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segments of the global population, particularly in   and new pandemics due to the spread, reemergence                  prevent inequities in access during a Public Health   Fifth: Regulatory Agencies to collaborate and build
            less developed countries, either lack access to these   and/or emergence of pathogens, with developing                 Emergency of International Concern.                capacities in existing and emerging technologies,
            essential health tools or have limited access.     countries  being  more  vulnerable  geographically,                                                                    aiming for regulatory cooperation, convergence
                                                               macroeconomically  and  in  terms  of  access  to                   Third:   Funders,   regional  and   multilateral   and  harmonisation,  without  creating  barriers
            That the COVID-19 pandemic underscored the         necessary products and technologies.                                organisations, cooperation agencies civil society, and   for countries still developing their  capacities,
            strategic importance of health technologies                                                                            international community stakeholders to support    recognizing the challenge of intellectual property
            availability,  including  vaccines,  diagnostics,  That global efforts for the prevention of, preparedness             the  establishment  of  the  Alliance  for  Regional   and technology transfer.
            therapeutics and other health products, during     for, and response to existing epidemics and Public                  and Local Production, Innovation, and Access, as
            a pandemic emergency and revealed the limited      Health Emergencies of International Concern will                    discussed  within  the  G20  framework,  which  aims   Sixth: All stakeholders  to work  collaboratively,
            production capacity in several regions. The        only be viable if we promote:                                       to reduce health inequalities for neglected and    sharing data, information and knowledge, pooling
            COVID-19 pandemic demonstrated that market-        •  Equitable and geographically diverse distribution                socially determined diseases, health emergencies   cooperation efforts based on the principles of
            driven mechanisms often override public health        of production capacity;                                          and pandemics, including disparities in access to   solidarity,  addressing  the  interests  of  the  Global
            needs, as wealthier countries secured vast quantities   •  Robust and sustainable investments in research              vaccines, medications, diagnostics, and other health   South with shared responsibilities; equity, striving to
            of vaccines early on, while the global Covax-WHO      and development, innovation, and production and                  technologies, especially for vulnerable populations.   overcome unnecessary and avoidable differences,
            mechanism  lacked  sufficient  funding  to  ensure    supply processes in Global South countries, and                                                                     through  equitable  benefit  sharing;  excellence,
            equitable access, resulting in significant cases and   •  Fair, transparent, and equitable mechanisms for              Fourth:  Academic and research institutions in     adopting an inclusive approach in preparedness,
            deaths and disruption of health systems in Global     pricing, licensing, and technology transfer that                 developing countries and the Global South to       law, regulations aiming to achieve the highest quality
            South countries.                                      prioritise  south/south,  co-developed  approaches               mobilise efforts to increase their contribution    in our endeavors for our populations; and respect,
                                                                  to cooperation between north and South and                       to research, development, innovation, and          acknowledging the sovereignty and differences of
            That, considering the COVID-19 pandemic, we have      equitable access.                                                the generation of necessary knowledge and          each country with the aim to improve the health and
            witnessed the high degree of dependency of Global                                                                      technology, forging strategic alliances, to develop   well-being of populations in the Global South.
            South countries on imports of active ingredients or                                                                    appropriate policies to address current socio
            pharmaceutical products, as well as various medical   Therefore, We urge:                                              economic, socio-epidemiological, environmental,    Rio de Janeiro, July 29-30, 2024
            supplies and equipment, underscoring the need      First:  Allies and strategic partners to learn from                 and health challenges.
            to learn lessons to avoid repeating these issues in   the COVID-19 experience, to work together to
            Public Health Emergencies of International Concern.   overcome disparities in access between and within
                                                               Global North and Global South countries, and to
            That a key lesson from the COVID-19 pandemic is    join forces, collaborate, engage in dialogue, and
            that we will not achieve equity in access to vaccines,   prioritise common  issues and  challenges,  with
            treatments, diagnostics, and other strategic health   the aim of enhancing international cooperation
            tools and supplies, nor meet the needs of our      in science and technology, accelerating local and
            populations,  if we rely solely on the research and   regional research and development, technology
            development, and production capabilities of Global   transfer, and innovation processes for the production
            North countries.                                   of vaccines, treatments, diagnostics, and other
                                                               health technologies to counter existing epidemic
            That continued investment in building and          and pandemic threats in less developed countries.
            strengthening the science, technology, and
            innovation systems, and the regional and local     Second:   Funders,  regional  and   multilateral
            end-to-end production capacity of Global South     organizations, cooperation agencies, public, private
            countries, is crucial for greater autonomy and stability   and not for-profit research organisations, civil society
            in developing health technologies, promoting       and other international community stakeholders to
            the generation and absorption of knowledge and     prioritise the development of cooperation projects
            technologies, and ensuring equitable access.       and equitable access policies and funding conditions
                                                               that focus on end-to-end research and development,
            That the advancing climate crisis and natural      transparency, knowledge-sharing,  and technology
            disasters alters patterns of infectious diseases   transfer,  and using  and  increasing  production
            including zoonotic, neglected, and vector-borne    capacity for vaccines, treatments, diagnostics, and
            diseases, and increases the likelihood of epidemics   other strategic supplies in Global South countries to



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