What is Kenya’s strategy against the Coronavirus? Kenyans had hoped to get an answer when President Uhuru Kenyatta’s addressed the Nation last Monday. What they heard instead was a sanguine speech full of moral exhortation and equivocations.
The President announced some tax measures but these were the same middle-class sops that he had offered a fortnight earlier. He spoke expansively on the sacrifices that frontline staff make but gave no carrots that might actually enthuse them to make even more sacrifices, as they must in the coming months. He placed imperious restrictions on how and when people can move in Nairobi, Kilifi, Kwale and Mombasa but left vague much that really matters. His handlers have since been scrambling, trying to finesse his meaning. The President called for Kenya to tap “into the creativity of our people” but left it unclear what the country’s state of readiness for COVID-19 actually is. What, in other words, is the context for the exercise of creativity?
Mr. Kenyatta won’t say what budget re-alignments his government will make to free resources for the crisis. He won’t disclose what, if anything, his epidemiologists have told him about the evolution of the disease in the next few weeks. He won’t say what diplomatic efforts are underway to get help. He won’t reveal the status of our national stores: for food; for antibiotics and for drugs to manage COVID-19 symptoms. If restrictions are meant to make testing easier, Mr. Kenyatta gave no hint whether Kenya has adequate testing kits.
Mr. Kenyatta gestured faintly to the needs of the vulnerable but the paltry Kshs 2 billion shillings from anti-corruption earnings that he has set aside is a desperate drop in an ocean of destitution. What other monies he offered is laughably inadequate: Kshs. 10 billion for cash-transfers to the elderly and Kshs 100 million to musicians and artists, perhaps to lift the national mood out of COVID-19 gloom. Reviewed most charitably, President Kenyatta’s speech was like a fire-bell in a Stygian black-out of hopelessness: Kenyans have no idea whether the fire-brigade will come to the rescue; whether the fire-trucks have water to douse the flames and whether they themselves are safer inside their homes or outside.
Mr. Kenyatta won’t say what budget re-alignments his government will make to free resources for the crisis. He won’t disclose what, if anything, his epidemiologists have told him about the evolution of the disease in the next few weeks.
Even worse, the President’s measures are dangerous as well as weak and ineffectual. They are dangerous for giving the public false hope that there is meaningful action underway. And they are weak and ineffectual because none of what Mr. Kenyatta promises can be enforced. Landlords will puff out their chests with pride at the President’s praise but “compassion and understanding” are not incentives enough for them to forego rents. It is praiseworthy that the President has asked the Nairobi Metropolitan Service to supply water to all and to see to it that water vendors aren’t selling water to the needy. But what are the destitute to do if the vendors ignore Mr. Kenyatta’s pleas? The President has done well to request the Kenya Power and Lighting Company to indulge consumers in default. But what legal right does a presidential ‘request’ give those whose supply KPLC disconnects?
Mr. Kenyatta has two problems, both of his own making. One, since the crisis broke he has treated it as medical problem and farmed it out to Mr. Mutahi Kagwe, the Minister for Health. Two, Mr. Kenyatta appears to think that his government can fight this epidemic without a strategy. He is wrong on both fronts: the crisis he faces is one of governance not medicine and to lead on it is his job, not the health minister’s.
There are only three medical elements to this crisis: tests, treatment and quarantine. Everything else that is necessary to contain the disease: restrictions on movement; contact tracing; kiting out places of quarantine and testing; keeping supply chains for essential goods open; providing essential services in lock-down; protecting the vulnerable; managing food reserves as well as identifying food deficit areas and organizing logistics to supply food where it is needed; enacting special purpose laws for the crisis, say emergency appropriations; tax exemptions for critical businesses; measures to keep the general economy going; how and when to deploy the security forces, including the army; closing or opening borders and arteries of commerce, and much else besides, are all governance issues. The countries that have beaten back the coronavirus understood this from the very first.
And so to Mr. Kenyatta’s second problem: trying to manage the epidemic the way he has managed dissimilar crises in the past, that is, by winging it. He will fail and Kenyans will die needlessly. As a governance problem, Kenya’s effort to fight COVID-19 fragments into many moving parts that span the boundaries of the bureaucracy. Yet ministries are often goal-incompatible: the one for industry might disagree with that for environment where factories should be built, for example. When there is goal-conflict or a problem calls for all of government to act- as COVID-19 does- it is the President’s job to make sure that all work to a common purpose. There must be clarity and co-ordination. That means that the President must set clear goals and frame objectives for his ministers that are clear and achievable. He must define the right actions to achieve the objectives, fund those actions, assign them to someone and make it clear to officials how they will be held to account. Thereafter, his job is to track progress against the targets and results that he wants and, if needs be, to knock laggards on the head and sack persistent failures. In short, Mr. Kenyatta must have a strategy. But, and this is the problem, Mr. Kenyatta acts as if he does not.
And so to Mr. Kenyatta’s second problem: trying to manage the epidemic the way he has managed dissimilar crises in the past, that is, by winging it. He will fail and Kenyans will die needlessly
That, unfortunately, is a deadly tryst with fate. If he is not sure what to do, he has piles of excellent ideas from his impressive Ghanaian peer, President Dankwa Nana Akufo-Addo. Mr. Kenyatta gets apoplectic when western examples are held to his eye but the experiences of a comparable African nation should give him pause. Like Mr. Kenyatta, Mr. Akufo-Addo initially failed to grasp the mortal danger posed by the Coronavirus to the health of his people and the economy of Ghana. Since he learnt the peril that Ghana faced, Mr. Akufo-Addo has shaken his government out of its torpor. He now provides decisive and visible leadership; keeps focus on the mission; constantly reminds Ghanaians of his five anti-COVID-19 objectives and gives regular updates on his efforts. Since the 10th of March he has made five national addresses, all of them matter-of-fact affairs admirably free of moral dross.
Mr. Akufo-Addo’s is clear where the buck stops and he explains it plainly: “The oath of office I swore on 7th January, 2017 demands that I dedicate myself to the service and well-being of the Ghanaian people. It is my job to protect you, and I am determined to do just that.” He has had his missteps. Some Ghanaian lawyers have, to give one example, questioned the constitutionality of the Imposition of Restrictions Act, a recently enacted law that Mr. Akufo-Addo has used to impose a mini-lockdown – apparently copied by Mr. Kenyatta- on the Greater Accra Metropolitan Area. Even so, Mr. Akufo-Addo has been careful to justify, plausibly, all the measures that he takes.
It helps that Mr. Akufo-Addo has framed a clear goal and spelt out some luminous and achievable objectives. His goal is to build the resilience and self-reliance of Ghanaians so that they can beat back COVID-19 and minimise its impact. He has five objectives to that end: to limit or altogether stop the importation of the virus; to contain its spread; to provide adequate care for the sick; to limit the impact of COVID-19 on the social and economic life of Ghana and to expand domestic capabilities to cope with its ravages as well as deepen Ghana’s self-reliance.
To meet the first objective, he closed down all of Ghana’s international borders on the 21st of March. But the numbers of the infected continued to press upwards still, particularly in the Greater Accra Metropolitan Area, and so, on the 28th of March, Mr. Akufo-Addo imposed a two-week, geographically limited restriction on movement. The point was not just to halt the spread of the virus- which is critical- but also to scale-up contact tracing, ease testing and, as necessary, find out who to quarantine for observation and who to isolate for treatment.
Though Mr. Akufo-Addo expected everyone in the named area to stay home for a fortnight, the measures were carefully calibrated. People can still shop for essentials. Inter-city traffic is prohibited but not transport of essential cargo and for critical services. Members of the Executive, the Legislature and the Judiciary are exempt from the restrictions as are those who produce and sell food and medicines. Certain sectors of the economy are excluded too: road and railway construction workers; petrol station staff; miners; fisher-folk and staff of Utilities: power, water, and telecommunications.
He has five objectives to that end: to limit or altogether stop the importation of the virus; to contain its spread; to provide adequate care for the sick; to limit the impact of Covid-19 on the social and economic life of Ghana and to expand domestic capabilities to cope with its ravages as well as deepen Ghana’s self-reliance
President Akufo-Addo understands that without frontline staff, his best efforts will fall apart. He is implementing an array of impressive measures, first to keep frontline staff safe and second to fire up their motivation. As of last Sunday, when he made his latest national address, Ghana had purchased and distributed large stores of Personal Protective Equipment (PPEs): 350,000 masks; 558,650 examination gloves; 1,000 reusable goggles; 20,000 cover-alls; 7,000) N-95 respirators (for close-fit facial and efficient filtering of airborne particles); 500 waterproof gumboots; 2,000 reusable face shields; 2,000 gallons of hand sanitizers; 10,000 100ml pieces of hand sanitizers, and 500 shoe covers.
To cope with anticipated staff shortages and ease communications, Ghana will recruit an additional one thousand community health workers and one thousand volunteers and provide a hundred pick-up trucks and two thousand, five hundred tablets.
Mr. Akufo hopes to keep frontline staff motivated: each health professional will get additional insurance for a total assured sum of US$60,000. Health workers won’t pay income tax for April, May and June. For four months starting in March, they will get 50 per cent of their basic pay as top-up. Contact tracers will be paid a daily allowance of US$25. Throughout the restriction period, the government will provide buses to transport medical staff to and from work.
There is more. Starting this week, Ghana will support local industry to produce Personal Protection Equipment – facemasks, head-covers, surgical scrubs and gowns. This will offset local needs against a growing global shortage. The plan is to produce 150,000 masks a day for a target of 3.6 million.
These measures are being implemented in lockstep with safeguards for livelihoods. This, the Ghana Coronavirus Alleviation Programme, has three aims: offset the disruptive effects of COVID-19; relieve hardships, and rescue and revitalize industry. Treasury will immediately release US$ 175 million to households and businesses. There is a soft loan programme to lend up to US$100 million to Ghana’s Jua-kali sector with one-year moratorium and two-year repayment. And now, the President said on Sunday, there is a US$500 million facility to support industry in the works.
Businesses in the airline and hospitality industries will be grateful for the 6-month moratorium on their loan repayments as well as the 2 per cent reduction in interest rates effective 1st April 2020 that all will enjoy. Amidst a still-growing crisis, many Ghanians will be happy that tax-filing dates have been moved from April to June. Mr. Akufo-Addo has also set up a private COVID-19 Fund, managed- as in Kenya by an independent board- but Ghana’s is chaired by a former Chief Justice Sophia Akuffo.
To give the poor some relief, Mr. Akufo-Addo has ordered utilities- Ghana Water Company Ltd and the Electricity Company of Ghana- to ensure stable supply and not to disconnect anyone in default. The government will pay all Ghanaians’ water-bills for April, May and June. Water tankers – whether public and private- must supply water to all vulnerable communities.
It is all a very impressive example of clear thinking backed by concrete action. Mr. Akufo-Addo has realised that Ghana faces an existential threat from which it may not emerge. The point, it seems, is that Mr. Akufo-Addo is like Mr. Kenyatta: He, too, can make a fine speech. The difference lies in this: that as Mr. Kenyatta makes all the right moral pitches, Mr. Akufo-Addo canvasses all the right responses. If only Mr. Kenyatta would reach for the phone and give President Akufo-Addo a call.
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COVID-19 Vaccine Safety and Compensation: The Case of Sputnik V
All vaccines come with medical risks and Kenyans are taking these risks for their protection and that of the wider community. They deserve compensation should they suffer for doing so.
How effective is Kenya’s system for regulating new medicines and compensating citizens who suffer side-effects from taking them? Since March 2021, Kenya has been using the AstraZeneca vaccine supplied through COVAX to inoculate its frontline workers and the older population. This is available to the public free of charge, according to a priority list drafted by the Ministry of Health (MOH). The Pharmacy and Poisons Board (PPB) also approved the importation of the Sputnik V vaccine from Russia, which was initially available through private health facilities only at a cost of KSh8,000 per jab, before the MOH banned it altogether. However, there were reports in the media that the vaccine continued to be administered secretary even after the ban.
Although side effects are rare, we know that all vaccines come with certain medical risks. Kenyans taking vaccines run these risks not just for their own protection, but also for that of the wider community. The state has a responsibility to protect citizens by carefully controlling the distribution of vaccines and by ensuring that adequate and accessible compensation is available where risks materialise. These duties are enshrined in the constitution which guarantees the right to health (Article 43) and the rights of consumers (Article 46).
A system of quality control before the deployment and use of medicines is set out in the Pharmacy and Poisons Act the Standards Act, the Food, Drugs and Chemical Substances Act and the Consumer Protection Act. However, the controversy over Sputnik V in Kenya has cast doubt on the coherence and effectiveness of this patchwork system. Moreover, none of these Acts provides for comprehensive compensation after deployment and use of vaccines.
Vaccine approval and quality control
Subject to medical trials and in line with its mandate to protect global health, WHO has recommended specific COVID-19 vaccines to states. Generally, WHO recommendations are used as a form of quality control by domestic regulators who view them as a guarantee of safety and effectiveness. However, some countries rely exclusively on their domestic regulators, ignoring WHO recommendations. For instance, the UK approved and administered the Pfizer vaccine before it had received WHO approval.
The COVAX allocation system fails to take into account the fact that access to vaccines within countries depends on cost and income.
By contrast, many African states have relied wholly on the WHO Global Advisory Committee on Vaccine Safety given their weak national drug regulators and the limited capacity of the Africa Centre for Disease Control (CDC). The Africa CDC itself deems vaccines safe for use by member states on the basis of WHO recommendations. Kenya has a three-tier approval system: PPB, Kenya Bureau of Standards and WHO. The PPB relies on the guidelines for emergency and compassionate use authorisation of health products and technologies. The guidelines are modelled on the WHO guidelines on regulatory preparedness for provision of marketing authorization of human pandemic Influenza vaccines in non-vaccine producing countries. However, prior to approval by PPB, pharmaceuticals must also comply with Kenya Bureau of Standards’ Pre-Export Verification of Conformity standards .
Vaccine indemnities and compensation
To minimise liability and incentivise research and development, companies require states to indemnify them for harm caused by vaccines as a condition of supply. In other words, it is the government, and not manufacturers, who must compensate them or their families where required. Failure to put such schemes in place has undermined COVID-19 vaccine procurement negotiations in some countries such as Argentina. Indemnities can be either “no-fault” or “fault”-based’.
No-fault compensation means that victims are not required to prove negligence in the manufacture or distribution of vaccines. This saves on the often huge legal costs associated with tort litigation. Such schemes have had a contested history and are more likely to be available in the Global North. By contrast citizens of countries in the Global South must rely on the general law, covering areas such as product liability, contract liability and consumer protection. These are usually fault-based, and require claimants to show that the vaccine maker or distributor fell below widely accepted best practice. Acquiring the evidence to prove this and finding experts in the sector willing to testify against the manufacturer can be very difficult.
By default, Kenya operates a fault-based system, with some exceptions. Admittedly, citizens have sometimes been successful in their claims, as in 2017 when the Busia County Government was ordered by the High Court to compensate victims of malaria vaccines. The High Court held that county medics were guilty of professional negligence, first by not assessing the children before administering the vaccines, and second by allowing unqualified medics to carry out the vaccination.
The problem is that the manufacturer has not published sufficient trial data on the vaccine’s efficacy.
In recognition of these difficulties, and in order to ensure rapid vaccine development during a global pandemic, WHO and COVAX have committed to a one-year no-fault indemnity for AstraZeneca vaccines distributed in Kenya. This will allow victims to be compensated without litigation up to a maximum of US $40,000 (approx. KSh4 million). To secure compensation, the claimant has to fill an application form and submit it to the scheme’s administrator together with the relevant evidentiary documentation. According to COVAX, the scheme will end once the allocated resources have been exhausted. The scheme also runs toll-free telephone lines to provide assistance to applicants, although the ministries of health in the eligible countries are also mandated to help claimants file applications.
Beneficiaries of the no-fault COVAX compensation scheme are barred from pursuing compensation claims in court. However, it is anticipated that some victims of the COVAX vaccines may be unwilling to pursue the COVAX scheme. At the same time, since the KSh4 million award under COVAX is lower than some reliefs awarded by courts in Kenya, some claimants may avoid the restrictive COVAX compensation scheme and opt to go to court. Because such claimants may instead sue the manufacturer, COVAX requires countries to indemnify manufacturers against such lawsuits before receiving its vaccines.
Sputnik V is different. Neither the WHO-based regulatory controls before use, nor the COVAX vaccine compensation scheme after use applies. Sputnik has not been approved by WHO or the Africa CDC. The PPB approved its importation in spite of the negative recommendation of Africa CDC, and in the face of opposition from the Kenya Medical Association. The rejection of Sputnik in countries like Kenya is partly due to the reluctance of Russia’s Gamaleya Institute to apply for WHO approval, partly because the manufacturer has not published sufficient trial data on the vaccine’s efficacy, and partly due to broader mistrust of the intentions of the Russian state. This may be changing as Africa CDC Regulatory Taskforce and European Medicines Agency are now reviewing the vaccine for approval while 50 countries across the globe have either approved its use- or are using it already. In Africa, Ghana Djibouti, Congo and Angola have approved the use of Sputnik V with Russia promising to donate 300 million doses to the African Union. Such approvals have been hailed for providing an alternative supply chain and reducing overreliance on the West.
As regards compensation, Russia has indicated that it will provide a partial indemnity for all doses supplied. However, no clear framework has been set out on how this system will work. There has therefore been no further detail on the size of awards, and whether they will be no-fault or fault-based. This lack of legal specifics has added to the reluctance of countries around the world to adopt the vaccine.
As matters stand, therefore, the Kenyan government would not be able to indemnify private clinics importing and administering Sputnik V. The absence of a statutory framework on vaccine compensation by the state makes this possibility even less likely. Nor would compensation be available from the Gamaleya Institute. The only route then would be through affected citizens taking cases based on consumer protection legislation and tort law in the Kenyan courts. As we have noted, this is complex and costly. Claims might be possible in Russia, but these problems would be exacerbated by language barriers and differences between the legal systems, as well as the ambiguity of the Russian compensation promises.
The private sector can complement state vaccination efforts, but this must be done in a way that guarantees accessibility and safety of citizens.
Although the importers obtained a KSh200 million insurance deal with AAR as a precondition for PPB authorisation, the amount per claimant was restricted to KSh1 million, which is well below the WHO rates and the average tort rates ordered by Kenyan courts. As an alternative to claiming against the manufacturers and distributors, injured patients might sue the Kenyan government. Such a claim would allege state negligence and dereliction of statutory and constitutional duties for allowing the use of a vaccine that has not been approved by global regulators such as WHO, thus exposing its citizens to foreseeable risks. This would be particularly attractive to litigants given the difficulties in recovering from the Russian authorities and the risk that Kenyan commercial importers would not be able to meet all possible compensation claims. Ironically, the use of the Sputnik V vaccine in private facilities still exposes the government to lawsuits even if it didn’t facilitate the vaccine’s importation and distribution.
What the government needs to do
The acquisition of vaccines has been undermined by the self-interested “nationalism” of states in the Global North. Only after buying up the greater part of available vaccines have they been willing to offer donations to the rest of the world. These highly publicised commitments fall far short of what is required in the Global South. Kenya’s first task must be to intensify its diplomatic efforts to increase supply through bilateral engagement with vaccine manufacturing states and in multilateral fora like the World Trade Organization, acting in alliance with other African states. Such steps are only likely to bear fruit in the medium term, however. In the short term, it is certainly sensible to involve private companies in vaccine procurement and distribution in order to supplement the supplies available through COVAX. This is recognised in Kenyan and international law as an acceptable strategy for securing the right to health. But it must be done in a way that guarantees accessibility and the safety of citizens. Accordingly, Kenya should encourage Russia (and all vaccine manufacturers) to publish full trial data showing effectiveness and risks, and to seek WHO approval on this basis. It should require them to establish and publicise detailed indemnity frameworks to allow for comprehensive and accessible compensation. It should acknowledge that citizens accepting vaccines are not only protecting themselves, but also the wider national and global community. With adequate regulation before use, the risk of doing so can be minimised and made clearer. But some risk remains, and those who run it deserve to be compensated for doing so. It is therefore imperative for Kenya to establish its own no-fault indemnity scheme for all state-approved vaccines, including those imported by the private sector.
This article draws from COVID-19 in Kenya: Global Health, Human Rights and the State in a time of Pandemic, a collaborative project involving Cardiff Law and Global Justice, the African Population and Health Research Centre, and the Katiba Institute, funded by the Arts and Humanities Research Council (UK).
Gone Is the Last Of the Mohicans: Tribute to Kenneth Kaunda
As we mourn President Kaunda, my prayer is that the death of this great African son and leader will remind us of the sacrifices that he and his contemporaries who fought for Africa’s independence made.
17 June 2021
Tonight, I was welcomed in Addis Ababa, Ethiopia, by the sad news of the death of the first President of the Republic of Zambia and a founding father of the nation, His Excellency Dr. Kenneth Kaunda.
In this moment of great loss to Zambians and indeed all Africans, I wish to express my heartfelt condolences to the Kaunda family, President Edgar Lungu, and the government and people of the Republic of Zambia.
The demise of President Kaunda at the grand old age of 97 years brings to end the pioneers and forefathers who led the struggles for decolonisation of the African continent and received the instrument of Independence from the colonial masters in Africa.
Let all Africans and friends of Africa take solace in the knowledge that President Kaunda has gone home to a well-deserved rest and to proudly take his place beside his brothers such as Jomo Kenyatta of Kenya, Kwame Nkrumah of Ghana, Julius Nyerere of Tanzania, Habib Bourguiba of Tunisia, Léopold Sédar Senghor of Senegal, Nnamdi Azikiwe of Nigeria, Ahmed Sékou Touré of Guinea, Félix Houphouët-Boigny of Côte d’Ivoire, Patrice Lumumba of Congo, Nelson Mandela of South Africa to name but a few.
All of them, without exception, were nationalists who made sacrifices in diverse ways. Some, like Patrice Lumumba, untimely lost their lives soon after independence. We are consoled that God granted President Kaunda long life to witness the progression of Africa through five decades of proud and not-so proud moments.
In December 2015, I visited President Kaunda at his home in Lusaka in what was to be our last meeting. As we discussed about everything from family to politics in our two countries and indeed in Africa generally, I asked him if the Africa that we have today is the Africa for which he and his contemporaries struggled and fought. President Kaunda was visibly pained in his response and at some point he broke down and wept. It was obvious to me how disappointed he was about some of the challenges that have plagued our continent for decades since independence.
As we mourn President Kaunda, my prayer is that the death of this great African son and leader will remind us of the sacrifices that he and his contemporaries who fought for Africa’s independence made. Let it remind us of the vision that they had for Africa; their hopes and aspirations; their dream for a free, strong, united and prosperous Africa. Let us, African leaders and people, never let the labour of these heroes past be in vain.
Rest well, KK. Africa is free and will be great.
Vaccine Internationalism Is How We End the Pandemic
The G7 is prolonging the pandemic. The Summit for Vaccine Internationalism is organizing to end it.
Last week, as the Covid-19 virus claimed more than 10,000 lives each day, the leaders of the G7 met to discuss their plans to end the pandemic.
Since the last G7 meeting in February, one million more people have died from Covid-19. A new wave of the pandemic is decidedly here — and with it, the warning that the virus could mutate further and become resistant to existing vaccines.
And yet, despite this lethal urgency, a plan and commitment to vaccinate the world failed to materialize in Cornwall. Even the heralded pledge to donate a billion doses of the Covid-19 vaccine — a fraction of the 11 billion doses the world needs, and spread over a year and a half — dropped to 870 million by the time the meetings concluded, out of which only 613 million doses are truly new.
We cannot seriously expect the G7 leaders to challenge a global health system that they constructed. Nor can we wait around for fresh promises of charity. As the G7 pose for photographs on the beach, new variants of concern continue to accelerate the virus’s assault: the Alpha variant in the UK, Beta in South Africa, Gamma in Brazil, and now, Delta in India. Every minute that global cooperation is delayed is another neighborhood of lives at risk.
As of today, the G7 countries have purchased over a third of the world’s vaccine supply, despite making up only 13% of the global population. Africa, meanwhile, with its 1.34 billion people, has vaccinated a meagre 1.8% of its population. The result: At the current rate, low-income countries will be left waiting 57 years for everyone to be fully vaccinated.
That is why the Progressive International is bringing together a new planetary alliance of government ministers, political leaders, and vaccine manufacturers in an emergency summit for #VaccineInternationalism.
In this moment, every laboratory, every factory, every scientist, and every healthcare worker must be empowered to produce and deliver more vaccines for everyone, everywhere. Instead, high- and middle-income countries have used up more than 85% of the world’s vaccine supply. Many have done nothing to waive patent monopolies on vaccines. None of them have done anything to force a transfer of vaccine technology to the world.
Today, as most of the world grapples with having any vaccines at all, the United States and other rich countries grapple with what will soon be huge surpluses of vaccines.
It is clear: The end of this pandemic is now being artificially delayed. It could end — we could make enough vaccines in one year, according to Public Citizen — but instead of sharing technology and cooperating to manufacture vaccines, powerful pharmaceutical companies are choosing to extend it. The IQVIA report on the potential market for booster shots is telling: an estimated $157 billion will be spent worldwide on Covid-19 vaccines through 2025. Governments have already transferred extraordinary amounts of public money into private pockets, creating nine new billionaires — pharmaceutical executives that have handsomely profited from a monopoly on Covid-19 vaccines. Their combined wealth is enough to fully vaccinate some 780 million people in low-income countries.
This cannot go on. Now, delegations of the Global South are coming together to demonstrate models of vaccine internationalism — Cuba, Bolivia, Argentina, Mexico, Kenya, Kerala, and more. Joining their call are allies from the Global North, from the UK, Canada, New Zealand — standing ready to challenge their governments to end their loyalty to Big Pharma and surrender their control over global health institutions. With vaccine manufacturers like Virchow, Biolyse, and Fiocruz stating their willingness to do their part — this coalition has a simple goal: to produce, distribute, and deliver vaccines for all.
With this summit, the Progressive International is sounding the alarm: our lives and liberty are in danger, and the sovereignty of the South is at stake. These progressive forces are coming together to set the stage for a new kind of politics —where solidarity is more than a slogan.
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