Local distribution infrastructure and robust vaccine manufacturing facilities in LMICs should be prioritised to tackle ongoing and future pandemic risk

Hasan Mahmud Reza; Farhana Sultana; Razmin Bari; Jennifer Cole; Abdullah H. Baqui

doi:10.1016/j.lansea.2023.100158

Local distribution infrastructure and robust vaccine manufacturing facilities in LMICs should be prioritised to tackle ongoing and future pandemic risk

Hasan Mahmud Reza, Farhana Sultana, Razmin Bari, Jennifer Cole, Abdullah H. Baqui

Bloomberg School of Public Health

Research output: Contribution to journal › Comment/debate › peer-review

Original language	English (US)
Article number	100158
Journal	The Lancet Regional Health - Southeast Asia
Volume	11
DOIs	https://doi.org/10.1016/j.lansea.2023.100158
State	Published - Apr 2023

ASJC Scopus subject areas

Infectious Diseases
Psychiatry and Mental health
Public Health, Environmental and Occupational Health

Access to Document

10.1016/j.lansea.2023.100158

Cite this

@article{fe27d5c228fd4129bb5a4a80e878d6e7,

title = "Local distribution infrastructure and robust vaccine manufacturing facilities in LMICs should be prioritised to tackle ongoing and future pandemic risk",

author = "Reza, {Hasan Mahmud} and Farhana Sultana and Razmin Bari and Jennifer Cole and Baqui, {Abdullah H.}",

note = "Funding Information: The solution being more complex than {\textquoteleft}just develop some{\textquoteright} is well recognised. 9 LMICs face many health challenges, from pneumonia, malaria, HIV and Neglected Tropical Diseases (NDTs) to insufficient maternal and neonatal care, and poor sanitation. Competing priorities should not, however, side-line the vaccine challenges. To address the challenges, LMICs need international support to develop robust internal distribution systems for vaccines, especially for rural populations in remote areas. At a policy level, such programmes are often in place for childhood vaccines considered routine in HICs, such as MMR, DTP, and polio but, as with vaccines for COVID-19, it is difficult to reach remote areas due to civil war, natural disasters, or poverty. 10 The governments of LMICs need additional budgets to strengthen its distribution infrastructures but do not have sufficient funds for the same. As the ramifications of the pandemic reverberate around the world, traditional aid donations are also diminishing. This would affect the financial assistance from international actors such as the World Bank, USAID, Gates Foundation, Warren Buffet Foundation, The Rockefeller Foundation, Wellcome Trust, as well as the technical and logistical assistance from GAVI, COVAX and WHO. In this situation, governments of LMICs will have to include support for vaccination infrastructure in their political agenda and manage funds internally. Insufficient vaccine coverage, for COVID-19 or other common diseases, leaves LMICs unable to safeguard their children, or their large, young working populations. 11 The economic consequences of insufficient vaccine coverage are huge. 12 ",

year = "2023",

month = apr,

doi = "10.1016/j.lansea.2023.100158",

language = "English (US)",

volume = "11",

journal = "The Lancet Regional Health - Southeast Asia",

issn = "2772-3682",

publisher = "Elsevier Ltd",

}

TY - JOUR

T1 - Local distribution infrastructure and robust vaccine manufacturing facilities in LMICs should be prioritised to tackle ongoing and future pandemic risk

AU - Reza, Hasan Mahmud

AU - Sultana, Farhana

AU - Bari, Razmin

AU - Cole, Jennifer

AU - Baqui, Abdullah H.

N1 - Funding Information: The solution being more complex than ‘just develop some’ is well recognised. 9 LMICs face many health challenges, from pneumonia, malaria, HIV and Neglected Tropical Diseases (NDTs) to insufficient maternal and neonatal care, and poor sanitation. Competing priorities should not, however, side-line the vaccine challenges. To address the challenges, LMICs need international support to develop robust internal distribution systems for vaccines, especially for rural populations in remote areas. At a policy level, such programmes are often in place for childhood vaccines considered routine in HICs, such as MMR, DTP, and polio but, as with vaccines for COVID-19, it is difficult to reach remote areas due to civil war, natural disasters, or poverty. 10 The governments of LMICs need additional budgets to strengthen its distribution infrastructures but do not have sufficient funds for the same. As the ramifications of the pandemic reverberate around the world, traditional aid donations are also diminishing. This would affect the financial assistance from international actors such as the World Bank, USAID, Gates Foundation, Warren Buffet Foundation, The Rockefeller Foundation, Wellcome Trust, as well as the technical and logistical assistance from GAVI, COVAX and WHO. In this situation, governments of LMICs will have to include support for vaccination infrastructure in their political agenda and manage funds internally. Insufficient vaccine coverage, for COVID-19 or other common diseases, leaves LMICs unable to safeguard their children, or their large, young working populations. 11 The economic consequences of insufficient vaccine coverage are huge. 12

PY - 2023/4

Y1 - 2023/4

UR - http://www.scopus.com/inward/record.url?scp=85151442430&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85151442430&partnerID=8YFLogxK

U2 - 10.1016/j.lansea.2023.100158

DO - 10.1016/j.lansea.2023.100158

M3 - Comment/debate

C2 - 37384365

AN - SCOPUS:85151442430

SN - 2772-3682

VL - 11

JO - The Lancet Regional Health - Southeast Asia

JF - The Lancet Regional Health - Southeast Asia

M1 - 100158

ER -

Local distribution infrastructure and robust vaccine manufacturing facilities in LMICs should be prioritised to tackle ongoing and future pandemic risk

ASJC Scopus subject areas

Access to Document

Other files and links

Cite this