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<ul><li>The CoWIN, UMANG and Aarogya Setu mobile apps have crashed as India opens up the vaccine registrations for everyone above the age of 18.</li><li>The <keyword id="10849396" type="UNKNOWN" weightage="20" keywordseo="cowin-website">CoWIN website</keyword> is still sending out OTPs.</li><li>Even if you manage to register on the CoWIN website, finding a slot may prove to be difficult.</li></ul>If you’re above the age of 18 years and trying to register for the COVID-19 vaccine in India today, on April 28, you may be fresh out of luck. The CoWIN mobile app along with alternative methods to register — the UMANG and Aarogya Setu mobile apps — crashed the moment registrations opened up at 4 p.m. The CoWIN website wasn’t sending out one-time-passwords (OTPs) initially either, but was back up in action within minutes. However, that’s about all the good news that there is. In order to get your OTP, you need to go to the main CoWIN portal, click on the registration button, enter your phone number. The OTP that you get on your phone will be valid for three minutes. <div type="image" title="IMG-20210428-WA0010" msid="82291617" hostid="261" caption="&amp;lt;p&amp;gt;OTP generated from the CoWIN website&amp;lt;/p&amp;gt;"></div> Beyond that, it’s anyone’s guess if you’ll able to get a slot or even complete your registration. Some users are reporting that they are not available to select photo ID type or gender after putting in the OTP. And, entering the information in these slots is compulsory in order to complete the process. <div type="image" title="cowin" msid="82299370" hostid="261" caption="&amp;lt;p&amp;gt;BI India was unable to select the drop down menus for &amp;#39;Photo ID Proof&amp;#39; and &amp;#39;Gender&amp;#39;&amp;lt;/p&amp;gt;"></div> Even then, registering yourself only gets you in through the door. Finding a slot is a whole other matter. And they seem to be in short supply. While you may see a couple of slots with appointments available, those appointments are only for those individuals between the ages of 45 and above. No appointment slots seem to be available to those between 18 to 44 years old. <div type="image" title="cowin slots" msid="82291747" hostid="261" caption="&amp;lt;p&amp;gt;Availability of slots after registration is complete&amp;lt;/p&amp;gt;"></div> People above the age of 18 looking to register for the COVID-19 vaccine in India have been trying since midnight. Even though the CoWIN channels on social media did not send out any alerts, there was one sent out over Telegram app that the vaccine registration would not be opening up at midnight, but at four in the afternoon instead. <div type="image" title="Screenshot_20210428-083126_edited" msid="82292135" hostid="261" caption="&amp;lt;p&amp;gt;Message sent over Telegram specifying that registration will open up at 4:00 pm instead of at midnight&amp;lt;/p&amp;gt;"></div> There is no clarity around the supply of vaccines and the government has been quiet on how it plans to expand its vaccination drive while also addressing the bottlenecks that may occur.

CoWIN website is back up after an early crash⁠ — finding a vaccination slot may still be difficult

<ul><li> Nearly 600 million more people in India will become eligible for getting the COVID-19 vaccine on May 1.</li><li>At the time, at least 40 million people will be eligible for their second dose and that number would rise every passing day, adding over 65 million people by the end of May.</li><li>According to government guidelines, the second dose needs to be administered within four to eight weeks of the first dose.</li></ul>There will be at least 40 million people eligible for the second dose of COVID-19 vaccine on May 1. According to the Indian government, the interval between the first and second dose should be four to eight weeks. “Most likely, after eight weeks, you should consider your first dose to be a waste of time,” Dr Kunal Sarkar, the chief cardiac surgeon and senior vice chairman of Medica Hospital in Kolkata, told Business Insider. Dr Sarkar’s view echoes the <a href="https://pib.gov.in/PressReleasePage.aspx?PRID=1706597">government guidelines</a> that said that the second dose of Covishield should be administered “not later than stipulated period of 8 weeks.” While a <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00528-6/fulltext">Lancet study</a> has shown that a longer interval may improve the vaccine’s efficacy, the study itself recommended a 12-week interval between doses. Moreover, the vaccines currently in use are those that have been given emergency approval and it is wise to err on the side of caution especially with new variants of the virus emerging. “With COVAXIN, they maintain that the interval should be four weeks. With Covishield, as per their trial data, even they said four weeks. Then, based on certain experiences in the UK, it was stretched to six weeks,” said Sarkar. “Now, because of the irregularity in supply, it is anybody's guess… By and large, we are afraid if it stretches beyond eight weeks or so, then will the two-dose concept still remain valid? There is no data.” In order to ensure that people who already have the first dose do not get pushed behind in the queue, the Indian government should allow for separate counters and dedicated slots for people who are eligible for the second dose. This would be easier said than done given the <a href="https://www.businessinsider.in/india/news/vaccine-shortage-in-india-18-people-could-not-find-covid-19-dose-when-they-went-for-vaccination-in-first-ten-days-of-april-says-survey/articleshow/82014884.cms">current shortage </a>of vaccine supply across many states. <table style="border-width: initial; border-style: none; table-layout: fixed; width: 468pt;"></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup></colgroup><tbody><tr><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Description </td><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Number of doses </td></tr><tr><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Number of first doses given as of April 1 </td><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">58,354,638 </td></tr><tr><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Number of second doses given between April 2 to April 28 </td><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">16,572,965 </td></tr><tr><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">10-day average for second dose administration as of April 28 </td><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">833,782.3 </td></tr><tr><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">People likely to get vaccinated between April 29 and April 30 as per 10-day average </td><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">1,667,564.6 </td></tr><tr><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Number of people likely to be eligible for the second dose on May 1 </td><td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">40,114,108.4 </td></tr></tbody></table>Source: Data from the Ministry of Health and Family Welfare (MoHFW) On May 1, as the country opens up its vaccination drive to everyone above the age of 18 years, 600 million additional people will become eligible. This could lead to another crisis as another 40 million will already be waiting in the queue for the second dose. And that number will rise with every passing day, as the 65 million people above the age of 45 — who got the first dose after April 1 — complete their stipulated time of four to eight weeks and join the queue for the second dose. If they don’t get vaccinated in time, they will have to begin the vaccination cycle all over again. <div type="image" title="rush of people vaccine_edited" msid="82304037" hostid="261" caption="&amp;lt;p&amp;gt;People queue up to get their second dose of Covid-19 vaccine at the Swarna Bharathi Indoor Stadium in Visakhapatnam on April 28&amp;lt;/p&amp;gt;"></div> According to Dr Marcus Ranney, founder and chief executive of Human Edge, the need to separate the people coming in for vaccination is also important to avoid the spreading of the virus at the centres. “As the window will open to 18-year-olds, they very clearly need to have centres that are earmarked for different populations. If they try and serve everyone from the same place, it’s just going to create chaos and may even fuel a much larger spread,” he told Business Insider. One way to stall the chaos is to prioritise those who need the second shot. Another filter that can be used is to ask those who may have been infected by COVID-19 in recent weeks to <a href="https://www.businessinsider.in/science/health/news/if-you-have-just-recovered-from-covid-19-experts-say-you-dont-need-to-join-in-on-the-rush-for-vaccination-immediately/articleshow/82302460.cms">stay out of the queue</a>. “What hasn’t been used as well as we could have done is the same methodology used with polio and other types of vaccines, which was more door to door — particularly for the elderly folks,” said Ranney. All in all, the government needs to come out with clear guidelines to ensure no one is left behind, and not one precious dose goes to waste — especially since India has already wasted 4.6 million doses till April 11. <div type="image" title="vaccine queue_edited" msid="82304124" hostid="261" caption="&amp;lt;p&amp;gt;People wait in a long queue to get vaccinated in Visakhapatnam on April 27&amp;lt;/p&amp;gt;"></div> <cmsannotation type="cmsannotation" annotationid="There is going to be a crazy rush at vaccination centres in the absence of proper guidelines" comment="subhead" text="There is going to be a crazy rush at vaccination centres in the absence of proper guidelines">There is going to be a crazy rush at vaccination centres in the absence of proper guidelines</cmsannotation> This has become evident from the response to the opening up of online booking of vaccination slots. The government opened up registrations for people between the ages of 18 to 44 on April 28. And, before things could even take off, registration was delayed from midnight to 4:00 pm. According to the government, more than 3.5 million people registered within the first hour of the launch. But when it came to being able to book an appointment, they passed the buck onto state governments and private vaccination centers. When the floodgates opened, the CoWIN app, Aarogya Setu app and UMANG app’s servers crashed. Many of those who got the chance to register via the CoWIN website, <a href="https://www.businessinsider.in/tech/apps/news/cowin-website-is-back-up-after-an-early-crash-finding-a-vaccination-slot-may-still-be-difficult/articleshow/82291583.cms">never found an open slot. </a> Even if the government were to take no new bookings, and only focus on those needing second shots at all centres, at the current rate of vaccination, it would take 48 days to just go through that lot. In such a scenario, it is not unimaginable that those who need the second shot never get the slot before their 12-week deadline. <cmsannotation type="cmsannotation" annotationid="The other challenge will be allocating the limited vaccine supplies" comment="subhead" text="The other challenge will be allocating the limited vaccine supplies">The other challenge will be allocating the limited vaccine supplies</cmsannotation> This would not have been a concern if India had enough vaccines to go around for everyone who wants it. However, that’s not the case because the government dragged its feet in placing the orders. On April 23, the government pledged to increase the monthly production of doses to around 100 million doses by September with the rate of immunisation slowing down amid rising cases. When the government opened up jabs for those above the age of 45 from May 1, it had expected the imported lot of Russia’s Sputnik V COVID-19 vaccine to arrive by then. While Russia is now sticking to the date, it is not clear how many doses will come in, especially after a brief attempt to <a href="https://www.reuters.com/world/india/exclusive-india-get-russias-sputnik-v-vaccine-only-by-end-may-2021-04-22/">delay the supply</a> to the end of May. Having to repeat the first doses for even one person is a waste of precious resources. Managing a pandemic was never going to be easy. Imagining scenarios and preparing for the possibilities is the only way to keep things from spiraling out of control. The updated version of the story includes additional opinions from Dr Kunal Sarkar and the Lancet study, which recommended an interval of 12 weeks between two vaccine doses. SEE ALSO: <a href="https://www.businessinsider.in/tech/apps/news/cowin-website-is-back-up-after-an-early-crash-finding-a-vaccination-slot-may-still-be-difficult/articleshow/82291583.cms">CoWIN website is back up after an early crash⁠ — finding a vaccination slot may still be difficult</a> <a href="https://www.businessinsider.in/india/news/covid-19-vaccine-price-sc-wants-the-indian-government-to-explain-about-covishield-and-covaxin-pricing/articleshow/82272913.cms">Supreme Court wants the Indian government to explain vaccine pricing — and clarify how many doses it will need as coverage expands from May 1</a> <a href="https://www.businessinsider.in/international/news/australia-suspends-incoming-flights-from-india-until-may-15/articleshow/82271595.cms">Australia suspends incoming flights from India until May 15 — IPL cricketers, coaches and broadcasters left in a bind</a>

India may end up wasting millions of COVID-19 vaccine doses if there is no separate queue for second shots

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CoWIN website is back up after an early crash⁠ — finding a vaccination slot may still be difficult

Prabhjote Gill

India may end up wasting millions of COVID-19 vaccine doses if there is no separate queue for second shots

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