Roberto Maradiaga, 70, a retired doctor, is helped by his son Luis Roberto, while he waits for the Russian COVID-19 vaccine Sputnik V, as part of a vaccination campaign in Tegucigalpa, Honduras, Friday, April 23, 2021. Honduras has obtained a paltry 59,000 vaccine doses for its 10 million people. Similar gaps in vaccine access are found across Africa, where just 36 million doses have been acquired for the continent’s 1.3 billion people, as well as in parts of Asia. (AP Photo/Elmer Martinez)

Roberto Maradiaga, 70, a retired doctor, is helped by his son Luis Roberto, while he waits for the Russian COVID-19 vaccine Sputnik V, as part of a vaccination campaign in Tegucigalpa, Honduras, Friday, April 23, 2021. Honduras has obtained a paltry 59,000 vaccine doses for its 10 million people. Similar gaps in vaccine access are found across Africa, where just 36 million doses have been acquired for the continent’s 1.3 billion people, as well as in parts of Asia. (AP Photo/Elmer Martinez)

From scarcity to abundance: U.S. faces calls to share vaccines

The lack of U.S. vaccine assistance around the world has created an opportunity for China and Russia

Victor Guevara knows people his age have been vaccinated against COVID-19 in many countries. His own relatives in Houston have been inoculated.

But the 72-year-old Honduran lawyer, like so many others in his country, is still waiting. And increasingly, he is wondering why the United States is not doing more to help, particularly as the American vaccine supply begins to outpace demand and doses that have been approved for use elsewhere in the world, but not in the U.S., sit idle.

“We live in a state of defencelessness on every level,” Guevara said of the situation in his Central American homeland.

Honduras has obtained a paltry 59,000 vaccine doses for its 10 million people. Similar gaps in vaccine access are found across Africa, where just 36 million doses have been acquired for the continent’s 1.3 billion people, as well as in parts of Asia.

In the United States, more than one-fourth of the population — nearly 90 million people — has been fully vaccinated and supplies are so robust that some states are turning down planned shipments from the federal government.

This stark access gap is prompting increased calls across the world for the U.S. to start shipping vaccine supplies to poorer countries. That’s creating an early test for President Joe Biden, who has pledged to restore American leadership on the world stage and prove to wary nations that the U.S. is a reliable partner after years of retrenchment during the Trump administration.

J. Stephen Morrison, senior vice-president and director of the Global Health Policy Center at the Center for Strategic & International Studies in Washington, said that as the U.S. moves from vaccine scarcity to abundance, it has an opportunity to “shape the outcomes dramatically in this next phase because of the assets we have.”

Biden, who took office in January as the virus was raging in the U.S., has responded cautiously to calls for help from abroad.

He has focused the bulk of his administration’s vaccinations efforts at home. He kept in place an agreement struck by the Trump administration requiring drugmakers that got U.S. aid in developing or expanding vaccine manufacturing to sell their first doses produced in the country to the U.S. government. The U.S. has also used the Defence Production Act to secure vital supplies for the production of vaccine, a move that has blocked the export of some supplies outside the country.

White House aides have argued that Biden’s cautious approach to promises around vaccine supply and delivery was validated in the wake of manufacturing issues with the Johnson & Johnson vaccine and the subsequent safety “pause” to investigate a handful of reported blood clots. In addition, officials say they need to maintain reserves in the U.S. to vaccinate teenagers and younger children once safety studies for those age groups are completed and if booster shots should be required later.

The White House is aware that the rest of the world is watching. Last month, the U.S. shared 4 million vaccine doses with neighbouring Canada and Mexico, and this past week, Biden said those countries would be targets for additional supplies. He also said countries in Central America could receive U.S. vaccination help, though officials have not detailed any specific plans.

The lack of U.S. vaccine assistance around the world has created an opportunity for China and Russia, which have promised millions of doses of domestically produced shots to other countries, though there have been production delays that have hampered the delivery of some supplies. China’s foreign minister Wang Yi said this month that China opposes “vaccine nationalism” and that vaccines should become a global public good.

Professor Willem Hanekom, director of the Africa Health Research Institute and a vaccinologist, said wealthy countries have a stake in the success of vaccination efforts in other corners of the world.

“Beyond the moral obligation, the problem is that if there is not going to be control of the epidemic globally, this may ultimately backfire for these rich countries, if in areas where vaccines are not available variants emerge against which the vaccines might not work,” Hanekom said.

The U.S. has also faced criticism that it is not only hoarding its own stockpiles, but also blocking other countries from accessing vaccines, including through its use of the law that gives Washington broad authority to direct private companies to meet the needs of the national defence.

Adar Poonawalla, chief executive of the Serum Institute of India, the world’s largest maker of vaccines and a critical supplier of the U.N.-backed COVAX facility, asked Biden on Twitter on April 16 to lift the U.S. embargo on exporting raw materials needed to make the jabs.

India is battling the world’s fastest pace of spreading infections. Its government has blocked vaccine exports for several months to better meet needs at home, exacerbating the difficulty of poor countries to access vaccine.

The U.S. Department of Health and Human Services’ 2020 annual report also raised eyebrows for a section titled “Combatting malign influences in the Americas,” which said the U.S. had convinced Brazil to not buy the Russian shot.

The U.S. Embassy denied exerting any pressure regarding vaccines approved by Brazil’s health regulator, which has not yet signed off on Sputnik V. Since March 13, Brazil has been trying to negotiate supply of U.S. surplus vaccines for itself, according to the foreign ministry.

There are also concerns that the U.S. might link vaccine sharing to other diplomatic efforts. Washington’s loan of 2.7 million doses of AstraZeneca’s shots to Mexico last month came on the same day Mexico announced it was restricting crossings at its southern border, an effort that could help decrease the number of migrants seeking entry into the United States.

Those sort of parallel tracks of diplomacy will be closely watched as the Biden administration decides with whom to share its surplus vaccine, particularly in Central America, home to many countries where migrant families and unaccompanied children are trying to make their way to the U.S.

“What we would hope to avoid is any perception that increased access to lifesaving vaccines in Central America is in exchange for increased tightening of border security,” said Maureen Meyer, vice-president for programs at the Washington Office on Latin America.

READ MORE: Future nurses, doctors want lessons from pandemic to create better health-care system

As the wait for vaccines continues in Honduras, desperation is growing.

Last week, a private business group announced it would try to buy 1.5 million vaccine doses to help government efforts, though it was unclear how it might obtain them. In March, authorities in Mexico seized 5,700 doses of purported Russian vaccines found in false bottoms of ice chests aboard a private plane bound for Honduras. The company owner who chartered the plane said he was trying to obtain vaccines for his employees and their families. The vaccine’s Russian distributor said the vaccines were fake.

Lilian Tilbeth Hernández Banegas, 46, was infected with COVID-19 in late November and spent 13 days in a Tegucigalpa hospital. The first days she struggled to breathe and thought she would die.

The experience has made the mother of three more anxious about the virus and more diligent about avoiding it. The pandemic rocked her family’s finances. Her husband sells used cars, but hasn’t made a sale in more than four months.

“I want to vaccinate myself, my family to be vaccinated, because my husband and my children go out to work, but it’s frustrating that the vaccines don’t arrive,” Hernández said.

There’s plenty of blame to go around, said Marco Tulio Medina, co-ordinator of the COVID-19 committee at the National Autonomous University of Honduras, noting his own government’s lackadaisical approach and the ferocity of the vaccine marketplace. But the wealthy can do more.

“There’s a lack of humanism on the part of the rich countries,” he said. “They’re acting in an egotistical way, thinking of themselves and not of the world.”

__

Miller reported from Washington. Associated Press journalists Christopher Sherman in Mexico City, Cara Anna in Nairobi, Aniruddha Ghosal in Delhi, Huizhong Wu in Taipei, David Biller in Rio de Janeiro, Gisela Salomon in Miami, Sonia Pérez D. in Guatemala City and Andrew Meldrum and Mogomotsi Magome in Johannesburg contributed to this report.

Marlon GonzáLez And Zeke Miller, The Associated Press


Like us on Facebook and follow us on Twitter.

CoronavirusUSAvaccines

Just Posted

Asymptomatic testing will now be available for "priority groups" who are most likely to spread the COVID-19 virus to vulnerable or at-risk populations. File photo by THE CANADIAN PRESS
Alberta adds 1,195 new COVID-19 cases Saturday

Red Deer has dropped to 760 active cases

MP Damien Kurek receives his COVID-19 vaccination. (Photo submitted)
Local elected representatives get the jab

MP Damien Kurek and MLA Lovely get their COVID-19 vaccinations

Alberta’s chief medical officer of health Dr. Deena Hinshaw is asking Albertans to do their part by observing gathering limits, staying home if unwell, wearing masks and maintaining physical distance. (Photo by Chris Schwarz/Government of Alberta)
Three new Central zone COVID-19 deaths, Alberta adds 1,433 cases

Red Deer down to 802 active cases of COVID-19

Alberta’a chief medical officer of health Dr. Deena Hinshaw said Thursday that there are more than 328,000 vaccine appointments booked over the next seven days. (Photo by Chris Schwarz/Government of Alberta)
Alberta surpasses 2 million doses administered of COVID-19 vaccine

Red Deer down to 835 active cases of COVID-19

Chris Scott, owner of The Whistle Stop Cafe, was put in handcuffs after an anti-restriction protest Saturday in the parking lot of the business. (Screenshot via The Whistle Stop Facebook page)
Alberta RCMP investigating possible threat to police after Mirror rally

Images show RCMP members and vehicles in crosshairs of a rifle

Marc Kielburger, screen left, and Craig Kielburger, screen right, appear as witnesses via video conference during a House of Commons finance committee in the Wellington Building in Ottawa on Tuesday, July 28, 2020. The committee is looking into Government Spending, WE Charity and the Canada Student Service Grant. THE CANADIAN PRESS/Sean Kilpatrick
Trudeau didn’t violate conflict rules over WE Charity, watchdog says

Federal ethics commissioner Mario Dion found that former finance minister Bill Morneau did violate the rules

Welcoming cowboy boots at the historic and colourful Last Chance Saloon in the ghost town of Wayne near Drumheller, Alta., on Thursday, Sept. 19, 2019. The bar and hotel are up for sale. THE CANADIAN PRESS/Jeff McIntosh
‘It was a going concern’: Remaining bar and hotel in Alberta coal ghost town for sale

The historic Last Chance Saloon in the ghost town of Wayne in southern Alberta is up for sale

The lights of several emergency vehicles could be seen near the Sunken Bridge on May 13. (Photo submitted)
Patient airlifted from Ponoka with serious injuries

RCMP, fire, STARS respond to single vehicle rollover May 13

Chief Public Health Officer Theresa Tam listens to a question during a news conference, in Ottawa. THE CANADIAN PRESS/Adrian Wyld
Restrictions will lift once 75% of Canadians get 1 shot and 20% are fully immunized, feds say

Federal health officials are laying out their vision of what life could look like after most Canadians are vaccinated against COVID-19

An Israeli attack helicopter launches flares as he flies over the Israeli Gaza border, southern Israel, Thursday, May 13, 2021. (AP Photo/Ariel Schalit)
Singh calls for halt on Canadian arms sales to Israel as violence escalates in region

Government data shows Canada sent $13.7 million in military goods and technology to Israel in 2019

New homes are built in a housing construction development in the west-end of Ottawa on Thursday, May 6, 2021. THE CANADIAN PRESS/Sean Kilpatrick
Budget’s foreign-homebuyers tax could bring in $509 million over 4 years, PBO says

Liberals are proposing a one per cent tax on vacant homes owned by foreign non-residents

A Canadian flag patch is shown on a soldier’s shoulder in Trenton, Ont., on Thursday, Oct. 16, 2014. The Canadian Forces says it has charged one of its members in the death of an army reservist from British Columbia during a training exercise at a military base in Alberta last year. THE CANADIAN PRESS/Lars Hagberg
Canadian Forces member charged in death of army reservist during training exercise

Cpl. Lars Callsen has been charged with one count of negligence

A youth plays basketball in an otherwise quiet court in Toronto on Saturday April 17, 2021. The Canadian Civil Liberties Association is urging the federal and provincial governments to fight COVID-19 pandemic by focusing on proven public health policy interventions including paid sick leave, and education rather than punitive enforcement measures. THE CANADIAN PRESS/Chris Young
Provinces issued more COVID-19 tickets during 2nd wave: CCLA report

‘A pandemic is a public health, not a public order, crisis,’ reads the report

Most Read