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UNRWA

I had a longer Member State briefing than expected this morning. What I suggest to do now is to share one or two latest developments on the ground, but also to share with you some of the messages I have shared with the Member States and also to comment on the review, Catherine Colonna’s report, and maybe also a little update on the OIOS report.

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GHF

The Intergovernmental Negotiating Body set up to establish a new Pandemic Agreement resumed its discussions this week in a final lap aiming to conclude the negotiation, with numerous hurdles along the way to the finish line including process concerns, divergence on key issues and factors external to the World Health Organization.

Crunch time dawns in the hallways of WHO, where 194 countries are meeting to hash out a new legal instrument in a desperate face-saving exercise running against a vengeful clock. All-too-familiar fears of a H5N1 outbreak are snapping at the heels of governments, as they grapple with the big questions of a new health emergency architecture – from surveillance to financing, from Pathogen Access and Benefits-Sharing to One Health.

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On Monday 29 April negotiations started and, as TWN had been reporting, the modalities proposed by the INB Bureau - which had already sidelined developing countries, excluded them from informal negotiations and altogether erased language proposed by them - have reiterated these effects during the INB session for key provisions.

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People's Dispatch

Negotiations surrounding the Pandemic Treaty continue as the deadline for endorsing the new mechanism approaches. However, the version under discussion fails to address critical issues pertaining to health equity.

The next round of Intergovernmental Negotiating Body (INB) negotiations for the Pandemic Treaty began on April 29, following two years of discussions. With the treaty text set to be finalized at the World Health Assembly at the end of May, uncertainties persist regarding the current state of negotiations, marked by numerous unresolved issues. The main question remains: will the Treaty genuinely fulfill its promise of equity and justice, or will it merely pay lip service to these ideals?

HPW

The World Health Organization’s (WHO) pandemic agreement negotiations begin their final two-week stretch on Monday (28 April) amid a gamble with the process, a show of unity from African member states – and more suggestions for the draft text.

This final intergovernmental negotiating body (INB) meeting will focus on finding “common ground and consensus”, according to a decision taken at the last fractious meeting.

The programme of work sets down 12-hour days, with the first week (29 April-3 May) focusing on finalising the substantive negotiations on the draft text. 

A “stock take” of progress will be held on Friday 3 May, and the second week (6-10 May) will look at outstanding articles, along with the draft resolution for the World Health Assembly at the end of May.

The INB Bureau has also undertaken to provide daily briefing to relevant stakeholders on progress.

GHF

Negotiations on the International Health Regulations go down to the wire as countries were unable to complete the discussions at the end of the final meeting of the Working Group to amend the IHR, that concluded this week. Riding on a constructive approach and an overall positive momentum, countries made steady progress under the decisive leadership of co-chairs Abdullah Asiri and Ashley Bloomfield, but a few areas of contention remained as the clock ticked away towards the conclusion of the meeting on April 26, Friday.

The working group decided to buy additional time to conclude the negotiations and are expected to meet on May 16-17 to complete the process. More time is needed to reach consensus on key contentious matters including on technology transfer, a dedicated fund, governance of an implementation committee, among other areas, diplomatic sources said.

TWN

A few health civil society organizations also issued a joint statement criticizing key aspects of the INB process and advocating for their demands. They comprehend issues of intellectual property, benefit-sharing and healthcare workers on the important aspects the current draft neglects.

Four legally binding provisions in 83 paragraphs between Article 4-24. Only 4.8% of the entire substantive provisions are legally binding. All the rest are best endeavour, opt outs, non-mandatory, general statements.

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WHO

In the eighth meeting of the Working Group on Amendments to the International Health Regulations (WGIHR), which was suspended yesterday until 16 May, State Parties to the IHR took a major step towards agreeing on the package of amendments which will be put forward to the World Health Assembly, which takes place from 27 May–1 June.

The amendments, proposed by IHR State Parties in the wake of the COVID-19 pandemic to strengthen the international community’s ability to detect and respond to pandemic threats, will be further discussed at the resumed eighth meeting on 16-17 May with a view to finalizing an agreed package for submission to the World Health Assembly in May for its consideration and, if agreed, formal adoption.

HPW

While no cases of human-to-human transmission have been recorded in the current H5N1 avian outbreak, scientists are concerned about its transmission speed in mammals and whether this might result in a mutated pathogen that can infect people more easily.

“H5N1 is (an) influenza infection, predominantly started in poultry and ducks and has spread effectively over the course of the last one or two years to become a global zoonotic – animal – pandemic,” said Dr Jeremy Farrar, the World Health Organization’s (WHO) Chief Scientist.

“The great concern, of course, is that in doing so and infecting ducks and chickens – but now increasingly mammals – that that virus now evolves and develops the ability to infect humans. And then critically, the ability to go from human-to-human transmission,” Farrar told a media briefing in Geneva last week.

WHO

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.