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Table 2 Key provisions of the “pandemic agreement”

From: IHR amendments and the “pandemic agreement” an Israeli perspective

Topic

Agreed Upon

Still Under Debate

Pros

Cons

Definition and Declaration of a Pandemic

Basic framework agreed

Specific means and procedures

Establishes a clear global standard for pandemic response activation.

Differences in national perspectives can complicate timely consensus.

Integration with the IHR

Some alignment strategies

How both frameworks will coexist without overlap

Ensures comprehensive global health laws

Potential for jurisdictional confusion

Equity in Global Supply Chain

General commitment to equity

Mechanisms to ensure fair distribution of medical resources

Promotes fair access to diagnostics, medicines, vaccines and technologies

Intellectual property rights and economic implications for pharmaceutical companies and countries

One Health

A recognized approach

Specific strategies and implementations under this framework

Encourages integrated health strategies that recognize the interconnection of human, animal, and environmental health

Challenges in aligning policies and practices across various sectors and regions, due to differing priorities and resources.

Financial Mechanisms

Recognizing the need for financing

Specifics of new financial mechanisms and contributions

Ensures funded readiness and response capabilities

Disagreements on contributions.

Technology Transfer and Intellectual Property

Recognized importance

Non-voluntary provisions like waivers during emergencies

Accelerates access to crucial technologies

Some nations with strong pharmaceutical industries resist

Governance

Framework established

Specific roles and powers of the Governing Body

Creates a structured oversight body

Power dynamics could skew equity efforts