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Vaccination against selfishness and inequality

vacuna cuba“It will not be an exhausted and outdated world order that can save humanity and create the indispensable natural conditions for a dignified and decent life on the planet. (…) This is not an ideological question; it is already a question of life or death for the human species.”
Fidel Castro Ruz  (Speech at the Open Tribune of the Revolution, held in San José de las Lajas)

Solidarity and Justice are still words in disuse even when the catastrophe concerns us all, like a great universal Titanic. A tiny and sticky virus has moved fears, shaken societies and health systems, provoked countless reflections on today and the future, but it has not succeeded in making equity and love for others prosper.

This week will mark the 100 millionth person infected with COVID-19 in the world and already more than 2 million people have died.

“Every day the gap between the haves and have-nots grows. The pandemic has reminded us that health and economics are linked and that we are all in the same boat. The pandemic will not end until it ends everywhere,” said World Health Organization Director-General Dr. Tedros Adhanom Ghebreyesus on Monday.

The numbers bear incontrovertible witness to the expert’s assessment.

The privileged cure

Despite numerous calls from the UN and various world leaders to seek a global response to the pandemic and to facilitate and share access to a cure for the disease, narrow views and deaf ears predominate.

“Science is succeeding, but solidarity is failing,” UN Secretary-General António Guterres noted on January 15. Several vaccines are already available worldwide to tackle the SARS-CoV-2 virus, but access to them is as deeply unequal as the world we inhabit.

Some 66.33 million doses have been administered to date, 93% of which were delivered in just 15 countries: the US, China, UK, Israel, United Arab Emirates, Germany, India, Italy, Turkey, Spain, France and Russia, according to the data analysis platform Our World in Data, based on figures from Oxford University.

In all of sub-Saharan Africa, only 25 doses of vaccine could be administered in Guinea. Populous countries like Nigeria, with 200 million inhabitants, are waiting for the first dose.

The same scramble that took place at the beginning of the pandemic with lung ventilators, masks and protective suits is now being staged with vaccines: hoarding, overpricing and speculation. “An immoral race to the bottom,” as the WHO’s top executive described it.

The COVAX fund, created as a sort of global effort to make vaccines accessible to the poorest nations or those with limited resources, announced that in February it will begin to deliver the first doses (they first said that in January), but it recognizes that it has been limited by the lucrative agreements of various individual nations with the pharmaceutical companies that produce the anti-COVID vaccines.

Another handicap has been the high cost of the vaccines that have the most international approval so far. As Norwegian expert John-Arne Rottingen told The Guardian, “The difficulty is that we really only have widespread international approval for marketing two vaccines: the two mRNA vaccines. The challenge is that one, the Moderna vaccine is very expensive, and the other, the Pfizer / BioNTech vaccine, which was first available and is now being applied in Europe, is moderately expensive compared to others, and requires a super cold chain. The price and cold chain makes it not the ideal vaccines for a global vaccine.”

While nations like India and South Africa are calling on the WHO to campaign for pharmaceutical companies to relinquish intellectual property rights to COVID-19 vaccines and treatments. That would allow other qualified manufacturers in the South to expand production of those antidotes; countries like the US, UK and Canada have opposed the initiative. Those three wealthy nations have purchased or reserved enough doses to inoculate their populations at least four times.

High-income countries account for 16% of the world’s population, but hold more than 60% of the vaccines purchased so far.

Some forecasts put the total population of middle-income and poor countries that could be vaccinated this year at 27%. Duke University’s Center for Global Health Innovation estimates that there will not be enough vaccines to immunize the world’s population until at least 2023.

“The world is on the brink of a catastrophic moral failure, and the price of this failure will be paid in lives and livelihoods in the world’s poorest countries,” Dr. Tedros regretfully sentenced.

The virus of inequality

“Vaccine nationalism” is the exact reflection of an unequal and unjust world in which a few remain the great beneficiaries of wealth, for which billions must make do with the leftovers.

It is the “inequality virus” that OXFAM denounces in its most recent report, in which it evidences that the current failed economic system “allows a super-rich elite to continue to accumulate wealth in the midst of the greatest economic crisis since the Great Depression, while billions of people face great hardship to get by.”

While billionaires saw their fortunes increase between March and December 2020 by a total volume of $3.9 trillion-to amass an unimaginable $11.95 trillion-the poorest people on the planet will need “more than a decade to recover from the economic impacts of the crisis” accentuated by the COVID-19 pandemic.

Racial differences have also deepened. In the United States, the most powerful nation on the planet, if mortality rates were equal to those of the white population, nearly 22,000 Latinos and blacks would not have died from the coronavirus outbreak. In Brazil, people of African descent are 40% more likely to die from COVID than whites.

One of the conclusions of the Oxfam report is that “the pandemic is likely to increase inequality in a way never seen before”. The World Bank has warned that, in the current context, more than 100 million people could reach extreme poverty.

The 10 richest men in the world saw their net worth increase by $540 billion in the pandemic 2020 period. That list is topped by Jeff Bezos and Elon Musk. It also includes luxury group LVMH CEO Bernard Arnault, Bill Gates and Facebook CEO Mark Zuckerberg. According to Oxfam, the money hoarded by these potentates would be enough to prevent people from falling into poverty due to the effects of the virus and would also guarantee a vaccine for everyone on the planet.

Sunshine of the moral world

Among so much inequity and indifference, a small archipelago in the Caribbean, called Cuba, has been able to send thousands of doctors and nurses, in some 50 brigades of the “Henry Reeve” Internationalist Contingent, to more than thirty countries in Latin America and the Caribbean, Europe, Africa and the Middle East, to collaborate in the fight against the deadly disease.

Thousands of lives saved or recovered in a scenario of total complexity are the fruit of their solidarity work. The human and professional quality of these sons and daughters of the Cuban people overcomes the most diverse obstacles. It leaves a mark of affection, gratitude and example that is recognized by all those with whom they have shared and whom they have cared for.

That same country, with scarce economic resources but abundant in trained and educated talent, has been able to build an advanced biopharmaceutical industry, which is now preparing to produce 100 million doses of Soberana 02, one of the 4 vaccines on which its scientists are working. This would make it possible to immunize the entire Cuban population (it would be one of the first countries to achieve this) and to have more than 70 million doses available for other peoples of the South. There are already countries interested in acquiring it, such as Vietnam, Iran and Venezuela, Pakistan and India, the Director General of the Finlay Vaccine Institute recently announced.

Researchers from that institution are working with countries such as Italy and Canada to test the impact of the Soberana 01 vaccine on people who have already had COVID-19 and are convalescing, but are at risk of reinfection.

“We are not a multinational where (financial) return is the number one reason. We work the other way around, creating more health and return is a consequence, it is never going to be the priority,” Dr. Vicente Vérez, leader of the main vaccine research center in Cuba, explained to the press last week.

“Our world can only beat this virus one way: united,” the UN Secretary-General recently emphasized. Unfortunately, the vaccines of solidarity and justice have not been able to be applied in the rich world that dominates.


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