US & other wealthy democracies have generally opted to give cash, not doses to other nations in this crisis
They've also promised to donate doses once done vaccinating @ home
Yet future doses from COVAX & western donors are cold comfort to nations desperate for vaccines now 4/
US provision of vaccine doses to Mexico is a cautious step toward greater global equity
Making it a loan, that may not need repaying, is politically viable way for a democracy to help at a time when voters may not otherwise support doses going abroad 5/ theatlantic.com/ideas/archive/…
Now the US and its allies need to build on that example and go further
COVAX needs help now -- more than cash
Here's @ChadBown & me on how an initiative - a global operation Warp Speed of sorts - can scale up vaccine manufacturing & supplies quickly 6/ piie.com/blogs/trade-an…
The US & allies can still provide a compelling counternarrative to the token vaccine donations promoting national interests w/out doing nearly enough to bring this pandemic under control
Results published in Lancet indicate say this a/b 1 dose regimen
It will be interesting to see public response and distribution strategy for regimen w/lower efficacy than Pfizer/Moderna options & uncertainty about duration of protection thelancet.com/journals/lance…
Apparently, Oxford/AstraZeneca has not even filed a submission package with EMA yet. FDA decision isn't coming soon either.
This is such an important vaccine for global access and so much is strange about how its sponsors have pursued it reuters.com/article/us-hea…
Global health became less a/b cooperation among nations on common threats and more a/b aid-driven initiatives and public-private partnerships to solve the problems of *other* people—mostly in low-income countries 3/
US #COVID19 hospitalizations & deaths are surging, and projections are ~200,000 more Americans will lose their lives to the virus before March
A safe vaccine could help shift that trajectory but only if we learn from past US failures distributing vaccines to adults 2/
According to recent analysis, 75% Americans would need to receive a vaccine that prevents at least 80% of infections for that vaccine to end #COVID19 pandemic on its own
Countries without government trust have performed badly in #COVID19, even when you account for differences in population age and size, and the timing of the pandemic
“Government exists to protect us from each other,” Reagan once said, but goes “beyond its limits . . . in deciding to protect us from ourselves”
When applied to pandemics, Reagan was wrong & so are policymakers, in esp. in US, who have adopted this view foreignaffairs.com/articles/unite…
Confronted w/novel contagious virus, for which there's no effective treatment & no preexisting immunity, the only way to protect citizens from one another is by convincing them to protect themselves
Esp. in free societies that depends on trust between government and its people
The @bmj_latest series examines the mechanisms that might explain underperformance of democracies in #COVID19 crisis and proposes ideas to better “pandemic proof” this political system