The battle to subdue COVID-19 won’t be won until the whole world is vaccinated.

So President Joe Biden’s virtual COVID-19 summit at the United Nations on Wednesday was an important step toward mobilizing wealthy nations to share far more doses and technology. It also laid bare the global divisions over fighting the pandemic, which aren’t just between the rich and the poor.

Seventy-nine percent of the shots in arms worldwide have been administered in high- and upper-middle-income countries and only 0.5 percent in low-income countries. Less than 4 percent of Africa’s population is fully vaccinated, compared with 54 percent of Americans (a number that is high by comparison but low in terms of where the United States should be).

For many Americans, especially the political anti-vaxxers, those global stats may seem irrelevant. But the truism “what goes around comes around” has never been more valid than with this novel virus.

“Vaccinating the world is a huge imperative. If we don’t, new variants will take over,” says Thomas Wright, coauthor of “Aftershocks: Pandemic Politics and the End of the Old International Order.” “This is a national security issue of the highest order, not just a question of generosity or foreign assistance. We are doing this for ourselves as well.”

That said, the summit displayed both the vital need for the United States to lead on the global vaccine effort and the enormous challenges for Biden.

The White House has now pledged to donate more than 1.1 billion doses to countries that need them, as well as to help expand production in several vaccine-manufacturing facilities across Africa and India that will be able to produce two billion doses for developing countries by 2022. It will also provide hundreds of millions of dollars for helping poorer countries get shots into arms and facilitate shipments of vaccines.

There were plenty of complaints after the summit from nongovernmental agencies that U.S. delivery has been too slow, and these numbers were insufficient – the World Health Organization estimates 11 billion doses are needed globally to bring the pandemic under control.

And Biden’s goal of having 70 percent of the world’s population fully vaccinated by this time next year is clearly a pipe dream, however desirable. Yet it was clear at the summit that unless Washington takes the lead, there will be no global charge to corral this pandemic or prevent the next one.

So Biden should be cheered on and pressed to deliver more, even if many public health organizations felt he fell short.

For one thing, the world is dangerously disunited about containing COVID-19. Neither Russia nor China took part in the Biden-led summit. And neither country is transparent about the effectiveness of their vaccines

Despite Xi Jinping’s pledge to provide the world this year with two billion doses of Chinese vaccines (whose effectiveness is questioned), Beijing has sold almost all the doses it has delivered to developing countries rather than donating them for free.

“We should unite around the world on a few principles,” Biden said at the summit: “That we commit to donating, not selling, doses to low- and lower-income countries, and that the donations come with no political strings attached.” That message was for China but will fall on deaf ears.

Moreover, the European Union has not delivered on its vaccine promises, and global health agencies have faltered.

So the new emphasis should be — as Biden suggested — on developing manufacturing capacity for vaccines in middle- and lower-income countries. “We need to think how to diversify production and distribution facilities worldwide,” says Ezekiel Emanuel, vice provost for global initiatives at the University of Pennsylvania. “South Africa and Nigeria have capable people.”

This does not require big vaccine manufacturers to waive patent rights but can be done by voluntary licensing agreements that include sharing technologies and know-how. Johnson & Johnson, AstraZeneca, and Novavax had already signed such agreements last year with Indian manufacturers, and India was expected to power vaccine manufacturing this year for poorer countries. But after botching its own vaccine program, the Indian government banned exports of vaccines.

Under U.S. and global pressure, India has pledged to begin exports again in October, which could help Biden’s international goals.

Yet the biggest threat to the global battle against COVID-19, as Biden well knows, may come from inside the United States.

The right-wing political hostility toward vaccines has undercut the White House’s ability to vaccinate the American public. So long as the campaign for U.S. vaccinations continues — while science now dictates boosters for elders and shots for kids — there are political limits on how much domestically produced vaccine Washington can donate abroad.

And so long as leading GOP figures scorn the need to promote shots – and mandates – the global battle to beat back this pandemic, or the next one, is under threat.

Imagine if Florida’s Republican Gov. Ron DeSantis became president, let alone Trump redux, and left the next virus variant to rage unchallenged at home and abroad. Imagine if a GOP-controlled Congress refused to donate vaccines. No other country could fill the resulting leadership vacuum.

The battle to defeat COVID-19 globally starts right here at home.

Trudy Rubin is a columnist and editorial-board member for the The Philadelphia Inquirer. Readers may write to her at: Philadelphia Inquirer, P.O. Box 8263, Philadelphia, Pa. 19101, or by email at

(13) comments


I heard on NPR this morning a mother interviewed about taking her kid out of public school because of a mask mandate in an endemic area. She claimed the mandated was taking away her right to parent. Mind blown. I know the real reason was political. She is on the no mask team, and she does not want to be "owned by the libs". Simple as that. Thank goodness that infection rates are finally going down, but they are still high and include about 1600 deaths per day in the US. Hopefully the delta variant burns itself out, but this is all a big experiment.


👍👍👍 three!


"Kudos to biden" must be joking ...he is importing hundreds of thousands of people illegally who are sick with cmvid....what an absurd commentary...he and his gang are destroying this country from every aspect


I have seen nothing that supports that. All immigrants are required to test negative before entering.




OK, all legal immigrants are tested.



Turn off Faux News and go outside. Sitting in your basement breathing your own sick is not helping you.


It would be helpful if the FNP provided a list, in print and on web site, with locations and appointment info, of vaccination sites. Make it a prominent part of the paper and the web site.

Perhaps it is time to “segregate” schools. Designate some schools for which vaccinations and masks are optional for students and staff. The other schools would have vaccination and mask mandates for students and staff. Then parents and staff can choose and we get back to education. It would also provide good statistics on infection rates amongst the two populations.


A good site for ‘one stop shopping’ on vaccination information in Frederick County, try the county website, - from statistics, mask requirements in schools and private businesses and updates. The county website:




We have schools and programs for learning disadvantaged. But setting up a school for anti-vaxxers would be a real novelty. Should we also separate set up medical portables for those that come down with Covid and still haven’t been vaccinated from hospital intensive care units?

Pandemics don’t offer choices. That why they are called pandemics 😷 (a disease contagious to all across the world). NO, IT’S NOT THE FLU! There’s no need for segregated schools to pacify the doubters, just follow the healthcare recommendations. Or they can just have their temper tantrums, spit up their animal cookies, and setup their own school formats away from everyone else.

Yes we need to move on with educating our youth not pandering to ignorant cults. They have the right to opt out.



We already have schools for anti-vaxxers, it's called homeschool. We are not spending my tax dollars coddling the next Herman Cain Award winners.


When we don't fight pandemics with vaccines and masks, we lose the war. You know what happens when you lose wars.

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