Delegates from member states of the returned to formal negotiations this week to continue discussions on the Pathogen Access and Benefit-Sharing (PABS) annex, one of the most contested and central components of the proposed Pandemic Agreement.
The resumed sixth meeting of the Intergovernmental Negotiating Body (IGWG6) follows a week of informal consultations held from April 20–24 and comes ahead of the upcoming , where countries are expected either to present a final PABS text for adoption or decide on the way forward for both the annex and the broader Pandemic Agreement.
The PABS system is intended to establish rules on how countries and researchers share pathogens and genetic sequence data during outbreaks, and how benefits such as vaccines, diagnostics, treatments, technology, and financing are distributed in return.
According to updates shared by the , last week’s informal consultations, co-facilitated by France and South Africa, focused heavily on the benefits section of the annex. Negotiators reportedly tested possible “landing zones” — compromise proposals intended to bridge long-standing divisions between countries.
The informal sessions were said to have improved the mood among delegates after months of difficult discussions. Some progress was reportedly made on thorny issues such as how benefits would be advanced during Public Health Emergencies of International Concern (PHEICs).
However, negotiators now face the challenge of translating those informal understandings into agreed language within the official negotiating text.
Monday’s opening session was notably shorter than previous meetings. Co-chairs encouraged delegates to avoid lengthy general statements and focus instead on negotiations. Unlike earlier sessions, relevant stakeholders and civil society groups were not given the opportunity to speak during the opening.
Addressing delegates, Tedros Adhanom Ghebreyesus stressed the urgency of reaching an agreement before the World Health Assembly.
He told member states that they must work together to find common ground, warning that the world “cannot afford” to fail in reaching an agreement. He acknowledged that the PABS system may not be perfect but said a workable middle ground remained achievable.
Tedros also framed the negotiations as a broader test of international cooperation, saying the successful completion of the Pandemic Agreement would demonstrate what countries can achieve collectively at a time when multilateralism and global health cooperation face growing pressure.
Zimbabwe, speaking on behalf of the African Group, was the only member state to make an intervention during the opening session. The delegation urged countries to maximize available negotiating time through both daytime formal sessions and evening informal meetings.
Negotiations on Monday focused mainly on Section II of the annex dealing with benefits, while subsequent sessions shifted attention to pathogen access provisions. Delegates are expected to conduct a stocktaking exercise midweek before updating relevant stakeholders.
The outcome of the negotiations is being closely watched globally, particularly by African and other low- and middle-income countries that have repeatedly called for more equitable access to vaccines, therapeutics, diagnostics, and technologies during future pandemics.
The COVID-19 pandemic exposed deep inequalities in access to lifesaving tools, with many lower-income countries waiting months or years for vaccines and treatments while wealthier nations secured supplies early. Many countries now see the Pandemic Agreement and the PABS system as an opportunity to address those inequities before the next global health emergency strikes.
