.

Because the US effort is a private sector initiative, without any significant subsidies or help, Washington is earning no diplomatic capital. Indeed, its parsimoniousness may be causing harm.

President-elect Joe Biden received his first dose of the coronavirus vaccine on December 21. Photo: AP
For example, Philippine President Rodrigo Duterte demanded that the US provide a minimum of 20 million vaccines or else he would cancel the Visiting Forces Agreement. “No vaccine, no stay here,” he mockingly said last weekend.

Compounding America’s dereliction is the fact that the Trump administration withdrew from the WHO, whose Covax programme will provide vaccines to the poorest countries or those who simply are unable to negotiate sufficient imports. The US had provided US$400 million in annual funding, 15 per cent of the WHO’s budget. China has increased its donations to the WHO.

Brunei, Cambodia, Malaysia and Myanmar are all in negotiations with the Covax programme.

The reality is that even in developing countries that handled the pandemic exceptionally well, such as Vietnam or Thailand, they will not vaccinate their entire populations by the first quarter of 2023, a full year after the developed world.

If the United States is truly going to compete against China, it can’t just be a scold, whining about the threats of the Chinese Communist Party strategy to a sceptical Southeast Asia

The Trump administration’s position is not only an abdication of global leadership but potentially self-defeating: the longer a sizeable portion of the world’s population is unvaccinated, the greater the opportunity for the virus to mutate and potentially become immune to the vaccines in use.

The incoming administration of President-elect Joe Biden has a host of challenges, including getting the pandemic under control and resuscitating the US economy. It must restore America’s diplomatic credibility and leadership. It is imperative that it takes a lead in making sure coronavirus vaccines are distributed widely.
Washington has another opening: China has not released its phase-three trial data for any of its vaccines, raising scepticism over their efficacy and safety in the region. Even Cambodia, long Beijing’s most reliable vassal state in the region, is said to be resisting Chinese vaccines.
Philippine President Rodrigo Duterte has threatened to cancel the Visiting Forces Agreement if Washington does not provide 20 million doses of coronavirus vaccine. Photo: EPA-EFE
The US simply cannot increase the number of freedom-of-navigation exercises in the South China Sea and try to compel states in Southeast Asia to join its side in a new Cold War that no country in the region wants. If the US is truly going to compete against China, it can’t just be a scold, whining about the threats of the Chinese Communist Party strategy to a sceptical Southeast Asia.

It has to put its values front and centre, and provide the collective goods and solutions to countries’ problems.

When Asian states plan to vaccinate their people for Covid-19

China will provide vaccines in Southeast Asia, but that could come with plenty of strings attached: concessions on territorial rights, obeisance to Beijing’s diplomatic positions and interpretations of international law.

Turkish media are reporting that China held up the delay of vaccines until an extradition treaty was completed, paving the way for Beijing to try to get some 50,0000 Uygurs returned.

All this is not lost on most elites of Southeast Asia. But without the United States performing its traditional role, there is little that the states can do about it but put up their hands to get China’s injection.

Zachary Abuza is a professor at the National War College in Washington, where he specialises in Southeast Asian politics and security. The views expressed here are his own and do not reflect the opinions of the National War College or US Department of Defence.

23