MEXICO CITY – Over the past few weeks, Britain and the United States have watched calmly as their citizens begin to be vaccinated. COVID-19: – but in much of Latin America, Africa, and much of Asia, the news was met with a mixture of resignation and anger.
For many people in the emerging world, there is still no light at the end of the tunnel.
These countries are struggling to access the long-awaited vaccines after rich countries have reserved enough doses for their populations to be vaccinated several times.
“International solidarity must grow,” Martha Delgado, a Mexican official in charge of vaccine contract negotiations, told BuzzFeed News. Responding to the concerns of the developing world, he warned that the global epidemic would not end until everyone had been vaccinated. He wants the United States and other Western countries to think beyond their own borders, beyond their immediate needs. “No one will be safe until everyone is vaccinated,” he said.
For example, Canada has pre-ordered at least 38 times the amount needed to vaccinate its 38 million citizens. The UK has secured enough to cover almost three times its population. The European Union ը The United States can vaccinate almost all of its population twice as much as the number of vaccines available to them. While almost a quarter of the world’s population The vaccine will not be available until at least 2022, according to BMJ Medical Journal.
To date, some of the poorest countries most affected by the virus have only pre-orders to cover a small part of their population. Peru, where a sharp shortage of oxygen left the country earlier this year, “El Salvador, where more than four people fall below the poverty line,” received preliminary doses for less than half of their population, according to the New York Times. analysis:,
Countries that have pre-orders but no political influence or economic power will have to wait longer than the major powers. Mexico, which, according to its government, has signed contracts with various pharmaceutical companies to vaccinate 116 million of its 126 million citizens against COVID-19, says the operation will not end until at least March 2022.
“At least in Mexico we have the money to buy vaccines,” said Xavier Tello, a health policy expert based in Mexico. retweet: A note referring to the interview, which reads: “I can have money to buy Tesla. but if someone has already paid, I will probably have to be on the waiting list. ”
Many in Mexico say that the country can not wait much longer. On paper, the country has the fourth highest death rate, second only to the United States, Brazil and India, but the official figure of 118,598 is much lower than the actual number of victims. At least there were at least 60,000 «unnecessaryTheir top deaths in 2020.
And Mexican health workers say they have stretched to a continuing PPE shortage, exhaustion and grief. More than 2250 doctors, nurses and medical staff died, according to government figures. Almost three times the population of Mexico, some 1500 medical workers died in the United States.
Who gets the vaccine, when, opened an unprecedented ethical discussion. Should governments prioritize their own citizens? Should the first vaccines be given to a specific population in each country? Should pre-doses be given to people at risk around the world before they are distributed to those without co-morbidities?
Arthur Kaplan, head of medical ethics at New York Medical School, said he was partially defending the first school of thought, vaccine nationalists. Countries that can afford it should first take care of themselves, “plus a little more for insurance” if the current vaccines only offer immunity for a limited time and a booster is needed in the near future.
But when it comes to making a more ethical decision, Kaplan said that when a state vaccines its health care workers, the elderly, people with pre-existing conditions, the same population should be vaccinated in other countries before vaccinating young people in low-risk populations.
COVID-19 has wreaked havoc around the world that justice is not part of decision-making when it comes to vaccine distribution in countries.
“Rich countries are in such a bad state that they do not think about it,” Kaplan told BuzzFeed News.
While the second option, giving vaccines to an equal number of people in each country may seem fairer, it may end up being ineffective. Ignacio Mastroleo, Argentine expert in medical ethics և a part The World Health Organization’s կազմակերպ COVID-19 ethics team notes that giving Peru և Poland the same amount of vaccine, for example, would not take into account that the virus had previously killed 11,600 people more than the second (population) of 32 million. և 38 million).
“This option is not sensitive to the needs of the population,” Mastroleo said, adding that Peru’s poverty rates are 10 times higher than in Poland.
Mastroleo said that if there is a silver lining, then this, unlike 2009. With the swine flu epidemic, international organizations are making efforts to support equal access to vaccines this time around. One of these mechanisms, established by the WHO, known as COVAX, is a global collection of vaccines that will be available to poorer countries. But the scheme will provide less than 20% of the population of 92 low- and middle-income countries.
Unequal access to vaccines is likely to occur not only within countries but also within their own borders, leaving millions of vulnerable people vulnerable to the virus. Colombian President Ivan Duke announced on Monday interview: According to Blu Radio, there are no plans to vaccinate documents, saying that if the country does so, it could create a “swift blow” of immigrants to Colombia. There are currently 1.7 million Venezuelans living in Colombia, 55% of whom are stateless. Most of them fled the economic downturn in Venezuela due to the humanitarian crisis.
Millions of people could be helped by the end of 2021 or even later, when countries that have stockpiled surplus vaccines either sell them or donate them to poorer countries, Delgado said.
“This is the wrong strategy,” Delgado said. Comfort will come to the world sooner when people stop “seeking their own salvation.”