Civil society groups have raised fresh concerns over a
proposed global pandemic treaty.
They warn it could allow wealthy nations and pharmaceutical
companies to benefit from disease samples without fairly compensating countries
where outbreaks originate.
One such group, the Aids Healthcare Foundation (AHF), which
has offices in Nairobi, warned that the proposed pandemic agreement under the
World Health Organisation (WHO) risks repeating the injustices seen during
COVID-19.
The dispute centres on a key part of the WHO Pandemic
Agreement, known as the Pathogen Access and Benefit Sharing (PABS) annex.
This section seeks to answer a basic question: if a country
such as Kenya shares a virus sample that helps scientists develop a vaccine,
what does the country receive in return?
AHF criticised the lack of clear provisions, such as
technology transfer and non-exclusive licensing.
It said African manufacturers may be locked out of producing
vaccines developed using their own pathogen data.
During the Covid-19 pandemic, African scientists were quick
to identify and share new variants, including Beta and Omicron, yet the
continent received less than three per cent of global vaccine supplies despite
having about 17 per cent of the world’s population.
AHF says this imbalance must not be repeated.
“Africa has invested in manufacturing capacity, strengthened
its regulators and built the Africa CDC into a credible continental health
authority,” said Diana Tibesigwa, Regional Advocacy & Policy Manager, AHF
East & West Africa.
“What we need now is a global system that rewards—not
punishes—that progress. A PABS Annex without binding equity provisions tells
Africa: share your pathogens, but don’t expect fair access to the cures.”
Resilience Action Network Africa (RANA), another civil
society group, called for mandatory registration of all users of pathogen data
and traceability mechanisms to prevent what they describe as anonymous
exploitation.
“The stakes could not be higher,” said Aggrey Aluso, RANA’s
executive director.
“We have developed significant expertise in pandemic
preparedness and global health governance—yet we have been locked out of the
negotiating room. If the PABS Annex fails to deliver, it will be because
powerful countries chose extraction over cooperation.”
The WHO said the system is designed to ensure both rapid
sharing of disease information and fair access to lifesaving tools.
WHO director general Tedros Adhanom Ghebreyesus said; “The
Pathogen Access and Benefit Sharing system lies at the heart of the WHO Pandemic
Agreement and I thank WHO member states for their commitment to work to bring
it to life.”
He added that
countries must trust one another and work together for the common public good,
for solidarity and for equity.
Negotiations hit a deadlock at the end of last month and
will restart at the end of April.
On March 28, the WHO confirmed that member states had
extended talks on the PABS annex, with a new push to finalise it ahead of the
World Health Assembly in May.
The broader Pandemic Agreement, adopted in 2025, cannot be
signed until the annex is complete.
AHF and other civil society organisations said the delay
reflects deep disagreements, especially over how benefits should be shared and
whether companies accessing pathogen data should be legally bound to give back.
“At a time when some of the world’s wealthiest countries are
stepping back from global health leadership, European leaders at the country
and European Union levels have a clear opportunity and responsibility to step
forward,” said Daniel Reijer, Bureau Chief, AHF Europe.
“Europe has long championed equity and solidarity. Now is
the moment to turn those values into action by supporting a strong, binding
PABS Annex that ensures lifesaving tools reach everyone, everywhere.”
The organisation is pushing for strict rules requiring
companies and countries benefiting from shared data to provide something in
return.
According to AHF, “Benefits must include equitable access to
vaccines, diagnostics, and treatments; non-exclusive licences for manufacturers
in developing countries during public health emergencies; and annual financial
contributions.”
Health advocates are particularly opposed to what they
describe as a “dual-track” system, which could allow companies to access
pathogen data without binding obligations.
They argue this would let firms develop profitable vaccines
and treatments while leaving poorer countries at the back of the queue.
If the global PABS system is weak, experts warn, countries
like Kenya could end up sharing valuable data without guaranteed returns,
limiting access to vaccines and treatments during future outbreaks.
“Africa holds some of the world’s most important disease
reservoirs. If African countries sign away their resources without ensuring
fair benefit-sharing already proposed under the multilateral PABS, they
undermine the global cooperation system humanity needs for the next pandemic,”
said Dr Githinji Gitahi, Amref Health executive director.