decision to have only two children and help with maintaining a smaller and more sustainable population. In August 2021, to mark her 40th birthday, Meghan launched 40x40, a campaign that asks people around the world to spend 40 minutes of their time mentoring women reentering the workforce. In September 2021, Meghan and Harry spoke again in support of vaccine equity at the Global Citizen Live concert. In the following month and ahead of the 2021 G20 Rome summit, the couple penned an open letter together with the Director-General of the World Health Organization Tedros Adhanom, asking the G20 leaders to expedite efforts for the global distribution of COVID-19 vaccines. In January 2022 and following criticism aimed at Spotify for their handling of COVID-19 misinformation, Meghan and Harry made an announcement stating that since April 2021 they had begun "expressing concerns" about the issue on the platform. In February 2022, the couple were selected to receive NAACP's President's Award for their works on causes related to social justice and equity. In the following month, they were among more than a hundred people who signed an open letter published by the People's Vaccine Alliance, asking for free global access to COVID-19 vaccines and calling out the UK, EU and Switzerland for opposing a waiver that would allow vaccine intellectual property protections to be lifted. In October 2022, Meghan and Harry were named as Ripple of Hope Award laureates for their work on racial justice, mental health, and other social initiatives through their foundation Archewell. Patronages and interests From January 2019 to February 2021 Meghan was patron of London's National Theatre and the Association of Commonwealth Universities. She continued her role as the private patron of Mayhew until 2022. She remains a private patron of Smart Works. From March 2019 to February 2021, she was the vice president of The Queen's Commonwealth Trust. Until February 2021, periodically, online QCT chat sessions were conducted and uploaded to YouTube for general public viewing. In October 2019, along with other members of the royal family, Meghan voiced a Public Health England announcement, for the "Every Mind Matters" mental health program. In 2019 Meghan was a contributor and guest editor for the September issue of British Vogue and highlighted the works of 15 women from different areas, who were described as "Forces for Change". Edward Enninful, editor-in-chief of the British Vogue, later revealed that the issue had