US Leadership and Global Vaccine Inequity

COVID Collaborative, Center for Global Development, Center for Strategic and International Studies, Duke - Margolis Center for Health Policy, Duke Global Health Institute, and Duke Global Health Innovation Center have come together to call for increased US leadership in addressing global vaccine inequity. As part of this work, we have issued open letters to G7 leaders and the Biden administration and Congress urging immediate action.

JUNE 7, 2021 | PRESS RELEASE

A G7 Action Plan to Ensure the World is Vaccinated Quickly and Equitably


Open Letter to G7 leaders proposes five-point action plan - including sharing of at least one billion doses worldwide this year and striving to vaccinate at least 60% of every country's population in 2022

WASHINGTON, June 7, 2021 -- A coalition of global health experts today called on the Group of Seven (G7) leaders to share at least 1 billion, and aim for 2 billion, vaccine doses to low- and middle-income countries by the end of this year, and more urgently help countries distribute and deliver vaccines quickly and equitably across their populations, striving to achieve at least 60%, and ideally 70%, vaccination coverage in every country in 2022.

President Biden and his G7 counterparts will meet at their annual summit on June 11-13 in the United Kingdom, and global vaccination efforts will be on their agenda.

In an Open Letter, representatives of four U.S.-based organizations – Center for Global Development, Center for Strategic & International Studies (CSIS), COVID Collaborative, and three units of Duke University – together with the endorsement of renowned global health experts – urged the G7 leaders and member states to use their vaccine expertise and manufacturing capacity to accelerate global access to vaccines while meeting domestic health needs.

The experts said that today's global vaccine gap is a supply problem and also a massive distribution and delivery challenge. There are alarming gaps in vaccine distribution and delivery capacity across much of the world that require urgent attention and more resources. "Delivery capabilities and vaccine hesitancy, not supply, are likely to be the critical bottleneck to vaccinations in most low- and middle-income countries within the next 6 months," the letter said.

The letter highlighted that G7 members have unique resources and capabilities, as well as a legacy of high-impact, collaborative leadership during past crises, and that the coming months are a critical period for leaders to address catastrophic outbreaks in many countries, preempt further growth of the virus elsewhere, and prevent the unchecked spread of the virus from spawning new variants that threaten everyone.

The coalition is asking the G7 leaders to adopt an action plan that includes the following initiatives:

  • Establish a G7 Vaccine Emergency Task Force, open to additional nations and organizations, to provide transparency, predictability, and accountability to the global sharing of vaccines and the vaccine marketplace. As G7 members develop excess vaccine supplies beyond what is needed for domestic use, accurate projections based on real-time country data will facilitate more effective and coordinated global vaccination distribution and prioritize countries with the most urgent need.
  • Develop and commit to a path to share at a minimum 1 billion doses, with the aim of 2 billion doses, of G7-authorized vaccines before the end of 2021, and ensure the availability of enough doses to enable broad vaccination in every country as soon as possible in 2022. As supply continues to increase quickly, the G7 and EU should approach dose-sharing with far greater urgency and intensified systematic planning to meet global needs.
  • Implement a coordinated G7 strategy to immediately increase production of high-quality, well-regulated vaccines, with the goal of further increasing access to these vaccines across the rest of the world. This includes addressing distribution bottlenecks, removing export restrictions and other barriers, and cooperating to provide essential raw materials, equipment and supplies over the next several months.
  • Accelerate development of high-quality globally distributed manufacturing capacity by bringing together public and private sector stakeholders and using voluntary licensing agreements, with a focus on Africa, Asia outside of India, and Latin America. This effort will require establishing cooperative agreements that provide access to financing through both public and private sources, including USDFC, IFC/World Bank and local private funding. The G7 should set a target to finalize at least five such public-private agreements by the end of 2021, each leading to the establishment of vaccine manufacturing capacity before the end of 2022.
  • Increase bilateral and multilateral technical and financial support to low- and middle-income countries to enhance their vaccine distribution and delivery capabilities, and address vaccine hesitancy, with three specific goals: achieve demonstrated national vaccination preparedness in each country by the end of 2021; strive for at least 60%, and ideally 70%, vaccination in every country in 2022; and avoid significant excess vaccine stockpiles ahead of pandemic control in all nations.

The health experts said the G7 members are on a path to contain the pandemic in their respective countries, and to meet the moment, must work to assure the fastest possible path to access to billions of doses of high-quality vaccines – and ensure local capacity to deliver them – complementing ongoing multinational efforts.

The signatories to the open letter include the following:

Amanda Glassman

Executive Vice President, Center for Global Development; CEO of CGD Europe; and Senior Fellow

Rachel Silverman

Policy Fellow, Center for Global Development

Prashant Yadav

Senior Fellow, Center for Global Development

J. Stephen Morrison

Senior Vice President and Director, Global Health Policy Center, Center for Strategic and International Studies

Katherine Bliss

Senior Fellow, Global Health Policy Center, Center for Strategic and International Studies

Anna McCaffrey

Fellow, Global Health Policy Center, Center for Strategic and International Studies

Gary Edson

President, COVID Collaborative

John Bridgeland

CEO, COVID Collaborative

Anjali Balakrishna

Program Director, COVID Collaborative

Mark McClellan

Director, Duke-Margolis Center for Health Policy, Duke University

Krishna Udayakumar

Director, Duke Global Health Innovation Center, Duke University

Michael Merson

Wolfgang Joklik Professor of Global Health, Duke Global Health Institute, Duke University

The following individuals have formally endorsed the letter:

Thomas J Bollyky

Senior Fellow, Council on Foreign Relations

William H. Frist

former US Senate Majority Leader

Helene Gayle

President and Chief Executive Officer, The Chicago Community Trust

Scott Gottlieb

Resident Fellow, American Enterprise Institute, and former Commissioner of the US Food and Drug Administration

Margaret (Peggy) Hamburg

former Commissioner of the US Food and Drug Administration, and former Foreign Secretary of the National Academy of Medicine

Amb [ret] Jimmy Kolker

former Assistant Secretary, Global Affairs, Department of Health and Human Services

Jack Leslie

Chairman, Weber Shandwick

Jennifer Nuzzo

Associate Professor, Johns Hopkins Bloomberg School of Public Health

Carolyn Reynolds

Co-Founder, Pandemic Action Network, and Senior Associate, Global Health Policy Center, CSIS

June 7, 2021 | OPEN LETTER TO g7 LEADERS

A G7 Action Plan to Ensure the World is Vaccinated Quickly and Equitably


COVID Collaborative, along with Center for Global Development, Center for Strategic & International Studies (CSIS), and three units of Duke University issued an open letter urging the G7 leaders and member states to use their vaccine expertise and manufacturing capacity to accelerate global access to vaccines while meeting domestic health needs. The letter was endorsed by a number of renowned global health experts.

The letter highlights that today’s global vaccine gap is not just a supply problem, but also a massive distribution and delivery challenge. To this end, we call on G7 leaders to take action in five areas:

  1. Establish a G7 Vaccine Emergency Task Force, open to additional nations and organizations, to provide transparency, predictability, and accountability to the global sharing of vaccines and the vaccine marketplace;
  2. Develop and commit to a path to share at minimum 1 billion doses, with the aim of 2 billion doses of G7-authorized vaccines before the end of 2021, and ensure the availability of enough doses to enable broad vaccination in every country as soon as possible in 2022;
  3. Implement a coordinated G7 strategy to immediately increase production of high-quality, well-regulated vaccines, with the goal of further increasing access to these vaccines across the rest of the world;
  4. Accelerate development of high-quality globally distributed manufacturing capacity by bringing together public and private sector stakeholders and using voluntary licensing agreements; and
  5. Increase bilateral and multilateral technical and financial support to low- and middle-income countries to enhance their vaccine distribution and delivery capabilities, and address vaccine hesitancy with three goals: achieve demonstrated national vaccination preparedness in each country by the end of 2021; strive for at least 60%, and ideally 70%, vaccination in every country in 2022; and avoid significant excess vaccine stockpiles ahead of pandemic control in all nations.

MAY 17, 2021 | Open Letter to the Biden Administration and US Congress

Calling for Urgent High-Level US Leadership to Address Escalating Global COVID-19 Vaccine Crisis


In this "Open Letter to the Biden Administration and Congress," COVID Collaborative, Center for Global Development, Center for Strategic and International Studies, Duke - Margolis Center for Health Policy, Duke Global Health Institute, and Duke Global Health Innovation Center call for urgent U.S. leadership to address the widening global gap in access to COVID-19 vaccines, focusing on five specific areas for immediate action.


The history of global health crises tells us that bold American leadership is essential for success. The actions outlined in the letter will help mitigate death and suffering in the short term, chart a sustained exit from the COVID-19 pandemic in the medium term, and insure against another global pandemic in the long term. By saving lives abroad, we will save lives at home, for the pandemic will not end here until it ends everywhere.

Download Letter

Op-eds


The Open Letter builds on an op-ed in Politico and Tortoise, co-authored by COVID Collaborative with multiple units of Duke University.

View The Politico Op-Ed

View the Tortoise Op-Ed


Press

Beyond ample supply, hurdles abound in the race to vaccinate the globe

"The U.S. should follow the President’s Emergency Plan for Aids Relief (PEPFAR) model to generate a U.S. initiative to build vaccination capacity, and the U.S. should call a high-level conference to address vaccine distribution and delivery challenges ahead of the U.N. general assembly meeting in September."

Mark McClellan, Krishna Udayakumar, Michael Merson AND Gary Edson Image credit: Getty Images

U.S. Global Health Experts Urge G7 Action to Vaccinate the World Quickly and Equitably

Open Letter to G7 leaders proposes a five-point action plan - including sharing of at least one billion doses worldwide this year and striving to vaccinate at least 60% of every country's population in 2022.

COVID Collaborative

US should pledge to create partnerships for cost-sharing, co-investment to end Covid vaccine crisis

Pressure is mounting on rich nations, like the US to urgently address the global Covid-19 vaccine crisis and worldwide inequities in the availability of vaccines.

Rupali Mukherjee Image credit: Representative Image

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