Advocates for vaccine equity on Monday responded to the news of Moderna's pledge to make 500 million doses of its vaccine available to developing countries by calling for a truly global effort to end the coronavirus pandemic—rather than individual acts of charity by pharmaceutical companies.
The company said Monday it will supply COVAX, the coronavirus vaccine facility supported by Gavi, the Vaccine Alliance; the Coalition for Epidemic Preparedness Innovations; and the World Health Organization (WHO) with 34 million doses of its vaccine in the fourth quarter of 2021, with 466 million doses available in 2022. According to the Washington Post, Moderna is offering the doses at its "lowest tiered price."
Kate Elder, senior vaccines policy adviser for Doctors Without Borders, wrote on social media that "any additional dose commitments to COVAX is a step in the right direction" and called the pledge "good news," but expressed doubt that 34 million doses provided several months from now, when countries including India are currently facing severe outbreaks, will make the kind of difference needed to combat the pandemic.
"We need Moderna doses now, not in Q4 2021. Why the long wait?" asked Elder.
2) The vast bulk of the doses are scheduled for 2022, >year after wealthy countries got access to @moderna_tx's vax. Moderna estimates they'll produce 800mil - 1bil doses this year, but offers COVAX only 34 mil doses in 2021. What up with that?
— kateelder (@kateelder) May 3, 2021
*DOSES ARE NEEDED NOW.*
— kateelder (@kateelder) May 3, 2021
Moderna's pledge comes as India faces one of the worst Covid-19 outbreaks in the world, as well as a shortage of the vaccine developed in the country. In the nation of 1.3 billion people, just 2% of the population is fully vaccinated while less that 10% has had one dose. In the U.S., nearly a third of the population has now been fully vaccinated.
More than 401,000 new cases were reported in India on Saturday, setting a new world record, and the country has seen an average of more than 3,000 deaths per day, according to official counts—which may vastly understate the true toll.
The Serum Institute of India said Monday that the country's vaccine shortage could last for months, as the government was not prepared for the current second wave, which some experts believe is being driven by a new variant of the virus.
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While Moderna's pledge offers some hope that India will have access to more vaccine doses in the future, journalist Anand Giridharadas said, the company's plan "is not a substitute for patent justice."
Drug generosity is not a substitute for patent justice. https://t.co/iqpUcOSiwJ
— Anand Giridharadas (@AnandWrites) May 3, 2021
"We can't count on the benevolence of Big Pharma corporations" to end the global pandemic, added the advocacy group Lower Drug Prices Now, which has called on the World Trade Organization to lift patents on the vaccines made by Pfizer and Moderna, allowing for the manufacture of generic versions of the vaccines.
— Lower Drug Prices Now (@peopleb4pharma) May 3, 2021
The WHO has warned that continuing to allow access to the bulk of vaccine doses only in wealthy countries would be a "catastrophic moral failure," as well as a failure to work effectively to end the coronavirus crisis.
"If a temporary waiver to patents cannot be issued now, during these unprecedented times, when will be the right time?" WHO Director-General Tedros Adhanom Ghebreyesus said in March. "Solidarity is the only way out."
On Sunday, White House national security adviser Jake Sullivan said that U.S. Trade Representative Katherine Tai has begun "intensive consultations" at the WTO regarding the possibility of waiving patents, amid intensifying global pressure.
The outcome of failing to embark on a global effort to end the pandemic "is not only sporadic flare-ups or confined challenges," wrote Guardian columnist Nesrine Malik on Monday, "but an entire population trapped by and condemned to live with the virus."
"What is required is something far more ambitious than vaccine donations," Malik added. "The world needs a global logistical exercise, a sort of Marshall plan that would provide financial support, expert manpower, and medical technology... As the virus recedes in the west, now is the time to apply this kind of pressure on leaders to deliver the south from its almost certain fate. By the time the real numbers of deaths and infections in poorer countries become clear, it will be far too late for many people."