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. 2021 Nov 1;4(11):e2134233.
doi: 10.1001/jamanetworkopen.2021.34233.

Access to COVID-19 Vaccines in High-, Middle-, and Low-Income Countries Hosting Clinical Trials

Reshma Ramachandran  1   2 , Joseph S Ross  1   3   4 , Jennifer E Miller  3   5
Affiliations

Access to COVID-19 Vaccines in High-, Middle-, and Low-Income Countries Hosting Clinical Trials

Reshma Ramachandran et al. JAMA Netw Open. .

Abstract

This cross-sectional study examines authorization and delivery of COVID-19 vaccines recommended by the World Health Organization in the countries where they were tested.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Ramachandran reported serving as a board member for Universities Allied for Essential Medicines North America, which is a member organization in the People’s Vaccine Alliance and also cohosts the Free the Vaccine campaign, and being an employee of the Veterans Health Administration. Dr Ross reported receiving grants from the US Food and Drug Administration, Johnson & Johnson, the Medical Devices Innovation Consortium, the Agency for Healthcare Research and Quality, the National Institutes of Health/National Heart, Lung, and Blood Institute, and the Laura and John Arnold Foundation and receiving research support through Yale University from Medtronic Inc and the Food and Drug Administration to develop methods for postmarket surveillance of medical devices and from the Centers for Medicare & Medicaid Services to develop and maintain performance measures that are used for public reporting outside the submitted work. Dr Miller reported receiving grants from the Susan G. Komen Foundation, Arnold Ventures, the National Institutes of Health, and Faster Cures during the conduct of the study; receiving personal fees from Cambria Health and Alexion; and serving as a member of the board of directors for Bioethics International outside the submitted work.

Comment in

References

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    1. Usher AD. A beautiful idea: how COVAX has fallen short. Lancet. 2021;397(10292):2322-2325. doi:10.1016/S0140-6736(21)01367-2 - DOI - PMC - PubMed
    1. Miller JE, Mello MM, Wallach JD, et al. . Evaluation of drug trials in high-, middle-, and low-income countries and local commercial availability of newly approved drugs. JAMA Netw Open. 2021;4(5):e217075. doi:10.1001/jamanetworkopen.2021.7075 - DOI - PMC - PubMed
    1. World Bank Data Help Desk . World Bank country and lending groups. Accessed June 25, 2021. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-b...
    1. Ramachandran R, Dhodapkar M, Ross JS, Schwartz JL. Future of COVID-19 vaccine pricing: lessons from influenza. BMJ. 2021;373(n1467):n1467. doi:10.1136/bmj.n1467 - DOI - PubMed

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