2024 was a record-setting year for lifesaving vaccines

A nurse giving a baby vitamin A dose during malaria vaccination day at Apac General Hospital on April 8, 2025, in Apac District, Uganda. | Hajarah Nalwadda/Getty Images

There’s a “paradox” at work in global health, as the philanthropist Bill Gates wrote last week. Even as funding for global health is declining, the science that supports those efforts is accelerating. And nowhere is that divergence more apparent than in the most important tool in public health: vaccines.

Earlier this week Gavi, the Vaccine Alliance — a public-private partnership that does more than any other organization to get vaccines to people in poor countries — reported that its vaccines saved a record-breaking 1.7 million people in 2024. That’s 400,000 more lives saved than in 2023, enough to produce some $20 billion in economic benefits through reduced health care costs and healthier, more productive populations.

In total 72 million children were vaccinated through Gavi last year, with large gains in routine vaccine coverage against diseases like polio, measles, pneumonia, and yellow fever. Vaccination rates improved in some of the most fragile and conflict-ridden countries in the world, like Mali, Haiti, and Syria. And in 2024, 17 African countries received the first routine vaccinations against malaria, a disease that still kills an estimated 600,000 people each year, primarily in the world’s poorest countries.

Beneath the headlines, this is the story we should be paying attention to:........

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