Vaccine producers must step up

Vaccine producers must step up

The world stands at a critical juncture of the Covid -19 pandemic. Countries that lack the first round of vaccine coverage are extraordinarily vulnerable to the highly infectious Delta variant, and are also seedbeds for new variants that could quickly spread worldwide. The Lancet Covid-19 Commission, which I chair, is working urgently with the United Nations system to strengthen the multilateral response. Governments of countries where vaccines are being produced -- the United States, European Union members, the United Kingdom, India, Russia, and China -- need to cooperate under UN leadership to ensure that a sufficient supply of vaccine doses reaches the poorest countries.

High-income countries now have over 50% of their population fully vaccinated. Yet the fully vaccinated population in Africa remains under 4%. This lack of vaccine coverage in Africa, and in low-income countries elsewhere, poses an imminent danger to these populations.

US President Joe Biden called for a vaccine summit to be held yesterday. This is potentially a significant step forward. It is important that the US hold this meeting in cooperation with China, India, Russia, and the other vaccine-producing countries, and with the UN system. Only the UN, with its universal membership and its operational capacity in low-income countries, has the ability to coordinate the rapid global scale-up of vaccine coverage.

In April 2020, the UN created the Covid-19 Vaccine Global Access (Covax) facility to provide vaccines to lower-income countries. These countries expected Covax to provide timely deliveries. Yet Covax has been unable to buy a sufficient volume of vaccine doses mainly because high-income countries have repeatedly cut to the front of the queue. Moreover, the vaccine-producing countries' governments have imposed export quotas so that Covax is often unable to secure even the vaccines for which it has contracts. The company shareholders are of course happy with these arrangements, because the rich countries pay more for the doses than Covax would.

The supply crisis facing low-income countries in Africa and elsewhere will not resolve itself. On the contrary, high-income countries are now beginning to offer a third dose, even before highly vulnerable groups in the poorest countries (the elderly, health workers, the immune-compromised, and others) have received their primary vaccination.

Global opportunities for scaling up vaccine production are also being hampered by some governments' continued insistence on enforcing the patents on key vaccine technologies, even though these patents are held by academic institutions that were funded by the governments (notably by the US National Institutes of Health). Likewise, public money funded the clinical trials and rollout of the vaccines. Despite the global urgency of the pandemic, life-saving public goods have been privatised.

The World Health Organization has set minimum targets for vaccine coverage in every country -- at least 10% of the population by end-September 2021, 40% by end-2021, and 70% by end-June 2022 -- that the current vaccine allocation system will not achieve. At this moment of great global peril, the governments of the vaccine-producing countries should take the following steps:

First, at Mr Biden's vaccine summit, governments taking part should chart a path to achieve the WHO targets in all countries, including 40% global coverage by the end of this year. The vaccine producers should cooperate fully by disclosing all existing orders (and prices) on their books, so that the UN and governments can prioritise under-served countries.

Second, the UN system, with the full support of governments and companies, should set delivery timelines for every low-income country aligned with WHO targets. The WHO and Covax, and other UN agencies such as Unicef, should work with recipient countries to scale up "last-mile" deployment systems for the arrival of vaccine doses.

Third, the new $650 billion allocation of special drawing rights just approved by the International Monetary Fund should be used, in conjunction with other emergency financial resources, to ensure that short-term financing constraints pose no obstacles to the supply of vaccines.

Fourth, the governments of the vaccine-producing countries should agree, in line with long-standing trade agreements on public health, to waive intellectual property rights and promote technology sharing in order to increase global vaccine production. Promising vaccines that are now in clinical trials should also be supported with official financing for rapid production and deployment upon regulatory approval.

Lastly, governments in all countries should make clear to the public that the vaccines are not sufficiently effective on their own to suppress the community transmission of the coronavirus. Additional public health measures -- including face masks, physical distancing, contact tracing, and limits on indoor gatherings -- are still needed.

The bottom line is that we must treat universal vaccine coverage as an urgently needed global public good, not as an eventual outcome of market forces. Mr Biden's vaccine summit can provide the vital breakthrough we need, by empowering the UN with the vaccine doses and finances it needs to ensure immunisation for all. ©2021 Project Syndicate


Jeffrey D Sachs, University Professor at Columbia University, is Director of the Center for Sustainable Development at Columbia University and President of the UN Sustainable Development Solutions Network.

Do you like the content of this article?
COMMENT

Mount hat-trick powers Chelsea

LONDON: Chelsea proved they can cope without their injured strikers as Mason Mount’s hat-trick powered the Premier League leaders in their 7-0 demolition of Norwich on Saturday.

20:36

Long-weekend crowds throng Sangkhla Buri

KANCHANABURI: Tourists flocked to Sangkhla Buri on Saturday, with most hotels and resorts in the district witnessing impressive occupancy over the long holiday weekend after months in the doldrums because of Covid-19.

20:10

Vietnam to reopen Phu Quoc next month

Vietnam plans to reopen the resort island of Phu Quoc to vaccinated foreign visitors in late November, authorities said, as the country looks to reboot its tourism industry after almost two years of closure.

18:32