Intended for healthcare professionals

Letters Covid-19: Equitable global vaccination

Failure to achieve global vaccine equity will have dire consequences

BMJ 2021; 372 doi: (Published 19 March 2021) Cite this as: BMJ 2021;372:n712
  1. Andrew Goldstein, assistant professor, primary care physician
  1. New York University School of Medicine, Bellevue Hospital, 462 1st Avenue, Ambulatory Care, New York, NY, 10016, USA
  1. andrewdgoldstein{at}

I appreciate Hurley’s call for internationally equitable vaccination, which makes a clear case on the grounds of both altruism and self-interest.1 Many rich and powerful countries are donating vaccine doses through Covax. But these doses—in the order of hundreds of millions—are too little and too slow.

With a global population of 7.7 billion people, vaccine acquired herd immunity is likely to require at least 12 billion doses. Current production estimates put us …

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