"Puliyel protests that the Gates Foundation has privatized and monetized international public health policy, transforming WHO recommendations into effective mandates and compelling poor countries to pay annual tribute to foreign Pharma overlords. Puliyel told me that India and other Asian nations are now effectively compelled to administer the vaccine and to increase Hib uptake targets, “irrespective of an individual country’s disease burden, notwithstanding of natural immunity attained within the country against the disease, and not taking into account the rights of sovereign States to decide how they use their limited resources.” He adds that “The mandate and wisdom of issuing such a directive, for a disease that has little potential of becoming a pandemic, needs to be questioned.” Dr. Puliyel’s commentary in the BMJ denounced Gates and GAVI for pushing Hib vaccine in developing countries and for falsifying the characterization of the research data in their press release: “The directive has come after a number of failed attempts to convince the scientific community of the need for this vaccine in Asia.” Puliyel described the HiB saga as “a case study on the visible and invisible pressures brought to bear on governments to deploy expensive new vaccines.”"