The COVID-19 pandemic has affected human health and well-being for the worse in nearly every measurable way, according to a new report released by the Bill & Melinda Gates Foundation. In its fourth annual Goalkeepers Report—which assesses the world’s efforts to meet goals set out by the United Nations to end extreme poverty, hunger, gender inequality, and more—the foundation finds that the COVID-19 pandemic has reversed years of progress toward nearly all of these goals and argues for a collaborative approach to end the pandemic.

In an interview with National Geographic’s Editor in Chief Susan Goldberg, Bill Gates explains how nations can work together to turn things around—and why distributing a vaccine equitably among them would save