Several hundred people line up every morning, starting before dawn, on a grassy area outside Nairobi’s largest hospital hoping to get the COVID-19 vaccine.

Sometimes the line moves smoothly, while on other days, the staff tells them there’s nothing available, and they should come back tomorrow.

Halfway around the world, at a church in Atlanta, two workers with plenty of vaccine doses waited hours on Wednesday for anyone to show up, whiling away the time by listening to music from a laptop.

The dramatic contrast highlights the vast disparity around the world. In richer countries, people can often pick and choose from multiple available vaccines, walk into a site near their homes and get a shot in minutes.

In the developing world, supply is limited and uncertain. Just over 3% of people across Africa have been fully vaccinated, and health officials and citizens often

The  World Health Organization’s director in Africa said on Thursday that the continent will get 25% fewer doses than anticipated by the end of the year, in part because of the rollout of booster shots in wealthier counties such as the United States.

 President Joe Biden on Thursday ordered sweeping new federal vaccine requirements for as many as 100 million Americans, including private-sector employees, as the country faces the surging COVID-19 Delta variant.

He said,“We’re struggling with what time in the morning we need to wake up to get the first shot. Then you hear people choosing their vaccines. That’s super, super excessive,” .

About 53% of the U.S. population is vaccinated, and the country is averaging more than 150,000 new cases of COVID-19 a day, along with 1,500 deaths. Africa has had more than 7.9 million confirmed cases, including more than 200,000 deaths, and the highly infectious Delta variant recently drove a surge in new cases as well.

At the church in northwest Atlanta, a nonprofit group offered the Johnson & Johnson and Pfizer vaccines for free without an appointment from 10:30 a.m. to 4:30 p.m.

Margaret Herro, CORE’s Georgia director, said the group has seen an uptick in vaccinations at its pop-up sites in recent weeks amid a COVID-19 surge fueled by the Delta variant and the FDA’s full approval of the Pfizer vaccine.


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