As the world enters a third year of the COVID-19 pandemic amid surging cases and a growing global vaccine divide, few other times in history have underscored the need for global solidarity as much as this moment. But the challenge to ensure equitable global distribution of lifesaving vaccines — the closest thing we have to a public health silver bullet — has only shed light on preexisting inequalities.

While the United States and other affluent countries have been promoting booster shots against emerging variants such as Omicron, the global picture is bleak. More than 80% of the world’s COVID-19 vaccines have gone to G20 countries, while low-income countries have received only 0.6% of the global supply.

Vaccine equity is our best pandemic exit strategy, but nationalism is taking precedence at the risk of millions of lives, especially for uprooted populations. For most citizens, having a passport or some other form of national identification will automatically put them in the queue for their country’s accounted supply of COVID-19 vaccines and other lifesaving shots. But what about the people who have been forced to flee from their homes — vulnerable populations like refugees, migrants, internally displaced persons, and those living in conflict zones or humanitarian emergencies?

GOING TO THE HARD PLACES: ‘LAST MILE’ VACCINE DELIVERY

The global refugee population doubled in the last decade to 82.4 million, the crisis only exacerbated by the COVID-19 pandemic that increased this total by 4%. The UN Inter-Agency Standing Committee estimates that 167 million people might be excluded from national COVID-19 vaccine rollout plans because they live in remote, inaccessible areas.

In addition to the ballooning number of individuals who have been forced to flee their homes, many refugees’ living conditions exacerbate their vulnerability to deadly disease. In the world’s largest camp in Cox’s Bazar, Bangladesh, Rohingya refugees live in domino-like rows of makeshift tents marked by poor sanitation and hygiene — a hotbed for disease. Social distancing and quarantine are nearly impossible, and limited access to personal protective equipment, therapeutics, and hospital beds adds to the burden.

Vaccines offer the best shield of protection against infectious disease, but the reality is that not enough doses have reached refugees and migrants in this “last mile delivery,” even though UN Security Council Resolution 2565 obligates countries to provide access to COVID-19 vaccines for these high-risk populations within their borders. As a backup strategy, COVAX, the global initiative intended to get vaccines to low-income countries, launched a Humanitarian Buffer to provide vaccine doses to refugee populations and those living in fragile contexts who would not receive shots through other avenues.

The pandemic has demonstrated with cutting clarity that when it comes to public health, a threat anywhere is a threat everywhere. Still, whether for COVID-19 or routine immunizations, it takes a village to ensure the world is vaccinated and protected. Even outside of a pandemic, refugees too often remain unvaccinated against measles, polio, and other potentially deadly diseases.

Only through collective efforts by UN agencies such as the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO), in partnership with civil society and the private sector, can we work to prioritize vaccine equity so that refugees, migrants, and internally displaced individuals are not forgotten. Take polio, for instance.

Read the full article about connecting refugees with vaccines by Alice Zhang at United Nations Foundation.