166. The World’s Most Effective Public Health Intervention Is Under Attack
People I (Mostly) Admire
Freakonomics Radio + Stitcher
4.6 • 2K Ratings
🗓️ 13 September 2025
⏱️ 62 minutes
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| 0:00.0 | Vaccines have been making a lot of headlines over the last five years. |
| 0:08.6 | First, because of the remarkable speed with which the COVID vaccine was developed, and more |
| 0:14.1 | recently, because of the Trump administration's hostility to vaccines. |
| 0:18.8 | I can't think of a better time to have a conversation with today's guest, |
| 0:22.4 | Seth Berkeley, who for more than a decade ran the largest vaccination program in the world. |
| 0:28.4 | These are amazing technologies that have lifted us up from a situation where people are losing |
| 0:35.6 | a third of their kids routinely to a place where people assume you have one child, that child's going to live and be healthy. |
| 0:47.0 | Welcome to people I mostly admire with Steve Levitt. |
| 0:53.8 | My guess is that you've never heard of Gavi, G-A-V-I, it's spelled, because for an organization |
| 1:00.1 | with such a massive impact, it keeps a very low profile. So I started my conversation with |
| 1:05.3 | Seth by asking him to just tell me what Gavi does. |
| 1:15.4 | Thank you. just tell me what Gavi does. Since Gavi was set up, it's vaccinated over 1.1 billion additional children. |
| 1:22.3 | I say additional children because obviously many children get lots of vaccines. |
| 1:27.3 | It's credited now with having saved more than |
| 1:30.2 | 20 million lives, if you include some of the work done in COVID. But it doesn't just do routine vaccines. |
| 1:37.2 | It helps build up health systems to be able to deliver these vaccines. And it's responsible for |
| 1:42.7 | providing vaccines to about 60% of the world's |
| 1:46.0 | children. It also is holding stockpiles of vaccines that are used to prevent epidemics as well, |
| 1:54.1 | so lots of different activities working across the world. |
| 1:58.1 | It's easy for people to lose sight of how big these numbers are. |
| 2:02.8 | Just to reiterate what you said, we're talking about over a billion kids who have been immunized |
| 2:08.5 | that wouldn't have been otherwise, and 20 million deaths, which is an incredible number. And so |
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