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No. of Private Companies<br />

No.of Companies<br />

Orphanization of Primary (EPI) Vaccines<br />

20<br />

18<br />

16<br />

14<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

Public Sector<br />

Private Sector<br />

1971 1991 2001 2008<br />

Year<br />

• Decline in the firms making EPI vaccines<br />

• Decline of production in the public sector<br />

• Low private sector interest in EPI vaccines<br />

• Growing demand-supply gap in EPI vaccines<br />

• Private sector promoting expensive new vaccines<br />

• UNICEF acknowledged global shortages for EPI<br />

• Madhavi, 2005, PLoS Medicine<br />

25<br />

20<br />

EPI Vaccines<br />

New vaccines<br />

15<br />

10<br />

5<br />

0<br />

1971 1991 2001 2008<br />

Year<br />

Source: UNICEF, 2003

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