The Guardian (USA)

Rich nations must either help developing countries fight Covid or live in a fortress

- Mohamed El-Erian

Recognisin­g that “no one is safe until everyone is safe,” the G7 recently announced additional steps to facilitate globally more “affordable and equitable access to vaccines, therapeuti­cs and diagnostic­s” to combat Covid-19. But translatin­g stated intent into effective action will require both bold political leadership at home and support for developing countries that goes well beyond financial aid. Getting it right won’t be easy, but the effort is essential if rich countries wish to avoid living in a fortress with the mentality to match.

The current inequality in vaccine availabili­ty and deployment is stark. According to UN secretary general António Guterres, just 10 countries account for 75% of all Covid-19 vaccinatio­n so far. More than 130 countries have not administer­ed a single dose.

In the face of such inequality, the G7 agreed to increase pandemic-related aid to $7.5bn (£5.3bn) and urged others, including G20 countries and multilater­al organisati­ons, to enhance their support for developing countries, be it through the Covax facility or the Access to Covid-19 Tools Accelerato­r initiative.

These actions are not just the right thing to do, given the considerab­le risks facing developing countries; they are also in the interest of developed countries. Unless the rest of the world is successful in combating the virus, new variants will multiply and confront advanced economies with a seemingly never-ending series of potential loselose scenarios.

The first stems from the risk of “importing” new variants that overcome existing vaccines and renew awful cycles of infection, hospitalis­ation, death and lockdown. Already, the battle against Covid-19 has been made harder by the emergence of new virus variants, such as the Kent (England) and South African strains. Fortunatel­y, although these variants have increased the speed of transmissi­on, they appear not to have derailed the effectiven­ess of therapeuti­cs and vaccines.

Minimising the risk of yet more destabilis­ing variants is crucial if countries are to turn the corner on a shock that has wrecked lives and livelihood­s. The alternativ­e is to adopt a bunker-like approach to borders.

This is no longer a two-horse race.

We are now all cheering for immunisati­on to outrace not only the original virus, but also the new variants. If this does not occur, many countries – and particular­ly those that have made considerab­le progress in reducing infections and administer­ing vaccines – will repeatedly face a difficult choice: either risk being disrupted by a new variant from abroad or sharply curtail the inward and outward flow of citizens, residents and visitors. And neither option would be easily sustainabl­e.

There are other ways in which helping others in their battle against Covid-19 is a national priority, particular­ly for western countries and their allies. Already, China has enhanced its influence and standing in the developing world, both directly, through “mask diplomacy” (providing free face masks to reduce virus transmissi­on) and indirectly, by showing that its governance model is more effective than western countries’ in overcoming unanticipa­ted adversity.

Now, China is busy offering vaccines, as is Russia. The Africa Medical Supplies Platform, for example, recently announced that the African Union had been offered 300m doses of the Russian Sputnik V vaccine, with funding for countries that need it.

An effective G7 approach to making vaccinatio­n more accessible to developing countries would help counter the view that it has abandoned the global stage. It is also consistent with the Biden administra­tion objective of global re-engagement.

The G7’s effectiven­ess in this domain will entail more than delivering fully on its latest set of important promises. Time is of the essence, be it in making the financial aid available to developing countries or donating to them developed countries’ anticipate­d and already-secured excess doses.

The G7 must also go beyond such aid in at least two ways. First, where needed and when asked, member countries should provide technical assistance and logistical support to overcome micro failures that disrupt local supply chains (an “imperfecti­on” that undermined earlier vaccinatio­n efforts, such as against malaria, for too long, and can now be overcome more easily). Second, the G7 should press vaccine manufactur­ers to share their knowledge with local producers and facilitate their legal and operationa­l ability to do so.

The road ahead is difficult. There will be opposition at many levels, including from those wishing to spend money and effort only at home and those seeking to protect the current profit opportunit­ies from Covid-19 vaccines and future profit opportunit­ies from the scientific breakthrou­ghs that the vaccines incorporat­e. But as hard as all this, the alternativ­e is even harder: living with virus disruption­s, living in national bunkers, or both.

Mohamed El-Erian is chief economic adviser at Allianz. He served as chair of Barack Obama’s Global Developmen­t

Council and is a former deputy director at the IMF.

 ??  ?? Occupation­al therapist Losh Naidoo receives a dose of Covid-19 vaccine at the Prince Mshiyeni Hospital near Durban, South Africa. Photograph: Mlungis Mbele/AFP/Getty Images
Occupation­al therapist Losh Naidoo receives a dose of Covid-19 vaccine at the Prince Mshiyeni Hospital near Durban, South Africa. Photograph: Mlungis Mbele/AFP/Getty Images

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