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According to an analysis by Reuters, Cuba has vaccinated more than 90 percent of its population with at least one dose of a COVID-19 vaccine, while 83 percent of the island’s population has been fully vaccinated. That puts Cuba second in place globally in vaccination rates among countries with at least 1 million people.

According to Reuters, nearly all children aged 2 to 18 have been vaccinated in Cuba through the island’s own vaccine. The World Health Organization (WHO) also says that Cuba has had fewer than 1 million cumulative COVID-19 cases since the pandemic began and administered around 257 vaccine doses per 100 people.

William Moss, director of the Johns Hopkins International Vaccine Access Center, told Reuters that “it is a truly remarkable accomplishment, given the size of Cuba, and also the U.S. embargo, that restricts their ability to import.”