BACK TO MAIN  |  ONLINE BOOKSTORE  |  HOW TO ORDER

TWN Info Service on Intellectual Property Issues (Oct21/01)
3 October 2021
Third World Network


A Pandemic Treaty: In Whose Interest?
EC envisages a framework convention with binding and non-binding provisions

A European Commission “reflection paper” supports the argument that its proposal for a pandemic treaty aims to secure the European Union’s health security interests using hard law in a selective manner, and then leave the requirements of public health response coordination and cooperation to non-binding soft law mechanisms. It means there is little political momentum within the EU to strengthen the legal duty to cooperate under the existing International Health Regulations or to enhance timely equitable access to health care products with binding legal force.

Kuala Lumpur, 3 October (TWN) – The European Commission (EC) envisages the proposed pandemic treaty as a framework convention with binding and non-binding provisions.

In a “reflection paper” dated 26 August 2021 the EC spells out its vision on this treaty. The paper proposes an International Agreement on Pandemic Preparedness and Response which it refers to as the Pandemic Treaty (PA), asserting that it would fall within the scope of Article 2.1(a) of the Vienna Convention on the Law of the Treaties.

Article 2.1 (a) of the Vienna Convention defines a “treaty” as follows: “an international agreement concluded between States in written form and governed by international law, whether embodied in a single instrument or in two or more related instruments and whatever its designation”. The discourse so far has been that such a treaty, if its need is agreed upon, would be an instrument under Article 19 of the World Health Organization’s Constitution.

However, according to the paper it could be adopted under Article 19 of the WHO Constitution only if the instrument can make rules and regulations to combat pandemic that are outside the competence of the WHO. The paper hints at the difficulty in doing so by citing the regulation of trade in wild animals as an example, which falls within the scope of the One Health approach but this “could be deemed beyond the remit of WHO”.

The EC’s paper further states that the PA should contain both hard law (binding) and soft law (non-binding) with an objective of designing effective solutions to the varied issues associated with pandemic response. It requires negotiating states to “resort to setting out “soft law” standards accompanied by compliance incentives, “best efforts” commitments backed by a general good faith obligation, as well as “political” commitments subject to reputational considerations”, wherever necessary.

Additionally, the paper proposes a flexible and open model of participation by allowing regional economic organisations to become parties to PA or to the specialised protocols to be negotiated under it. In other words, it means the EC could be a party of PA in addition to WHO Member States. As part of “flexible” participation all UN Members may be allowed to participate in the negotiations on protocols under PA, even if they are not party to the PA.

The PA would also allow for the participation and contributions of non-governmental stakeholders. However, it is not clear whether the term non-governmental stakeholders include the participation of the private sector. The paper further promises a transition period to low and lower middle income countries for the implementation of the treaty.

The paper states that the PA aims to prompt compliance with the International Health Regulations (IHR) without amending them. It states that the PA should “set out compatible, complementary, clarifying provisions, including, when necessary, compliance incentives, and enhanced obligations that would be enforceable only among PA Parties.”

However, the paper recognizes that “in time the usefulness of such enhanced provisions could become widely accepted and lead to amendments and/or agreed interpretations of the IHR, as appropriate”. The reason for this approach is quite obvious, as amendment of the IHR as the preferred way to enhance pandemic response would undermine the need for a new treaty as advocated by the European Union. Moreover, a move to amend the IHR would bring to light the need for better accommodation of the special requirements of developing countries.

The proposed PA has the following 7 sections; however, the substantive obligations are aimed at the first three areas:

1. Preventing and controlling

2. Detecting and reporting
3. Preparing for and responding to pandemic threats
4. Institutional framework
5. Rules on future rule making
6. Monitoring and accountability mechanisms
7. Financial support, technical assistance and capacity building.

(See below for details of each section.)

It is noteworthy that the reflection paper is silent on the Convention on Biological Diversity and its Nagoya Protocol on the regulation of access and benefit sharing in the context of sharing of samples and pathogens (including digital sequence information).

The paper also proposes to convert mechanisms like the WHO’s Access to COVID-19 Tools (ACT) Accelerator, which failed to address the current inequity in access to medical products, as a mechanism for the procurement and delivery of medical products. There is no indication of sharing of technology to produce required medical products. Further, it is not clear whether the provisions on the R&D and production of medical products would be binding or a soft law to be implemented on a voluntary basis. The ideas as reflected now in the paper seek to increase trade liberalization in the guise of health emergency preparedness and response measures.

The paper also envisages to establish a Conference of Parties as an institutional framework for governing the PA. The future rule-making sections show that the proposed PA will be designed as a framework convention with protocols and WHO would host the Secretariat. A framework convention often lists the broad legal principles, and details of its implementation is done through protocols. It is not necessary that all parties to a framework convention will necessarily join any protocol that is subsequently negotiated. Thus, a framework convention could bring uneven legal obligations in the area of health emergencies or pandemics, and this would compromise the effectiveness of legal norms on the ground. Further, finalisation of each protocol can take years and delay the effective implementation of the framework convention.

The paper dismisses amendment of the IHR as the way forward on the ground that this “is likely to require a protracted negotiation effort” yet experiences of framework convention development also have a track record of multi-year negotiations.

Finally, the paper envisages assessed contributions to support the Secretariat of the proposed framework convention. The paper recognises the need for huge investment to support the PA implementation but does not provide any concrete suggestion for the needed resource mobilisation. The two areas mentioned in the paper for support as part of PA implementation are:

  • Strengthening WHO’s mandate and ability to support national and regional core health system capacities for pandemic prevention, preparedness, detection and response.
  • Committing to financial support, technical assistance and capacity building for low and lower middle income countries.

In short, the EC’s paper supports the argument that the EC is using the pandemic treaty as an instrument for promoting the strategic autonomy and positioning of the EU in international health governance. It aims to secure the EU’s health security interests using hard law in a selective manner, and then leave the requirements of public health response coordination and cooperation to the soft law mechanisms. It means there is little political momentum within the EU to strengthen the legal duty to cooperate under the existing IHR or to enhance timely equitable access to health care products with binding legal force.

Note:

The proposed PA has the following 7 sections; however, the substantive obligations are aimed at the first three areas:

1. Preventing and controlling
2. Detecting and reporting
3. Preparing for and responding to pandemic threats
4. Institutional framework
5. Rules on future rule making
6. Monitoring and accountability mechanisms
7. Financial support, technical assistance and capacity building.

Each of these 3 aspects is further divided into sub-areas each containing multiple sub-elements. They are paraphrased as follows:

“1. Preventing and controlling pandemic threats
a) Preventing and controlling zoonotic spill-overs through:

·          

    • Enhanced surveillance/monitoring and notification systems on the wildlife- livestock-human interface and the timely flow of information among authorities dealing with human health, animal health and environmental Regulation of wild and live domestic animal markets and stricter surveillance and control of illicit wildlife traffic and wet markets
    • Surveillance and identification of pathogens with a high zoonotic infection potential in livestock, companion animals and high-risk wildlife populations
    •  Systematic exchange of information and data on pathogens, mutations and genetic sequencing at the animal-human interface
    • Universally accessible pathogen sample collection repositories and equitable sharing of samples
    • Increased knowledge and capacity to prevent and address risks from zoonoses, and other public health threats at the human-animal-ecosystem interface

b) Preventing inadvertent laboratory release of pathogens through:

·          

    • Enhanced regulation and independent oversight of laboratory conditions and safety protocols to ensure biosecurity and biosafety.

c) Preventing epidemics due to pathogens resistant to antimicrobial agents (AMR) through:

·          

    • Provisions on surveillance and reporting.
    • surveillance and research in both human and livestock populations.
    • Global targets on use of antimicrobials to protect human, animal and plant health, as well as related to indicators of release of antimicrobials in the environment.
    • Requiring the establishment and effective implementation of One-Health National Action Plans,
    • Committing to reduce inappropriate use of antimicrobials globally by applying antibiotic stewardship practices
    • incentives to promote the development of new antimicrobials, rapid diagnostic tests and alternatives to antimicrobials for human and animal use.

2. Detecting and reporting pandemic threats

·          

    • Enhanced obligations to identify and report health threats and share data and information on outbreaks and enabling the quick development of medical and non-medical countermeasures.
    • Enhancing the mandate of WHO and the World Organisation for Animal Health (OIE) to investigate events and outbreaks independently

3. Preparing for and responding to pandemic threats

a) Enhancing preparedness tools

·          

    • Resource support to WHO and OIE to set up field health emergency teams for the national and regional deployment to respond to health emergencies.
    • Coordination of, and support to, research, development and innovation, including at regional level, including genomic sequencing capacities.
    • Development of protocols and recommendations for voluntary sharing of scientific findings, surveillance and diagnostic data, research results and samples.
    • Development of protocols and recommendations for non-pharmaceutical, non- medical interventions.
    • Institutionalisation of “Access to COVID-19 Tools Accelerator” (ACT-A), into a permanent multi-stakeholder platform for the procurement and delivery for vaccines, diagnostics, therapeutics and other essential supplies.
    • Developing mutual recognition and/or equivalence protocols for emergency use and transport of vaccines, diagnostics, therapeutics and other essential medical products.
    • Enhancing the availability, accessibility and affordability of medical countermeasures and providing incentives to increase regional manufacturing capacity for vaccines, therapeutics and diagnostics and other essential medical products, as well as personal protective equipment.
    • Promoting the reduction of trade barriers, exercising restraint from export restrictions and introducing trade-facilitating measures on critical products including inputs used in the manufacturing, distribution and approval of vaccines therapeutics and diagnostics and other medical devices

b) Coordination of emergency response measures

·          

    • Enhanced coordination of containment measures, including travel and transport restrictions, quarantine, border controls and specific provisions for transport workers
    • Reinforcing WHO’s mandate for coordination of emergency response and better equip WHO to discharge this role within the territories of the PA Parties and also cooperation with other international organisations.

 


BACK TO MAIN  |  ONLINE BOOKSTORE  |  HOW TO ORDER