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Survival of the wealthiest? Wait in line for COVID-19 vaccination
  1. Azza Sarfraz1,
  2. Zouina Sarfraz2,
  3. Muzna Sarfraz3
  1. 1 Paediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan
  2. 2 Research and Publications, Fatima Jinnah Medical University, Lahore, Pakistan
  3. 3 Medical Education, King Edward Medical University, Lahore, Pakistan
  1. Correspondence to Dr Azza Sarfraz, Department of Pediatrics and Child Health, Faculty Office Building, Aga Khan University, P.O. Box: 3500, Stadium Road, Karachi 74800, Pakistan; azza.sarfraz{at}

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Health disparities across the globe have continually been demonstrated since the start of the COVID-19 pandemic.1 As of 5 August 2021, 29.1% of the world has received at least one dose of the COVID-19 vaccine, although only 1.1% of persons in low-income countries received at least one dose.2 Distribution of COVID-19 vaccines is dependent on the existent infrastructure of health systems at state or territory level.3 COVAX was established to ensure equitable distribution of vaccines, once available, regardless of the economic differences globally—a donor-based model of vaccine equity.4 …

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