The pandemic is splitting in two. While the 🇺🇸 vaccinates its way out of the nightmare, Covid is raging around the 🌍. Yet just 0.2% of all Covid vaccines are going to low-income countries.

Here's what the U.S. can & must do to get the world vaccinated. 🧵coronavirus.medium.com/the-u-s-is-fin…
1. The U.S. has secured deals for over 1.2 billion doses of Covid-19 vaccines from six companies. That’s more than enough to vaccinate every American several times over.

As vaccine demand starts to lag in the U.S. and doses pile up, we need a plan for how we’ll share the excess.
The most obvious solution is donating the vaccine to the @WHO initiative COVAX to deliver Covid vaccines equitably to countries around the world.

Sharing our bounty would immediately help address Covax’s supply shortage. It would also reestablish the US as a global health leader
2. The U.S. must support a temporary TRIPS waiver at the @wto that would allow countries to produce Covid therapeutics and vaccines domestically.
South Africa and India first asked for this waiver last October. Over 100 low- and middle-income countries have backed their proposal.
As major funders of the Covid vaccines, the US has a lot of say — and sway — over pharma companies. US support would play a significant role in obtaining a temporary waiver.
We can’t protect the profits and patents of pharma companies at the expense of patients and public health.
3. Today many countries around the world depend almost completely on vaccine imports.

U.S. financial and technical support can help build critical vaccine manufacturing capacity in countries where vaccine production is severely limited or nonexistent.
For example, in Africa where only 1.3 doses of Covid-19 vaccines have been administered per 100 people (compared to 45 doses per 100 people in North America), U.S. support for scaling up vaccine production could make a dramatic impact.
By donating excess vaccine doses, removing patent protections for lifesaving medications & vaccines, and helping bolster global vaccine manufacturing capacity, the US can ensure the world doesn’t come to the end of this pandemic less prepared to prevent & respond to the next one.
Read more about how the U.S. can help get the world vaccinated in my latest for @medium 👇

coronavirus.medium.com/the-u-s-is-fin…

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More from @Craig_A_Spencer

25 Apr
Last week was the worst of the pandemic to date, with over 5.2 million new cases globally.

Yet the U.S. is sitting on millions of doses of Astra Zeneca vaccine that we haven’t approved for use (and almost certainly won’t need) while the rest of the world scrambles for supply.
Over a month ago, I (and many others) called for the U.S. to donate these doses immediately. Yet still they sit on a shelf while the pandemic picks up steam.

Meanwhile, new #COVID19 numbers have increased globally for 8 consecutive weeks.
We need to get these doses donated to countries where supply is limited. Immediately. They do absolutely no good to anyone just sitting on a shelf.

Donating money isn’t enough. Committing to future initiatives isn’t either.
Read 4 tweets
14 Apr
The many hot takes on here that the complications from J&J are so rare we shouldn’t have paused it’s use are persuasive at face value. The pandemic IS still raging. We NEED shots in arms. And the risk is SO low! This is all true.

But that argument is missing something critical.
If my loved one was among the 6 with a complication AND the FDA/CDC/US govt knew there was a signal but didn’t act, I’d be furious.

I really appreciate the transparency here.

They could’ve easily argued this away...”this is the background rate of clots” etc. But they didn’t.
Will this mean it’ll be harder to convince many, especially younger women, to get the J&J vaccine if/when we start using it widely again? Yes.

...even if the risk is shown to be much lower than Covid, getting struck by lighting, or dying from a vending machine crushing you? Yes.
Read 7 tweets
22 Mar
Excellent news for the AstraZeneca vaccine! It works, it’s safe and it’s easy to store - just normal refrigeration temperatures!

Importantly, it’s cheap! That’s crucial for getting the 🌍 vaccinated.

What else would help speed the global vaccination? 🧵
nytimes.com/2021/03/22/bus…
Right now wealthy countries like the US are sitting on millions of doses of this vaccine.

It’s not even authorized for use in the US, and won’t be for weeks.l at best.

A few days ago the US announced it would loan millions of doses to Canada & Mexico...
npr.org/2021/03/19/979…
But we’re still sitting on millions of doses. And have ordered 300 million doses. Yes.

When the president pledged there would be enough vaccine for everyone eligible by the end of May, the AstraZeneca vaccine wasn’t even considered in the calculation.
Read 4 tweets
22 Mar
Nearly a month ago, I wrote that the next phase of the pandemic would hinge on vaccines, variants, and doubling down on protective measures.

Let’s take a look what’s happened since then and what that means for what’s next:

link.medium.com/MzyVoTK0Oeb
First, vaccines.

The pace of vaccination has sped up dramatically in the past few months. We’re now averaging 2.5 million per day. And over 3 million vaccines were administered just today. 🎉

That’s incredible.
BUT we’re a huge country and even vaccinating 1% of the population in a day means it’ll take months to get everyone protected.

Only 42% of those >65 years old are fully vaccinated.

And only 13% of the US is fully vaccinated.

The majority of the US is still vulnerable to COVID.
Read 12 tweets
15 Mar
In the last year I’ve done hundreds of TV interviews and lectures.

But yesterday a friend asked me to join her family’s Zoom call to answer questions and concerns about COVID-19 vaccines. It felt like the most important and impactful hour I’ve spent to date...
There were people from all over the country on the call. And they had such insightful and nuanced questions about the vaccines, but we’re struggling to separate the science from the misinformation on social media.

I completely understand why so many are still so uncertain...
But I could tell everyone felt much more reassured after our talk, especially when I shared how effective the vaccines were against getting severely ill, being hospitalized or dying from Covid. And also how excited I was to get my family vaccinated as well.
Read 4 tweets
13 Mar
A great step but we need to do more.

The US has ordered 2x the amount needed to vaccinate every American.

It’s like we prepared a huge feast. And we’re holding another feast in the fridge in case we’re still hungry after.

While everyone else starves.
nyti.ms/30E9YNf
What does ‘doing more’ look like?

We need more clarity on what we’ll do with our huge surplus, and when. Sure, keep some for boosters, variants etc.

But we’re holding onto tens of millions of doses that we haven’t even authorized for use - and may never.
reuters.com/article/us-hea…
What would I like to see?

Right now we’re sending out ~16 million doses weekly. That number will grow when more J&J is added at the end of the month and as capacity for the others picks up.
Read 8 tweets

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