World Immunisation Week

Debate between Harriett Baldwin and Philippa Whitford

Thursday 2nd May 2019 Commons Chamber

[The Minister of State, Department for International Development (Harriett Baldwin)]

It is great pleasure and honour for me to be able to respond to this incredibly important debate in World Immunisation Week. It has been exceptional to see the quality rather than the quantity of the contributions that we have had. We started with my new boss, my right hon. Friend the Secretary of State, who leapt into action on his first day in the job to come to the Dispatch Box and speak without notes, giving a sweeping review of not only the history of vaccination but DFID’s important work in it as of today. I think that Members across the House have been able to be reassured by his passion and commitment to this incredibly important work.

I was also pleased to hear contributions from a range of other Members. The hon. Member for Liverpool, Walton (Dan Carden) spoke very movingly about the lessons he learned from his own grandfather. The stories that we heard throughout the debate of the personal experiences that we have had ourselves or in our families really stood out, because we have been part of a generation —an era—that has made a dramatic difference in this area. We have all pledged ourselves this afternoon to continue to be part of that difference.

The hon. Gentleman asked about replenishment, as did a number of other Members. We are in a period from 2016 to 2020 when we are contributing £1.44 billion to this important work, delivered primarily through Gavi. As a Government, we are very much looking forward to being able to host the Gavi replenishment in 2020. I can announce today that we will of course continue to be a leading contributor to the Gavi replenishment. Obviously, we will hold our horses in terms of announcing to the House exactly how much we will be contributing to that replenishment in due course.

The hon. Gentleman raised a number of other important points, including the issue of vaccine hesitancy. We must, as we did this afternoon, send a united message on behalf us of all here in the UK against that taking hold here in the UK, but also on how important it is to work on this around the world. We heard a range of contributions about social media, in terms of fake news, being part of the medium for these unhelpful messages. That is clearly an online harm. I would encourage all hon. Members to engage with the Department for Digital, Culture, Media and Sport on the online harms consultation.

The hon. Gentleman also raised the important issue of middle-income countries. Of course, DFID’s work prioritises the poorest countries. To reach the sustainable development goals, it is important that we contribute overseas development assistance, and we are proud that the UK is the first country to put into statute the 0.7% contribution. But we must also—this is where there is an element of political difference between the hon. Gentleman and me—crowd in the extra $2.5 trillion that is needed every year to reach those goals. That will necessarily come from outside the public sector. Members have raised the importance of pharmaceutical companies in this research and the role of the Bill and Melinda Gates Foundation. I need hardly say that if it were not for a successful capitalist system, they would not have been able to donate that money to their foundation.

[Dr Whitford]

At the moment, the transition begins when a country reaches a certain level of gross national income, which is a relatively crude measure. We are seeing a greater number of unvaccinated children, often in middle-income countries, and multiple countries requiring post-transition support. Obviously, Gavi is rethinking that strategy, and I ask the Government to encourage it to look at something a bit more multifactorial than a number on a piece of paper.

[Harriett Baldwin]

The hon. Lady is right to emphasise that point. We all hope that low-income countries will become middle-income countries and graduate from being supported by Gavi. In 2015 and 2016, for which we have the most recent data, countries that graduated from the Gavi programme maintained the levels of vaccination, but this needs to inform the next period in terms of replenishment, because we cannot afford to lose the community benefit of the level of vaccination.

I was deeply moved by the speech of my right hon. Friend the Member for North East Bedfordshire (Alistair Burt), who I enjoyed having as a colleague for so many months, and I pay tribute to the work he did to champion this cause. I hope his father is still watching television—hello, Mr Burt.