Producing so many doses will require creating new facilities or commandeering those used for other vaccines. Critics of RNA and DNA vaccines point to the fact that we already have the established infrastructure to make traditional vaccines. “Governments are trying to build potential manufacturing capacities for [RNA and DNA vaccines], but they are not there yet,” says Thomas Lingelbach, the CEO of Valneva, which is working on a traditional approach to a COVID-19 vaccine. Not that it’s easy to just start producing any vaccine by the billions. He plans on using a facility that was intended for Valneva’s chikungunya vaccine, whether for Valneva’s vaccine or perhaps another company’s if Valneva’s is unsuccessful. “These are complicated biological processes, no matter what technology you use,” says Lingelbach. It’s a manual process too, featuring human beings in safety gear. “It’s not like producing a car,” he says.