Vaccine stockpile sharing for selfish objectives

The COVAX program aims to provide global equitable access to life-saving vaccines. Despite calls for increased sharing, vaccine protectionism has limited progress towards vaccine sharing goals. For example, as of April 2022 only ~20% of the population in Africa had received at least one COVID-19 vac...

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Main Authors: Shashwat Shivam, Joshua S. Weitz, Yorai Wardi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021782/?tool=EBI
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author Shashwat Shivam
Joshua S. Weitz
Yorai Wardi
author_facet Shashwat Shivam
Joshua S. Weitz
Yorai Wardi
author_sort Shashwat Shivam
collection DOAJ
description The COVAX program aims to provide global equitable access to life-saving vaccines. Despite calls for increased sharing, vaccine protectionism has limited progress towards vaccine sharing goals. For example, as of April 2022 only ~20% of the population in Africa had received at least one COVID-19 vaccine dose. Here we use a two-nation coupled epidemic model to evaluate optimal vaccine-sharing policies given a selfish objective: in which countries with vaccine stockpiles aim to minimize fatalities in their own population. Computational analysis of a suite of simulated epidemics reveal that it is often optimal for a donor country to share a significant fraction of its vaccine stockpile with a recipient country that has no vaccine stockpile. Sharing a vaccine stockpile reduces the intensity of outbreaks in the recipient, in turn reducing travel-associated incidence in the donor. This effect is intensified as vaccination rates in a donor country decrease and epidemic coupling between countries increases. Critically, vaccine sharing by a donor significantly reduces transmission and fatalities in the recipient. Moreover, the same computational framework reveals the potential use of hybrid sharing policies that have a negligible effect on fatalities in the donor compared to the optimal policy while significantly reducing fatalities in the recipient. Altogether, these findings provide a self-interested rationale for countries to consider sharing part of their vaccine stockpiles.
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spelling doaj.art-3e08dda9794d48f09cbec0c7bff20c262023-09-03T10:09:36ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-01212Vaccine stockpile sharing for selfish objectivesShashwat ShivamJoshua S. WeitzYorai WardiThe COVAX program aims to provide global equitable access to life-saving vaccines. Despite calls for increased sharing, vaccine protectionism has limited progress towards vaccine sharing goals. For example, as of April 2022 only ~20% of the population in Africa had received at least one COVID-19 vaccine dose. Here we use a two-nation coupled epidemic model to evaluate optimal vaccine-sharing policies given a selfish objective: in which countries with vaccine stockpiles aim to minimize fatalities in their own population. Computational analysis of a suite of simulated epidemics reveal that it is often optimal for a donor country to share a significant fraction of its vaccine stockpile with a recipient country that has no vaccine stockpile. Sharing a vaccine stockpile reduces the intensity of outbreaks in the recipient, in turn reducing travel-associated incidence in the donor. This effect is intensified as vaccination rates in a donor country decrease and epidemic coupling between countries increases. Critically, vaccine sharing by a donor significantly reduces transmission and fatalities in the recipient. Moreover, the same computational framework reveals the potential use of hybrid sharing policies that have a negligible effect on fatalities in the donor compared to the optimal policy while significantly reducing fatalities in the recipient. Altogether, these findings provide a self-interested rationale for countries to consider sharing part of their vaccine stockpiles.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021782/?tool=EBI
spellingShingle Shashwat Shivam
Joshua S. Weitz
Yorai Wardi
Vaccine stockpile sharing for selfish objectives
PLOS Global Public Health
title Vaccine stockpile sharing for selfish objectives
title_full Vaccine stockpile sharing for selfish objectives
title_fullStr Vaccine stockpile sharing for selfish objectives
title_full_unstemmed Vaccine stockpile sharing for selfish objectives
title_short Vaccine stockpile sharing for selfish objectives
title_sort vaccine stockpile sharing for selfish objectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021782/?tool=EBI
work_keys_str_mv AT shashwatshivam vaccinestockpilesharingforselfishobjectives
AT joshuasweitz vaccinestockpilesharingforselfishobjectives
AT yoraiwardi vaccinestockpilesharingforselfishobjectives