According to WHO, there have been nearly 37,000 cases and over 1200 associated deaths.
Every distinct is affected.
In the face of the deadliest cholera outbreak in the country’s history, vaccines are in (too) short supply.
🧵
Prompted by a severe vaccine shortage, in Oct 2022, the International Coordinating Group on Vaccine Provision (ICG), which allocates cholera vaccines to affected countries, announced that it would provide a single-dose regimen instead of two.
A long list of countries report cholera outbreaks.
🗺 Afghanistan, Bangladesh, Burundi, Cameroon, DRC, the Dominican Republic, Haiti, Iraq, Kenya, Lebanon, Malawi, Mozambique, Nigeria, Philippines, Somalia, Syria, and Tanzania.
❌There are not enough vaccines to go around.
Because of limited profitability, vaccine manufacturers have never prioritised cholera vaccines.
While there are currently 3 WHO-prequalified suppliers, one is set to end production this year.
Access to clean drinking water and sanitation is also key for prevention and control
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🚨 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 🧵
During the briefing, Member States expressed concern:
⏰ too little time between now and the next meeting
⌛️ too little time dedicated to complex issues.
Suggestions included postponing discussions on denser issues or inter-sessional work (which may disadvantage smaller states)
The “zero draft” follows the same structure as the "conceptual zero draft.”
✅ Introduction followed by objectives, guiding principles and scope
✅ Four chapters outlining substantive content
✅ Two chapters dedicated to proposed treaty governance.
This week, in preparation for its meeting on 20 February, the Working Group on Amendments to the IHR (WGIHR) published the Technical Review Committee's (TRC) report on proposed amendments.
The TRC report is intended to help inform negotiations.
Update in this 🧵
The Director-General appointed the TRC to assess amendments proposed by member states for appropriateness, clarity, consistency, and feasibility.
The TRC also identified "shared values" including advancing equity, solidarity, cooperation, trust, transparency, and sovereignty.
The Technical Review Committee's report:
✅ provides article-by-article analysis
✅ summarizes implications of each proposed amendment
✅ provides wording improvements.
There are currently no proposals on requirements or modalities to verify information with state parties.
❌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
💥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 🧵
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.
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.