The ExCITD Platform

A regional play to scale health innovations

In the Asia-Pacific region, a wave of climate-driven disease is straining health systems and economies. 

But even though the challenges are getting harder, the solutions are getting better.  

New, genuinely transformative tools are making the fight against infectious disease winnable. From breakthrough vaccines and therapies to early warning systems and novel mosquito technologies, these innovations could change the game. 

And we know how to scale them up.  

BSH website Images ADB
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BSH website Images ADB

The Challenge: A crisis compounding

A warmer, wetter world is a playground for the mosquitoes that carry dengue and malaria. Longer rainy seasons and floods increase transmission. And mosquitoes are thriving in new latitudes and higher elevations, exposing people who were never at risk before. 

But it’s not just mosquitoes. Climate change displaces populations, disrupts health systems and worsens malnutrition, helping infectious diseases like tuberculosis get a foothold.

The result is an enormous and growing disease burden, just as donor aid is retreating. 

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The Opportunity: A new era for health financing

Coming out of the COVID pandemic, the Asian Development Bank (ADB), heard what leaders across the region were saying: Health needed to be a core investment priority, not an afterthought.  

The Bank recognized increased demand for health lending from its member states. It also recognized that a new generation of tools was ready to scale, helping countries reduce both disease burden and cost.  

The moment called for a new kind of platform. 

The solution: ExCITD

The Asian Development Bank’s ExCITD initiative is a flagship regional initiative advancing the agenda on priority infectious diseases in Asia and the Pacific, including dengue.

Scaling innovative technologies and approaches is a key pillar of ExCITD, alongside partnerships with development partners and philanthropies to mobilize catalytic grant funding that can help unlock larger-scale concessional financing from the Asian Development Bank for country scale-up.

BillionScale Health supports the Asian Development Bank’s ExCITD initiative by mobilizing philanthropic and private sector capital for co-financing and engaging governments to leverage ExCITD financing for regional Wolbachia scale-up.

In the Asia-Pacific region, climate change is putting pressure on health systems, economic growth and quality of life. But ExCITD is pushing back.

The platform is closing financing gaps, building capacity and putting powerful tools in the hands of the people who need them most – all while positioning the Asia-Pacific region as a global hub for health innovation and manufacturing.

Together, we are bending the curve on climate-driven disease.