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Unified regional voice needed for development of pandemic prevention instrument
REGIONAL Chief Medical Officers (CMOs), Caribbean public health stakeholders and other representatives of member states are taking steps to ensure that their voices are heard in the process of developing a convention, agreement or other instrument for pandemic prevention , preparedness and response.
This was the purpose of the Second Special Meeting of the Chief Medical Officers, facilitated virtually by the CARICOM Secretariat on August 3, 2023.
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Addressing The Disparity
The meeting of the World Health Assembly , December 21 , 2021 , acknowledged the disparity that existed between developed and developing states with access to the distribution of essential health commodities required to elicit an adequate response to the COVID-19 pandemic
The body agreed that a legally binding convention, agreement or other instrument should be drafted to address prevention, preparedness and response to future pandemics, hereafter referred to as the “accord.”
Zero Draft
In February 2023, the Zero Draft of the convention , agreement , or other instrument on pandemic prevention , preparedness and response was drafted by the Intergovernmental Negotiating Body ( INB ) and updated in June 2023
Since this time, decisions on the content and terms of this convention are being negotiated
However, while individual Caribbean member states have been involved in these negotiations , CARICOM , as a community of member states, is still developing a unified position on the proposed articles of the accord and representation in these negotiations
The CARICOM Secretariat convened the Second Special Meeting of the Chief Medical Officers to address this gap .
In addition to the pandem- ic - preparedness accord , World Health Organisation ( WHO ) member states are also negotiating amendments to the International Health Regulations ( IHR ) in Geneva
The IHR is legally binding for member states. Concurrently, governments are also negotiating a Political Declaration of the United Nations General Assembly High-level Meeting on Pandemic Prevention, Preparedness and Response in New York for adoption in September 2023
Participants of the meeting also considered the need for the Region’s input in these ongoing negotiations
UNIFIED VOICE
Specifically, the meeting facilitated collaborative discussions among CMOs and other Caribbean public health stakeholders on a precise pathway to ensuring that the Region is fully represented and all concerns and recommendations are incorporated in the negotiations surrounding the accord.
In addition, the meeting provided the opportunity for member states to understand the process of negotiations and to discuss what coordinating mechanisms can be utilized to formulate a unified position on the content of the accord
Over 46 regional public health stakeholders and other representatives of Caribbean member states, CARICOM Secretariat officials and technical officers participated in the meeting which was chaired by Dr Julio Sabido, Chief Executive Officer, Ministry of Health and Wellness, Belize
In his remarks, Dr Sabido referred to the disparity and specifically stated that the Region did not have adequate access to essential health commodities necessary for the COVID-19 response
“ Indeed , many member states of the Caribbean Community experienced challenges in procuring, among other things , vaccines and medical equipment”, stated Dr Sabido
He further expressed gratitude to the CARICOM Secretariat for convening the meeting and advocated for full participation by all stakeholders, since the accord negotiations must reflect the voices of the Region.
Armed With Knowledge
Representatives from the Pan - American Health Organization ( PAHO )/ World Health Organization (WHO), the INB , the Third World Network and the Ministry of Health and WellnessJamaica presented on the instrument for pandemic prevention , preparedness and response. The presentations aimed to fully equip CMOs and other stakeholders with the relevant knowledge on the process concerning the accord negotiations

Next Steps
Following a rich discussion by all stakeholders , CMOs reiterated the need for full participation by the
Region in the negotiations currently underway and made specific recommendations to ensure the Region’s voice is included in the decision-making
Ms Alison Drayton, Assistant Secretary General , Human and Social Development, CARICOM Secretariat, acknowledged the recommendations and informed that the Secretariat would respond with substantive proposals on a coordinating mechanism for unified representation in the negotiations
The ASG emphasised that the CARICOM Secretariat is committed to its coordinating role in ensuring that the Region is significantly represented in the negotiations for the pandemic prevention instrument with the overarching aim of safeguarding public health across the Region. (CARICOM Today)