The US has most outstanding, but that is misleading as President Biden just this week added 500m to US total pledged donation by 1.1B COVID vaccine doses
Team Europe (EU Norway + Iceland) added 50M to its total pledge of 500m COVID vaccine doses
While Team Europe has administered 561M doses at home, it's donated just 33.8M doses - 6.8% of total pledge
W/in Team Europe, Germany has most undelivered
UK hasn't been much better 3/
China has consumed the most COVID vaccine doses at home (2.2 billion!) and, yet, has pledged to donate considerably less (90M) than either the US (1.1B) or Team Europe (500M)
It has, however, been quicker to deliver on its modest promises 4/
Despite claims by donors that their donations are apolitical, donation patterns suggest otherwise
Donations have not tended to go to countries w/highest current or projected case burden, lowest vax rates, or biggest populations 5/
Asia-Pacific nations are receiving 50% of all donated doses, despite having just 22% of total global cases since Nov. 2020
Latin America, non-EU nations in East & Central Europe & Central Asia receive fewer donations than risk-based approach would suggest thelancet.com/journals/lance…
To its credit, US has prioritized Latin American & African nations to greater extent than other donor nations
But US has sent 44% of its donated doses to 19 nations in Asia
10.3M went to Pakistan—the largest recipient of US vax donations—soon after US pulled out of Afghanistan
China has pledged to donate 90M COVID vaccine doses, earmarked 67.8M doses for 93 countries, of which 49 million doses have been delivered
All but six of the 93 nations to which China has pledged doses are participants in its Belt and Road Initiative 8/ thinkglobalhealth.org/article/billio…
Team Europe pledged 500M donated doses, earmarked 61.1M of those doses to 54 nations. 33.8M doses have been delivered
Germany favored Africa
Austria & Lithuania favored Eastern Europe
Portugal, Spain & France sent doses 1st to former colonies
EU hasn't prioritized Asia 9/
Japan pledged 59M donated doses, earmarked 26.8M of those doses to 29 nations. 23.2M doses have been delivered
Japan has directed 89% of its donated doses to a single region: Asia-Pacific.
Japan has only donated doses to just one country outside of Asia-Pacific: Iran 10/
A full list of donations, sources, links are included in the interactive.
The whole interactive is worth your time. Read it here!
Maximizing potential benefit of vaccine donations depends on doses going where they can do the"most good" but there's no consensus on where that would be
This week's summit in Cornwall, UK should be the time when G7 leaders finally act on their promises to send surplus COVID-19 vaccine supplies to the many other countries where they remain scarce #G7UK
COVAX has been criticized by @ZekeEmanuel@GovindPersad & others for its population-based allocation scheme that does not direct most of its early vaccine supplies to the settings at the greatest risk of otherwise having high COVID-19 death rates 3/ nytimes.com/2021/05/24/opi…
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