Nina Schwalbe Profile picture
Strategist โ€ข Researcher โ€ข Advocate โ€ข CEO at Spark Street Advisors โ€ข Faculty @columbiamsph and @unu_iigh โ€ข Dyslexic (typos mine) โ€ข Tweets on public health

Feb 10, 2023, 11 tweets

๐Ÿšจ The Intergovernmental Negotiating Body (INB) published the "zero draft" of the #pandemictreaty last week and briefed Member States about it this week.

The draft will be discussed in Geneva from 27 Feb to 3 March.

Summary of the process & highlights on the new text in this ๐Ÿงต

During the briefing, Member States expressed concern:

โฐ too little time between now and the next meeting
โŒ›๏ธ too little time dedicated to complex issues.

Suggestions included postponing discussions on denser issues or inter-sessional work (which may disadvantage smaller states)

The โ€œzero draftโ€ follows the same structure as the "conceptual zero draft.โ€

โœ… Introduction followed by objectives, guiding principles and scope
โœ… Four chapters outlining substantive content
โœ… Two chapters dedicated to proposed treaty governance.

The preamble and principles remain consistent with the conceptual draft, including references to the IHR, Intellectual Property Rights, WTO and TRIPS.

The principles emphasize a central role of WHO and suggest the adoption of Common but Differentiated Responsibilities (CBDR)

Equity is a chapter and theme throughout. Proposals include:

๐Ÿ”— WHO Global Pandemic Supply Chain and Logistics Network
๐Ÿญ increased manufacturing capacity
๐Ÿ’ฐ mandated transparency in publicly-funded research
๐Ÿ” access and benefit-sharing (ABS)
๐Ÿ’‰20% of products set aside for WHO

Strengthening and sustaining capacity priorities, including:

๐ŸŽฏ centrality of Universal Health Coverage
๐Ÿง‘๐Ÿฝโ€โš•๏ธ skilled domestic and global public health emergency workforce
๐Ÿ‘€ simulation exercises, regular monitoring, and universal peer review
๐Ÿค human rights protections

Coordination, collaboration and cooperation include:

๐Ÿ—บ WHO as the directing and coordinating authority
๐ŸŒ Solidarity and protecting the most vulnerable
๐Ÿฆƒ One Health, whole-of-government and whole-of-society approaches
๐Ÿ““ Health literacy, addressing mis- and dis-information

Financing suggestions include dedicating:

๐Ÿ’ถ 5% of health expenditure to domestic pandemic preparedness, recover and response (PPRR) funding
๐Ÿ’ณ a certain percentage (TBC) of GDP to international pandemic PPRR funding

The treaty would be governed by a Conference of the Parties, reviewing implementation every three years, supported by:

๐Ÿงฎ administrative โ€œOfficers of the Partiesโ€ and a secretariat provided by WHO.

๐Ÿ”— inclusive consultative body for advice/technical input (not decision-making)

The draft is silent on any oversight or accountability mechanism for the treaty, only to be agreed upon at the governing body's first meeting.

Proposed monitoring and accountability only focus on achievements and gaps.

bit.ly/lancettreaty

๐Ÿ—“ The treaty would enter into force 30 days after the 30th country ratifies. No reservations or exceptions are allowed.

ูช Once adopted, additional protocols would require a two-thirds majority.

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