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iversal health coverage uhc and to leverage innovations to improve global health and we express our firm commitment to support these crucial efforts in collaboration with the global community we stand in solidarity with the peoples of t rkiye and syria affected by the horrifying february earthquakes and plan to continue our support in tackling the consequences of this catastrophe it is also vital that humanitarian aid reaches all those who require it safely and unhindered as efficiently as possible also we condemn in the strongest possible terms russia s war of aggression against ukraine which constitutes a serious violation of international law including the un charter it continues to cause intense suffering loss of lives and serious damage to the country s infrastructure russia must withdraw all forces and equipment from ukraine immediately and unconditionally we reiterate our constant call on russia to put an end to the war it started and to end the sufferings and loss of lives it continues to cause we underscore the significant disruptions of the ukrainian health system caused by the russian war of aggression with hundreds of hospitals and health facilities damaged and destroyed by attacks with thousands of health workers being displaced millions of displaced people currently have limited or no access to health services and people are dying because of disrupted life saving treatments we are committed to supporting the government of ukraine in their continued effort to protect the health of the ukrainian people we will continue to support ukraine with a view to strengthen the operation and the rebuilding of the health system now and in future and will closely coordinate our respective g7 endeavours as a central part of the g7 work in 2023 we strongly condemn the ongoing fighting between the sudan armed forces and the rapid support forces which threatens the security and safety of sudanese civilians and undermines efforts to restore sudan s democratic transition and also risks regional destabilisation we urge the parties to end hostilities immediately without pre conditions and enable safe rapid and unhindered access to populations in need of assistance as well as access by impacted communities to basic services we call on the parties to take active steps to reduce tensions and ensure the safety of all civilians including humanitarian personnel we also urge them to protect civilian infrastructure and health care facilities in particular the destruction military occupation and closure of health facilities around the country further exacerbates the already dire humanitarian situation in sudan the covid 19 pandemic accelerated the development of countermeasures against infectious diseases and especially led to unprecedented rapid research and development r d and roll out of medical countermeasures mcms including vaccines diagnostics and therapeutics while these mcms saved many lives the world faced challenges throughout the pandemic including those related to r d manufacturing and access and delivery of mcms as well as large secondary tolls on health systems including primary health care phc health outcomes and economies based on the lessons learnt from the covid 19 pandemic and past public health emergencies it is necessary to establish an mcm ecosystem that has equity inclusivity efficiency affordability quality accountability agility and speed for pandemic prevention preparedness and response ppr including to accelerate the cycle from the r d of safe and effective mcms to their access and cutting time frames for manufacture delivery and administration of vtds including the last mile such an ecosystem will facilitate global equitable rapid effective and affordable access to safe and effective mcms responding to on the ground needs especially in low and middle income countries lmics during future health emergencies based on the experiences of the covid 19 pandemic and all related initiatives we highlight that global health needs to continue to remain at the top of the global agenda stress the need to advance work related to pandemic ppr as well as on uhc and health innovation and express the need to strengthen gha through the effective articulation and complementarity of the different on going processes within this context we acknowledge the need to reinforce rapid equitable and sustainable distribution and use of mcms as well as r d system throughout the world such an ecosystem could also help strengthen health systems and phc which are fundamental to better responses for any future public health emergencies as well as responses to ongoing global health challenges and to achieve uhc work has progressed to achieve this vision both in the g7 and among the world health organization who member states to improve coordination on clinical trials and more broadly through an adopted world health assembly wha resolution to strengthen trials and generate high quality evidence more routinely as countries are emerging from the covid 19 pandemic many are experiencing ongoing health crises driven by challenges such as weakened health systems health workforce fatigue and disruption of essential health services including routine immunisations in order to fully recover from the covid 19 pandemic address ongoing health challenges and prepare for the next emergency we must recommit to uhc we therefore commit to taking the following actions as the g7 health ministers towards working together for a healthier future across three areas gha uhc and health innovation i develop and strengthen global health architecture for public health emergencies general remark on gha we reaffirm the significance of prevention solidarity equity inclusiveness multisectoral cooperation and coordination among national regional and global actors regional level efforts are critical to catalysing processes of country by country and needs based actions and play a role of a key coordinator and bridge between countries and the global community collaborative and interdisciplinary research networks partnerships and data modernisation efforts are essential for enabling the rapid sharing of information data and samples as across all relevant sectors cooperation among countries and regions is also important to strengthen pandemic ppr particularly given the importance of ongoing negotiations such as the who ca and ihr amendments and to promote timely and equitable access of safe effective quality assured and affordable mcms for public health emergencies from this perspective in line with the objectives of the g7 pact for pandemic readiness we support increasing networking within and between countries and regions to strengthen health workforce and for early detection swift containment and sharing timely research in response to future infectious diseases and other health threats to effectively prevent and minimise the emergence and spread of diseases prevent future pandemics save lives and reduce secondary health and socio economic tolls we remain fully committed to supporting who for its central leadership and coordinating role in gha to strengthen multilateral cooperation and guide the world s ppr to public health emergencies we reaffirm our support for taiwan s meaningful participation in the wha and who technical meetings in addressing global health issues the international community should be able to benefit from the experiences of all partners we also applaud the landmark decision at the 75th wha to work towards increasing the share of assessed contributions to 50 percent of who s 2022 2023 base budget and which takes into account the importance of monitoring of budgetary proposals as well as progress on reforms with a view to sustainably finance the organisation to fulfil its leading and coordinating role in global health we support the draft proposed programme budget 2024 2025 which reflects a greater country focus governance it is essential to ensure the effective articulation of and convergence amongst the different on going initiatives to strengthen gha to ensure that all relevant bodies can contribute fully within their mandates and that all stakeholders can participate according to the functions they can best perform avoiding duplication and emphasising coherence we commit to maintaining global health and health security at the heart of the international agenda and to breaking the cycle of panic and neglect in ppr for future health emergencies in this regard we call for enhancing political engagement towards a more coordinated sustained and stronger governance at all levels that ensures legitimacy prioritisation and effectiveness through science based decision making as well as equity and representation for all countries noting the upcoming united nations general assembly unga high level meeting hlm on pandemic ppr in september 2023 we recognise the leading role of who in this regard and underscore that the unga can play a major role in complementing who in its work to address health emergencies considering the impacts of health emergencies on the entire economy society and security of all countries we also note that any considerations of such governance are expected to be complementary to ongoing discussions including on the international health regulations ihr a who convention agreement or other international instrument on pandemic prevention preparedness and response who ca and the mandates of the un and its related organisations including who promoting coordination and synergies among relevant work process with the overall goal of regaining lost ground due to the covid 19 pandemic and achieving uhc and strengthened ppr is indispensable especially in the context of the upcoming unga hlms on uhc pandemic ppr and tuberculosis in 2023 and on antimicrobial resistance amr and non communicable diseases ncds in 2024 and 2025 we renew our determination to closely align with key global fora such as the g20 wha and the unga to maximise and accelerate our efforts to strengthen pandemic ppr including through a stronger gha coordination framework between health and finance we reaffirm our commitment to strengthening collaboration between finance and health ministries for pandemic ppr regarding the g20 joint finance and health track initiated under the japanese presidency in 2019 we support the ongoing work at the g20 joint finance and health task force jfhtf launched by the italian presidency in 2021 with its multi year planning horizon to better understand and mitigate economic risks and vulnerabilities from pandemics and improve readiness for large scale pandemic response interventions based on its multi year vision the finance and health coordination arrangements are expected to help improve the gha by sharing best practices and experiences to develop joint responses to pandemics as appropriate we welcome the involvement of representatives from key regional organisations to the g20 jfhtf meetings as appropriate and support continued cooperation between the tf and international monetary fund imf the wb the who and other relevant international organisations post act a we also stress the importance of governance financing legislation and regulation production allocation supply and delivery for promoting equitable and rapid access to safe and effective mcms it should be guided by equity inclusivity efficiency affordability quality accountability agility and speed and improved coordination and cooperation among all relevant stakeholders based on the lessons learnt from the access to covid 19 tools accelerator act a and other related initiatives and avoid duplication to prevent prepare for and respond to future health emergencies we acknowledge the consultative processes led by who and discussions in other international fora such as the g20 to give consideration to improved coordination and information sharing in this regard we underscore that bilateral regional and multi bilateral partnerships and cooperations can also be driving forces for the development manufacturing procurement and delivery of mcms for ppr as they complement multilateral cooperation through regional and international organisations they also have positive impacts not only on building capacities for the secure development manufacturing procurement and delivery of mcms but also developing collective capacities to prevent detect and respond to future health emergencies including by promoting the enhancement of health systems in countries with measured gaps providing that coherence between the actions taken is ensured besides multilateral organisations and initiatives the contribution of bilateral regional multi bilateral cooperation should be appropriately and coherently leveraged in collaboration with relevant processes in order to avoid duplication and address health challenges more efficiently effectively and comprehensively pandemic fund we recognise the critical importance of sustainable financing for strengthening national regional and global pandemic ppr capacities we welcome the establishment of the pandemic fund housed at the wb and the launch of its first call for proposals focusing on catalysing resources for disease surveillance systems laboratory systems and strengthening human resources including emergency health workforce across human health animal health and environmental sectors for better prevention and preparedness for future pandemics in line with the ihr core capacities and others also outlined in the ihr monitoring and evaluation framework tools such as the joint external evaluation jee we look forward to the funding of selected proposals later this year and underscore our commitment to mitigate financing gaps including through further active participation and encouraging contributions from additional countries we call on all countries including the g7 and other donors to commit to enhancing financial political and technical support to ensure the pandemic fund s operational success capacity building we commit to working together including by sharing work plans and tracking encouraging efforts and progress in priority countries to achieve the g7 s target of supporting at least 100 lmics in implementing the core capacities required in the ihr for another 5 years until 2027 as committed in 2022 we commit to strengthen efforts for expanding the donor base for health security and pandemic ppr including by leveraging entities like the pandemic fund and the global health security agenda ghsa co financing and cultivating other governmental and non governmental donors and contributors surge financing we also highlight the need for strengthening financing for pandemic response to this end we commit to work with the g20 jfhtf and our international partners to thoroughly assess how the existing financing sources particularly untapped funding streams can be used in pandemic response and to explore a surge financing framework that allows us to complement existing mechanisms through better coo...