Tag Archive for: Coronavirus

Germany’s homegrown Q menace

On 1 August 2020, about 30,000 people gathered in Berlin to protest against Covid-19 lockdown measures. Although the event, organised by the Stuttgart-based Querdenker movement, defied a ban on public gatherings, it was ultimately a relatively peaceful affair. That was not the case with the next anti-lockdown demonstration in the capital, on 29 August.

Most of the 38,000 participants in the 29 August rally—which took place after an administrative court in Berlin overturned a police ban on the demonstration—did behave peacefully. But a splinter group of 450–500 protesters, many from the far right, attempted to storm the Reichstag. The assault was neither as violent nor as well planned as the one on the US Capitol that would take place on 6 January 2021—fuelled by America’s own ‘Q’, QAnon—but it was the first time since the Nazi era that the building had been violated. This does not bode well for Germany.

Fast forward to 1 August 2021. The Querdenker had applied for permission to stage a demonstration involving about 25,000 people, which the city declined on the grounds that the movement had repeatedly violated pandemic requirements. The organisers went to court and lost. However, a motorcade was allowed.

But the motorcade turned out to be a ruse. Instead, groups of Querdenker sympathisers started to march from different parts of the city with the alleged aim of congregating at the Brandenburg Gate and in front of the Reichstag. A rather surreal scene ensued. The 7,000 Querdenker, maskless and disregarding hygiene measures, enjoyed playing cat and mouse with the police, who had seemingly underestimated the likelihood and scale of the illegal rally, and the potential for violence.

A play on words, ‘Querdenker’ connotes contrariness on one hand and lateral thinking on the other. The movement was launched in April 2020 by a Stuttgart-based software engineer, Michael Ballweg, to promote one cause: the end of Covid-19 lockdowns.

According to Ballweg and his followers, public-health measures during the pandemic violate the German people’s constitutional rights, including that of free assembly. This is not untrue. But the government’s position—which reflects extensive deliberation in parliament and the courts—is that these temporary violations are warranted, given the severity of the Covid-19 threat.

The Querdenker are unconvinced. They accuse the government of using the pandemic as a pretext to establish a dictatorship. Their favorite slogan, chanted at many a lockdown protest, is ‘Peace, freedom, no dictatorship.’

Following the events of August 2020, the ‘peace’ part of that slogan is increasingly being called into question. So is the Querdenker movement’s focus on constitutional rights during Covid-19 lockdowns. As the movement has grown—there are now local chapters in 59 German cities—it has expanded the scope of its argument.

A recent Querdenker press release claims that the government has used the pandemic to create a ‘state of permanent surveillance’ and grant new powers to police and border guards, ‘in order to further restrict human rights across Europe’. Moreover, the movement asserts, the government has forced people to ‘lose their jobs … work overtime, forego wages, and ruin their health’, and destroyed young people’s future prospects by restricting education. Germany is now facing ‘the greatest redistribution from the bottom up, and a wave of expropriations of historic proportions’, and Querdenker will not ‘turn a blind eye’ to it.

By linking its main concern to issues like state surveillance and economic inequality, the Querdenker movement has drastically expanded its potential support base. Anti-vaxxers, anarchists, libertarians, right-wingers and esoteric groups of all stripes have joined the cause. This is not unusual for a social movement of this kind, but it doesn’t do much for the Querdenkers’ credibility.

Ballweg denies Querdenker’s proximity to—let alone association with—extremists, claiming that such perceptions are the result of misleading and biased media reporting. But the most comprehensive study of the Querdenker movement, conducted by the sociologist Oliver Nachtwey and his team at Switzerland’s University of Basel, suggests otherwise.

The study covered pandemic-related protests in Germany, Austria and Switzerland. It found that movements were heterogeneous, comprising several, often disparate social groups. What united them was a sense of alienation from political institutions, established parties and the mainstream media.

This alienation, the study suggests, makes these movements vulnerable to conspiracy theories. Perhaps unsurprisingly, therefore, Querdenker demonstrations increasingly display anti-Semitic tendencies, though the movement is neither particularly xenophobic nor Islamophobic.

Querdenker is, Nachtwey and his team note, profoundly libertarian, and its followers tend to espouse beliefs in alternative medicine and holistic and spiritual thinking—a perspective closely linked to a distrust of modern medicine and science more broadly. Ultimately, they tend to share three key personality characteristics: fact resistance (typical of conspiracy theorists), a strong belief in their own version of the truth, and a self-righteousness bordering on arrogance.

A rightward shift is amplifying these tendencies. While Querdenker cannot be considered a right-wing movement, Nachtwey and his colleagues warn that the potential for radicalisation is rising. The right-wing Alternative für Deutschland (AfD) has already voiced its support for the cause, and members of the Reichsbürger, a right-wing fringe group that denies the legal existence of the federal republic and seeks to reinstate some version of the pre-1918 German empire, have often participated in its rallies.

The question now is how Germany should respond. Some have called for Querdenker to be outlawed and its 59 chapters declared illegal. But the government has little appetite for such a drastic move, which could backfire, inciting more—and more violent—illegal demonstrations. One might also hope that, as the pandemic recedes, so will the Querdenker.

Yet, even if the movement fades, the alienation and distrust of authorities that have fed it are unlikely to go away. These same forces fuelled the Islamophobic Pegida movement, which held weekly rallies in Germany in 2015, but eventually dissipated, leaving behind a relatively small group of right-wingers. And they may well power the rise of another such faction after the next controversial political development.

It is these underlying drivers that the German government—and others, as this is hardly a uniquely German phenomenon—should be aiming to address. Profound transformation fuels anxiety and can make people feel, in the words of sociologist Arlie Hochschild, like ‘strangers in their own land’. Political ‘entrepreneurs’ like Ballweg—or, in the United States, former president Donald Trump—draw on these feelings to win support for themselves or their causes.

The lesson is as simple as it is challenging: governments must listen carefully, understand people’s anxieties, and identify actual and potential protest leaders before they engage, debate or try to convince the public of some crazed conspiracy theory. Over time, this approach can reduce the likelihood that destabilising extremist and populist movements will emerge, or at least lessen the risk of violence. In the meantime, these groups will remain a menace to society—and to democracy.

Australia’s lockdown demonstrations show how quickly local protests can go global

On 24 July 2021, anti-lockdown protests across Australia led to chaotic scenes and arrests. Presented as demonstrations against Australia’s pandemic restrictions, the protests were also branded as part of a ‘World Wide Rally for Freedom’, leading to speculation about the relationship between domestic events and a global movement.

The demonstrations attracted a broad range of protesters and were promoted across chat and social media platforms such as Twitter, Facebook and Instagram. The messaging app Telegram appears to have played an important role in facilitating coordination of protests and dissemination of material between global and domestic accounts.

ASPI’s International Cyber Policy Centre has examined 12 Australian Telegram public discussion and announcement channels on which protest planning took place and two international channels. The analysis was not intended to be exhaustive, but looked at channels organising under the banner of ‘Freedom Rally’ or ‘World Wide Demonstration’. The largest ‘World Wide’ channel had more than 72,000 subscribers by 5 August 2021. All told, Australian ‘Freedom Rally’ channels had almost 20,000 subscribers, although there’s likely to be significant crossover.

On Telegram, users can set up ‘groups’ to chat or ‘channels’ to broadcast messages. We analysed data on seven group discussion channels on which most of the activity appears to have taken place.

Anti-lockdown protests have occurred often during the pandemic. In 2020, during its second lockdown, Melbourne experienced demonstrations in September and November. Global anti-lockdown protests have continued, often under the broad brand of the World Wide Rally for Freedom and the hashtag #WewillALLbethere. The chart below shows the number of posts with this  hashtag on Facebook, Twitter and Instagram between April and August 2021. Dashed lines mark the dates 20 March, 15 May and 24 July on which World Wide Rally for Freedom events were held.

An investigation by the fact-checking organisation Logically suggested that the World Wide Rally for Freedom protests in March and May were ‘astroturfed’ by an organisation in Germany known as Freie Bürger Kassel (Free Citizens of Kassel). Logically analysed 20 ‘World Wide Demonstration’ protest Telegram groups and found that at least 13 of them were set up in the same hour on 28 February and began with similar messages. Telegram accounts associated with Freie Bürger Kassel also promoted the 24 July protest, and its graphics were replicated across Australian groups. This activity aligned with sharp increases in the number of unique accounts posting in the worldwide Freedom Rally Telegram discussion channel (see chart below).

Unlike the selection of international Telegram channels examined by Logically, Australia-focused Telegram channels organised under the name ‘Freedom Rally’ were largely created before February 2021. Of the Freedom Rally Telegram channels set up for each major Australian city that we analysed, only the Perth channel was created after the launch of the ‘World Wide Demonstration Official’ channel on 18 February 2021. In general, Freedom Rally channels followed a similar organising principle, with one announcements channel and one chat group. Some had corresponding websites.

The Melbourne Freedom Rally channel appears to be the originator of the local Freedom Rally network, with a presence on a broad array of platforms, including Facebook, Twitter, Gab and Discord. Its main Telegram channel group has been active since at least 4 September 2020. The Adelaide, Sydney, Brisbane and Australia-wide Freedom Rally channels were created on 17 November 2020, with an organiser posting that the ‘Melbourne Freedom Rally is going Australia-Wide’. The organiser tells members to ‘DM the admins of Melbourne Freedom Rally to get in touch and build organizational teams locally’.

Unsurprisingly, messaging activity in Australian Freedom Rally channels generally tended to align with protests organised during lockdowns. Other than the Melbourne channel, most messaging in the Australian channels occurred after May 2021 (see chart below).

While the World Wide Demonstration channels followed the creation of most of the Australian groups, its message was quickly folded into the local ecosystem. Messages from its Telegram channel were being forwarded in Australian ‘Freedom Rally’ channels as early as 24 February 2021. And by early March, related events were heavily promoted. A 5 March 2021 press release from the ‘action group’ in Kassel, shared by the Melbourne channel, said it had received an overwhelming amount of support from many countries and was collaborating with organisers locally to deploy a wide variety of events.

On 5 March, one Sydney group user asked if the ‘World Wide Rally for Freedom’ was also planned for Sydney. A user named Dominic D (with an ‘organizer’ tagged account) replied that it would be, with ‘location to be announced soon’. In March 2021, The Guardian reported Dominic D’s real name to be Harrison McLean and explored his alleged ‘plans to introduce his “freedom” group to more radical political views’ (allegations he denied to the outlet). The Australia-wide Freedom Rally channel published a periodic list of ‘freedom’ channels to follow. These were forwarded into other channels. In January and February, this list included accounts associated with the Proud Boys and other far-right groups and media outlets.

A recorded Zoom call about the 20 March protest posted in the Melbourne channel on 17 March was tagged as the World Wide Rally for Freedom ‘Australian Team Zoom’. It included figures such as Fanos Panayides, who was notable in Melbourne’s 2020 anti-lockdown protests and a representative of the Informed Medical Options Party. In the clip, a man using a Zoom account tagged Harrison McLean says, ‘We’ve been working with an international coalition of people from over 100 cities around the world to put this event on.’ ‘Dominic D’ was active in every Telegram channel we analysed.

Analysis of the links and messages posted in six key Australian Freedom Rally Telegram discussion channels and in one worldwide Freedom Rally channel between 4 September 2020 and 29 July 2021 shows that they coordinate social media engagement across multiple platforms. Links to other Freedom Rally–associated social media accounts on Twitter, Facebook and Instagram were some of the most shared links in the channels (see chart below).

Videos were also shared from YouTube, BitChute and Rumble, and mostly contained anti-vaccine and conspiracy theory content. A petition on the Australian Parliament House website was shared 125 times and requested the government to ‘uphold the Nuremberg Code’ and not make ‘experimental vaccines’ mandatory. It accumulated more than 300,000 signatures.

Forwarded messages accounted for 24% of all traffic in Australian and worldwide Freedom Rally discussion channels. In total, 6,954 Telegram channels had messages forwarded to the Australian Freedom Rally channels, and 130 channels went to all seven channels. These included QAnon-related channels, anti-vaccine groups, Australian far-right groups, international far-right groups and Australian politicians. Posts from MP Craig Kelly’s Telegram channel were forwarded 238 times. Posts from Russian state-controlled television station RT’s official Telegram channel were forwarded 190 times into all the Freedom Rally channels, but mostly in the worldwide and Melbourne-based channels.

Content often referred to a roll call of conspiracy theories and misinformation about Covid-19 and the pandemic. The graphic below, for example, references Event 201. This was a pandemic simulation held in October 2019 by the Johns Hopkins Center for Health Security, the World Economic Forum, and the Bill & Melinda Gates Foundation—a regular target of Covid-19 disinformation. The event has been used by some to suggest that Gates had prior knowledge of the pandemic.

Text mining suggested that people on these Telegram channels regularly used terminology reflecting a deep distrust of public institutions. Terms such as ‘false flag’, ‘fake news’, ‘fake cops’, ‘fake protests’, ‘trap’, ‘false positives’, ‘media lies’ and ‘government lies’ were among the most frequent and showed up at least 834 times across all Telegram channels between 4 September 2020 and 29 July 2021. The phrase ‘fake news’ appeared at least 140 times in the Melbourne-based Telegram channel alone.

As Australia’s pandemic response continues, more lockdown protests are likely—fed by these organising channels and by a mix of social platforms, influencers and community members expressing genuine distress and grievance. The wide variety of platforms used by such groups illustrates their ability to switch between more mainstream platforms to promote events and less moderated environments where conspiracy theories and misinformation can proliferate.

Peacemaking after the pandemic

In Paradise Lost, the English poet John Milton encapsulates a fundamental truth about the struggle to end a violent conflict and establish a sustainable peace:

Who overcomes by force,

Hath overcome but half his foe.

This insight was crucial to my own understanding of how to chart a way to end Colombia’s long and costly civil war, and it is acutely relevant to our shared global challenges today.

To build peace, leaders need to foster hope and anchor policies in empathy, solidarity and a long-term vision of the common good. This is precisely the approach we must take now to overcome the Covid-19 pandemic and build a more resilient world that can better withstand shocks and crises.

Humanity’s collective experience of Covid-19 has reminded us all how precious, fragile and intertwined life can be. Each person’s existence on this planet is inextricably connected with that of our brothers, sisters and neighbours, as well as with our forebears and unborn generations. As we begin to map a post-pandemic recovery, recognising our shared destiny makes it critical that we draw inspiration from the legacy of previous successful leaders.

In this regard, there’s no better model than Nelson Mandela, a man of infinite courage and determination who defied a particularly evil system of racial oppression and became the greatest peacemaker of his generation. Mandela endured nearly three decades of imprisonment, led his people to freedom and built a resilient, multiracial democracy in South Africa that endures to this day.

Mandela’s abiding humility and his iron faith in democracy helped lay the foundations of modern South Africa. These qualities also resonated globally, because Mandela always placed the African National Congress’s liberation struggle in the context of the wider international fight against colonialism, racism and discrimination.

This affirmation of our common humanity lay at the heart of Mandela’s decision to found The Elders, the group of independent global leaders of which I’m a member. In his speech at the organisation’s launch in Johannesburg in July 2007, Mandela charged the group with a specific mandate: ‘Support courage where there is fear, foster agreement where there is conflict, and inspire hope where there is despair.’

Today more than ever, we must recommit to this approach in the face of the pandemic, as well as even greater existential threats such as climate change and nuclear weapons. We urgently need an explicit recognition by global leaders that solidarity matters, and that they must act decisively to defend and rejuvenate multilateralism.

This ambition and sense of hope is essential. One sobering example of its absence is the underwhelming collective reaction to the March 2020 call by United Nations Secretary-General Antonio Guterres for a ‘global ceasefire’ in response to Covid-19. True, Guterres’s appeal was compelling, and the UN estimated that warring parties in 11 countries had heeded it by early April last year. But the UN Security Council took more than three months to pass a resolution endorsing it. And too many conflicts continued unabated throughout 2020 and still rage today.

The toll on human life, particularly among unarmed civilians, has been devastating. By mid-2020, violent conflicts had contributed to a rise in the number of forcibly displaced people, to nearly 80 million. And by the end of the year, almost 100 million people faced severe food insecurity as a result of conflict—up from 77 million in 2019.

This is a damning indictment of collective failure, especially by the Security Council’s five permanent members. But we must understand the council’s near-paralysis in the wider context of the many global leadership failures laid bare by Covid-19. These include insufficient coordination and information-sharing to contain the pandemic, inadequate collaboration by the G20 to protect the global economy, a dearth of financial assistance to support the global south, and the moral catastrophe of ‘vaccine apartheid’.

Contemplating this litany of challenges and disappointments, it’s easy to be overwhelmed by pessimism. But resigning ourselves to failure is not only an indulgence of the world’s privileged, who do not have to endure the pain and loss of war, but also a betrayal of its victims. Hope persists, and so must our determination.

As for me, I’m hopeful and determined that we will recover from the pandemic in a way that affirms the words of my compatriot, the great writer and Nobel laureate Gabriel García Márquez: ‘Neither floods nor plagues, famines nor cataclysms, nor even the eternal wars of century upon century, have been able to subdue the persistent advantage of life over death.’ In that spirit, we must then get on with the life-affirming task of building peace.

Extraordinary claims on Covid-19’s origin require extraordinary evidence

The ‘Sagan standard’ devised by the famous astronomer and science communicator Carl Sagan that extraordinary claims should be supported by extraordinary evidence would be well applied to the current speculation on the origins of Covid-19. By diverting the focus away from the most likely wildlife-to-human transmission origin and instead sustaining the idea that Covid-19 entered the human population as a result of Chinese scientific ineptitude or even malice at the Wuhan Institute of Virology, we run the risk of not learning the important lessons we need to learn in order to prevent the next pandemic.

It may not be evident at first glance, but the global public health community almost perfectly predicted and prepared for the Covid-19 pandemic. The small detail that upset all the planning was that the pandemic agent wasn’t influenza, for which there is an elaborate surveillance and response network that allowed the world to react swiftly when H1N1 swine flu arose in Mexico City in 2009.

Instead, it was another of the very many zoonoses (diseases that jump from animals to humans) circulating in the environment that caught the world unprepared, even though there had been clear warnings from SARS (2002), Ebola (2013) and MERS (2015).

Zoonotic pathogens circulate all over the world and form a constant backdrop of diseases that are difficult to diagnose and treat. Australia has numerous well-known examples such as Ross River virus, Barmah Forest virus, Australian bat lyssavirus and Hendra virus. Zoonoses present a persistent health threat to those working in remote regions, in abattoirs and with wildlife.

The constant threat of zoonoses was recognised when the World Health Organization and the World Organisation for Animal Health led the creation of the OneHealth initiative in 2008 to increase surveillance and preparedness in the face of the growing threat.

Our current global pandemic wasn’t a surprise but instead was highly anticipated—for those working in the field of public health, it has been an article of faith at least since the turn of the century that a pandemic was inevitable and probably imminent. As evidence, I submit the lack of affront from the notoriously pernickety scientific community at the terrifying plot line of the 2011 movie Contagion.

With this background, you can see why scientists generally are frankly flummoxed that an alternate theory about the origins of Covid-19 that has little supporting evidence is getting any attention at all.

If we look at the main evidence proposed for the alternative origin theory—that the Wuhan Institute of Virology is nearby and works on coronavirus—it doesn’t stand up to much scrutiny. Southern China and Southeast Asia form a continuous globally recognised hotspot for the emergence of new diseases. Apart from the extensive and well-equipped Chinese Center for Disease Control and Prevention network in most of the country’s major cities, many other research institutes are dotted through the region, such as the US Naval Medical Research Unit-2 detachment in Phnom Penh, the Pasteur Institute’s nine Asia–Pacific research institutes and the Oxford Centre for Tropical Medicine and Global Health’s five. It would be difficult for a disease to arise in Asia without there being a research institute nearby almost certainly studying that pathogen. Putting researchers near disease hotspots is a sign of foresight and planning, not criminal intent.

That’s not to say that lab accidents don’t happen and that dangerous viruses don’t escape from containment. They most certainly do—and at a disturbing rate. But it’s worth repeating that so far there’s no evidence of this happening in Wuhan. And it’s worth observing that an independent panel of experts assembled by the WHO inspected the institute and declared it ‘extremely unlikely’.

There is still a huge dose of culpability on the head of the Chinese government. The now well-reported initial cover-up by local officials was the first and most critical in a chain of extraordinarily bad governance decisions made around the world, the rest of which were made much later and in spite of the availability of good scientific advice. It is hard to blame waves 2, 3 and 4 on anything but political incompetence.

My own experience working with scientists from Wuhan trying to publish data in the early months of the pandemic was one of openness and collaboration. But they found it extremely difficult to get their work published in international journals even though they were working hard to report their findings from inside the epicentre of an overwhelming public health crisis. Valuable experience and insight in the early days of the pandemic wasn’t available to scientists and clinicians around the world, not because of Chinese government cover-ups, but because few were listening.

Media reports that there are clues to the artificial origin of SARS-CoV-2 buried in the genome are not credible. The field of bioinformatics has exploded since the publication of the human genome over 20 years ago. Across the world, there are many thousands of these biological cryptologists with access to room-sized supercomputers who are expert at finding traces of evidence and who compulsively share everything they do (1.8 million submissions have been lodged so far on the GISAID Covid-19 database). For once, I think we can conclude that the absence of evidence is evidence of absence.

So trying to fit a conspiracy theory around the emergence of SARS-CoV-2 could be seen as a little like trying to blame cosmic rays for global warming. Cosmic rays become a plausible theory only if you’re willing ignore the more obvious gigatons of CO2 and methane that humans pump into the atmosphere.

We could only guess at the attractions behind wanting to investigate a theory for which there is no evidence. For some it may be just another tool in the ongoing strategic competition between China and the Western liberal democracies. But it has the effect of drawing attention away from the core issues that need to be addressed to prevent another pandemic. If we can blame a lab accident (or even malice), then we don’t need to worry about addressing other, more difficult causes. It will give cover to those wanting to ignore the hard facts of human pressure on the environment, dangerous animal husbandry practices, and the abhorrent and cruel trade in wildlife into wet markets.

It also drags the spotlight away from the really crucial call for deep global cooperation and open data sharing launched by Helen Clark, the former prime minister of New Zealand who co-chaired the International Panel for Pandemic Preparedness and Response. To give the WHO the power to report without seeking approval from member governments and investigate outbreaks without notice will require a lot of international goodwill.

What could be a more likely consequence of giving fringe theories more oxygen than driving deeper wedges where there should be openness and cooperation?

Vaccinating the world against Covid-19 is in America’s national interest

A century ago, an influenza pandemic killed more people than died in World War I. Today, the Covid-19 pandemic has killed more Americans than died in all US wars since 1945. A big difference, however, is that science didn’t have a vaccine for the influenza virus back then, but now several companies and countries have created vaccines for Covid-19.

A number of wealthy democracies, including the United States and the United Kingdom, have vaccinated over half their adult populations and seen a dramatic reduction in the number of new cases and deaths. Other places, such as India, Brazil and parts of Africa, have low vaccination rates and high rates of new cases and deaths. The Economist estimates that the pandemic’s true global death toll may be something like 10 million people, or more than three times the official number reported by national authorities.

Given these grim statistics, should leaders of wealthy countries export vaccines and help vaccinate foreigners before they finish the job at home? When President Donald Trump proclaimed ‘America first’, he was being consistent with democratic theory, according to which leaders are entrusted with defending and advancing the interests of the people who elected them. But as I argue in my book Do morals matter? the key question is how leaders define the national interest. There’s a major moral difference between a myopic transactional definition, like that of Trump, and a broader, far-sighted definition.

Consider President Harry Truman’s espousal of the Marshall Plan after World War II. Rather than narrowly insisting that America’s European allies repay their war loans, as the US had demanded after World War I, Truman dedicated more than 2% of America’s GDP to aiding Europe’s economic recovery. The process allowed Europeans to share in planning the continent’s reconstruction and produced a result that was good for them, but that also served America’s national interest in preventing communist control of Western Europe.

There are four major reasons why a Marshall Plan–like effort to vaccinate people in poor countries is in the US national interest. First, it is in Americans’ medical interest. Viruses don’t care about the nationality of the humans they kill. They simply seek a host to allow them to reproduce, and large populations of unvaccinated humans allow them to mutate and evolve new variants that can evade the protections our vaccines produce. Given modern travel, it’s only a matter of time before variants cross national borders. If a new variant arose that was capable of bypassing our best vaccines, we would have to develop a booster targeted at the new variant and vaccinate again, which could lead to more fatalities and more strain on the US medical system, as well as further lockdowns and economic damage.

Our values provide the second reason that a vaccine Marshall Plan is in America’s national interest. Some foreign policy experts contrast values with interests, but that is a false dichotomy. Our values are among our most important interests, because they tell us who we are as a people. Like most people, Americans care more about their co-nationals than about foreigners, but that doesn’t mean they’re indifferent to the suffering of others. Few would ignore a cry for help from a drowning person because she calls out in a foreign language. And while leaders are constrained by public opinion in a democracy, they often have considerable leeway to shape policy—and considerable resources to influence public sentiment.

A third national interest, related to the second, is soft power—the ability to influence others through attraction rather than coercion or payment. American values can be a source of soft power when others see our policies as benign and legitimate.

Most foreign policies combine hard and soft power. The Marshall Plan, for example, relied on hard economic resources and payments, but it also created a reputation for benignity and far-sightedness that attracted Europeans. As the Norwegian political scientist Geir Lundestad has argued, the American role in post-war Europe may have resembled an empire, but it was ‘an empire by invitation’. A policy of helping poor countries by providing vaccines, as well as aiding the development of their own healthcare systems’ capacities, would increase US soft power.

Finally, there is geopolitical competition. China quickly recognised that its soft power suffered from the origin story of Covid-19 in Wuhan. Not only was there a lack of clarity about how the virus originated, but in the early stages of the crisis, Chinese censorship and denial made the crisis worse than necessary before its authoritarian lockdown proved successful. Since then, China has assiduously pursued Covid-19 diplomacy in many parts of the world.

By donating medical equipment and vaccines to other countries, China has been working to change the international narrative from one of fault to one of attraction. The Biden administration has been playing catch-up, announcing that it will release 60 million doses of the AstraZeneca vaccine, as well as 20 million additional doses of the Pfizer, Moderna and Johnson & Johnson vaccines. In addition, the administration has pledged US$4 billion in funding for the World Health Organization’s COVAX facility to help poor countries purchase vaccines and has supported a temporary waiver of intellectual property to help poor countries develop capacity.

In short, for four good reasons consistent with America’s history, values and self-interest, the US should lead a group of rich countries in a plan to vaccinate the rest of the world now, even before the job is finished at home.

Global health governance from the grassroots

The World Health Assembly met last week amid a slew of proposals—most recently from the United Nations Independent Panel for Pandemic Preparedness and Response—to create stronger, enforceable global rules for tackling future infectious disease outbreaks. A new global pandemic treaty, more robust and independent international institutions, and an international pandemic financing facility are all in the mix. But a bottom-up strategy might work better.

A separate review by the World Health Organization earlier this year highlighted four ways to strengthen global health governance. It called for a centralised approach to bolstering countries’ preparedness for health emergencies; a worldwide notification system to ensure robust monitoring of compliance; global capacities such as a genomic sequencing infrastructure; and closer coordination among international institutions, including the WHO, the World Organisation for Animal Health, the Food and Agriculture Organization and the United Nations Environment Programme.

These are all worthy objectives. But is a top-down approach the best way to pursue them? To answer that question, global health experts should pay more attention to successful grassroots efforts to combat disease.

Consider the fight against onchocerciasis, or river blindness. In the 1970s, it was led by World Bank President Robert McNamara, Merck CEO Roy Vagelos and WHO Director-General Halfdan Mahler. But over time, a bottom-up strategy whereby almost half a million village community health workers owned the problem, proved more effective. A multi-country study in 1994 and 1995 showed that when communities are responsible for organising their own distribution of ivermectin (the drug that treats onchocerciasis), coverage is higher than when the health system delivers the drug. Another report by the Carter Center highlights the role that kinship and local networks play in tackling this disease.

Similarly, the Bombay Leprosy Project is a longstanding program in Mumbai’s largest slums. BLP community volunteers, trained by paramedical workers, conduct door-to-door surveys among the population in order to detect new cases. During the pandemic, it has been one of the most effective channels for delivering personal protective equipment (PPE), healthcare, food and now Covid-19 vaccinations to the poorest of the poor in areas where the Maharashtra state and federal governments are essentially absent.

The importance of bottom-up initiatives in responding to the pandemic is not limited to developing countries. The United Kingdom’s government invested heavily in a centralised national test-and-trace service. But evidence suggests that even relatively underfunded local schemes performed better, leading the government to rethink its approach.

Increased efficacy is not the only reason to consider a grassroots strategy. Politically, many countries—perhaps scarred by their experience of trade blockages at the outset of the pandemic, the worldwide scramble for PPE supplies and vaccine nationalism—are currently more focused on national resilience than global commitments. A new emphasis on local resilience may therefore find a much more receptive audience in communities around the world. One of the shortcomings of international health regulations during the Covid-19 pandemic has been the failure to prepare, provide and coordinate adequate resources at the country level. A bottom-up approach could change this.

Investments in community-level health-surveillance capacity will likely be key to tackling this and future pandemics. Here, the right financial incentives are crucial. Rural smallholders in Africa and Asia will be the first to know when some of their chickens or ducks seem sick—possibly with an avian influenza virus that could trigger a human pandemic. But if farmers who report a disease outbreak face the prospect of culling their entire flock without receiving adequate compensation, they may well decide not to share the information.

Likewise, as Stefan Dercon of the University of Oxford has argued, investing in the reach and quality of community healthcare and in health workers’ protection is vital to ensure the continuation of basic medical services. These include vaccination, provision of antiretrovirals, supplementary feeding, maternal health, bed net distribution and malaria treatment. Community health workers are also essential for shielding the most vulnerable in densely populated areas and for tracking and controlling disease.

Such bottom-up approaches will require government support, including financing of local efforts. Any backing may need to be anchored in law to be sustainable, as was the case with the funding of Brazil’s public-health research institution Fiocruz in the early 20th century. Such statutes may protect organisations from attempts to reduce budget allocations or finance other programs at their expense.

Historically, global health and environmental cooperation has reflected various combinations of top-down and bottom-up measures. While the 1987 Montreal Protocol to protect the ozone layer was an example of top-down regulation, the 2015 Paris climate agreement resulted from a much longer process involving communities, cities and countries around the world. Academic studies and research by hundreds of universities, institutes and scientists, and early initiatives by mayors and individual communities, greatly heightened grassroots awareness and commitments from families, schools, local media, municipalities and regional administrators.

In the end, even the best bottom-up disease-control efforts risk being thwarted by international failures to ensure access to PPE, genetic sequencing or vaccines. But policymakers must not neglect local-level healthcare. To be better prepared for future pandemics, our top-down models and agreements must shape responses that are grounded firmly in local communities and value their engagement, risk ownership and anxieties.

Moving on from Covid-19 requires knowing where it came from

It’s been a year and a half since we started living with—and too often dying from—Covid-19. Although the pandemic is by no means over, it’s not too soon to take a step back and draw some preliminary conclusions from the experience.

One conclusion that has turned out to be especially tentative concerns the source of the pandemic. Initially, the SARS-CoV-2 virus that causes Covid-19 was widely believed to have spread from a wet market in the Chinese city of Wuhan after it jumped from an animal (probably a bat) to humans through an intermediary host. But a growing number of scientists and experts now believe it is at least as likely (if not more so) that the virus emerged accidentally from the Wuhan Institute of Virology.

There are many reasons to suspect an accidental leak: the institute’s location and known work with coronaviruses; the outbreak’s distance from bat populations; the inability to identify an intermediary host or any early clusters of cases outside Hubei province; some physical features of the virus; and China’s cover-up of evidence and refusal to cooperate fully with international investigators. All are fuelling speculation and greater attention from US intelligence agencies, which have now been ordered by President Joe Biden to increase their efforts to identify the origins of Covid-19. If the ‘lab leak’ narrative comes to be widely accepted, it will severely damage China’s standing worldwide and could pose a serious political problem for its leadership at home.

Looking around the world and comparing national performances in addressing the pandemic, what turns out to matter most is not the nature of the political system so much as the quality of political leadership. Russia, Brazil, Mexico and the US under former president Donald Trump all failed, while Taiwan, New Zealand, Vietnam and the US under Biden have all done relatively well. More than anything, this record suggests that populist leaders perform the worst, possibly because they tend to dismiss inconvenient facts and resist introducing necessary measures that might cost them public support in the short term.

Many countries in East Asia and Europe seemed to have had the virus under control but are now experiencing difficulties. Testing, social distancing and contact tracing are necessary but insufficient tools. Effective vaccines that can be produced and administered in large numbers are essential.

That fact is evident from the dramatic turnaround in the US, for which the Biden administration deserves considerable credit. The Trump administration, though, should be applauded for making decisions that shortened the time normally needed to develop and produce effective vaccines. The approval of several in little more than a year shows that governments matter, and that cooperation between the public and private sectors can be a formula for success.

The pandemic has also shown that health security is no less essential than physical security for economic growth. Where the pandemic is being beaten back, as in the US and China, economic revival has quickly followed.

Technology has proven invaluable in at least two ways. Aside from rapid development of a new generation of safe vaccines, technology has helped us manage our personal lives and business affairs much better than we could have done as recently as three decades ago, before the arrival of high-speed internet and computing power that allows remote work.

The actual death toll of the pandemic is likely to be two or even three times higher than official estimates of 3–4 million, given the number of deaths over the past year compared to the number in previous years. Many ‘excess’ deaths have not been attributed to the pandemic, because governments either are unwilling to admit the truth (Russia comes to mind) or are unable to provide an accurate accounting, especially when deaths occur outside of hospitals (which may account for some of the gap in India’s reporting).

For all the talk about the ‘international community’, the pandemic has exposed the absence of one. The failure to produce and equitably distribute a sufficient number of vaccines worldwide is a scandal. The demand is there; what remains is the will to match it with the necessary supply. The Biden administration’s resistance to significant vaccine exports is short-sighted and disappointing, especially as the US supply of vaccines far exceeds domestic demand.

There’s no reason to think Covid-19 will be the last pandemic. There almost certainly will be others, be they novel coronaviruses or something else. As tragic as this pandemic has proven to be, its costs will be compounded unless governments begin to build the national and international institutions (including a much-reformed World Health Organization) that will help us manage the next challenge of this sort.

One final point: It does not appear that the pandemic will be a turning point in history. Many of the trends that were visible two years ago—growing great-power rivalry, a warming planet, ageing populations, failing states, democratic backsliding, cyber insecurity, nuclear proliferation and terrorism—remain acute. The pandemic will weaken and distract us for a time, but the moment is fast arriving when other challenges must again be given the priority they require.

Stimulus spending could cause the next economic crash

Financial Times chief economist Martin Wolf has warned that US President Joe Biden’s big-spending stimulus program risks generating a burst of inflation that could lead to a financial crisis and deep recession before the 2024 presidential election.

This would bring the re-election of a triumphant and revanchist Donald Trump and spell the end of liberal democracy, according to Wolf, who says the Republicans are ‘increasingly an anti-democratic cult with a would-be despot as their leader’.

Even the stalwart Democrat-leaning former US Treasury secretary, Larry Summers, has criticised the Biden government’s outlays as ‘substantially excessive’, telling Wolf in an interview that ‘it doesn’t seem to me that the preponderant probability is that it will work out well’.

Biden’s US$1.9 trillion stimulus package comes on top of a US$900 billion stimulus package last December and ahead of a proposed US$3 trillion outlay on infrastructure and social welfare reform. At the same time, the US Federal Reserve has cut interest rates to between 0% and 0.25% and is flooding the economy with cash by buying bonds and lending money to financial institutions.

The scale of Australian government’s budget spending in response to Covid-19 is also enormous. The combined Commonwealth injection into the economy over the four years from 2019–20 to 2022–23 is $475 billion with $452 billion in deficits, compared with the $23 billion in surpluses that were being forecast in December 2019, before the pandemic struck.

Budget spending is hitting a peak, outside of wartime, of 32.1% of GDP this year and will still be 26.2% of GDP in 2024–25. During the peak of the response to the global financial crisis in 2009–10, outlays only reached 25.9% of GDP.

There are grounds for concern that the Australian government, like the Biden administration, is paying too little heed to the threat of inflation. The economy is recovering strongly—much more powerfully than was the case after the financial crisis—with unemployment having dropped from 7.5% to 5.6% since last October and forecast to keep falling to 5% by the middle of next year despite the end of the ‘JobKeeper’ program.

In Australia, as in the US, the signs of a boom are everywhere. House prices are soaring, as are used car prices. Consumer goods are flying out the door of retailers in both countries. It’s hard to book space on container ships to the US because demand for consumer goods is so hot. Consumer confidence in Australia is at its highest level in 11 years.

The evidence is in the markets as well. Commodity prices are booming. Iron ore is hitting fresh records while copper, often seen as a bellwether for global manufacturing demand, has been trading at record levels above US$10,000 a tonne. Australian share prices are back to the peak they reached before the financial crisis, while in the US, the S&P 500 was at a record 4,230 points before the latest round of inflation jitters.

Commentary on the budget focussed on inflation risks. The Australian Financial Review’s ‘Chanticleer’ columnist Tony Boyd remarked that the budget would help stocks exposed to housing and construction which were ‘in the inflation trade sweet spot’ while the losers would be hospitality, tourism and farm industries all suffering from staff shortages because of border closures.

The Australian’s contributing economics editor Judith Sloan argued Treasury’s forecast that wage growth this year would only be 1.5% was too low given the emerging labour shortages. ‘Wage pressures are all on the upside as employers seek to lure workers away from other employers or from out of the workforce.’

In the US, the early signs are that prices are on the move. The April consumer price index showed the biggest jump in prices since September 2008, when the economy was running hot on the eve of the global financial crisis. The annual rate of price growth increased from 2.6% to 4.2%.

There is as yet no parallel move in Australia. The latest quarterly report on consumer prices showed that the underlying rate, which removes the influence of the biggest price increases and falls, was only 1.1%, the lowest since it started being calculated in the early 1980s.

The behaviour of inflation across the advanced world has been an economic mystery over the past 10 years. The accepted economic theory holds that once the jobless rate drops below a minimum level where all those that want and are available to work have a job, wages will start to rise and prices will follow.

The central bank can influence the inflation rate because when it cuts rates, it’s easier for people to borrow and invest. This boosts demand and lowers unemployment.

However, across the advanced world, strong employment growth in the years leading up to the pandemic failed to generate the least heat in wages or inflation. Central bank interest rate cuts seemed to produce a boost in asset prices but not in wages or in consumer prices. Since Philip Lowe took on the role of Reserve Bank of Australia governor in September 2016, the inflation rate has averaged only 1.5%, far short of the 2.5% midpoint of the bank’s 2–3% target band.

Is this time different? Policymakers reassure themselves that if prices and wages did start rising, then central banks would know what to do, raising rates to dampen demand and ease price growth.

But there are dangers here. The biggest cause of recessions worldwide since World War II has been central banks acting too late to respond to an overheated economy and then moving too far too quickly. The diminishing population of Australians who can remember the recession that then-treasurer Paul Keating said in 1990 that we ‘had to have’ would also recall the interest rate rises that precipitated it, when mortgage rates reached 20%.

As part of its Covid-19 response, the US Federal Reserve has said it will tolerate inflation rising above its 2% target and will not, in any event, be lifting rates before 2024 at the earliest. The RBA’s Lowe agrees: ‘Our judgment is that we are unlikely to see wages growth consistent with the inflation target before 2024’, he said in March.

The risk is that all the government spending and central bank liquidity leads to wages and prices rising, perhaps by as much as 5%, before the central bank starts to take action. With household debts in Australia and corporate debts in the US reaching record levels, any upward move in rates could bring a liquidity squeeze that could be precipitated by a plunge in bond markets before central banks act.

The White House has let the New York Times know that officials are keeping tabs on ‘real-time’ price movements several times a day, and are confident that any spike in prices will be temporary, not harmful and will reflect the one-off effect of disruptions to supply chains during the pandemic.

Wolf says he ‘desperately’ hopes that Biden succeeds. ‘He has taken a huge gamble on the success of his programme. It may be the most consequential gamble taken by any democratic leader in my lifetime. The future of democracy is at stake,’ he writes.

Quad leaders’ pledge being undermined by vaccine nationalism

Economic nationalism is already threatening to derail the headline commitment of last weekend’s Quad leaders’ summit to manufacture and distribute 1 billion doses of Covid-19 vaccines to poorer nations, which is intended to counter China’s ‘vaccine diplomacy’.

US President Joe Biden has extended his predecessor’s use of the Defense Production Act to block exports of key Covid vaccine raw materials, bringing complaints from both India and the European Union.

Channelling St Augustine’s promise of chastity, but not yet, Biden has vowed to help ease the global shortage of Covid vaccines, but only once the US has looked after itself.

‘If we have a surplus, we’re going to share it with the rest of the world,’ Biden said last week. ‘We’re going to start off making sure Americans are taken care of first, but we’re then going to try and help the rest of the world.’

He said his administration would continue to invoke the Defense Production Act to expedite critical materials in vaccine production.

The US has used the act to block the sale of key ingredients to India, which manufactures 60% of the world’s vaccines. The chief executive of the Serum Institute of India, Adar Poonwalla, told a World Bank forum last week: ‘We are talking about having free global access to vaccines, but if we can’t get the raw materials out of the US—that’s going to be a serious limiting factor.’

He warned that his institute’s licensed production of the Novavax and AstraZeneca vaccines would be slowed unless the US lifted its restrictions on exports of key inputs. The Serum Institute is the world’s largest vaccine manufacturer.

The president of the European Council, Charles Michel, has also complained about what he described as ‘outright bans’ on exports of vaccines and key vaccine ingredients by the US and the UK, which he contrasted with the limited export controls the EU has used to block the export of 250,000 doses of the AstraZeneca vaccine to Australia.

A new World Bank study explores whether the mutual dependence of the key vaccine-producing countries on raw material supplies from each other will act as a constraint on ‘vaccine nationalism’. ‘The government of a nation where final vaccines are manufactured might fear retaliation from those governments where it sources … final vaccines or the ingredients for those vaccines,’ it says.

It tied this hypothesis to the economic theory that ‘the presence of extensive cross-border value chains shifts the political calculus away from beggar-thy-neighbor policies’. However, there is little evidence of this effect so far.

Around 20 different ingredients are needed to manufacture and distribute Covid vaccines, and all producing countries are dependent on imports for at least some of them.

The study found that most of the ingredients required to manufacture and distribute Covid vaccines come from other vaccine-producing nations, so any inhibition on protectionism wouldn’t extend beyond the small group of vaccine producers.

The study counts 13 nations in what it calls the Covid vaccine producers’ club: Argentina, Australia, Brazil, Canada, China, the EU, India, Japan, Russia, South Korea, Switzerland, the UK and the US.

It cites EU data showing that Australia is one of only three club members that doesn’t also export vaccine ingredients; the others are Canada and Brazil. The EU therefore faces little fear of retaliation from Australia.

As with much of its manufacturing, Australia is exclusively an importer of key inputs. It gets 47% of the ingredients it needs to manufacture vaccines from the US, 25% from the EU, 6% from the UK, 5% from China and 17% from the rest of the world.

The essential problem is that supplies of the various vaccines are running far short of demand. The World Bank says that between 3.2 billion and 4.1 billion people need to be vaccinated to defeat the virus, translating to a need for between 6 and 8 billion doses.

However, the members of the vaccine club, including Australia, have ordered many times their actual requirements, greatly inflating global demand, and there’s only been mixed success so far in meeting the manufacturing challenge of such a massive ramp-up in production.

Just seven club members—Australia, Canada, the EU, Japan, South Korea, the UK and the US—have collectively ordered 4.3 billion vaccine doses, or more than three times their total population. Australia has made advance purchases of 140 million doses, which is at least three times as much as it needs.

The EU imposed its export restrictions after vaccine manufacturer AstraZeneca encountered difficulty filling contracted advance orders. It ruled on 30 January that an export could be prohibited if it threatened the EU’s prior advance-purchase agreements.

Other major vaccine producers are imposing less formal restrictions. Turkey has complained that China delivered only 3 million of 10 million contracted doses of its Sinovac vaccine. China’s foreign ministry explained that domestic demand for vaccines was huge, and that it could only provide support to poorer nations ‘within our capacity, according to their needs’.

India’s Serum Institute is subject to the same pressures. Poonwalla admitted that he had been ‘directed to prioritise the huge needs of India, and along with that, balance the needs of the rest of the world’, urging that foreign governments be ‘patient’.

The UK health minister, Matt Hancock, has used language similar to that of the Chinese, saying, ‘We will protect UK supply and we’ll play our part to ensure the whole world can get the job’, but with the government’s advance-purchase agreements from UK-based manufacturers requiring exclusive supply.

Australia is attempting to push back against the European export ban through a World Trade Organization forum focused on securing medical supply chains. The forum was established last year by a group of 13 members—half of them vaccine producers—with a commitment to exercising ‘restraint in the imposition of any new export restrictions, including export taxes, on essential medical goods and on any prospective vaccine or vaccine materials’.

Trade Minister Dan Tehan has reminded the EU that it was a signatory, and complained that the European restrictions will prevent Australia from exporting vaccines into the wider Pacific region. ‘The more we can put collective pressure on them, the more they will realise what they are doing is wrong,’ he said. There has been no public response so far.

Green shoots of solidarity emerge amid Covid-19 vaccine rollout

In a recent letter to her G20 colleagues, US Treasury Secretary Janet Yellen argued that a truly global Covid-19 vaccination program ‘is the strongest stimulus we can provide to the global economy.’ With rich countries vaccinating their populations while low-income countries have yet to receive even paid-for vaccine doses, the world seems a long way from that goal. But the first shoots of solidarity are beginning to appear, and leaders must strengthen cooperation to nurture them.

Such an approach is essential, because reopening the global economy requires containing the coronavirus everywhere. One recent study estimates that, even if advanced economies reach optimal vaccination levels by mid-2021, they could nonetheless suffer economic losses of up to US$4.5 trillion this year if developing countries’ vaccine rollouts continue to lag far behind. The open economies of European Union member states, Switzerland, the United Kingdom and the United States would be most at risk, and output losses in sectors such as construction, textiles, retail and automobiles could exceed 5%.

Uncoordinated vaccine distribution also poses grave health risks. Leaving poorer and needier countries out of the supply chain has resulted in the deaths of numerous desperately needed African frontline nurses and health workers. When Guinea declared an Ebola outbreak in February, the world relied on the country’s own healthcare workers to roll out a containment and vaccination campaign. Without such workers, the world is more vulnerable to future pandemics: in 2014, for example, a case of Ebola in the US caused nationwide panic when it spread to the nurses treating the patient.

But ensuring a speedy global vaccine rollout is proving difficult. The Covid-19 Vaccine Global Access, or COVAX, Facility, established by three international health agencies to speed up vaccine production and distribution, needs more money. Otherwise, poorer countries will be forced to divert scarce budget resources or slow down vaccination programs against other diseases such as polio, measles and meningitis.

More funding is also needed for the Access to Covid-19 Tools (ACT) Accelerator, which the World Health Organization and other partners created to develop tests, treatments and vaccines to fight the disease. According to one estimate, a US$10 billion US contribution to this initiative would safeguard up to US$1.34 trillion in domestic output, giving America a more than hundred-fold return on its investment. Yellen’s letter to the G20 recognises this logic, and the group agreed on 26 February that granting equitable access to safe Covid-19 vaccines, diagnostics and therapeutics for all countries ‘is a top priority.’

But money is not the most immediate obstacle. African countries that have borrowed to purchase vaccines have discovered that there are no doses for them to buy. Although COVAX has concluded some deals for developing countries, by 1 March it had delivered only a few hundred thousand doses to Ghana and Côte d’Ivoire. A first shipment reached Nigeria on 2 March.

Some blame intellectual-property protections for developing countries’ lack of vaccine access. In late 2020, India and South Africa, as well as some NGOs, urged the World Trade Organization to waive current IP rules related to Covid-19, but the US, EU and UK opposed the idea. Governments will debate the issue at the World Trade Organization this week.

But patents are not (yet) the problem. The US pharmaceutical firm Moderna, which has developed an approved Covid-19 vaccine, has said that, while the pandemic continues, it will not enforce its coronavirus-related patents against those making vaccines intended to combat it. And AstraZeneca says that ‘for the duration of the coronavirus pandemic,’ it will proceed ‘with only the costs of production and distribution being covered.’

Yet, these short-term arrangements will soon need attention. The voluntary licensing regime preferred by the UK and other rich countries may well be inadequate. At the least, policymakers should be considering non-exclusive licences and technology transfers, as John-Arne Røttingen, who chairs the WHO solidarity trial of Covid-19 treatments, has proposed.

This still leaves two more immediate obstacles. First, there are manufacturing challenges related to increasing production speed. Each vaccine is different and relies on biological and chemical processes of variable efficacy that are sometimes difficult to scale up. And vaccine production requires intensive supervision and quality control. But these problems will ease as manufacturing improves and more vaccines—including a newly approved one from Johnson & Johnson—come on stream.

The other big problem is vaccine nationalism. Wealthy countries have stockpiled more Covid-19 vaccine doses than they need, and other governments also are competing to prove that they are procuring adequate supplies for their own citizens.

Two Brazilian research institutes had planned to produce millions of doses of the Oxford/AstraZeneca and Chinese Sinovac vaccines, but have been hampered by unexplained delays in shipments of vital ingredients from China. And the Serum Institute of India, the world’s largest vaccine manufacturer, was aiming to make more than 300 million doses available to 145 countries through COVAX in the first half of 2021, before the Indian government recently ordered it to meet domestic needs first.

Still, some encouraging signs of vaccine solidarity are emerging. Forty-seven countries, as well as the African Union, which has 55 member states, have made or been offered Covid-19 vaccine deals with China, India or Russia. India has already shipped nearly 6.8 million free doses around the world, China has pledged around 3.9 million and Israel is offering 100,000.

UK Prime Minister Boris Johnson has pledged to donate most of his country’s surplus doses to poorer countries. Some other G7 leaders—including French President Emmanuel Macron—are making similar commitments, although the US government has declined to do so for now.

The governments of wealthy countries must deliver on their solidarity promises. They need to donate vaccine doses immediately to protect frontline healthcare workers in vulnerable countries. They need to contribute more to the ACT and COVAX initiatives to ensure a genuinely global vaccine rollout. And they need to work with their own countries’ pharmaceutical firms to deliver more transparent, non-exclusive licensing deals. Only this level of solidarity can restore global growth.