05/23/2025 / By Willow Tohi
A controversial global pandemic treaty was adopted by the World Health Organization (WHO) on Tuesday, May 20, despite heavy criticism over its undemocratic adoption process, vague legal framework and perceived threats to national sovereignty. The agreement, formally the “Pandemic Accord,” was finalized at the 78th World Health Assembly amid a contentious debate that underscored widening rifts between nations prioritizing local governance and those ceding authority to international institutions.
The vote, held in a committee setting, saw 124 member states vote in favor while 11 abstained — including the U.S., which announced its withdrawal from the WHO last year — as 46 countries were absent. Human rights groups flagged the vote’s transparency, as the WHO used a “show of hands” method without recorded counts. Slovakian representatives, led by Prime Minister Eduard Heger, staged a last-minute bid to force a recorded vote, deeming the process a “charade.”
“This isn’t a schoolyard vote on snacks — it’s a treaty that may redefine how all 194 WHO members treat public health at home,” Heger said in remarks to the assembly, emphasizing Slovakia’s abstention. “Why avoid transparency? What’s hidden here?”
The accord’s 30 articles reshape the WHO’s role in global health governance, granting it unprecedented authority. Key clauses include:
Opponents, including U.S. Secretary of Health Robert F. Kennedy Jr., warned the accord enshrines the “failed systems” of the pandemic response, with Kennedy calling the WHO “unfit to dictate policies” to sovereign nations.
The treaty’s provisions align with the WHO’s One Health framework, which integrates animal, environmental and human health. Critics, however, say this expands its remit into sectors like agriculture or climate policy — a reach defenders call necessary for pandemic prevention.
The treaty’s legitimacy hinges on its ability to compel enforcement, yet its penalties are toothless. Nations are not legally obligated to comply, and the U.S. absence — a major funder of global health initiatives — draws skepticism about its practical impact.
“Without U.S. participation or binding enforcement, the treaty becomes a symbolic gesture,” said independent journalist Lewis Brackpool, author of a thread dissecting the accord. “Meanwhile, it grants unelected bureaucrats extraordinary power over borders, data and healthcare.”
Proponents, including WHO chief Tedros Adhanom Ghebreyesus, insist the pact ensures “equitable access” to vaccines and medicines, rectifying past inequities during the pandemic. But skeptics note the WHO’s ties to big pharma and private foundations like the Bill & Melinda Gates Foundation, which collectively fund 30% of its budget.
“The WHO isn’t a neutral body—it’s shaped by donors with profit motives,” said Dr. Meryl Nass, an independent advisor. “Handing it more control without/transparency is reckless.”
The accord must still agree on an annex for pathogen information sharing, expected to take a year, before finalizing implementation. Its future depends on how member states balance global cooperation against local autonomy.
For now, the treaty’s approval has amplified calls for congressional oversight of global health agreements in nations like the United States. Delegates from abstaining states echoed similar demands, warning of the “slippery slope” toward centralized governance.
As the WHO celebrates a “milestone” for multilateralism, its detractors vow to ensure the accord does not become a template for eroding democracy — and their fight for transparency and sovereignty has just begun.
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