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HAI

The World Health Organization declaration that “the global health emergency of COVID-19 is over” has removed the sense of urgency that for more than three years shaped global health discussions.1 As a result of the pandemic, the topic of intellectual property (IP) and its influence on access to health technologies was widely and intensely discussed. The support gathered by a waiver proposal on certain parts of the Trade Related aspects of Intellectual Property (TRIPS) Agreement, the creation of the COVID-19 Technologies Access Pool (C-TAP) and a number of national and regional initiatives aimed at scaling up production of health goods are just some examples of where the needs of the many were framed above pro昀椀ts and monopolies. Several policy processes that were set-aside, stalled or even stopped during the pandemic have resumed, while initiatives that originated in the response to the pandemic have either evolved or run their course. This policy brief looks at some of the interventions designed during the COVID-19 pandemic to counter the impact of excessive use of IP protection tools.

BMJ

The World Health Organization’s new pandemic preparedness treaty is being watered down and stripped of the key stipulations needed to prevent another global health disaster, say leading international health experts and civil society groups.

WHO’s 194 member states agreed in December 2021 to draw up a new convention to ensure that the world would be prepared for future global health threats and to prevent the “catastrophic failure” seen during the covid pandemic.1

The “zero draft” of the accord, published in February, had excited observers because its scope went beyond the closest existing legally binding framework, the International Health Regulations. That draft stipulated strong obligations for information sharing and the importance of having a strong health workforce and universal healthcare, among other requirements.

Geneva Health Files

The Bureau of the Intergovernmental Negotiating Body set up to work towards a new Pandemic Accord has presented its version of a text building on the zero draft, and that, to an extent, draws on some of the newer suggestions provided by WHO member states. But in doing so, some say, the Bureau has had to make political choices in moving these sensitive negotiations forward.

None of this is surprising. A process as political as this one, will not please everybody. In fact, early reactions to the Bureau’s Text suggest that countries, the industry, activists and scholars have been disappointed. The process already risks being seen as a potentially unfulfilled promise that a new Pandemic Accord has come to embody.

The text shows weaker language on a number of key provisions including public funding disclosures, intellectual property waivers, but does contain potentially far-reaching provisions on pooling of tech, recognition of differentiated responsibilities and debt relief.

Geneva Health Files

The Bureau of the Intergovernmental Negotiating Body set up to work towards a new Pandemic Accord has presented its version of a text building on the zero draft, and that, to an extent, draws on some of the newer suggestions provided by WHO member states. But in doing so, some say, the Bureau has had to make political choices in moving these sensitive negotiations forward. … The text shows weaker language on a number of key provisions including public funding disclosures, intellectual property waivers, but does contain potentially far-reaching provisions on pooling of tech, recognition of differentiated responsibilities and debt relief.

KFF

… Given how nascent the fund is, there are still many unknowns and unanswered questions about how it will be implemented, the scope and duration of its work, and how it fits into the broader set of global health efforts. To help shed light on these topics, this brief reviews the evolution and establishment of the Pandemic Fund, describes the Fund’s governance and operations, and discusses key issues and challenges for the Fund – particularly related to U.S. engagement – as it continues to make its transition from concept to implementation.

Wellcome

This discussion paper examines why the ecosystem of infectious disease research and development (R&D) fails to meet people's needs and sets out potential routes for reform and key areas for discussion.

This paper looks at different stages of the ecosystem — from research priority-setting, clinical trials and regulation, manufacturing and product availability and affordability — and identifies problems, challenges and possible areas for change.

Health Policy Watch

The global will to ensure that COVID-19 is a “never-again” pandemic is dissipating fast, according to many delegates attending the World Health Assembly (WHA) and its plethora of side events – threatening initiatives such as local manufacturing of vaccines. … On Friday, the WHA passed a resolution to strengthen countries’ diagnostic testing capacity, stressing support for the local production of diagnostic tools and tests in low- and middle-income countries (LMICs). … Meanwhile, Wellcome Trust, one of the biggest private donors of infectious disease response, kicked off a global conversation about what needs to be done in a discussion paper released a few days back that declares: “The R&D infrastructure ecosystem for infectious disease is unfit for purpose and requires ambitions overhaul.” … Wellcome points out that “resources are not allocated to research activities efficiently or equitably with whole fields suffering long-term neglect”.

WaPo

The class-action lawsuit filed six years ago against drugmaker Eli Lilly alleging systematic overpricing of insulin has ended with the company agreeing to pay a $13.5 million settlement and to continue its cap on users’ out-of-pocket costs for four years.

Under the settlement, those unable to qualify for the $35-a-month cap ― people who no longer use Eli Lilly insulin or those now enrolled in the Medicare and Medicaid programs ― may tap into the $13.5 million fund, which is also being used to pay administration costs and fees for the plaintiffs’ attorneys.

Health Policy Watch

New global guidelines to tackle non-communicable diseases (NCDs) were finally passed by the World Health Assembly on Friday afternoon after a mammoth day-and-a-half of member states’ inputs.

The guidelines update the World Health Organization’s (WHO) “Best Buys” published in 2017 and focus on the four key risk factors for NCDs – tobacco, alcohol, unhealthy diet and physical inactivity – and the four main associated diseases – cardiovascular disease, diabetes, cancer and chronic respiratory disease. 

Health Policy Watch

An impossibly long list of member states lined up to address universal health coverage (UHC) and non-communicable diseases (NCDs) at the World Health Assembly on Thursday afternoon, indicating the centrality of these issues for countries.

here was near-universal support for primary health services to be the backbone of UHC, with disease prevention as the other key pillar – particularly to prevent NCDs.

However, the same spirit of agreement was absent in Committee B, with a divergence among member states’ opinions on a “replenishment mechanism” proposed by the WHO Director-General to ensure more sustainable financing of the organisation.

Member-states deliberated on different possible models of sustainable funding of the WHO, delaying agreement on a single, unified formula of a “replenishment mechanism”.

The US made it clear that it did not support the replenishment mechanism – a view that ultimately held sway. It, however, expressed support to have rounds of investments by donors, similar to other global health organizations like The Global Fund.