July 6, 2021

G20 Finance Ministers Urged to Fill the Huge Gaps Left by the G7 on Finance and Vaccines

Dear G20 Finance Ministers,

The G7 collectively, and most countries individually, have so far failed to absorb the necessity of collective global action and investment. We cannot afford to continue with the piecemeal approach that has characterized the global response until now. We are therefore writing to you in advance of your G20 Finance Ministerial meeting so that by 9-10 July you can take actions that will: fill the gaps left by the G7 on urgent dose-sharing, increase transparency to facilitate efficient tracking and accountability in this crisis, and come up with credible financing to back the emerging plan from Kristalina Georgieva to vaccinate the world.

Firstly, on dose sharing, the G7 pledge to share 870 million doses over the next year is far from the quantity requested by the WHO and lacks solidarity given the third wave that is building momentum in many under-vaccinated regions. Dose-sharing is urgently needed, not as a long-term solution, but to plug the immediate vaccine supply gap in low- and middle-income countries (LMICs). We need G20 countries to fill COVAX’s gap for this summer. The majority of the dose-sharing announced at the G7 Summit will not be delivered till well into 2022. Therefore, we call on you not to let the meeting finish before the G20 have collectively found the doses needed to fill COVAX’s supply shortage — 275 million doses for June alone — and we are reiterating the call for 1 billion doses to be shared by the end of August 2021.

Secondly, we need bolder agreements for the medium term and absolute transparency on vaccine supply. In order to shine a light on what is going wrong in vaccine supply and create better understanding of the system, as well as sharing doses now to fill the COVAX supply gap, we also ask that you:

– plan to share at least 1 billion doses by the end of August and at least 2 billion doses by the end of the year, which must be counted as an addition to current ODA levels and global development priorities;

– clearly commit to share all of your excess doses by Q1 2022; and,

– publish a detailed month-by-month timeline to the end of 2022 of doses promised and doses actually delivered and publish the prices the G20 and COVAX have paid for doses.

We know that G7 countries alone have bought three billion more doses than they need to fully vaccinate their entire population to 70%, but the G7 pledge provided only enough doses to vaccinate 10.3% of the population in LMICs. Since we sent these letters to each of you individually, head of the WTO Ngozi Okonjo-Iweala called for the G20 to give 3bn doses when they meet – this is exactly the kind of ambition and action we need right now to get this response on track.

Thirdly, it is vital that Finance Ministers commit to backing a fully-costed, coordinated, and comprehensive Global Roadmap to Vaccinate the World covering end-to-end finance for vaccines, tests, treatments and PPE, dose donations, and tech and patent policies. Kristalina Georgieva has committed to developing a roadmap — we want to see the G20 Finance Ministers commit to financing such a roadmap. Latest estimates anticipate that it will cost at least US$50-66B simply to provide doses to vaccinate the world. We want a comprehensive plan that covers tests, treatments, PPE, and vaccines — as well as covering end-to-end delivery costs so that vaccines and other COVID-19 tools are not left on the tarmac and can be delivered. This will require innovative solutions using Special Drawing Rights (SDRs) in the medium term but also scaling grant funding now. We welcome the G7’s recent commitment to reallocate their new SDRs to the poorest and most vulnerable countries struggling to tackle COVID-19, health systems, hunger, education, and economic fallout of the pandemic. We now urge the G20 to reallocate most, if not all, of their new SDRs to vulnerable countries by the end of the year, to support health and climate in particular, and an equitable and green recovery, and ask that countries publicly share how much they will contribute to this goal.

We can no longer afford to wait to take concrete action to end COVID-19, and we hope the G20 can deliver the leadership the world needs. We are counting on you to take immediate action to fill the vaccine gap now and to fund the plan to vaccinate the world.

Vaccine policy is economic policy, and until countries are vaccinated to at least 70%, all other COVID-19 tools — tests, treatments, PPE, and the ability to deliver all tools — are an integral part of the vaccination strategy. We are counting on you to fill the dose gap, deliver the COVID-19 tools we need, and find the funding so we can stop the spread and save lives. We are counting on you and your fellow Ministers to take the urgent steps needed now to help protect us all. We would welcome the opportunity to discuss these issues with you in the coming days, at your convenience.

Many thanks for your urgent attention to these matters, and we look forward to hearing from you.

Your sincerely,


PATH