The Politics of International Health: The Children's Vaccine Initiative and the Struggle to Develop Vaccines for the Third World

Tracing the history of the Children's Vaccine Initiative (CVI), this book examines its successes and failures in promoting the development of both new and improved vaccines for the Third World. The CVI has achieved many successes, including making vaccination a top international public sector priority. Most of its failures have stemmed from the often bitter competition between the fledgling Initiative and the notoriously turf-conscious and inefficient World Health Organization (WHO), over their respective roles in championing vaccines. Vaccines are the most inexpensive means of improving the health and lowering the mortality of people in the Third World, where infectious diseases kill millions of children every year. As a result of the biotechnology revolution, it is possible that a whole array of new vaccines can be created for diseases which are not yet preventable. What has stood in the way of this major medical breakthrough has been that vaccine "product development" has been in the hands of commercial companies, whose activities are dominated by the need for maximizing profit, which the Third World poor cannot generate.