Abstract
This chapter critically examines the features of the COVAX and makes three recommendations for ensuring fair and equitable allocation of vaccines. First, instead of relying on voluntary donations to cover the cost of distributing vaccines to low-income countries, it would be necessary to impose some kind of contribution obligation on developed countries. Second, bilateral agreements between individual states and pharmaceutical companies, which are hotbeds of vaccine nationalism, should be legally prohibited. Finally, it is of critical import to enhance the fairness and equity of vaccine allocation by successfully combining the participation of the widest possible range of persons in the decision-making process with the participation of those who have actually been seriously affected in the ex-post review and remedial procedures.
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References
Benvenisti, Eyal. 2014. The Law of Global Governance. Hague Academy of International Law.
von Bogdandy, Armin, and Pedro A. Villarreal. 2021. The Role of International Law in Vaccinating Against COVID-19: Appraising the COVAX Initiative. Zeitschrift für ausländisches öffentliches Recht und Völkerrecht 81: 89–116.
COVAX. 2022a. COVAX: Key Learnings for Future Pandemic Preparedness and Response, September 14.
———. 2022b. COVAX Data Brief, November 1.
Gavi. 2020a. COVAX Facility Terms and Conditions for Self-Financing Participants, October 19.
———. 2020b. Vaccine Request Annex A: COVAX Facility Terms and Conditions for the AMC Group Participants, November 18.
Gostin, Lawrence O. 2014. Global Health Law. Harvard University Press.
Herzog, Lisa M., Ole F. Norheim, Ezekiel J. Emanuel, and Matthew S. McCoy. 2021. COVAX Must Go Beyond Proportional Allocation of Covid Vaccines to Ensure Fair and Equitable Access. BMJ 2021 (372): m4853.
Ito, Kazuyori, 2020, “International Law and Constitutionalism: Is it Possible to Talk about Global Constitutional Order?", in Mori, Hajime and Iwatsuki, Naoki (eds.), Advanced Readings in International Law, Nihon Hyoronsha, 18-30.
Kato, Akiko. 2021. A Framework for Facilitating Access to Coronavirus Vaccines: COVAX, Intellectual Property Pools, and Further Patent Waivers? Japanese Society of International Law Expert Comment, No. 2021-5. https://jsil.jp/archives/expert/2021-5.
Luhmann, Niklas. 2003. Soziologie des Risikos. Walter de Gruyter.
Matsuo, Ryusuke. 2016. Let the Affected Decide: Normative Justifications for Stakeholder Democracy. The Annuals of the Japanese Political Science Association 2016 (2): 356–375.
Open Consultants. 2022. External Evaluation of the Access To COVID-19 Tools Accelerator (ACT-A), October 10.
Phelan, Alexandra L., Mark Eccleston-Turner, Michelle Rourke, Allan Maleche, and Chenguang Wang. 2020. Legal Agreements: Barriers and Enablers to Global Equitable COVID-19 Vaccine Access. The Lancet 396 (10254): 800–802.
Sirleaf, H.E., Ellen Johnson, and Rt Hon. Helen Clark. 2021. Losing Time: End this Pandemic and Secure the Future: Progress Six Months after the Report of the Independent Panel for Pandemic Preparedness and Response, November 22.
WHO. 2005. Resolution WHA58.3, May 23.
———. 2020a. WHO Concept for Fair Access and Equitable Allocation of COVID-19 Health Products. Final Working Version, September 9.
———. 2020b. WHO SAGE Values Framework for the Allocation and Prioritization of COVID-19 Vaccination, September 14.
———. 2021a. What is the Access to COVID-19 Tools (ACT) Accelerator, How Is It Structured and How Does It Work?. Version, April 6.
———. 2021b. Joint COVAX Statement on Supply Forecast for 2021 and Early 2022, September 8.
———. 2022. Annex 3: Phase 2 of the Allocation Mechanism: Demand-Driven Allocation for AMC-91 Participants with a Focus on Supporting Lower Coverage Participants, April 14.
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Fujisawa, I. (2023). Fairness in the Global Allocation System for the COVID-19 Vaccine COVAX: Limits to Affected Parties’ Participation in Decision-Making. In: Ishido, H., Mizushima, J., Kobayashi, M., Zhang, X. (eds) Social Fairness in a Post-Pandemic World. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-19-9654-2_2
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