Pandemics to pollution: WHO Assembly delivers landmark health decisions

In addition, the Assembly endorsed a wide range of measures to promote health equity, reduce air pollution, and strengthen protections for vulnerable populations.

The words ‘historic’ and ‘landmark’ are overused, but they are perfectly apt to describe this year’s World Health Assembly,” WHO Director-General Tedros Adhanom Ghebreyesus said at the Assembly’s closing, ending nine days of intense debate and decisions.

The centrepiece of the Assembly’s outcomes was the WHO Pandemic Agreement, adopted on 20 May after more than three years of negotiations.

The agreement, seen as a once-in-a-generation opportunity to improve global preparedness and response to future pandemics, aims to strengthen international coordination, enhance equity in access to medical tools and ensure that no country is left behind in future health crises.

A key next step will be consultations on access to pathogen and benefit-sharing, which seeks to guarantee equitable sharing of medical countermeasures derived from pathogens.

Boost for WHO budget

Another major outcome was the approval of a 20 per cent increase in assessed contributions – the core, mandatory funding from Member States that underpins WHO’s work.

By 2030-2031, these contributions will cover 50 per cent of the agency’s core budget, a crucial step toward financial sustainability.

Health leaders also pledged at least $210 million to WHO’s ongoing Investment Round, adding to the $1.7 billion already raised and expanding the agency’s donor base.

A healthier world

The Assembly also delivered a sweeping slate of resolutions addressing a wide range of health challenges.

For the first time, nations adopted global resolutions on lung and kidney health, aligning with the growing recognition of noncommunicable diseases as a global priority.

Countries also set an ambitious new target to halve the health impacts of air pollution by 2040 and in an innovative move, adopted a resolution on social connection, acknowledging mounting evidence linking social isolation to poor health outcomes.

They also endorsed measures to combat the digital marketing of formula milk and baby foods, and addressed rare diseases, a lead-free future and the eradication of Guinea worm disease.

Delegates meeting in a committee at the 78th World Health Assembly.

History is made

In conclusion, Director-General Tedros urged countries to continue the momentum beyond the Assembly, highlighting the spirit of cooperation and commitment to health for all.

You, the nations of the world, made history,” he said.

“Yes, there is conflict in our world, but you have shown that there is also cooperation. Yes, there is inequity, but you have shown a commitment to equity. Yes, there is disease, but you have shown a commitment to health – health for all.”

Nations adopt historic pledge to guard against future pandemics

The effects of the devastating COVID-19 pandemic are still being felt. Around seven million people died, health systems were overwhelmed, and the global economy was practically driven to a standstill.

The global turmoil prompted a stunned international community to pursue an agreement aimed at preventing such a catastrophic event from happening again – and ensuring the world is far better prepared in the future.

The landmark decision was made at the World Health Assembly, the annual meeting of the World Health Organization (WHO).

Although the formal adoption was on Tuesday, the WHO’s Member States overwhelmingly approved the agrement on Monday (124 votes in favour, 0 objections, 11 abstentions).

This meant that, rather than a nail-biting vote with last-minute surprises (ahead of the conference, Tedros Adhanom Ghebreyesus, WHO Director-General, only felt able to express “cautious optimism”), the adoption by consensus had a celebratory feel.

The agreement is a victory for public health, science and multilateral action,” declared Tedros. “It will ensure we, collectively, can better protect the world from future pandemic threats.

“It is also a recognition by the international community that our citizens, societies and economies must not be left vulnerable to again suffer losses like those endured during COVID-19.”  

WHO Member States approved the first-ever Pandemic Agreement on 19 May 2025

‘Once-in-a-lifetime opportunity’

The pandemic laid bare gross inequities between and within countries, when it came to diagnostics, treatments, and vaccines, and a core aim of the agreement is to plug gaps and treat any future pandemics in a fairer and more efficient way.

“Now that the Agreement has been brought to life, we must all act with the same urgency to implement its critical elements, including systems to ensure equitable access to life-saving pandemic-related health products,” announced Dr. Teodoro Herbosa, Secretary of the Philippines Department of Health, and President of this year’s World Health Assembly, who presided over the Agreement’s adoption.

“As COVID was a once-in-a-lifetime emergency, the WHO Pandemic Agreement offers a once-in-a-lifetime opportunity to build on lessons learned from that crisis and ensure people worldwide are better protected if a future pandemic emerges.”

The issue of national sovereignty has been raised several times during the process of negotiating the accord, a reflection of false online claims that WHO is somehow attempting to wrest control away from individual countries.

The accord is at pains to point out that this is not the case, stating that nothing contained within it gives WHO any authority to change or interfere with national laws, or force nations to take measures such as banning travellers, impose vaccinations or implement lockdowns.

WHO Member States approved the first-ever Pandemic Agreement on 19 May 2025

 

Next steps

The adoption has been hailed as a groundbreaking step, but this is just the beginning of the process.

The next step is putting the agreement into practice, by launching a launching a process to draft and negotiate a Pathogen Access and Benefit Sharing system (PABS) through an Intergovernmental Working Group.

The result of this process will be considered at next year’s World Health Assembly.

Once the Assembly adopts the PABS annex, the agreement will then be open for signature and consideration of ratification, including by national legislative bodies. After 60 ratifications, it will enter into force.

Other provisions include a new financial mechanism for pandemic prevention, preparedness and response, and the creation of a Global Supply Chain and Logistics Network to “enhance, facilitate, and work to remove barriers and ensure equitable, timely, rapid, safe, and affordable access to pandemic-related health products for countries in need during public health emergencies of international concern, including pandemic emergencies, and for prevention of such emergencies.”

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