Hong Kong and Ulaanbaatar, Mongolia (CNN)In Mongolia, hospitals are overwhelmed. In the tiny archipelago of Seychelles, extra than one hundred new Covid-19 instances are being stated every day. And in Chile, a nationwide lockdown was once lifted this week -- however the usa is nonetheless reporting lots of every day cases.What hyperlinks these international locations is that they have every wholly inoculated extra than 50% of their populations, mostly with Chinese-made coronavirus vaccines. And it is raised questions over the vaccines' efficacy.If the Chinese vaccines don't seem to be working, it's a big trouble -- and no longer simply from a fitness perspective. Beijing has staked its recognition on offering different international locations with vaccines.As Western countries stockpiled elements for their very own populations, China despatched vaccines foreign places -- in June, the overseas ministry introduced the united states had delivered extra than 350 million Covid-19 vaccine doses to greater than eighty countries. That mission highlighted insufficient Western efforts at a time when tensions between China and many most important democracies had been going for walks high.A fitness employee in China prepares to administer a dose of Sinopharm's Covid-19 vaccine.A fitness employee in China prepares to administer a dose of Sinopharm's Covid-19 vaccine.Questions over the efficacy of China's Sinopharm and Sinovac vaccines now jeopardize that soft-power win for Beijing, even though China's Foreign Ministry spokesperson Wang Wenbin has brushed aside such criticism as a "bias-motivated ... smear."Experts say that whilst these Chinese vaccines may no longer be as positive as some, they are not a failure. No vaccine offers one hundred percent safety in opposition to Covid-19, so step forward instances are to be expected.The essential metric for measuring success, they say, is stopping deaths and hospitalizations, no longer aiming for zero Covid-19.Why are vaccinated human beings getting sick?China has two vaccines approved for emergency use by means of the World Health Organization (WHO), Sinopharm and Sinovac. Both use inactivated viruses to on the spot an immune response in the patient, a tried and examined vaccine method.Pfizer and Moderna, via contrast, use a more recent science referred to as mRNA, which teaches the body's cells how to make a piece of the coronavirus spike protein that triggers an immune response."If we desire to convey down the extreme cases (and) the wide variety of deaths, the Sinopharm, Sinovac can help."Professor Jin Dong-yan,Virologist, Hong Kong UniversitySo far, trials exhibit Sinopharm and Sinovac have a decrease efficacy in opposition to Covid-19 than their mRNA counterparts. In Brazilian trials, Sinovac had about 50% efficacy towards symptomatic Covid-19, and one hundred percent effectiveness in opposition to extreme disease, in accordance to trial statistics submitted to the WHO. Sinopharm's efficacy for each symptomatic and hospitalized sickness was once estimated at 79%, in accordance to the WHO.Both Pfizer/BioNTech and Moderna Covid-19 are extra than 90% superb towards symptomatic Covid-19. Global efficacy research of the Johnson & Johnson vaccine confirmed it was once 66% high-quality in opposition to average to extreme illness, 85% superb towards extreme sickness and a hundred percent fantastic at stopping death. The trials took region at one of a kind times, and in places the place specific variations had been circulating.A fitness employee supplies containers of Sinovac vaccines from a bloodless room in Bandung, Indonesia.A fitness employee can provide containers of Sinovac vaccines from a bloodless room in Bandung, Indonesia.Experts say the outbreaks in locations that used Chinese vaccines are widely in line with what we would count on from these efficacy rates."If we prefer to deliver down the extreme instances (and) the range of deaths, the Sinopharm, Sinovac can help," stated Jin Dong-yan, a professor in molecular virology at Hong Kong University.Ben Cowling, a professor of infectious ailment epidemiology at the equal university, stated the Chinese vaccines regarded to be limiting the variety of serious infections and deaths."I assume the vaccines are in reality working and they're absolutely saving a lot of lives," he said.What's going on in Chile, Mongolia and Seychelles?Chile is reporting lots of new Covid-19 instances every day. There, 55% of the populace is thoroughly vaccinated, and amongst that cohort nearly 80% acquired Sinovac.But in accordance to the Ministry of Health, 73% of instances in the intensive care unit between June 17 and 23 had been no longer thoroughly vaccinated.It's a comparable scenario in the Seychelles, the place authorities stated nearly all fundamental and extreme instances of Covid-19 have been in humans who had now not been completely vaccinated. The united states is the usage of Sinopharm in adults underneath 60, whilst over 60s get Covishield, the AstraZeneca vaccine made in India, which has a comparable efficacy charge of 76% in opposition to symptomatic Covid-19 and one hundred percent efficacy in opposition to extreme or vital Covid-19.The Seychelles is 60% vaccinated, however nevertheless infections are rising. That's no longer as terrible as it soundsThe Seychelles is 60% vaccinated, however nonetheless infections are rising. That's no longer as horrific as it soundsThe Seychelles Ministry of Health stated in a Facebook publish final month that of the sixty three humans who had died from Covid-19 in the u . s . at the time, three had been vaccinated with two doses. All three had been aged between fifty one and eighty CNN has reached out to the Ministry of Health for comment.Mongolia has thoroughly vaccinated 53% of its population, with 80% of these human beings receiving Sinopharm, in accordance to Enkhsaihan Lkhagvasuren, the Ministry of Health's head of public fitness coverage implementation. A fifth of Mongolia's Covid-19 instances have been entirely vaccinated, however 96% of Covid-19 deaths have been in humans who had been both unvaccinated or had acquired simply one dose, Lkhagvasuren said.