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Feb 1 • 5 tweets • 3 min read
💥NEW by Spark Street Advisors in @TheLancet!

🎯 Independent monitoring for the pandemic accord: a non-negotiable provision

📬 In this correspondence, we outline a proposal to promote #PandemicTreaty compliance.

bit.ly/lancettreaty Screen shot of lance publication
We propose an independent committee to monitor states' compliance with and reporting on the proposed #PandemicTreaty.

bit.ly/monitoraccord visual of how the committee would work
Our design builds on knowledge from 11 existing monitoring mechanisms and broad consultation with experts worldwide. Table from the report
The committee should:

✅ Be independent from political and financial actors in global health
📊 Gather data from a range of sources
🧾 Assess compliance of state parties and the timeliness, completeness, and robustness of reporting

bit.ly/treatywashpost
🚨 Check out our full proposal with @UNU_IIGH on how to hold governments accountable for their pandemic promises.

bit.ly/accordbrief screen shot of report summary

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More from @nschwalbe

Nina Schwalbe Profile picture
Feb 1
🔥 The "draft zero" of the #pandemictreaty is out.

There is no plan for an independent accountability mechanism (or any accountability mechanism).

As we explain in @TheLancet and 🧵, this is a serious oversight.

bit.ly/lancettreaty Image
We reviewed the evidence and interviewed experts from around the world.

Independent accountability is key for compliance with any international agreement.

bit.ly/monitoraccord
So far, the "zero draft" treaty

❌only proposes oversight mechanisms assessing achievements and gaps in preparedness capacity
❌doesn't mention independence
❌ mechanism for monitoring overall compliance won't be designed until (at least) the 1st treaty governing body meeting screen shot from draft zero
Read 5 tweets
Nina Schwalbe Profile picture
Feb 1
💥Today the WHO Executive Board discussed the report by the Secretariat on governance for health emergency preparedness and response.

Brief summary of what happened in this 🧵 Image
Dr Mike Ryan explained that the proposals intended to align with, not circumvent, Member State processes.

He emphasized that countries should be at the centre of emergency response and that international instruments must enable countries to implement national plans. Photo of mike ryan
Dr. Tedros stressed

- the report is intended as a living document (that deliberations help refine).

- proposals will maintain momentum and inform INB and IHR processes without undermining them

- WHO's centrality in anchoring a cross-sectoral response in health. Photo of Tedros
Read 4 tweets
Nina Schwalbe Profile picture
Feb 1
💥 This week holds promise for progress on the #PandemicTreaty.

The WHO Intergovernmental Negotiating Body (INB) will publish a “draft zero”.

In @TheLancet, we explain why there must be explicit provisions for independent monitoring of compliance. 🧵

bit.ly/lancettreaty Image
Why this matters?

Treaties are only effective if implemented.

And yet the first draft of the #PandemicTreaty lacked ANY reference to independent accountability, punting the issue until after adoption. photo of WaPo article
We analyzed existing monitoring mechanisms and consulted with experts worldwide.

We propose the establishment of an independent monitoring committee to monitor state parties' compliance with and reporting on the #PandemicTreaty. Graphic from report on stru...
Read 5 tweets
Nina Schwalbe Profile picture
Feb 1
🗞 UPDATE: The WHO Executive Board (EB) is meeting this week and next.

The 34 members are discussing (among other issues related to WHO's work):

🦠 governance of global health emergencies
💶 WHO's financing

Quick re-cap of the first two days 🧵 Photo from EB
This included a discussion on Tedros' 10 proposals for PPR.

Several states emphasized the WHO Secretariat should not get ahead of Member State negotiations.

Others expressed concern about a proposed high-level Global Health Emergency Council.

Japan and Canada emphasized there is a discussion to be had as to whether a high-level council would be better housed in New York.

The EU hinted at this too.

China and the UK cautioned against fragmentation.

Russia suggested the council would be "premature". Reps from Denmark, US and C...
Read 5 tweets
Nina Schwalbe Profile picture
Oct 29, 2022
As soon as COVID-19 vaccines were made available, authorities tried many ways to get people vaccinated.

One of them was giving 💵 or even a 🐄

How useful are incentives in increasing adult vaccination coverage?

We reviewed the evidence and here’s what we found 🧵 Phot of cows and cash reading "vaccine incentives"
A range of incentives were offered for COVID-19 vaccines.

💵 cash
🎟 lottery tickets
🍩 donuts
🐄 cows
🗽 a trip to the Statue of Liberty

And even marijuana...
Cash transfers (or the promise thereof) can increase vaccine uptake or intent to be vaccinated, but the impact is MARGINAL at best.

There was no significant effect of non-cash incentives. Photo of USD $100
Read 10 tweets
Nina Schwalbe Profile picture
Jul 14, 2022
🚨 The working draft for the pandemic instrument being negotiated at WHO has just been released.

The breadth of issues covered shows cognizance of the scale of the challenge (the "what") but there is little detail on actions (the "how").

Summary in this 🧵 Image
The draft was informed by input from the Member States, invited stakeholders and the public, and will form the basis for negotiations next week. Image
New terminology includes "WHO CAII".

This is shorthand for “WHO convention, agreement or other international instrument on pandemic prevention, preparedness and response”.

In other words, there is no indication yet on whether the CAII will be legally binding.
Read 9 tweets

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