WHO Pandemic Agreement and Global Health Governance Frameworks
Source:The Hindu ↗

Why It Matters
Reforms in the WHO and the establishment of a Pandemic Treaty are prominent themes for GS Paper 2 (International Organizations). This agreement tests a candidate's understanding of global equity, multilateral negotiations, North-South divides over technology transfer, and the intersection of global public health with Intellectual Property Rights (GS Paper 3).
Summary
The WHO's member states successfully negotiated and adopted a historic Pandemic Agreement at the World Health Assembly to prevent a repeat of the inequities witnessed during COVID-19. Facilitated by the Intergovernmental Negotiating Body (INB), the deal addresses critical gaps in global health governance. Key breakthroughs include the establishment of the Pathogen Access and Benefit-Sharing (PABS) system, which mandates the sharing of biological materials in exchange for equitable access to medical countermeasures. It also incorporates a commitment to reserve a portion of vaccines and treatments for WHO distribution during emergencies. Overcoming sharp North-South divides over intellectual property, technology transfer, and financing, the agreement aims to bolster global surveillance, integrate a 'One Health' approach, and fortify the international health security architecture.
Key Points
- The World Health Assembly (WHA) concluded negotiations via the Intergovernmental Negotiating Body (INB) to establish a comprehensive, legally structured Pandemic Agreement.
- A core component is the Pathogen Access and Benefit-Sharing (PABS) system, which mandates the rapid sharing of pathogen data in exchange for fair access to life-saving medical countermeasures.
- The agreement includes a commitment to set aside a designated percentage of global pandemic-related health products (vaccines, therapeutics) to the WHO for distribution during a public health emergency.
- The deal navigated intense geopolitical divides between developed countries (prioritizing rapid pathogen surveillance) and the Global South (demanding technology transfer, IP waivers, and capacity-building funds).
- It formally integrates the 'One Health' approach, officially recognizing the interconnectedness of human, animal, and environmental health to prevent zoonotic spillovers.
Important Terms
WHO Pandemic Agreement
A legally binding international treaty designed to strengthen global cooperation in pandemic prevention and response. It emphasizes equity, enhanced surveillance, and resilient health systems to address gaps exposed by COVID-19.
UPSC context
GS-II (Global Groupings and International Institutions); tests understanding of global health governance, international law, and post-pandemic reforms.
Pathogen Access and Benefit-Sharing (PABS) System
A framework under the Pandemic Agreement where countries share pathogen samples and genetic data in exchange for fair, equitable access to resulting vaccines, treatments, and diagnostics during emergencies.
UPSC context
GS-II (International Relations) and GS-III (Science & Tech); tests knowledge of benefit-sharing mechanisms and health equity challenges.
International Health Regulations (IHR) 2005
A legally binding international instrument that provides a framework for countries to report and respond to public health emergencies that could spread across borders, recently updated to include 'Pandemic Emergencies'.
UPSC context
GS-II (Important International Institutions); relevant for questions on health security architecture and the role of the WHO.
Intergovernmental Negotiating Body (INB)
The specialized body established by the World Health Assembly in 2021 to draft and negotiate the text of the Pandemic Agreement through consensus among WHO member states.
UPSC context
GS-II (Global Groupings); tests knowledge of the administrative processes and diplomatic mechanisms behind international treaty-making.
World Health Assembly (WHA)
The supreme decision-making body of the WHO, composed of delegates from all 194 member states, responsible for setting global health policies and approving international health instruments.
UPSC context
GS-II (Important International Institutions); fundamental for understanding global health policy-making and organizational structures of the UN.
TRIPS Agreement
A World Trade Organization (WTO) agreement setting minimum global standards for intellectual property. Its flexibilities (like compulsory licensing) are central to debates on balancing patents with affordable medicine access.
UPSC context
GS-II (International Organizations) and GS-III (IPR); tests trade-health linkages and "North-South" diplomatic divides over technology transfer.
Prelims Trap
The WHO Pandemic Agreement automatically waives intellectual property rights under TRIPS during a global health emergency.
The agreement does not auto-waive IP. It relies on the PABS benefit-sharing system and technology transfer commitments, while formal IP waivers still depend on WTO/TRIPS mechanisms.
Static Concepts Connected
What is the 'One Health' approach in global public health?
- Core interconnectedness: It recognizes that the health of humans, domestic and wild animals, plants, and the wider environment are closely linked and interdependent.
- Zoonotic spillover prevention: It serves as a proactive strategy to detect and prevent zoonotic spillovers (diseases jumping from animals to humans) at the human-animal-ecosystem interface.
- Tackling AMR: It is essential for effectively monitoring and combating Antimicrobial Resistance (AMR) across agricultural, veterinary, and human health sectors.
What is the World Health Assembly (WHA) and its treaty-making power?
- Supreme governing body: The WHA is the supreme decision-making body of the WHO, comprising delegations from all 194 Member States.
- Article 19 authority: Under Article 19 of the WHO Constitution, the WHA has the authority to adopt conventions or agreements with respect to any matter within the WHO's competence.
- WHA vs WHO Secretariat: While the WHO Secretariat executes policies, the WHA determines those policies, appoints the Director-General, and approves the budget.
Cross-Topic Patterns
Global South parallels: Health vs. Climate
The demand for tech-transfer and capacity-building funds in the WHO agreement mirrors the Common But Differentiated Responsibilities (CBDR) debates seen in UNFCCC climate negotiations.
Nagoya Protocol vs. PABS mechanism
The PABS system acts as a specialized access and benefit-sharing mechanism for pathogens, conceptually echoing the Convention on Biological Diversity's Nagoya Protocol for genetic resources.
TRIPS flexibilities & Compulsory Licensing
The North-South IP clash links directly to India and South Africa's historical push for TRIPS waivers at the WTO and India's domestic compulsory licensing laws.
Expect a multi-statement Prelims 2026 question linking the PABS system, One Health approach, and TRIPS flexibilities in emergencies.
Linked PYQs · 2
Linked PYQs · 2
- 2020MainsGS2
Critically examine the role of WHO in providing global health security during the Covid-19 pandemic.
- 2014MainsGS3
In a globalized world, Intellectual Property Rights assume significance and are a source of litigation. Broadly distinguish between the terms-Copyrights, Patents and Trade Secrets.