G20’s Time to Act: A Sustained and Accelerated Global Response to COVID-19

In advance of the G7 and G20 Finance Ministers and Central Bank Governors Meetings — taking place on April 20, 2022 in Washington, D.C. — 40 civil society organizations from across the world have called on G20 leaders and finance ministers to urgently ensure the global response to COVID-19 is sustained and accelerated. Meeting this goal remains a critical variable for the world’s recovery, security and stability.

Finance Ministers and Central Bank Governors are strategically positioned to make the G7 and G20 political commitments a reality by articulating actions and funding. The decisions they reach in these meetings and those scheduled in the coming weeks — ahead of the 2nd Global COVID-19 Summit — will reflect their true commitment to putting an end to the COVID-19 pandemic and preventing another crisis of such kind and magnitude.

Concretely, this group of organizations has asked all G20 Finance Ministers to consider the following actions:

1. Finance the COVID-19 response and pandemic preparedness and increase transparency to enhance value for money.

  • Swiftly fund the most urgent needs of low- and middle-income countries so they can deliver national, regional, and global targets on vaccines, diagnostics, and therapeutics, as well as delivery of all COVID-19 tools.

  • Fully fund COVAX’s Pandemic Vaccine Pool and delivery costs for all pandemic countermeasures through the Access to COVID-19 Tools Accelerator (ACT-A) and country levels.

  • Fully fund the Coalition for Epidemic Preparedness Innovations (CEPI) five-year strategy, so we have a head start in beating future pandemic threats through R&D that is designed to put equitable access at the heart of global pandemic responses.

  • Facilitate increased transparency in the production, pricing, supply, financing, and delivery of pandemic countermeasures to track tools from production to patients.

2. Innovate to deliver new sources of financing for the global COVID-19 response and pandemic preparedness.

  • Stand up and sustainably finance a new Global Health Security and Pandemic Preparedness Fund in 2022 to jumpstart financing for country and regional preparedness for pandemic threats toward a target of at least US$10 billion annually. Gaps to focus on can be identified through the Global Health Security Index and country-led processes.

  • High-income countries should urgently deliver the US$100 billion in recycled Special Drawing Rights pledged by the G20 through Multilateral Development Banks and ensure these are leveraged for global health and climate finance without delay.

  • Ministers should also explore other sources of financing beyond Official Development Assistance — including via the Global Public Investment model — prioritizing ending pandemics as vital to the world’s economic and human security and stability. Investment in primary health care systems must be included to prevent and better respond to future pandemic threats.

Amid the pressing issues that the international community faces, we must intensify our work together to accelerate momentum on the global COVID-19 response and ensure comprehensive pandemic preparedness in all countries.

Read the full letter.

Steps Taken, a Leap Required — CEPI’s Replenishment Statement

Today, as the world reaches a grim milestone of six million official deaths from the COVID-19 pandemic and as Russia wages war in Ukraine, world leaders gathered at the Global Pandemic Preparedness Summit to address what we must do better to prevent and prepare for pandemic threats. The Summit, organized by the Coalition for Epidemic Preparedness Innovations (CEPI) and the U.K. Government, represented a critical opportunity for global leaders to prioritize pandemic preparedness and support CEPI’s groundbreaking 5-year plan to develop life-saving vaccines to help prevent a crisis of similar scale to the COVID-19 pandemic, including its 100 Days Mission to develop safe and effective vaccines in 100 days following an outbreak. 

Pledges of financial and political support were made in nearly equal measure with a total of 13 countries and 2 philanthropic donors pledging US$1.54 billion to CEPI’s US$3.5 billion five-year plan. Japan’s announcement of US$300 million made it the largest contributor, followed by the U.K. in addition to commitments from Australia, Austria, Finland, Germany, Indonesia, Italy, Japan, Mexico, New Zealand, Norway, Singapore, and the U.S. 

At least nine other countries (Brazil, Canada, Greece, Kuwait, Lithuania, Nigeria, South Korea, Spain, and Switzerland) and the European Commission expressed their support, though no specific financial contribution was mentioned. 

While this is a welcome and important first step toward a world that is better prepared for pandemic threats, it is disappointing that many governments failed to match political support with bold and meaningful financial commitments. The COVID-19 pandemic showed us that the world is ill-prepared to prevent and respond to a pandemic caused by a novel respiratory pathogen. The pandemic research and development (R&D) system as it exists does not work to address the challenges of emerging infectious diseases. As we look toward year three of COVID, we are already witnessing the familiar and costly cycle of panic and neglect around pandemics spinning into motion. CEPI’s plan to reduce vaccine development time to 100 days is one in a set of critical measures to get ahead of the cycle of panic and neglect and avoid another trillion-dollar pandemic that needlessly costs millions of lives and livelihoods. 

Eloise Todd, Pandemic Action Network’s co-founder, said:

“While today’s commitments of over US$1.5 billion to CEPI are a welcome and strong start, they are not enough. The COVID crisis showed us that the vaccine R&D system as it exists cannot meet the challenges of emerging infectious diseases before they cause severe damage, nor can it ensure all people everywhere have equitable access to the tools and technologies they need to curb a global health emergency. Leaders can avoid repeating past mistakes and build a system that is forward looking and equitable. Fully funding CEPI is an impactful way to do just that. An investment in CEPI is a fraction of the trillions lost to pandemic response and an investment that pays a multitude of dividends. We expect key global leaders to step up in the coming weeks to align their financial commitments with their political commitments, and make a fully-funded CEPI a reality.”

Pandemic Action Network and its network of over 250 partners will follow up closely on the actions of governments, philanthropies, and decision makers who have expressed their commitment to this goal, especially those key global leaders who can convene other governments, rally support, and mobilize resources. Building on the strong momentum from the Global Pandemic Preparedness Summit, concerted action from world leaders in the coming months will be crucial to fully fund CEPI and ensuring the COVID crisis leaves a legacy of pandemic preparedness.

CEPI’s Unique Impact Opportunity: Pandemic Preparedness & Response R&D

The Coalition for Epidemic Preparedness Innovations (CEPI) was founded with the mission to accelerate the development of vaccines against emerging infectious diseases (EID) and enable equitable access for all during outbreaks. Less than three years after its start, CEPI’s quick response during the COVID-19 pandemic propelled the development and manufacturing of new vaccines and it was the only entity with the mandate to invest in de-risking COVID-19 vaccine research and development (R&D) with global access in mind. CEPI’s role fills some of the critical gaps that governments do not address and on March 7-8, the U.K. Government will host the CEPI replenishment at the Pandemic Preparedness Summit. The replenishment aims to raise US$3.5 billion for the delivery of CEPI’s critical 2022-2026 strategy to accelerate the development of vaccines and other health tools against epidemic and pandemic threats.

Produced by Pandemic Action Network and DSW, CEPI’s Unique Impact Opportunity: Pandemic Preparedness & Response R&D examines the characteristics and ways in which CEPI is distinctly positioned to bolster global and regional health security initiatives, especially through vaccine R&D against EIDs, to ensure the world is equipped to end the COVID crisis for everyone and is better prepared for the next pandemic.

Key messages of the brief explainer include:

  • CEPI is uniquely positioned to address global pandemic threats through vaccine R&D for emerging infectious diseases.
  • Because of its commitment to equitable access for the global good, particularly in low- and middle-income countries, CEPI’s work leads to increased access and distribution of much-needed vaccines to traditionally underserved populations.
  • Building on its role, investments, and relationships, CEPI delivers catalytic impact globally in pandemic preparedness and response.
  • CEPI fills critical gaps in the vaccine R&D ecosystem that would otherwise go unfilled.
  • Emerging infectious diseases, such as COVID-19, do not recognize international borders. CEPI’s global mandate naturally complements regional and national R&D institutions that work to counter pandemic threats.

Read the full brief.

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