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‘Myths, Delusions, and Falsehoods’ of Progress on Equality, UN Chief

During the Sustainable Development Goals progress review meeting over the weekend, the UN Secretary General issued one [ ... ]

World Health Assembly takes place

“Impartial, independent, and comprehensive evaluation” For the first time in the WHO’s history, its annual World Health [ ... ]

Nigeria, Kenya see some tumultuous responses to lockdown

Boko Haram Islamic extremists in Nigeria portrayed social distancing measures that have closed mosques as an assault [ ... ]

During the Sustainable Development Goals progress review meeting over the weekend, the UN Secretary General issued one of his strongest rebukes of the international community for systemic inequities that the COVID-19 pandemic has exposed. In a significant departure from his traditional diplomatic tone, the Mandela Day speech by the UN head noted the many “myths, delusions, and falsehoods” around international progress on equality. Among the examples he listed was the “lie that free markets can deliver healthcare for all. The fiction that unpaid care work is not work, the delusion that we live in a post-racist world, the myth that we are all in the same boat.” He went on to call for a “New Social Contract” with commitment of renewed and inclusive multilateralism, while urging for fundamental reforms to the UN Security Council, the IMF, and the World Bank.
Humanitarian response locations remain a particular cause for concern, including in sub-Saharan Africa which is home to over 26% of the world’s refugees. Ongoing conflicts and persistent attacks have led to the closure of hundreds of health facilities, including in Mali and Burkina Faso where 1.5 million people are left without adequate health care. During its Monday media briefing, the WHO cited a recent study by Oxford University highlights the risk of conflict on outbreaks, identifying 63 fragile countries currently facing unrest and conflict in the background of the COVID-19 pandemic, while additional 13 countries are projected to experience new conflicts over the next two years. The study further estimates that the average cost to host and neighbouring countries for a civil war is about $60 billion, while 100 million could be pushed into extreme poverty and 130 million face starvation.

“Impartial, independent, and comprehensive evaluation”

For the first time in the WHO’s history, its annual World Health Assembly (WHA) was entirely virtual. With a focus almost entirely on the Coronavirus pandemic, the condensed two-day meeting was preceded by three weeks of intense negotiations.

The most significant outcome this year was the adoption of a COVID-19 resolution that was proposed by the European Union and supported by 120 countries that contained three major elements (A73/CONF/1), including an “impartial, independent, and comprehensive evaluation (of the) international health response to COVID-19.” In the closing remarks, the WHO Director General affirmed that the review would take place “as soon as possible.”

Rising geopolitical tensions shape emergent Global Health institutions and practices

The WHA opened with a failed motion to grant Taiwan Observer status, underscoring growing tensions in part arising from accusations by the U.S. (and shared by other Western and Pacific Asian countries) that China was not transparent in the early days of the pandemic.

In a letter, the U.S. President threatened to permanently eliminate the funding that was temporarily withdrawn from the WHO, suggesting the U.S. would pursue bilateral aid channels including US$500 million to 40 ‘at risk’ countries. The President of China addressed the Assembly directly pledging US$2 billion over the next two years to support COVID-19 response efforts in developing countries, and an ambition to establish China as a “global humanitarian response capital and hub.” Focusing on African countries in particular, President Xi referenced debt suspension initiatives, building “green corridors” to accelerate delivery of essential goods as well as partnering with 30 major hospitals in Africa to build a China Centres for Disease Control headquarters on the continent.

‘No monopolies on access’ to COVID treatments and vaccines in a pandemic

The negotiations on access to treatments and future vaccines were far more divisive. Led by Costa Rica, developing countries and civil society organizations expressed particular concern about ensuring equitable access, including to COVID-related knowledge, lessons learned, experience, and best practices. The WHO Secretariat will have until May 29 to develop a framework for a voluntary COIVD-19 Intellectual Property Pool for patents and clinical trial data, while the EU-led resolution also references WTO TRIPS flexibilities allowing countries to override patents to ensure access.

COVID is a ‘wake-up call to our global fragility’

In his address to the World Health Assembly, the UN Secretary General called for greater unity and solidarity along three dimensions: a coordinated and comprehensive health response guided by the WHO and focusing on developing countries; policies to address the social and economic dimensions of the COVID crisis; and a response and recovery plan based on equity, inclusion and sustainability centred on human rights. Given the unprecedented nature of the pandemic, some civil society organizations such as South Centre expressed disappointment in the lack of ambition of the COVID-19 resolution. Knowledge Ecology International (KEI) likewise referred to the “typical watered down, lawyered ambiguity” of the final draft that fails to limit legal monopolies that could affect access (they noted that other proposals like Canada’s would have called for “universal and non-exclusive and open-licensing” that referenced data sharing and more expansive mandate beyond existing mechanisms).

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Boko Haram Islamic extremists in Nigeria portrayed social distancing measures that have closed mosques as an assault on the faith. Police violence in Kenya, aimed at enforcing the dawn-to dusk lockdown, has led to 12 deaths thus far, greater than the 9 officially recorded deaths due to COVID-19.

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During the Sustainable Development Goals progress review meeting over the weekend, the UN Secretary General issued one of his strongest rebukes of the international community for systemic inequities that the COVID-19 pandemic has exposed. In a significant departure from his traditional diplomatic tone, the Mandela Day speech by the UN head noted the many “myths, delusions, and falsehoods” around international progress on equality. Among the examples he listed was the “lie that free markets can deliver healthcare for all. The fiction that unpaid care work is not work, the delusion that we live in a post-racist world, the myth that we are all in the same boat.” He went on to call for a “New Social Contract” with commitment of renewed and inclusive multilateralism, while urging for fundamental reforms to the UN Security Council, the IMF, and the World Bank.
Humanitarian response locations remain a particular cause for concern, including in sub-Saharan Africa which is home to over 26% of the world’s refugees. Ongoing conflicts and persistent attacks have led to the closure of hundreds of health facilities, including in Mali and Burkina Faso where 1.5 million people are left without adequate health care. During its Monday media briefing, the WHO cited a recent study by Oxford University highlights the risk of conflict on outbreaks, identifying 63 fragile countries currently facing unrest and conflict in the background of the COVID-19 pandemic, while additional 13 countries are projected to experience new conflicts over the next two years. The study further estimates that the average cost to host and neighbouring countries for a civil war is about $60 billion, while 100 million could be pushed into extreme poverty and 130 million face starvation.

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