Houston Chronicle

U.S. absent as world meets online for vaccine summit

- By William Booth, Carolyn Y. Johnson and Carol Morello

LONDON — World leaders came together in a virtual online summit Monday to pledge billions of dollars to quickly develop vaccines and drugs to fight the coronaviru­s.

Missing from the roster was the Trump administra­tion, which declined to participat­e, but highlighte­d from Washington its “whole-of-America” efforts underway in the United States and its generosity to global health efforts.

The conference, led by European Commission President Ursula von der Leyen and a half-dozen countries, was set to raise $8.2 billion from government­s, philanthro­pies and the private sector to massproduc­e drugs, vaccines and testing kits to combat the virus that has killed more than 250,000 people worldwide.

With the money came soaring rhetoric about internatio­nal solidarity, and a good bit of boasting about each country’s efforts and achievemen­ts, live and prerecorde­d, by Germany’s Angela Merkel, France’s Emmanuel Macron, Britain’s Boris Johnson, Japan’s Shinzo Abe — alongside Israel’s Benjamin Netanyahu and Turkey’s Recep Erdogan.

“The more we pull together and share our expertise, the faster our scientists will succeed,” said Johnson, who was so stricken by the virus that he thought he might never leave the intensive care unit alive last month. “The race to discover the vaccine to defeat this virus is not a competitio­n between countries but the most urgent shared endeavor of our lifetimes.”

U.S. ‘welcomes efforts’

A senior Trump administra­tion official said Monday the United States “welcomes” the efforts of the conference participan­ts. He did not explain why the United States did not join them.

“Many of the organizati­ons and programs this pledging conference seeks to support already receive very significan­t funding and support from the U.S. government and private sector,” said the official, who spoke on the condition of anonymity under State Department rules for briefing reporters.

Public health officials and researcher­s expressed surprise.

“It’s the first time that I can think of where you have had a major internatio­nal pledging conference for a global crisis of this kind of importance and the U.S. is just absent,” said Jeremy Konyndyk, who worked on the Ebola response in the Obama administra­tion.

Given that no one knows which vaccines will succeed, he said, it’s crucial to back multiple efforts working in parallel.

“Against that kind of uncertaint­y we should be trying to position ourselves to be supporting — and potentiall­y benefiting from — all of them,” said Konyndyk, a senior policy fellow at the Center for Global Developmen­t. “And instead we seem to be just focused on trying to win the race, in the hopes we happen to get one of the successful ones.”

Conference participan­ts expressed a need for unity.

“We can’t just have the wealthiest countries have a vaccine and not share it with the world, Canadian Prime Minister Justin Trudeau said.

“Let us in the internatio­nal community unite to overcome this crisis,” Japan’s Abe said.

Others missing

Russia and India also did not participat­e. Chinese premier Li Keqiang was replaced at the last minute by Zhang Ming, Beijing’s ambassador to the European Union.

The U.S. official said the United States “is the single largest health and humanitari­an donor in world. And the American people have continued that legacy of generosity in the global fight against COVID-19.”

The U.S. government has provided $775 million in emergency health, humanitari­an, economic and developmen­t aid for government­s, internatio­nal organizati­ons and charities fighting the pandemic. The official said the United States is giving about twice that amount in additional funding.

Scientists are working around the clock to find a cure or treatment for COVID-19. The World Health Organizati­on says eight vaccines have entered human trials and another 94 are in developmen­t.

But finding an effective vaccine is only part of the challenge. When it’s discovered, infectious disease experts are predicting a scramble for limited doses, because there won’t be enough to vaccinate everyone on Day One. And deploying it could be difficult, particular­ly in countries that lack robust medical infrastruc­ture.

Conference participan­ts expressed hope that by working together, the world will find solutions more quickly — and they can then be dispersed to all countries, not only the wealthy, or those that developed vaccines first.

More mechanisms

Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, said the United States has always been the primary funder of new products for global health. The country invested $1.8 billion in neglected diseases in 2018, according to Policy Cures Research, more than two-thirds of the worldwide total.

Hotez, based in Houston, said the United States shoulders the burden of investing in global health technologi­es, while countries such as China do not step up.

“More than one mechanism for supporting global health technologi­es — that may not be such as a bad thing,” he said. “If it was all under one umbrella, you risk that some strongwill­ed opinions would carry the day and you might not fund the best technology.”

 ?? Laura Duclos / Staff file photo ?? Vaccine expert Dr. Peter Hotez, with Baylor College of Medicine, said the United States shoulders the burden of investing in global health technologi­es.
Laura Duclos / Staff file photo Vaccine expert Dr. Peter Hotez, with Baylor College of Medicine, said the United States shoulders the burden of investing in global health technologi­es.

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