Canada’s ‘I first’ vaccination strategy can occur at the cost of health

This article was originally published in The Conversation, an independent, non-profit source of data, research and observation from education experts. Disclosure data can be obtained from the original website.

By the time the Throne Address was delivered on September 23, Canada had already committed more than $1 billion to advance agreements with five pharmaceutical corporations for a minimum of 154 million doses of vaccine, as long as those candidate vaccines proved effective and safe. Two days later, Canada signed another agreement with another company for an additional 20 million doses, covering its bets on which vaccine applicants will be the first to arrive.

In doing so, Canada joins the premier league of vaccine nationalists, a handful of wealthy countries that have purchased (to date) more than a share of the world’s short-term vaccine supply.

It is understandable that countries need to ensure their skills for the fitness of their citizens, but most of the world’s population lives in countries without the same monetary resources to participate in the global “I first” vaccine competition. Efforts to raise national interests in collective global fitness result in slower progress and limited overall capacity to pool resources, while hitting the interests of rich countries in others, with devastating effects.

Recent modeling compared to two situations to allocate the first 3 billion doses of an effective vaccine to 80%. The “lack of cooperation” situation, in which 2 billion doses would pass to high-income countries and the rest to all, would result in 28% more deaths than a “cooperative” situation, in which the 3 billion doses are distributed globally, in proportion to the length of the population.

To begin with, our commitment to the World Health Organization COVAX Advanced Market Engagement (CMA) should, at a minimum, dovetail with what we are making an investment in acquiring vaccines for use in Canada. Diversified portfolio of vaccine applicants around the world High-income countries such as Canada that enroll in COVAX have the option of purchasing approved vaccines through the facility, even if they have already entered into bilateral procurement agreements with vaccine manufacturers. Canada announced it would do so, committing $ 220 million to purchase another 15 million doses of vaccine from the facility if approved.

More importantly, the facility’s CMA will provide vaccines to more than 90 eligible deficient countries that cannot purchase them on their own. The CMA will have to raise $2 billion through December to do so, with the short-term purpose of vaccinating 3% of the population of all COVAX countries. As of September 21, only $700 million had been committed. On 25 September, Canada committed $220 million to the CMA, in addition to the $25 million already donated. It is welcome and commendable, but also insufficient.

The long-term purpose of cma is to succeed by 20%, a purpose that will enable fitness personnel and vulnerable populations in poor countries to obtain vaccines, but will fully have the generosity of donations from high-income countries, philanthropists and pharmaceutical companies. . Cma.

Much more investment in AMC is needed now and in the future. We argue that Canada devotes a dollar amount to the CMA based on what it spends on its own vaccine purchases. This would mean offering up to $1 billion more than your current CMA dedication, with a budget through our country’s Official Development Assistance Envelope (ODP). Canada has overall obligations under foreign declarations to do so.

Canada says it is a voice for justice and human rights, both at home and on the world stage. Actions speak more than words. In recent years, Canada has benefited especially from its help abroad. We ranked 17 out of 30th at the OECD donor country club in 2019, contributing only 0. 27% of our gross national income, without predictable accumulation. A rapid accumulation of $1 billion for the AMC will still allow us to meet our 0. 7% promised OD target for a long time.

A billion dollars is a lot of money. But that’s only one-fifth of the amount the federal government has borrowed weekly since March from the Bank of Canada (which it owns) to fund its pandemic assistance programs. Most less gifted countries do not have the same indefinite borrowing capacity. of their own central banks and, on the other hand, to resort to foreign creditors, with the dangers of indebtedness that this entails.

According to the executive director of the world’s largest vaccine manufacturer, the Serum Institute of India, even with a wide global capacity, could possibly pass until 2024 before there are enough doses for the world’s population. Canada can also develop its own vaccine production capacity, and is already on track to do so, with the government’s $126 million investment in a new facility in Montreal, which aims to produce two million doses of vaccine depending on the month for domestic use. until the summer of 2021.

Why double that investment and set aside some of the production for the use of AMC to meet urgent global needs?This would mean for all Canadians the importance of a collective reaction to this pandemic.

As the world looks forward to the arrival of an effective vaccine, three things are vital: first, the long-term effectiveness of any vaccine will remain doubtful for some time; second, even if collective immunity opposed to COVID-19 finally develops third, one way to address long-term pandemic hazards and the existing shortage of COVID-19 vaccines is to adopt the diversity of non-pharmaceutical products. interventions that can flatten and even involve infectious curves, especially in countries that house a part of humanity that does not yet have access to essential physical care.

All countries want more powerful public fitness staff: more nurses, testers, touch markers and networked fitness workers. All countries want universal fitness coverage, one of the sustainable progression goals the world (including Canada) has committed to achieving until 2030. the poorest part of humanity that wants it most.

So if Canada and other rich countries, in their nationalism of vaccines, continue to inadvertently displace poor countries, they deserve to make up for it by overwhelmingly securing the investments that countries want to provide social protection, support. source of income and food security essential for the fitness of its citizens. and their conditioning systems with the ability to public conditioning to suppress outbreaks as they occur.

It’s in our national interest to do so. At the end of the Speech from the Throne on September 23:

“We can’t have this pandemic in Canada if we don’t finish it everywhere. “

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