Pandemic Prevention, Preparedness and Response: International Agreement

Debate between Christopher Chope and Anne McLaughlin

Monday 17th April 2023 Westminster Hall

[Anne McLaughlin (Glasgow North East) (SNP)]

There is a need for reflection and scrutiny of the covid-19 pandemic, and we need to understand the plans for any future pandemics, but we need an international approach, and the SNP fully supports this WHO agreement.

The SNP has supported global co-operation and co-ordination throughout the coronavirus pandemic. It is only when the world is safe from covid-19 that any of us are truly safe. Only by working together and embracing global co-operation, not competition, can we tackle global crises such as climate change and pandemics. The covid-19 pandemic has laid bare the importance of strong, global public health infrastructure and how quickly healthcare provision can break down if the basics of medicines, tracking, treatment and other resources are not available. As others have said, international collaboration is the best way to avert and handle future pandemics. The world is not safe until all populations are safeguarded, wherever they are in the world.

I understand the principle behind the petition. I appreciate that people want to be able to hold their Government to account, and we must be able to scrutinise Governments. But there appears to be some misunder-standing around the WHO’s work and how it interacts with Governments. I have done a bit of reading and have listened to the reasons given by those who oppose this potential treaty, and they often have concerns that the WHO would be running health policy for all countries who sign up to it. But those working on drafting the treaty have already included sovereignty as one of its guiding principles and rights. The latest draft of the treaty from 1 February 2023 starts by:

“Reaffirming the principle of sovereignty of States Parties in addressing public health matters, notably pandemic prevention, preparedness, response and health systems recovery”.

There are no proposals to change that, and the healthcare policy, even in a pandemic, would remain entirely a matter for sovereign nations to decide. The World Health Organisation would be able to make recommendations once a global emergency is declared, but they would just be recommendations. Contrary to what others have said, they would be non-binding. The treaty would not require Governments to act on WHO instructions, nor would it require anyone to sacrifice sovereignty. Rather, it would enable Governments to plan together, detect pathogens more quickly, share data more broadly and respond more effectively to the next pandemic.

Those concerned about the impact of the WHO’s involvement are perhaps unaware, or have forgotten, that the UK already implements the WHO’s international health regulations, or IHR. Those regulations provide a framework that defines countries’ rights and obligations in handling public health events and emergencies that have the potential to cross borders. The regulations have been in place in some form since 1969, and the latest regulations have been in operation since 2007, but this has not meant a loss of individual nations’ control over health policy.

On the international stage, the SNP will always support measures to improve global public health. Those include reversing the damaging aid cuts by the UK Government—specifically, in this context, those inflicted on health and wellbeing projects.

[Sir Christopher Chope]

Will the hon. Lady give way?

[Anne McLaughlin]

No, I will not.

Official development assistance has been cut from 0.7% to 0.5% of gross national income, creating a £4.6 billion funding black hole compared with 2019 levels, and health and wellbeing programme funding has been absolutely slashed. As part of their wider international development pattern, the UK Government are cutting funding for conflict resolution projects at a time of renewed war, cutting health and medical funding in the aftermath of a global pandemic, and cutting food programmes during a time of global food insecurity. All of this is morally reprehensible.

It is positive, of course, that the UK Government are supporting the treaty, but it is important to remember that despite the pressing need for a global, collective response to health crises, the UK Government are repeatedly falling short of the mark and reneging on their pledges. It is morally and pragmatically indefensible that the UK Government should continue to actively jeopardise the lives and wellbeing of the world’s poorest and most vulnerable. With the Government maintaining the ODA budget at below 0.7% of GNI, there is no other way to describe what they are doing.

Along with supporting the treaty, the SNP is calling on the UK Government to reinstate the aid budget to 0.7% of GNI as an urgent priority, ensure that aid spending on health programmes and projects around the world is increased to pre-covid-19 pandemic and pre-UK aid cut levels, and ringfence the overseas aid budget for spending abroad, to ensure that the aid budget is not being spent here in the UK on refugee and asylum support. The Government must also establish a much-improved, stand-alone Home Office model that better supports refugees and asylum seekers.

The SNP believes that referenda are essential to establish public consent on issues concerning constitutional make-up and sovereignty, not on every issue that someone might disagree with. The treaty would have absolutely no effect whatever on the UK’s constitutional function and sovereignty, and we are therefore of the firm belief that it does not warrant a referendum.