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Retrospectively modeling the effects of increased global vaccine sharing on the COVID-19 pandemic

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Moore, Sam, Hill, Edward M., Dyson, Louise, Tildesley, Michael J. and Keeling, Matt J. (2022) Retrospectively modeling the effects of increased global vaccine sharing on the COVID-19 pandemic. Nature Medicine . doi:10.1038/s41591-022-02064-y ISSN 1078-8956. (In Press)

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Official URL: http://dx.doi.org/10.1038/s41591-022-02064-y

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Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has caused considerable morbidity and mortality worldwide. The protection provided by vaccines and booster doses offered a method of mitigating severe clinical outcomes and mortality. However, by the end of 2021, the global distribution of vaccines was highly heterogeneous, with some countries gaining over 90% coverage in adults, whereas others reached less than 2%. In this study, we used an age-structured model of SARS-CoV-2 dynamics, matched to national data from 152 countries in 2021, to investigate the global impact of different potential vaccine sharing protocols that attempted to address this inequity. We quantified the effects of implemented vaccine rollout strategies on the spread of SARS-CoV-2, the subsequent global burden of disease and the emergence of novel variants. We found that greater vaccine sharing would have lowered the total global burden of disease, and any associated increases in infections in previously vaccine-rich countries could have been mitigated by reduced relaxation of non-pharmaceutical interventions. Our results reinforce the health message, pertinent to future pandemics, that vaccine distribution proportional to wealth, rather than to need, may be detrimental to all.

Item Type: Journal Article
Subjects: Q Science > QR Microbiology
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- )
Faculty of Science, Engineering and Medicine > Science > Mathematics
Library of Congress Subject Headings (LCSH): COVID-19 Pandemic, 2020- , COVID-19 vaccines , COVID-19 (Disease) -- Prevention -- Mathematical models, COVID-19 vaccines -- Mathematical models
Journal or Publication Title: Nature Medicine
Publisher: Nature Publishing Group
ISSN: 1078-8956
Official Date: 27 October 2022
Dates:
DateEvent
27 October 2022Available
29 September 2022Accepted
DOI: 10.1038/s41591-022-02064-y
Status: Peer Reviewed
Publication Status: In Press
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 3 November 2022
Date of first compliant Open Access: 4 November 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
Vaccine Eficacy Evaluation for Priority Emerging Diseases (VEEPED) projectNational Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
MR/V038613/1UK Research and Innovationhttp://dx.doi.org/10.13039/100014013
EP/S022244/1[EPSRC] Engineering and Physical Sciences Research Councilhttp://dx.doi.org/10.13039/501100000266
BB/S01750X/1[BBSRC] Biotechnology and Biological Sciences Research Councilhttp://dx.doi.org/10.13039/501100000268
NIHR200411National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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