Prioritizing Equity: Who's Being Left Behind In The Global COVID-19 Vaccine Rollout?
This time last year, I remember telling my mom that I didn’t think vaccines against COVID-19 would be a reality before 2022, if at all. I’m familiar with how long it usually takes to develop, approve, manufacture and distribute vaccines—the fastest timeframe from development to approval was previously four years, for mumps—and I just didn’t see this being any different. Luckily, I was proven wrong.
It took less than 12 months between the first confirmed case of COVID-19 and the administration of the first vaccine. As of today, more than 310 million doses of COVID-19 vaccines have been given around the world. I’m in awe at what the world has been able to accomplish with the right mix of scientific prowess, political will and financial resources.
But behind these achievements hides a reality that too few people want to talk about—the wildly inequitable ways in which these vaccines are being distributed around the world. While some countries have already vaccinated more than 20, 30 or even 50 percent of their populations, dozens of countries have yet to receive a single dose.
Unfortunately, this divide is following predictable patterns, with high-income countries leading the race and low-income countries falling to the back of the pack. Out of the 8.2 billion confirmed doses of the COVID-19 vaccine purchased worldwide, only 670 million have been purchased directly by low-income countries (or just over 8%).
In the past few weeks, we’ve seen some encouraging signs as low- and middle-income countries—including Kenya, where I’m based—are starting to vaccinate their most vulnerable populations. They’re doing this with support from COVAX, a global effort to help ensure people everywhere will get access to COVID-19 vaccines, regardless of their wealth. But even with COVAX, it’s estimated that more than 85 poor countries will not have widespread access to coronavirus vaccines before 2023. Meanwhile, countries like the United Kingdom, the United States and Canada are on track to vaccinate their entire adult populations in the next two to six months.