Pandemic Prevention, Preparedness and Response: International Agreement

Esther McVey Excerpts

Monday 17th April 2023 Westminster Hall

[Esther McVey (Tatton) (Con)]

It is a pleasure to serve under your chairmanship, Mr Sharma. I am grateful to my hon. Friend the Member for Don Valley (Nick Fletcher) for moving the motion. I thank the 156,000 people who signed the petition, including 295 of my Tatton constituents, who helped to secure today’s important debate.

The vast majority of the nation has been busily moving on from the pandemic and the lockdowns, and rightly so, but much analysis of covid and the lockdowns is still ongoing, with the UK covid inquiry beginning to hear evidence in June for its first investigation. As co-chair of the all-party parliamentary group on pandemic response and recovery, I welcome that inquiry, and all other frank, open discussions and analysis of the impact and effects of lockdown, and how policies were originated and formulated.

Our APPG has heard from renowned experts such as Professor Carl Heneghan, Lucy Easthope, Mark Woolhouse, Robert Dingwall, Dr Allyson Pollock, Lord Jonathan Sumption, Kate Nicholls OBE and many more, who have all advocated for evidence-based, proportional measures to prevent avoidable suffering and loss. However, while all that analysis is ongoing, the World Health Organisation is preparing an international treaty on pandemic prevention and preparedness. The treaty seeks to enhance international co-operation, which sounds good in theory, but critics say that in practice it could transfer power away from sovereign and democratically elected nations, and the rights of the individual into the hands of the WHO, an unelected and largely privately funded bureaucracy. That is the nub of it. Who has the oversight? Who is creating the powers? Who has a say in it? That is why people have written to their Members of Parliament and asked for a debate here today. They ask, “Where are those powers going? Who is to remain sovereign? Who will have oversight?” Today, we are here to allay those concerns, to get those issues out in the open, and to head off any issues and ensure that we are not signing away our sovereignty.

Here, for the Minister to address, are just a couple of the issues that my constituents have flagged up. It is those word changes—it is not that countries would have to “consider”, but that they will now “follow”; it is not that these things are non-binding, but that they are binding. My constituents are not some kind of conspiracy theorists. They come to me saying, “You are my Member of Parliament. I want to hear you debate things on the Floor of the House. I want you to be accountable and, if you are not, we will vote you out at the next election. We want to know that we are in control of what is going on.” That is why we are here today. They are concerned about those word changes and what we are doing.

[Andrew Bridgen]

My right hon. Friend is making a great and informed speech. Are she and the Chamber aware that WHO has extended the public health emergency of international concern every six months since January 2020? As far as WHO is concerned, we are still in an emergency? Once the treaties are in place, it would decide when an emergency is over and it would return those powers to us.

[Esther McVey]

I thank my hon. Friend for saying those words on the Floor of the House, so that they can be documented in Hansard.

My constituents have other concerns. They remind me—not that I need to be reminded—that it was WHO that went against its own 2019 evidence-based influenza pandemic guidelines. It never advocated lockdowns as a method of controlling respiratory illnesses but, following China’s early lead, it began to champion lockdowns. Look at the U-turns on face coverings: in March 2020, it did not recommend them for healthy people, but the sudden change in the guidance followed despite the apparent lack of any new, high-quality research. In July 2020, BBC’s “Newsnight” suggested that the decision was the direct result of political lobbying.

Before covid-19, WHO had repeatedly overestimated deaths from new infections, diseases and outbreaks. In 2009, for example, it predicted a swine flu death toll of 7.5 million and warned that nearly a third of the entire world population would become infected. That led to knee-jerk over-investment in vaccine contracts, which clawed precious money away from fighting other diseases. In the end, it was concluded that total global mortality was roughly on a par with annual deaths caused by seasonal influenza, nowhere near the original prediction.

Those are the issues that my constituents raise with me—issues of who we are handing control to. As they say, WHO has not covered itself in glory in providing consistent, clear and scientifically sound advice for managing many international disease outbreaks. As we heard from many Members today, the World Health Organisation was set up in the aftermath of the second world war with the aim of providing a high standard of healthcare for all. It approached health in the round, promoting community-based services to address physical, mental and social wellbeing—all admirable reasons for why it was set up.

In recent decades, however, WHO’s focus appears to have narrowed, as private foundations and pharmaceutical companies become an increasingly significant and influential part of WHO’s funding base. Its approach has become more focused on vaccine-based interventions and, most recently, on blunt instruments such as lockdowns, of which we are still analysing the consequences. It is safe to say there was a negative impact on the young.

As Ofsted’s damning 2021 report pointed out, children have fallen well behind in their education and suffered significantly, in particular in their mental health, as a result of lockdowns. Here in the UK, it is estimated that school closures will lead to significantly lower life expectancy and to £40,000 being lost from the lifetime earnings of each individual. Children should never have had to shoulder such an enormous burden, and one that will likely hamper them for the rest of their lives. The lockdowns—those stay-at-home mandates—damaged the economy, but more importantly they drove and will drive many people into poverty, to such an extent that Professor Thomas of the University of Bristol thinks that 2.5 million life years have been lost because of a loss of GDP and those lockdowns. The poverty that we have inflicted on people with lockdowns is incredible.

This petition, calling for a referendum on the treaty, makes it clear that there is growing concern about the expansion of the WHO’s powers and the encroachment on national sovereignty. The UK Government have declared unilaterally that the UK supports a new international legally binding instrument as part of a co-operative and comprehensive approach to pandemic prevention, preparedness and response. Will the Minister explain how that can be the case when Parliament has not yet been allowed to scrutinise those plans?

Although we must not overhype the nature of the threat—I get that—this proposed treaty could, or should, give us all pause for thought. It may not yet be clear how the WHO would legally enforce any of these emergency powers and policies, but there is plenty of potential for its unelected bureaucrats to chip away at our democratic standards. It is therefore vital that we demand robust debate, and an open review of all these plans in Parliament and in public—something that was sorely lacking during covid times.

Our parliamentary system was not really designed to support referendums, so I would be loth to inflict another referendum on the public. However, I agree on the need for parliamentary scrutiny. We need debate and votes in both Houses to ensure that this country lives up to its democratic obligations to its citizens, and to ensure we continue to make our own decisions about how we manage public health threats in this country.

--- Later in debate ---

[Anne-Marie Trevelyan]

I think we have all looked closely at that. My hon. Friend highlights a question, but the whole point of the negotiations and discussions is that all member states bring their expertise and experiences to the party. As I said, the UK is at the heart of those negotiations and will look to ensure that, if a text is found that can be agreed by all member states, it is one that will meet some of those challenges and the lessons learnt that we have all identified as individual states and working together in many ways as an international community, as we have done. Importantly, once those amendments are identified, accepting them would require changes to our domestic law through legislation in the usual way. As has been discussed at some length, we are of course a sovereign state in control of whether we enter into international agreements.

Having personally spent many hours in various international negotiating fora in recent years, I know absolutely that the UK, with its voice, expertise and wisdom, and our trusted partner status with so many other member states in the UN family, is respected and listened to. Discussions continue with our officials and health experts and various other teams from across Government and, together with the leadership that we bring, that should ensure confidence in those discussions.

[Esther McVey]

Can the Minister reassure my constituents who are concerned that the Government will concede sovereignty and hand power to WHO? Can she give reassurances that that will not happen?

[Anne-Marie Trevelyan]

Yes, absolutely I can. The speculation that somehow the instrument will undermine UK sovereignty and give WHO powers over national public health measures is simply not the case. I absolutely reassure both my right hon. Friend and my hon. Friend the Member for Hastings and Rye (Sally-Ann Hart), who raised a similar issue earlier, on behalf of all their constituents: that is not the case. The UK remains in control of any future domestic decisions about public health matters—such as domestic vaccination—that might be needed in any future pandemic that we may have to manage. Protecting those national sovereign rights is a distinct principle in the existing draft text. Other Members have also identified that as an important priority, so it is good to have the opportunity of this debate, brought about by those who have concerns, to restate that that is absolutely not under threat.

To conclude, we must ensure that future pandemics—which I fear that we or our children may have to tackle—will not come with the same devastating cost as covid-19. We have the opportunity now to make real and lasting improvements to the way in which the international community prepares for, prevents and indeed responds to global health threats. The UK’s voice, our scientific leadership and the strength of our democratic processes will ensure that our vision for global health planning and pandemic preparedness is at the heart of any new treaty to protect the most vulnerable.