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Governments agree to continue their steady progress on proposed pandemic agreement ahead of the World Health Assembly
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.
"During more than two years of intensive negotiations, WHO’s Member States have shown unwavering commitment to forging a generational agreement to protect the world from a repeat of the horrors caused by the COVID-19 pandemic,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “I welcome the determination that all countries have shown to continue their work and fulfill the mission on which they embarked.”
The Member State-led Intergovernmental Negotiating Body (INB) was established over two years ago to take this effort forward. The Bureau of the INB, which is guiding the process, will submit its outcome for consideration at the World Health Assembly.
INB Bureau Co-Chair Dr Precious Matsoso, from South Africa, said progress had been made during this latest round of discussions on a wide range of issues contained in the draft agreement.
“We are witnessing history play out before our eyes during this process, with the coming together of all countries to decide a binding pact to protect all citizens of the world,” said Ms Matsoso. “This is not a simple exercise. This is the first ever process to develop a proposed agreement on pandemic prevention, preparedness and response. Getting this done means getting it right, and the INB Bureau is committed to help finalize a meaningful, lasting agreement.”
Fellow INB Bureau Co-Chair, Mr Roland Driece, from the Netherlands, said when countries launched the process two years ago to develop a pandemic agreement, they did so knowing they had set an ambitious timeline to reach an ambitious goal.
“This unprecedented effort by all WHO Member States was launched in response to an unprecedented global emergency – the COVID-19 pandemic,” said Mr Driece. “These sovereign states did so recognizing that great collaboration and coordination were needed in the face of pandemics. While negotiations have been challenging at times, all countries agree that the world must be better prepared for the next pandemic. It is not a matter of if a pandemic will happen again; it is a matter of when. We cannot afford to miss this historic opportunity to make the world safer from the next pandemic threat.”
In March 2021, heads of state and government from two dozen countries issued a statement of commitment calling for global collaboration to prepare for, prevent and respond to pandemics. In December 2021, WHO Member States decided to launch a global process to draft and negotiate a legally binding convention, agreement or other international instrument to strengthen pandemic prevention, preparedness and response.
New guidance aims to reduce bloodstream infections from catheter use
The World Health Organization (WHO) publishes the first global guidelines to prevent the occurrence of bloodstream and other infections caused by use of catheters placed in minor blood vessels during medical procedures.
Poor practices in the insertion, maintenance, and removal of these catheters carry a high risk of introducing germs directly to the bloodstream, which can lead to serious conditions such as sepsis, and difficult-to-treat complications in major organs like the brain and kidneys. Soft tissue infections at the insertion site of the catheter can also occur.
Up to 70% of all inpatients require the use of a catheter inserted into a peripheral vein or artery, also known as peripherally inserted catheters (PIVCs), at some point during their hospital stay. People who receive treatments through catheters often are particularly vulnerable to infections, as they might be seriously ill or have low immunity. WHO estimated that between 2000–2018, average mortality among patients affected by health care-associated sepsis was 24.4%, increasing to 52.3% among patients treated in intensive care units.
Many bloodstream infections are caused by antibiotic resistant bacterial infections. It is estimated that bacterial antimicrobial resistance (AMR) was directly responsible for at least 1.27 million deaths and contributed to an additional 4.95 million deaths in 2019.
“Infections associated with health care delivery represent a preventable tragedy and a serious threat to the quality and safety of health care.” said Dr Bruce Aylward, WHO Assistant Director-General for Universal Health Coverage, Life Course. “Implementing clean care and infection prevention and control recommendations is critical to saving lives and alleviating a great deal of avoidable suffering experienced by people around the world”.
Developing and implementing guidance to prevent the spread of such infections has been a key priority for WHO. The new guidelines include 14 good practice statements and 23 recommendations on key areas for health workers, including:
WHO will continue to work with countries to develop and implement best practices to reduce the occurrence of bloodstream infections in hospitals, and to ensure all patients receive safe and effective care.
WHO Results Report 2023 shows notable health achievements and calls for concerted drive toward Sustainable Development Goals
