Not only does crippling poverty mean that once a vaccine is rolled out, those will be the last to make use of it: but before one is approved, many lower classes will see deaths from failed trial products, and there will be little international notice. Russia is using their poor as guinea pigs when there is little evidence promoting their vaccine, and India ‘pharmacy of the world’ has a reputation for lacking bureaucracy and a lack of controversy and attention. If the developing world continuous racing with the same rigour as in the Cold War, the international community had better start paying attention.
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