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The coronavirus disease 2019 (COVID-19) pandemic reveals economic, social, and environmental trends that have been present since the last two decades, and it is characterized as a new phenomenon that qualitatively alters contemporary global and national dilemmas — not only because it was caused by a hitherto unknown virus, but by the magnitude of the crisis and the transformations that shape the lifeworld It marks a disruptive and threatening historical period in the face of the foundations of modern sociability built during the post-war period Social and economic inequality between countries, territories, and population groups has increased during the pandemic Its impacts are unevenly distributed, revealing the interface between the biological, economic, and social worlds There is a threat of a humanitarian crisis due to the concrete differences between those who have full access to products, services, and health and those who can be left behind In Latin America alone, the income of more than 30 million people has fallen below the poverty threshold less than a year after the arrival of the pandemic to the continent (1) In terms of international relations, the pandemic highlights the tension between a vision of global health and the interests of the nation states and regional blocs Vulnerability is observed even in developed countries, manifested in the lack of fundamental health items such as ventilators, essential medicines used in treatment, and even more basic items such as masks and personal protective equipment for health providers Within the scope of the relationship between the nation states, the dispute over health products, with the imposition of trade barriers by more developed countries that could lead a solidarity action in health, has resulted in a limitation of access, generating global inequity At present, limiting the supply of vaccines to less developed countries and vulnerable populations undermines the impact of essential mechanisms, such as the COVAX Facility [the initiative led by World Health Organization (WHO), Global Alliance for Vaccines and Immunization (GAVI) and the Coalition for Epidemic Preparedness Innovations (CEPI)], which is aimed at ensuring equal access to immunization |
