Our response to COVID-19 cannot be one size-fits-all
Today we can say that we are entering into a new phase of the COVID-19 pandemic, with many of the countries that have been worst affected by the virus – such as the United Kingdom – having vaccinated enough of their vulnerable patients and health staff to avoid the worst of the pressure on their health systems, even though the virus continues to widely circulate. It will be hard to obtain a high level of vaccination coverage in these countries, even if we fix the issue of vaccine supply, because of the lack of a functioning healthcare system, insecurity linked to conflict, and the rejection of vaccines by a part of the population. This means ensuring that rich countries with spare doses set out large and predictable donation schedules of vaccines that are not close to their expiry date; investing in vaccination infrastructure by constructing permanent vaccine centres and funding the training and salaries of staff; funding the vast expansion of testing so that people know when they are sick; ensuring that the new antiviral treatments currently coming to market are widely available at affordable prices, and funding the wide availability of oxygen therapies – and pay the salaries of medical staff to administer them – for those people who develop severe forms of the virus. Everyone who wants a vaccine should have access to one – but there is a huge difference between ensuring vaccine availability in all countries and conducting mass campaigns in all of them.
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