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Think Global Health

How COVID-19 Has Broken Down Trust

October 27, 2023

 

Editor's Note

Without trust, people will not listen to the advice of their government in an emergency and governments will not support the initiatives of other nations and intergovernmental institutions.  

This week, we explore three different ways that trust broke down during the COVID-19 pandemic. Michelle D. Gavin, a former U.S. ambassador to Botswana and a senior fellow at the Council on Foreign Relations, examines Africa's crisis of trust in global health initiatives after COVID-19. She quotes one African leader noting that the global COVID-19 vaccine roll-out demonstrated with "unforgettable clarity" the little regard that Western nations have for African lives. Some fear eroding support for the President's Emergency Plan For AIDS Relief threatens U.S. leadership on global health, but Gavin writes that many African governments already have doubts. 

Keeping on the African continent, our next group of authors, from the Africa Centers for Disease Control and Prevention (CDC), discusses the struggle to reverse the region's declining trust in COVID-19 vaccines. They cite misinformation, conspiracy theories, and anti-vaccination campaigns on social media as fueling hesitancy over these vaccines.  

Finally, we interview Ali Mokdad, chief strategy officer for population health at the University of Washington, on a new twenty-one-country survey of the pandemic recovery, which measures trust in vaccines generally. Mokdad says, "Vaccination confidence was declining before COVID-19, but it's in a sharp decline now." 

As always, thank you for reading.—Thomas J. Bollyky, Editor 

 

This Week's Highlights

GOVERNANCE

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Africa's Crisis of Trust 

by Michelle D. Gavin

How vaccine inequities and geopolitical shifts have eroded Africa's trust in U.S. aid 

Read this story

 

Stat of the Week

44.5 Percent

When surveyed, 44.5 percent of respondents with a health condition were not able to access the care they needed

Read this story

 

Recommended Feature

GOVERNANCE

Image

COVID-19 Vaccine Hesitancy in Africa: Tackling Safety Concerns for Optimal Uptake     

by Alemayehu Duga, Dorothy Njagi, Mary Nyikuri, John Ojo, Mosoka P. Fallah, and Tajudeen Raji

To accelerate vaccine uptake, African countries have to battle growing reservations toward the vaccine 

Read this story

 

More of the Latest

GOVERNANCE

Image

Vaccine Confidence After COVID-19 

by Ted Alcorn

An interview with Ali Mokdad on how the pandemic affected trust in vaccines

Read this story

 

What We're Reading

America's Fentanyl Epidemic: The China Connection (CFR's Why It Matters)

In Global Conflict Zones, Hospitals and Doctors Are No Longer Spared (New York Times)

Why Health-Care Workers Are Burning Out (New York Times)

'We're Absolutely Making it Too Hard': The Complexity of Adult Immunization Delivery Hinders Vaccine Uptake (STAT)

 

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