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The Earth Times | Posted March 12, 2002


OPINION
Make Global Health a Priority
> BY QUEEN RANIA AL-ABDULLAH OF JORDAN AND JACQUES-FRANÇOIS MARTIN
Copyright © 2002 by The Earth Times. All rights reserved

Last month, we joined leaders at the World Economic Forum's annual meeting in New York to discuss issues we all face in an increasingly perilous, porous and interconnected world. Two of the Forum's major themes were especially timely: 'Advancing Security and Addressing Vulnerability' and 'Reducing Poverty and Improving Equity.'

There is no question that these are two sides of the same coin. We cannot advance world security without dealing with the poverty and inequity that afflict many developing nations. Disease and hunger breed economic weakness and political instability, and this puts us all at risk.

Our failure to act forcefully to fight poverty and disease has provided fringe groups with a rallying cry, allowing extremists to pose as benefactors and false advocates for the poor. Insufficient action could be costly in the extreme.

World leaders should immediately direct their attention to basic measures that could remove the underlying causes of turmoil, to help children grow up strong and productive, and to remove the sources of bitterness that divide us. Global health is one area where enormous inequities exist, and some of these inequities are far from insurmountable.

Indeed, the very simplicity of some solutions has allowed us to overlook them. For example, little attention has been focused on efforts to halt the spread of diseases that are already preventable by vaccines but still take the lives of three million people every year, most of them in developing countries.

The Vaccine Fund, in partnership with the Global Alliance for Vaccines and Immunization (GAVI), is committed to rooting out such diseases as hepatitis B, yellow fever, and Haemophilus influenza b, a leading cause of childhood meningitis. These diseases rarely affect children in industrialized countries, but they continue to destroy young lives and hold back progress in the developing world.

Parents across the United States and in other Western countries are familiar with the 'six-pack' of inoculations that are administered to children, in many cases as a prerequisite to entering school. This basic preventive measure has now become an '11-pack' as more vaccines are added to the list.

Yet, every year, 30 million newborns across the world receive no vaccinations. Many of the world's 74 poorest countries, where The Vaccine Fund is focusing its efforts, even lack an effective delivery system to get these vaccines to the children in need.

Consider this: If an AIDS vaccine is discovered, it will do little good unless it can be delivered and administered to those most at risk. As part of our work to provide vaccinations to the world's children, The Vaccine Fund and GAVI are helping develop the delivery systems that could be used when an AIDS vaccine is developed.

Many of the countries slated to receive our support, such as Afghanistan, Sudan, and Sierra Leone are, not coincidentally, among the world's trouble spots illustrating the vicious circle of conflict, poverty and poor health.

We've learned time and again that poverty, disease and social chaos in any one country can undermine the security of all countries. We cannot, in a blink, remove all of these ills from the global scene. But we can take immediate steps to address the basics.

Vaccination is one of the world's best values. For less than $30, a child can be fully immunized against all the vaccine-preventable diseases that can kill. The Vaccine Fund was launched at the World Economic Forum in January 2000 and now has resources of just over $1 billion. To date, we've committed more than $800 million to vaccines and enhanced delivery systems in 53 of the 74 eligible countries.

The Vaccine Fund has set a goal to raise $2 billion for these vital vaccinations--a lot of money, true, but the costs of inaction are far greater. We asked the world's business and political leaders at this year's Forum to take up the challenge. The world's children are awaiting their decision.

Rania Al-Abdullah is Queen of Jordan and a member of the board of The Vaccine Fund. Jacques-François Martin is president of The Vaccine Fund.

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