Nina Schwalbe Profile picture
Feb 10, 2023 11 tweets 4 min read Read on X
🚨 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 🧵 Photo of INB
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.

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:

🔗 WHO Global Pandemic Supply Chain and Logistics Network
🏭 increased manufacturing capacity
💰 mandated transparency in publicly-funded research
🔐 access and benefit-sharing (ABS)
💉20% of products set aside for WHO
Strengthening and sustaining capacity priorities, including:

🎯 centrality of Universal Health Coverage
🧑🏽‍⚕️ skilled domestic and global public health emergency workforce
👀 simulation exercises, regular monitoring, and universal peer review
🤝 human rights protections Screen shot of document outline
Coordination, collaboration and cooperation include:

🗺 WHO as the directing and coordinating authority
🌍 Solidarity and protecting the most vulnerable
🦃 One Health, whole-of-government and whole-of-society approaches
📓 Health literacy, addressing mis- and dis-information
Financing suggestions include dedicating:

💶 5% of health expenditure to domestic pandemic preparedness, recover and response (PPRR) funding
💳 a certain percentage (TBC) of GDP to international pandemic PPRR funding Screen shot of document outline
The treaty would be governed by a Conference of the Parties, reviewing implementation every three years, supported by:

🧮 administrative “Officers of the Parties” and a secretariat provided by WHO.

🔗 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
🗓 The treaty would enter into force 30 days after the 30th country ratifies. No reservations or exceptions are allowed.

٪ Once adopted, additional protocols would require a two-thirds majority. Screen shot of document outline

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Nina Schwalbe

Nina Schwalbe Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @nschwalbe

Dec 3
🚨Day 2 of #PandemicAccord talks started with progress!

🤏Co-chairs reported states are “very close” to agreeing on R&D (Art 9) & talks will resume later to finish the text

🔍Latest drafts show only a few words remain unresolved (strengthening or softening obligations)

🧵 picture of progress
🗣️Day 1 talks covered financing (Art 20) & Pathogen Access & Benefit Sharing (Art 12), but INB co-chair didn’t elaborate on progress.

🚛Informal talks on those issues and supply chain (Art 13) continue today.

🐦‍⬛Today's formal talks turn to surveillance & One Health (Art 4/5)
🪄Multiple stakeholders cautioned against an over-reliance on new "innovative finance", noting the most reliable option remains public finance

🏊‍♂️A stakeholder suggested creating a pooling mechanism for funding product development where states opt-in to get tech transfer rights
Read 6 tweets
Sep 9
🔙#PandemicAccord negotiators were back at it in Geneva Monday to iron out sticking points in the draft text.

🔎 Today’s opening (and open) sessions centered on the pact’s legal architecture and its complementarity and coherence with the IHR.

🧵 picture of opening session
⌛️All parties pointed to the urgency of the talks given the rise of Mpox, making clear the importance of covering the full PPR cycle.

⏰To have a deal by the end of the year, chairs noted Nov 12 was the deadline to call a WHA special session in 2024. screen shot of co-chairs
📜The legal architecture question remains: should the pact be adopted under Art 19 or 21 of WHO Constitution?

👐The negotiations are being held on the basis of Art 19, giving it greater authority. But it also has a higher bar for ratification & potentially less universality.
articles 19 and 21 from the WHO Constitution
Image
Read 9 tweets
Apr 17
🚨The proposed WHO #PandemicAccord is released.

💥It has no provision for monitoring compliance or details on state reporting requirements other than “periodically.”

🛑This leaves Member States with no accountability for any of their treaty commitments (weak or strong).

🧵 screen shot of proposal first page
A positive? The Proposal articulates some ambitious intentions (e.g. tech transfer, pathogen sharing).

However, there is a lot of hedging language (e.g “take steps,” “consider supporting,” & “according to national law”)

Details on key issues (e.g. PABS, OneHealth) remain TBC. example of hedging language
An accompanying draft resolution for the World Health Assembly proposes creating working groups on “sticky issues” (PABS, OneHealth, Coordinating financing).

Notably missing is a working group for accountability or any type of Compliance Committee. DG asked to create expert group for PABS
Read 9 tweets
Apr 6
🚨New York’s COVID-19 vaccine strategy failed to prevent deaths among the most vulnerable.

💰Despite shortages, many younger people accessed vaccines ahead of schedule, particularly in high-income areas.

📈Our latest in the Journal of Urban Health



🧵 bit.ly/COVIDZIP
screen shot of study
📊 In the first 3 months of rollout, when vaccines were in limited supply, low-income areas with high proportions of older people had lower coverage rates than wealthier areas.

They also had higher mortality over the year. graphic from study
@CutlandClare @WitsUniversity When vaccines were no longer in short supply, uptake for ALL income groups 65+ rose above 80%.

Bottom line: Scarce doses were misallocated to younger people from wealthier income areas. table from paper
Read 5 tweets
Jun 6, 2023
🚨 The "Zero Draft" political declaration for the UN General Assembly High-Level Meeting on Pandemic Preparedness and Response is out.

There is little new. Most content reiterates ongoing discussions.

At 14 pages, it is not the "short" document many had called for.

Quick 🧵 screen shot of zero draft
The draft lacks any language on independent monitoring or compliance and is nearly silent on accountability for pandemic PPR commitments.

It lists 29 principles, highlighting the impacts of the COVID-19 pandemic, including inequity and disruption to health and other systems. screen shot of principles (...
The draft includes concerns about inadequate financing for pandemic response and points to the need to align with WHO processes to negotiate a pandemic treaty and amend the IHR while linking health to other sustainable development dimensions (economic, social, & environmental). screenshot of text
Read 10 tweets
Apr 21, 2023
The Working Group on Amendments to the International Health Regulations (made up of member states) just wrapped up its third meeting in Geneva.

Progress is being made, but political tensions persist.

More in this 🧵 from the closing (as negotiations are behind closed doors) photo of meeting of WGIHR
Member states discussed proposed amendments related to compliance, implementation, and public health response.

Inter-sessional work ahead of WGIHR4 includes a discussion of amendments, informal consultations and informational briefings. screen shot of provisional ...
African Member States, negotiating through the African Group provided a revised proposal on the “Implementation Committee” and emphasized universal membership and support to countries. definition of the Africa Group
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(