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Significance

Klugge is likely aiming to be optimistic. An effective COVID-19 vaccine is considered to be the only economically and humanely acceptable exit strategy for this pandemic. However, never before has a vaccine been developed, manufactured and distributed in the timescale now required.

Impacts

High-income countries will initially monopolise access to a vaccine.

The country in which the vaccine is developed will be the very first to use it.

Low- and middle-income countries covered by GAVI will gain some access to a vaccine, but it will not be comprehensive.

Middle-income countries outside GAVI will likely be the last to get access.

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