Mr. Biden said on Twitter.

The Biden administration then said Monday that it would share up to 60 million AstraZeneca doses from its stockpile with other countries in the coming months, so long as they clear a safety review being conducted by the Food and Drug Administration.

The U.S. surgeon general, Dr. Vivek Murthy, who announced the plan on Twitter, did not specify which countries would receive those doses.

Members of Congress had lobbied Mr. Biden to donate the AstraZeneca vaccine to India, since there is no shortage for Americans who want to be vaccinated with the three vaccines that have been authorized for emergency use there.

The extent of support the president offers India could lay the foundation for a Biden-Modi relationship at a time when the United States and China are both jockeying for influence with India and greater access to its enormous market.

Mr. Biden’s response to India at its time of crisis has come under scrutiny, raising questions of how far the administration has actually moved away from former President Donald J. Trump’s “America First” foreign policies.

The Serum Institute did not respond to questions about the White House’s announcement.

Between bouts of the pandemic, when Mr. Modi’s government thought the worst was behind it, India enacted a policy of vaccine diplomacy, selling or donating 66.4 million doses.

Mr. Modi suddenly stopped exports, crippling the vaccination campaigns of other countries reliant on made-in-India vaccine.

The Indian government is now holding back nearly all of the 2.4 million doses produced daily by the Serum Institute, one of the world’s largest producers of the AstraZeneca vaccine. So far, only the U.S. has offered to fill some of the shortage.

Still, vaccine shortages have hobbled India’s effort to protect its people. Only about 2 percent of the population has been fully inoculated.

pledged medical equipment, including 495 oxygen concentrators (devices that can extract oxygen from ambient air and provide it to patients) and 140 ventilators. France and Australia are considering sending oxygen supplies. Even Pakistan, with which India has fought several wars and maintains chilly relations, has offered X-ray machines, ventilators and other aid, its foreign minister, Shah Mahmood Qureshi, said.

Two Indian-American businessmen — the chief executive of Microsoft, Satya Nadella, and the Google chief, Sundar Pichai — have both said that their companies will provide financial assistance to India.

“Devastated to see the worsening Covid crisis in India,” Mr. Pichai wrote on Twitter, pledging $18 million to aid groups working in the country.

tweeted last week about his meeting with Margrethe Vestager, the European Commission executive vice president who oversees digital policy. On Sunday, the European Union announced that it would provide oxygen and medicines

“The E.U. is pooling resources to respond rapidly to India’s request for assistance via the E.U. Civil Protection Mechanism,” Ursula von der Leyen, the president of the European Commission, said on Twitter.

Mr. Jaishankar’s spokesman did not respond to a request for comment on the assistance promised to India, but experts said it could only do so much.

advance purchase agreements for millions of doses of the AstraZeneca vaccine beginning last May, India waited until January, and then only bought 15.5 million doses produced by Serum and the pharmaceutical company Bharat Biotech — a drop in the ocean for a country of nearly 1.4 billion people.

India had indicated as early as last September, at the height of the first wave, that it would rely heavily on Russia’s Sputnik V vaccine, signing a deal to buy 100 million doses. But Sputnik won’t be available in India until next month at the earliest.

If India were to dramatically ramp up its vaccine manufacturing capacity and give emergency authorization to other vaccine makers, it could potentially curb the worst effects of the second wave.

“This is the only long-term solution.” Dr. Laxminarayan said. “India has the capability to do it, if the country puts its mind to it.”

Rebecca Robbins contributed reporting.

View Source