How can we vaccinate the world? Five challenges facing the UN-backed COVAX programme

‘Vaccines are a key part of the solution to ending the COVID-19 pandemic and, since the early stages of the crisis, the World Health Organization (WHO) has argued that there needs to be a coordinated approach towards ensuring that everyone, not just people living in rich countries,  receives adequate protection from the virus, as it spread rapidly across the world.

‘Out of this concern grew the Global COVAX Facility, the only global initiative that is working with governments and manufacturers to ensure COVID-19 vaccines are available worldwide to both higher and lower income countries.  

‘Here are five things to know about the challenges facing COVAX, and how they can be overcome...

1. Export controls: the weakest link?
2. Getting vaccines to those who need them is not easy
3. More funding is needed to help rollout in the poorest countries
4. Richer countries should share excess doses
5. Vaccine hesitancy: a continued cause for concern 

Read here (UN News, Apr 5, 2021) 

The Caribbean's skilful vaccine diplomacy

‘Many of the Caribbean's sovereign states have enough vaccines to cover their populations. They knew how to profit from international competition

‘For the small island states of the Caribbean, vaccine diplomacy is crucial to managing the Covid-19 pandemic. Even if their population is barely that of a district of São Paulo, countries like Grenada and Antigua & Barbuda are sovereign states, and as such they have a seat and vote at the United Nations – just like Brazil or Mexico. The 15 states in the Caribbean Community  (CARICOM) together have more voting power than the whole of South America. And the current crisis shows how this sovereignty can be converted into a supply of vaccines that larger states can only dream of.

‘Take, for example, Dominica (not to be confused with the far larger Dominican Republic). With its 70,000 inhabitants, the island had already received 70,000 vaccine doses from India at the beginning of February – not just promised or planned, but actually there on the island, ready to be used. In the meantime, China has stepped forward and flown in more vaccine doses. Dominica has the epidemic under control like no one else: so far, there’s not a single death on the island. The number of infected people is 161 – not per week, as on the neighbouring islands of Guadeloupe and Martinique belonging to France, but in total.’

Read here (IPS Journal, Mar 31, 2021)

Developing countries struggling to cope with Covid-19

‘The ongoing COVID-19 pandemic is adversely impacting most developing countries disproportionately, especially the United Nations’ least developed countries (LDCs) and the World Bank’s low-income countries (LICs).

‘Years of implementing neoliberal policy conditionalities and advice have made most developing countries much more vulnerable to the COVID-19 pandemic by undermining their health systems and fiscal capacities to respond adequately.’

Read here (IPS News, Feb 23, 2021)

‘Wildly unfair’: UN boss says 10 nations used 75% of all vaccines

‘The United Nations chief has sharply criticised the “wildly uneven and unfair” distribution of COVID-19 vaccines, pointing out that just 10 countries have administered 75 percent of all vaccinations. Addressing a high-level meeting of the UN Security Council on Wednesday, Antonio Guterres said 130 countries have not received a single dose of vaccine.’

Read here (Aljazeera, Feb 17, 2021)

Coronavirus pandemic could push over 1 billion people in extreme poverty by 2030, says UN

‘Due to the severe long-term impact of the coronavirus pandemic, an additional 207 million people could be pushed into extreme poverty by 2030. This will bring the total number of the world's extremely poor to more than a billion, according to a new study by the UN Development Programme (UNDP).

‘The study assesses the impact of different coronavirus recovery scenarios on the Sustainable Development Goals (SDGs), evaluating the multidimensional effects of the pandemic over the next decade. It is part of a long-standing partnership between the UNDP and the Pardee Center for International Futures at the University of Denver.’

Read here (India Today, Dec 6, 2020)

Five things you need to know about living with a disability during Covid-19

1. Risk of contracting COVID-19 is higher for persons with disabilities
2. Risk of severe symptoms and death is higher
3. Living in institutions increases the risk of contracting and dying from COVID-19
4. Discrimination in accessibility of healthcare and life-saving procedures
5. The broader COVID-19 crisis affects persons with disabilities more

Read here (UN DESA Voice, December 2020)

UN special session on Covid-19 must recognise right to health & access to vaccines

‘The UN General Assembly is holding a Special Session on the Covid-19 pandemic at the level of Heads of State and Government on 3 and 4 December.. It took more than a year of discussions to overcome the opposition of certain states, notably the United States and President Donald Trump.

‘The holding of this Special Session (the 37th in the history of the UN) is of considerable importance. It is a unique opportunity to define and implement joint actions at the global level to fight the pandemic in order to ensure the right to life and health for all the inhabitants of the Earth. As the President of the UN General Assembly wrote in his letter of convocation: “Let us not forget that none of us are safe until we are all safe”....’

This is a lengthy opinion piece by Riccardo Petrella, Emeritus Professor, Catholic University of Louvain (Belgium). His research and teaching fields have been regional development, poverty, science and technology policy and globalisation.

Read here (IPS News, Nov 30, 2020)

Gender equality achievements being wiped out by pandemic

‘The coronavirus pandemic could wipe out 25 years of increasing gender equality, new global data from UN Women suggests. Women are doing significantly more domestic chores and family care, because of the impact of the pandemic. "Everything we worked for, that has taken 25 years, could be lost in a year," says UN Women Deputy Executive Director Anita Bhatia. Employment and education opportunities could be lost, and women may suffer from poorer mental and physical health.

Read here (BBC, Nov 27, 2020)

Independent UN experts decry Covid vaccine hoarding: ‘No one is secure until all of us are secure’

‘The only way to fight the COVID-19 crisis is to make affordable vaccines available to everyone, independent UN human rights experts said on Monday, underscoring that in an interconnected and interdependent world, “no one is secure until all of us are secure”...  “This pandemic, with its global scale and enormous human cost, with no clear end in sight, requires a concerted, human-rights based and courageous response from all States”, four UN experts together with members of a human rights working group said in a statement on universal access to vaccines.’

Read here (UN News, Nov 9, 2020)

Long-term symptoms of COVID-19 ‘really concerning’, says WHO chief

‘The WHO Director-General described the vast spectrum of COVID-19 symptoms that fluctuate over time as “really concerning.” They range from fatigue, a cough and shortness of breath, to inflammation and injury of major organs – including the lungs and heart, and also neurological and psychologic effects. 

‘Symptoms often overlap and can affect any system in the body. “It is imperative that Governments recognize the long-term effects of COVID-19 and also ensure access to health services to all of these patients,” he said. “This includes primary health care and when needed specialty care and rehabilitation.”

Read here (UN News, Oct 30, 2020)

Lancet COVID-19 Commission Statement on the occasion of the 75th session of the UN General Assembly

Executive summary: ‘The Lancet COVID-19 Commission was launched on July 9, 2020, to assist governments, civil society, and UN institutions in responding effectively to the COVID-19 pandemic. The Commission aims to offer practical solutions to the four main global challenges posed by the pandemic: suppressing the pandemic by means of pharmaceutical and non-pharmaceutical interventions; overcoming humanitarian emergencies, including poverty, hunger, and mental distress, caused by the pandemic; restructuring public and private finances in the wake of the pandemic; and rebuilding the world economy in an inclusive, resilient, and sustainable way that is aligned with the Sustainable Development Goals (SDGs) and the Paris Climate Agreement. Many creative solutions are already being implemented, and a key aim of the Commission is to accelerate their adoption worldwide.’

Download full statement here (Sept 14, 2020)

UN chief outlines ‘bold steps’ for education in the face of Covid-19 disruption affecting 1 billion

The COVID-19 pandemic has created the largest disruption to education in history and prolonged school closures could further entrench inequalities in access to learning, the UN Secretary-General said on Tuesday, underlining the need for “bold steps” to address the crisis. [This is contained in a policy brief]

The UN estimates that the pandemic has affected more than one billion students worldwide. Despite efforts to continue learning during the crisis, including through delivering lessons by radio, television and online, many are still not being reached.

The UN chief said learners with disabilities, members of minority or disadvantaged communities, as well as refugees and displaced persons, are among those at highest risk of being left behind.

Read here (UN News, August 4, 2020) 

UN makes record $10.3bn appeal for pandemic fight: Up to 265m people could face starvation by end-2020

‘The United Nations is making an appeal for $10.3 billion (£8.2 billion) to help fight the coronavirus pandemic, its largest ever fundraising call. The UN says up to 265 million people could face starvation by the end of the year because of the impact of Covid-19. The money will be for used for low income and fragile countries.’

Read here (BBC, July 17, 2020)

COVID-19 and the need for action on mental health

‘The report highlights the needs of vulnerable populations, including first responders and front-line healthcare workers, older adults, children, women, and refugees or those in conflict settings. In addition to fear of illness or death and the growing challenges posed by mis- and disinformation, individuals are also experiencing a broad scope of secondary mental health effects, including financial insecurity or social isolation. The report advises that emergency psychosocial support should become more widely available, including remote mental health care. Furthermore, the report calls for prioritizing the protection and promotion of human rights of those with severe mental health conditions, as their needs can often be neglected in major emergencies.’

Download here (United Nations, May 13, 2020)

Preparing for post-COVID-19 from the lens of sustainable development goals (SDGs): Insight from Malaysia

The Malaysian Social Science Association made five proposals for a post-COVID-19 Malaysia, all of which we feel are vital to hasten Malaysia’s recovery and increase resilience. They are:

1. Disaster preparedness: Build on the strengths of the Malaysian public healthcare system which has shown tremendous robustness and resilience in this crisis. Raise the level of disaster preparedness (SDG 3.d) through the use of Big Data for predictions and alerts, and maintain a ready stockpile of emergency supplies.  Ensure that the provision of public goods like healthcare remains the responsibility of the government (SDG 3.8)
2. Culture of civic responsibility: Keep up campaigns to promote personal hygiene, public cleanliness, and health and safety awareness as mutual responsibilities (SDG 4). Ensure an efficient system of participation and involvement by non-government organisations to alleviate the negative impacts on all people and ensure a better quality of life (SDG 16& SDG 17).
3. Sustainable risk-resilient game plan: Business and the broader economy need increased resiliency. In the short term, the Malaysian government needs to develop a comprehensive and sustainable social protection system to help the M/SMEs to cope with unprecedented economic situations (SDG10.4). Going forward, the country needs a people-centred economic policy; for instance, better policies on flexible work for both women and men...
4. High-speed cost-effective connectivity: Many daily activities have moved online – business functions, school, and university classes, and purchasing food and other essentials – but gaps do exist. We need to identify the gaps in our preparedness and connectivity so that all organisations are fully prepared for this eventuality (SDG 9.1). Connectivity needs to be cost-effective and available even in remote areas (SDG 9.c).
5. Research & innovation: Research and innovation are crucial for Malaysia to progress in this highly competitive world. Funding for high-quality research and innovation is a key part of that and the COVID-19 crisis makes such research and development more imperative and urgent. While financial resources are not easy to come by with the looming global economic recession, Malaysia should at least maintain its present level of R&D expenditure (1.44% of GDP) and increase it later when the situation allows ( SDG 4.7 and SDG 9.5).

Read here (United Nations University, May 5, 2020)

UN humanitarian chief: After COVID-19, it’s in everyone’s interest to help the world's poorest countries

‘Our best estimate is that the cost of protecting the most vulnerable 10 per cent of people in the world’s poorest countries from the very worst impacts of the pandemic is approximately $90 billion. $90 billion is a lot of money. But it is an affordable sum of money. It is equivalent to just 1 per cent of the global stimulus package the world’s richest countries have put in place to save the global economy...

‘Some may be sceptical that additional resources of that magnitude can be generated in the current circumstances. That is not my experience. After the financial crisis of 2008 fundraising for UN-coordinated humanitarian appeals had increased by more than 40 per cent by 2010. That was a result of human generosity and empathy – but also a calculation of national interest in the donor countries.’

Read here (OCHA, May 4, 2020)

‘Calamitous’: Domestic violence set to soar by 20% during global lockdown

‘At least 15m more cases of domestic violence are predicted around the world this year as a result of pandemic restrictions, according to new data that paints a bleak picture of life for women over the next decade. The UN Population Fund (UNFPA) has also calculated that tens of millions of women will not be able to access modern contraceptives this year, and millions more girls will undergo female genital mutilation or be married off by 2030. Natalia Kanem, the fund’s executive director, called the findings “totally calamitous”.’

Read here (The Guardian, April 28, 2020)

UN chief: Pandemic is fast becoming 'human rights crisis'

UN Secretary-General Antonio Guterres warns about ‘rising ethno-nationalism, populism, authoritarianism and a pushback against human rights’ in many nations as a result of the coronavirus pandemic. ‘The crisis can provide a pretext to adopt repressive measures for purposes unrelated to the pandemic,’ he added. The UN chief's remark comes as governments around the world carry out extraordinary measures to deal with the pandemic and as activists have denounced state violence, threats to press freedom, arrests and smartphone surveillance, as many of the alleged abuses regimes have implemented to fight COVID-19.

Read here (DW, April 23, 2020)

World risks ‘biblical’ famines due to pandemic, says the UN

‘A report estimates that the number suffering from hunger could go from 135 million to more than 250 million. Those most at risk are in 10 countries affected by conflict, economic crisis and climate change, the WFP says. The fourth annual Global Report on Food Crises highlights Yemen, the Democratic Republic of the Congo, Afghanistan, Venezuela, Ethiopia, South Sudan, Sudan, Syria, Nigeria and Haiti.’

Read here (BBC, April 21, 2020)

Covid-19 and human rights: We are all in this together

Human rights are key in shaping the pandemic response, both for the public health emergency and the broader impact on people’s lives and livelihoods. Human rights put people centre-stage. Responses that are shaped by and respect human rights result in better outcomes in beating the pandemic, ensuring healthcare for everyone and preserving human dignity. But they also focus our attention
on who is suffering most, why, and what can be done about it. They prepare the ground now for emerging from this crisis with more equitable and sustainable societies, development and peace.

Download here (WHO, April 2020)