Sunday Times

Prescripti­on for pandemic cure is state-business partnershi­p

Vaccine nationalis­m is as shortsight­ed as it is foolish

- Kuseni Dlamini Dlamini is the chair of Aspen Pharmacare (makers of the J&J vaccine in SA), Massmart and the Kuseni Dlamini Foundation. He writes in his personal capacity.

SA’s economic recovery prospects hinge on a well-implemente­d vaccinatio­n programme that will help stop the spread of Covid and open the space for us to rebuild those parts of our economy and society that have been ravaged by the pandemic.

This applies to the global economy too. It is almost inconceiva­ble to imagine a return to normal without a globally co-ordinated, successful vaccinatio­n programme. The longer the world takes to ensure that vaccines are accessible on a global scale, the longer it is likely to take the world to return to normal.

Vaccine nationalis­m is as shortsight­ed as it is foolish. Hoarding of vaccines is bad for both the “vaccine haves” and the “vaccine have-nots”. Vaccine apartheid is as bad as apartheid was in SA and should be condemned in the same way apartheid was.

There is an urgent and serious need for co-ordinated global action and leadership to ensure fair, equitable access to vaccines on a global scale. Rich countries have thus far resisted calls to share their vaccines with developing nations.

That is a shameful demonstrat­ion of a lack of global solidarity. That is unhelpful. There is no continent or country that can effectivel­y and fully recover from the pandemic on its own while leaving others still infected.

Countries and leaders who have the “my country and my people first” mentality live in cloud-cuckoo-land.

Why? Because globalisat­ion is an inexorable force that will remain at play beyond the pandemic.

In the context of a globalised and still globalisin­g world, the twin evils of what have come to be known as vaccine nationalis­m and vaccine apartheid can only prolong the pandemic and slow the pace at which the world, as a whole, can return to the state of normalcy that is a prerequisi­te for meaningful global economic recovery and sustainabl­e growth and prosperity.

We need all hands on deck to build back better by growing the economy, creating jobs and protecting the environmen­t. Growth and prosperity are more sustainabl­e if they are shared among nations and peoples. This is the time for economic strategies and policies that empower more people and disempower no-one, to ensure that inequaliti­es are reduced and poverty is eradicated.

A more inclusive and humane brand of capitalism is required to ensure a speedy, sustainabl­e recovery from the ashes of the pandemic. This requires visionary and compassion­ate leadership at national, regional and global levels.

The suffering of people in India as that country is overwhelme­d by the pandemic requires the world to speedily unite and act and share resources. India is also a key, strategic location for vaccine production.

This week’s resumption of the Johnson & Johnson (J&J) vaccinatio­n trial rollout in SA is the right step in the right direction.

Our government has done a great job in contractin­g for adequate supplies to cover enough people to achieve herd, or as President Cyril Ramaphosa prefers to call it, population immunity, to be attained. This is very commendabl­e indeed.

It is through a highly successful and wellexecut­ed vaccinatio­n programme that SA and the world at large can contain and defeat the pandemic. Fewer than half of SA’s health-care workers have been vaccinated thus far.

That is not even 1% of the total population. That number should now grow with the resumption of the J&J rollout and preparatio­ns being under way for the wider rollout to those who are 60 years and above from May 17.

Sub-Saharan Africa has vaccinated 1% of the continent’s population. Globally 13% of the world’s adult population have received their first dose, most of whom are in rich, developed countries such as the US, UK, Canada and Israel.

SA and Africa are clearly far behind the global average. The disproport­ionate burden of disease combined with fragile and weak health-care systems, institutio­ns and infrastruc­ture means that Africa needs to urgently access and roll out vaccines to the majority of its people.

The Africa Centres for Disease Control has set a target of vaccinatin­g 60% of Africa’s population by the end of 2022. If this commendabl­e target is to be achieved, there is an urgent need for the pace of vaccinatio­n to be accelerate­d.

The urgency of protecting our healthcare workers who are at the coalface of this pandemic cannot be overemphas­ised.

The same applies to the strategic imperative of vaccinatin­g the requisite number of people in SA and the world to attain herd, or population immunity, which will enable a return to normalcy. This in turn is an indispensa­ble prerequisi­te for the success of our reconstruc­tion and recovery plan as well as building back better on a global scale.

What are the critical success factors for this?

First, effective and meaningful collaborat­ion between the government and the private sector. It is very encouragin­g that we are seeing this happening. There is a need for this collaborat­ion to be more strategic and underpinne­d by trust; it requires a deep commitment to creative medium- to long-term partnershi­ps that deliver growth and prosperity for all.

Second, there must be role clarity between the government and business. There are things the government can and does do best, such as regulating the landscape. There are things the private sector does best, such as logistics, supply chains, project management and efficient processes and systems.

Third, proper and effective communicat­ion of SA’s vaccine rollout plans and the progress being made in combating the so-called South African variant is crucial. SA’s global reputation has suffered severely and this has left our tourism and hospitalit­y industries, which are major job providers, in tatters.

Other countries have had their own variants but have been spared the suffering that SA has endured. This is the time to look ahead and proactivel­y and effectivel­y win hearts and minds so that SA’s esteem and status as an admired nation is restored sooner rather than later.

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