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The Equitable Distribution of COVID-19 Therapeutics and Vaccines

Educational Objective
To understand how to achieve equitable distributions of COVID-19 therapeutics and vaccines
1 Credit CME

Scientists from across the globe are racing to develop effective vaccines and therapeutics for coronavirus disease 2019 (COVID-19). On March 16, phase 1 clinical trials started with a vaccine candidate developed by a US-based company, supported by the National Institutes of Health and the Coalition of Epidemic Preparedness Innovations (CEPI). The next day, a Chinese biotechnology firm announced government authorization to begin clinical trials. Eight vaccine candidates are in clinical trials and more than 100 more are in preclinical development in more than 12 countries. Dozens of therapeutics are also in preclinical and clinical development.

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Article Information

Corresponding Author: Lawrence O. Gostin, JD, O’Neill Institute for National and Global Health Law, Georgetown University, 600 New Jersey Ave NW, Washington, DC 20001 (gostin@georgetown.edu).

Published Online: May 7, 2020. doi:10.1001/jama.2020.6641

Conflict of Interest Disclosures: Mr Bollyky reported receiving grants from Bloomberg Philanthropies. Dr Hamburg reported Global Alliance for Vaccines and Immunizations board membership; chairing the Joint Coordinating Group for the Coalition for Epidemic Preparedness Innovations; Global Health Scientific Advisory Committee for the Bill and Melinda Gates Foundation membership; and Alnylam Pharmaceuticals board of directors membership. No other disclosures were reported.

References
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Morris  L . German officials to discuss reported US attempt to buy exclusive rights to coronavirus vaccine. Washington Post. Published March 15, 2020. Accessed March 30, 2020. https://www.washingtonpost.com/world/europe/germany-coronavirus-curevac-vaccine-trump-rights/2020/03/15/8d684c68-6702-11ea-b199-3a9799c54512_story.html
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Evenett  SJ . Sicken thy neighbor: so far 24 nations have limited exports of medical supplies. Global Trade Alert website. Published March 11, 2020. Accessed March 30, 2020. https://www.globaltradealert.org/reports/50
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Pneumococcal AMC timeline. Gavi website. Accessed March 30, 2020. https://www.gavi.org/investing-gavi/innovative-financing/pneumococcal-amc/timeline
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Kremer  M , Jevin  JD , Snyder  CM . Advance Market Commitments: Insights from Theory and Experience. NBER Working Paper 26775. Published February 2020. Accessed May 4, 2020. https://www.nber.org/papers/w26775
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