COVID-19 vaccination in South Africa

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COVID-19 vaccination in South Africa
Covid-19 vaccination in South Africa (Total Dose).svg
Total doses administered as of 20 July 2021
Native name Sisonke Protocol (Phase III J&J)
Date17 February 2021 - present
Time(SAST (GMT +2))
Venue1397 vaccination clinics[1]
3,338 (Planned) [2]
LocationSouth Africa
CauseCOVID-19 pandemic
BudgetR10 billion (Distribution 2021)
R2.2 billion (Q1 2021 purchasing vaccines)
R1.25 billion (Q2 2021 purchasing vaccines)
TBA (Q3 2021 purchasing vaccines)
USD $1,000,000,000[3][4][5]
Organised byDepartment of Health (South Africa) & Government of South Africa
Participants11,924,972 total doses administered of
Janssen
Pfizer–BioNTech
(27 August 2021)
  • 3,424,542 people with only 1 dose of multiple dose vaccine
  • 5,601,878 people fully vaccinated
Outcome
  • 15% of the South African population with at least 1 dose
    23%
  • 9% of the South African population that is fully vaccinated.
    15%
WebsiteVaccine Enrollment Platform

COVID-19 vaccination in South Africa is an ongoing immunisation campaign against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), in response to the ongoing pandemic in the country.

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Fully vaccinated people as of 20 July 2021

On 17 February 2021, South Africa started its national vaccination program against Covid-19. The program will go through in phases, prioritizing healthcare and frontline workers and then those over the age of 60. According to health officials, South Africa has administered 5,831,389 vaccine doses across the country as of 21 July 2021.[6][7] South Africa has accepted delivery of 3 different vaccines, Johnson and Johnson, Pfizer-BioNTech and Oxford-AstraZeneca, administering both Janssen (Johnson & Johnson) and Pfizer-BioNTech, with the Oxford-AstraZeneca vaccine suspended, due to its ineffectiveness against the Beta variant (501.V2).[8]

Total number of people receiving vaccinations in South Africa as of 27 Aug 2021

  Unvaccinated population: 50,973,612 people (with estimated total population of 60 million) (84.95%)
  Population who are partially vaccinated (only one dose of multi-dose vaccine): 3,424,542 (5.71%)
  Population who are fully Vaccinated: 5,601,878 (9.34%)

Background[]

Rollout strategy[]

National Vaccine Rollout Strategy[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]
Phase Priority group Start Date People Eligible Progress Registrations (as 12 Aug)
Phase 1
1a Front-line and health care workers (Sisonke Protocol) 17 Feb 2021 493,297 Complete 493,297
1b Remaining health care workers 17 May 2021 +/- 700 thousand In progress 320,066
Phase 2
Age Based Prioritisation
2ai People over 60 17 May 2021 +/- 5 million In progress 3,459,374
2aii People over 50 5 July 2021 +/- 4.8 million In progress 1,929,586
2aii People over 35 15 July 2021 +/- 11 million In progress 3,035,017
Employment Based Prioritisation
2bi Teachers and support staff 23 June 2021 +/- 582 thousand Complete TBA
2bii Police Force, SANDF, inmates & prison staff 5 July 2021 +/- 800 thousand Complete TBA
2biii Frontline social workers 19 July 2021 +/- 240 thousand Complete TBA
2biv Media workers and journalists 30 July 2021 TBA Complete TBA
Phase 3
3 Anyone over the age of 18 20 Aug 2021 +/- 17.9 million In progress +/- 560 000 (as 20 Aug)
Phase 4
4 Undocumented Migrants 1 Oct 2021 TBA Not started N/A
Phase 5
5 Kids and teenagers between 12 and 18 TBA (2021) TBA Not started N/A

Registration[]

Registration for the vaccine is open to all documented people over 18.[23] There are currently 5 ways ways to register for the vaccine on the EVDS platform. All services are zero rated, meaning airtime, data or money are not required to use the service.[27][28]

1. Online at https://vaccine.enroll.health.gov.za/

2. Messaging the WhatsApp number 0600 123456

3. Dialling *134*832#

4. Calling the COVID-19 hotline 0800 029 999

5. Walking in to a vaccination site with ID documents (RSA ID/birth-certificate/Passport/Asylum/refugee number) where they will assist with registration [29][30]

Once registered, people can do any of the following:

Vaccines on order[]

South Africa has ordered 60 million doses of vaccines, received 7.8 million doses in donations and expects a total of 9 million doses from Covax. with 320 million doses of the Johnson & Johnson and Pfizer Vaccine to be manufactured locally for international and local distribution.[34][35] South Africa has Accepted delivery of 11,059,420 Doses of vaccines, with 1.5 million doses cleared after Local Manufacturing.

Vaccine name Approval progress Quantity Doses arrived Accepted delivery Section 21 (EUA) Began administering Full Approval
Oxford–AstraZeneca EUA Suspended 1.5 Million 1,000,000 Green check.svg 1 February 2021 Dark Red x.svg Suspended Dark Red x.svg Suspended N/A
Janssen vaccine EUA Approved 30 Million 6,401,600 Green check.svg 16 February 2021 Green check.svg 1 April 2021 (full authorization) Green check.svg 18 Feb 2021 (Phase III) Pending
Pfizer vaccine EUA Approved 30 Million[36] 11,274,120 Green check.svg 3 May 2021 Green check.svg 16 March 2021 Green check.svg 17 May 2021 Pending
CoronaVac Vaccine EUA Approved 0[37] 0 Dark Red x.svg Not yet Green check.svg 3 July 2021 Dark Red x.svg Not yet N/A
COVAX
Pfizer vaccine EUA Approved 1.4 Million 1,400,000 Green check.svg 27 June 2021 Green check.svg 16 March 2021 Green check.svg 17 May 2021 Pending
Other (TBA) EUA pending 7.6 Million 0 Dark Red x.svg Not yet Dark Red x.svg Not yet Dark Red x.svg Not yet N/A
Donations
United States of America
Pfizer Vaccine EUA Approved 7.86 Million 7.86 Million TBA TBA TBA Pending
Local Manufacturing
Janssen vaccine EUA Approved 220 Million 32 Million Green check.svg 16 February 2021 Green check.svg 1 April 2021 (full authorization) Green check.svg 18 Feb 2021 (Phase III) Pending
Pfizer vaccine EUA Approved 100 Million 0 TBA TBA TBA Pending

Vaccine Consignments[]

Johnson & Johnson consignment (Phase III/Sisonke Protocol)[]

Consignment 1
1 80000 doses 17 February 2021 Fully used
Consignment 2
2 80000 doses 27 February 2021 Fully used
Consignment 3
3a 86000 doses 7 March 2021 Fully used
3b 40000 doses 13 March 2021 Fully used
3c 66000 doses 20 March 2021 Fully used
Consignment 4
4 200000 doses 11 April 2021 Used, remainder doses allocated for further studies

Johnson & Johnson Consignment (Section 21/EUA Approval)[]

Consignment 1 (manufactured locally)
1 1099200 doses April Manufactured (destroyed due to contamination)
2 900000 doses May Manufactured (destroyed due to contamination)
−1999200 13 June Stock will not be used due to ingredients being contaminated[38]
Emergency Consignment (make up for contaminated doses)[39]
1 300000 doses 18 June[40] Fully used
2 1253600 doses 24 June Fully used[41][42]
Consignment 2[43]
1 1 454 400 doses 26 July In Use [44][45][46][47]
2 619 200 doses 9 Aug In Use[48][49]
3 1 413 600 doses 6 Sept Delivered [50]
4 1 360 800 doses 13 Sept Delivered [50]
5 TBA Sept 2021 TBA[51]
Consignment 3
1 19100000 doses Q4 2021[52] TBA

Oxford-AstraZeneca Consignment[]

Consignment 1[53]
1a 1000000 doses 1 February 2021 Received
1b 500000 doses 14 February 2021 Canceled and refunded
1c −1000000 doses 20 February 2021 1,000,000 doses sold

Pfizer-BioNTech Consignment[]

Consignment 1
1 325260 doses 3 May 2021 Fully used
2 325260 doses 10 May 2021 Fully used
3 325260 doses 16 May 2021 Fully used
4 325260 doses 24 May 2021 Fully used
Consignment 2
1 636480 doses 31 May 2021 Fully used
2 636480 doses 7 June 2021 Fully used
3 636480 doses 14 June 2021 Fully used
4 636480 doses 21 June 2021 Fully used
5 636480 doses 28 June 2021 Fully used
Consignment 3[52][54][16][41][55][56]
1 190 710 doses 7 July 2021 Fully used
2 288 990 doses 12 July 2021 Fully used
3 673 920 doses 19 July 2021 Fully used
4 968 760 doses 26 July 2021 Fully used
Consignment 4[57][58][47][59][43][51]
1 1 556 100 doses 2 Aug 2021 Fully used
2 1 556 100 doses 9 Aug 2021 Fully used
3 1 556 100 doses 16 Aug 2021 In use
4 1 556 100 doses 23 Aug 2021 In use
5 1 556 100 doses 30 Aug 2021 Delivered
6 1 556 100 doses 6 Sept 2021 Delivered
4 063 400 doses TBA Sept 2021 TBA
Consignment 5[52][58]
8997300 doses Q4 2021 TBA

CoronaVac Consignment[]

Not yet ordered. Waiting for evidence of efficacy against Delta variant and for those with HIV[60][61][56][37]

Donations[]

United States Consignment 1 (Pfizer)[62][63][64][47][43]
1 2815020 doses 31 July 2021 In use
2 2845440 doses 2 Aug 2021 Delivered
United States Consignment 2 (Pfizer) [65][66]
1 2 200 000 doses 28 Aug 2021 Delivered

COVAX[]

South Africa has so far paid R283 million ($20 million) to the organization in December 2020. COVAX has delivered 1.4 million doses of the Pfizer vaccine to the country on 28 June 2021.[67][68]

Covax Consignment[]

Consignment 1 (Pfizer)
1 1392300 doses 27 June 2021 Fully used[41]
Consignment 2 (Pfizer)
1 1 181 706 doses Q3 2021 TBA[58]

History[]

Timeline[]

February 2021[]

Completed vaccinations per pharmaceutical company as of 14 August 2021 (4,074,588)

  Johnson & Johnson (2,081,229) (51.08%)
  Pfizer–BioNTech (1,993,359) (48.92%)

On 1 February 2021, 1 million doses of the Oxford AstraZeneca vaccine at O. R. Tambo International Airport sent by the Serum Institute of India.[69][70][71]

On 7 February 2021, it was announced that the Oxford–AstraZeneca COVID-19 vaccine did not work well in protecting clinical trial participants from mild or moderate illness caused by the 501.V2 variant. The vaccination program was announced to be put on a hold.[72][73][74]

On 16 February 2021, South Africa received its first consignment of 80,000 doses of the Janssen vaccine and approved the vaccine for Phase III use under Sisonke Protocol for all health workers[75]

On 17 February 2021, the national COVID vaccination program was officially rolled out, beginning at Khayelitsha District Hospital in the Western Cape Province where healthcare workers, the President Cyril Ramaphosa and Minister of Health Zweli Mkhize were given shots of the Janssen COVID-19 vaccine.[76][77][78]

On 27 February 2021, South Africa had received its second consignment of 80,000 doses of the Janssen vaccine.[79][80]

March 2021[]

On 5 March 2021, the number of doses administered surpassed 100,000.[81]

On 13 March 2021, South Africa received Part 1 of its third consignment of 40,000 Janssen COVID-19 vaccine.[82][83]

On 17 March 2021, South African Health Products Regulatory Authority (SAHPRA) approved the Pfizer/BioNTech coronavirus vaccine for use.[84][85][86][87]

On 18 March 2021, South Africa received Part 2 of its third consignment of 66,000 Janssen vaccine.[88][89]

On 19 March 2021, ImmunityBio announced that they will be conducting Phase 1 vaccine trials with their hAd5 vaccine in the United States and South Africa.[90][91]

On 21 March 2021, South Africa sold and began transporting its 1 million doses of Oxford-AstraZeneca vaccine to other African Union Members. Concerns over the rollout of the vaccine in African countries have been raised, as the 501Y.V2 variant speeds through African countries, with South Africa Suspending the vaccine after a trial proved the vaccine to be ineffective.[92][93][94][95][53]

On 29 March 2020, the manufacturing of 220 million doses of the Janssen vaccine was approved to begin at the Aspen Pharmacare manufacturing facility in Port Elizabeth, Eastern Cape.[96][97]

April 2021[]

On 1 April 2021, the Janssen vaccine received Section 21 Approval (EUA), allowing for use outside of the current Phase III Trial (Sisonke Protocol).[98][99][100]

On 6 April 2021, the government officially signed a deal with Pfizer for 20 million vaccines expected to begin arriving by the end of April.[101][102]

On 13 April 2021, Minister of Health Zweli Mkhize announced the suspension of Janssen COVID-19 vaccine use following health concerns raised by the Food and Drug Administration (FDA).[103][104][105]

On 16 April 2021, The EVDS platform opened for Phase 2, allowing essential workers and the elderly to register.[106][107][108]

On 17 April 2021, The government announced that the first batch of 325,260 Doses of Pfizer vaccines would arrive on 3 May 2021. From there the same amount of doses are expected to arrive weekly, until 31 May 2021, where the number of daily doses delivered will increase to 636,480 weekly.[8]

On 23 April 2021, 500,000 Doses of the Janssen vaccine were delivered under the early access program (Sisonke Programme), with a further 1,000,000 million doses to arrive in April.[103][109]

On 24 April 2021, Aspen Pharmacare announced that 1.1 million doses of the Janssen vaccine were due for release and to be used by South Africa.[110]

On 26 April 2021, the government announced that the use of the Janssen COVID-19 vaccine would resume on Wednesday, 28 April 2021 with vaccination sites expanded to 95 sites countrywide.[109]

On 28 April 2021, the Janssen vaccines suspension was lifted, and given the full approval for use by SAPRAH.[111][112][113]

May 2021[]

On 2 May 2021, the government announced that the first 1.1 million doses of the Janssen vaccine would receive an extended safety assessment, in line with international regulators, and stock would be released in mid May.[114]

On 3 May 2021, the first batch of 325,260 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport via Lufthansa and Astral Aviation. The vaccines were then sent to the National Control Laboratory for quality assurance.[115][116][117][118] The Pfizer-BioNTech vaccine is set to be rolled out to South Africans from 17 May 2021.[119][120]

On 9 May 2021, the second batch batch of 325,260 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport via Lufthansa and Astral Aviation.[121]

On 10 May 2021, the last week of the Sisonke Protocol (Phase 3b) began. The trial was expanded to non patient facing health care workers, including administrative and supportive staff due to sufficient capacity and doses.[122]

On 15 May 2021, the Sisonke Protocol ended with a total of 478 733 doses given to health care workers. The remaining doses were allocated to the Medical research Council to conduct further studies of the Johnson & Johnson vaccine on certain population groups.[121]

On 16 May 2021, the third batch of 325,260 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport via Lufthansa and Astral Aviation.[121]

On 17 May 2021, Phase 2 of the vaccination program began and started with vaccinating old age homes with the 2-dose Pfizer vaccine. Phase 2 ran alongside phase 1B to vaccinate the remaining 500 000 health care workers.[123]

On 24 May 2021, the fourth and final batch of 325,260 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport via Lufthansa and Astral Aviation.[121] Following this, next week doses delivered will increase to 636,480 Doses weekly.[124]

On 31 May 2021, the first batch of 636,480 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport via Lufthansa and Astral Aviation. This delivery is the first batch of consignment 2 with a incremental increase of 311,220 Doses Weekly.[125]

On 31 May 2021, The total number of vaccine doses administered surpassed 1 million.[126]

June 2021[]

On 7 June 2021, the second batch of 636,480 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[127]

On 11 June 2021, The Department of Health and Food and Drug Administration (FDA) released a statement on the Janssen vaccine, produced at the Emergent BioSolutions Plant in Baltimore, USA.[128] This resulted in the vaccines also produced at the Port Elizabeth plant need further assessment by SAHPRA and the FDA.[129][130] To get the South African program back on the roll, 300 000 doses are cleared to be shipped to South Africa as a matter of extreme urgency.[131][132]

On 14 June 2021, the third batch of 636,480 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[133]

On June 18, 2021, 300,000 doses of the Janssen vaccine arrived at O.R Tambo International Airport. This is the first batch of the Emergency consignment due to contamination of locally manufactured doses. These doses are expected to be used mainly by teachers and the SANDF and SAPS.[40][134]

On 18 June 2021, The total number of vaccine doses administered surpassed 2 million.[135]

On 21 June 2021, the fourth batch of 636,480 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[136][137]

On 25 June 2021, the second batch of 1,200,000 Doses of the Janssen vaccine arrived at O.R Tambo International Airport.[136][137][13]

On 28 June 2021, the fifth batch of 636,480 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[138][139]

July 2021[]

On 3 July 2021, SAHPRA approved China's Sinovac CoronaVac Vaccine for local use via emergency use authorisation on the condition that Sinovac provides further information on risk and efficacy.[140][141][142][143]

On 5 July 2021, The Department of Health announced that the government would now reimburse private sites for the vaccinations of all uninsured people. Allowing any person qualified for a vaccine to be allocated to the most appropriate site, regardless if it is private or public. The rollout for the Police Force, South Africa National Defense Force, Inmates and Prison Staff commenced.[33]

On 7 July 2021, the 190,710 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[144]

During the 2021 South African unrest, the vaccine rollout encountered a slowdown as businesses and vaccine sites were shut down due to protests and looting in Gauteng and Kwazulu-Natal.[145][146][147]

On 12 July 2021, 288,990 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[60][58][57]

On 14 July 2021, the rollout for educators officially ended with more than 500 000 people being vaccinated. However, any educators who could not make it to a vaccination site during the official program still qualify to be vaccinated.[148]

On 15 July 2021, the rollout for Correctional Services officials began.[19]

On 19 July 2021, the rollout for 240 000 social development staff began. This program includes early childhood development (ECD) workforce, social service professionals, community development practitioners and frontline Department of Social Development staff.[18]

On 19 July 2021, 973,920 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[62]

On 20 July 2021, the rollout for inmates at 90 correctional centres began.[19]

On 21 July 2021, Pfizer and BioNTech signed a letter of intent with Cape Town based Biovac, committing to allow Biovac to 'fill and finish' 100 million doses of the Pfizer-BioNTech vaccine for use in the African Union. The first doses completed by Biovac will only be released in 2022.[149][150][151]

On 24 July 2021, the Janssen vaccine got incorporated into the general vaccine rollout, no longer only for essential worker programs, due to the close expiry date for the emergency consignment doses and confirmation that additional doses would soon arrive.[152]

On 25 July 2021, President Ramaphosa announced the start date of vaccinations for all people over 18 and announced that within the next 2 to 3 months an additional 31 million doses of the Pfizer vaccine and the Janssen vaccine will arrive.[20]

On 26 July 2021, 968,760 Doses of the Pfizer vaccine arrived at O.R Tambo International Airport.[58][61]

On 31 July 2021, 2,830,000 Doses of the Pfizer vaccine donated by the USA arrived at O.R Tambo International Airport.

August 2021[]

On 13 August 2021, The Department of Health announced that although vaccine supply had stabilised, demand for vaccinations was low. They specifically pointed out a lack of sustained interest from the 35-50 age group and men across the country in general. They further adjusted their goal to have 28 million people vaccinated by the end of December by administering approximately 35 million doses.[153][154]

On 18 August 2021, Cabinet approved the early start of vaccinations for all over 18, to increase demand. The start date was moved from 1 September to 20 August[23][20]

On 20 August 2021, the rollout began for all documented persons over 18, with 560 000 registrations in the 18-34 group on the first day.[155]

On 27 August 2021, The Department of Health announced that the US would donate another 2.2 Million Pfizer vaccines. They further stated that low weekend vaccinations were due to lack of health care workers able to work weekends with the hope that as the 3rd wave ends more workers would become available.They also said that they were in the process of procuring AstraZeneca vaccine due to data that it is efficacious against the Delta variant but were unable to find a supplier with stock. They expected stock to become available in September/October. They reiterated that they had not yet ordered CoronaVac as they were still waiting for further clinical data. [65][156][157][158][159][160][161]

On 30 August 2021, The Department of Health released an updated circular recommending all pregnant and lactating women get vaccinated with either of the available vaccines.[162]

September 2021[]

On 3 September 2021, the health minister stated vaccinations would only open to those under 18 once 70% of the over 18 population was vaccinated. The country had the capacity to vaccinate between 300 000 and 400 000 people a day. The Government was not yet mandating vaccinations but would rather try incentivise through entrance to entertainment, cultural and sporting events.[163][164][165][166]

On 10 September 2021, the health minister announced plans for issuing digital vaccine certificates, which would be printable and would be issued to all people with vaccination data already on the EVDS platform. These certificates would be in line with WHO guidelines to prevent fraud.[167][168][169][170]

On 11 September 2021, SAHPRA announced that the EUA for the Pfizer–BioNTech vaccine was extended to include all people 12 and older, creating opportunity for teenagers and children to be included in the vaccination rollout in the future.[171][172]

On 15 September 2021, a circular was released to prioritise the Janssen vaccine stock for rural areas, pop up and mobile sites only until the supply stabilises.[173]

On 17 September 2021, the health minister stated that they were currently focussing on vaccinating people 50 years and older but would review the decision to open to under 18s at the end of October.[174] The Draft implementation of the digital vaccine certificates would be submitted to the national coronavirus command council in 2 weeks and would be rolled out once approved. The certificates would not be used for access to essential services but would give vaccinated people access to more activities. The government would not implement vaccine mandates in the public sector but would not interfere with mandates in the private sector and at higher education institutions as long as the mandates are implemented legally.[175][176][177][178][179]

Vaccine Trials[]

On 17 March 2020, the South African Health Products Regulatory Authority announced that it would expedite review of treatments, vaccines and clinical trials. Currently a total of 6 vaccine candidates are under trial in South Africa.[180][181][182]

Vaccine Trials
Vaccine Type (technology) Phase I Phase II Phase III Status
Johnson & Johnson Viral vector N/A Green check.svg Completed Green check.svg Completed Approved
Pfizer–BioNTech RNA N/A Green check.svg Completed Green check.svg Completed Approved
Oxford–AstraZeneca Viral vector Green check.svg Completed Green check.svg Completed N/A Suspended
Novavax Subunit N/A Green check.svg Completed In progress N/A
GRAd-COV2 Viral vector N/A Green check.svg Completed In progress N/A
ImmunityBio Viral vector In progress In progress Dark Red x.svg Not yet N/A

Janssen (Ad26.COV2.S)[]

Sisonke Logo

Both Phase II and Phase III trials were conducted in South Africa beginning late February 2020 and April 2021.[183]

Phase II Trials, enrolled about 800 across Spain, United Kingdom and United States of America and proved to be 64% effective.[184][185]

Phase III Trials under Sisonke Protocol began early April enrolling 500,000 participants. This trial is currently underway and consists of a half a million of South Africa’s health workers and Phase I of the vaccine rollout.[186][187][183]

In January, Johnson & Johnson, which held trials for its Janssen vaccine in South Africa, reported the level of protection against moderate to severe COVID-19 infection was 72% in the United States, but 57% in South Africa.[188]

Pfizer–BioNTech (BNT162b2)[]

Both Phase II and Phase III trials were conducted in South Africa beginning late May 2020. Pfizers vaccine appeared to be 100% effective at preventing cases of the South African variant, B.1.351.[189][190][191]

On 17 February 2021, Pfizer announced neutralization activity was reduced by two thirds for the 501.V2 variant, while stating no claims about the efficacy of the vaccine in preventing illness for this variant could yet be made.[192][193][194]

Oxford–AstraZeneca (AZD1222)[]

Both Phase I and Phase II were conducted in South Africa.[183]Phase 1 and Phase 2 trials began mid June 2020 consisting of about 2,130 participants.[195] The trial revealed that the vaccine does not have at least 60% efficacy against mild-moderate Covid-19 due to the B.1.351 (501Y.V2) variant. This resulted in the vaccine being suspended and the 1 million doses derived being sold to other Members of the African Union.[196][197][198]

On 6 February 2021, The Financial Times reported that provisional trial data from a study undertaken by South Africa's University of the Witwatersrand in conjunction with Oxford University demonstrated reduced efficacy of the Oxford–AstraZeneca COVID-19 vaccine against the 501.V2 variant. The study found that in a sample size of 2,000 the AZD1222 vaccine afforded only "minimal protection" in all but the most severe cases of COVID-19.[95]

On 7 February 2021, the Minister for Health for South Africa suspended the planned deployment of around 1 million doses of the vaccine whilst they examine the data and await advice on how to proceed.[199]

Novavax (NVX-CoV2373)[]

A Phase II Trial of 4,400 people was conducted from August 2020 to November 2021 in South Africa, that showed that the vaccine was 51% effective, compared to 89% in the US[186][187][183]

The vaccine had an efficacy of 51% against infections caused by the South African variant among people who were HIV negative. The vaccine was only 43% effective in the group that included people who were HIV positive.[200]

ReiThera (GRAd-COV2)[]

Phase II and Phase III trials of the GRAd-COV2 vaccine are being conducted in South Africa.[201][202]

ImmunityBio (ImmunityBio)[]

The BioVac Institute, a state-backed South African vaccine company, has a contract with American based ImmunityBio Inc. to manufacture coronavirus vaccines.[203][204][205]

ImmunityBio is currently conducting Phase I and Phase II trials. Trials began January 2021 consisting of about only 35 participants in Phase I.[206][183]

Vaccine Effectiveness[]

Johnson & Johnson (Ad26.COV2.S)[]

In January, Johnson & Johnson, which held trials for its Janssen vaccine in South Africa, reported the level of protection against moderate to severe COVID-19 infection was 72% in the United States, but 57% in South Africa.[188]

After Phase III trials in South Africa completed, Johnson and Johnson received Section 21 approval from SAHPRA on 31 March 2021.

In a manufacturing deal, Johnson and Johnson began to manufacture 220 million vaccines at the Aspen Pharmacare manufacturing facility in Port Elizabeth, Eastern Cape. They plan to distribute the vaccine to other African countries with 30 million to go to South Africa.[207][97][96]

Oxford–AstraZeneca (AZD1222)[]

On 6 February 2021, The Financial Times reported that provisional trial data from a study undertaken by South Africa's University of the Witwatersrand in conjunction with Oxford University demonstrated reduced efficacy of the Oxford–AstraZeneca COVID-19 vaccine against the 501.V2 variant. The study found that in a sample size of 2,000 the AZD1222 vaccine afforded only "minimal protection" in all but the most severe cases of COVID-19.[95]

On 7 February 2021, the government suspended the planned deployment of around 1 million doses of the vaccine whilst they examined the data and awaited advice on how to proceed.[199] The South African government subsequently cancelled the use of the vaccine, selling its supply to other African countries, and switched its vaccination program to use the Janssen COVID-19 vaccine.[208][209][210][a]

On 27 August 2021, the government announced that they were in the process of procuring the Oxford–AstraZeneca COVID-19 vaccine due to data showing good protection against the Delta variant but were only expecting stock to become available late September/early October. [157][158]

Sputnik V (Gam-COVID-Vac)[]

The South African Health Products Regulatory Authority (SAHPRA) has confirmed that it has received documentation for the vaccine developed by the Gamaleya Institute in Russia.[211]

Sputnik V is one of three Covid vaccines worldwide with an efficacy higher than 90% in symptomatic cases. They are still in the process of testing its effectiveness against the 501Y.V2 variant of the virus.[212]

Pfizer–BioNTech (BNT162b2)[]

On 17 February 2021, Pfizer announced neutralization activity[clarification needed] was reduced by two thirds for the 501.V2 variant, while stating no claims about the efficacy of the vaccine in preventing illness for this variant could yet be made.[213]

On 16 March 2021, The South African Health Products Regulatory Authority (SAHPRA) approved the Pfizer-BioNTech vaccine for section 21 Emergency Use Authorisation.[87]

A trial ending in March 2021 of the Pfizer-BioNTech's COVID-19 vaccine appeared to be 100% effective at preventing cases of the South African 501Y.V2 variant. The trial consisted of 800 people, with a total of 9 cases, all in the placebo group.[214][215]

Pfizer–BioNTech vaccine

Moderna (mRNA-1273)[]

In February, Moderna reported that the current vaccine produced only one-sixth of the antibodies in response to the South African variant compared with the original virus. They have launched a trial of a new vaccine to tackle the South African 501.V2 variant.[216]

Sinopharm (BBIBP-CorV)[]

Other African countries have begun the roll out of the Sinopharm vaccine, including Morocco, Egypt, The Seychelles and Zimbabwe.[217] So far, it has proven resistant[clarification needed] to the 501Y.V2 variant, as seen in Zimbabwe.[218]

CoronaVac (Sinovac)[]

CoronaVac is yet to be approved for use by the South African Health Products Regulatory Authority (SAHPRA).[219]

On 3 July 2021, The vaccine was approved under section 21, EUA. Sinovac will supply South Africa with 5 million doses of the vaccine, beginning in July 2021.[220][221]

Covaxin (BBV152)[]

Bharat Biotech, producers of the Covaxin vaccine, have said that they can modify the vaccine against coronavirus South African variant within 15 days.[222]

CoviVac (КовиВак)[]

The CoviVac vaccine Information has not been delivered to the South African government yet.[223]

EpiVacCorona (EpiVacCorona)[]

The EpiVacCorona vaccine Information has not been delivered to the South African government yet.[224]

RBD-Dimer (ZF2001)[]

The RBD-Dimer vaccine Information is in the process of being delivered to the South African Government.

Novavax (V2373)[]

A study on the NVX-CoV2373 Novavax vaccine showed 60% efficacy (for HIV-negative participants) in South Africa, compared to 90% efficacy in Britain.[225][226]

ImmunityBio (ImmunityBio)[]

The BioVac Institute, a state-backed South African vaccine company, plans to use a deal it won to manufacture coronavirus vaccines. The contract with American based ImmunityBio Inc is currently conducting phase 1 vaccine trials with their hAd5 vaccine in the United States and South Africa.[203]

ImmunityBio and BioVac plan to distribute the vaccines throughout South African and Africa.[204][205]

Vaccine Exports[]

South Africa is the first country in Africa to locally manufacture any covid vaccine.[44][45] The vaccines are to be reserved for purchased exclusively to Africa. South Africa is currently manufacturing 220 000 million doses of the Johnson & Johnson vaccine in Port Elizabeth.[227] Pfizer-BioNTech production is expected to begin in Cape Town end of 2021.[149][151] If the ImmunityBio vaccine makes it through the trails, manufacturing will commence locally.[204]

Export Consignments[]

Johnson & Johnson Export
Country Doses Date Reference
South Africa 1.5 Million 26 July 2021 [46][44]
Europe 32 Million August 2021 [228][229][230]
TBA 17 Million TBA (August–September) [144]
Pfizer-BioNTech Export
Country Doses Date Reference
TBA 100 Million TBA (2021) [231][151]

Timeline[]

On 11 July 2021, President Cyril Ramaphosa addressed the nation and announced that South Africa will be delivering 17 million doses of the Johnson and Johnson vaccine to members of the African Union over the next 3 months.[144]

On 26 July 2021, the first batch of 1.5 million doses of the Johnson & Johnson vaccine were cleared for release at Aspens Facility in Port Elizabeth.[228][45] The vaccines were transported from Port Elizabeth Airport to O. R. Tambo International Airport in Johannesburg via Star Air Cargo at 21:39 (SAST).[229][227] The vaccines are then expected to be transported to a facility in Midrand for testing and distribution in the days to come.[44]

On 16 August 2021, the New York Times released a report stating that around 32 million vaccines finished at the Aspens Facility had been exported to countries in Europe. They further claimed that in the agreement to order doses, the South African Government had waived its right to ban exports and had paid more than the European commission per dose.[230][232]

On 17 August 2021, the Health Justice Initiative filed a request under South Africa’s Promotion of Access to Information Act to get access to the contracts between Johnson & Johnson and the South African government, prompted by the New York Times report. [233][234]

On 2 September 2021, the AU coronavirus envoy stated that vaccine shipments from Aspens Facility to Europe had been suspended and 20 million doses already sent to Europe would be returned for distribution across Africa. [235][236]

Statistics[]

National[]

The most up to date vaccination statistics can be found on SACoronavirus site.

Cumulative vaccinations in South Africa[]

Graph of cumulative doses administered across the country

  Fully vaccinated (All doses)   Partially vaccinated (1st dose only)

Provincial[]

Daily Covid-19 vaccinations by province as of 7 August 2021
Province Total Doses
Eastern Cape 1,107,038
Free State 465,412
Gauteng 2,118,874
KwaZulu-Natal 1,613,565
Limpopo 941,632
Mpumalanga 409,232
North West 443,191
Northen Cape 163,629
Western Cape 1,325,891

Progress By Province[]

See also: Western Cape vaccination data

Progress Table[]

Date Doses Administered Vaccinated (1 Dose) Fully Vaccinated Ref
17 February 2021 0 0 0 [237]
18 February 2021 2,260 0 2,260 [238]
19 February 2021 6,524 0 6,524 [239]
20 February 2021 10,414 0 10,414 [240]
21 February 2021 15,388 0 15,388 [241]
22 February 2021 23,059 0 23,059 [242]
23 February 2021 32,315 0 32,315 [243]
24 February 2021 41,809 0 41,809 [244]
25 February 2021 52,647 0 52,647 [245]
26 February 2021 63,648 0 63,648 [246]
27 February 2021 67,303 0 67,303 [247]
28 February 2021 70,527 0 70,527 [248]
1 March 2021 73,047 0 73,047 [249]
2 March 2021 76,037 0 76,037 [250]
3 March 2021 83,570 0 83,570 [251]
4 March 2021 92,029 0 92,029 [252]
5 March 2021 100,108 0 100,108 [253]
6 March 2021 101,573 0 101,573 [254]
7 March 2021 101,841 0 101,841 [255]
8 March 2021 107,054 0 107,054 [256]
9 March 2021 118,247 0 118,247 [257]
10 March 2021 128,887 0 128,887 [258]
11 March 2021 138,014 0 138,014 [259]
12 March 2021 145,215 0 145,215 [260]
13 March 2021 145,544 0 145,544 [261]
14 March 2021 145,544 0 145,544 [262]
15 March 2021 147,753 0 147,753 [263]
16 March 2021 157,286 0 157,286 [264]
17 March 2021 168,413 0 168,413 [265]
18 March 2021 177,275 0 177,275 [266]
19 March 2021 182,983 0 182,983 [267]
20 March 2021 182,983 0 182,983 [268]
21 March 2021 182,983 0 182,983 [269]
22 March 2021 182,983 0 182,983 [270]
23 March 2021 194,257 0 194,257 [271]
24 March 2021 207,808 0 207,808 [272]
25 March 2021 220,129 0 220,129 [273]
26 March 2021 231,002 0 231,002 [274]
27 March 2021 231,605 0 231,605 [275]
28 March 2021 239,665 0 239,665 [276]
29 March 2021 251,707 0 251,707 [277]
30 March 2021 263,878 0 263,878 [278]
31 March 2021 269,102 0 269,102 [279]
1 April 2021 269,102 0 269,102 [280]
2 April 2021 269,102 0 269,102 [281]
3 April 2021 269,102 0 269,102 [282]
4 April 2021 269,102 0 269,102 [283]
5 April 2021 269,102 0 269,102 [284]
6 April 2021 272,438 0 272,438 [285]
7 April 2021 278,909 0 278,909 [286]
8 April 2021 283,629 0 283,629 [287]
9 April 2021 288,368 0 288,368 [288]
10 April 2021 288,406 0 288,406 [289]
11 April 2021 288,406 0 288,406 [290]
12 April 2021 289,787 0 289,787 [291]
13 April 2021 292,623 0 292,623 [292]
14 April 2021 292,623 0 292,623 [293]
15 April 2021 292,623 0 292,623 [294]
16 April 2021 292,623 0 292,623 [295]
17 April 2021 292,623 0 292,623 [296]
18 April 2021 292,623 0 292,623 [297]
19 April 2021 292,623 0 292,623 [298]
20 April 2021 292,623 0 292,623 [299]
21 April 2021 292,623 0 292,623 [300]
22 April 2021 292,623 0 292,623 [301]
23 April 2021 292,623 0 292,623 [302]
24 April 2021 292,623 0 292,623 [303]
25 April 2021 292,623 0 292,623 [304]
26 April 2021 298,153 0 298,153 [305]
27 April 2021 298,153 0 298,153 [306]
28 April 2021 298,153 0 298,153 [307]
29 April 2021 307,591 0 307,591 [308]
30 April 2021 317,656 0 317,656 [309]
1 May 2021 318,670 0 318,670 [310]
2 May 2021 318,670 0 318,670 [311]
3 May 2021 329,098 0 329,098 [312]
4 May 2021 339,655 0 339,655 [313]
5 May 2021 353,181 0 353,181 [314]
6 May 2021 366,101 0 366,101 [315]
7 May 2021 381,171 0 381,171 [316]
8 May 2021 382,480 0 382,480 [317]
9 May 2021 382,480 0 382,480 [318]
10 May 2021 395,230 0 395,230 [319]
11 May 2021 414,372 0 414,372 [320]
12 May 2021 430,730 0 430,730 [321]
13 May 2021 455,169 0 455,169 [322]
14 May 2021 474,318 0 474,318 [323]
15 May 2021 478,452 0 478,452 [324]
16 May 2021 478,733 0 478,733 [325]
17 May 2021 478,733 0 478,733 [326]
18 May 2021 519,139 39,371 479,768 [327]
19 May 2021 558,170 77,505 480,665 [328]
20 May 2021 597,406 116,741 480,665 [329]
21 May 2021 642,382 161,717 480,665 [330]
22 May 2021 647,983 167,318 480,665 [331]
23 May 2021 651,628 171,860 479,768 [332]
24 May 2021 700,904 221,136 479,768 [333]
25 May 2021 761,903 282,135 479,768 [334]
26 May 2021 828,204 348,436 479,768 [335]
27 May 2021 898,955 418,187 479,768 [336]
28 May 2021 963,876 484,108 479,768 [337]
29 May 2021 968,319 488,551 479,768 [338]
30 May 2021 970,448 490,680 479,768 [339]
31 May 2021 1,045,104 565,336 479,768 [340]
1 June 2021 1,117,569 637,801 479,768 [341]
2 June 2021 1,193,352 713,584 479,768 [342]
3 June 2021 1,266,893 787,125 479,768 [343]
4 June 2021 1,336,547 856,779 479,768 [344]
5 June 2021 1,343,433 863,665 479,768 [345]
6 June 2021 1,350,245 870,477 479,768 [346]
7 June 2021 1,433,730 953,962 479,768 [347]
8 June 2021 1,525,271 1,045,503 479,768 [348]
9 June 2021 1619011 1139243 479768 [349]
10 June 2021 1690026 1210258 479768 [350]
11 June 2021 1767415 1287647 479768 [351]
12 June 2021 1773417 1293649 479768 [352]
13 June 2021 1777288 1297520 479768 [353]
14 June 2021 1871987 1392219 479768 [354]
15 June 2021 1,965,812 1,486,044 479,768 [355]
16 June 2021 1,974,099 1,494,331 479,768 [356]
17 June 2021 2,069,346 1,589,578 479,768 [357]
18 June 2021 2,137,071 1,657,303 479,768 [358]
19 June 2021 2,141,624 1,661,856 479,768 [359]
20 June 2021 2,144,204 1,664,436 479,768 [360]
21 June 2021 2,229,242 1,749,474 479,768 [361]
22 June 2021 2,312,873 1,833,105 479,768 [362]
23 June 2021 2,442,262 TBA TBA [362]
24 June 2021 2,558,490 TBA TBA [362]
25 June 2021 2,666,244 TBA TBA [362]
26 June 2021 2,683,788 TBA TBA [362]
27 June 2021 2,684,999 TBA TBA [362]
28 June 2021 2,787,996 TBA TBA [362]
29 June 2021 2,900,666 TBA TBA [362]
30 June 2021 3,026,636 TBA TBA [362]
1 July 2021 3,155,717 TBA TBA [362]
2 July 2021 3,296,205 TBA TBA [363]
3 July 2021 3,318,900 TBA TBA [364]
4 July 2021 3,325,307 TBA TBA [364]
5 July 2021 3,467,560 TBA TBA [364]
6 July 2021 3,643,387 TBA TBA [364]
7 July 2021 3,828,063 TBA TBA [364]
8 July 2021 4,017,442 2,385,061 1,253,978 [364]
9 July 2021 4,203,293 2,858,603 1,344,690 [365]
10 July 2021 4,225,021 2,872,808 1,352,213 [366]
11 July 2021 4,236,718 2,880,975 1,355,743 [367]
12 July 2021 4,408,027 2,984,098 1,406,793 [368]
13 July 2021 4,544,750 3,079,812 1,462,737 [369]
14 July 2021 4,688,779 3,162,904 1,525,875 [369]
15 July 2021 4,869,759 3,265,499 1,604,260 [370]
16 July 2021 5,046,267 3,372,115 1,674,152 [371]
17 July 2021 5,079,215 3,394,899 1,683,763 [372]
18 July 2021 5,095,013 3,406,499 1,688,514 [372]
19 July 2021 5,328,110 3,541,171 1,786,939 [373]
20 July 2021 5,558,378 3,664,778 1,893,600 [374]
21 July 2021 5,831,389 3,802,992 2,028,397 [375]
22 July 2021 6,085,108 3,930,186 2,154,922 [376]
23 July 2021 6,308,201 4,033,934 2,274,267 [377]
24 July 2021 6,364,936 TBA TBA [378]
25 July 2021 6,384,382 4,072,823 2,311,559 [378]
26 July 2021 6,613,704 4,176,537 2,437,167 [379]
27 July 2021 6,854,667 4,274,666 2,580,001 [380]
28 July 2021 7,065,432 4,374,354 2,691,078 [381]
29 July 2021 7,297,912 4,461,982 2,835,930 [382]
30 July 2021 7,504,373 4,549,944 2,954,429 [383]
31 July 2021 7,544,539 4,570,135 2,974,404 [384]
1 August 2021 7,567,757 4,584,805 2,982,952 [384]
2 August 2021 7,769,799 4,677,398 3,092,401 [385]
3 August 2021 7,981,822 4,768,848 3,212,974 [386]
4 August 2021 8,182,380 4,854,430 3,327,950 [387]
5 August 2021 8,377,606 4,930,226 3,447,380 [388]
6 August 2021 8,546,428 5,002,207 3,544,221 [389]
7 August 2021 8,588,464 5,018,711 3,569,753 [390]
8 August 2021 8,602,124 5,025,426 3,576,698 [391]
9 August 2021 8,621,932 5,030,437 3,591,495 [392]
10 August 2021 8,811,608 5,092,100 3,719,508 [393]
11 August 2021 9,002,052 5,162,483 3,839,569 [394]
12 August 2021 9,185,756 5,227,525 3,958,231 [395]
13 August 2021 9,339,755 5,285,488 4,054,267 [396]

Daily vaccinations chart of South Africa[]

2021 Civil Unrest[]

During the 2021 South African unrest, the vaccine rollout encountered a slowdown as businesses and vaccine sites were shut down due to protests and looting in Gauteng and Kwazulu-Natal.[145][146][147]

It is estimated that 47 500 vaccine doses and 120 private pharmacies were destroyed during the unrest.[397]

Distribution[]

Vaccines administered per pharmaceutical company as of 27 Jul 2021 (9 339 755)

  Johnson & Johnson (2 067 035) (22.13%)
  Pfizer–BioNTech (7 272 720) (77.87%)
  Oxford–AstraZeneca (0) (0%)

Doses administration by vaccine type in South Africa[]

Graph of cumulative doses administered by vaccine type as of 15 June 2021

   Johnson & Johnson    Pfizer-BioNTech    Oxford-AstraZeneca[b]    CoronaVac

Vaccines distribution[]

As of 13 August 2021
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
7,000,000
8,000,000
  •   Johnson & Johnson
  •   Pfizer–BioNTech
  •   Oxford-AstraZeneca
  •   CoronaVac

Vaccination sites[]

The COVID-19 Vaccine can be obtained at 1397[398] different locations nationwide, as of 28 August. Any person qualified for a vaccine will be allocated to the most appropriate site, irregardless if it is private or public or if they are insured or not.[33] Vaccination sites are expected to increase to 3,338 locations, as Phase II and Phase III progress ramps up.[399] So far it is planned that all Clicks, Dis-Chem, and other pharmacies and hospitals nationwide be used to distribute vaccines.[400][401]

Vaccination Sites in South Africa

Planned vaccination sites[]

Province Small Medium Large X-Large Total
Eastern Cape 96 61 1 158
Free State 52 27 1 80
Gauteng 555 164 14 1 734
Kwa-Zulu Natal 778 58 4 840
Limpopo 559 9 1 569
Mpumalanga 91 11 102
North West 47 26 1 74
Northern Cape 167 8 175
Western Cape 512 84 9 1 606
Total 2857 448 31 2 3,338

Active Sites[]

A list of active sites can be found on the SACoronavirus site.

See also:

See also[]

  • COVID-19 vaccine
  • COVID-19 vaccination in Africa
  • COVID-19 pandemic
  • COVID-19 pandemic in Africa
  • COVID-19 pandemic in South Africa

Notes[]

  1. ^ South Africa’s Oxford-AstraZeneca vaccine was sold to African Union members and the additional 500,000 Doses were canceled
  2. ^ The Oxford-AstraZeneca vaccine is current suspended

External links[]

References[]

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  251. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (3 MAR 2021)". NICD (Press release). 3 March 2021. Retrieved 9 April 2021.
  252. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (4 MAR 2021)". NICD (Press release). 4 March 2021. Retrieved 9 April 2021.
  253. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (5 MAR 2021)". NICD (Press release). 5 March 2021. Retrieved 9 April 2021.
  254. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (6 MAR 2021)". NICD (Press release). 6 March 2021. Retrieved 10 April 2021.
  255. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (7 MAR 2021)". NICD (Press release). 7 March 2021. Retrieved 10 April 2021.
  256. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (8 MAR 2021)". NICD (Press release). 8 March 2021. Retrieved 10 April 2021.
  257. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (9 MAR 2021)". NICD (Press release). 9 March 2021. Retrieved 10 April 2021.
  258. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (10 MAR 2021)". NICD (Press release). 10 March 2021. Retrieved 10 April 2021.
  259. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (11 MAR 2021)". NICD (Press release). 11 March 2021. Retrieved 10 April 2021.
  260. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (12 MAR 2021)". NICD (Press release). 12 March 2021. Retrieved 10 April 2021.
  261. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (13 MAR 2021)". NICD (Press release). 13 March 2021. Retrieved 10 April 2021.
  262. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (14 MAR 2021)". NICD (Press release). 14 March 2021. Retrieved 10 April 2021.
  263. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (15 MAR 2021)". NICD (Press release). 15 March 2021. Retrieved 10 April 2021.
  264. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (16 MAR 2021)". NICD (Press release). 16 March 2021. Retrieved 10 April 2021.
  265. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (17 MAR 2021)". NICD (Press release). 17 March 2021. Retrieved 10 April 2021.
  266. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (18 MAR 2021)". NICD (Press release). 18 March 2021. Retrieved 10 April 2021.
  267. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (19 MAR 2021)". NICD (Press release). 19 March 2021. Retrieved 10 April 2021.
  268. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (20 MAR 2021)". NICD (Press release). 20 March 2021. Retrieved 10 April 2021.
  269. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (21 MAR 2021)". NICD (Press release). 21 March 2021. Retrieved 10 April 2021.
  270. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (22 MAR 2021)". NICD (Press release). 22 March 2021. Retrieved 10 April 2021.
  271. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (23 MAR 2021)". NICD (Press release). 23 March 2021. Retrieved 10 April 2021.
  272. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (24 MAR 2021)". NICD (Press release). 24 March 2021. Retrieved 10 April 2021.
  273. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (25 MAR 2021)". NICD (Press release). 25 March 2021. Retrieved 10 April 2021.
  274. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (26 MAR 2021)". NICD (Press release). 26 March 2021. Retrieved 10 April 2021.
  275. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (27 MAR 2021)". NICD (Press release). 27 March 2021. Retrieved 10 April 2021.
  276. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (28 MAR 2021)". NICD (Press release). 28 March 2021. Retrieved 10 April 2021.
  277. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (29 MAR 2021)". NICD (Press release). 29 March 2021. Retrieved 10 April 2021.
  278. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (30 MAR 2021)". NICD (Press release). 30 March 2021. Retrieved 10 April 2021.
  279. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (31 MAR 2021)". NICD (Press release). 31 March 2021. Retrieved 10 April 2021.
  280. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (1 APRIL 2021)". NICD (Press release). 1 April 2021. Retrieved 10 April 2021.
  281. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (2 APRIL 2021)". NICD (Press release). 2 April 2021. Retrieved 10 April 2021.
  282. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (3 APRIL 2021)". NICD (Press release). 3 April 2021. Retrieved 10 April 2021.
  283. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (4 APRIL 2021)". NICD (Press release). 4 April 2021. Retrieved 10 April 2021.
  284. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (5 APRIL 2021". NICD (Press release). 5 April 2021. Retrieved 10 April 2021.
  285. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (6 APRIL 2021)". NICD (Press release). 6 April 2021. Retrieved 10 April 2021.
  286. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (7 APRIL 2021)". NICD (Press release). 7 April 2021. Retrieved 10 April 2021.
  287. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (8 APRIL 2021)". NICD (Press release). 8 April 2021. Retrieved 10 April 2021.
  288. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (9 APRIL 2021)". NICD (Press release). 9 April 2021. Retrieved 10 April 2021.
  289. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (10 APR 2021)". NICD (Press release). 10 April 2021. Retrieved 15 April 2021.
  290. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (11 APR 2021)". NICD (Press release). 11 April 2021. Retrieved 15 April 2021.
  291. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (12 APR 2021)". NICD (Press release). 12 April 2021. Retrieved 20 April 2021.
  292. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (13 APR 2021)". NICD (Press release). 13 April 2021. Retrieved 20 April 2021.
  293. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (14 APR 2021)". NICD (Press release). 14 April 2021. Retrieved 20 April 2021.
  294. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (15 APR 2021)". NICD (Press release). 15 April 2021. Retrieved 20 April 2021.
  295. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (16 APR 2021)". NICD (Press release). 16 April 2021. Retrieved 20 April 2021.
  296. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (17 APR 2021)". NICD (Press release). 17 April 2021. Retrieved 20 April 2021.
  297. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (18 APR 2021)". NICD (Press release). 18 April 2021. Retrieved 20 April 2021.
  298. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (19 APR 2021)". NICD (Press release). 19 April 2021. Retrieved 20 April 2021.
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  300. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (21 APR 2021)". NICD (Press release). 21 April 2021. Retrieved 29 April 2021.
  301. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (22 APR 2021)". NICD (Press release). 23 April 2021. Retrieved 29 April 2021.
  302. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (23 APR 2021)". NICD (Press release). 23 April 2021. Retrieved 29 April 2021.
  303. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (24 APR 2021)". NICD (Press release). 24 April 2021. Retrieved 29 April 2021.
  304. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (25 APR 2021)". NICD (Press release). 25 April 2021. Retrieved 29 April 2021.
  305. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (26 APR 2021)". NICD (Press release). 26 April 2021. Retrieved 29 April 2021.
  306. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (27 APR 2021)". NICD (Press release). 27 April 2021. Retrieved 29 April 2021.
  307. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (28 APR 2021)". NICD (Press release). 28 April 2021. Retrieved 29 April 2021.
  308. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (29 APR 2021)". NICD (Press release). 29 April 2021. Retrieved 29 April 2021.
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  310. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (1 May 2021)". NICD (Press release). 1 May 2021. Retrieved 2 May 2021.
  311. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (2 MAY 2021)". NICD (Press release). 2 May 2021. Retrieved 3 May 2021.
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  313. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (4 MAY 2021)". NICD (Press release). 4 May 2021. Retrieved 5 May 2021.
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  315. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (6 MAY 2021)". NICD (Press release). 6 May 2021. Retrieved 6 May 2021.
  316. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (7 MAY 2021)". NICD (Press release). 7 May 2021. Retrieved 8 May 2021.
  317. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (8 MAY 2021)". NICD (Press release). 8 May 2021. Retrieved 8 May 2021.
  318. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (9 MAY 2021)". NICD (Press release). 9 May 2021. Retrieved 10 May 2021.
  319. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (10 MAY 2021)". NICD (Press release). 10 May 2021. Retrieved 11 May 2021.
  320. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (11 MAY 2021)". NICD (Press release). 11 May 2021. Retrieved 12 May 2021.
  321. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (12 MAY 2021)". NICD (Press release). 12 May 2021. Retrieved 13 May 2021.
  322. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (13 MAY 2021)". NICD (Press release). 13 May 2021. Retrieved 14 May 2021.
  323. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (14 MAY 2021)". NICD (Press release). 14 May 2021. Retrieved 15 May 2021.
  324. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (15 MAY 2021)". NICD (Press release). 15 May 2021. Retrieved 17 May 2021.
  325. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (16 MAY 2021)". NICD (Press release). 16 May 2021. Retrieved 17 May 2021.
  326. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (17 MAY 2021)". NICD (Press release). 17 May 2021. Retrieved 19 May 2021.
  327. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (18 MAY 2021)". NICD (Press release). 18 May 2021. Retrieved 19 May 2021.
  328. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (19 MAY 2021)". NICD (Press release). 19 May 2021. Retrieved 20 May 2021.
  329. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (20 MAY 2021)". NICD (Press release). 20 May 2021. Retrieved 20 May 2021.
  330. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (21 MAY 2021)". NICD (Press release). 21 May 2021. Retrieved 22 May 2021.
  331. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (23 MAY 2021)". NICD (Press release). 23 May 2021. Retrieved 26 May 2021.
  332. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (24 MAY 2021)". NICD (Press release). 24 May 2021. Retrieved 26 May 2021.
  333. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (25 MAY 2021)". NICD (Press release). 25 May 2021. Retrieved 26 May 2021.
  334. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (26 MAY 2021)". NICD (Press release). 26 May 2021. Retrieved 27 May 2021.
  335. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (27 MAY 2021)". NICD (Press release). 28 May 2021. Retrieved 28 May 2021.
  336. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (28 MAY 2021)". NICD (Press release). 28 May 2021. Retrieved 29 May 2021.
  337. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (29 MAY 2021)". NICD (Press release). 29 May 2021. Retrieved 30 May 2021.
  338. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (30 MAY 2021)". NICD (Press release). 30 May 2021. Retrieved 1 June 2021.
  339. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (31 MAY 2021)". NICD (Press release). 31 May 2021. Retrieved 1 June 2021.
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  341. ^ "LATEST CONFIRMED CASES OF COVID-19 IN SOUTH AFRICA (2 JUNE 2021)". NICD (Press release). 2 June 2021. Retrieved 3 June 2021.End of day update (02 June 2021 at 00:01)
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