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It's been approved in a number of countries but still doesn't have WHO or European approval.

https://www.nature.com/articles/d41586-021-01813-2

Not being approved could very well be a political move on Europe's part - they have plenty of motives not to approve it, and equally they have plenty of reasons not to trust Russia's claims. In my country it was a running joke that if it's ever available here, the viles would be laced with novichok.

The paper is somewhat questionable though as it shows a 100% effectiveness against severe infection.

Most likely it is a similar effectiveness to other adenovirus based vaccines, which is less than mRNA vaccines, but still better than no vaccine. It has been reported that some countries are paying close to $20 per dose, so it's not any cheaper than mRNA vaccines.




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