Doctors Without Borders

RECENT POSTS

Doctors Without Borders criticizes Gates-backed global vaccine strategy | 

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Bill Gates at World Health Assembly

The global health strategy to expand childhood immunizations, largely backed by the Bill & Melinda Gates Foundation, is too focused on new vaccines and neglects the fundamental need to improve basic public health and immunization programs in poor countries.

So says Medicins Sans Frontieres (MSF), aka Doctors Without Borders, in a new report issued today by the organization entitled The Right Shot: Extending the Reach of Affordable and Adapted Vaccines.

The medical relief and aid advocacy organization is critical of a new, 10-year, multi-billion dollar “Global Vaccines Action Plan” expected to be adopted by global health leaders at the World Health Assembly meeting next week. The plan is largely funded by the Gates Foundation.

MSF says it favors expanding access to new vaccines — just not at the expense of basic immunizations.

“Twenty percent of the world’s children aren’t even getting the basic vaccines,” said Kate Elder, MSF vaccine policy adviser. The Gates Foundation is driving much of the global health policy decisions around vaccinations, Elder noted, and “Bill Gates’ priority is new vaccines.” The philanthropy’s influence is distorting the agenda to favor new vaccines over basic improvements, she said.

Daniel Berman, MSF’s deputy director for access, cited a recent initiative to distribute a new $7-per-dose pneumococcal vaccine in DR Congo in the middle of a measles outbreak. Why, Berman asked, are donors and health agencies pushing this new, expensive vaccine in Congo if Congolese children still aren’t getting a 30-cent measles vaccine?

The approach appears aimed more at supporting drug industry desires to promote new products than at finding the most efficient and sustainable means for fighting the diseases of poverty, he said.

UNICEF

The Right Shot may be a new report from MSF, but it is hardly a new criticism of the Gates Foundation’s approach to vaccines. Others have criticized the philanthropy before for a tendency to place industry interests above the concerns of poverty advocates.

The Seattle philanthropy, though contacted in advance of the report’s release, declined to comment or respond today to the MSF criticism – or to the group’s call for a new global strategy with more emphasis on beefing up basic, routine immunizations. The organization sponsored by the foundation to promote the new global strategy, the Decade of Vaccines collaboration, also did not respond.

Jeffrey Rowland, spokesman for the Global Alliance for Vaccines and Immunization, GAVI, did respond to the criticism. Continue reading

Owen Barder: Should we pay less for vaccines? | 

Owen Barder

Owen Barder, a development expert at the Center for Global Development, asks “Should we pay less for vaccines?

Barder’s post was prompted by the critical response some advocacy groups, like Oxfam and Médecins Sans Frontières (aka Doctors Without Borders) made after the successful fund-raising effort on June 13 by the Global Alliance for Vaccines and Immunization, a massive project getting vaccines out to poor kids.

As I noted at the time, these organizations and others were glad to see GAVI receive $4.3 billion in new funding but they felt the alliance was a bit too friendly to the drug industry and too willing to accept industry pricing.

This issue, of what constitutes fair vaccine pricing for poor countries, came up repeatedly this week at Seattle’s Pacific Health Summit. I intend to write about that in a separate post later.

For now, I urge you to read Barder’s excellent take on the critics of GAVI and the vaccine manufacturers. Continue reading