Skip to main content
Canada’s most-awarded newsroom for a reason
Enjoy unlimited digital access
$1.99
per week
for 24 weeks
Canada’s most-awarded newsroom for a reason
$1.99
per week
for 24 weeks
// //

A medical staff member prepares to administer a dose of a COVID-19 vaccine in Jerusalem, on Jan. 5, 2021.

Sebastian Scheiner/The Associated Press

Order early, pay a lot, digitize distribution and stretch the supply.

That is how Israel came to be a leader of the world’s COVID-19 vaccination drive, reaching nearly 15 per cent of the country’s 9.3 million population in about two weeks.

The first big decision was paying a premium to get early vaccines.

Story continues below advertisement

Israeli authorities have not said publicly what they paid for the vaccine developed by U.S. company Pfizer and German partner BioNTech.

But one official said on condition of anonymity that Prime Minister Benjamin Netanyahu’s government was “paying around $30 per vaccine dose, or around twice the price abroad.”

Pfizer said in a statement that it uses “a tiered pricing formula based on volume and delivery dates” but declined to disclose further details.

Israel also offered the pharmaceutical companies the promise of a quick rollout that could serve as a template for other places: swift results from a small country with a universal health care system, patient data stored centrally and the technological savvy to ensure a digitized distribution network.

Health Minister Yuli Edelstein said freeing Israel’s economy from a series of lockdowns justified any higher purchase cost or buying an excess of vaccines.

“What we basically said to Pfizer and Moderna and to the others was that if we will be one of the first countries to start vaccinating, very soon these companies will be able to see the results,” Edelstein told Reuters.

“It’s a kind of win-win situation,” he said. “We are a small country. And I knew for a fact that we better be one of the first on the ground because after the vaccine is developed, the companies, commercially speaking, wouldn’t even look in the direction of countries Israel’s size.”

Story continues below advertisement

The vaccination campaign has faced some criticism and hurdles.

Rights groups are outraged that Palestinians in the Israeli-occupied West Bank and Gaza Strip face a long wait for vaccines.

Israel’s 21 per cent Arab minority has shown an initial wariness towards vaccination.

Netanyahu’s opponents accuse his right-wing Likud Party of using the vaccination campaign for political gain before a March 23 election, and lacking a clear long-term strategy for dealing with the impact of COVID-19 – charges the government denies.

But, while Israel is in its third lockdown and faces a recession and high unemployment, it has avoided the shortages and bottlenecks faced by other countries.

DISTRIBUTION TECHNIQUES

Israel, which has reported more than 450,000 COVID-19 cases and 3,445 deaths, cast a wide net for securing vaccines early on, and last June became one of the first countries to reach a purchase agreement with Moderna.

Story continues below advertisement

Moderna has said it will begin delivery of 6 million doses this month, though Edelstein said the shipment was probably two months away.

In November, Israel announced similar deals with AstraZeneca and Pfizer, and the first Pfizer shipment arrived on Dec. 9.

Israeli teams repacked the large ultra-frozen pallets into insulated boxes the size of small pizzas, allowing for distribution in smaller numbers and at more remote sites.

The technique, Israel says, got the green light from Pfizer. Other refinements included squeezing more doses out of each vial than advertised.

The vaccines are handled by SLE, the logistics unit of Teva Pharmaceutical Industries, in an underground facility near Israel’s main airport. Thirty large freezers set to minus 70 degrees Celsius (-94 Fahrenheit) can hold 5 million doses.

SLE repackages them into bundles as small as 100 doses to be delivered to about 400 vaccine centres, said Adam Segal, SLE’s logistics and operations manager.

Story continues below advertisement

That, officials say, means wider parallel vaccination drives nationwide, allowing easier access to small clinics as well as larger centralized centres.

UNIVERSAL HEALTH CARE

A universal public health care system, which requires every resident to be covered by a health care maintenance organization (HMO) and connected to a nationwide digital network, then kicks in.

Ran Balicer, chief innovation officer for HMO Clalit, said Israel has integrated infrastructures of digital data with “full coverage of the entire population, cradle to grave.”

“So it is easy both to identify the right target population and to create data-driven ‘outreach’ because this is something that is done as our everyday care routine,” said Balicer, who also chairs the government’s expert advisory coronavirus panel.

Administering about 150,000 shots a day at clinics and special facilities, Israel has prioritized over-60s, health workers and people with medical conditions. The city of Haifa offers drive-through vaccinations.

“I have been waiting to be liberated from this pressure, from the anxiety that’s there in the background all the time, to be free, to finally stop worrying,” said 76-year-old psychologist Tamar Shachnai. A week into the campaign she had already received a text message with instructions from her HMO, scheduled an appointment and got her first shot.

Story continues below advertisement

Shachnai was vaccinated at a centre in a Jerusalem sports arena where about 500 people had passed through by lunchtime. Towards the end of the day, about 20 younger people gathered outside the arena, hoping to receive the vaccine.

Israel has also added vaccination centres in Arab towns, said Aiman Saif, the health ministry’s coronavirus co-ordinator for the Arab community, following concerns about the low rate of vaccination among Israeli Arabs.

He said some Israeli Arabs initially appeared reluctant to be vaccinated and may have been put off by misinformation on social media, prompting Israel to accelerate a public campaign to combat “fake news” about alleged side effects.

Palestinian health official Yasser Bozyeh estimated that Palestinians would begin receiving doses in February through the World Health Organization’s vaccine scheme for poor and middle-income countries.

The Palestinian Authority, which exercises limited self-rule in the West Bank and has its own health system, has also contacted private drugmakers.

Edelstein said it was in Israel’s interest to make sure the Palestinian population was also vaccinated and that he was open to discussing passing on any extra vaccines once Israel meets its own demand. Netanyahu’s office declined to comment.

Story continues below advertisement

Sign up for the Coronavirus Update newsletter to read the day’s essential coronavirus news, features and explainers written by Globe reporters and editors.

Your Globe

Build your personal news feed

  1. Follow topics and authors relevant to your reading interests.
  2. Check your Following feed daily, and never miss an article. Access your Following feed from your account menu at the top right corner of every page.

Follow topics related to this article:

View more suggestions in Following Read more about following topics and authors
Report an error
Due to technical reasons, we have temporarily removed commenting from our articles. We hope to have this fixed soon. Thank you for your patience. If you are looking to give feedback on our new site, please send it along to feedback@globeandmail.com. If you want to write a letter to the editor, please forward to letters@globeandmail.com.

Welcome to The Globe and Mail’s comment community. This is a space where subscribers can engage with each other and Globe staff. Non-subscribers can read and sort comments but will not be able to engage with them in any way. Click here to subscribe.

If you would like to write a letter to the editor, please forward it to letters@globeandmail.com. Readers can also interact with The Globe on Facebook and Twitter .

Welcome to The Globe and Mail’s comment community. This is a space where subscribers can engage with each other and Globe staff. Non-subscribers can read and sort comments but will not be able to engage with them in any way. Click here to subscribe.

If you would like to write a letter to the editor, please forward it to letters@globeandmail.com. Readers can also interact with The Globe on Facebook and Twitter .

Welcome to The Globe and Mail’s comment community. This is a space where subscribers can engage with each other and Globe staff.

We aim to create a safe and valuable space for discussion and debate. That means:

  • Treat others as you wish to be treated
  • Criticize ideas, not people
  • Stay on topic
  • Avoid the use of toxic and offensive language
  • Flag bad behaviour

If you do not see your comment posted immediately, it is being reviewed by the moderation team and may appear shortly, generally within an hour.

We aim to have all comments reviewed in a timely manner.

Comments that violate our community guidelines will not be posted.

UPDATED: Read our community guidelines here

Discussion loading ...

To view this site properly, enable cookies in your browser. Read our privacy policy to learn more.
How to enable cookies