scholarly journals A vaccine tax: ensuring a more equitable global vaccine distribution

2021 ◽  
pp. medethics-2021-107418
Author(s):  
Andreas Albertsen
Keyword(s):  
Ethical Issue ◽  
Low Income ◽  
Free Riding ◽  
Global Distribution ◽  
Low Income Countries ◽  
Unequal Distribution ◽  
Ability To Pay ◽  
Difficult Time ◽  
Vaccine Distribution

While COVID-19 vaccines provide light at the end of the tunnel in a difficult time, they also bring forth the complex ethical issue of global vaccine distribution. The current unequal global distribution of vaccines is unjust towards the vulnerable living in low-income countries. A vaccine tax should be introduced to remedy this. Under such a scheme, a small fraction of the money spent by a country on vaccines for its own population would go into a fund, such as COVAX, dedicated to buying vaccines and distributing them to the world’s poorest. A vaccine tax would provide a much-needed injection of funds to remedy the unequal distribution of vaccines. The tax allows for a distribution that, to a lesser degree, reflects the ability to pay and is superior to a donation-based model because it minimises the opportunity for free-riding.

scholarly journals Equitable vaccine distribution promotes socioeconomic benefits globally

2021 ◽  
Author(s):  
Nils Stenseth ◽  
Daoping Wang ◽  
Ruiyun Li ◽  
Tianyang Lei ◽  
Yida Sun ◽  
...  
Keyword(s):  
High Risk ◽  
Low Income ◽  
The Elderly ◽  
Economic Benefits ◽  
Benefit Sharing ◽  
Low Income Countries ◽  
Modeling Framework ◽  
Distribution Strategy ◽  
Health Gains ◽  
Vaccine Distribution

Abstract Ensuring a more equitable distribution of vaccines worldwide is an effective strategy to control the COVID-19 pandemic and support global economic recovery. Here, we analyze the socioeconomic effects - defined as health gains, lockdown-easing benefit, and supply-chain rebuilding benefit - of a set of idealized vaccine distribution scenarios, by coupling an epidemiological model with a global trade-modeling framework. We find that overall a perfectly equitable vaccine distribution across the world (Altruistic Age-informed Distribution Strategy) would increase global economic benefits by 11.7% ($950 billion) per year, compared to a strategy focusing on vaccinating the entire population within vaccine-producing countries first and then distributing vaccines to non-vaccine-producing countries (Selfish Distribution Strategy). With limited doses among mid- and low-income countries, prioritizing the elderly who are at high risk of dying, together with the key workforce who are at high risk of exposure, is found to be economically beneficial. We further show that such a strategy would cascade the protection to other production sectors while rebuilding the supply chains. Our results point to a benefit-sharing mechanism which highlights the potential of collaboration between vaccine-producing and other countries to guide an economically preferable vaccine distribution worldwide.

scholarly journals Vaccine Equity

2021 ◽  
Author(s):  
Shalu Nigam
Keyword(s):  
Human Rights ◽  
Global Health ◽  
Low Income ◽  
Low Income Countries ◽  
Effective Response ◽  
Positive Duties ◽  
Moral Duties ◽  
The Third World ◽  
Vaccine Distribution ◽  
Health Rights

COVID-19 has shown that today the world is more interconnected, yet it is more hierarchical and stratified riddled with disproportionate systemic structural socio-economic inequalities. The global humanitarian disaster has highlighted the despair state of human rights affairs across the planet. It has exposed the supremacy of the neoliberal, nationalist paradigm that is deeply entrenched affecting the poorest of the poor. The pandemic has also indicated how capitalism is eroding democratic values endangering the lives of billions. Today, the high-income countries and the pharmaceutical companies are advancing their strategic interest, whereas the persons in the middle and low-income countries are being deprived of their basic requirements. Inequities in vaccine distribution are obstructing the effective response to the pandemic at the global level. Discrimination in access to the vaccine is adversely affecting the marginalized. This essay argues for respecting human rights as global health justice and suggests for affordable, accessible, and quality vaccination and treatment to all in line with reasoning that health inequalities and cross border issues are morally and ethically troubling and therefore are morally justified. Based on positive duties to create conditions for the availability of health rights for all humans, it argues that no rich country or resourceful persons will be safe until the last person is safe. These moral duties, in turn, generate duties of cooperation and obligations at international and domestic levels to better align with values in line with the principles of global health governance. Leaving a large section of the population in the Third world behind is not going to eliminate the threats of the spread of the epidemic.

scholarly journals The GoPA! Second Set of Country Cards Informing Decision Making for a Silent Pandemic

2021 ◽  
pp. 1-2
Author(s):  
Andrea Ramírez Varela ◽  
Michael Pratt
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Physical Inactivity ◽  
Critical Role ◽  
World Health ◽  
Low Income Countries ◽  
Unequal Distribution ◽  
Global Pandemic ◽  
Activity Promotion ◽  
The World

In 2012, the Global Observatory for Physical Activity (GoPA!) was established to provide information that would enable countries to initiate or improve research capacity, surveillance systems, program development, and policymaking to increase physical activity levels. Findings from the first GoPA! Country Cards showed an unequal distribution of physical activity surveillance, research productivity, and policy development and implementation around the world. Regular global monitoring of these factors, especially in countries with the largest data gaps, was recommended to combat the global pandemic of physical inactivity. After 6 years and using standardized methods, GoPA! is launching the second set of Country Cards based on data up to 2019 from 217 countries. Overall results showed that periodic national surveillance of physical activity was less common in low-income countries, compared with middle- and high-income countries. Large inequities were seen with more than a 50-fold difference in publications between high- and low-income countries and 32% of the countries worldwide had no physical activity policy. GoPA! has a critical role in facilitating evidence-based physical activity promotion building on international guidelines and the World Health Organization Global Action Plan. GoPA! will continue to monitor progress as we battle the global pandemic of physical inactivity.

Three Cases of Joubert Syndrome in a Consanguineous Syrian Family and a Interesting Case of Multinational Collaboration

2021 ◽  
Author(s):  
Davor Petrović ◽  
Vida Čulić ◽  
Zofia Swinderek-Alsayed
Keyword(s):  
Low Income ◽  
Autosomal Recessive ◽  
Autosomal Recessive Disorder ◽  
Joubert Syndrome ◽  
Interesting Case ◽  
Low Income Countries ◽  
Ocular Motor ◽  
Quality Health Care ◽  
Quality Health ◽  
Motor Apraxia

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.

Reviewing the Development of Rural Finance in Vietnam

2013 ◽  
pp. 121-136
Author(s):  
Duong Pham Bao
Keyword(s):  
Low Income ◽  
Financial System ◽  
Low Income Countries ◽  
Supply Side ◽  
New Paradigm ◽  
Rural Finance ◽  
Market Mechanisms ◽  
Rural Credit ◽  
Rural Organizations ◽  
Doi Moi

The objective of this article is to review the development of the rural financial system in Vietnam in recent years, especially, after Doi moi. There are two opposite schools of thought in the literature on rural credit policies in developing countries. One is the conventional supply-side (government-led) approach while the other is called “a new paradigm” that emphasizes the importance of the viability of financial providers and the well functioning of rural credit markets. Conventional theories of rural finance contend that rural finance in low-income countries is generally accompanied by many failures. Contrary to these theories, rural finance in Vietnam does not encounter the above-mentioned failures so far. Up to the present time, it is progressing well. Using a supply-side approach, methodologically, this study reviews the development of the rural financial system in Vietnam. The significance of this study is to challenge the extreme view of dichotomizing between the old and the new credit paradigms. Analysis in this study contends that a rural financial market that, (1) is initiated and spurred by government; (2) operates principally under market mechanisms; and (3) is strongly supported by rural organizations (semi-formal/informal institutions) can progress stably and well. Therefore, the extremely dichotomizing approach must be avoided.

Abdominal Textiloma Mimicking as Left Colic Tumour: A Postoperative Complication Still Common in Low-Income Countries

EMJ Radiology ◽  
2020 ◽  
Keyword(s):  
Low Income ◽  
Early Stage ◽  
Low Income Countries ◽  
Fistula Formation ◽  
Emergency Laparotomy ◽  
Intermittent Fever ◽  
Gastrointestinal Complications ◽  
Surgical Safety ◽  
Surgical Teams ◽  
Safety Rules

Retained foreign bodies have become very rare in countries where the safety rules in the operating theatre are very rigorous and follow precise guidelines. There are low-income countries where hospital structures are precarious, in which the implementation of surgical safety rules has only been effective recently. Surgical teams in these countries are not yet well trained in the observance of the guidelines concerning swab count, meaning that textilomas are not uncommon. Abdominal textiloma may be asymptomatic, or present serious gastrointestinal complications such as bowel obstruction, perforation, or fistula formation because of misdiagnosis. It may mimic abscess formation in the early stage or soft tissue masses in the chronic stage. This case report presents a 27-year-old female who underwent an emergency laparotomy in a rural surgical centre for an ectopic pregnancy. Two months later, a swelling had appeared on the left side of her abdomen, gradually increasing in size, which was not very painful but caused digestive discomfort and asthenia. Intermittent fever was described and treated with antibiotics. The patient was referred to a better equipped centre to benefit from a CT scan. A textiloma was strongly suspected on the CT but a left colic mass was not excluded. Laparotomy confirmed the diagnosis of textiloma and the postoperative course was uneventful. Prevention rules must be strengthened in these countries where patients can hardly bear the costs of iterative surgeries for complications that are avoidable.

Assessment of knowledge and practice of vaccination of dogs against rabies by dog owners in Makurdi, Benue State, Nigeria

2020 ◽  
Vol 1 ◽  
pp. 5
Author(s):  
Audu Onyemocho ◽  
Agwa Moses ◽  
Aboh Kisani ◽  
Omole Namben Victoria ◽  
Anejo-Okopi Joseph
Keyword(s):  
Low Income ◽  
Life Time ◽  
Knowledge Score ◽  
Educational Status ◽  
Low Income Countries ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Knowledge And Practice ◽  
Dog Owners ◽  
The Relationship

Objective: Rabies, one of the oldest and fatal infectious diseases known to human race, is transmitted by infected dogs. The global target of zero dog-mediated rabies human deaths has been set for 2030; however, the realization of this goal poses challenges in most low-income countries where rabies is endemic due to weak surveillance. Dogs have been increasingly deployed for domestic uses over the years, especially for security purposes. This study assessed the assessment of knowledge and practice of vaccination of dogs against rabies by dog owners. Materials and Methods: A cross-sectional community-based study was employed to study 400 dog owners in Makurdi metropolis through multistage sampling techniques. Sighting of valid dog vaccination card was used as criteria for current vaccination. Bivariate analysis was carried out to establish the relationship between the respondent knowledge of rabies and dog vaccination with significant value set at P < 0.05. Results: The mean age of the respondents was 31 (Â ± 0.8) years, majority of them had tertiary and secondary education (40.0% and 39.0%, respectively), 26.0% were traders, and 50.0% were married. Overall, 73.0% of the respondents had good knowledge score, 61.0% had seen at least a rabid dog in their life time, and 74.0% have a history of dog vaccination, but evidence of up to date vaccination of dogs by owners was seen in only 18.0% of all the vaccination cards sighted. The relationship between the educational status of the respondents, their knowledge score, and their dog vaccination was statistically significant (P < 0.05). Conclusion: Knowledge of rabies among dog owners in Makurdi was good, but the practice of dog vaccination was poor. Educational status was a good predictor of practice. Awareness campaign on dog vaccination should be strengthened and adequate measures should be put in place at the veterinary hospitals in Makurdi for vaccination of dogs.

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