When the swine flu pandemic struck in 2009, some of the world’s richest countries scrambled to get their hands on vaccines however they could. Poorer countries — among the worst affected — were pushed to the back of the queue, as western nations signed deals with drugmakers to guarantee access to vaccines.
Australia even stopped a domestic drugmaker from exporting doses to the US until it had immunised its entire population, while the Obama administration delayed a promise to donate vaccines to poorer countries in order to prioritise distribution in the US.
Swine flu resulted in about 18,000 confirmed deaths but one study estimates as many as 575,000 people worldwide could have died from it, including a “disproportionate” number in Africa and south-east Asia.