It's hardly uncommon to tailor vaccines to a country based on the particular 'needs' of the country in question
https://www.pop.org/content/bad-blood-philippines
From: http://www.zebrafactcheck.com/did-kissinger-call-depopulation-a-priority/
I'm all for good-faith efforts to help others with their problems, but when the driving force is to help one's crony friends and sponsors make more money it is totally reasonable to expect the programs and implementation to be unethical.
To this day all U.S. presidents regularly make the pilgrimage to kiss Henry Kissinger's ring. Including Trump so it seems, though it would be awfully interesting to be a fly on the wall.
People who will risk their kid's well-being on the assumption that they are 'western' and thus immune from the machinations of the likes of Kissinger, Gates, and Merck probably deserve what they get. From my perspective, the problem with these people is that they are likely to be holding the guns which force others into taking the same crap-shoot with their own kids.