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Global leaders highlight the need to defeat meningitis – a leading cause of disability – at a high-level meeting co-hosted by the World Health Organization (WHO) and Government of France, under the High Patronage of Emmanuel Macron, President of the French Republic. The event is taking place on 26 April 2024 at the Institut Pasteur and is supported by prominent athletes advocating on the cause ahead of the Paris Paralympics.

Building on news of Nigeria successfully rolling out a new, safe and highly effective vaccine, which targets five major strains of bacterial meningitis in Africa, leaders committed to implement the global roadmap for “Defeating Meningitis by 2030”, which needs a catalytic investment to action. This groundbreaking plan looks holistically at how to detect, control and beat meningitis in every region of the world, and how to provide rehabilitation to those who have suffered from the deadly disease.  

There is considerable misinformation on social media and from some politicians and other influencers regarding the negotiations for a WHO pandemic treaty. In order to provide better understanding of what is actually being negotiated, this note provides commentary on several key articles, based upon the INB’s May 10 draft text, as published by Health Policy Watch. 1 of 17 https://healthpolicy-watch.news/wp-content/uploads/2024/05/Pandemic-Agreement-Draft-Reflec ting-progress-up-to-10-May.pdf In general, as the negotiations have progressed, in many areas, the obligations have become softer, as the WHO INB pushes for consensus. That said, the text does create norms in several areas, and mandates and mechanisms for cooperation that are potentially important going forward. The discussion covers Articles 4 through 13bis, and Articles 19, 20, 27, 29, 30 and 31.

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A deadlier version of the infectious disease is ravaging the Democratic Republic of Congo, while the type that caused a 2022 outbreak among gay and bisexual men is regaining strength.

With Pride events scheduled worldwide over the coming weeks, U.S. officials are bracing for a return of mpox, the infectious disease formerly called monkeypox that struck tens of thousands of gay and bisexual men worldwide in 2022. A combination of behavioral changes and vaccination quelled that outbreak, but a majority of those at risk have not yet been immunized.

On Thursday, the Centers for Disease Control and Prevention warned of a deadlier version of mpox that is ravaging the Democratic Republic of Congo and urged people at risk to be vaccinated as soon as possible. No cases of that subtype have been identified outside Africa so far. But the escalating epidemic in Congo nevertheless poses a global threat, just as infections in Nigeria set off the 2022 outbreak, experts said.

The latest draft of the World Health Organization’s (WHO) pandemic agreement, which was sent out to member states on Wednesday (15 May), shows just how far the talks still have to go.

Health Policy Watch obtained a copy of the draft agreement, which we are sharing on our paywall-free site:

READ: Latest Pandemic Agreement Draft, reflecting progress up to 10 May

Around a third of the text is still white, indicating either that it has not been agreed on or not even discussed. According to a stakeholder briefing, there were some 300 paragraphs to negotiate on at the last meeting of the Intergovernmental Negotiating Body (INB).

However, some of the most significant articles are awash with yellow and green highlights, indicating progress.

Yellow means the text has been agreed to in a working group. Green means it has been agreed to in the plenary of the Intergovernmental Negotiating Body (INB).

Hours before the scheduled deadline on May 10^th to conclude the negotiations towards a Pandemic Agreement, unable to find consensus WHO member states struggled to find a way to extend the negotiations.

Diplomatic sources told us that countries were divided on devising a way ahead to continue the discussions. While some preferred to take “sufficient” time conclude these crucial talks carefully, groups of countries are keen on having an agreement “at any cost” ahead of the World Health Assembly that begins on May 27th.

Countries have now decided to continue to work till the last mile in an attempt to reach consensus. How they will do so, is less clear at this point.

In this story we describe the dynamics and events that unfolded at the close of the meeting of the Intergovernmental Negotiating Body on May 10.

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• Vaccines have saved 150 million children over the last 50 years

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Governments of the world today agreed to continue working on a proposed pandemic agreement, and to further refine the draft, ahead of the Seventy-seventh World Health Assembly that starts 27 May 2024.

Governments meeting at the World Health Organization headquarters in Geneva agreed to resume hybrid and in-person discussions over coming weeks to advance work on critical issues, including around a proposed new global system for pathogen access and benefits sharing (i.e. life-saving vaccines, treatments and diagnostics); pandemic prevention and One Health; and the financial coordination needed to scale up countries’ capacities to prepare for and respond to pandemics.

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Despite much lost sleep for members of the World Health Organization’s (WHO) intergovernmental negotiating body (INB) this week, it is impossible for consensus on a pandemic agreement to be reached by the end of Friday (10 May), the last day of this final round of negotiations.

Various negotiators Health Policy Watch that they did not see how the deadline could be met, especially as on Thursday co-chair Precious Matsoso ruled out extending talks to the weekend, saying that member states needed to travel back to their countries.

The agreement was supposed to be presented to the World Health Assembly (WHA)  which starts on 27 May, for ratification. But now that this will not happen, sources close to the process say that two possible scenarios are being discussed.

The negotiations for the WHO Pandemic Agreement have brought attention to issues of racism and colonialism in global health. Although the agreement aims to promote global solidarity, it fails to address these deeply embedded problems. This Viewpoint argues that not including the principle of subsidiarity into Article 4 of the agreement as a pragmatic strategy was a missed opportunity to decolonise global health governance and promote global solidarity. Subsidiarity, as a structural principle, empowers local units to make decisions and address issues at their level, fostering collaboration, coordination, and cooperation. By integrating subsidiarity, the agreement could have ensured contextually appropriate responses, empowered local communities, and achieved justice in global health. This paper discusses the elements of subsidiarity—namely, agency and non-abandonment—and highlights the need to strike a balance between them. It also maps the principle of subsidiarity within the Pandemic Agreement, emphasising the importance of creating a practical framework for its implementation.

The world is neither on track to meet the Sustainable Development Goals (SDGs) nor is it leveraging emerging opportunities to effectively address global concerns such as extreme hunger, poverty, conflict, and climate change. Global concerns have outpaced existing structures for international cooperation and coping.

To forge a global perspective, the United Nations Office in Nairobi is currently hosting the 2024 United Nations Civil Society Conference under the theme Shaping a Future of Global and Sustainable Progress. Bringing together more than 2,000 participants from civil society organizations, academic institutions, think tanks, member states, private sector companies, UN entities, change-makers, and other relevant stakeholders from across the globe.

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