The crystal structure of the most active antifungal compound 3 is

The crystal structure of the most active antifungal compound 3 is also reported. We have previously reported the synthesis and NMR elucidation of these compounds.15 and 16 Sabouraud dextrose broth was inoculated with C. albicans and grown in an incubator (37 °C; optical density of 0.5 at 600 nm). C. albicans (ATCC strain 10231) culture was obtained from American Type Culture Collection (Manassas, VA, USA). The broth was prepared according to the manufacturer’s protocol.

The fungal susceptibility assay was based on a microplate method but with modifications. 17 Compounds (1–7) were prepared in pure DMSO at stock concentrations of 1.5, 2.5, 3.5, 5, 7.5, 10, 12.5 and 15 mM. Firstly, 100 μl/well of sterile broth was added into a clear, sterile 96-well microlitre plate (Corning Life Sciences, Acton, MA, USA). DAPT ic50 Secondly, 6 μl/well of the compound at the appropriate concentration above was added

and the plate tapped to mix the contents. Thirdly, 94 μl/well of sterile Lenvatinib nmr water was added and the plate tapped. Finally, 100 μl/well of the culture was added and the plate tapped and incubated (37 °C; 18 h). Therefore, with a final volume/well of 300 μl and a dilution factor of 50×, the final concentration of DMSO/well was 2% v/v and the final concentrations of each compound/well were 30, 50, 70, 100, 150, 200, 250 and 300 μM. Fungal growth was not significantly inhibited by the 2% v/v DMSO (data not shown). The positive control used was the known antifungal drug clotrimazole. Fungal growth was quantified by optical density (600 nm) in a microplate reader (BioTek ELx800, Winooski, VT, USA). In vitro cytotoxicity of the synthesized homoisoflavanones was tested against a Chinese Hamster Ovarian (CHO) cell line using the 3-(4,5-dimethylthiazol-2-yl)-3,5-diphenyltetrazo-liumbromide (MTT) assay. The MTT assay is a colourimetric assay to determine cellular Edoxaban growth and survival, and compares well with other available assays. 18 and 19 The tetrazolium

salt MTT was used to measure cell viability. The homoisoflavanones were prepared in a 2 mg/ml stock solution containing 10% v/v DMSO. Emetine was used as the reference drug at an initial concentration of 100 μg/ml serially diluted in 10-fold to obtain 6 concentrations, the lowest being 0.001 μg/ml. Homoisoflavanones were diluted similarly. The DMSO solvent system had no measurable effect on cell viability (data not shown). Data are reported as the mean ± standard error of the mean of four independent experiments with duplicate measurements. Fungal growth was quantified as a percentage of the control without the test compound. GraphPad Prism (version 5.02; GraphPad Software, San Diego, CA, USA) was used to present and analyze the data. MIC50 values were deduced from the graphs. Statistical comparisons between 0 and each concentration for each compound were made by one-way ANOVA followed by Bonferroni’s post-test to determine P values. A value of P < 0.05 was considered significant.

These courses provided advice and hands-on

These courses provided advice and hands-on PD98059 concentration experience in quality processes and procedures, laboratory and production scale process development and validation, and GMP production. In addition, a three-year consultancy agreement has been signed with NVI to cover the production process of egg-based influenza vaccine in IVAC’s new facility, including on-site process validation, quality control and assurance, efficacy monitoring and (pre)clinical

trials. IVAC staff have also been trained in the installation, operation and maintenance of equipment by the relevant suppliers, along with concepts of safety and biosecurity related to specific machinery and for the chicken farm. Key personnel selleck screening library responsible for managing the chicken farm have also been trained in chicken husbandry by the Ministry of Agriculture in Hanoi. Applying our extensive knowledge in the manufacture and quality control of vaccines to published data, we succeeded in developing an A(H5N1) candidate vaccine in our research laboratory and have made significant progress over the last two years towards our goal to produce a pandemic influenza

vaccine for the Vietnamese market. We have built, equipped and expanded a manufacturing facility to be able to produce >1 million doses per year as well as an operational poultry farm without the support of technology partner, and with only US$3.5 million seed funding from WHO to supplement the US$ 300 000 we were able to invest from our own funds. We have also managed to meet our original time frame despite challenges posed, for example, by the delayed arrival of funds and import authorization for materials. By January 2011, when eggs from our chicken farm become available, we will initiate clinical studies to develop H1N1 and H5N1 vaccines. Subject to satisfactory Ribonucleotide reductase results, IVAC plans to apply for registration and licensing of a monovalent H1N1 vaccine by the end of 2012, followed shortly

afterwards by a monovalent H5N1 vaccine. At least 200,000 doses of H1N1 and 500,000 doses of H5N1 influenza will be stockpiled in 10-dose vials for essential populations in Viet Nam (elderly, health-care workers, pregnant women and persons at higher risk). IVAC has decades of experience of working with leading vaccine R&D entities from all continents. A welcome effect of the WHO project has been interest from further international partners to support our research and expand our skills. We were selected, for example, as part of a grant from the USA to support, in particular, environmental aspects of our pandemic influenza project, and the development of Phases I and II safety and immunogenicity studies in human clinical trials of our vaccine.

[14] The NC-1 amino acid sequence corresponding to SKSSITITNKRLT

[14]. The NC-1 amino acid sequence corresponding to SKSSITITNKRLTRK [2] was analysed for sequence similarity to other sequences from Taeniidae specimens using the Basic Local Alignment Search Tool (BLAST) algorithm [17] on the National Center for Biotechnology Information public database (http://blast.ncbi.nlm.nih.gov/Blast.cgi). In June 2011, each search was limited to just a single organism whose alignment had an E-value lower than 1.0. The following Taeniidae non-redundant (nr) sequence databases were accessed: T. crassiceps, T. solium, Taenia saginata, Taenia hydatigena,

Taenia multiceps, Taenia pisiformis and Taenia taeniaeformis. The theoretical isoelectric point (pI) and molecular weight (Mw) of Taenia sp proteins were obtained from the Compute pI/Mw Program [18] at Expasy (http://expasy.org/tools/pi_tool.html). In the first immunisation, mice were injected subcutaneously into the intra-scapular fold with one dose, i.e. selleckchem 20 μg of NC-1 peptide coupled to BSA (NC-1/BSA), TcCa, or BSA dissolved in 50 mM phosphate buffered saline, pH 7.4 (PBS) and emulsified with complete Freund’s adjuvant (1:1, Caspase activity assay volume ratio) in a total volume of 100 μL. Following the guidelines of the animal ethics committee, the boost immunisation using the same route was avoided due to lesions caused by the complete Freund’s adjuvant, and at 2-week intervals, animals received

new intra-peritoneal doses of immunogens emulsified with incomplete

Freund’s adjuvant. One week after the fourth and eighth immunisation, approximately 50 μL of blood was collected from the mice by retro-orbital bleeding to measure antibody reactivity with ELISA. Plates with 96 wells (Falcon Labware, Oxnard, CA) were coated during 16 h at 4 °C with 10 μg/mL of the 3 antigens (non-coupled NC-1 peptide, TcCa, and BSA) dissolved in 50 mM carbonate buffer pH 9.6. After blocking with 2% (w/v) casein diluted in 50 mM Terminal deoxynucleotidyl transferase phosphate buffered saline, pH 7.4 (PBS) and 0.05% (v/v) Tween 20, the mouse sera against each antigen diluted 1:100 in incubation buffer (Tween 20, 0.25% (w/v) casein) was added to each well and incubated at 37 °C for 1 h. The binding antibody was quantified using goat anti-mouse IgG (whole molecule)-horseradish peroxidase (Sigma # A4416) diluted 1:4000. The reaction was revealed using orthophenylenediamine and H2O2 and stopped by adding 20 μL of 2 N sulfuric acid. Absorbance readings (A492 nm) were carried out in ELISA reader. Following the protocol described above, mice were given a booster 1 week after the second blood sample was obtained. One week later, animals were infected with an intra-peritoneal injection of 5 cysticerci of T. crassiceps resuspended in 100 μL of PBS. Four weeks after this challenge, the animals were euthanised, and peritoneal washing in phosphate-buffered saline (150 mM NaCl, 10 mM sodium phosphate buffer and pH 7.

2 and subjected to real-time PCR to determine the amounts of 244

2 and subjected to real-time PCR to determine the amounts of 244 DI RNA, genomic segment 1 RNA, and segment 7 RNA (Fig. 3). The levels of segments 1 and 7 RNA on day 2 after infection were similar in the lungs of mice given either inactivated DI virus + A/WSN or active DI virus + A/WSN. On day 4 there was 5-fold less segment 7 and 12-fold less segment 1 in the active DI virus + A/WSN than MLN0128 solubility dmso in the control group but by day 6 both groups had similar amounts of segments 1 and 7. At this point the levels of segments 1 and 7 in the lungs of the inactivated DI virus + A/WSN group reached a plateau, while those in the active DI virus + A/WSN group reached a plateau

from day 8. On day 8 mice in the inactivated DI + A/WSN group were very sick indeed, and the amount of RNA in replicate lungs varied by over 100-fold making the mean unreliable. The majority of mice in this group died shortly thereafter. In both groups, levels of segment 7 RNA were consistently

5 to 10-fold greater than those of segment 1. The reasons for this are unclear but as the PCR primers are vRNA specific this appears to be a genuine difference. This is consistent with studies with studies of synchronized infection of cells in vitro in which segment 7 RNA was 9-fold greater than the combined RNAs1 to 3 [36] or 2-fold greater than RNA 1 early in infection [37]. There was an initial high level of approximately 108 copies of 244 DI RNA in the lungs of SCID mice inoculated with the active DI virus + A/WSN, MRIP and about 100-fold lower in the group Ibrutinib solubility dmso that received inactivated DI virus + A/WSN. The latter represents UV-fragmented 244 RNA and residual intact 244 RNA (Fig. 3c and d). After 2 days there was undetectable 244 DI RNA in the lungs of mice inoculated with inactivated DI virus + A/WSN (Fig. 3c and d), whereas the amount in the active

DI virus + A/WSN group was unchanged. 244 RNA in the active DI virus-protected group then maintained a modest but steady rise to nearly 109 copies per lung by day 8, and remained between 108 and 109 copies until day 16 when most of the mice were dead. The RNA was clearly being replicated as mice that received only active DI virus showed a steady decline in amounts of 244 RNA (Fig. 3d open squares). Thus substantial amounts of 244 RNA were present in mice inoculated with DI + A/WSN throughout both the initial period of good health (up to and including day 9) and through the period of delayed onset disease (days 10–16). In contrast 244 DI RNA in the lungs of mice inoculated with inactivated DI virus + A/WSN increased from day 2 to day 4 reflecting rapid replication of residual amounts of DI RNA that remained after the UV-irradiation (Fig. 3c). The 244 RNA increased to a maximum on day 6, but this was evidently too late to be of benefit as 75% of mice already showed signs of clinical disease on day 4.

This model fits well with much of our data on the role of Beta HP

This model fits well with much of our data on the role of Beta HPV proteins and expression patterns, but still requires some confirmation, perhaps by the analysis of intermediate disease states during cancer progression. Although there are many similarities in genome organisation of HPVs, there are many differences, both in protein function and expression patterns that underlie disease phenotype.

The discovery of Gamma HPV types 101, 103 and 108 that lack an apparent E6 gene, and which are associated with cervical disease [199] and [200], emphasises the limitations of applying general principles across wider groupings. Such considerations should also be borne in mind when considering click here how HPV16 and 18 cause disease, and how even more closely related types, such Ibrutinib molecular weight as HPV16 and 31, function in infected epithelial tissue. Although high-risk HPV infection is common, with over 80% of women becoming infected at some stage in their life, cervical cancer arises only rarely as a result of infection. Most infections are cleared as a result of a cell-mediated immune response, and do not persist long enough for deregulated gene expression and the accumulation of secondary genetic

errors to occur. HPV16 has an average length of persistence that is longer than most other high-risk types, and this may contribute to its higher cancer risk [201] and [202]. Poorly understood differences in cell tropism and disease progression patterns associated with individual HPV types may underlie the higher association of HPV18 with adenocarcinoma (rather than squamous cell

carcinoma) and its relative infrequence in CIN2. Indeed, our current thinking suggests that HPV16, 18 and 45, which are the primary cause of adenocarcinomas, may infect cells with potential for glandular differentiation [203], and that an abortive Adenosine or semi-permissive infection in these cells is important for the development of adenocarcinoma. Recent studies have suggested that the infection of specific cells in the junctional region between the endo and ectocervix may in fact underlie the development of many cervical cancers [204]. In general however, genital tract infections by HPV are common in young sexually active individuals, with the majority (80–90%) clearing the infection without overt clinical disease. Most of those who develop benign lesions eventually mount an effective cell mediated immune response and the lesions regress. Regression of anogenital warts is accompanied histologically by a CD4+ T cell-dominated Th1 response, which is also seen in animal models of PV-associated disease [205], [206], [207] and [208]. Such models provide evidence that the response is modulated by antigen-specific CD4+ T cell dependent mechanisms.

644x + 2 857 and correlation coefficient (r) was 0 9996 ( Fig  3)

644x + 2.857 and correlation coefficient (r) was 0.9996 ( Fig. 3). Specificity of the method for LER was proved from the spectral scan (Fig. 4), and peak purity correlation (r) results ( Table 2) for LER in bulk and in two capsule formulations indicate that there is no merging or co-elution of interfering peaks with LER, so there is no interference from any excipients present in tablet formulations of LER. For determination of precision of LER by the proposed method, same homogeneous

samples of LER (real samples) were prepared repeatedly and analyzed. Intermediate precision was evaluated at different times on same day, on different days and even by different analysts. Low values of RSD (less than 2%) obtained in the precision studies (Table 1) indicate that the method is precise and reproducible. Accuracy of the proposed method was studied by preparing synthetic mixtures Decitabine datasheet of tablet excipients having a known amount of LER corresponding to approximately 80–120% of the label claim. Mean recovery (Table 2) for LER was between ±2% indicating that the developed method was accurate for the determination of LER in pharmaceutical formulations. Acceptable %RSD values GSK1120212 nmr obtained after making small deliberate changes in the developed HPTLC method indicate that the method is robust for the intended purpose

(Table 3). No significant change was observed in peak area of LER when analyzed up to 48 h at different time intervals (RSD ± 1.03%), which indicates the solution stability

within the period of evaluation (Table 5). The proposed, developed and validated HPTLC method was successfully applied for determination of LER in marketed formulations of LER. There was no interference of excipients commonly found in tablet as described in specificity study. No degradation product peaks were observed when marketed formulation was analyzed by this method. The assay results obtained were satisfactory, accurate and precise as indicated by %RSD TCL values (Table 4). The good performance of the method indicates that it can be used for the determination of LER in drug substances and pharmaceutical preparations. This developed and validated HPTLC method is specific, precise and accurate and successfully applied for determination of LER in its pharmaceutical formulations, which suggests good reliability of the method as no significant difference in assay results was obtained when the developed method was compared with the reported RP-HPLC method. The developed HPTLC method can be conveniently used for routine quality control analysis. All authors have none to declare. The authors are thankful to Glenmark Pharmaceutical Pvt Ltd, Nashik for providing gift sample of the drug for research. Management, VJSM’s Vishal Institute of Pharmaceutical Education & Research, Ale, Pune (Dt.), Maharashtra, Anchrom Test lab Pvt. Ltd.

Eight physiotherapists and four physiotherapy assistants particip

Eight physiotherapists and four physiotherapy assistants participated in the study. The physiotherapists ranged in experience from one

to 14 years post-graduation and the physiotherapy assistants had between two and 10 years of experience. Physiotherapists were managing caseloads of a mean of 8 patients (SD 2). The participants had a mean (SD) age of 68 (13) years, 9 (64%) were male, 7 (50%) had a right-sided stroke lesion, 6 (43%) had a left-sided lesion and 1 (7%) had a bilateral stroke. The average duration of physiotherapy sessions was 55.6 (23.4) minutes (range 19 to 90) (Table http://www.selleckchem.com/products/epz-5676.html 1). There was strong agreement between therapist-estimated and video-recorded total therapy times (ICC = 0.90, see Table 1), however there was a systematic overestimation of total

therapy time by the therapists, mean difference 7.7 (SD 10.5) minutes (95% CI LEE011 molecular weight 4.6 to 10.8). The Bland-Altman plot (Figure 1) for total therapy time presents this systematic overestimation. Similarly, there was strong agreement between therapistestimated and video-recorded time for total active time in therapy sessions (ICC = 0.83, see Table 1) with a systematic overestimation of total active time by the therapists, mean difference 14.1 (SD 10.3) minutes, 95% CI 11.1 to 17.1 ( Figure 2). However, there was less agreement between therapist-estimated and video-recorded inactive time (ICC = 0.62, see Table 1), and therapists systematically underestimated the amount of time patients were inactive during therapy sessions, mean difference –6.9 MTMR9 (SD 9.5) minutes, 95% CI –9.7 to –4.1 ( Figure 3). Comparing the influence of session type (individual versus group) using percentage mean difference,

there was no difference in the accuracy of estimations of total active time between individual (28%) and circuit class therapy (28%) sessions, but therapists tended to underestimate inactive time in circuit class therapy sessions (37%) to a greater extent than in individual therapy sessions (29%) (Table 2). In terms of the various subcategories of activity, ICC scores ranged from 0.73 to 0.99 for all of the categories except for ‘transfers and sit-to-stand practice’, which had a low ICC score of 0.37, indicating only a fair agreement between therapists’ estimations and video recordings (Table 3). As with the total active time, therapists tended to overestimate the time patients spent engaged in the various physical activity categories. The magnitude of this overestimation varied, but in some cases was as high as 63%. This is the largest study to date to investigate the accuracy of therapists in recording therapy time, and the only such study to involve multiple data collection centres and to include group therapy as well as individual therapy sessions.

Reverse-transcribed RNA samples were diluted 1/5 and quantitated

Reverse-transcribed RNA samples were diluted 1/5 and quantitated by real-time PCR using QuantiTect SYBR Green Master Mix (Qiagen) on the ABI PRISM 7900HT (Applied Biosystems). Copy numbers were determined by 10-fold serial dilutions of plasmid standards and normalized to the reference gene eukaryotic translation elongation factor 1 alpha 1 (EEF1A1). Serum IgG antibodies to PCV serotypes (4, 6B, 9V, 14, 18C, 19F and 23F) were measured

using a WHO standardised ELISA [23]. Briefly, microtitre plates (Greiner, Germany) were coated with capsular polysaccharide antigens for 5 h at 37 °C. Serum samples were added after overnight absorption with 10 μg/ml cell wall polysaccharide and 5 μg/ml serotype 22F. The WHO reference serum 89SF (FDA, Bethesda, MD) was pre-absorbed with 10 μg/ml cell wall polysaccharide. Goat anti-human IgG conjugate (Biosource, click here CA, USA) and MG-132 molecular weight pnPP substrate

(Sigma, USA) were used for detection. Each plate contained a high and low in-house quality control serum to assess intra- and inter-assay variations. Statistical analysis of data other than the microarray studies were performed using SPSS 15.0. To compare categorical variables, the Pearson chi-square and Cramer’s V were calculated for 2 × 2 and 2 × 3 tables respectively. Mann–Whitney tests or Kruskal–Wallis tests were used to compare continuous data in two or three groups, respectively. Cytokine responses were log10-transformed and data presented as geometric

means (GM) ± the standard error of the geometric means (SEGM). Spearman rank correlation analysis was performed to study correlations between 7vPCV serotype-specific IgG antibody titres and CRM197-specific cytokine responses. For all analysis, test outcomes were considered to be significant if the p-value was smaller or equal to 0.05. Population characteristics for the children at the time of enrolment have been described elsewhere [18]. Of the 313 children enrolled at birth, 255 were eligible for follow-up and data analysis Megestrol Acetate at 9 months of age (neonatal 81; infant 91; control 83): of the 58 children lost to the study at 9 months, parental consent was withdrawn for 32 children (neonatal, n = 14; infant, n = 7; control, n = 11); 10 children were lost to follow-up due to migration out of the study area (neonatal, n = 3; infant, n = 1; control, n = 6); 15 children were excluded from analysis due to protocol violations (neonatal, n = 4; infant, n = 3; control, n = 8); and one child died (infant group). Sufficient PBMC for in vitro CRM197 stimulations were available for 222 children (neonatal 74; infant 76; control 72) at 9 months of age; for 132 children cell culture data at both 3 and 9 months of age were available (neonatal 48; infant 46; control 38).

The population is predominantly subsistence farmers and fishermen

The population is predominantly subsistence farmers and fishermen belonging to the Luo ethnic group. Rain falls year-round, but is usually heaviest between March and May, with a second smaller peak in October and November [23]. The area has high child mortality; in 2009, it had a mortality ratio of 180.5 per 1000 live births in children under age five [24]. At the time of the vaccination campaign, Asembo still had no paved roads, except on its northern border. Few public transport vehicles serviced the area and walking was the most common mode of transport. KEMRI/CDC established the HDSS

in 2001 with an objective of providing an infrastructure for future evaluation of population-based ON 1910 public health interventions [22]. Data generated by the HDSS stratified by age, sex, socio-economic status (SES), educational level, and geographic location can be used to generate hypotheses and address the causes of morbidity and mortality in subgroups of the population. The SES score is derived using multiple component Dinaciclib ic50 analysis (MCA) [25], for all households under HDSS. The MCA is generated based on household assets, namely occupation

of household head, primary source of drinking water, main source of cooking fuel, in-house possession (lantern lamp, sofa, radio bicycles and TV) and livestock ownership (goats, cattle, donkeys, pigs and sheep). All houses in the HDSS area were mapped using a differential global positioning system (GPS) as part of the insecticide treated net malaria trial [26], and maps are updated at least annually to take account of new construction. We implemented a seasonal influenza vaccination campaign from April 4 to June 24, 2011, offering free

trivalent inactivated influenza vaccine to children aged 6 months–10 years old who are participants of the population-based morbidity surveillance in rural western Kenya. The until trivalent vaccine included a pandemic influenza A (H1N1) 2009 component, an influenza A (H3N2) component and an influenza B component. Children aged 6 months–8 years, and those that were vaccine naive, were scheduled to receive 2 doses while those aged 9–10 years old were scheduled to receive only one dose. The two doses were administered 4 weeks apart. Influenza vaccines were administered from three designated health facilities; St. Elizabeth Lwak Mission Hospital, Mahaya Health Center and Ong’ielo Sub-district Hospital. These three health facilities are spread within the surveillance area to allow ease in access to healthcare. The vaccines were available at the facilities on weekdays from 9 am to 3 pm.

Interviews with a selection of countries from each group will be

Interviews with a selection of countries from each group will be conducted later to ascertain explanatory factors for increased or decreased distribution rates. The study’s results were compiled uniformly on a global basis from a standardized source. The vaccine producers that manufacture the majority of the world’s influenza vaccines (IFPMA IVS members)

accounted for approximately 79% of the global seasonal influenza vaccine production reported by a 2011 WHO survey [10], or 489 million doses out of 620 million doses, with the remainder manufactured by non-IFPMA IVS members. However, some limitations to the survey methods must be noted. Some error may have occurred due to inaccurate reporting by distributors, but this error should be small. It is also recognized that dose distribution is not synonymous with vaccination coverage rates, but provides a reasonable proxy to assess vaccine utilization. Also, increases in absolute Trametinib numbers of doses distributed

may in some cases reflect changes in http://www.selleckchem.com/products/ON-01910.html target populations (i.e., new target groups), and not increased coverage. Global distribution of IFPMA IVS seasonal influenza vaccine doses in 2011 represents an approximate 87% increase over absolute number of doses distributed in 2004 (489.1 versus 261.7 million doses) as seen in Fig. 1, but only an approximate 12% increase over doses distributed in 2008 (489.1 versus 436.5 million doses). Thus, while there is a positive trend in global distribution of doses, and a majority of countries (56%) have increased doses distributed per 1000 population between 2008 and 2011, the rate of growth has slowed

considerably. In 2011, only 24% of 115 countries had achieved or surpassed the hurdle rate of 159 doses per 1000 population. Using vaccine dose distribution as a proxy for vaccine coverage would therefore suggests that the majority of countries have not achieved national or supranational targets for influenza vaccination where they exist. Low coverage rates cannot be attributed to lack of vaccine supply as global manufacturing capacity for influenza vaccines has grown steadily but remains underutilized with only about half the capacity being consumed annually [10]. Hence, many vulnerable patients are not protected against Dipeptidyl peptidase the potential serious implications of an influenza infection. Furthermore, there are significant regional disparities in dose distribution. Increases in distributed doses have been predominantly steady in all WHO regions since 2004, except in EURO and EMRO where distributed doses have been declining since 2009. AFRO, SEARO and EMRO constitute 47% of the global population but account for only 14.1 million doses of the more than 489 million IFPMA IVS doses (3.7%) distributed in 2011. And within these 3 regions, further inequities in distribution exist with only 4 countries having distributions of >70 doses per 1000 population and the vast majority of countries having considerably lower per capita distributions.