Take as Directed

Priya Basu, head of the Pandemic Fund (est. 2022, based at the World Bank), reflects on the Fund's origin and evolution. "It exists to solve problems no one else was solving." Its $1.4 B invested over three years in pandemic preparedness and response has attracted seven times that much from partner governments and multilateral development banks. Finances remain fragile and voluntary. The hope is to grow threefold. The Fund, a Biden signature achievement, enjoys continued support from the Trump administration.

Gavi CEO Sania Nishtar sat down with Katherine E. Bliss, Director and Senior Fellow, Immunizations and Health Systems Resilience, to discuss the Alliance’s ambitious plan of work for the next five years; the ways in which Gavi is reforming to improve efficiencies, promote country ownership and self-sufficiency, overcome resource constraints and meet the geopolitical challenges of the current moment; and how Gavi and other multilateral organizations, including the Global Fund, the World Bank, and CEPI, can better partner with donors, co-financing governments, and the private sector to increase access to lifesaving services, prevent deadly outbreaks, and improve health outcomes for vulnerable populations in low- and lower-middle income countries.

In September 2025, the U.S. Department of State, Gilead Sciences, and the Global Fund to Fight AIDS, Tuberculosis and Malaria announced a novel partnership to procure and deliver lenacapavir—a groundbreaking twice-yearly injectable pre-exposure prophylaxis (PrEP) for HIV prevention—to up to two million people over next three years.  On Tuesday, April 14, the leadership of these three entities convened to discuss the partnership now that doses have begun to arrive in country and have been delivered. Katherine E. Bliss, Director of Immunizations and Health Systems Resilience and Senior Fellow with the CSIS Global Health Policy Center moderated the conversation with Jeremy P. Lewin, Senior Official for the Office of the Under Secretary for Foreign Assistance, Humanitarian Affairs, and Religious Freedom at the U.S. Department of State; Daniel O’Day, Chairman and CEO of Gilead Sciences; and Peter Sands, Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria.  Together they examined how this deal fits into a renewed U.S. strategy for foreign assistance focused on big bets and advancing American innovations around the world, what challenges lie on the horizon as implementation unfolds, and what additional innovations may accelerate scaling this effort.

Dr. Eli Cahan explains how he evolved into both a neonatologist and an accomplished, intrepid journalist, inspired by the likes of Atul Gawande and shaped by experiences during the Covid-19 pandemic. It is a balancing act, rushing between fixed medical facilities and airplanes. “We get to bear witness.”  His stories have covered anti-microbial resistance (AMR) among war fighters. An upcoming piece will cover the weakening of prevention and control over polio and the possibility of the reemergence of polio in America. With each, a focus is shaping opinion in Congress. Polio has become a major biosecurity issue and does indeed command attention in Congress and within the administration. The Pitt is fearless in exposing the problems people experience with American health care. At the same time, most health communications are frayed–what to do?

Dr. Benjamin Park is Director of the CDC Division of Global Health Protection that protects Americans against dangerous outbreaks by strengthening partner countries’ capabilities to detect and respond. A personal and early professional epiphany was Benjamin’s role in leading the investigation in 2012 of a fungal meningitis outbreak that struck across America, killing dozens and gravely sickening almost 800. Subsequently—accelerating during Ebola and Covid-19—CDC’s Field Epidemiology Training Program (FETP) has been a powerful instrument in building capabilities of partner countries, through experts based for extended periods in CDC country offices. That has generated many dramatic stories—the core of the CDC outbreaks campaign—of success in ensuring that bad things do not happen. These are stories that many Americans do not know but deserve to know.

During this year’s Vaccination Week in the Americas, which runs from April 25 to May 2, countries across the hemisphere will celebrate the lives saved through immunization programs, carry out special campaigns to increase immunization coverage among vulnerable populations, and conduct educational activities to encourage vaccine uptake, combat misinformation and sustain political will for preventing transmission of costly and deadly infectious diseases, such as measles, pertussis, and diphtheria.  Please join the CSIS Bipartisan Alliance for Global Health Security for a broadcast conversation with Katherine E. Bliss, Senior Fellow and Director, Immunizations and Health Systems Resilience, with the CSIS Global Health Policy Center, Daniel Salas-Peraza, Executive Manager, Comprehensive Immunization Special Program, Pan American Health Organization (PAHO), Mario Melgar, a pediatric infectious disease physician and Chair of the Global National Immunization Technical Advisory Group (NITAG) Network, and Santiago Cornejo, Executive Manager, Regional Revolving Funds, PAHO, regarding the state of immunization programs in the Americas, what works in terms of closing gaps and expanding access to new vaccines, and the important roles played by schools, civil society organizations, and community groups in building and sustaining momentum for immunization programs.