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ngq, you sexy beast! Here is a sanity check for that clean meta. ;)

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Last week, the Global Pandemic Monitoring Board published its second annual report calling for multilateral systems to strengthen global pandemic preparedness and response capacity. The independent body, convened by the WHO and the World Bank, noted that the COVID-19 pandemic has been exacerbated by a “failure of governance in global collective action, including coordination and engagement with multilateral systems” as well as financing gaps in global health security, including “chronic underinvestment in preparedness as well as states withdrawing financial support.”

The report calls for a re-centering of governance across multilateral systems, including in the following areas: (a) global and regional mechanisms to track pathogens, (b) strengthen early warning and information sharing, (c) intermediate grading of health emergencies, (d) evidence-based policy formulation on travel and trade restrictions, (e) collaborative mechanisms for research and regulatory harmonization, as well as (f) strengthening IHR compliance assessment and enforcement mechanisms.

Global health security presents distinct challenges in low- and middle-income countries, according to the Centre for Global Development, requiring policy restructuring to ensure development gains. In the article, the President of CGD outlines three key problem areas that require coordinated global action: (1) reversing decades of underinvestment in global health security, (2) ensuring the continuity of developmental programs, and (3) expanding funding for these programs to reflect the disproportionate impact of the looming economic crisis on vulnerable populations.

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Countries will meet for the 75th UN General Assembly this coming week where they will adopt two resolutions on the Global Response to COVID-19. Acknowledging the key leadership role of the WHO and the UN system more broadly, the all-encompassing resolutions call for intensified international cooperation and solidarity to contain, mitigate and overcome the pandemic and its consequences through responses that are people-centred and gender-responsive, with full respect for human rights. It also encourages countries to partner with relevant stakeholders in order to increase R&D funding for diagnostics, treatment and vaccines, leverage digital technologies, and strengthen scientific cooperation. The resolution moreover urges climate- and environment-sensitive approaches to drive the recovery, reflecting growing support and recognition within the UN of the importance of combatting the threat of climate change.

Two countries voted against the UN resolution in a break from multilateralism: the U.S. launching renewed attacks against China in rejecting the expressions of support for the WHO, while Israel objected to an amendment that discouraged countries from enacting unilateral sanctions on states that were not in accordance with international law. The last-minute amendment was introduced by Cuba and supported by 84 countries, claiming the original text failed to reflect concerns on national efforts to deal with the COVID-19 crisis.

In a second resolution that was adopted unanimously, the UN General Assembly called for intensified international cooperation and multilateral efforts in addressing current and future disease outbreaks. That includes sharing timely, accurate and transparent information, exchanging epidemiological and clinical data, sharing materials necessary for R&D, and implementing relevant guidance, including the International Health Regulations. The resolution also stressed the importance of expanding global efforts to fight health crises in order to maintain economic stability by supporting economies, protect workers and businesses as well as shielding the vulnerable through adequate social protection.

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The WHO Weekly Epidemiological Update reported that the pandemic has surpassed 30 million confirmed cases, and that the number of confirmed COVID-19-related deaths approach one million globally. Many regions are reporting a resurgence in cases, as countries experiment with different strategies for reopening schools and businesses, as the International Monetary Fund last month estimated the pandemic is costing the global economy US$375 billion a month.

With more than 15 million confirmed cases, the region of the Americas represents over half the global burden of the pandemic. The U.S. and Brazil remain among the top three countries, while Venezuela is approaching a humanitarian catastrophe as outbreaks in the capital have exacerbated existing food shortages and economic crisis. Public health experts are also warning that the virus is spreading from major cities to less populated areas of Latin America where health systems are weaker. A quarter of the countries in the region have suspended routine vaccination, at least 25 countries have suspended primary care programs for diabetes and hypertension – notable risk factors for COVID-19 – while pregnancy-related health services have dropped by nearly 40% in the region. The WHO Director for the Americas region urged countries to sustain essential health services, as well as scaling up alternative approaches such as telemedicine, home visits, and community outreach.

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The WHO and UNHCR signed an agreement to strengthen partnerships and operational capacities that focus on improving access to health services for some 70 million forcibly displaced people around the world from COVID-19. The poorest countries in Africa, Asia, and Latin America are facing pandemic-induced economic and public-health emergencies that demand immediate action. G20 leaders therefore must agree now on measures to prevent the current recession from deepening, and to mitigate its impact on the world’s most vulnerable people. We are at a critical moment, because the poorest countries in Africa, Asia, and Latin America are facing economic and public-health emergencies that demand immediate action.

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“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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  • A new WHO study projects that up to 190,000 people in Africa could die and an additional 29-44 million could get infected by the Coronavirus in the first year if containment measures fail.
  • Harvard Professor Joseph Nye – one of the world’s leading scholars on global governance- examines the “abysmal failure of leadership” from the U.S. and China, urging that more global solidarity and recognition of mutual interest is essential to address the pandemic
  • In collaboration with DIGHR, the Ilisaqsivik Society, and Médecins Sans Frontières (Latin), SeeChange Initiative is launching a Community Roadmap planning tool today to support communities organize, prepare and respond to COVID-19. See:
    • CommunityFirst COVID-19 Emergency Readiness Checklist
    • What the Covid-19 pandemic is teaching us about community (STAT)
  • In a commentary, Nobel Peace Prize laureate, Kailash Satyarthi, highlights the compassionate work of community and civil-society groups working with vulnerable populations, urging G20 to increase international aid and coordination through UN agencies like WHO, UNICEF and UNOCHA.
  • A study in Lancet Global Health projects an additional 0.25-1.2 million children under 5 could die indirectly in the next six months as a result of the pandemic though disruption of health systems and decreased access to food. This would be the first increase in global child mortality since World War II. The researchers from Johns Hopkins also estimate that indirect maternal deaths could rise from 8% to 38%.
  • An analysis by the New York Times reveals spikes in fatalities across Latin America (including Brazil, Ecuador and Peru) that exceed the worst pandemic trajectories in Europe and the U.S. The Brazilian president, when asked about the death toll, replied “So what? What do you want me to do?”.
  • Amazon indigenous leaders warn of the potentially devastating effects of COVID-19 (New Humanitarian), where “no specific attention has been given to indigenous communities”.In Brazil, the potential effects highlight the lack of government support with food and health services. The former health minister of Ecuador, meanwhile, warns that “everyone is at risk” if marginalized communities are not able to afford basic health services, while officials in Mexico suggest that thousands of deaths are not being reported, obscuring the true toll of the COVID-19 epidemic.
  • China, South Korea and Japan are experiencing a resurgence in COVID cases, as the WHO and public health experts warn against lifting containment measures too early (CNBC)
    • Authorities in Wuhan plan to test all 11 million residents over the next ten days after discovering new infections for the first time since its lockdown was lifted, prioritizing vulnerable groups and high-density areas (BBC)
  • Exceptionally heavy seasonal rains across East Africa since late April have resulted in widespread floods that caused a heavy loss of life and property, compounding the risks to human health and food security from the COVID-19 pandemic and the most serious desert locust invasion in decades. (WMO)
  • COVID­19 epitomises why a “One Health” approach – which recognises the fundamental interconnectedness of humans, animals, and their shared environment-  is key to ensuring the healthy and sustainable future of the planet. co­Chairs of the Lancet One Health Commission are  calling for a COVID-19 One Health Research Coalition (Lancet)
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Last week, the Global Pandemic Monitoring Board published its second annual report calling for multilateral systems to strengthen global pandemic preparedness and response capacity. The independent body, convened by the WHO and the World Bank, noted that the COVID-19 pandemic has been exacerbated by a “failure of governance in global collective action, including coordination and engagement with multilateral systems” as well as financing gaps in global health security, including “chronic underinvestment in preparedness as well as states withdrawing financial support.”

The report calls for a re-centering of governance across multilateral systems, including in the following areas: (a) global and regional mechanisms to track pathogens, (b) strengthen early warning and information sharing, (c) intermediate grading of health emergencies, (d) evidence-based policy formulation on travel and trade restrictions, (e) collaborative mechanisms for research and regulatory harmonization, as well as (f) strengthening IHR compliance assessment and enforcement mechanisms.

Global health security presents distinct challenges in low- and middle-income countries, according to the Centre for Global Development, requiring policy restructuring to ensure development gains. In the article, the President of CGD outlines three key problem areas that require coordinated global action: (1) reversing decades of underinvestment in global health security, (2) ensuring the continuity of developmental programs, and (3) expanding funding for these programs to reflect the disproportionate impact of the looming economic crisis on vulnerable populations.

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