Countries set to adopt ‘vital’ pandemic preparedness accord

The stakes are high for this year’s World Health Assembly, the UN’s premier health forum, where officials will tackle a sweeping agenda – from pandemic readiness and climate-related health risks to mental health, maternal care, and environmental justice. But with geopolitical tensions running high, international collaboration on these and other vital issues will be tested.

Here are some of the key areas set to dominate discussion:

1. ‘Cautious optimism’: Signing off on a pandemic accord

The COVID-19 pandemic showed that there are stark inequities in access to diagnostics, treatments, and vaccines, both within and between countries. Healthcare services were overwhelmed, economies were severely disrupted and nearly seven million lives were lost.

This was the motivation for countries to come together to work on an accord to ensure that the world handles the next pandemic in a fairer and more efficient way. When the delegates arrive in Geneva on Monday 19 May, they will thrash out the text of the agreement, which Tedros Adhanom Ghebreyesus, the head of the World Health Organization (WHO), described as “vital for future generations.”

If the agreement is adopted, it will be a major breakthrough in the way the world handles pandemics and health crises. Negotiations, though, remain politically delicate: several nations, including the United States, have raised concerns about national sovereignty and intellectual property rights. Still, in recent weeks, Dr. Tedros has expressed “cautious optimism” that consensus can be reached.

A woman wearing a mask, Malawi.

2. Climate Change: An existential threat

The climate crisis isn’t just about rising temperatures – it’s putting lives at risk. Extreme weather and disease outbreaks are on the rise, threatening the health of millions. An action plan created by WHO calls for climate and health policies to work together, strengthens resilience, and ensures funding to safeguard vulnerable communities.

A draft version of the plan was released following a resolution adopted at the 2024 conference and, this year, delegates are expected to finalise the draft, which includes strategies to adapt to and mitigate climate-related health risks.

3. Health for all: Getting universal health care back on track

Ensuring that all people have affordable access to the full range of quality health services they need is one of the Sustainable Development Goals (SDGs), which all UN Member States signed up to in 2015. However, the health target is way off track: in fact, improvements to health services have stagnated over the last ten years.

Nevertheless, universal health care (UHC) will be a top priority at the Assembly, where delegates will discuss strategies to strengthen primary healthcare systems, secure sustainable financing and provide care for vulnerable populations.

© WHO/Panos/Eduardo Martino

4. Healthy Beginnings: Maternal and newborn health

Close to 300,000 women lose their life due to pregnancy or childbirth each year, while over two million babies die in their first month of life In April, WHO launched a year-long campaign to end preventable maternal and newborn deaths.

Titled “Healthy beginnings, hopeful futures,” it will urge governments and the health community to ramp up efforts to end preventable maternal and newborn deaths, and to prioritize women’s longer-term health and well-being.

Expect new targets and renewed commitments to end preventable deaths to be announced at the Assembly.

5. Closing the gaps: Noncommunicable diseases

Noncommunicable diseases (NCDs), such as heart disease, cancer, and diabetes, kill tens of millions of people each year. Around three-quarters of those deaths are in low and middle-income countries.

Many lives could be saved if more countries had strong national responses, providing detection, screening and treatment, as well as palliative care.

In preparation for a WHO meeting on NCDs and mental health in September, delegates will review the way the UN health agency collaborates with governments, civil society, and the private sector to prevent and control these diseases, and address ways to improve access to essential medicines and health technologies.

6. Getting the finances in order

This year has been described as one of the most challenging ever at the UN, which is being buffeted by extreme pressures on its finances. The US, a major donor announced that it would be leaving WHO in January, and other countries have also cut development and aid funding.

This year’s Assembly will see Member States negotiating a 50 per cent increase in the base budget, something that has been in the works since the 2022 meeting. If a funding boost is approved, it will provide a vital boost to at a challenging time.  WHO is also seeking additional voluntary contributions, and additional pledges are anticipated from member states and philanthropic organisations.

Follow the sessions at the World Health Assembly here

Pandemic accord can be a ‘gamechanger’ for marginalised communities, says youth advocate

Mr. Hassan and his fellow Youth Councillors advise and actively engage with the WHO Director-General and the agency’s senior leadership, designing and expanding the agency’s programmes and strategies.

In an interview with UN News ahead of the 2025 World Health Assembly – the UN’s highest forum for global health – Mr. Hassan, who was born and raised in Texas, USA,  explains why he started iCure, a global non-profit organisation designed to ensure that all people receive access to preventative medical screening, and how the pandemic treaty could radically improve care for vulnerable communities.

This interview has been edited for clarity and brevity.

Courtesy of Rehman Hassan

Rehman Hassan: 10 years ago, my grandfather passed away from heart disease. I saw how he was treated differently because of the way that he presented himself, as an immigrant and a person of colour. He was very knowledgeable, but he had limited literacy, and he wasn’t necessarily told what all his options were. I felt that the doctors tried to rush him into surgery and that they forced him to be anaesthetized because they believed he was moving around too much, when in fact he was just in pain and uncomfortable.

I’m convinced that he didn’t get the care that he deserved and that really resonated with me, because I wanted to make sure that no one else felt that way. I saw that, as a young person, my role could involve working at a community level, mobilising other young people to promote things like good diet or exercise, and advocate for those who need help.

That’s how iCure started, and it has blossomed into an international movement. We have hosted a youth fellowship programme with around 65 young people from all over the world, from Vietnam to Qatar to Puerto Rico, discussing the health issues they’re seeing and how to address them, as trusted members of their communities, to bridge the kinds of information gaps that are very common in many marginalized communities, especially amongst low income people and immigrants.

UN News: Tell me about your personal experience during the COVID-19 pandemic?

Rehman Hassan: The pandemic was, for many people across the world, a deeply difficult, scary, intense process. I was living with my grandparents who were immunocompromised, and I knew that they were at significant risk. Whilst we had a lot of vaccines in the US, there was a lot of pandemic disinformation and misinformation; presenting it as something that had a low mortality rate and that we could ignore.

In addition, we had a major winter storm in Texas that froze the state for almost two weeks. We didn’t have access to electricity, gas or water. Our house was flooded and ultimately was destroyed. This combination of the climate crisis and the pandemic meant that many people, especially in my community, were left behind and did not receive the resources that they needed.

Children in Mexico received food baskets during the COVID-19 pandemic (file, 2022)

UN News: The WHO says that the pandemic preparedness treaty, if and when it is adopted, will be a breakthrough for health equity and make a real difference on the ground. Do you agree?

Rehman Hassan: I definitely think it’s a game changer. I got involved with the treaty process through the WHO Youth Council, where I represent an organisation [ACT4FOOD, a global youth-led movement to transform food systems] that primarily focuses on access to food, the social determinants of health and how we can promote change at the community level.

The text of the treaty spells out the efforts that need to be taken at a community level, and each member state has an obligation to make sure that the most vulnerable get access to support or care, as part of their pandemic response plans.

There is a commitment to early detection: if we can detect pandemics early, then we can ensure that everyone has access to the care and resources they need.

UN News: It’s likely that there will be another pandemic in our lifetimes. Will we manage it better than the last one?

Rehman Hassan: We’re definitely seeing an acceleration of pandemics and extreme events that ultimately undermine equity.

I think that the World Health Assembly and the Intergovernmental Negotiating Body for the pandemic treaty have done an incredible job of understanding what went wrong during the COVID-19 pandemic, and previous pandemics, and then looking at how we can craft an instrument that will address those inequities or prevent them from happening in the first place.

If member states deliver a meaningful treaty, I think it would significantly improve and facilitate a much better pandemic response than what we saw during last time.