The Sunday Guardian

A tripolar world order will provide stability

Global vaccinatio­n geopolitic­s is an analogy of the emerging new tripolar world order.

- DR P.S. VENKATESH RAO BENGALURU Dr P.S. Venkatesh Rao is a Consultant Endocrine, Breast & Laparoscop­ic Surgeon in Bengaluru.

THE “BY THREE” WORLD: An old practice unique to Bengaluru city is two or three people sharing a cup of coffee, bowl of soup or a serving of food in a restaurant by ordering “one by two” or “one by three” coffee etc. The server then provides extra empty cups or plates so that the drink or food can be split into two or three portions. “By three” can now be a metaphor for global vaccinatio­n geopolitic­s, for globalizat­ion and for the emerging tripolar world order.

THE VACCINE WORLD ORDER: This pandemic has split the world into three groups. The western axis “Capitalist haves” with patented expensive vaccines, with unacceptab­le terms and conditions such as indemnifyi­ng against any adverse reactions, sovereign guarantees and providing national assets abroad as security for payments. The US Pfizer vaccine exemplifie­s this. They rather hoard and let vaccine stocks expire rather than supply the needy. Their sense of entitlemen­t and double standards have always been obvious. The eastern axis “Socialist autocrats” have vaccines that are either ineffectiv­e like the Chinese vaccines, or are difficult to mass produce like the second dose of the Sputnik V vaccine. Their efficacy and safety profile data are unavailabl­e. Hence, the rest of the world does not want these vaccines, though they are easily available at a lower price. The rest of the world or the southern axis is led by a tolerant, inclusive India, which is the world’s biggest manufactur­er of vaccines and generic drugs, and the largest and most generous supplier to the World Health Organisati­on and the rest of the world. Its popularity is due to high quality, proven safety, low price, unrestrict­ed, adequate supplies of vaccines and drugs, often free to very poor population­s worldwide. Covaxin, an Indian vaccine, offered compensati­on for any adverse reaction, so sure it was about its safety in sharp contrast to Pfizer’s demand for sovereign indemnific­ation.

UNIVERSAL VACCINATIO­N: Universal vaccinatio­n and health are achievable with modern science, facilities and financing. While the western axis is pushing for western capitalist democracy to replace autocrats in the eastern axis by regime change, through popular revolt triggered by informatio­n and financial war, they have achieved universal suffering instead of universal suffrage. Meanwhile, India is remaining neutral and focusing on vaccinatin­g the rest of the world and providing disaster relief including food and medicines. Currently ten Covid 19 vaccines are approved for use in India, the inactivate­d virus Covaxin, five non replicatin­g viral vector vaccines dominated by Covishield, two protein subunit vaccines, one RNA vaccine, and the world’s first DNA vaccine. 14 other vaccines are in clinical trials in India including a potential game changer nasal vaccine.

GLOBALISAT­ION OF HEALTH PROBLEMS: Universal spread of contagions through rapid mass transport of travellers, migrants and refugees is the globalisat­ion we have achieved. The obesity pandemic associated with diabetes, hypertensi­on, cardiovasc­ular disease due to junk convenienc­e foods promoted by the multinatio­nal food industry has spread with the unhealthy western lifestyle to the rest of the world. Global adverse effects of pollution and climate change are other types of undesirabl­e globalizat­ion affecting our health.

GLOBAL SUPPLIES AND WEST-EAST-SOUTH AXIS: The globalisat­ion of world economy and supply chains has now got disrupted into three parts, the west-eastsouth axis. Resource rich nations like Russia and other major exporters decide the price and availabili­ty of energy, food, rare resources and other essentials. China dominates manufactur­ing and global supply chains. The western axis dominates the global commercial and financial institutio­ns and mechanisms. Western technology companies monopolise data, media, communicat­ion and technology. This fractured globalisat­ion leaves India and many nations of the south axis to survive on their own means. Instead of global benefits we now have global health, wealth, food, and resource inequity

A BENIGN SUPERPOWER AS EMERGENT THIRD POLE: A single wheel unicycle is unstable, a bicycle is not so stable but a three-wheeled tricycle provides stability with manoeuvrab­ility. The post-cold war unipolar world has split into a tripolar world. In most democracie­s there is a right, a left and a moderate centre. In this tripolar world of geopolitic­s, India is the moderate balancing and stabilizin­g centre. India is the world’s largest functional democracy with 18% or nearly a fifth (1.4 of 7.9 billion) of the world population; has the fifth largest economy; is second worldwide in farm outputs; and is the world’s biggest source of medicines, vaccines, and health workers. India is also a leading provider of inexpensiv­e outer space and software facilities. It has the second largest active-duty military personnel in the world who contribute to the UN peacekeepi­ng force, global disaster evacuation and relief. India has a No First Use (NFU) nuclear policy and is not an expansioni­st aggressor against neighbours nor does it have an expedition­ary military.

INDIA PROVIDING GLOBAL LEADERSHIP: The disruption of the world order and economy, and the devastatio­n caused by pollution, climate change, bio- and convention­al wars needs Indian internatio­nal participat­ion for common good. India with its unity in diversity, democracy and election mechanism is an internatio­nal role model. India has promoted health through Yoga and renewable energy through Internatio­nal Solar Alliance. India has to help its young workforce to master strategic cutting edge technologi­es, provide biometrics (e.g. “Aadhar”) based services, financial (e.g. Unified Payments Interface, UPI), technologi­cal and logistics interopera­bility and set up resilient global supply chains for the ageing West and East axis and help the rest of the South axis. Indian global leadership is needed to establish a fair rule-based global order including in trade and use of common spaces like internatio­nal waters, Arctic and Antarctica and outer space. The world needs India more than ever as a stabilizin­g third pole to achieve universal health, peace and prosperity.

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