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GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19

Year 2022, Volume: 25 Issue: 1, 17 - 28, 25.03.2022

Abstract

COVID-19, a disease caused by the new type of coronavirus that emerged in Wuhan, China at the end of 2019, was initially isolated in Wuhan, but later on, other cases emerged in Japan, South Korea and Thailand along with China. At the end of January 2020, Italy announced that the first case of COVID-19 was detected. Thus, attempts to isolate the virus failed and the virus began to spread around the world, causing a global epidemic. Within the framework of the global actions required to prevent and slow down the transmission of COVID-19 many scientists from different countries have achieved astonishing scientific success by developing several safe and effective vaccines in less than a year after this virus was isolated and sequenced. In early 2021, more than 30 million doses of vaccine have been administered, but global vaccination practice has exposed obvious disparities in access to this life-saving vaccine. To investigate the success of global vaccination programs and to reveal what factors affect these programs, the global vaccination dataset and the dataset provided by the United Nations were combined and analyzed. In addition, it was aimed to explore the effects of political, economic, and demographic factors on the vaccination program. When the dataset was analyzed in the context of vaccines, it was observed that 40 countries tend to use one type of vaccine while 27 countries are using two or more vaccines. Looking at the factors that affect the vaccination programs; it has been concluded that individuals more likely to be vaccinated are the citizens from countries that are more democratically transparent and have higher GDP per capita and total health expenditure (as a percentage of GDP). Besides, it has been observed that citizens from countries with an approved vaccine developer are also more likely to be vaccinated.

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References

  • Anderson, R., Heesterbeek, H., Klinkenberg, D., & Hollingsworth, T. (2020, March 9). How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet, 395(10228), 931-934.
  • Beaumont, P. (2020, November 18). Covid-19 vaccine: who are countries prioritising for first doses? The Guardian. https://www.theguardian.com/world/2020/nov/18/covid-19-vaccine-who-arecountries-prioritising-for-first-doses.
  • Blume, S. (2020). The Politics of Global Vaccination Policies. In C. McInnes, K. Lee, & J. Youde. (Ed.)., The Oxford Handbook of Global Health Politics (pp. 583-605). Oxford University Press.
  • CDC. (2021, July 14). How COVID-19 spreads. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html.
  • Chohan, U. W. (2021, January 16). Coronavirus & vaccine nationalism. CASS Working Papers on Economics & National Affairs 2021. http://dx.doi.org/10.2139/ssrn.3767610.
  • COVID-19 vaccine tracker. (2021a, February 16). COVID-19 vaccine tracker landscape. COVID-19 vaccine tracker. https://vac-lshtm.shinyapps.io/ncov_vaccine_landscape/.
  • COVID-19 vaccine tracker. (2021b, February 19). COVID-19 vaccine trial map. COVID-19 vaccine tracker. https://vac-lshtm.shinyapps.io/ncov_vaccine_landscape/.
  • Funk, C. D., Laferrière, C., & Ardakani, A. (2020). A snapshot of the global race for vaccines targeting SARS-CoV-2 and the COVID-19 pandemic. Frontiers in Pharmacology, 11(937), 1-17.
  • Grant, M., Geoghegan, L., Arbyn, M., Mohammed, Z., McGuinness, L., Clarke, E., & Wade, R. (2020). The prevalence of symptoms in 24,410 adults infected by the novel coronavirus (SARSCoV-2; COVID-19): A systematic review and meta-analysis of 148 studies from 9 countries. PloS One, 15(6), 1-19.
  • Hannah, R., Esteban, O. O., Beltekian, D., Mathieu, E., Hasell, J., Macdonald, B.,& Roser, M. (2021, February 19). Coronavirus (COVID-19) vaccinations. Our World in Data. https://ourworldindata.org/covid-vaccinations.
  • Kenny, P. (2020, March 13). WHO: Europe is new epicenter of coronavirus pandemic. Anadolu Agency. https://www.aa.com.tr/en/europe/who-europe-is-new-epicenter-of-coronaviruspandemic/1765452.
  • Kupferschmidt, K. (2020, July 28). ‘Vaccine nationalism' threatens global plan to distribute COVID19 shots fairly. Science.org. https://www.science.org/content/article/vaccine nationalismthreatens-global-plan-distribute-covid-19-shots-fairly.
  • McCurry, J., Ratcliffe, R., & Davidson, H. (2020, March 11). Mass testing, alerts and big fines: the strategies used in Asia to slow coronavirus. The Guardian. https://www.theguardian.com/world/2020/mar/11/mass-testing-alerts-and-big-fines-thestrategies-used-in-asia-to-slow-coronavirus.
  • Menocal, A., & Taxell, N. (2015). Why corruption matters: understanding causes, effects, and how to address them. London: DFID Evidence Paper.
  • Miller, I., & Miller, M. (2014). John E. Freund's mathematical statistics with applications. Pearson.
  • Mullard, A. (2020, November 30). How COVID vaccines are being divvied up around the world. Nature, 30(10.1038).
  • Qualls, N., Levitt, A., Kanade, N., Wright-Jegede, N., Dopson, S., Biggerstaff, M.,& Uzicanin, A. (2017, April 21). Community mitigation guidelines to prevent pandemic influenza. Recommendations And Reports: Morbidity And Mortality Weekly Report, 66(1), 1-34.
  • Oehler, R. L., & Vega, V. R. (2021). Conquering COVID: How global vaccine inequality risks prolonging the pandemic. Open Forum Infectious Diseases, 8(10), 1-3.
  • Preda, G. (2021). COVID-19 world vaccination progress. Kaggle. https://www.kaggle.com/gpreda/covid-world-vaccination-progress.
  • Santos Rutschman, A. (2020). The reemergence of vaccine nationalism. Georgetown Journal of International Affairs, Saint Louis U. Legal Studies Research Paper, (2020-16).
  • So, A., & Woo, J. (2020). Reserving coronavirus disease 2019 vaccines for global access: cross sectional analysis. BMJ, 371:m4750, 1-8.
  • Sparke, M., & Anguelov, D. (2012). H1N1, globalization and the epidemiology of inequality. Health & Place, 18(4), 726-736.
  • Su, Z., McDonnell, D., Li, X., Bennett, B., Šegalo, S., Abbas, J. & Xiang, Y.-T. (2021). COVID-19 vaccine donations—vaccine empathy or vaccine diplomacy? A narrative literature review. Vaccines, 9(9), 1-10.
  • Le, T. T., Cramer, J., Chen, R., & Mayhew, S. (2020). Evolution of the COVID-19 vaccine development landscape. Nature Reviews Drug Discovery, 19(10), 667-668.
  • The Council on Foreign Relations. (2021, February 5). A guide to global COVID-19 vaccine efforts. (C. Felter, Ed.). CFR. https://www.cfr.org/backgrounder/guide-global-covid-19-vaccine-efforts.
  • Thorne, E. (2020, June). Towards a global Covid-19 vaccine strategy. London, UK. https://institute.global/sites/default/files/202006/Tony%20Blair%20Institute%2C%20Towards% 20a%20Global%20Covid-19%20Vaccine%20Strategy.pdf.
  • Transparency International. (2021, January 28). 2020 corruptıon perceptıons ındex reveals wıdespread corruptıon ıs weakenıng covıd-19 response, threatenıng global recovery. Transparency International. https://www.transparency.org/en/press/2020-corruption-perceptions-indexreveals-widespread-corruption-is-weakening-covid-19-response-threatening-global-recovery#.
  • United Nations. Country Profile Data. UN Data. https://www.kaggle.com/sudalairajkumar/undatacountry profiles?select=country_profile_variables.csv.
  • UN (2021, September 19). COVID vaccines: Widening inequality and millions vulnerable. UN News: https://news.un.org/en/story/2021/09/1100192.
  • Velavan, T. P., & Meyer, C. (2020). The COVID-19 epidemic. Tropical Medicine & International Health, 25(3), 278-280.
  • Vetter, V., Denizer, G., Friedland, L., Krishnan , J., & Shapiro, M. (2017). Understanding modern-day vaccines: what you need to know. Annals of Medicine, 50(2), 110-120.
  • WHO (2018). A72/17: Access to medicines and vaccines. Seventy-Second World Health Assembly. https://www.who.int/publications/m/item/a72-17.
  • WHO (2020a, March 11). Coronavirus disease 2019 (COVID-19) situation report-51. World Health Organization. https://www.who.int/docs/default-source/coronaviruse/situationreports/20200311-sitrep-51-covid-19.pdf.
  • WHO (2020b, April 27). WHO timeline-COVID-19. WHO International. https://www.who.int/news/item/27-04-2020-who-timeline---covid-19.
  • WHO (2021a, February 19). COVID-19 vaccine tracker and landscape. WHO International. https://www.who.int/publications/m/item/draft-landscape-of-covid-19-candidate-vaccines.
  • WHO (2021b, January 18). WHO Director-General's opening remarks at 148th session of the Executive Board. WHO International. https://www.who.int/directorgeneral/speeches/detail/who-director-general-s-opening-remarks-at-148th-session-of-theexecutive-board.
  • WHO. COVAX: Working for global equitable access to COVID-19 vaccines. WHO International. https://www.who.int/initiatives/act-accelerator/covax

KÜRESEL AŞI EŞİTSİZLİĞİ VE COVID-19 BAĞLAMINDA BU EŞİTSİZLİĞİ ETKİLEYEN FAKTÖRLER

Year 2022, Volume: 25 Issue: 1, 17 - 28, 25.03.2022

Abstract

2019 yılının sonunda Çin'in Wuhan kentinde ortaya çıkan yeni tip korona virüsünün sebep olduğu bir
hastalık olan COVID-19 önceleri Wuhan kentinde izole edilmiş fakat sonrasında Çin'in beraberinde Japonya,
Güney Kore ve Tayland'da başka vakalar ortaya çıkmıştır. 2020 Ocak ayının sonlarında ise İtalya ilk COVID-19
vakasının tespit edildiğini duyurmuştur. Böylelikle virüsü izole etme girişimleri başarılı olamayıp virüs tüm
dünyaya yayılmaya başlayarak küresel bir salgına neden olmuştur. COVID-19'un bulaşmasını önlemek ve
yavaşlatmak için gereken küresel eylemleri artırmak için, farklı ülkelerden birçok bilim insanı, bu virüsün izole
edilip dizinlemesinden sonra bir yıldan kısa bir süre içinde birkaç güvenli ve etkili aşı geliştirerek şaşırtıcı bir
bilimsel başarı elde etmişlerdir. 2021 yılının başlarında, 30 milyondan fazla aşı dozu uygulanmıştır ancak
küresel aşı uygulaması, bu hayat kurtarıcı aşıya erişimde bariz eşitsizlikleri ortaya çıkarmıştır. Küresel çapta
aşılama programlarının başarısını keşfetmek ve bu aşılama programlarını hangi faktörlerin etkilediğini ortaya
çıkarmak amacıyla küresel aşılama veri seti ile Birleşmiş Milletler tarafından sunulan veri seti birleştirilerek
analiz edilmiştir. Bununla birlikte politik, ekonomik ve demografik faktörlerin aşılama programı üzerindeki
etkilerinin keşfedilmesi amaçlanmıştır. Tüm bu uygulamalar sonucunda kullanılan aşılar bağlamında veri seti
incelendiğinde 40 ülkenin tek aşı tipini kullanma eğiliminde olduğu ve 27 ülkenin ise iki veya daha fazla aşı
kullandığı görülmüştür. Aynı zamanda, Amerika Birleşik Devletleri'nin, aşılama aşaması fark etmeksizin daha
fazla kişinin aşı olduğu ülke iken İsrail ise tüm nüfustan yüzde olarak daha fazla kişinin aşı olduğu ülke
olmuştur. Aşılama programlarını etkileyen faktörlere bakıldığında; aşı olma olasılığı daha yüksek olan
bireylerin, demokratik olarak daha şeffaf olan ve aynı zamanda kişi başına GSYİH ve toplam sağlık harcaması
(GSYİH yüzdesi) daha yüksek olan ülkelerin vatandaşları olduğu sonucuna varılmıştır. Aynı zamanda, onaylı aşı
geliştiricisi bulunan ülkelerin vatandaşlarının da aşı olma ihtimalinin daha yüksek olduğu görülmüştür.

Project Number

-

References

  • Anderson, R., Heesterbeek, H., Klinkenberg, D., & Hollingsworth, T. (2020, March 9). How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet, 395(10228), 931-934.
  • Beaumont, P. (2020, November 18). Covid-19 vaccine: who are countries prioritising for first doses? The Guardian. https://www.theguardian.com/world/2020/nov/18/covid-19-vaccine-who-arecountries-prioritising-for-first-doses.
  • Blume, S. (2020). The Politics of Global Vaccination Policies. In C. McInnes, K. Lee, & J. Youde. (Ed.)., The Oxford Handbook of Global Health Politics (pp. 583-605). Oxford University Press.
  • CDC. (2021, July 14). How COVID-19 spreads. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html.
  • Chohan, U. W. (2021, January 16). Coronavirus & vaccine nationalism. CASS Working Papers on Economics & National Affairs 2021. http://dx.doi.org/10.2139/ssrn.3767610.
  • COVID-19 vaccine tracker. (2021a, February 16). COVID-19 vaccine tracker landscape. COVID-19 vaccine tracker. https://vac-lshtm.shinyapps.io/ncov_vaccine_landscape/.
  • COVID-19 vaccine tracker. (2021b, February 19). COVID-19 vaccine trial map. COVID-19 vaccine tracker. https://vac-lshtm.shinyapps.io/ncov_vaccine_landscape/.
  • Funk, C. D., Laferrière, C., & Ardakani, A. (2020). A snapshot of the global race for vaccines targeting SARS-CoV-2 and the COVID-19 pandemic. Frontiers in Pharmacology, 11(937), 1-17.
  • Grant, M., Geoghegan, L., Arbyn, M., Mohammed, Z., McGuinness, L., Clarke, E., & Wade, R. (2020). The prevalence of symptoms in 24,410 adults infected by the novel coronavirus (SARSCoV-2; COVID-19): A systematic review and meta-analysis of 148 studies from 9 countries. PloS One, 15(6), 1-19.
  • Hannah, R., Esteban, O. O., Beltekian, D., Mathieu, E., Hasell, J., Macdonald, B.,& Roser, M. (2021, February 19). Coronavirus (COVID-19) vaccinations. Our World in Data. https://ourworldindata.org/covid-vaccinations.
  • Kenny, P. (2020, March 13). WHO: Europe is new epicenter of coronavirus pandemic. Anadolu Agency. https://www.aa.com.tr/en/europe/who-europe-is-new-epicenter-of-coronaviruspandemic/1765452.
  • Kupferschmidt, K. (2020, July 28). ‘Vaccine nationalism' threatens global plan to distribute COVID19 shots fairly. Science.org. https://www.science.org/content/article/vaccine nationalismthreatens-global-plan-distribute-covid-19-shots-fairly.
  • McCurry, J., Ratcliffe, R., & Davidson, H. (2020, March 11). Mass testing, alerts and big fines: the strategies used in Asia to slow coronavirus. The Guardian. https://www.theguardian.com/world/2020/mar/11/mass-testing-alerts-and-big-fines-thestrategies-used-in-asia-to-slow-coronavirus.
  • Menocal, A., & Taxell, N. (2015). Why corruption matters: understanding causes, effects, and how to address them. London: DFID Evidence Paper.
  • Miller, I., & Miller, M. (2014). John E. Freund's mathematical statistics with applications. Pearson.
  • Mullard, A. (2020, November 30). How COVID vaccines are being divvied up around the world. Nature, 30(10.1038).
  • Qualls, N., Levitt, A., Kanade, N., Wright-Jegede, N., Dopson, S., Biggerstaff, M.,& Uzicanin, A. (2017, April 21). Community mitigation guidelines to prevent pandemic influenza. Recommendations And Reports: Morbidity And Mortality Weekly Report, 66(1), 1-34.
  • Oehler, R. L., & Vega, V. R. (2021). Conquering COVID: How global vaccine inequality risks prolonging the pandemic. Open Forum Infectious Diseases, 8(10), 1-3.
  • Preda, G. (2021). COVID-19 world vaccination progress. Kaggle. https://www.kaggle.com/gpreda/covid-world-vaccination-progress.
  • Santos Rutschman, A. (2020). The reemergence of vaccine nationalism. Georgetown Journal of International Affairs, Saint Louis U. Legal Studies Research Paper, (2020-16).
  • So, A., & Woo, J. (2020). Reserving coronavirus disease 2019 vaccines for global access: cross sectional analysis. BMJ, 371:m4750, 1-8.
  • Sparke, M., & Anguelov, D. (2012). H1N1, globalization and the epidemiology of inequality. Health & Place, 18(4), 726-736.
  • Su, Z., McDonnell, D., Li, X., Bennett, B., Šegalo, S., Abbas, J. & Xiang, Y.-T. (2021). COVID-19 vaccine donations—vaccine empathy or vaccine diplomacy? A narrative literature review. Vaccines, 9(9), 1-10.
  • Le, T. T., Cramer, J., Chen, R., & Mayhew, S. (2020). Evolution of the COVID-19 vaccine development landscape. Nature Reviews Drug Discovery, 19(10), 667-668.
  • The Council on Foreign Relations. (2021, February 5). A guide to global COVID-19 vaccine efforts. (C. Felter, Ed.). CFR. https://www.cfr.org/backgrounder/guide-global-covid-19-vaccine-efforts.
  • Thorne, E. (2020, June). Towards a global Covid-19 vaccine strategy. London, UK. https://institute.global/sites/default/files/202006/Tony%20Blair%20Institute%2C%20Towards% 20a%20Global%20Covid-19%20Vaccine%20Strategy.pdf.
  • Transparency International. (2021, January 28). 2020 corruptıon perceptıons ındex reveals wıdespread corruptıon ıs weakenıng covıd-19 response, threatenıng global recovery. Transparency International. https://www.transparency.org/en/press/2020-corruption-perceptions-indexreveals-widespread-corruption-is-weakening-covid-19-response-threatening-global-recovery#.
  • United Nations. Country Profile Data. UN Data. https://www.kaggle.com/sudalairajkumar/undatacountry profiles?select=country_profile_variables.csv.
  • UN (2021, September 19). COVID vaccines: Widening inequality and millions vulnerable. UN News: https://news.un.org/en/story/2021/09/1100192.
  • Velavan, T. P., & Meyer, C. (2020). The COVID-19 epidemic. Tropical Medicine & International Health, 25(3), 278-280.
  • Vetter, V., Denizer, G., Friedland, L., Krishnan , J., & Shapiro, M. (2017). Understanding modern-day vaccines: what you need to know. Annals of Medicine, 50(2), 110-120.
  • WHO (2018). A72/17: Access to medicines and vaccines. Seventy-Second World Health Assembly. https://www.who.int/publications/m/item/a72-17.
  • WHO (2020a, March 11). Coronavirus disease 2019 (COVID-19) situation report-51. World Health Organization. https://www.who.int/docs/default-source/coronaviruse/situationreports/20200311-sitrep-51-covid-19.pdf.
  • WHO (2020b, April 27). WHO timeline-COVID-19. WHO International. https://www.who.int/news/item/27-04-2020-who-timeline---covid-19.
  • WHO (2021a, February 19). COVID-19 vaccine tracker and landscape. WHO International. https://www.who.int/publications/m/item/draft-landscape-of-covid-19-candidate-vaccines.
  • WHO (2021b, January 18). WHO Director-General's opening remarks at 148th session of the Executive Board. WHO International. https://www.who.int/directorgeneral/speeches/detail/who-director-general-s-opening-remarks-at-148th-session-of-theexecutive-board.
  • WHO. COVAX: Working for global equitable access to COVID-19 vaccines. WHO International. https://www.who.int/initiatives/act-accelerator/covax
There are 37 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Makaleler
Authors

Berke Akkaya 0000-0002-7903-956X

Project Number -
Publication Date March 25, 2022
Published in Issue Year 2022 Volume: 25 Issue: 1

Cite

APA Akkaya, B. (2022). GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19. Hacettepe Sağlık İdaresi Dergisi, 25(1), 17-28.
AMA Akkaya B. GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19. HSİD. March 2022;25(1):17-28.
Chicago Akkaya, Berke. “GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19”. Hacettepe Sağlık İdaresi Dergisi 25, no. 1 (March 2022): 17-28.
EndNote Akkaya B (March 1, 2022) GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19. Hacettepe Sağlık İdaresi Dergisi 25 1 17–28.
IEEE B. Akkaya, “GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19”, HSİD, vol. 25, no. 1, pp. 17–28, 2022.
ISNAD Akkaya, Berke. “GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19”. Hacettepe Sağlık İdaresi Dergisi 25/1 (March 2022), 17-28.
JAMA Akkaya B. GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19. HSİD. 2022;25:17–28.
MLA Akkaya, Berke. “GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19”. Hacettepe Sağlık İdaresi Dergisi, vol. 25, no. 1, 2022, pp. 17-28.
Vancouver Akkaya B. GLOBAL VACCINATION INEQUALITY AND THE FACTORS THAT AFFECT THIS IN THE CONTEXT OF COVID-19. HSİD. 2022;25(1):17-28.