Global Pandemic Treaty: A Crucial Step in Preparedness

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Global Pandemic Treaty: A Crucial Step in Preparedness

Context:

The World Health Organisation (WHO) has been leading negotiations among its 194 member states to establish an international accord focused on pandemic prevention, preparedness, and response.

  • This historic treaty will be only the second health accord since the 2003 Framework Convention on Tobacco Control, aimed at reducing smoking worldwide.

 

Need for a Pandemic Accord

  • The devastating impact of COVID-19 has laid bare the urgent need for a global response to future pandemics. 
  • Vaccine Inequity: One of the starkest failures during the COVID-19 pandemic was the inequitable distribution of vaccines
    • Wealthier nations prioritised stockpiling doses for their own populations, leaving low- and middle-income countries struggling to secure and distribute vaccines. 
      • An analysis estimated that 1.3 million people in lower-income countries died due to this inequitable access. 
      • During the global vaccination campaign, 80% of all doses were given in high-income and upper-middle-income countries.
  • Building Equity at the Core: The proposed pandemic accord aims to tackle the crucial issue of equity regardless of a nation’s wealth.

Progress on Pandemic Accord

  • Protection of Health Workers: The first approved article of the accord focuses on human resources, specifically the health workforce
    • Ensuring their protection and prioritising access to vaccines as frontline workers. Additional conditions include ensuring decent work and safe working conditions.
  • Securing Funding: The COVID-19 pandemic highlighted failures due to underfunded preparedness and response efforts, underscoring the need for a coordinated financial mechanism.
  • Pandemic Fund Reform: The fund, launched in 2022 by the World Bank, was the first multilateral financing mechanism solely dedicated to providing grants to improve pandemic preparedness in low- and middle-income countries.

 

Remaining Challenges in Pandemic Accord Negotiations

  • Differing Priorities: Negotiators hold diverse views, with some prioritising specific aspects regardless of extensions. Finding common ground requires creative solutions.
  • Competing Interests: Different groups have emerged, each advocating for their priorities:
    • Friends of the Treaty: Pushes for the overall accord’s acceptance.
    • Group for Equity: Mainly from developing countries, there is an argument for equal access to pathogens and benefit-sharing.
    • Friends of One Health: Mainly from Europe and the UK, there is a push to frame the entire agreement under One Health.
      • A concept that examines the interconnectedness between people, animals, plants, and the environment.
  • Supply Chain and Logistics: Transparency in costs, pricing, and availability of essential medical supplies.
    • Developed nations, including the US, and some developing countries prioritise this aspect.

 

Key Sticking Points:

  • Pathogen Access and Benefit-Sharing System (PABSS): The African region and Group for Equity strongly emphasised that pathogen sharing must be a cornerstone of any pandemic treaty. 
    • They insisted on access from developing countries, with the resulting benefits—such as vaccines and diagnostics—being shared equitably.
  • Technology Transfer: This involves geographically diversified production using mechanisms like compulsory licensing and product information, especially to benefit developing countries. 
    • Developed nations have backed voluntary technology transfer goals in the agreement but have criticised mandatory technology transfer language.
  • Balancing Diverse Needs: Reaching an agreement acceptable to all 194 member states requires careful consideration of various demands, including:
    • Gender considerations
    • Equity in resource distribution
    • Liability and compensation mechanisms

Disease Outbreaks

  • Pandemic: A widespread outbreak that transcends national borders. The disease affects a large number of people across several countries or continents. 
  • Epidemic: A localised outbreak concentrated within a specific population or region. The disease might surge significantly within a short period, but it remains geographically confined. 

 

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