and gavi is a known partner, and the opinion of cepi is very high. the problem is how do you crack through and get some initial action that reaches outside of the nationalist approach? i remain optimistic that some pathway will be found. i think with the $3 billion in the senate bill put forward to support go. avi is one of those. and the second point i want to make. let's not forget what's going on between middle income. they witnessed this winter and spring, they had witnessed the free for all market for test kits, for ventilators, for remdesvir and the like and we've spoken with folks like salim abdul kareem, and they know they cannot deal with this broken response because of the marketplace dominated by the high income countries. and africa, much of the surge has come late. there were effective lockdowns in march and they were delayed and they were untenable and now there's ma-- a massive surge. and now look u.n. secretary-general put forth a 10.3 billion dollar appeal, the largest in u.n. history on emergency humanitarian and health response. an

concentrating first where infections spread the most, among doctors and nurses gavi hopes immunizing a targeted 20% of the entire planet will break the pandemic's back. >> even if a country has access to vaccines, if it wants to go back to normal, if it wants to have trade, if it wants to have tourism, if it wants to have an ability to move around, it can't have large reservoirs of virus in other countries. >> reporter: more than 160 nations have signed o to gavi's global vaccine initiative, with one notable absence, the united states though talks are ongoing. >> how troubling is it to you that president trump, and his administration, aren't buying into this >> let's see how that goes my suspicion is that the u.s. at the end will pay attention to the global issues because i think at the end that will prevail. >> reporter: gavi says its goal is to push out 2 billion vaccine doses by the end of 2021 lester >> richard engel, thanks >>> up next an emotional sendoff for an american hero >>> finally good news to celebrate at the end of another tough week, trenton reeves, a 42-year-old air

gavi's ambitious plan in coordination with the world health organization is to secure deals with drug companies for 2 billion doses of a variety of vaccines and distribute them more equitably around the world concentrating first where infection spreads the most, among doctors and nurses. gavi hopes immunizing a targeted 20% of the entire planet will break the pandemic's back. >> even if a country has access to vaccines, if it wants to go back to normal, if it wants to have trade, if it wants to have tourism, if it wants to have an ability to move around, it can't have large reservoirs of virus in other countries. >> reporter: more than 160 nations have signed on to gavi's global vaccine initiative with one notable absence, the united states, though talks are ongoing. how troubling is it to you that president trump and his administration aren't buying into this? >> let's see how that goes. my suspicion is that the u.s. at the end will pay attention to the global issues because i think at the end, that will prevail. >> reporter: gavi says its goal is to push out 2 billion vaccine doses

low-income countriesly also have suhain issues, but we have a global coordinated effort.al it'sd gavi, the alliance for vaccines and immunizations. beuse of that system, we do know how to get vaccines out to all corners of the earth. the thing that we need to do -- that the global leadersed o do is to ensure first that healthcare workers get this vaccine, and there are more than 60 million healthcare workers around the world. they're the ones who arear takingof the rest of us. they're the ones who are going make sure, okay, we help stop this disease. people are taken care of and it doesn't keep spreading. so first you have to go there and then each country needs to look at their most vulnerable populations and figure out how to get the vaccine out to their vulnerable populaons next.we >> aevelop a vaccine, once we have one, i presume how should governments figure. out, after healthcare workers, who ge it first? >> i think in place by place,un country after y, governments need to lookhe at t most vulnerable populations. they need to see who's being affected the most, and th need to mak

inr a di january, governor gavi newsom hosted nous san francisco for a discussion on eliminating redand smart technologies and we were looking forward to traveling to phoenix last monthv but governor ducey hosted us virtually instead to discuss leveraging private sector investments. after our nga winter meeting in washington in february, the world changed for all of us, our focus quickly shifted to battling an munitiesunprecedentl pandemic, which has take an terrible toll on our communities and wreaked havoc on our national and state economies. responding to this crises has e. more than ever the vital role of governors and of the ur nga. over the past five months, in e' the face of the most daunting challenge of our lifetime, america's governors have stepped up and led. we didn't let the politics get in the way and we didn't hesitate to make the tough decisions. we followed the to bu advice oft experts, we worked around the clock to build up our public health infrastructure, to expand our testing capacity, build e to contact tracing operations, and to provide relife-saving ppe to our

we need, and we will make both our vaccines available to everybody and we will invest in sepi, in gaviartners to make this vaccine available globally." a final thought which is actually not about our governments but is about all of us, us people, and a degree to which there is a mounting scepticism evidenced in the united states, to a certain extent in the uk and other countries as well, from members of the public who no longer trust the government, the scientists enough to believe that a vaccine will necessarily be safe. to quote anthony fauci, the scientific adviser in the us, he says, "there is now general anti—science, anti—authority, anti—vaccine feeling abroad in this country. an alarming percentage of people have deep scepticism about this vaccine." polls suggesting maybe 50% of the public might not take it. that is going to kill our effort to eliminate covid—19! if it gets worse, it will kill it. if 50% of the population are not willing to have the vaccine and we have one, and it is safe and effective, that would be a disaster, you are absolutely right. it's not just here. the

there very well could be a role for the g20, working in conjunction with the u.n., the w.h.o., with gavi, others who are major players in the public health arena, to try to learn from the mistakes that were made. you know? yes, i think it's fair to say china was not as forthcoming as it needed to be, as transparent or open in the beginning. we also had a unfortunate lack of preparation, or even understanding in several countries, including our own. the guidebook, the blueprint for dealing with global pandemic that the obama administration had left for the trump administration was disregarded. so, let us hope that individual nations will learn lessons. but let us also hope that collectively, we can put together a more robust and quick international response and get every nation to buy into it. so that you don't have the role of any nation in the midst of a potential pandemic be to shut down and exclude investigation from international experts. we need to be more open and transparent. because i fear, fred, that, you know, this is not the last of the viruses that the world will face. in fac

and can we create that partnership through organizations like cepi and gavi to laos to work together and create a strategic partnership? we don't know which country is going to come up with the vaccine first. we don't know if the united states will come up with a vaccine that is good for seniors and china will come up with a vaccine that is good for kids. can we use this pandemic as a silver lining to create a different type of coalition to address some of this? do think the secondary impact of massive displacement of people around the world, massive food insecurity, one country by itself cannot solve these issues and when ae look at the issues f global development, can we create new instruments and tools that help us address some of these real issues? and climate change i guess is another one. just a small one. >> you referred a couple of times y to some of the global economic and social consequences of the pandemic. i wanted to ask you a little bit more about that. obviously, covid is exacerbating challenges in many countries in conflict torn areas of the world like yemen and south