<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">---------- Forwarded message ---------<br>From: <span dir="auto"><<a href="mailto:dlegge@phmovement.org">dlegge@phmovement.org</a>></span><br>Date: Fri, Jan 19, 2024 at 2:00 PM<br></div><br><div class="msg-8978286260613073357"><div bgcolor="#FAFAFA" link="blue" vlink="purple" style="word-wrap:break-word" lang="EN-AU"><div class="m_-8978286260613073357WordSection1"><div align="center"><table style="width:154.62%;background:#fafafa;border-collapse:collapse" width="154%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="width:100.0%;padding:7.5pt 7.5pt 7.5pt 7.5pt" width="100%" valign="top"><div align="center"><table style="width:450.0pt;border-collapse:collapse" width="600" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm" width="600" valign="top"><div align="center"><table style="max-width:450.0pt;border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="background:#fafafa;padding:6.75pt 0cm 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="text-align:center" align="center"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#656565"><a href="https://mailchi.mp/phmovement/eb154-09_immunisation?e=5f3cea0f3e" target="_blank"><span style="color:#656565">View this email in your browser</span></a><u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background:white;padding:6.75pt 0cm 0cm 0cm;background:cover;background-size:cover" id="m_-8978286260613073357templateHeader" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 6.75pt 6.75pt;min-width:100%" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 6.75pt 0cm 6.75pt;min-width:100%" valign="top"><p class="MsoNormal" style="text-align:center" align="center"><img style="width:5.875in;height:3.2083in" id="m_-8978286260613073357_x0000_i1030" src="https://mcusercontent.com/559d715f58f654accf3de987e/images/0b1bd6d2-85d4-c0fe-ef58-a4a1ab9cc235.jpg" width="564" height="308" border="0"><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="border:none;border-bottom:solid #eaeaea 1.5pt;background:white;padding:0cm 0cm 6.75pt 0cm;background:cover;background-size:cover" id="m_-8978286260613073357templateBody" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm;min-width:100%" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><h1 style="text-align:center" align="center">Setbacks in immunisation coverage reported to WHO<br><span style="font-size:13.5pt;line-height:125%">Strengthening comprehensive primary health care is critical</span><u></u><u></u></h1><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The latest report from WHO on immunisation coverage (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=a9742cb93a&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">EB154/9</span></a>, to be considered at the WHO Executive Board from 22 January) describes a very uneven recovery following the Covid pandemic. Challenges persist in meeting global coverage targets, in eliminating diseases like polio and measles, and in preventing large outbreaks. Zero-dose children stands at 14.1 million and progress has stalled in low-income countries and in the African region.<br><br>PHM appreciates the commitment of WHO officials and of the grassroots immunisation teams but three major barriers remain: the flawed model of ‘universal health coverage’, economic constraints on health system strengthening, and the role of corporate monopoly power in limiting access and affordability.<u></u><u></u></span></p><h3>Importance of primary health care<u></u><u></u></h3><p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">WHO’s Immunisation Agenda is rooted in the flawed concept of ‘universal health coverage’ which aims to limit state involvement to funding a defined package of basic services to be delivered through the private sector, and opening new opportunities for private health insurance companies to compete in the ‘beyond the package’ insurance market. This approach reduces primary health care to an initial layer of private care, often acting as a gatekeeper to specialized care. This model has been promoted by USAID, the World Bank, and the Rockefeller Foundation.<br><br>Robust public primary healthcare, centered on communities and territories, is of pivotal importance. A high level of state capacity for planning and collecting vaccination data, and monitoring delivery is also critical but is hindered by both privatization and the erosion of public health systems.<br>Health workers form the backbone of the health system, especially in areas where vaccination coverage is low, like non-urban and impoverished communities. The report's lack of emphasis on health workers and their role within the Immunization Agenda needs attention. <u></u><u></u></span></p><h3>Pharmaceutical market: price transparency and pooled procurement<u></u><u></u></h3><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The latest report insufficiently addresses issues concerning corporate power and vaccine affordability and availability. Over recent decades, vaccine production has increasingly fallen under the control of major pharmaceutical companies primarily based in Western Europe, the USA, Japan, and more recently, China. The monopolistic strategies employed by these companies - utilizing intellectual property rights, including patents and industrial secrecy, restricting access to biological samples, and advocating for data exclusivity in clinical trials - result in high prices and shortages. The Covid-19 pandemic underscored the limitations of this model, revealing difficulties in scaling up production. The pandemic also left clear that vaccine innovation is heavily funded by public resources.<br><br>PHM calls on Executive Board members to give full attention to matters of affordability and access, including provision for compulsory licensing of patents, transparency regarding innovation and manufacturing costs, and technology transfer which is pivotal for access to vaccines. Strategies like pooled procurement have proven effective in bolstering states’ bargaining power and their capacity to support national immunization strategies.<u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table><p class="MsoNormal"><u></u> <u></u></p><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The full PHM commentary on this item (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=21d664e5aa&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">here</span></a>) provides more detail and references.See also Tracker links to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=df9373ae04&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">previous discussions of immunisation</span></a>.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The WHO Tracker and PHM item commentaries are produced as part of <b><span style="font-family:"Tahoma",sans-serif">WHO Watch</span></b> which is a project of the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=112fedc1fb&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">People's Health Movement</span></a> in association with <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=9f618f776d&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Medicus Mundi International</span></a>, <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=5a916fc660&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Third World Network</span></a> and a number of other civil society networks. WHO Watch contributes to democratising global health governance, through new alliances, new information flows and by broadening the policy discourse.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">See the WHO Tracker page for this EB154 session (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=307b88daa6&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">here</span></a>). See PHM’s <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=44cf8408a8&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">integrated commentary</span></a> on the full agenda of EB154 (or read the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=1b764bf77b&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">flipbook version</span></a>). To ensure that you receive Update Alerts <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=498e3d7fc5&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">subscribe</span></a> to the Updater. <br><br>You can support WHO Watch by forwarding this Item Alert, by publicising the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=63a59e86bd&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Tracker</span></a>, by inviting others to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=9e73337484&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">subscribe to GHG Reports</span></a>; and by following us on social media via @PHMglobal and @WorldHealthWatch.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">To provide feedback 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