WEBVTT

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Thank you for listening to Depiction's Media
Radio. Welcome to Policy Rights to show

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about government policy and human rights.
Welcome back to Policy and Rights here in

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Depictions Media Radio. I'm, of
course your host Michael Clogs. And in

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this next show we're gonna be listening
to UM press conference with the WHO from

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Geneva as they're talking about global health
emergencies and also keep in mind it it's

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also part of human rights where they
also talk about how people are are denied

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in certain areas, denied medications,
how governments are withholding medications, in health

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treatments, how because of things like
war and and disasters, how troublesome is

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for the WHO workers to get their
doctor. There's into doctors and health workers

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into areas so that they can they
can treat those UM with with health conditions,

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injuries, malnutrition. Something is as
simple as we talk. We talk

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about UM cures for treatments for diabetes, to brokera loosius, um polio,

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all those things that we don't really
pay it that closely attention to UM here

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in the Canada, the United States, in our western western world with Western

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medications. The WHO will point out
how those things could be deadly killers in

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other parts of the world because they
simply just don't have the medication or the

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means to get the medication there.
So UM with that where uh we we

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will start with opening remarks from from
doctor Tedro's and he's going to include things

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like UM behavioral sciences, drowning and
prevention that we can stop some UM something's

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from happening in health wise if we
use presentative measures that the who has actually

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lined out UH food and micronutrients,
UH, indigenous health for for people.

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UM he's going to be talking about
some of those things along with that.

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UM I did receive a update from
about a disease outbreak, the Marburg virus

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disease and the United Republic of Tanzania. As of June's second the United Republican

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of Tanzania declared the end of his
first documented outbreak of Marburg virus. Between

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twenty one March and thirty one May, a total of nine cases UM eight

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laboratory confirmed and one probable were reported. All the cases reported were from book

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Oba districts the of the Tangeria region. A total of six deaths. The

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fatality ratio is sixties seven percent,
which is pretty high. For anything in

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accordance to WHO recommendations. The declaration
was made forty two days after the last

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probable exposure to the Marburg virus was
probable or confirmed. The WHO encourages countries

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to maintain most responsive activities for three
months after the outbreakings to ensure no re

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emergence of disease. So with that, why don't we listen to the press

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conference as it happened in Geneva in
the WHO headquarters. Hello, everybody,

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this is my great house in World
Health Organization Headquarters, Geneva, welcoming you

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to our global press briefing on current
health issues today the second of June two

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thy and twenty three. As usual, we will start with opening remarks from

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our Director General, Doctor ted Dross
Namgabresis, and I will then open the

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floor to questions and our panel of
technical experts, both here in the room

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and online will be available to answer
all your questions. Just to let you

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know who's in the room. In
the room, we have doctor Ted Ross

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in the middle, and to doctor
Ted Ross is right we have doctor Michael

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Ryan, our executive director, Executive
director of our Health Emergencies Program. Next

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to doctor Ryan is doctor Olivier Pollard, the incident manager for the SADAN response,

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and next to around the corner next
to doctor Pola is doctor Katharina Byrne

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burm Our, Assistant Director General for
External Relations. To doctor Ted Ross is

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left, we have doctor Maria van
Kirkoff, technical lead for COVID nineteen and

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next to doctor van Kirkoff we have
doctor Abdivaman Mahmoud Mamadi, who's the director

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for a lot in Response, a
coordination department of our Health Emergencies program.

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We also have a large panel of
experts online and we will call on them

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as your questions require specific technical answers. But now, without further ado,

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I'll hand the floor to doctor Tetras. Doctor Tetras, you have the floor.

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Thank you, Thank you, Margaret, good morning, good afternoon,

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and good evening. Over the past
two weeks, help leaders from around the

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world gathered in Geneva for the annual
World Health Assembly. There were many significant

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resolutions and decisions taken on the vast
array of issues on which w JOE works.

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This includes behavioral sciences, best buys
for NONCOMMUNICABILITIESES, diagnostics, disabilities,

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drowning prevention, emergency, critical and
operative care, food, micronutriants, indigenous

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health, infection prevention and control,
maternal in child health, medical oxygen,

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primary health care, refugee and migrant
health, rehabilitation, traditional medicine, chose

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work on emergencies and much more.
The approval of the budget for twenty twenty

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four twenty five, including the twenty
percent increase in assess contributions and support for

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an investment round our landmark agreements in
our shared efforts towards stronger, more effective

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and empowered WHO, and the year
ahead offers several opportunity it is to make

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further progress. In particular, the
high level meetings in September on inversal health

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coverage, tuerkulosis and pandemic preparedness and
response at the UN General Assembly are major

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opportunities to catalyze political commitment. Likewise, the continuing negotiations on the Pandemic Accord

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and amendments to the International Health Regulations
are un unprecedented opportunity for us all to

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learn from the successes and failures of
the response to the COVID nineteen pandemic.

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There are several key points words repeating
to avoid misconceptions. First, this accord

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is a generational opportunity that we must
cease. We are the generation that lead

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to the COVID nineteen pandemic, so
we must be the generation that learns the

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lessons it taught us and makes the
changes to keep future generations safer. Second,

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the two processes are negotiated by member
states for member states, and will,

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if enacted, be implemented in member
states in accordance with their own national

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laws. Third, all member states
will retain their own sovereignity to set their

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own domestic health policies. The idea
that this Accord or the amended International Health

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Aglations will ceed sovereignity to who is
simply bogus and, as I said it

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many times, fake news who will
not gain any power to override domestic policy

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decisions, nor would we want to. I know the journalists listening to this

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briefing are largely health and science journalists
who have a deeper understanding of health and

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understand how an accord can help bolister
our collective pandemic defenses. So I ask

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you to keep following the facts about
these two processes, to dispel myths,

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and to inform your colleagues on the
news and editorial desks. So there is

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accurate reporting. These processes represent a
serious commitment from all one hundred ninety four

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member states towards their populations, and
we cannot let miss and disinformation jeopardize them.

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Next to some good news on the
outbreaks of Marburg virus disease in Equatorial

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Guinea and Tanzania. Today Tanzania declared
its outbreak over forty two days after the

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last patient tested negative for the second
time. The outbreak in Equatorial guineas also

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expected to be declared over next week
if no further cases are detected. Who

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will continue to support both countries to
strengthen their outbreak prevention and preparedness activities.

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Now to the Greater Horn of Africa, which faces a deepening hunger and health

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crisis. The region comprises seven countries
Djibouti, Ethiopia, Kenya, Somalia,

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South Sudan, Sudan and Uganda,
and it is already in the midst of

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the world's drought on record. In
the first half of this year, heavy

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downpours on the baked earth have caused
flash floods in parts of Ethiopia, Kenya

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and Somalia that displays thousands of people. Floods increase the risk of water and

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mosquito bond dises in a region already
impacted by malaria, cholera and other infectious

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diases. Fifty three million people one
in six are facing crisis levels of hunger.

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WHO and our partners are on the
ground ensuring access to basic health services,

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providing treatment to siverly Malner's children,
and helping countries detect, prevent and

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respond to diss outbreaks, but alack
of resources is hindering our response. Under

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our Health Emergency Appeal for twenty twenty
three, WHO is asking for one hundred

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seventy eight millionaires dollars to Enablace to
deliver urgently needed life saving medical aid.

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We face critical funding gaps and we
urged donors to be generous. In Sudan,

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the situation has been compounded by violence. Fighting which started on the fifteenth

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of April is continuing for a seventh
week. People are dying because they can't

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access hospitals and receive the care they
need to treat injuries or the medicines they

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need to treat chronic discs such as
davits or hypertension. Women cannot safely deliver

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their babies, and children are dying
of malnutrition. And dehydration. With the

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upcoming rainy season, there is an
increased risk of outbreaks of water borne and

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mosquito borne dises, which could pose
significant health issues. Since the beginning of

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the conflict, over one point six
million people have been displaced, both internally

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and to neighboring countries. WHO is
working closely with health authorities in neighboring countries

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to provide care to refugees. Health
workers, supplies and facilities continue to be

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targeted. Since the fighting started,
has verified forty six attacks on healthcare,

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leading to eight days and eighteen injuries. Sixteen of these attacks took place after

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the signing of the Jetta Declaration to
protect Civilians on the eleventh of May.

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This is unacceptable. Along with other
humanitarian agencies, WHO has worked to accelerate

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the distribution of life saving medical supplies. We have sent a total of one

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hundred seventy metric tones of medical supplies, including for trauma and injuries, chronic

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and infectious Jesus by air, land
and sea. However, limited access and

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insecurity continue to hamper our efforts to
get the supplies to where they can be

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used to save lives. We urge
all parties in Sudan to resume his fire

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negotiations, stop the fighting, withdraw
from health facilities, protect health workers,

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and support the delivery of life saving
supplies. Finally, the fourth Held for

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All Film Festival will have its award
ceremony on Tuesday, the sixth of June.

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The Held for All Film Festival brings
a human phase to who scientific work.

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Listening to the voices of people affected
by health issues is a powerful way

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to raise awareness and improve our understanding
of people's experiences. I congratulate in advance

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the winners and my thanks to the
distinguished members of the jury. The award

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ceremony will be webcast on the website
and we imbite everyone to join. Margaret

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back to you. Thank you very
much, Doctor Ted. Last, so

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I'll now open the floor for question
and answers. We actually have a lot

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of you online despite it being a
Friday afternoon, and a lot of hands

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up already, so I ask you
to keep your questions short and crisp,

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and the first question we'll go to
giacop lunch for from Rifa. Sharemy please

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and mute yourself and ask a question. Thank you, all right, you

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longing to everyone. I'd like to
ask the question about the disease outbreak news

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that you just posted concerning France.
France reported increases silly. The national steps

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is associated with ANKO, a virus. I would like to know the risk

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assessment is considers to be little.
But how concerned are you by this disease?

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How unusual it is and is friends
the only country that I've reported such

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cases in. Thank you, Thank
you Jeremy doctor at the moment will answer

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question and you may have some additions. Thank you for that, and thanks

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appreciating the French authority for reporting that
and for the detail investigation that was done.

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Saving lives is very important. Coming
back to your question, I think

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it's very general and I don't want
to spend some time explain different virus groups,

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but just to rate it again,
this is part of introvirus. These

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a big virus families that can cause
most of the time a symptomatic affect in

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everyone, but some of them within
particularities. Group A coal virus eleven we're

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seen as we have seen through COVID
another r and a virus is more.

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The virus go through evolution either by
combine in itself or by not proof reading

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the mistakes it does so what we
have seen right now is a new recomponent

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form of this. This was a
very rare disease that it used to happen,

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but since April now and from DULA
last year until every last day when

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the France Authority reporters in nine case
have reported still very in number. But

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we need to have a better surveillance
monitor in all these introviruses. As part

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of the polar education is if polic
self is another introviruses. A lot of

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countries have only focused reduced the surveillance. So the main messages we are not

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worried about it. Of course very
sad for what happened for this children and

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a lot of all treatment and care
needs to happen. The costs of self

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is widespread and the clinician care time
locate is important to retreat again from ourselves.

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The risk from post from this recombination
is still limited, but we are

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calling to an increased surveillance. The
AUTMCC are working with all the member states

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trying to understand better seeing the surveillance
has gone down and we miss in other

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cases. So we'll keep updating more
as we get more information from other members

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state within the eupin Union and from
other regions. For now the numbers remains

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small, but the clinicians and the
families of a critical read to play in

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saving lives. Thank you, doctor
and doctor Bryan. We'll add a few

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more comments. Yeah, and I
think it's important to say that entrovirus infections

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of rativerse. They happen all over
the world every year, and the overwhelming

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majority of these infections are very mild
in most children and most saddults. Their

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whole range of entroviruses. Every mentioned
echovirus, there's carpsaki virus, they're the

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polioviruses. There are a group of
viruses there in a big family of pcorn

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of viridae. I think it's how
they're lumped together. But in this sense,

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in many ways they're joined by many
ways in which they transmit. In

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the normal situation, they often transmit
by the fecal or route. But for

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neonates, there are other ways in
which a neonate can be infected, either

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through around the time of birth and
the birth canal exposure to blood, exposure

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to carrors in the hospital environment,
or whatever. And neonates are particularly vulnerable,

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particularly preterm neonates. So but you
have as a vulnerable group been exposed

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to these viruses, and the outcomes
of those children can be more severe,

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but for the vast majority even of
those children, the outcomes are very positive.

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But there are a small proportion in
this case the Equo virus and fansful.

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In the UK we've had Catsaki virus
as well causing problems with myocarditis.

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There's these viruses target different organs.
Some cause the cephalitis, some cause myochidiitis

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or infection of the heart. Some
can have effects on most organs. But

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again I think it's importance that these
are viruses that are natural in an environment

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that have been with us for huns
as polio has been with us for thousands

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of years. But it is important
that we keep an eye on them.

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They do evolve, they do change, and they can replace each other.

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So I would like to thank the
governments of the United Kingdom and Fans were

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maintaining such good surveillance. And this
is where genomics and genetics become very important.

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I've been able to track viruses where
he has spoken about this for the

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last three years. Our ability to
detect these events is getting better and as

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such that's important. But there isn't
the cause here for heightened fear amongst people.

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It means the scientists are doing their
jobs. They're detecting these events,

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they're sequencing them, they're looking at
the risk. It is a real tragedy

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for any family, in this particular
case in Fans to lose a child at

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this time after what may have been
a very healthy pregnancy. So you know,

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we should really think about those families
and the loss that losses that they

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are suffered, and as we order
them to understand these viruses more, to

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understand how they're spread, to understand
how they cause what they do. But

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again, for the vast majority of
people experiencing an infection with connenta virus,

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the outcome is entirely positive. For
many children don't even know they have these

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infections. Thank you very much for
those answers, Doctor Ryan and doctor Mahmood.

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The next question goes to Beliza don't
Know from w Magazine Portugal. Belissa

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and mute yourself and ask you a
question. Please, thank you for taking

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my question. Yes, sir,
day Way Children's a single service repository on

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the right dependency information is cho has
any plan to control the situation of psychoactive

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drugs and medicine in the world.
Thank you, Thank you, Belisa.

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We did. Indeed, I'm not
sure that we have one of those experts

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online. It's an excellent question.
We do. Okay, I moved to

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our regulatory people, but I don't
think that they were necessarily prepared for this

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question. But doctor Davis, would
you like to answer that question? If

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not, we can handle three million
inquiries. Yeah, I'll give a preliminary

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response to this, but I think
most of it we need to follow it

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afterwards. In terms of drug dependence, we have a program that indeed that

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is monitoring and accelitating countries in terms
of having appropriate framework for regulation of access

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but also control of drugs that may
result into the dependence. And we work

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together with the UN Program on Drug
Dependence and Control und und or C in

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this respect. First of what classified
what these drugs are, put them in

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that classification, and then appropriate to
the put measures that can control access these

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drugs. Now, there's a strict
balance that the needs happened here one because

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they cause a dependence, so that
the access must be controlled so that if

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they're not overused, But then they
are also circumstances where they are needed be

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used in management of certain conditions,
so there must be also measures to allow

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their access under control as pervised conditions. So we have guidance on this for

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member states and we can always follow
up with the specificates would like support in

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putting up and managing these measures.
Over thanks, thank you very much,

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Doctor Days. Thank if your proper
name, it's doctor Daost move bound Ze.

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Apologies that I've pronounced it incorrectly.
And he's a Prequalification Unit coordinator.

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And as I said, if you
need more information, Belisa, we'll handle

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it via media inquiries. The next
question goes to Gabriella Sotomayer from Processo Mexico.

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Gabriella, please I mute yourself and
ask your question. Thanks, Gabriella,

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we've lost you. We can't hear
you, Gabriella. We started hearing

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you and then you cut out.
Looks like we've lost you, Gabriella.

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We've got some others on the line, so what we'll do is we'll go

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to the next question and then we'll
move back to you later on. Just

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maybe you check your line at your
end. So now, the next question

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goes to Ravi Kump from the Wire
Love you, please un mute yourself and

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ask your question. Yeah, thank
you, madam. Oh. My question

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is to the D word. You
know, complaints being made by civil society

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organizations and some governments about the ongoing
discussions on privatizing several initiatives within who I'm

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you're referring to a six stroke three
to document. Why is it that the

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DG is sort of opting for this
at a time when you know, serving

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the vulnerable populations is his core concern
because we all know that privatization of health

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has caused major disasters in the country. Of the country called d respond,

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please servistic and I should inform is
that the wire is a major publication from

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India. Are you referring to a
particular resolution on universal health coverage that?

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I'm sorry, it's completely clear what
a specific request is. It's about the

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eight seven six two three two.
Do you know about us bringing voluntary funds

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and trying to throw the doors open
because of the resource? Can't which the

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wh voice facing it's a financing Okay, no, I can, yeah,

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thank you. Of course, the
most important decision by Member states this year

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was not actually that Member states have
agreed to increase assess contribution, meaning all

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member states to contribute based on the
share they get to whom, and that's

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why in my speech I said the
twenty percent increase agreed this year is significant.

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It's historic and a big, a
huge milestone. So that's where our

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resources come. And the second will
be the investment round, which we have

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also got a signal from our members
says to start where the other bulk of

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the funding would would come and this
is mainly again donor countries. Then the

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other part could be from the private
sector, but this is not part of

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the two. For the private sector, we don't get involved directly. So

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what happens is we have the DOUBLEHO
Foundation, which we have established a few

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years ago as part of our transformation, so the private sector can contribute to

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do WHO foundation. So there is
a firewall between who Founder, between the

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private sector and WHO, but the
funding we get through that mechanism is very,

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very minor. So I think your
concern is really well addressed. When

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we design the way we mobilize resources
and we don't allow any interference by the

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private sector or any entity, and
we focus on science and evidence and do

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our work based based on that.
But if there is any conflict of interest,

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we have ways to manage to manage
that. Thank you, and back

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to Margaret. Thank you very much, Doctor Tatlers. The next question comes

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from Malaysia from son In and her
organization. Her outlet is correct Blue Silin.

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Please I mute yourself and ask you
a question. Thank you, Margaret.

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Um, So, our constant is
not probato control and it's for the

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Director General Um, the Malaysian government. We certainly legalize and built with magical

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or textingial purposes and to go the
local and the Magia government did this.

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We've got implemental any regulations. That's
what I love. E cigarettes. So

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E cigaretts can be legally sold in
Malaysia to children and teenagers and there are

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00:32:24.920 --> 00:32:30.279
no regulations whatsoever on the advertising or
packaging and labelieve, Um, do you

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consider this to be antithetical the public
health? Thank you for that question.

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I may pass it first of all
to the Unit HIT for Tobacco Control.

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If doctor Turtles agrees, yes,
we've got we've got our unit hit,

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yes and no, we can say
something no, I think um. First

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of all, whether it's electronic cigarette
or easy garrett or vaping, it has

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to be regulated and we ask member
states to do their best to, you

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know, protect their citizens. When
the tobacco introduced tobacco industry introduced electronic cigarette

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and vaping, one narrative they tried
to really sell is is that this is

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part of harm reduction. It's not
true. It actually is a trap,

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and a trap meaning kids are being
recruited at early age ten, eleven,

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twelve to do vaping and easy Garrett, because they think that it's cool because

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it comes in different colors, different
flavor and and and and so on.

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Then they get hooked for life and
most actually move into regular cigarette smoking.

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That's why it's a trap. But
EA cigarette and vaping itself is also harmful.

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It's harmful. So because of these
two things, I think what we

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say to um all countries is please
protect your citizens, especially your children starting

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vaping an electronic cigarette early and many
adverts being done. Recent studies show that

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inside or near schools, So it
has to be regulated and it has to

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be taken seriously. Thank you,
Thank you very much, doctor doctor Tetras.

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And now we're moved to try Gabriella
again. Gabriella, can you try

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once again to admut yourself and ask
your question. Gabrielle, Yes, thank

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you very much, Olah. Doctor. In Mexico, there is a serious

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crisis due to the lack of medicines. The most warring shortage today due to

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the lack of options are in medicine
to treat schizophrenia by polar disorder and major

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00:35:35.119 --> 00:35:40.320
depressive disorder conditions that in Mexico's office
some four point nine million people. The

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00:35:40.440 --> 00:35:46.039
government at Mexico said that the UN
Office for Project Services UNOPS has worsen it

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00:35:46.360 --> 00:35:52.519
medicine shortages in Mexico. They are
accusing EUNOPS because the government signed a couperation

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00:35:52.559 --> 00:35:58.679
agreement in July twenty twenty. I
can't ask for your comments on this warring

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00:35:58.719 --> 00:36:02.960
situation in Mexico. Thank you so
much, Gabriella. That's highly specific to

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a situation in a country, so
I doubt that we would have any comment,

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00:36:09.679 --> 00:36:15.960
but doctor DAOs maybe able to talk
about sort of the overall situation with

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regulation of medicines and management of access. So doctor Teos over to you.

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00:36:22.840 --> 00:36:27.159
Thank you very much. Indeed,
I just said that is a specific question

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00:36:27.320 --> 00:36:32.480
that and they also involving UNUS,
where I don't have a detail, but

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just speaking general about access, there
are many factors that affect access to since

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starting right away from forecasting, quantification, portrayment processes and then actually a very

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00:36:47.480 --> 00:36:53.840
vera bit of time, a vera
bit of funding to be able to PROTUA

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the medicines and then the logistics for
their for their day about it, but

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also efficient to the generatory system.
So they are there are many situations and

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00:37:07.039 --> 00:37:14.119
CHU has many interventions and programs that
work at the different stages of the supply

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chain. I don't have the specific
and they would like to check on the

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00:37:21.079 --> 00:37:28.480
specific cause in this respect of Mexico
and the agreement with the Roar of UNOPS.

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This will need to cross check and
then come back to you on the

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specifics. Thank you, Thanks very
much, doctor DAOs and Gabriella, if

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00:37:37.440 --> 00:37:39.440
you'd like to put a question through
media inquiries again, we'll make sure that

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we facilitate those answers for you.
The next question goes to my plans of

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00:37:45.840 --> 00:37:52.599
the UN brief. Maya follows UN
processes very closely and we've just finished our

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00:37:52.599 --> 00:37:55.440
World Health Assembly, so I'm expecting
that's what the questions about. But please

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00:37:55.480 --> 00:38:00.880
go ahead, Maya and mutual self
and ask a question. Thank you very

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00:38:00.960 --> 00:38:08.400
much. Doctor. My question is
related actually to the stigmented decomposition doing the

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00:38:08.480 --> 00:38:20.880
assembly, who who was caution and
the people using chap gpt um for medical

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00:38:21.000 --> 00:38:28.840
diagnostics and other studies and so on
using chap gpt So when my question is

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00:38:28.960 --> 00:38:36.159
what specifically do you recommend? Is
recommending in that sense are you creating a

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00:38:36.199 --> 00:38:40.719
working group or is there the working
groups that are are already working and the

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00:38:40.840 --> 00:38:51.360
issues of your and emergent technologies be
prompted and usedful for doing studies and looking

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00:38:51.440 --> 00:38:59.599
more closely at the uses and possible
misuses of track GP three. Thank you,

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00:38:59.679 --> 00:39:01.760
mine. It's a really excellent question, and I know we are doing

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00:39:01.760 --> 00:39:06.239
a lot of work on this.
I'm not sure I have the specific experts

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00:39:06.239 --> 00:39:09.920
in the room. I'm just looking
around to see, but doctor Bryant has

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00:39:10.719 --> 00:39:15.880
has gone some points to make.
I can't speak to the to the broader

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00:39:15.880 --> 00:39:19.000
issues, but certainly we have a
lot of ongoing work on the use of

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00:39:19.119 --> 00:39:23.960
artificial intelligence for very positive gains we
can make. We're using artificial intelligence to

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try and detect signals of epidemics around
the world. We're using artificial intelligence to

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00:39:29.679 --> 00:39:35.719
look at how people and communities are
responding to various different events and trying to

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understand better what communities are saying,
what they're doing, and how they're reacting,

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and to to to public health interventions. Artificial intelligence, I know has

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00:39:45.440 --> 00:39:50.079
been used right now to try and
identify and look at violence factors and viruses

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00:39:50.199 --> 00:39:54.119
with the genomic analysis, so AI
has also been used to identify new small

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molecules which could be very effective as
anti virals or antibiotics. AI we used

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to aid diagnostics, to aid radiologic
diagnostics, to aid simple technical diagnostics.

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So AI is a tool and as
such as potentially hugely powerful tool in the

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future of health. But like all
tools, in the wrong hands and without

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00:40:15.280 --> 00:40:21.920
proper regulation and without proper oversight,
that tool can be turned to inadvertent badge

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use or to intentional bad use.
So we are in my program looking at

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00:40:25.920 --> 00:40:32.119
artificial intelligence and biologic risk and how
AI and the misuse of biologic ages can

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00:40:32.119 --> 00:40:37.360
come together. And it's a powerful
combination the use of both of those issues,

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and we are looking at that.
I know that the Chief Scientists is

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00:40:42.480 --> 00:40:46.679
leading a process around dual use in
the area of dual use technologies, and

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00:40:46.719 --> 00:40:51.159
we're looking at that. In terms
of genetics and genomics, AI will fall

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into that category. But I think
there's a much bigger discussion to have here.

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Certainly, we all very curious about
our health that we're very curious to

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00:41:00.760 --> 00:41:02.320
find out what may or may not
be wrong with us at any one time,

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and we use various things. We
ask our friends, we look at

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00:41:05.719 --> 00:41:09.320
posters, we listen to podcasts,
we might ask chat GPT. The most

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00:41:09.360 --> 00:41:13.840
important thing is that if we're concerned
about our health, we should be going

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to see our primary healthcare physician.
We should be going and interacting with the

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health system, and we shouldn't necessarily
be using AI products that are not designed

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00:41:23.880 --> 00:41:30.639
to do that as as our healthcare
worker. But it is reassuring and it

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00:41:30.760 --> 00:41:34.599
is good if people are People are
using the internet all the time, people

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00:41:34.639 --> 00:41:40.159
are constantly searching for terms around disease. Sometimes I think we drive ourselves crazy

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looking on the Internet and wondering what
we could possibly have based on the symptoms

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00:41:45.880 --> 00:41:50.119
we're feeling at any one time.
That can be very empowering, but it

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00:41:50.199 --> 00:41:53.400
also can be it can be very
fear inspiring. But if, if,

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if using tools stimulates people to access
healthcare, that is not a bad thing.

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We want people to access healthcare for
especially for things that can be treated

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00:42:05.679 --> 00:42:09.239
and prevented. So I think this
is a huge area. It's an area

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that's going to require a lot of
discussion in the coming months and years.

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00:42:14.119 --> 00:42:16.760
And I think it is an area
in which who has a role to play

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00:42:17.119 --> 00:42:22.039
in convening experts from around the world
and in finding ways to ensure that this

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00:42:22.400 --> 00:42:28.239
powerful tool can be used for good
and that we can mitigate any of the

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00:42:28.280 --> 00:42:35.480
potential uses of such technology that will
act against health. Thank you very much,

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00:42:35.559 --> 00:42:37.800
doctor Ryan. And as I said, Mayer, if you need any

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00:42:37.800 --> 00:42:44.960
other stuff, please please come through
media inquiries. We now have a question

387
00:42:45.000 --> 00:42:49.480
from India. Again. This is
from Malala men on Armor, a major

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00:42:49.679 --> 00:42:53.239
newspaper in India, and the journalist
is Joseph Ruben. Joseph, please and

389
00:42:53.400 --> 00:43:05.559
mute yourself and ask your question.
My question is about the COVID or vaccines

390
00:43:05.880 --> 00:43:09.760
and the sudden stage of heart attacks
on birds, even young and many young

391
00:43:09.840 --> 00:43:16.480
people. Now, do you have
any any vidence that this did something to

392
00:43:16.599 --> 00:43:21.679
the post COVID issues or or to
the COVID vaccines. Do you have any

393
00:43:21.719 --> 00:43:27.239
complete study on this? Thank you, Josef. That's a very broad question.

394
00:43:27.519 --> 00:43:32.960
I think again we probably prefer that
doctor van Kekov has vaccines and sudden

395
00:43:34.039 --> 00:43:37.559
tests in young people. Is that
your question? Do we have studies on

396
00:43:37.639 --> 00:43:45.039
this course of studies? That's your
question? Yes, that is question.

397
00:43:45.320 --> 00:43:50.840
Let's your question. So he okay, repeat the question, please, Joseph

398
00:43:52.280 --> 00:43:55.679
okay, okay, I will,
I will. So my question is about

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00:43:55.719 --> 00:44:01.920
the sudden, arisive heart attack from
builds even young people. You are even

400
00:44:01.960 --> 00:44:08.039
India is reportings a lot of such
deaths. Is there evenly evidence that these

401
00:44:08.119 --> 00:44:13.800
builds and lining to the post coviducues
are all with the COVID vaccines. Do

402
00:44:13.840 --> 00:44:20.239
you have any concrete study owdus.
That is good question, Thank you doctor,

403
00:44:20.400 --> 00:44:24.719
thank gov with stud Yeah, I
can start, so the question.

404
00:44:24.840 --> 00:44:28.719
I think you've put two things into
this question. So one of the things

405
00:44:28.800 --> 00:44:32.800
that we're constantly looking at around the
world are any adverse effects related to COVID

406
00:44:32.880 --> 00:44:38.280
nineteen. First of all, primarily
from infection, and we still are seeing

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00:44:38.440 --> 00:44:44.119
a number of hospitalizations I see you
admissions and deaths due to infection with COVID

408
00:44:44.239 --> 00:44:49.280
nineteen. What we do have is
ample evidence and studies upon studies of the

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00:44:49.599 --> 00:44:55.480
protective effects of vaccines in preventing hospitalizations, preventing severe disease, and preventing death.

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00:44:55.920 --> 00:45:00.199
Deaths and that is consistent over the
last two and a half years where

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00:45:00.199 --> 00:45:06.400
these vaccines have been in use,
So it really remains critically important that people

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00:45:06.519 --> 00:45:10.920
get vaccinated. There are registries that
follow adverse events following vaccination, and that

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00:45:12.039 --> 00:45:15.920
has been put in place over the
course of since the vaccines have been put

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00:45:15.000 --> 00:45:20.599
in use, and that is something
that will continuously be studied as these vaccines

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00:45:20.639 --> 00:45:23.400
continue to be used. But I
do want to reiterate that the vaccines that

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are currently in use around the world
are protecting people from dying and they have

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00:45:30.199 --> 00:45:35.920
prevented millions of deaths in the course
of the last several years. So please

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00:45:36.039 --> 00:45:38.719
do get boosted if it's your turn, if you are recommended to get one,

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00:45:38.800 --> 00:45:43.280
particularly if you are in an at
risk group. This virus is still

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00:45:43.320 --> 00:45:47.840
circulating in every country around the world. We have millions of cases of infections

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00:45:47.840 --> 00:45:52.320
and reinfections that are being reported to
us. There are hundreds of thousands of

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00:45:52.400 --> 00:45:57.920
people in hospital every week for COVID
nineteen and we have thousands of deaths every

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00:45:57.960 --> 00:46:00.119
week. The second part of your
question I just wanted to address as well

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00:46:00.159 --> 00:46:05.239
as post COVID condition. This is
something that we are deeply concerned about and

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00:46:05.400 --> 00:46:12.599
working on with clinicians around the world
to better understand post covid condition. There

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00:46:12.679 --> 00:46:17.400
are some estimates that suggest that about
six percent of symptomatic infections result in post

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00:46:17.480 --> 00:46:22.920
covid condition, which affects multiple organs
in the body, the lungs, the

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00:46:22.039 --> 00:46:28.480
hearts, the brain, and really
cause significant impairment in individuals. The good

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00:46:28.559 --> 00:46:31.400
news that we understand is that most
people will recover after about a year,

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00:46:31.679 --> 00:46:37.280
but that's a very long time of
causing very harmful effects and individuals, and

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00:46:37.400 --> 00:46:40.079
so this is something we are working
on to make sure that post covid condition

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00:46:40.199 --> 00:46:45.480
is recognized, and this is coming
from infection with this virus, making sure

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00:46:45.519 --> 00:46:51.039
that it's recognized, making sure that
there's treatments and there's good rehabilitation. The

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00:46:51.159 --> 00:46:55.400
other thing that we are looking at
is the impact of repeat infections of individuals

435
00:46:55.559 --> 00:47:00.159
over time, where in the fourth
year of this pandemic and the virus is

436
00:47:00.280 --> 00:47:04.360
circulating and people are getting reinfected,
they're not developing severe disease because they have

437
00:47:04.440 --> 00:47:08.960
a high level of immunity, either
from vaccination or previous infections. So that's

438
00:47:08.960 --> 00:47:14.039
the good news, but what we
want to better monitor are the long term

439
00:47:14.079 --> 00:47:16.960
effects potentially in different organ systems of
the body. So there's still a lot

440
00:47:17.039 --> 00:47:21.519
to learn, which is why we
are working with all of our member states

441
00:47:21.559 --> 00:47:27.000
to ensure that not only do we
prevent the impacts of COVID nineteen going forward,

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00:47:27.000 --> 00:47:30.480
but we also do what we can
to prevent infections while we are living

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00:47:30.519 --> 00:47:37.119
our lives. Thank you very much, doctor van Kirkov. I think we

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00:47:37.199 --> 00:47:40.119
don't need to add any further.
We're also getting close to time, but

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00:47:40.239 --> 00:47:44.519
we've got time for one more question, and that will go to John Zara

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00:47:44.599 --> 00:47:49.440
Costas, who's based here in Geneva
and works for the Lancet and False Van

447
00:47:49.480 --> 00:47:53.519
Tatra. John, please mute yourself
and ask you a question. Yes,

448
00:47:53.880 --> 00:48:00.679
good enough to name, just like
to fill up. Doctor Tedderson's introductor remarks,

449
00:48:00.199 --> 00:48:06.679
we're interested to hear the views of
the nature experts in the new draft

450
00:48:06.800 --> 00:48:10.599
texts that's gone to member states.
What are your thoughts on the liability,

451
00:48:10.960 --> 00:48:15.559
risk and management are going forward?
What guidance would you give member states?

452
00:48:16.159 --> 00:48:22.000
How did you draw the balance between
what member states should do for indemnity and

453
00:48:22.159 --> 00:48:27.480
what should be the role of the
manufacturers of vaccines and therapeutics. Where do

454
00:48:27.559 --> 00:48:32.880
you strike the balance? Thank you? John, that's a very specific question.

455
00:48:34.039 --> 00:48:39.320
I'm in Doctor Bryan has got an
answer. Ye never have answered the

456
00:48:39.400 --> 00:48:46.400
satisfies John, But thanks John.
No, I think we have to be

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00:48:46.920 --> 00:48:53.440
we have to be careful this negotiations
between our member states and the Secretary.

458
00:48:53.639 --> 00:49:00.679
Is that influencing that discussion one way
or the other. Although the Bureau or

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00:49:00.519 --> 00:49:06.199
the negotiating parties can ask the Secretary
at any time to produce background documents,

460
00:49:06.239 --> 00:49:09.519
to do scientific analysis, they can
commission us to do things, so it's

461
00:49:09.599 --> 00:49:15.599
very important that we don't in this
view it since have a view, a

462
00:49:15.760 --> 00:49:20.480
particular view as to how they should
quodify, if they quotify at all,

463
00:49:20.519 --> 00:49:23.639
the issue of liability and risk management
within the treaty, So whether it's in

464
00:49:23.800 --> 00:49:28.760
or out and what it actually constitutes
in that is entirely up to them.

465
00:49:29.039 --> 00:49:32.039
But in general, the issue of
liability and risk management is an important issue

466
00:49:32.039 --> 00:49:37.760
when it comes to dealing with matters
of equity, because if we can't deal

467
00:49:37.840 --> 00:49:39.559
with the issue of liability, if
we can't deal with the issue of who

468
00:49:39.639 --> 00:49:44.199
owns the liability for the safety of
a product, and if all of that

469
00:49:44.360 --> 00:49:47.039
liability is forced onto a country that
may not have the resources to manage that

470
00:49:47.440 --> 00:49:52.440
that in itself can drive an equity. So there's no question that managing liabilities,

471
00:49:52.599 --> 00:49:57.679
terms and conditions and the legal requirements
around the transfer of vaccine. Even

472
00:49:57.760 --> 00:50:01.880
if a vaccine is priced that a
price that is affordable, the actual risk

473
00:50:02.519 --> 00:50:08.679
of the risk quoted attached to the
accepting a particular product is very much determined

474
00:50:08.719 --> 00:50:13.159
by their liabilities that come with owning
that product. So there's a lot of

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00:50:13.239 --> 00:50:15.400
issues to unpack there, and I
think John of what it reflects is that

476
00:50:15.559 --> 00:50:20.679
this is not a simple ABC thing. This is not just about pricing.

477
00:50:20.760 --> 00:50:23.400
This is not just about technology,
This is not just about liability, This

478
00:50:23.639 --> 00:50:29.280
is not just about absorbed of capacity, this is not just about manufacturing capacity.

479
00:50:29.360 --> 00:50:31.159
It's about all of this. And
our member states are going to have

480
00:50:31.320 --> 00:50:36.920
to come together and find a way
to find an effective mechanism for us to

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00:50:37.000 --> 00:50:40.840
respond to the next pandemic while keeping
in mind the issues of more than keeping

482
00:50:40.880 --> 00:50:44.360
in mind keeping central, as they
have said, as they're set out on

483
00:50:44.440 --> 00:50:51.320
this journey, keeping central access,
solidarity, and the shared responsibility we have

484
00:50:51.840 --> 00:50:55.079
to serve every person on this planet. And in doing that, I think

485
00:50:55.159 --> 00:50:59.679
they will consider the issues of liability
and risk management. But of course,

486
00:50:59.760 --> 00:51:01.920
we will leave it to them to
decide how they wish to manage that,

487
00:51:02.360 --> 00:51:07.440
but obviously stand ready to respond an
input to that discussion as any time they

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00:51:07.480 --> 00:51:16.320
see fit and doctor Tatos will no
time to close. Yes, okay,

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00:51:17.639 --> 00:51:22.039
So that's the last of our questions
and we've reached the end of the press

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00:51:22.119 --> 00:51:24.440
conference. And as I said,
any further querity need please send the media

491
00:51:24.519 --> 00:51:30.960
inquiries. We will also send out
the audio and the transcript of today's press

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00:51:30.000 --> 00:51:36.559
conference. And now at hand of
the doctor Tatoes for final remarks. Thank

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00:51:36.639 --> 00:51:39.280
you, thank you, Margaret,
thank you to all members of the press

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00:51:39.440 --> 00:51:51.320
for joining us, and so you
next time, and thank you for listening

495
00:51:51.360 --> 00:51:55.079
today. As a final thought,
healthcare should not be something that's bought and

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00:51:55.199 --> 00:52:00.079
paid for. It should be a
human right. It should be something that

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00:52:00.360 --> 00:52:07.480
we all just hey, we should
all have medications and health available to us.

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00:52:10.719 --> 00:52:16.280
There are areas that because of lack
of money, that medications aren't available,

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00:52:16.360 --> 00:52:22.639
and that should not be the case. There are countries, even in

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00:52:22.880 --> 00:52:30.440
our modern world, where people don't
necessarily always receive adequate medical care because of

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00:52:30.719 --> 00:52:37.639
the lack of ability to pay.
It should not be something that's necessarily bought

502
00:52:37.719 --> 00:52:47.039
and paid for. It should be
something that is a given right. So

503
00:52:49.760 --> 00:52:54.519
we want to again thank you for
listening today and please find that subscribe button

504
00:52:54.599 --> 00:53:47.440
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00:53:47.599 --> 00:53:54.920
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00:53:55.079 --> 00:53:57.199
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