The World-System of Vaccine Distribution

Global Inequalities and Geopolitical Conflicts During the COVID-19 Pandemic

Authors

DOI:

https://doi.org/10.5195/jwsr.2024.1173

Keywords:

China, Vaccine Diplomacy, Vaccine Nationalism, COVAX, Periphery

Abstract

This article analyzes spatial hierarchies and geopolitical conflicts during the COVID-19 pandemic from a world-systems perspective. Drawing on data on global vaccine production and distribution, we argue that the trimodal structure of the capitalist world-system—core, semi-periphery, and periphery—has been reproduced through unequal access to vaccines, constituting hierarchically structured “vaccine worlds”. These vaccine worlds are geopolitically contested, as Chinese companies compete with American and European corporations for influence and markets. Against this background, we outline the Chinese state-led vaccine internationalization strategy with its focus on the global South, and discuss its achievements and contradictions.

Author Biographies

Philipp Köncke, University of Erfurt

Philipp Köncke is a doctoral researcher at the Faculty of Economics, Law, and Social Sciences at University of Erfurt (Germany). His current research focuses on state-market relations in China and on internationalization strategies of Chinese companies expanding into Europe.

Stefan Schmalz, University of Erfurt

Stefan Schmalz is head of the Heisenberg research group “Sociology of Globalization” at the Faculty of Economics, Law, and Social Sciences at University of Erfurt (Germany). He has published in journals such as Development and Change and Globalizations. His research areas include international political economy, development, and global labor studies.

References

Acharya, Krishna Prasad, Tirth Raj Ghimire and Supram Hosuru Subramanya. 2021. “Access to and equitable distribution of COVID-19 vaccine in low-income countries.” npj Vaccines 6(54): 1–3.

Altindis, Emrah. 2022. “Inequitable COVID-19 vaccine distribution and the intellectual property rights prolong the pandemic.” Expert Review of Vaccines 21(4): 427–30.

Amin, Tahir and Aaron S. Kesselheim. 2022. “A global intellectual property waiver is still needed to address the inequities of COVID-19 and future pandemic preparedness.” INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59: 1–6.

Amnesty International. 2021. “A Double Dose of Inequality: Pharma Companies and the Covid-19 Vaccines Crisis.” London: Amnesty International. Retrieved February 16, 2023 (https://www.amnesty.org/en/documents/pol40/4621/2021/en/).

Arrighi, Giovanni. 1994. The Long Twentieth Century: Money, Power and the Origins of Our Times. London: Verso.

______. 2007. Adam Smith in Beijing: Lineages of the Twenty-First Century. London: Verso.

Arrighi, Giovanni and Beverly J. Silver. 1999. “Introduction.” Pp. 1–36 in Chaos and Governance in the Modern World System, edited by A. Giovanni and B. J. Silver. Minneapolis: University of Minnesota Press.

Arrighi, Giovanni, Beverly J. Silver and Brewer, Benjamin D. 2003. “Industrial convergence, globalization, and the persistence of the North-South divide.” Studies in comparative international development 38: 3–31.

Arrighi, Giovanni and Jessica Drangel. 1986. “The Stratification of the World-Economy. An Exploration of the Semiperipheral Zone.” Review (Fernand Braudel Center) 10(1): 9–74.

Babones, Salvatore. 2005. “The Country-Level Income Structure of the World-Economy.” Journal of World-Systems Research 11(1): 29–55.

______. 2012. “Position and mobility in the contemporary world-economy: A structuralist perspective.” Pp. 327–35 in Routledge Handbook of World-systems Analysis, edited by S. Babones and C. Chase-Dunn. London/New York: Routledge.

______. 2017. American Tianxia: Chinese money, American power and the end of history. Bristol: Policy Press.

Basak, Palash, Tanvir Abir, Abdullah Al Mamun, Noor Raihani Zainol, Mansura Khanam, Md. Rashidul Haque, Abul Hasnat Milton, and Kingsley Emwinyore Agho. 2022. “A Global Study on the Correlates of Gross Domestic Product (GDP) and COVID-19 Vaccine Distribution.” Vaccines 10(266): 1–13.

Birley, Lewis M. 2023. “Cycles and Transformation: China’s State-Capitalism as Adaptive Strategy in the Arc of Capitalist Governance.” Journal of World-Systems Research 29(2): 505–23.

Blinder, Daniel, Lautaro Zubeldía and Sofya Surtayeva. 2021. “Covid-19 and Semi-Periphery: Argentina and the Global Vaccines Research and Development.” Journal of World-Systems Research 27(2): 494–521.

Bollinger, Robert, Stuart Ray and Lisa Maragakis. 2022. “COVID Variants: What You Should Know.” Baltimore: Johns Hopkins Medicine. Retrieved February 16, 2023 (https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/a-new-strain-of-coronavirus-what-you-should-know).

Bridge Beijing. 2023. “China COVID-19 Vaccine Tracker.” Beijing: Bridge Consulting (Beijing) Co., Ltd. Retrieved November 30, 2023 (https://bridgebeijing.com/our-publications/our-publications-1/china-covid-19-vaccines-tracker/).

Chase-Dunn, Christopher, Yukio Kawano and Benjamin D. Brewer. 2000. “Trade Globalization since 1795: Waves of Integration in the World-System.” American Sociological Review 65(1): 77–95.

Chatterjee, Niladri, Zaad Mahmood and Eleonor Marcussen. 2021. “Politics of Vaccine Nationalism in India: Global and Domestic Implications.” Forum for Development Studies 48(2): 357–69.

Collins, Anna L. 2013. Inequalities in global health: a world-system analysis, 1945-present. Manhattan: Kansas State University.

de Bengy Puyvallée, Antoine and Katerini Tagmatarchi Storeng. 2022. “COVAX, vaccine donations and the politics of global vaccine inequity.” Globalization and Health 18(26). Retrieved February 26, 2023 (https://doi.org/10.1186/s12992-022-00801-z).

Duke Global Health Innovation Center. 2022. “Launch & Scale Speedometer.” Durham, NC: Duke Global Health Innovation Center. Retrieved February 16, 2023 (https://launchandscalefaster.org/).

Elling, Ray H. 1981. “The capitalist world-system and international health.” International Journal of Health Services 11(1): 21–51.

Fröbel, Folker, Jürgen Heinrichs and Otto Kreye. 1978. “The New International Division of Labour.” Social Science Information 17(1): 123–42.

Hopkins, Terence K. and Immanuel Wallerstein, eds. 1982. World-Systems Analysis: Theory and Methodology. Beverly Hills/London/New Delhi: SAGE Publications.

Hung, Ho-fung. 2016. The China Boom: Why China Will Not Rule the World. New York: Columbia University Press.

Huang, Yanzhong. 2022. “The Health Silk Road: How China Adapts the Belt and Road Initiative to the COVID-19 Pandemic.” American Journal of Public Health 112(4): 567–69.

Kampfner, John. 2021. “Vaccine competition may now be the world’s best bet.” Chatham House. London: Chatham House. Retrieved February 16, 2023 (https://www.chathamhouse.org/2021/06/vaccine-competition-may-now-be-worlds-best-bet).

Kampmark, Binoy and Petar Kurečić. 2022. “Vaccine nationalism: Competition, EU parochialism, and COVID-19.” Journal of Global Faultlines 9(1): 9–20.

Karataşlı, Şahan Savaş. 2017. “The Capitalist World-economy in the Longue Durée: Changing Modes of the Global Distribution of Wealth, 1500–2008.” Sociology of Development 3(2):163-96.

Kobierecka, Anna. 2023. “Post-covid China: ‘vaccine diplomacy’ and the new developments of Chinese foreign policy.” Place Branding and Public Diplomacy 19(2): 280–93.

Lee, Kwangkun. 2009. “Towards a Reformulation of Core/Periphery Relationship: A Critical Reappraisal of the Trimodality of the Capitalist World-Economy in the Early 21st Century.” Perspectives on Global Development and Technology 8(2–3): 263–94.

Lee, Seow Ting. 2023. “Vaccine diplomacy: nation branding and China’s COVID-19 soft power play.” Place Branding and Public Diplomacy 19(1): 64–78.

Li, Minqi. 2016. China and the Twenty-first-Century Crisis. London: Pluto Press.

McMenamin, Martina E., Joshua Nealon, Yun Lin, Jessica Y. Wong, Justin K. Cheung, Eric H. Y. Lau, Peng Wu, Gabriel M. Leung, and Benjamin J. Cowling. 2022. “Vaccine effectiveness of two and three doses of BNT162b2 and CoronaVac against COVID-19 in Hong Kong.” The Lancet Infectious Diseases 22(10): 1435–43.

Ng, Oon Tek, Kalisvar Marimuthu, Nigel Lim, Ze Qin Lim, Natascha May Thevasagayam, Vanessa Koh, Calvin J. Chiew, et al. 2022. “Analysis of COVID-19 Incidence and Severity Among Adults Vaccinated With 2-Dose mRNA COVID-19 or Inactivated SARS-CoV-2 Vaccines With and Without Boosters in Singapore.” JAMA Network Open 5(8). Retrieved February 16, 2023 (https://doi.org/10.1001/jamanetworkopen.2022.28900).

Nhamo, Godwell, David Chikodzi, Hlengiwe Precious Kunene, and Nthivhiseni Mashula. 2021. “COVID-19 vaccines and treatments nationalism: Challenges for low-income countries and the attainment of the SDGs.” Global Public Health 16(3): 319–39.

Olliaro, Piero, Els Torreele and Michel Vaillant. 2021. “COVID-19 vaccine efficacy and effectiveness–the elephant (not) in the room.” The Lancet Microbe 2(7): E279–80.

Our World in Data. 2023. “Coronavirus (COVID-19) Vaccinations.” Oxford: Our World in Data. Retrieved December 30, 2022 (https://ourworldindata.org/covid-vaccinations).

Rudolf, Moritz. 2021. “Chinas Gesundheitsdiplomatie in Zeiten von Corona: Die Seidenstraßeninitiative (BRI) in Aktion.” SWP-Aktuell 2021/A 05. Retrieved February 16, 2023 (https://www.swp-berlin.org/publikation/chinas-gesundheitsdiplomatie-in-zeiten-von-corona).

Shandra, John M., Jenna Nobles, Bruce London, and John B. Williamson. 2004. “Dependency, democracy, and infant mortality: a quantitative, cross-national analysis of less developed countries.” Social Science & Medicine 59(2): 321–33.

Silver, Beverly J. 2003. Forces of Labor. Workers’ Movements and Globalization since 1870. Cambridge: Cambridge University Press.

Sparke, Matthew and Orly Levy. 2022. “Competing Responses to Global Inequalities in Access to COVID Vaccines: Vaccine Diplomacy and Vaccine Charity Versus Vaccine Liberty.” Clinical Infectious Diseases 75(S1): 86–92.

Suzuki, Mao and Shiming Yang. 2022. “Political economy of vaccine diplomacy: explaining varying strategies of China, India, and Russia’s COVID-19 vaccine diplomacy.” Review of International Political Economy 30(3): 865–90.

UNICEF. 2023. “COVID-19 Vaccine Market Dashboard.” Copenhagen: UNICEF Supply Division. Retrieved November 22, 2023 (https://www.unicef.org/supply/covid-19-vaccine-market-dashboard).

Usher, Ann Danaiya. 2021. “A beautiful idea: how COVAX has fallen short.” The Lancet 397 (10292): 2322–25.

U.S. Department of State. 2023. “COVID-19 Vaccine Donations.” U.S. Department of State. Retrieved November 30, 2023 (https://www.state.gov/covid-19-recovery/vaccine-deliveries/).

Vaccines Europe. 2021. “The EU Vaccine Industry in Figures.” Brussels: Vaccines Europe. Retrieved February 16, 2023 (https://www.vaccineseurope.eu/about-us/the-eu-vaccine-industry-in-figures).

Vadlamannati, Krishna Chaitanya and Yoo Sun Jung. 2023. “The political economy of vaccine distribution and China's Belt and Road Initiative.” Business and Politics 25(1): 67–88.

Veugelers, Reinhilde, Niclas Poitier and Lionel Guetta-Jeanrenaud. 2021. “A world divided: global vaccine trade and production.” Brussels: Bruegel. Retrieved February 16, 2023 (https://www.bruegel.org/blog-post/world-divided-global-vaccine-trade-and-production).

Waitzkin, H. 1978. “A Marxist view of medical care.” Annals of Internal Medicine 89(2): 264–78.

Wallerstein, Immanuel. 1974. The Modern World-System I: Capitalist Agriculture and the Origins of the European World-Economy in the Sixteenth Century. New York: Academic Press.

______. 1979. The Politics of the World-Economy: The States, the Movements and the Civilizations. Cambridge: Cambridge University Press.

______. 1995. Historical Capitalism with Capitalist Civilization. New York: Verso.

______. 2000. The Essential Wallerstein. New York: The New Press.

______. 2004. World-Systems Analysis: An Introduction. Durham, NC: Duke University Press.

WHO. 2021a. “COVAX Joint Statement: Call to action to equip COVAX to deliver 2 billion doses in 2021.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news/item/27-05-2021-covax-joint-statement-call-to-action-to-equip-covax-to-deliver-2-billion-doses-in-2021).

______. 2021b. “Vaccine Equity.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/campaigns/vaccine-equity).

______. 2022a. “The Janssen Ad26.COV2.S COVID-19 vaccine: What you need to know.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news-room/feature-stories/detail/the-j-j-covid-19-vaccine-what-you-need-to-know).

______. 2022b. “The Sinopharm COVID-19 vaccine: What you need to know.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news-room/feature-stories/detail/the-sinopharm-covid-19-vaccine-what-you-need-to-know).

______. 2022c. “The Sinovac-CoronaVac COVID-19 vaccine: What you need to know.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news-room/feature-stories/detail/the-sinovac-covid-19-vaccine-what-you-need-to-know).

______. 2022d. “The Oxford/AstraZeneca (ChAdOx1-S [recombinant] vaccine) COVID-19 vaccine: What you need to know.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news-room/feature-stories/detail/the-oxford-astrazeneca-covid-19-vaccine-what-you-need-to-know).

______. 2022e. “The Pfizer BioNTech (BNT162b2) COVID-19 vaccine: What you need to know.” Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news-room/feature-stories/detail/who-can-take-the-pfizer-biontech-covid-19--vaccine-what-you-need-to-know).

______. 2022f. "The Moderna COVID-19 (mRNA-1273) vaccine: what you need to know." Geneva: WHO. Retrieved February 16, 2023 (https://www.who.int/news-room/feature-stories/detail/the-moderna-covid-19-mrna-1273-vaccine-what-you-need-to-know)

Wong, John, Chun Wu, Wen Xie, and Srikant Vaidyanathan. 2020. “Competing in China’s Booming Biopharma Market.” Munich: BCG GmbH. Retrieved February 16, 2023 (https://www.bcg.com/publications/2020/competing-in-chinas-biopharma-market).

World Bank. 2022. “Countries and Economies.” Washington, D.C.: World Bank. Retrieved December 30, 2022 (https://data.worldbank.org/country).

WTO. 2022. “WTO-IMF Vaccine Trade Tracker.” Geneva: WTO. Retrieved December 30, 2022 (https://www.wto.org/english/tratop_e/covid19_e/vaccine_trade_tracker_e.htm).

Zhou, Yanqiu Rachel. 2022. “Vaccine nationalism: contested relationships between COVID-19 and globalization.” Globalizations 19(3): 450–65.

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Published

2024-04-17

How to Cite

Köncke, P., & Schmalz, S. (2024). The World-System of Vaccine Distribution: Global Inequalities and Geopolitical Conflicts During the COVID-19 Pandemic . Journal of World-Systems Research, 30(1), 195–222. https://doi.org/10.5195/jwsr.2024.1173

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