This proposal is framed in an open letter [1] to Dr. Tedros Adhanom Ghebreyesus [2], director general of the World Health Organization. Dr. Mosoka Fallah of Liberia led the drafting effort, and it was signed by many African researchers and veterans of the 2014 Ebola epidemic, along with other international leading scientists.

In addition to advocating for the creation of a pandemic insurance fund, the letter calls upon all countries with surplus vaccines to donate them to COVAX or directly to countries in need and calls upon pharmaceutical companies to set up vaccine development facilities in low- and middle-income countries.

High-income countries contain 16% [3] of the world’s population but purchased 50% [4] of the immediately available vaccine supply. Allowing the virus to spread unchecked through most of the world has been not only a humanitarian crisis, but also debilitating to efforts to fight the virus, as it mutated and became more dangerous. This situation must not be repeated in future pandemics, and the World Health Assembly should commit to the goals outlined in the letter.

1Day Africa, headed by Zacharia Kafuko of Zambia, brought the letter to the attention of the West African Health Organization and helped coordinate plans to sign. 1Day Africa is dedicated to the development of a self-sufficient African medical community and to bolstering and promoting African medical and scientific research.