all problems
welfare floorPhysical health & diseasehumans affected:high

Infectious disease (malaria, TB, HIV)

The Copenhagen Consensus welfare floor, pennies save lives, and we still are not spending them.

Whitepaper · v0.1 · open to refutation

The summary lives here. The full whitepaper walks through the four-axis ranking, existing alternatives, proposed direction, cost & scale, and suggested investors — in the spirit of Hyperloop Alpha.

Quantity · humans affected

2.5Bhumans at risk of at least one

source: WHO Global Burden of Disease

Severity · WTP / wealth

60%med

share of affected person’s wealth they would pay for a solution

Current solutions

4.0/ 10med

quality of existing solutions — low score = high opportunity

Market size · TAM

$200.0Bmed

USD / year the world is already paying

Time · OOM to impact

10ylow

order-of-magnitude horizon to civilizational-scale impact

Capital · OOM to solve

$150.0Blow

cumulative R&D + deployment + supply chain across the arc

Three-lens scoring

welfare · copenhagen BCR
48.0× per $high
x-risk · 80k hours ITNn/a
utility delta · state-of-art vs physics
50%med

Malaria killed ~600,000 people in 2023, mostly children under 5. Tuberculosis kills ~1.3M per year. HIV kills ~630,000 per year despite proven suppression protocols. The Copenhagen Consensus ranks these interventions among the highest benefit-cost ratios in global development, $1 of intervention returns $20-$100 in economic and welfare gains. This is the baseline anyone claiming to rank humanity's problems has to include.

The success vision · 15 years horizon

If we solve this, here is the world we get.

med

Before · today

~1.3M deaths/yr from TB. ~600K from malaria. ~600K from HIV/AIDS. All preventable with known interventions but coverage gaps + drug resistance growing.

After · 15 years

Malaria, TB, HIV mortality reduced 95%+ via single-dose curatives, gene-drive vector control, universal vaccines. Three of humanity’s oldest scourges effectively closed out.

Companies on this quest

5 mapped

HIV franchise leader (Biktarvy, Descovy, lenacapavir as twice-yearly PrEP). Also hep B/C, oncology.

$95.0Bhigh
GSKpublic

Global pharma. Manufacturer of RTS, S and R21 malaria vaccines; major HIV and TB portfolios.

$72.0Bhigh
Modernapublic

mRNA platform company. Pandemic preparedness via rapid vaccine development, plus pipeline in malaria, HIV, and rare disease.

$10.5Bhigh

Vaccine alliance funding immunization in low-income countries. Vaccinated over 1B children since 2000.

private · no disclosed cap

Distributes long-lasting insecticidal nets. Consistently top-rated GiveWell charity for cost-effective impact.

private · no disclosed cap

Capital funding this quest

3 allocators

Sources