Nina Schwalbe, MPH, PhD
@nschwalbe.bsky.social
Strategist • Researcher • Advocate • CEO at Spark Street Advisors • Senior Scholar at O'Neill Institute • Dyslexic (typos mine) • Writes about public health and health equity • www.ssc.nyc
🔜 As next step, States and Stakeholders ill engage in informal intersessional discussions
📪The Bureau will define format, topics and schedule for these informals
➡️IGWG4 will take place on 1-5 Dec and continue to draft formal text.
See you then!
📪The Bureau will define format, topics and schedule for these informals
➡️IGWG4 will take place on 1-5 Dec and continue to draft formal text.
See you then!
November 7, 2025 at 5:19 PM
🔜 As next step, States and Stakeholders ill engage in informal intersessional discussions
📪The Bureau will define format, topics and schedule for these informals
➡️IGWG4 will take place on 1-5 Dec and continue to draft formal text.
See you then!
📪The Bureau will define format, topics and schedule for these informals
➡️IGWG4 will take place on 1-5 Dec and continue to draft formal text.
See you then!
🔥In related news, leaked docs show US plans to tie HIV, TB & malaria support to pathogen sharing with no obligation of the US to share medical countermeasures in return.
🤚Stakeholders were firm: no bilateral deals.
healthpolicy-watch.news/exclusive-us...
🤚Stakeholders were firm: no bilateral deals.
healthpolicy-watch.news/exclusive-us...
EXCLUSIVE: US Ties Global Health Aid To Data Sharing On Pathogens – Undermining WHO Talks - Health Policy Watch
The United States (US) aims to compel countries that receive its aid to fight HIV, tuberculosis and malaria to share all information about “pathogens with
healthpolicy-watch.news
November 7, 2025 at 5:19 PM
🔥In related news, leaked docs show US plans to tie HIV, TB & malaria support to pathogen sharing with no obligation of the US to share medical countermeasures in return.
🤚Stakeholders were firm: no bilateral deals.
healthpolicy-watch.news/exclusive-us...
🤚Stakeholders were firm: no bilateral deals.
healthpolicy-watch.news/exclusive-us...
📢In joint statement with @panaction.bsky.social, @fourpawsint.bsky.social, we called for better transparency by Member States reconsidering Relevant Stakeholder access to formal sessions as observers
bsky.app/profile/pana...
bsky.app/profile/pana...
On the last day of the IGWG3 negotiations on the #PABS Annex, @panaction.bsky.social @fourpawsint.bsky.social the Panel for a Global Public Health Convention and Spark Street Advisors called for transparency and observer status in a joint statement. www.pandemicactionnetwork.org/news/transpa...
Transparency, Observer Status, & Multilateralism – IGWG3 Statements | Pandemic Action Network
www.pandemicactionnetwork.org
November 7, 2025 at 5:19 PM
📢In joint statement with @panaction.bsky.social, @fourpawsint.bsky.social, we called for better transparency by Member States reconsidering Relevant Stakeholder access to formal sessions as observers
bsky.app/profile/pana...
bsky.app/profile/pana...
🫶 The Bureau has taken great effort to engage Relevant Stakeholders, providing briefings and space to discuss how improve interactions
🗞️ All screen texts were shared daily with Stakeholders
🛑 While many States welcome Stakeholders in formal sessions, others oppose - making it a no-go.
🗞️ All screen texts were shared daily with Stakeholders
🛑 While many States welcome Stakeholders in formal sessions, others oppose - making it a no-go.
November 7, 2025 at 5:19 PM
🫶 The Bureau has taken great effort to engage Relevant Stakeholders, providing briefings and space to discuss how improve interactions
🗞️ All screen texts were shared daily with Stakeholders
🛑 While many States welcome Stakeholders in formal sessions, others oppose - making it a no-go.
🗞️ All screen texts were shared daily with Stakeholders
🛑 While many States welcome Stakeholders in formal sessions, others oppose - making it a no-go.
✏️Member States reaffirmed their commitment to work in good faith, to carefully define operational details and close potential loopholes
⚖️Drafting remains operationally feasibly but politically difficult for some states - requiring a delicate balancing act.
⚖️Drafting remains operationally feasibly but politically difficult for some states - requiring a delicate balancing act.
November 7, 2025 at 5:19 PM
✏️Member States reaffirmed their commitment to work in good faith, to carefully define operational details and close potential loopholes
⚖️Drafting remains operationally feasibly but politically difficult for some states - requiring a delicate balancing act.
⚖️Drafting remains operationally feasibly but politically difficult for some states - requiring a delicate balancing act.
💼After drafting operations, access to PABS materials and sequence iInformation, benefit-sharing (Sect. 2), and governance (Sect. 3) earlier this week, last day focused on expanding scope and terms (Sect. 1)
🔍Sticky points (among many) include defining categorization of users.
🔍Sticky points (among many) include defining categorization of users.
November 7, 2025 at 5:19 PM
💼After drafting operations, access to PABS materials and sequence iInformation, benefit-sharing (Sect. 2), and governance (Sect. 3) earlier this week, last day focused on expanding scope and terms (Sect. 1)
🔍Sticky points (among many) include defining categorization of users.
🔍Sticky points (among many) include defining categorization of users.
👇Check out our joint statement here:
@panaction.bsky.social, @helenclarknz.bsky.social, @fourpawsint.bsky.social, Panel for a Global Public Health Convention, and Save the Children
www.pandemicactionnetwork.org/news/details...
@panaction.bsky.social, @helenclarknz.bsky.social, @fourpawsint.bsky.social, Panel for a Global Public Health Convention, and Save the Children
www.pandemicactionnetwork.org/news/details...
Details Matter: Getting to Work on PABS Text — Joint Statement | Pandemic Action Network
www.pandemicactionnetwork.org
November 3, 2025 at 4:01 PM
👇Check out our joint statement here:
@panaction.bsky.social, @helenclarknz.bsky.social, @fourpawsint.bsky.social, Panel for a Global Public Health Convention, and Save the Children
www.pandemicactionnetwork.org/news/details...
@panaction.bsky.social, @helenclarknz.bsky.social, @fourpawsint.bsky.social, Panel for a Global Public Health Convention, and Save the Children
www.pandemicactionnetwork.org/news/details...
The day will continue on drafting PABS Annex text behind closed doors, with focus on Section II Provisions for Implementation of the PABS System:
🪜Operation of the PABS System
🧬Access to PABS Materials and Sequence Information
🍎PABS System benefit-sharing
🪜Operation of the PABS System
🧬Access to PABS Materials and Sequence Information
🍎PABS System benefit-sharing
November 3, 2025 at 4:01 PM
The day will continue on drafting PABS Annex text behind closed doors, with focus on Section II Provisions for Implementation of the PABS System:
🪜Operation of the PABS System
🧬Access to PABS Materials and Sequence Information
🍎PABS System benefit-sharing
🪜Operation of the PABS System
🧬Access to PABS Materials and Sequence Information
🍎PABS System benefit-sharing
Stakeholder notes included:
🗺️Create comprehensive, legally binding text
✏️Operationalize benefit-sharing with clearer details
💵Integrate affordability
🧩Include stakeholders in negotiations & use technical expertise
💊Focus on diagnostics, therapeutics & knowhow, not only vaccines
🗺️Create comprehensive, legally binding text
✏️Operationalize benefit-sharing with clearer details
💵Integrate affordability
🧩Include stakeholders in negotiations & use technical expertise
💊Focus on diagnostics, therapeutics & knowhow, not only vaccines
November 3, 2025 at 4:01 PM
Stakeholder notes included:
🗺️Create comprehensive, legally binding text
✏️Operationalize benefit-sharing with clearer details
💵Integrate affordability
🧩Include stakeholders in negotiations & use technical expertise
💊Focus on diagnostics, therapeutics & knowhow, not only vaccines
🗺️Create comprehensive, legally binding text
✏️Operationalize benefit-sharing with clearer details
💵Integrate affordability
🧩Include stakeholders in negotiations & use technical expertise
💊Focus on diagnostics, therapeutics & knowhow, not only vaccines
Process-wise:
🏁Start line-by-line negotiations asap
🗞️Build on existing convergence & limit negotiations to critical issues
🚒Use intersessions to keep going
💪Pressure test text with experts
🎈Include Stakeholders where possible to increase trust
📆Circulate docs in all UN languages
🏁Start line-by-line negotiations asap
🗞️Build on existing convergence & limit negotiations to critical issues
🚒Use intersessions to keep going
💪Pressure test text with experts
🎈Include Stakeholders where possible to increase trust
📆Circulate docs in all UN languages
November 3, 2025 at 4:01 PM
Process-wise:
🏁Start line-by-line negotiations asap
🗞️Build on existing convergence & limit negotiations to critical issues
🚒Use intersessions to keep going
💪Pressure test text with experts
🎈Include Stakeholders where possible to increase trust
📆Circulate docs in all UN languages
🏁Start line-by-line negotiations asap
🗞️Build on existing convergence & limit negotiations to critical issues
🚒Use intersessions to keep going
💪Pressure test text with experts
🎈Include Stakeholders where possible to increase trust
📆Circulate docs in all UN languages
State interventions content-wise focused on:
🦠Develop predictable system for both peacetime and pandemics
📜Ensure sovereign rights while commit to openess & transparency
⚖️Operationalize and guarantee equity
🔨 Strengthen legal commitments
🔍Design accountability and enforcement mechanism
🦠Develop predictable system for both peacetime and pandemics
📜Ensure sovereign rights while commit to openess & transparency
⚖️Operationalize and guarantee equity
🔨 Strengthen legal commitments
🔍Design accountability and enforcement mechanism
November 3, 2025 at 4:01 PM
State interventions content-wise focused on:
🦠Develop predictable system for both peacetime and pandemics
📜Ensure sovereign rights while commit to openess & transparency
⚖️Operationalize and guarantee equity
🔨 Strengthen legal commitments
🔍Design accountability and enforcement mechanism
🦠Develop predictable system for both peacetime and pandemics
📜Ensure sovereign rights while commit to openess & transparency
⚖️Operationalize and guarantee equity
🔨 Strengthen legal commitments
🔍Design accountability and enforcement mechanism
🛑While there has been consultations with Member States to include Relevant Stakeholders also in closed negotiations, some states remain hesitant
🗨️Informal discussions continue on this matter to find solution
🗨️Informal discussions continue on this matter to find solution
November 3, 2025 at 4:01 PM
🛑While there has been consultations with Member States to include Relevant Stakeholders also in closed negotiations, some states remain hesitant
🗨️Informal discussions continue on this matter to find solution
🗨️Informal discussions continue on this matter to find solution
🌎Opening, reporting and closure sessions will be publicly broadcasted
🌄Every day starts with open session with Relevant Stakeholders
🔒Actual drafting sessions and next steps will be for Member States only
🌄Every day starts with open session with Relevant Stakeholders
🔒Actual drafting sessions and next steps will be for Member States only
November 3, 2025 at 4:01 PM
🌎Opening, reporting and closure sessions will be publicly broadcasted
🌄Every day starts with open session with Relevant Stakeholders
🔒Actual drafting sessions and next steps will be for Member States only
🌄Every day starts with open session with Relevant Stakeholders
🔒Actual drafting sessions and next steps will be for Member States only
🫶DG Tedros welcomed delegates back to WHO.
🕰️As there will be only 3 meetings after IGWG3, he urged Member States to have draft text ready by end of this year – to give enough time for negotiations before April 20 hard deadline.
🕰️As there will be only 3 meetings after IGWG3, he urged Member States to have draft text ready by end of this year – to give enough time for negotiations before April 20 hard deadline.
November 3, 2025 at 4:01 PM
🫶DG Tedros welcomed delegates back to WHO.
🕰️As there will be only 3 meetings after IGWG3, he urged Member States to have draft text ready by end of this year – to give enough time for negotiations before April 20 hard deadline.
🕰️As there will be only 3 meetings after IGWG3, he urged Member States to have draft text ready by end of this year – to give enough time for negotiations before April 20 hard deadline.
📍Co-chair Tovar (Brazil) opened meeting, noting that IGWG is now ready to start developing actual text.
📜 The Bureau, supported by the WHO Secretariat, has developed initial draft based on IGWG2 outline discussions, with inputs from Member States and Relevant Stakeholders.
📜 The Bureau, supported by the WHO Secretariat, has developed initial draft based on IGWG2 outline discussions, with inputs from Member States and Relevant Stakeholders.
November 3, 2025 at 4:01 PM
📍Co-chair Tovar (Brazil) opened meeting, noting that IGWG is now ready to start developing actual text.
📜 The Bureau, supported by the WHO Secretariat, has developed initial draft based on IGWG2 outline discussions, with inputs from Member States and Relevant Stakeholders.
📜 The Bureau, supported by the WHO Secretariat, has developed initial draft based on IGWG2 outline discussions, with inputs from Member States and Relevant Stakeholders.
⏳ Global health architecture is at a crossroad. Reform debates are moving beyond donor-driven fixes toward equity, sovereignty, sustainability, and coordination. The key question is what remains global and what shifts to national and regional levels.
🔗Read more
bit.ly/GHarchitecture
🔗Read more
bit.ly/GHarchitecture
bit.ly
October 9, 2025 at 7:02 PM
⏳ Global health architecture is at a crossroad. Reform debates are moving beyond donor-driven fixes toward equity, sovereignty, sustainability, and coordination. The key question is what remains global and what shifts to national and regional levels.
🔗Read more
bit.ly/GHarchitecture
🔗Read more
bit.ly/GHarchitecture
⚖️ The scope of reform varies. Some proposals seek modest adjustments within existing institutions. Others call for a complete redesign. This shows both momentum for change and raises questions over what belongs at the global level versus the national or regional level.
October 9, 2025 at 7:02 PM
⚖️ The scope of reform varies. Some proposals seek modest adjustments within existing institutions. Others call for a complete redesign. This shows both momentum for change and raises questions over what belongs at the global level versus the national or regional level.
🌍 Together they capture different pathways to organize, govern, and finance global health.
Despite their differences, these proposals overlap on key principles:
✔️ Equity
✔️ Sovereignty and country ownership
✔️ Sustainability
✔️ Coordination
Despite their differences, these proposals overlap on key principles:
✔️ Equity
✔️ Sovereignty and country ownership
✔️ Sustainability
✔️ Coordination
October 9, 2025 at 7:02 PM
🌍 Together they capture different pathways to organize, govern, and finance global health.
Despite their differences, these proposals overlap on key principles:
✔️ Equity
✔️ Sovereignty and country ownership
✔️ Sustainability
✔️ Coordination
Despite their differences, these proposals overlap on key principles:
✔️ Equity
✔️ Sovereignty and country ownership
✔️ Sustainability
✔️ Coordination
💡 Our new paper with @claragreiner.bsky.social and @sulehti.bsky.social, we summarize five reform initiatives: the Lusaka Agenda, the @wellcometrust.bsky.social initiative, a @nature.com Medicine commentary, the Gavi Leap, and the Accra Initiative.
October 9, 2025 at 7:02 PM
💡 Our new paper with @claragreiner.bsky.social and @sulehti.bsky.social, we summarize five reform initiatives: the Lusaka Agenda, the @wellcometrust.bsky.social initiative, a @nature.com Medicine commentary, the Gavi Leap, and the Accra Initiative.
Odds rate. Love it.
October 9, 2025 at 6:58 PM
Odds rate. Love it.