'Like many of the world's crises,' writes Winnie Byanyima, 'we would be in a better place in this pandemic had we listened to the countries most affected by vaccine inequity.'
On March 11 2020, the director general of the World Health Organization warned of “alarming levels of inaction” from governments as he declared that the COVID-19 outbreak had become a pandemic. Two years on, with a number of highly effective vaccines, we have the tools needed to end this pandemic. But the complacency of some governments has only become worse.
After a brutal 22-month lockdown, schools in Uganda are finally reopening. While they have been closed, many school-age girls have married and had children. In the first 18 months of the pandemic, some 650,000 teenage girls became pregnant in Uganda. Many will never return to education. For their sake, the reopening of societies in the global south is essential.
Like many of the world’s crises, we would be in a better place in this pandemic had we listened to the countries most affected by vaccine inequity. There remains a huge untapped capacity to manufacture COVID-19 vaccines, tests, and treatments in the global south. At least 120 unused facilities are capable of making mRNA vaccines.
To the credit of the US government, they have now shared the publicly-owned aspects of this technology with the WHO. Moderna, however, has refused. The company has even filed patents in South Africa, despite a public pledge that it would not enforce patents on its COVID-19 vaccine. However, some rich governments have led a campaign to derail this solution. Despite overwhelming support for the waiver, the WTO operates via consensus, which it cannot reach without the support of all countries. Millions of people have died while wealthy nations have slow-walked the solution demanded by low and middle-income countries themselves.
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