海角大神

When Sputnik V became the world鈥檚 first COVID-19 vaccine to be officially registered last August, many commentators derided it as 鈥溾�� and stressed the non-transparent, state-led, and propaganda-driven manner of its introduction.

In what looked like politically driven haste, the vaccine was declared ready for use before tests had been completed, or adequate information made available to the global scientific community.

鈥淭here was no scientific data at the beginning, no transparency. Then suddenly they began public vaccination,鈥� says Irina Yakutenko, a Berlin-based molecular biologist and science journalist. 鈥淭hey broke all the rules.鈥�

But today, the nearly three-month-old rollout of Sputnik appears to be going smoothly.

鈥淲e know that many people are doubtful,鈥� says聽Dr. Anna Matveeva, head doctor of Clinic 62 in Moscow, where shots are being given out for free to those who request them. 鈥淥ur doctors get a lot of questions. Some people are waiting for other vaccines, or for the results of more testing. But we have already vaccinated 600,000 people in Moscow, and we are quite sure of the efficacy of this vaccine.鈥�

The controversies swirling around Russia鈥檚 vaccine rollout offer a textbook example of how the world often judges Russia聽negatively, informed by complaints over longstanding Kremlin propaganda and advantage-seeking 鈥� and how the Kremlin鈥檚 behavior frequently makes things worse. What is often overlooked is another key feature of Russia: its status as a developed country, with a highly educated population and a centuries-old scientific establishment that has many great achievements to its credit, from the invention of the periodic table and radio to putting the first man into space.

Masha Lipman, editor of Counterpoint, a journal of Russian affairs published by George Washington University, was among the first Russians to go and get the Sputnik vaccine as soon as it was made available to the general public. Ms. Lipman is a liberal critic of Vladimir Putin, but says her decision had nothing to do with him.

鈥淚 didn鈥檛 act out of faith in Putin, but I have many good professional friends who know what they鈥檙e talking about, and they told me that this vaccine was effective,鈥� she says. 鈥淎nd it is a beneficial thing for the Russian people. It鈥檚 a source of pride that we don鈥檛 have to depend on other countries. Scientific professionals have excellent reasons to feel pleased with the accomplishment. And, yes, sure, it鈥檚 a cause for the Kremlin to feel proud. But it鈥檚 a good reason, because something was accomplished that benefits the Russian people and humanity at large. So, it鈥檚 win-win for everybody.鈥�

Real science and a dubious public

It may seem aggressive that the Kremlin chose to deliberately invoke the 20th century 鈥渟pace race鈥� by naming the vaccine after Sputnik, the Soviet breakthrough that put the first human-made satellite in space. But the Kremlin had little to do with the actual science behind the vaccine鈥檚 development, which was carried out by Russia鈥檚 storied, and largely independent, science establishment.

鈥淚t鈥檚 too bad that there was a propaganda price attached to Sputnik, because this vaccine appears to be quite good and very competitive,鈥� says Vasily Vlasov, a professor of health policy at Moscow鈥檚 Higher School of Economics. A published in the medical journal The Lancet, found that Sputnik V is safe and showed 92% efficacy in trials. 鈥淪ome propaganda 鈥� for example, various big claims that come out of North Korea 鈥� may have no substance or value. But this Sputnik vaccine is a very real thing.鈥�

Russia鈥檚 Direct Investment Fund, which holds the rights for Sputnik, has also engaged in vigorous 鈥渧accine diplomacy鈥� by handing out licensing deals to produce the vaccine to several other countries. That seems in part due to Russia鈥檚 own lack of reliable production capacity, which has reportedly led to shortages of vaccine doses for Russians outside the main centers of Moscow and St. Petersburg.

But it鈥檚 also a response to the growing global demand for Sputnik, which has now been authorized for use . India鈥檚 ambassador to Russia, Venkatesh Varma, says at least one Indian company, Dr. Reddy, has already signed an agreement to produce 100 million doses of Sputnik in India, and other deals are in the pipeline. This production will go to meet Indian demand, and also to help fulfill Russia鈥檚 export orders once regulatory approvals are obtained, he says.

鈥淭his will be a game-changer for Sputnik V,鈥� since India has about 60% of global capacity for vaccine production, Mr. Varma says.

While Russia is keen to export Sputnik, its domestic market is cool to the government鈥檚 offer of the vaccine. So far less than 4% of Russia鈥檚 own population has chosen to be vaccinated, with many of them harboring a deep skepticism about Sputnik鈥檚 safety and proven effectiveness.

A significant number have also embraced conspiracy theories around COVID-19鈥檚 origins. One finding, which probably reflects the depth of such thinking among Russians, was that 62% said they think the coronavirus was 鈥渁rtificially created,鈥� perhaps as a biological weapon, while just 23% thought it occurred naturally.

鈥淭his problem of vaccine hesitancy is greater in Russia than other places, because people lack trust,鈥� says Mr. Vlasov, the public health expert. 鈥淧eople today are more individualistic, more skeptical, more insistent on their own preferences than they used to be. ... It鈥檚 quite possible that in places like Russia a lot of people may never get vaccinated.鈥�