University College Dublin, Ireland.
University of Vienna, Austria.
Health Policy. 2024 Aug;146:105112. doi: 10.1016/j.healthpol.2024.105112. Epub 2024 Jun 8.
Timeliness is repeatedly referenced in the World Health Organization (WHO) Pandemic Agreement negotiation draft, published in March 2024. However, the draft remains vague with regard to what is considered timely. Health policymaking should be much more conscious of the time scales it evokes and implements in order to support global equity and solidarity. The Pandemic Agreement negotiation draft could be made more specific to foster global synchronicity by: (1) replacing 'best endeavor' language with enforceable timelines, particularly for benefit sharing mechanisms, (2) mandating an automatically triggered time-bound IP waiver for pandemic health technologies to accelerate manufacturing and distribution scale-up to global levels, and (3) strengthening the pandemic fund and debt relief mechanisms to safeguard financial resources to enable global synchronicity for future pandemic prevention, preparedness, and response. In summary, global solidarity during a pandemic requires more attention to synchronicity by ensuring the simultaneous implementation and rollout of measures to prevent, contain, or end a pandemic in different countries or regions.
世界卫生组织(WHO)在 2024 年 3 月发布的大流行协议谈判草案中多次提到及时性。然而,该草案对于什么是及时的仍然含糊不清。卫生决策应该更加意识到它所引发的时间尺度,并在全球公平和团结的基础上加以实施。大流行协议谈判草案可以通过以下方式更加具体地促进全球同步性:(1)用可执行的时间表取代“最佳努力”的语言,特别是对于利益共享机制,(2)强制要求对大流行卫生技术自动触发有时间限制的知识产权豁免,以加速制造和分销规模扩大到全球水平,(3)加强大流行基金和债务减免机制,以保障财政资源,使未来的大流行预防、准备和应对工作能够在全球同步进行。总之,大流行期间的全球团结需要更加关注同步性,确保在不同国家或地区同时实施和推出预防、遏制或结束大流行的措施。