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The report identifies that 1.12 billion people across 76 countries are at high risk due to a lack of access to cooling, with the COVID-19 pandemic increasing this number by approximately 50 million in 2021. It highlights critical gaps in rural and urban poor populations, particularly in Africa and Asia, and examines the urgent need for sustainable cold chains for vaccine distribution. The document also promotes National Cooling Action Plans (NCAPs) and showcases passive and solar-powered cooling solutions in countries like Colombia, Rwanda, Bangladesh, and Indonesia.