History lesson:

When anti-retrovirals were developed for HIV in the 90s, drug-makers had no interest in Africa ("not a lucrative market") & ART was unaffordable.

Zidovudine was marketed at a price of US$8000 per year!
This is feasible today, since both India & China have approved Covid-19 vaccines.

India has provided emergency use authorization for two vaccines (Covishield & Covaxin), while has approved Sinopharm
But:

- Data behind approvals are not yet transparent
- No Indian or Chinese product is WHO pre-qualified yet
- No clarity on costs and how they will be priced for other LMICs
- Timeline for access via COVAX is unclear
- These countries might ban exports to ensure local supply
These concerns have been raised by activists & ethicists since the start of the pandemic!

Now, many LMICs are scrambling to get any access to vaccines. Without a clear equity plan, LMICs will be left behind & this is the type of map we will see!
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