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Needles and vials of vaccine. Photo: Sebastian Barros/NurPhoto via Getty Images

COVAX, the UN-backed program aimed at addressing COVID vaccine inequality, cut its forecast for doses available in 2021 by roughly a quarter.

Why it matters: The forecast led the World Health Organization (WHO) to double down on calls for wealthier nations to wait until at least the end of the year to administer booster shots so lower-income nations can vaccinate their populations.

By the numbers: In June, COVAX said it expected access to 1.9 billion doses by the end of 2021. On Wednesday, the program lowered that number to 1.425 billion.

Details: In recent months, COVAX has had to deal with the Indian government's decision to abruptly halt vaccine exports, production issues with AstraZeneca and Johnson & Johnson and a delay in clearing the Novavax shot for administration, the program said.

  • It's also had to deal with wealthier nations' vaccine hoarding.
  • "COVAX is making strenuous efforts to address and mitigate these risks,” the program said, citing negotiations with the Indian government and efforts to convince manufacturers to prioritize COVAX over individual nations.
  • It also called on donors and manufacturers to "[e]xpand, accelerate, and systematize dose donations."

The big picture: 90% of high-income countries have vaccinated at least 10% of their populations, and over 70% have vaccinated at least 40%, WHO Director-General Tedros Adhanom Ghebreyesus said in a video message Wednesday.

  • But no low-income country has reached either target, according to Tedros.
  • "I will not stay silent when the companies and countries that control the global supply of vaccines think the world’s poor should be satisfied with leftovers," he said at a news conference on Wednesday.

Don't forget: The Biden administration has faced pressure to send more vaccines abroad, but insists that choosing boosters over vaccine donations is a "false choice."

Go deeper

Hawaii invites fully vaccinated travelers to return from Nov. 1

Hawaii Gov. David Ige. Photo: Darryl Oumi/Getty Images

Hawaii Gov. David Ige (D) announced plans Wednesday to soon welcome back nonresidents to the island state who are fully vaccinated against COVID-19 for nonessential travel.

Why it matters: Hawaii's tourist-dependent labor market suffered one of the worst blows in the U.S. last year and the state's climb out of its pandemic-sized hole is moving slowly, Axios' Courtenay Brown notes.

Oct 20, 2021 - Health

In-N-Out refuses to follow San Francisco's vaccine mandate

Photo: James Leynse/Corbis via Getty Images

The California burger chain In-N-Out is refusing to follow San Francisco's vaccination mandate, which requires restaurants to check for customers' proof of vaccination to dine indoors, the Washington Post reports.

Driving the news: The San Francisco Public Health Department has had to remind employees multiple times to check for proof of vaccination since September, ultimately resulting in the city's only In-N-Out location getting shut down on Oct. 14. It is the only time the agency has ordered a restaurant's closure over a mandate violation, officials told the Post.

8 hours ago - World

Biden seeks to reboot U.S. sanctions policy

Sanctions increased under Obama and dramatically under Trump. Photo: Tom Williams/CQ Roll Call

The Biden administration is rethinking the U.S. approach to sanctions after four years of Donald Trump imposing and escalating them.

The big picture: Sanctions are among the most powerful tools the U.S. has to influence its adversaries’ behavior without using force. But they frequently fail to bring down regimes or moderate their behavior, and they can increase the suffering of civilians and resentment of the U.S.

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