The Guardian view on low Covid vaccination rates: not just North Korea

When Covid-19 first emerged, the “Hermit Kingdom” lived up to its nickname – shutting its borders in January 2020, long before most of the world had taken real heed of the disease spreading in China. With healthcare already on its knees and a malnourished population, 北朝鮮 was exceptionally badly placed to cope with any serious outbreak of illness.

’カナダの謎の病気の犠牲者は一人で苦しんでいます, それ insisted that it had no cases whatsoever. それで, 先週, それ 発表 its first cases, of Omicron. The country’s leader, 金正恩, 警告 of “great turmoil”. Now it has 報告 almost 2m cases of unspecified “fever” – probably because it can’t test for the virus – with 741,000 still being treated, そして 63 死亡者(数. Mr Kim, due to celebrate his 10th anniversary in power this year, 持っている blamed officials for an “immature” response. But underlings can hardly be blamed. Closing the country off for so long, when it is heavily dependent on China and ordinary people were already struggling to survive, has left many in even direr straits. Yet the leadership failed to use the time to vaccinate the population, ignoring offers of doses from the Covax pooling scheme. 長年, it has impoverished its people and allowed healthcare to deteriorate, while pouring money into a weapons programme, the chief function of which is to safeguard the regime. Within hours of announcing the Covid outbreak, the country had launched yet another missile test.

Since admitting the outbreak, it has stonewalled offers of help from South Korea and WHOは、ヨーロッパでのCovid症例の増加を、縁石の解除が早すぎると非難している, although it has accepted basic medical supplies from China. Not only are medicine and oxygen supplies scarce, even power is limited, with blackouts frequent. The country needs medical equipment, fridges, generators and fuel as well as vaccine doses. Humanitarian waivers to sanctions will be necessary, as well as persuading Pyongyang to accept help. North Koreans must not suffer further for the regime’s actions.

The wealthier world should also remember that 北朝鮮 is not alone in its lack of protection. Other countries are not much better covered. The more than 12bn vaccine doses delivered globally have overwhelmingly gone to richer nations. より多い 75% of people in upper- and middle-income countries have received at least two doses. For low-income countries, the figure is just 13%. Across Africa, のみ 16.7% have received two doses or more.

There is now sufficient supply. But by hogging doses initially, richer countries held up delivery in poorer countries that lack the capacity to carry out mass vaccination at speed. And many of those places – where the vaccine drive may face problems ranging from inadequate infrastructure to military conflict – will need additional help to ensure that vaccines reach people, and that people want them. Treatments for Covid must also be made widely available. The $4.8bn committed to funding vaccine programmes last month is good news. But making progresspatent waiver is also essential, and beyond that, prioritising broader knowledge-sharing and diversification of supply.

As WHO officials noted, when asked about North Korea and Eritrea – which has also snubbed offers of vaccines – unchecked transmission could spur the emergence of new variants. Though wealthier countries are far better protected, they too could still be at risk from the pandemic – or new diseases in future. Self-interest, as well as a sense of responsibility, should persuade them to do the right thing.

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