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The world still has an important job to finish
We have the power to lead and make the needed change in solidarity, to improve the livelihoods of each and every one of us, for a safe place and better world.
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This handout picture taken and released by the World Health Organization on October 5, 2020 shows World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus wearing a protective face mask attending a WHO executive board holds special session on the COVID-19 response at the health agency's hesdquarters in Geneva. (AFP/World Health Organization /Christopher Black)
T
he 150th session of the World Health Organization Executive Board, which ended on Jan. 29, clearly showed that the vast majority of member states support WHO’s efforts to create a strong, effective empowered, efficient, accountable, transparent and sustainably financed WHO, as the leading and directing authority on global health, echoing Director General Tedros Adhanom Ghebreyesus’ closing remarks.
For us as special envoys, and for most member states, the benefits of an empowered and sustainably financed WHO, able to effectively lead and direct global health actions across the world, are obvious.
To date, and despite WHO’s endless efforts with member states to deliver lifesaving COVID-19 vaccines to the world’s least-developed countries, through COVAX, particularly, as well as other facilities, there are still 83 member states which did not reach the target of vaccinating 40 percent of their populations by the end of 2021.
As the WHO director general’s special envoys for COVID-19, we have repeatedly called on the world’s leaders to address this issue.
Yet, we have seen a persistent lack of solidarity accentuating the inequities and unfairness. And this means that even more countries are likely to fall short of the goal of vaccinating 70 percent of their population by mid-2022. This situation increases the divide between richer and poorer countries, the former having delivered third and even fourth doses of the vaccines and having coverage above 80 percent.
A WHO with more authority to direct medical supplies and resources to where they are most needed, to conduct preparation and response operations in every country in an equal manner, one with the sustained financial resources and capacity to approach outbreak/novel pathogen control in a holistic, sustained matter, would find the world in a safer place than it is today.
We are currently mired in a two-track pandemic: One for richer countries, where large portions of the population have been vaccinated and hospitalizations and, above all, deaths have been reduced, and a second track for poorer countries, some of which have been able to vaccinate less than 5 percent of their populations, and where death and severe disease continue to ravage social and health care systems.
The 34 WHO member states of the executive board last week had the chance to put this right, by clearly signaling that they supported a strong and sustainably-financed WHO.
Still, they could not do so. There was no agreement on better financing for WHO in the future. Instead, the question was sent back to a working group – and there was no agreement on how WHO should be strengthened.
Member states have asked the director general to provide new proposals on strengthening the global health architecture to address global inequities and ensure the world is better prepared for and able to respond to the emergence of the next major disease threat.
Now is the time for reaching a consensus. It is an opportunity to make use of these working groups to come together around bold and ambitious measures to change and improve the world’s ability to stand up for humanity and to protect itself against emergent disease threats.
Failing at this means putting the world and its people at unnecessary risk. We need to put aside individual and particular doubts in favor of the common good. We, the director general’s special envoys, call on the citizens and leaders of every country – as every country in the world will be represented at the World Health Assembly in May – to reach agreement on what is both good and morally right for the world and its people.
Together, we have the power to lead and make the needed change in solidarity, to improve the livelihoods of each and every one of us, for a safe place and better world. If we fail to come together to support the construction of a more efficient and effective global health architecture, the pandemic’s ravages will continue unabated.
The choice is ours. The choice is now.
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Both Palitha Abeykoon, former director of Health Systems Development, WHO South-East Asia Regional Office, and senior advisor to Sri Lankan Ministry of Health, and Maha El Rabbat, former health and population minister of Egypt and professor of public health, are WHO director general’s envoys for COVID-19. Other WHO director general’s special envoys for COVID-19, David Nabarro, former special adviser to the United Nations Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change, John Nkengasong, director of the African Centres for Disease Control and Prevention, Mirta Roses, former director of the WHO Region of the Americas, and Samba Sow, director general of the Center for Vaccine Development in Mali, also signed the article.
