TY - JOUR T1 - Did vaccine inequity lead to the second wave of COVID-19 infections in Trinidad and Tobago? JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2021-007096 VL - 6 IS - 8 SP - e007096 AU - Sandeep Bhupendra Maharaj AU - Samuel S Ramsewak AU - Darren Dookeram AU - Darleen Franco Y1 - 2021/08/01 UR - http://gh.bmj.com/content/6/8/e007096.abstract N2 - Summary boxSmall Island Developing State should not be reliant on single source supply chains. Subtle inequities can result in underserved health systems.Vaccine inequity mirrors other sociopolitical global inequities.Acquisition of vaccinations requires global diplomacy and multilateral negotiation.Impaired vaccination rollout against COVID-19 can result in accelerated population health consequences.It is possible that countries that are suboptimally vaccinated pose a threat to wealthy countries which are well vaccinated.Trinidad and Tobago (T&T) is a Small Island Developing (twin) State in the Caribbean with a population of 1.3 million and an illegal immigrant pool, some of whom are documented and with an unknown but likely substantial number of unrecorded persons. Of significance is that the island’s northwestern tip is located off the South American mainland and is less than 7 miles (11 Km) from the coast of Venezuela.The island’s public health system has struggled to cope with a second wave of infections in the COVID-19 Pandemic. This second wave started in April 2021 and continuing to date was characterised by a much larger number of infections and deaths than the first wave in 2020–2021. A … ER -