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It’s no small accomplishment: pneumococcal disease kills a lot more than 800,000 children under five years of age every year worldwide. What’s perhaps more notable is that the transformation was made possible by an advance market dedication , a first-of-its-kind initiative devised by the GAVI Alliance in which donors provide money to incentivize pharmaceutical businesses to build up and distribute vaccines for the world’s poorest nations. Image: Elmer Martinez/AFP/Getty Pictures/Newscom.. In December By Megan Scudellari, health leaders in Nicaragua celebrated the integration of a vaccine against pneumococcal disease to their country’s regimen immunization program.

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