Throughout the COVID-19 pandemic, vaccines and other health tools have reached lower-income countries out-of-step with need and demand. Yet lessons from this pandemic to address such inequities are not catalysing the fundamental changes required. Governments and the global community must urgently tackle difficult questions about why, how, where, and when diagnostics, treatments, and vaccines are produced, and about who is in control of their availability and distribution. 

This comment from the Lancet proposes a new framework that is designed in the public interest and rooted in equity from start to finish to create a sustainable ecosystem for medical countermeasures to outbreaks, based on the sharing of knowledge and technology and governed and financed through a global commons approach.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)0001…;

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