Yassen Tcholakov Profile picture
Aug 4 9 tweets 12 min read
Very interesting piece by @shoffmania and colleagues: pnas.org/doi/full/10.10…
Incredibly interesting methods of assessing the impact of international treaties which can have important impacts on #globalhealth.
1/8
@shoffmania @MathieuJPP @SuzyRVK @lathika_srithar @ggigigii @sophiercampbell @GuyattGH @RoojinHabibi @lavisjn @ranjananagi @jarottingen In short: treaties ain't great mechanisms; and if they work, it's mostly because they are trade-related or otherwise have strong related enforcement mechanisms (also smaller treaties work better than bigger ones).
2/8
@shoffmania @MathieuJPP @SuzyRVK @lathika_srithar @ggigigii @sophiercampbell @GuyattGH @RoojinHabibi @lavisjn @ranjananagi @jarottingen However, questions still remain:
1. Is it possible that there is a correlation between treaties having economic components and being easier, their impacts being easier to evaluate?
3/8
However, questions still remain:
2. Is it possible that treaties are negotiated when the world needs a certain piece of global policy to address a growing problem? Could synthetic control methods be used to get sensitivity analyses of the effects observed?
4/8
Nevertheless, interesting insight now that the #globalhealth community is discussing how to improve health emergency response.During #INB negotiations, a strong commitment to having a binding #PandemicTreaty was expressed; but, enforcement was not much discussed.
5/8
On the topic of #pandemicpreparedness and the #pandemictreatynegotiations:
It is also important to note the concern that many have of eroding further global #equity if the pandemic treaty becomes a tool for the developed world to further impose their world view #colonialism.
6/8
On the topic of avoiding #colonialism during #INB negotiations.
Participation of a diversity of actors is key!
We must address #equity.
Treaty obligations have to be balanced with benefits.
This is an opportunity of improving #healthsystems.
7/8
All said, very interesting piece, congratulations to all the authors on the outstanding work that must have gone into this. Looking forward to more!
8/8

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More from @yassentch

Oct 3, 2021
Finally go to reading the great "Guide to a Pandemic Treaty" by @GHC_IHEID, @haiknikogosian and @IlonaKickbusch.
Serves as a nice one-click FAQ on the topic.
Recommended read to anyone in #globalhealth!
graduateinstitute.ch/sites/internet…

Nevertheless, a few questions remain:
1/
The world is still struggling with responding to the ongoing pandemic, most importantly (for public health + moral reasons) the extreme inequity in vaccine distribution.
What is the opportunity cost of treaty negotiations vs addressing immediately pressing issues?
2/
The political considerations and the securitization of health diplomacy are intertwined in those discussions and will affect the outcomes.
Thus (while briefly touched upon in Q5/Q34), the topic of "in WHO or elsewhere" / "in Geneva or in New York" could be further explored.
3/
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