At the World Economic Forum annual meeting last month, Bill Gates suggested a Conference of the Parties for global health, just like the COP for climate, which would ensure that health stays near the top of the global agenda. That is exactly what the world’s efforts for pandemic preparedness and response, or PPR, need.
The 194 World Health Organization member states are currently in intense negotiations to finalize a new international PPR agreement proposed at a special session of the World Health Assembly to work toward WHO’s objective: “the attainment by all peoples the highest possible level of health.”
In March 2021, 25 heads of government and international agencies issued an extraordinary joint call for a pandemic treaty. Since that time, WHO has waffled at what exactly is being negotiated, using a series of word salads: from a ““convention,” “agreement,” “instrument,” or “CA+,” to a “pandemic accord” and more recently to a “pandemic agreement.” We understand why WHO would use elastic language amid delicate treaty negotiations. But even for sophisticated international lawyers, such fluidity in language is disorienting. Much of the global health community is confused about what is being negotiated and its legal standing.