Combatting Amnesia and Disinformation: The Barnes Lecture with Dr. Sania Nishtar

At the School of Public Health’s annual National Public Health Week keynote, global health leader Dr. Nishtar addressed the new era of funding cuts, mistrust, our “collective amnesia” around infectious diseases and Gavi’s plan to vaccinate 500 million more children.

With the arrival of spring comes National Public Health Week and the Brown University School of Public Health’s crowning event, the annual Barnes Lecture.

This year, Dr. Sania Nishtar, CEO of Gavi: the Vaccine Alliance joined the Brown community for a conversation on global health and vaccine access in our new geopolitical era.

Welcomed by Dr. Craig Spencer, associate professor of the practice of health services, policy and practice, and Dr. Francesca Beaudoin, interim dean of Brown’s School of Public Health, Dr. Nishtar discussed her career as a physician, civil society activist, public health advocate and parliamentarian and cabinet minister in her home country of Pakistan.

Dr. Nishtar told the crowd of students and faculty that as a young person growing up in Peshawar, she had more interest in sports than in her studies. But her father’s death when she was only 15 led her to take her studies seriously, with her sights set on becoming a cardiologist.

An important moment in her medical career came while performing a fairly routine imaging procedure. “I was doing an angiography in the catheter lab and there was a hospital circular which said we could no longer use new catheters for poor patients—and I remember that was my last day in the hospital,” she said. “I couldn’t spend the rest of my life doing that. I had to find an equitable solution for these poor people that needed my help.”

Dr. Nishtar quickly launched Heartfile, a foundation that addresses care access, and returned to school for a Ph.D. in public health. She then chaired multiple commissions at the World Health Organization and served as a senator and as Minister of Social Protection in the Pakistani government, where she tripled the number of people receiving social security benefits from 5 to 15 million. “That decision in the catheter lab that day took me from bedsides to boardrooms, from hospital beds to founding institutions,” she said. “It’s been a long journey and I’ve learned a lot along the way.”

That decision in the catheter lab that day took me from bedsides to boardrooms, from hospital beds to founding institutions,” she said. “It’s been a long journey and I’ve learned a lot along the way.

Dr. Sania Nishtar CEO of Gavi, the Vaccine Alliance
 
Dr. Sania Nishtar speaks into a microphone.

When Dr. Nishtar joined Gavi in 2024, she implemented a 180-day plan, which identified priorities for action during her tenure. This process led to the Gavi Leap, a new approach for global health institutions adjusting to unprecedented cuts in funding and support from traditional donor countries like the United States.

Gavi, a public-private global health partnership, works with the commercial sector to lower vaccine prices and co-share the costs with client countries. It maintains a strategic stockpile of vaccines for life-threatening diseases, including Ebola, yellow fever and cholera, and has the ability to mobilize funds quickly during outbreaks. Since its founding in 2000, Gavi has vaccinated over 1.2 billion children, saving more than 19 million lives, and it hopes to vaccinate another five hundred million children over the next five years, Nishtar said.

As medical disinformation has surged since the COVID-19 pandemic, and trust in public health interventions has waned, Dr. Nishtar stresses the need for clear communication and education about the importance of vaccines.

“I recently visited my ancestral graveyard,” she said, “where there are so many graves of children who died of infectious diseases. I don’t think people realize what it’s like to see a child die from diphtheria or measles. They don’t know how common infectious diseases can kill, how pneumonia can be a death sentence for children and families. I think we have a collective amnesia and that collective amnesia is more profound in the West.”

About the Barnes Lecture

 The Barnes Lecture was established in 2000 under the leadership of Professor Vincent Mor, who was then chair of the Department of Community Health. It is named in honor of Dr. Frederick W. Barnes who joined Brown in 1962 as a founding faculty member of Brown’s then new program in medicine. Dr. Barnes was passionate about educating future physicians within the context of a liberal arts environment like Brown. He began teaching the undergraduate course, The Informative Way of Life, which became wildly popular among students.

One of those students, James S. Zisson, endowed the lectureship in memory of his parents, viewing Dr. Barnes as the quintessential physician-scholar. Mr. Zisson graduated from Brown with honors in 1974, launching a career spanning entrepreneurship, investment management and leadership in the music industry as general manager of A&M Records. He also co-founded the Palm Healthcare Foundation and the Norma and Ian M. Zisson Comprehensive Breast Cancer Center of the Palm Beaches, in addition to serving on numerous boards as a trustee.

“Mr. Zisson passed away last year,” said Dr. Craig Spencer. “A regular fixture at this event every year before his death, we miss his presence, but are grateful that his commitment to public health will carry on because of his generosity.”