🚨 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.
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
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
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.
🔙#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.
🧵
⌛️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.
📜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.
💥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).
🧵
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.
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.
📊 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.
@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.
🚨 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 🧵
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.
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).
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)
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.
African Member States, negotiating through the African Group provided a revised proposal on the “Implementation Committee” and emphasized universal membership and support to countries.