• The Kidney Disease Solution: A Comprehensive Approach to Kidney Health
    Chronic kidney disease (CKD) affects millions of people worldwide, often progressing silently until it reaches an advanced stage. Conventional treatments primarily focus on managing symptoms and slowing the disease's progression, but what if there were a more holistic approach? Enter "The Kidney Disease Solution," a program that promises to revolutionize the way we manage kidney health.

    What is The Kidney Disease Solution?
    The Kidney Disease Solution is an all-encompassing program developed by Duncan Capicchiano, a naturopath and medical researcher, and his wife, Fiona Chin, also a naturopath. The program is designed to address the root causes of kidney disease and support kidney function naturally through diet, lifestyle changes, and targeted supplementation.

    Benefits of The Kidney Disease Solution
    Improved Kidney Function:

    Many users report noticeable improvements in their kidney function tests after following the program, including reductions in creatinine levels and better glomerular filtration rates (GFR).
    Reduced Symptoms:

    Symptoms such as fatigue, swelling, and high blood pressure often improve, enhancing the quality of life for those with CKD.
    Enhanced Overall Health:

    By adopting a healthier lifestyle and dietary habits, users often experience broader health benefits, including better energy levels, improved digestion, and enhanced immune function.
    Empowerment and Knowledge:

    The Kidney Disease Solution empowers individuals with knowledge about their condition and how to manage it effectively. This empowerment leads to better compliance and proactive health management.

    What does this program educate you?

    This program educates you about the best methods to care and manage your kidney disease and help in recovering your overall health in just three phases like:

    Phase 1: Protecting your kidney from damage: In order to protect your kidney from further damage this program suggests methods to provide space your kidney needs for proper healing. It can be done by changing some of your routine habits. This phase will also take care of the levels of glucose and the health of your gut.

    Phase 2: Restoring the functioning of the kidney: This phase will help you in managing the levels of sugar in your blood to make you feel more concentrated and energetic. It can also help you in losing weight. All these things indicate that there is no unwanted stress on your kidney.

    Phase 3: Renewing the tissues of the kidney: This phase will help in stabilising the levels of blood sugar and normalising the levels of blood pressure. In this phase, certain natural supplements and the best food are advised to consume to repair the tissue of your heart and kidneys.

    Thus this program allows you to learn a lot about your chronic kidney problems and their solutions. It also helps in care of your kidney problems with the help of the tools provided in this stepwise guide. In this program you will get samples of meal plans, lists of food items, guidance for supplements, recommended diets, and guidance for exercises, etc. This program also includes 12 sections of the Appendix to get a quick reference on any point to implement this life-changing care successfully.

    The Kidney Disease Solution offers a promising alternative for those seeking to manage chronic kidney disease naturally. Its holistic approach, personalized plans, and comprehensive support make it a valuable resource for improving kidney health and overall well-being. While it is essential to consult with healthcare professionals before making significant changes to any treatment plan, The Kidney Disease Solution can be an excellent complementary strategy for managing kidney disease and enhancing quality of life.

    For more information or to get started on the path to better kidney health, you can visit https://tinyurl.com/5h5cdwp9

    #kidneydisease, #solution, #holisticapproach, #kidneyproblems, #mealplans
    The Kidney Disease Solution: A Comprehensive Approach to Kidney Health Chronic kidney disease (CKD) affects millions of people worldwide, often progressing silently until it reaches an advanced stage. Conventional treatments primarily focus on managing symptoms and slowing the disease's progression, but what if there were a more holistic approach? Enter "The Kidney Disease Solution," a program that promises to revolutionize the way we manage kidney health. What is The Kidney Disease Solution? The Kidney Disease Solution is an all-encompassing program developed by Duncan Capicchiano, a naturopath and medical researcher, and his wife, Fiona Chin, also a naturopath. The program is designed to address the root causes of kidney disease and support kidney function naturally through diet, lifestyle changes, and targeted supplementation. Benefits of The Kidney Disease Solution Improved Kidney Function: Many users report noticeable improvements in their kidney function tests after following the program, including reductions in creatinine levels and better glomerular filtration rates (GFR). Reduced Symptoms: Symptoms such as fatigue, swelling, and high blood pressure often improve, enhancing the quality of life for those with CKD. Enhanced Overall Health: By adopting a healthier lifestyle and dietary habits, users often experience broader health benefits, including better energy levels, improved digestion, and enhanced immune function. Empowerment and Knowledge: The Kidney Disease Solution empowers individuals with knowledge about their condition and how to manage it effectively. This empowerment leads to better compliance and proactive health management. What does this program educate you? This program educates you about the best methods to care and manage your kidney disease and help in recovering your overall health in just three phases like: Phase 1: Protecting your kidney from damage: In order to protect your kidney from further damage this program suggests methods to provide space your kidney needs for proper healing. It can be done by changing some of your routine habits. This phase will also take care of the levels of glucose and the health of your gut. Phase 2: Restoring the functioning of the kidney: This phase will help you in managing the levels of sugar in your blood to make you feel more concentrated and energetic. It can also help you in losing weight. All these things indicate that there is no unwanted stress on your kidney. Phase 3: Renewing the tissues of the kidney: This phase will help in stabilising the levels of blood sugar and normalising the levels of blood pressure. In this phase, certain natural supplements and the best food are advised to consume to repair the tissue of your heart and kidneys. Thus this program allows you to learn a lot about your chronic kidney problems and their solutions. It also helps in care of your kidney problems with the help of the tools provided in this stepwise guide. In this program you will get samples of meal plans, lists of food items, guidance for supplements, recommended diets, and guidance for exercises, etc. This program also includes 12 sections of the Appendix to get a quick reference on any point to implement this life-changing care successfully. The Kidney Disease Solution offers a promising alternative for those seeking to manage chronic kidney disease naturally. Its holistic approach, personalized plans, and comprehensive support make it a valuable resource for improving kidney health and overall well-being. While it is essential to consult with healthcare professionals before making significant changes to any treatment plan, The Kidney Disease Solution can be an excellent complementary strategy for managing kidney disease and enhancing quality of life. For more information or to get started on the path to better kidney health, you can visit https://tinyurl.com/5h5cdwp9 #kidneydisease, #solution, #holisticapproach, #kidneyproblems, #mealplans
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  • Autism: Meaning & Maneuvers
    Achieving First Principles Healing

    Dr. Syed Haider
    Fire and movement - Wikipedia
    So many more people are on the autism spectrum every passing day.

    Maybe all of us are.

    How would we even know what normal is, if no one left alive is really normal compared to our ancestors?

    For one thing people used to be able to put up with a great deal more pain and discomfort. Quite naturally: as they were just hardened to it by a lifetime of what we would now consider constant suffering. Even in third world countries today all manner of dental and surgical procedures are commonly done without anesthesia, even on children (I’ve experienced this first hand and it became quite clear that the experience of pain is complicated, involving physical, social and psychological factors like the expectation of pain by both the inflicter of some injury, that would in many situations lead to it, and the one experiencing, or not experiencing it).

    In addition to their tolerance for discomfort our ancestors could sit with rapt attention through multi-hour debates and speak spontaneously at a level not found outside classical literature, let alone any contemporary off-the-cuff speech.

    Now, we’ll come back to discomfort tolerance and communication in a moment, but first I would like to submit that there is a deeper meaning to everything that happens in accord with the ancient aphorism: as above, so below.

    as above, so below — Deep Living
    If we find a problem at one level, like the mental, the same problem will be reflected at every other level great or small: physical (biochemical, epigenetic, hormonal), emotional, psychological, energetic, spiritual, societal, etc.

    As Above, So Below | Microcosm and Macrocosm | Technology of the Heart
    I know it seems I’m all over the place, but bear with me. After briefly introducing autism, we’ll combine all these seemingly disparate ideas:

    Autistic children cannot deal with even the most innocuous seeming stimuli. They cannot interpret incoming signals appropriately and they cannot communicate back to the world at large.

    They are hypersensitive and at the same time shut away so deep inside such a thick shell that they can’t be reached, or reach anyone else.

    What’s the connection between these two seemingly opposing symptoms and what might it all mean?

    Since the Industrial Revolution all of us in advanced societies (much more likely to be affected by autism) have experienced a dramatic increase in comfort and security (the myriad services now available at the touch of a button put to shame the luxuries of ancient emperors) along with a corresponding rise in distaste for any discomfort leading to society-wide anesthetic, bandaid approaches to every discomfort or dis-ease.

    The problem with a bandaid for a festering wound is that the wound keeps festering, in fact it worsens over time.

    Anyway, getting back to autism, the key to understanding the link between the two signal symptoms of hypersensitivity and the inability to communicate, is that pain/discomfort is itself a message without which we cannot safely navigate the world - just ask any diabetic with numb feet about the immense degree of self-care and vigilance required to still have feet every year.

    PAIN MESSAGING

    Lack of pain receptors would rapidly lead to progressive dis-ease and death as you could not avoid what is harming you, in fact you wouldn’t even know if something was harming you.

    Pain is meant to communicate the danger of continuing to do what is causing the pain, because it is damaging you. The instinctive response to pain is to flinch away from it, to somehow put a stop to the source of pain.

    Congenital Insensitivity to Pain (CIP) is a rare genetic disorder that illustrates the problem:

    “From an evolutionary perspective, one of the reasons scientists believe CIP is so rare is because so few individuals with the disorder reach adulthood. “We fear pain, but in developmental terms from being a child to being a young adult, pain is incredibly important to the process of learning how to modulate your physical activity without doing damage to your bodies, and in determining how much risk you take,” (Dr Ingo) Kurth (who studies CIP) explains.

    “Without the body’s natural warning mechanism, many with CIP exhibit self-destructive behaviour as children or young adults. Kurth tells the story of a young Pakistani boy who came to the attention of scientists through his reputation in his community as a street performer who walked on hot coals, and stuck knives in his arms without displaying any signs of pain. He later died in his early teens, after jumping from the roof of a house.

    ““Of the CIP patients I’ve worked with in the UK, so many of the males have killed themselves by their late 20s by doing ridiculously dangerous things, not restrained by pain,” says Geoff Woods, who researches pain at the Cambridge Institute for Medical Research. “Or they have such damaged joints that they are wheelchair-bound and end up committing suicide because they have no quality of life.””

    -The curse of the people who never feel pain, by David Cox


    CIP patient
    Modern industrialized people have become enabled to mirror CIP patients to a limited degree. We generally do not allow any pain or discomfort to arise without covering it up, or trying to (rather than dealing with the source itself).

    COMS DOWN

    Walk into any pharmacy and you’ll find bandaid remedies for: headaches, coughs, colds, rashes, pink eye, ear aches, reflux, allergies, tummy aches, constipation, diarrhea, period discomfort, and in the back, accessible only via prescription will be the bandaids applied to what comes of using the more accessible bandaids on the above laundry list of complaints: hypertension, heart disease, asthma, COPD, autoimmune diseases, cancer, etc.

    It only stands to reason we will experience some sort of negative consequences for interrupting the crucial, natural feedback loop of pain.

    The minor complaints most of us develop during childhood or shortly thereafter are just precursors to the more severe ones, the early warning signs if you will.

    Thank you for reading Dr. Syed Haider. This post is public so feel free to share it.

    Share

    And we don’t just paper over physical complaints but emotional, psychological, energetic and spiritual ones as well - all are covered up as soon as they arise. None are addressed at their deepest roots.

    Modern infrastructure and technology have allowed us to feel less and less of the natural world, to provide a greater and greater buffer between ourselves and our environments, both external and internal.

    As we’ve become accustomed to more and more comfort and convenience we have shied more and more away from any discomfort or inconvenience.

    Modern medicine does nothing so well as smother the bodies ability to communicate pain to us, at least for a time.

    Constant access to modern media and infrastructure in general (temperature control, pharmacies, restaurants, clubs, movie theaters, parks, so many things to buy and see and do to distract you) does nothing so well as allow us to smother our body’s, heart’s and mind’s abilities to communicate physical, emotional and mental/psychological pain to us, at least for a time.

    However, over time the pain not only comes back, but it comes back stronger and stronger yet again as it is constantly beaten back time and again, eventually overcoming our ability to muffle its message, or shifting to a new more painful message, in the form of some new more severe ailment.

    An “autism-lite” society is the outcome of a constant progression away from any experience of discomfort and the healthy communication it teaches.

    We are progressively more unable to withstand even the slightest discomforts and unable to communicate appropriately to the outside world in return because we are not used to listening to the feedback the world is sending us, including what’s coming from the other people in it.

    We are meant to be in communication with everything all the time.

    If it gets hot out our bodies respond by doing something that communicates to our brain to respond in some way to the environment at large: we feel the heat, we sweat, we seek shade, we rest more in the midday, we drink more. Those responses are a communication to the world and to ourselves. If the responses are natural and spontaneous we will be in a synchronized, healthy and balanced state. If unnatural or unnaturally automated (temperature control, or worse just ignoring how we feel) we will be out of sync, unhealthy, imbalanced.

    In the natural state if it gets dark, our entire physiology goes down with the sun and we sleep.

    If it gets light all our hormones rise with the sun and we wake up.

    If someone gets upset with us, we suffer emotional discomfort and address the way we interact with them that has led to their being upset, or if we’ve really done nothing wrong then assess and deal with why we feel guilty as though we have, or why we can’t stand up for ourselves as we should.

    The ability to communicate eloquently in so many ways is what makes us human.

    Speech is what separates us from the animals.

    Speech, like all communication is a two way street. If one way is always blocked the other way won’t properly develop.

    Even if only positive signals are accepted and not negative ones we’ll develop dysfunctional communication, but in practice numbing the negative also numbs the positive (one of the many unfortunate “side effects” of “anti-depressants”).

    When we can’t communicate properly we won’t be able to avoid harming ourselves in our “relationships” to everything in our environment since there will be no intact negative feedback system.

    And perhaps most importantly communication ability can continue to develop over time, regardless of age. We can always become more and more sensitive.

    When we start listening carefully and acting on what we learn, we will uncover deeper layers, learn more, and eventually develop subtle and not so subtle feedback loops that gently guide us away from what is harming us, and towards what benefits us.

    Share

    Of course there’s also a lot going on mechanistically with autism, but maybe it all follows the same theme.

    Perhaps it all illustrates the idea that what’s present at one level is reflected at every other.

    Interestingly, the other things that naturopaths and functional medicine healers have noticed contribute to autism (and other modern chronic diseases) also disrupt a human beings incredibly complex, sophisticated, intricate, and oft-times delicate communications systems:

    Toxins like those found in vaccines, heavy metals, chronic infections/infestations, exogenous hormones, chemical laden water/air/food, light after dark, unnatural EMFs, inappropriate or excessive negative emotions and toxic relationships, etc.

    Also nutrient deficiencies of vitamins, minerals, phytonutrients, sleep, sunlight, positive emotions and beliefs, healthy intimacy, a connection with the earths bioelectrical fields, nature in general, etc.

    So, in the modern world, in a number of ways (physical, mental, emotional, energetic), we have quite successfully shut ourselves down from feeling anything real. We’ve metaphorically plugged our ears from hearing the increasingly frantic and emphatic communications from our own bodies belying their discomfort with a constant toxic barrage and chronic nutrient deficiencies.

    4,900+ Hands Covering Ears Stock Photos, Pictures & Royalty-Free ...
    source
    The louder the messages get the more mightily we mute them, increasing our medications, ruminations, dissipations (could ADHD, OCD, panic disorder and more actually be somewhere on the “spectrum” too?).

    In place of Nature’s messages we have shut her out and covered her up, while we injected and affected ourselves with all manner of unnatural, alien and unintelligible messages that our bodies, hearts, minds and souls were never meant to be exposed to and cannot properly interpret or respond to.

    At a deeper level perhaps our discomforts reveal our very selves. What makes you uncomfortable says something about who you are (there is a spiritual maxim that teaches other people are a mirror for you. What annoys you about them points to your own imperfections).

    Pain is the great teacher.

    Marie von Ebner-Eschenbach Quote: “Pain is the great teacher of mankind. Beneath its breath souls
    source
    It teaches you about yourself and everything else.

    When I spent years covering up my headaches with painkillers I was little aware of why I got them, and had no pressing reason to figure it out.

    When I understood that pain is not bad, in fact it’s good, ie the headaches were there because my body was trying to protect me from harm, I swore off the painkillers and started to experience them without an easy out.

    I quickly came to understand many of the factors involved (hunger, stress, missed sleep, anger, constipation, etc) and was highly motivated to take care of them.

    I had struggled to control anger outbursts for years, but when I now finally made the connection that they often led to headaches that I just had to suffer my way through without a painkiller, the anger quickly became severely disincentivized and naturally began to dissipate.

    Similarly I became more careful about combining any of the factors involved in germinating headaches.

    Imagine my surprise when I later realized that NSAIDs like my goto high dose Motrin/ibuprofen actually contributed to two of my main triggers: anger and constipation (in addition to engendering in some people: depression, anxiety, paranoia, and psychosis. By the way in case you’re wondering, Tylenol is no better).

    Everything is connected: numbing yourself out physically numbs you out emotionally, but rather than leaving you numb your body tries to amplify the signal, the emotions break through even stronger than before, until you stop fighting them and let them out naturally and learn to live with them and deal with them in the moment.

    Of course no one’s perfect, least of all me. Sometimes I miss sleep, but if I do I better make sure I don’t also skip a meal and let myself get too stressed out or angry the next day. Maintaining a relatively healthy balance keeps the headaches at bay. And over time I have become more resilient. I rarely get headaches anymore and when I do they are much less severe than they used to be when I regularly medicated them (that drop in severity happened relatively fast too, within a few weeks).

    I went from being numbed out and stumbling through life harming myself at every turn, completely unaware of important negative feedback loops, to waking up and realizing what was happening.

    Syed Haider has entered the chat.

    I had finally joined the conversation.

    has entered the chat Memes & GIFs - Imgflip
    The world is speaking all the time and no one is listening.

    The utter extremity of our societal condition is the autist whose parents, society and industrialized world have transferred their communication dysfunctions at every level to one particularly sensitive to them and because of that their epigenetic, biophysical, biochemical, emotional, psychological, energetic and perhaps even spiritual planes are all incomunicado.

    They are not just “neurodivergent”, they haven’t just veered onto another course, they are missing from the map.

    It’s not the only way to go missing, we all go missing all the time: into our phones, laptops, TVs, food, other people, pharmaceuticals, street drugs, you name it we can use it to check out and so we do.

    We’re all a little bit autistic nowadays.

    Because everything, everywhere, all at once is involved in creating autism.

    And all of us are all too human after all (how many “alls” can one fit into a sentence or three?).

    But it’s also all just a matter of cause and effect.

    There’s nothing inherently mysterious about it. We can list out all the likely causes as I’ve done. Basically whatever has changed for the worst in the last 70 or so years.

    And so it can be fixed.

    Thank you for reading Dr. Syed Haider. This post is public so feel free to share it.

    Share

    EXITING THE MAZE

    It’s complicated, time consuming, difficult; it takes a lot of commitment from patients and caregivers, but the results are astounding, life-changing and so well worth it.

    Natural, comprehensive autism (and other severe chronic disease) treatment is now available at mygotodoc (patients will be able to choose to see either me or Hakim Shabaz for the consults, but we will both work together on every case).

    In the past we’ve made our asynchronous consults available without charge for anyone who needed them and couldn’t pay our already low fees (our prescription fees plus partner pharmacy fees, when combined, are always the lowest in the industry).

    But now, for the first time ever, our 1 on 1 consults for comprehensive natural healing will be done on a pay what you can basis. And they will be longer than any consults we’ve offered before at 2+ hours for the intake. Because that’s the only way to get to the bottom of things in highly customized care plans, and convince patients of what needs to be done.


    However it’s important to realize that regardless of ability to pay or not, deep healing is always quite dear compared to a cheap bandaid (then again bandaids don’t work, so it doesn’t matter how cheap they are).

    You always get what you pay for, even when you can’t pay, because everyone who wants an unusual, outstanding result has to sacrifice something dear in the end, whether or not that includes money, it will usually include time, habits, beliefs, plans, comforts and whatever it takes to divert some resources towards enabling the natural protocols (though much less than most would expect given the results).

    If you or someone you know has autism, it’s OK.

    Roll up your sleeves, check your assumptions at the door, be ready to work, and you’ll not only help yourself, you’ll help many others by your example.

    If you’re reading this, it’s not too late, in fact you’re just in time to join the party, and get to know yourself and everyone else in ways you didn’t think possible.

    “…we've been able to assist (many) autistic children in achieving sustainable, long-term improvements. Additionally, many others grappling with conditions like ADD, ADHD, and similar challenges (depression, anxiety, panic disorder, psychosis) have benefited from our approach…

    “However, there was one particular case where we couldn't achieve the desired outcome. This was primarily due to the parents' expectation of immediate results within a couple of months. Regrettably, they lost hope prematurely, compounded by the fact that the patient was a teenager. As the child gets older, the challenges in treatment tend to intensify.

    “It's crucial to recognize that as autistic children mature, the complexities of treatment tend to heighten. Hence, it becomes even more imperative to uphold patience and perseverance in our pursuit of solutions.”

    -Hakim Shabaz Ahmed

    I know this all may sound like philosophical mumbo jumbo, but it’s grounded in reality, and proven by practical experience.

    Autistic children are the canaries in the coal mine warning us where we are all headed if we don’t stop this runaway bullet train in its tracks.

    It can seem as though there’s no choice, but you can get off that train even if no one else does.

    Again, it’s important to stress that there is a cause and effect relationship in autism as in all diseases, and there are only so many possible causes.

    Whatever those causes are they can be removed and the body and brain will right themselves over time.

    Some of those causes, like the anger triggering my headaches, may seem inconsequential to some people and yet they may be the most important pressure points available to us in fixing the problem.

    Yogi Berra quote: Little things are big.
    source
    What may help illustrate the point is a remarkable study done in the Northeastern United States on a town that had half the incidence of heart disease compared to age matched controls in the rest of the country.

    Half the people who should have had heart disease had none, but there was nothing apparently different about them or their environment compared to the rest of the country at large.

    They smoked and drank and ate and worked too much, were overly stressed, overweight, had bad air, bad water, bad genes, you name it, they had it or did it.

    So Harvard went there to study them and discovered their one saving grace was a much higher level of emotional intimacy amongst friends and family.

    Enough real healthy intimacy in the heart disease free cohort entirely overrode the negative impacts of everything else.

    And it’s not just heart disease where this matters.

    The number of intimate relationships someone has is the single greatest predictor of their longevity.

    If intimacy can prevent death it can prevent anything else, whether we realize it or not.

    And we are in the midst of an intimacy crisis of epic proportions. Over half of mothers of young children are lonely. Nearly two thirds of young people say they are chronically lonely. Small screens and social media won’t fix this, after all they’re partly to blame for causing it.

    5 Tips on How to Combat Loneliness and Depression
    source
    When it comes to kids, they are far more sensitive in every way and they have not dissociated themselves from their environment and those in it to the degree adults have.

    They are on a gradual slide starting at birth, taking them from experiencing everything and everyone as interconnected parts of a whole, to experiencing themselves as separate autonomous beings (this begins between 6-9 months of age, but its not an off-on switch, it’s on a spectrum, black to shades of grey to white).

    This means that all children, including the autistic ones, have a much deeper psycho-emotional association with their caregivers, especially their biological parents.

    When their parents have problems in their own relationship the child experiences this as a problem within themselves and the most sensitive children will shut down to escape the overwhelming emotional pain caused by that seemingly external conflict.

    The same actually happens at the other end of life too, just in a different way.

    Dementia can be the ultimate escape from mental pain, which was shunted into physical pain for years, until that became overwhelming and unbearable and the body in it’s fight for self preservation then shuts down the mind to protect against the untenable situation and remain alive as long as possible in a kind of comatose state.

    Hakim Shabaz had treated an entire family for various problems and so they asked him to help their mother with dementia. He warned them that the dementia was likely what was keeping her alive, and removing it would uncover something else, that if not properly dealt with could kill her.

    They insisted on treatment and her dementia did improve, however she developed cancer which killed her shortly thereafter.

    Share

    Not everyone is capable of facing their demons and doing what it takes to deeply heal.

    Children though are far often far more resilient than the elderly.

    Still, treating a serious, intricate and delicate disorder like autism requires really expert guidance that can put together a deeply customized protocol to fit each situation and then navigate rapidly changing circumstances as that protocol is put into effect.

    “Autistic children resemble a delicate (house) of cards – any disruption to one aspect can cause the entire structure to falter. It's akin to solving a puzzle, where adjusting one piece may inadvertently affect another. Providing sustainable, long-term solutions for these children requires a physician with extensive experience, one who has navigated through all stages of treatment.”

    -Hakim Shabaz Ahmed

    Children need close monitoring with ongoing mental, emotional and nutritional support as they age to prevent regression of symptoms due to their predisposition. Some of the deeper causes take a longer time to fully eliminate, eg epigenetic changes that have often been carried down at this point through multiple generations.

    There are many people promising parents help for their autistic children. But most focus on simple one size fits all protocols.

    It is so appealing to believe that there is an easy way out, like just removing mercury (despite the anecdotes describing sudden onset autism after a shot, removing the final straw that breaks the camels back won’t usually allow healing without addressing all the other straws and more, like rehab).

    Sometimes these simple straightforward approaches work, but not always and they don’t always lead to sustained improvements, because the entire modern environment is constantly pushing those susceptible back towards expressing autism.

    Not to say that there will always be an epic struggle to maintain improvement.

    The deeper the detox and more thorough the support, the longer the remission, the more inertia and resilience will develop. It gets harder and harder over time to push someones being back off balance.

    It’s hard to move a boulder at first, but once you get it rolling downhill it will pick up its own speed and eventually become nearly impossible to stop.

    Everyone has two choices when healing: they can try pushing the boulder uphill or downhill. Every simplistic solution is an uphill battle against implacable gravity.

    Perseverance. Symbol and sisyphus symbol as a determined snail pushing a boulder , #spon, #determined, #snail, #pushin… | Perseverance, Perseverance symbol, Prayers
    SIMPLE {{{SHOCK}}} THERAPY

    I interviewed someone once who had seen a child’s autism disappear suddenly after a painful physical trauma.

    He was amazed to discover other stories of spontaneous improvements in autistic children, even complete remissions, after unexpected physical traumas like car accidents.

    This led to a theory of the cause of autism: certain crucial neurological reflex loops linked to autism symptoms require post birth stimulation to fully develop. When they remain un-triggered by significant pain during and after relatively easy births, this might explain all the typical symptoms.

    The therapeutic idea stemming from his theory was that measured application of uncomfortable stimulation might trigger the development of the very missing reflex loops that autistic children require to function normally.

    Despite an interesting theoretical framework, I’m not aware of any clinics or practitioners that have put this theory into practice, so there isn’t much real world proof of the efficacy of the proposed “treatment”.

    It’s also unlikely to gain much acceptance in a culture like ours that is so opposed to discomfort in any form, not least of all because it hearkens back to uncomfortable episodes in medical history like shock treatments.

    To be perfectly clear I’m not advocating shock treatment or anything like it as a general approach for people with autism (again complex chronic diseases like autism require a deeply personalized approach rather than one-size-fits-all).

    Regardless, what it does remind me of personally is cold plunging.

    If you’ve never gotten into literally freezing water before, you’re in for a tremendous nervous system shock the first time you do it.

    Cold Water Immersion: A HOT Recovery Tool? | Biolayne
    source
    If you don’t jump right back out, but try to stay in, your entire body is screaming at you, you’re hyperventilating and your brain rather than being frozen, is on fire. Pain is assaulting you from everywhere all at once.

    Sometimes this shock therapy snaps people out of nervous system disorders rather quickly.

    I used it over the course of a couple months to end my own long COVID.

    But others tried and didn’t experience the same improvement or if they did they didn’t have lasting benefits.

    Shock therapy of various kinds do work sometimes, just like sometimes other things work: detoxing from heavy metals, treating Lyme and co-infections, resolving EBV, eliminating mold toxicity, balancing hormones and neurotransmitters, replacing missing nutrients, addressing methylation, rebalancing the microbiome, etc - all the functional medicine go-to’s could be listed out on a lengthy and quite expensive protocol document.

    I’ve seen people go through these step by step protocols, often involving hundreds of expensive tests and dozens of expensive supplements and radical lifestyle changes to boot. Many a time people do get better, often their problems seem to resolve, at least for a time.

    There is nothing inherently wrong with these approaches, but they are not always as fundamental or deep-rooted as people assume they are.

    TAP ROOTS

    Rarely do people address every level of their being that is contributing, and usually they miss out on the key emotional, psychological and deeper epigenetic/ancestral roots of their disease.

    “In my experience, the development of autism in children can stem from various (primary) factors. These include adverse epigenetic influences, the transfer of toxins and microbial burdens from the mother to the developing fetus, resulting in DNA alterations. Additionally, imbalances in neurotransmitters, the mental and emotional state of the mother during pregnancy, exposure to electromagnetic radiation, and a lack of interaction with nature all play significant roles.”

    “As the child grows, it becomes imperative to focus on teaching stress management, promoting healthy epigenetic expression, and addressing mental and emotional well-being. It's evident that the issue is far from straightforward, and simplistic solutions … are inadequate. Rather, a comprehensive approach that considers the multifaceted nature of ASD is essential for supporting individuals affected by the condition."

    -Hakim Shabaz Ahmed

    The subconscious mind and heart are usually more powerful instigators of illness than diet, physical toxins and infections (remember the heart disease and longevity examples).

    And as far as the mind goes, what we believe can make us healthy or unwell or even dead.

    In two studies the patients who believed themselves the healthiest had 6X lower chances of dying than those who believed themselves the least healthy.

    The even more shocking bit was that it didn’t matter what their own doctors believed about their health, only what they did.

    The patient’s belief trumped their doctor’s “knowledge”.

    Share

    Another study was undertaken to understand the impact of belief on exercise outcomes.

    Hotel cleaners were split into two groups: one received counseling for half an hour on the importance and benefits of exercise, the second received a presentation of the same duration which explained to them that their daily cleaning activities for work met and exceeded the US Surgeon General’s recommendations for daily exercise.

    cleaning ladies.png
    source
    After a month the first group had not changed in any way.

    Neither had the second, at least not in anything they did: eg they didn’t change their exercise or eating habits.

    The only thing that had changed was what they believed about themselves.

    And that led to an average weight loss of half a pound a week (2 pounds over a month), smaller waist sizes and lower blood pressures in the second group.

    Without changing anything they did, they had lifted a nocebo effect, opposite of a placebo effect, that was entirely due to their underlying beliefs about themselves (eg I’m overweight/unhealthy since I don’t exercise) and their beliefs about the nature of reality (physical interventions are required for physical results).

    The Nocebo Effect Produces Physical Symptoms - The Pain PT
    The most powerful nocebo effects come from our own doctors, who really should be trying to placebo us, but they don’t know any better.

    The big shot with all the framed documents on the wall, the world expert on autism, will convince most people it can’t be cured.

    And yet all of us, somewhere deep inside, know this is not true, or maybe it’s just that hope spring’s eternal.

    And yet it is not a false hope. People have healed, and if they can do it so can you.

    TRUE AND FALSE

    “Maryam is doing well …

    “Her speech and comprehension is getting better. I'm actually able to have a 2 sided conversation with her. She has learned to give excuses for her actions, give reason for her behaviour, Communicate her needs. She is able to follow instructions. With some coercion she is also able to narrate incidents in bits and pieces and I can get the picture.

    “She is a lot more aware of her surroundings. Able to recall where things were kept.

    “She has become a lot more independent. Dress, bath, brush by herself. Now it's difficult for me to keep track of how many times she passes motion in a day, because she does it all by herself.”

    -Followup during treatment with Hiba A, mother of a recovering autistic daughter.

    False hope is what the pharmaceutical manufacturers peddle: feeding the perennial desire for an easy way out … there’s a pill to help and someday science will solve it.

    False perplexity is what the mainstream media peddles: that we just don’t know what’s causing it or how to fix it … at least not yet, it’s forever just around the corner, just out of reach.

    False despair is what the alternative media often peddles: that it’s all due to those shots you allowed, or the mercury in them, or a handful of other chemical toxins you can’t escape.

    The truth is that the stage is set by deeper influences that allow bit players like mercury to step in and meddle with a persons body and mind. Taking mercury out of the picture just allows another bit player to step into the same role. Taking out all those superficial actors, just allows another acting troupe to show up, because we have to survive in a toxic soup of chemicals, that’s just the way the world is: even in the deepest reaches of the Amazon jungle the toxic environmental chemicals have diffused their way there.

    But real solutions to real problems go deeper than that, and don’t necessarily depend for their efficacy on the complete elimination of superficial elements.

    Real solutions remove the stage itself so the play can’t go on.

    Life takes its place as you exit the darkened theater, blinded momentarily by the immediacy of the real world.

    The shock wears off soon enough and you get back to living.

    BEYOND HOLISTIC: FIRST PRINCIPLES HEALING

    Too often holistic health is not only not truly holistic, but also it’s parts are misapplied without a deep understanding of a patients context, or they’re not applied in the right sequence or they’re not delivered with deep wisdom springing from first principles and practical experiences that come not only from treating many patients successfully, but from realizing the underlying principles in the practitioners own life and health.

    This realization of underlying principles is not a destination, rather it’s an endless journey of physical, emotional, psychological, energetic, and spiritual progress.

    It takes a sage, a wise man, a Hakim (as they call them in the Greek medical tradition stemming from Hippocrates), to treat the whole person as they should be treated


    It takes a deep understanding of the source texts of all the great healing traditions and the ability to intuit what’s missing from them via sheer inspiration, allowing a reconstituting of what they truly were when their origin civilizations were ascendant.

    It takes a deep reverence for the inherent wisdom present inside each patient themselves, that is maneuvering around a punishingly toxic environment in order to save them from death or something worse.

    “My son encountered behavioral challenges, displaying traits associated with ADHD and autism. He faced difficulties with toilet training and exhibited highly challenging behaviors.

    “Despite receiving occupational therapy and speech therapy, his developmental progress was much below expectations.

    “Seeking further assistance, we consulted Dr. Shahbaz, who advised a strict dietary regimen, therapies and additional supplementation.

    “Remarkably, the implementation of this new regimen led to noticeable improvements. Within a month, my son achieved toilet training, and his behavioral issues began to diminish. After four months of following the regimen, his speech development showed significant progress.

    “Currently, he continues his therapies alongside the prescribed diet and regimen, and I'm thrilled to report that my son has made remarkable strides in closing the developmental gap.”

    -M. Majali, father of a recovering autistic child

    Pain is not your enemy, and neither is disease.

    Disease is both a message and a maneuver.

    The message is: get this junk out of your life, whatever it is.

    The maneuver is your body’s last ditch efforts to keep you as healthy as possible and ultimately to preserve your very life, no matter what, despite the pain and ongoing damage you’re exposed to.

    Your body is making the best of a very bad situation.

    Share

    Don’t blame your skin for hurting when you shove your hand in the fire, or burning if you leave it there.

    Don’t blame your reflexes for yanking your hand out of the fire.

    Blame the fire.

    Don’t just apply healing salves to your burning hand and a nerve bock to deaden your senses while leaving your hand to shrivel away in the flames.

    Put out the fire.

    It’s not easy, don’t believe anyone who says it is.

    But it is possible, so don’t believe anyone who says it isn’t.





    https://blog.mygotodoc.com/p/decoding-autisms-meaning-and-maneuvers
    Autism: Meaning & Maneuvers Achieving First Principles Healing Dr. Syed Haider Fire and movement - Wikipedia So many more people are on the autism spectrum every passing day. Maybe all of us are. How would we even know what normal is, if no one left alive is really normal compared to our ancestors? For one thing people used to be able to put up with a great deal more pain and discomfort. Quite naturally: as they were just hardened to it by a lifetime of what we would now consider constant suffering. Even in third world countries today all manner of dental and surgical procedures are commonly done without anesthesia, even on children (I’ve experienced this first hand and it became quite clear that the experience of pain is complicated, involving physical, social and psychological factors like the expectation of pain by both the inflicter of some injury, that would in many situations lead to it, and the one experiencing, or not experiencing it). In addition to their tolerance for discomfort our ancestors could sit with rapt attention through multi-hour debates and speak spontaneously at a level not found outside classical literature, let alone any contemporary off-the-cuff speech. Now, we’ll come back to discomfort tolerance and communication in a moment, but first I would like to submit that there is a deeper meaning to everything that happens in accord with the ancient aphorism: as above, so below. as above, so below — Deep Living If we find a problem at one level, like the mental, the same problem will be reflected at every other level great or small: physical (biochemical, epigenetic, hormonal), emotional, psychological, energetic, spiritual, societal, etc. As Above, So Below | Microcosm and Macrocosm | Technology of the Heart I know it seems I’m all over the place, but bear with me. After briefly introducing autism, we’ll combine all these seemingly disparate ideas: Autistic children cannot deal with even the most innocuous seeming stimuli. They cannot interpret incoming signals appropriately and they cannot communicate back to the world at large. They are hypersensitive and at the same time shut away so deep inside such a thick shell that they can’t be reached, or reach anyone else. What’s the connection between these two seemingly opposing symptoms and what might it all mean? Since the Industrial Revolution all of us in advanced societies (much more likely to be affected by autism) have experienced a dramatic increase in comfort and security (the myriad services now available at the touch of a button put to shame the luxuries of ancient emperors) along with a corresponding rise in distaste for any discomfort leading to society-wide anesthetic, bandaid approaches to every discomfort or dis-ease. The problem with a bandaid for a festering wound is that the wound keeps festering, in fact it worsens over time. Anyway, getting back to autism, the key to understanding the link between the two signal symptoms of hypersensitivity and the inability to communicate, is that pain/discomfort is itself a message without which we cannot safely navigate the world - just ask any diabetic with numb feet about the immense degree of self-care and vigilance required to still have feet every year. PAIN MESSAGING Lack of pain receptors would rapidly lead to progressive dis-ease and death as you could not avoid what is harming you, in fact you wouldn’t even know if something was harming you. Pain is meant to communicate the danger of continuing to do what is causing the pain, because it is damaging you. The instinctive response to pain is to flinch away from it, to somehow put a stop to the source of pain. Congenital Insensitivity to Pain (CIP) is a rare genetic disorder that illustrates the problem: “From an evolutionary perspective, one of the reasons scientists believe CIP is so rare is because so few individuals with the disorder reach adulthood. “We fear pain, but in developmental terms from being a child to being a young adult, pain is incredibly important to the process of learning how to modulate your physical activity without doing damage to your bodies, and in determining how much risk you take,” (Dr Ingo) Kurth (who studies CIP) explains. “Without the body’s natural warning mechanism, many with CIP exhibit self-destructive behaviour as children or young adults. Kurth tells the story of a young Pakistani boy who came to the attention of scientists through his reputation in his community as a street performer who walked on hot coals, and stuck knives in his arms without displaying any signs of pain. He later died in his early teens, after jumping from the roof of a house. ““Of the CIP patients I’ve worked with in the UK, so many of the males have killed themselves by their late 20s by doing ridiculously dangerous things, not restrained by pain,” says Geoff Woods, who researches pain at the Cambridge Institute for Medical Research. “Or they have such damaged joints that they are wheelchair-bound and end up committing suicide because they have no quality of life.”” -The curse of the people who never feel pain, by David Cox CIP patient Modern industrialized people have become enabled to mirror CIP patients to a limited degree. We generally do not allow any pain or discomfort to arise without covering it up, or trying to (rather than dealing with the source itself). COMS DOWN Walk into any pharmacy and you’ll find bandaid remedies for: headaches, coughs, colds, rashes, pink eye, ear aches, reflux, allergies, tummy aches, constipation, diarrhea, period discomfort, and in the back, accessible only via prescription will be the bandaids applied to what comes of using the more accessible bandaids on the above laundry list of complaints: hypertension, heart disease, asthma, COPD, autoimmune diseases, cancer, etc. It only stands to reason we will experience some sort of negative consequences for interrupting the crucial, natural feedback loop of pain. The minor complaints most of us develop during childhood or shortly thereafter are just precursors to the more severe ones, the early warning signs if you will. Thank you for reading Dr. Syed Haider. This post is public so feel free to share it. Share And we don’t just paper over physical complaints but emotional, psychological, energetic and spiritual ones as well - all are covered up as soon as they arise. None are addressed at their deepest roots. Modern infrastructure and technology have allowed us to feel less and less of the natural world, to provide a greater and greater buffer between ourselves and our environments, both external and internal. As we’ve become accustomed to more and more comfort and convenience we have shied more and more away from any discomfort or inconvenience. Modern medicine does nothing so well as smother the bodies ability to communicate pain to us, at least for a time. Constant access to modern media and infrastructure in general (temperature control, pharmacies, restaurants, clubs, movie theaters, parks, so many things to buy and see and do to distract you) does nothing so well as allow us to smother our body’s, heart’s and mind’s abilities to communicate physical, emotional and mental/psychological pain to us, at least for a time. However, over time the pain not only comes back, but it comes back stronger and stronger yet again as it is constantly beaten back time and again, eventually overcoming our ability to muffle its message, or shifting to a new more painful message, in the form of some new more severe ailment. An “autism-lite” society is the outcome of a constant progression away from any experience of discomfort and the healthy communication it teaches. We are progressively more unable to withstand even the slightest discomforts and unable to communicate appropriately to the outside world in return because we are not used to listening to the feedback the world is sending us, including what’s coming from the other people in it. We are meant to be in communication with everything all the time. If it gets hot out our bodies respond by doing something that communicates to our brain to respond in some way to the environment at large: we feel the heat, we sweat, we seek shade, we rest more in the midday, we drink more. Those responses are a communication to the world and to ourselves. If the responses are natural and spontaneous we will be in a synchronized, healthy and balanced state. If unnatural or unnaturally automated (temperature control, or worse just ignoring how we feel) we will be out of sync, unhealthy, imbalanced. In the natural state if it gets dark, our entire physiology goes down with the sun and we sleep. If it gets light all our hormones rise with the sun and we wake up. If someone gets upset with us, we suffer emotional discomfort and address the way we interact with them that has led to their being upset, or if we’ve really done nothing wrong then assess and deal with why we feel guilty as though we have, or why we can’t stand up for ourselves as we should. The ability to communicate eloquently in so many ways is what makes us human. Speech is what separates us from the animals. Speech, like all communication is a two way street. If one way is always blocked the other way won’t properly develop. Even if only positive signals are accepted and not negative ones we’ll develop dysfunctional communication, but in practice numbing the negative also numbs the positive (one of the many unfortunate “side effects” of “anti-depressants”). When we can’t communicate properly we won’t be able to avoid harming ourselves in our “relationships” to everything in our environment since there will be no intact negative feedback system. And perhaps most importantly communication ability can continue to develop over time, regardless of age. We can always become more and more sensitive. When we start listening carefully and acting on what we learn, we will uncover deeper layers, learn more, and eventually develop subtle and not so subtle feedback loops that gently guide us away from what is harming us, and towards what benefits us. Share Of course there’s also a lot going on mechanistically with autism, but maybe it all follows the same theme. Perhaps it all illustrates the idea that what’s present at one level is reflected at every other. Interestingly, the other things that naturopaths and functional medicine healers have noticed contribute to autism (and other modern chronic diseases) also disrupt a human beings incredibly complex, sophisticated, intricate, and oft-times delicate communications systems: Toxins like those found in vaccines, heavy metals, chronic infections/infestations, exogenous hormones, chemical laden water/air/food, light after dark, unnatural EMFs, inappropriate or excessive negative emotions and toxic relationships, etc. Also nutrient deficiencies of vitamins, minerals, phytonutrients, sleep, sunlight, positive emotions and beliefs, healthy intimacy, a connection with the earths bioelectrical fields, nature in general, etc. So, in the modern world, in a number of ways (physical, mental, emotional, energetic), we have quite successfully shut ourselves down from feeling anything real. We’ve metaphorically plugged our ears from hearing the increasingly frantic and emphatic communications from our own bodies belying their discomfort with a constant toxic barrage and chronic nutrient deficiencies. 4,900+ Hands Covering Ears Stock Photos, Pictures & Royalty-Free ... source The louder the messages get the more mightily we mute them, increasing our medications, ruminations, dissipations (could ADHD, OCD, panic disorder and more actually be somewhere on the “spectrum” too?). In place of Nature’s messages we have shut her out and covered her up, while we injected and affected ourselves with all manner of unnatural, alien and unintelligible messages that our bodies, hearts, minds and souls were never meant to be exposed to and cannot properly interpret or respond to. At a deeper level perhaps our discomforts reveal our very selves. What makes you uncomfortable says something about who you are (there is a spiritual maxim that teaches other people are a mirror for you. What annoys you about them points to your own imperfections). Pain is the great teacher. Marie von Ebner-Eschenbach Quote: “Pain is the great teacher of mankind. Beneath its breath souls source It teaches you about yourself and everything else. When I spent years covering up my headaches with painkillers I was little aware of why I got them, and had no pressing reason to figure it out. When I understood that pain is not bad, in fact it’s good, ie the headaches were there because my body was trying to protect me from harm, I swore off the painkillers and started to experience them without an easy out. I quickly came to understand many of the factors involved (hunger, stress, missed sleep, anger, constipation, etc) and was highly motivated to take care of them. I had struggled to control anger outbursts for years, but when I now finally made the connection that they often led to headaches that I just had to suffer my way through without a painkiller, the anger quickly became severely disincentivized and naturally began to dissipate. Similarly I became more careful about combining any of the factors involved in germinating headaches. Imagine my surprise when I later realized that NSAIDs like my goto high dose Motrin/ibuprofen actually contributed to two of my main triggers: anger and constipation (in addition to engendering in some people: depression, anxiety, paranoia, and psychosis. By the way in case you’re wondering, Tylenol is no better). Everything is connected: numbing yourself out physically numbs you out emotionally, but rather than leaving you numb your body tries to amplify the signal, the emotions break through even stronger than before, until you stop fighting them and let them out naturally and learn to live with them and deal with them in the moment. Of course no one’s perfect, least of all me. Sometimes I miss sleep, but if I do I better make sure I don’t also skip a meal and let myself get too stressed out or angry the next day. Maintaining a relatively healthy balance keeps the headaches at bay. And over time I have become more resilient. I rarely get headaches anymore and when I do they are much less severe than they used to be when I regularly medicated them (that drop in severity happened relatively fast too, within a few weeks). I went from being numbed out and stumbling through life harming myself at every turn, completely unaware of important negative feedback loops, to waking up and realizing what was happening. Syed Haider has entered the chat. I had finally joined the conversation. has entered the chat Memes & GIFs - Imgflip The world is speaking all the time and no one is listening. The utter extremity of our societal condition is the autist whose parents, society and industrialized world have transferred their communication dysfunctions at every level to one particularly sensitive to them and because of that their epigenetic, biophysical, biochemical, emotional, psychological, energetic and perhaps even spiritual planes are all incomunicado. They are not just “neurodivergent”, they haven’t just veered onto another course, they are missing from the map. It’s not the only way to go missing, we all go missing all the time: into our phones, laptops, TVs, food, other people, pharmaceuticals, street drugs, you name it we can use it to check out and so we do. We’re all a little bit autistic nowadays. Because everything, everywhere, all at once is involved in creating autism. And all of us are all too human after all (how many “alls” can one fit into a sentence or three?). But it’s also all just a matter of cause and effect. There’s nothing inherently mysterious about it. We can list out all the likely causes as I’ve done. Basically whatever has changed for the worst in the last 70 or so years. And so it can be fixed. Thank you for reading Dr. Syed Haider. This post is public so feel free to share it. Share EXITING THE MAZE It’s complicated, time consuming, difficult; it takes a lot of commitment from patients and caregivers, but the results are astounding, life-changing and so well worth it. Natural, comprehensive autism (and other severe chronic disease) treatment is now available at mygotodoc (patients will be able to choose to see either me or Hakim Shabaz for the consults, but we will both work together on every case). In the past we’ve made our asynchronous consults available without charge for anyone who needed them and couldn’t pay our already low fees (our prescription fees plus partner pharmacy fees, when combined, are always the lowest in the industry). But now, for the first time ever, our 1 on 1 consults for comprehensive natural healing will be done on a pay what you can basis. And they will be longer than any consults we’ve offered before at 2+ hours for the intake. Because that’s the only way to get to the bottom of things in highly customized care plans, and convince patients of what needs to be done. However it’s important to realize that regardless of ability to pay or not, deep healing is always quite dear compared to a cheap bandaid (then again bandaids don’t work, so it doesn’t matter how cheap they are). You always get what you pay for, even when you can’t pay, because everyone who wants an unusual, outstanding result has to sacrifice something dear in the end, whether or not that includes money, it will usually include time, habits, beliefs, plans, comforts and whatever it takes to divert some resources towards enabling the natural protocols (though much less than most would expect given the results). If you or someone you know has autism, it’s OK. Roll up your sleeves, check your assumptions at the door, be ready to work, and you’ll not only help yourself, you’ll help many others by your example. If you’re reading this, it’s not too late, in fact you’re just in time to join the party, and get to know yourself and everyone else in ways you didn’t think possible. “…we've been able to assist (many) autistic children in achieving sustainable, long-term improvements. Additionally, many others grappling with conditions like ADD, ADHD, and similar challenges (depression, anxiety, panic disorder, psychosis) have benefited from our approach… “However, there was one particular case where we couldn't achieve the desired outcome. This was primarily due to the parents' expectation of immediate results within a couple of months. Regrettably, they lost hope prematurely, compounded by the fact that the patient was a teenager. As the child gets older, the challenges in treatment tend to intensify. “It's crucial to recognize that as autistic children mature, the complexities of treatment tend to heighten. Hence, it becomes even more imperative to uphold patience and perseverance in our pursuit of solutions.” -Hakim Shabaz Ahmed I know this all may sound like philosophical mumbo jumbo, but it’s grounded in reality, and proven by practical experience. Autistic children are the canaries in the coal mine warning us where we are all headed if we don’t stop this runaway bullet train in its tracks. It can seem as though there’s no choice, but you can get off that train even if no one else does. Again, it’s important to stress that there is a cause and effect relationship in autism as in all diseases, and there are only so many possible causes. Whatever those causes are they can be removed and the body and brain will right themselves over time. Some of those causes, like the anger triggering my headaches, may seem inconsequential to some people and yet they may be the most important pressure points available to us in fixing the problem. Yogi Berra quote: Little things are big. source What may help illustrate the point is a remarkable study done in the Northeastern United States on a town that had half the incidence of heart disease compared to age matched controls in the rest of the country. Half the people who should have had heart disease had none, but there was nothing apparently different about them or their environment compared to the rest of the country at large. They smoked and drank and ate and worked too much, were overly stressed, overweight, had bad air, bad water, bad genes, you name it, they had it or did it. So Harvard went there to study them and discovered their one saving grace was a much higher level of emotional intimacy amongst friends and family. Enough real healthy intimacy in the heart disease free cohort entirely overrode the negative impacts of everything else. And it’s not just heart disease where this matters. The number of intimate relationships someone has is the single greatest predictor of their longevity. If intimacy can prevent death it can prevent anything else, whether we realize it or not. And we are in the midst of an intimacy crisis of epic proportions. Over half of mothers of young children are lonely. Nearly two thirds of young people say they are chronically lonely. Small screens and social media won’t fix this, after all they’re partly to blame for causing it. 5 Tips on How to Combat Loneliness and Depression source When it comes to kids, they are far more sensitive in every way and they have not dissociated themselves from their environment and those in it to the degree adults have. They are on a gradual slide starting at birth, taking them from experiencing everything and everyone as interconnected parts of a whole, to experiencing themselves as separate autonomous beings (this begins between 6-9 months of age, but its not an off-on switch, it’s on a spectrum, black to shades of grey to white). This means that all children, including the autistic ones, have a much deeper psycho-emotional association with their caregivers, especially their biological parents. When their parents have problems in their own relationship the child experiences this as a problem within themselves and the most sensitive children will shut down to escape the overwhelming emotional pain caused by that seemingly external conflict. The same actually happens at the other end of life too, just in a different way. Dementia can be the ultimate escape from mental pain, which was shunted into physical pain for years, until that became overwhelming and unbearable and the body in it’s fight for self preservation then shuts down the mind to protect against the untenable situation and remain alive as long as possible in a kind of comatose state. Hakim Shabaz had treated an entire family for various problems and so they asked him to help their mother with dementia. He warned them that the dementia was likely what was keeping her alive, and removing it would uncover something else, that if not properly dealt with could kill her. They insisted on treatment and her dementia did improve, however she developed cancer which killed her shortly thereafter. Share Not everyone is capable of facing their demons and doing what it takes to deeply heal. Children though are far often far more resilient than the elderly. Still, treating a serious, intricate and delicate disorder like autism requires really expert guidance that can put together a deeply customized protocol to fit each situation and then navigate rapidly changing circumstances as that protocol is put into effect. “Autistic children resemble a delicate (house) of cards – any disruption to one aspect can cause the entire structure to falter. It's akin to solving a puzzle, where adjusting one piece may inadvertently affect another. Providing sustainable, long-term solutions for these children requires a physician with extensive experience, one who has navigated through all stages of treatment.” -Hakim Shabaz Ahmed Children need close monitoring with ongoing mental, emotional and nutritional support as they age to prevent regression of symptoms due to their predisposition. Some of the deeper causes take a longer time to fully eliminate, eg epigenetic changes that have often been carried down at this point through multiple generations. There are many people promising parents help for their autistic children. But most focus on simple one size fits all protocols. It is so appealing to believe that there is an easy way out, like just removing mercury (despite the anecdotes describing sudden onset autism after a shot, removing the final straw that breaks the camels back won’t usually allow healing without addressing all the other straws and more, like rehab). Sometimes these simple straightforward approaches work, but not always and they don’t always lead to sustained improvements, because the entire modern environment is constantly pushing those susceptible back towards expressing autism. Not to say that there will always be an epic struggle to maintain improvement. The deeper the detox and more thorough the support, the longer the remission, the more inertia and resilience will develop. It gets harder and harder over time to push someones being back off balance. It’s hard to move a boulder at first, but once you get it rolling downhill it will pick up its own speed and eventually become nearly impossible to stop. Everyone has two choices when healing: they can try pushing the boulder uphill or downhill. Every simplistic solution is an uphill battle against implacable gravity. Perseverance. Symbol and sisyphus symbol as a determined snail pushing a boulder , #spon, #determined, #snail, #pushin… | Perseverance, Perseverance symbol, Prayers SIMPLE {{{SHOCK}}} THERAPY I interviewed someone once who had seen a child’s autism disappear suddenly after a painful physical trauma. He was amazed to discover other stories of spontaneous improvements in autistic children, even complete remissions, after unexpected physical traumas like car accidents. This led to a theory of the cause of autism: certain crucial neurological reflex loops linked to autism symptoms require post birth stimulation to fully develop. When they remain un-triggered by significant pain during and after relatively easy births, this might explain all the typical symptoms. The therapeutic idea stemming from his theory was that measured application of uncomfortable stimulation might trigger the development of the very missing reflex loops that autistic children require to function normally. Despite an interesting theoretical framework, I’m not aware of any clinics or practitioners that have put this theory into practice, so there isn’t much real world proof of the efficacy of the proposed “treatment”. It’s also unlikely to gain much acceptance in a culture like ours that is so opposed to discomfort in any form, not least of all because it hearkens back to uncomfortable episodes in medical history like shock treatments. To be perfectly clear I’m not advocating shock treatment or anything like it as a general approach for people with autism (again complex chronic diseases like autism require a deeply personalized approach rather than one-size-fits-all). Regardless, what it does remind me of personally is cold plunging. If you’ve never gotten into literally freezing water before, you’re in for a tremendous nervous system shock the first time you do it. Cold Water Immersion: A HOT Recovery Tool? | Biolayne source If you don’t jump right back out, but try to stay in, your entire body is screaming at you, you’re hyperventilating and your brain rather than being frozen, is on fire. Pain is assaulting you from everywhere all at once. Sometimes this shock therapy snaps people out of nervous system disorders rather quickly. I used it over the course of a couple months to end my own long COVID. But others tried and didn’t experience the same improvement or if they did they didn’t have lasting benefits. Shock therapy of various kinds do work sometimes, just like sometimes other things work: detoxing from heavy metals, treating Lyme and co-infections, resolving EBV, eliminating mold toxicity, balancing hormones and neurotransmitters, replacing missing nutrients, addressing methylation, rebalancing the microbiome, etc - all the functional medicine go-to’s could be listed out on a lengthy and quite expensive protocol document. I’ve seen people go through these step by step protocols, often involving hundreds of expensive tests and dozens of expensive supplements and radical lifestyle changes to boot. Many a time people do get better, often their problems seem to resolve, at least for a time. There is nothing inherently wrong with these approaches, but they are not always as fundamental or deep-rooted as people assume they are. TAP ROOTS Rarely do people address every level of their being that is contributing, and usually they miss out on the key emotional, psychological and deeper epigenetic/ancestral roots of their disease. “In my experience, the development of autism in children can stem from various (primary) factors. These include adverse epigenetic influences, the transfer of toxins and microbial burdens from the mother to the developing fetus, resulting in DNA alterations. Additionally, imbalances in neurotransmitters, the mental and emotional state of the mother during pregnancy, exposure to electromagnetic radiation, and a lack of interaction with nature all play significant roles.” “As the child grows, it becomes imperative to focus on teaching stress management, promoting healthy epigenetic expression, and addressing mental and emotional well-being. It's evident that the issue is far from straightforward, and simplistic solutions … are inadequate. Rather, a comprehensive approach that considers the multifaceted nature of ASD is essential for supporting individuals affected by the condition." -Hakim Shabaz Ahmed The subconscious mind and heart are usually more powerful instigators of illness than diet, physical toxins and infections (remember the heart disease and longevity examples). And as far as the mind goes, what we believe can make us healthy or unwell or even dead. In two studies the patients who believed themselves the healthiest had 6X lower chances of dying than those who believed themselves the least healthy. The even more shocking bit was that it didn’t matter what their own doctors believed about their health, only what they did. The patient’s belief trumped their doctor’s “knowledge”. Share Another study was undertaken to understand the impact of belief on exercise outcomes. Hotel cleaners were split into two groups: one received counseling for half an hour on the importance and benefits of exercise, the second received a presentation of the same duration which explained to them that their daily cleaning activities for work met and exceeded the US Surgeon General’s recommendations for daily exercise. cleaning ladies.png source After a month the first group had not changed in any way. Neither had the second, at least not in anything they did: eg they didn’t change their exercise or eating habits. The only thing that had changed was what they believed about themselves. And that led to an average weight loss of half a pound a week (2 pounds over a month), smaller waist sizes and lower blood pressures in the second group. Without changing anything they did, they had lifted a nocebo effect, opposite of a placebo effect, that was entirely due to their underlying beliefs about themselves (eg I’m overweight/unhealthy since I don’t exercise) and their beliefs about the nature of reality (physical interventions are required for physical results). The Nocebo Effect Produces Physical Symptoms - The Pain PT The most powerful nocebo effects come from our own doctors, who really should be trying to placebo us, but they don’t know any better. The big shot with all the framed documents on the wall, the world expert on autism, will convince most people it can’t be cured. And yet all of us, somewhere deep inside, know this is not true, or maybe it’s just that hope spring’s eternal. And yet it is not a false hope. People have healed, and if they can do it so can you. TRUE AND FALSE “Maryam is doing well … “Her speech and comprehension is getting better. I'm actually able to have a 2 sided conversation with her. She has learned to give excuses for her actions, give reason for her behaviour, Communicate her needs. She is able to follow instructions. With some coercion she is also able to narrate incidents in bits and pieces and I can get the picture. “She is a lot more aware of her surroundings. Able to recall where things were kept. “She has become a lot more independent. Dress, bath, brush by herself. Now it's difficult for me to keep track of how many times she passes motion in a day, because she does it all by herself.” -Followup during treatment with Hiba A, mother of a recovering autistic daughter. False hope is what the pharmaceutical manufacturers peddle: feeding the perennial desire for an easy way out … there’s a pill to help and someday science will solve it. False perplexity is what the mainstream media peddles: that we just don’t know what’s causing it or how to fix it … at least not yet, it’s forever just around the corner, just out of reach. False despair is what the alternative media often peddles: that it’s all due to those shots you allowed, or the mercury in them, or a handful of other chemical toxins you can’t escape. The truth is that the stage is set by deeper influences that allow bit players like mercury to step in and meddle with a persons body and mind. Taking mercury out of the picture just allows another bit player to step into the same role. Taking out all those superficial actors, just allows another acting troupe to show up, because we have to survive in a toxic soup of chemicals, that’s just the way the world is: even in the deepest reaches of the Amazon jungle the toxic environmental chemicals have diffused their way there. But real solutions to real problems go deeper than that, and don’t necessarily depend for their efficacy on the complete elimination of superficial elements. Real solutions remove the stage itself so the play can’t go on. Life takes its place as you exit the darkened theater, blinded momentarily by the immediacy of the real world. The shock wears off soon enough and you get back to living. BEYOND HOLISTIC: FIRST PRINCIPLES HEALING Too often holistic health is not only not truly holistic, but also it’s parts are misapplied without a deep understanding of a patients context, or they’re not applied in the right sequence or they’re not delivered with deep wisdom springing from first principles and practical experiences that come not only from treating many patients successfully, but from realizing the underlying principles in the practitioners own life and health. This realization of underlying principles is not a destination, rather it’s an endless journey of physical, emotional, psychological, energetic, and spiritual progress. It takes a sage, a wise man, a Hakim (as they call them in the Greek medical tradition stemming from Hippocrates), to treat the whole person as they should be treated It takes a deep understanding of the source texts of all the great healing traditions and the ability to intuit what’s missing from them via sheer inspiration, allowing a reconstituting of what they truly were when their origin civilizations were ascendant. It takes a deep reverence for the inherent wisdom present inside each patient themselves, that is maneuvering around a punishingly toxic environment in order to save them from death or something worse. “My son encountered behavioral challenges, displaying traits associated with ADHD and autism. He faced difficulties with toilet training and exhibited highly challenging behaviors. “Despite receiving occupational therapy and speech therapy, his developmental progress was much below expectations. “Seeking further assistance, we consulted Dr. Shahbaz, who advised a strict dietary regimen, therapies and additional supplementation. “Remarkably, the implementation of this new regimen led to noticeable improvements. Within a month, my son achieved toilet training, and his behavioral issues began to diminish. After four months of following the regimen, his speech development showed significant progress. “Currently, he continues his therapies alongside the prescribed diet and regimen, and I'm thrilled to report that my son has made remarkable strides in closing the developmental gap.” -M. Majali, father of a recovering autistic child Pain is not your enemy, and neither is disease. Disease is both a message and a maneuver. The message is: get this junk out of your life, whatever it is. The maneuver is your body’s last ditch efforts to keep you as healthy as possible and ultimately to preserve your very life, no matter what, despite the pain and ongoing damage you’re exposed to. Your body is making the best of a very bad situation. Share Don’t blame your skin for hurting when you shove your hand in the fire, or burning if you leave it there. Don’t blame your reflexes for yanking your hand out of the fire. Blame the fire. Don’t just apply healing salves to your burning hand and a nerve bock to deaden your senses while leaving your hand to shrivel away in the flames. Put out the fire. It’s not easy, don’t believe anyone who says it is. But it is possible, so don’t believe anyone who says it isn’t. https://blog.mygotodoc.com/p/decoding-autisms-meaning-and-maneuvers
    BLOG.MYGOTODOC.COM
    Autism: Meaning & Maneuvers
    Achieving First Principles Healing
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  • The Pandemic Treaty Negotiations Have Failed to Reach an Agreement
    One battle appears to have been won (for now). The war for our health freedom continues. This is not a sprint, this is a marathon.

    James Roguski

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    Leave a comment

    The final meeting of the 9th meeting of the Intergovernmental Negotiating Body was held on Friday May 24, 2024. The live stream of the 9th meeting of the INB has just ended.

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    No official documents have been published.

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    Now is the time to work even harder!

    James Roguski

    The old system is crumbling, and we must build its replacement quickly.

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    JamesRoguski.substack.com/about

    JamesRoguski.substack.com/archive

    310-619-3055

    All content is free to all readers.

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    CLICK HERE TO DONATE

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    https://jamesroguski.substack.com/p/the-pandemic-treaty-negotiations
    The Pandemic Treaty Negotiations Have Failed to Reach an Agreement One battle appears to have been won (for now). The war for our health freedom continues. This is not a sprint, this is a marathon. James Roguski Share Leave a comment The final meeting of the 9th meeting of the Intergovernmental Negotiating Body was held on Friday May 24, 2024. The live stream of the 9th meeting of the INB has just ended. After a short delay, the recording of the meeting should be available here: https://apps.who.int/gb/inb/e/e_inb-9-resumed-session.html No official documents have been published. Also, there is no word yet on the proposed amendments to the International Health Regulations. They have failed to reach an agreement, but they have not yet given up. Now is the time to work even harder! James Roguski The old system is crumbling, and we must build its replacement quickly. If you are fed up with the government, hospital, medical, pharmaceutical, media, industrial complex and would like to help build a holistic alternative to the WHO, then feel free to contact me directly anytime. JamesRoguski.com JamesRoguski.substack.com/about JamesRoguski.substack.com/archive 310-619-3055 All content is free to all readers. All support is deeply appreciated. CLICK HERE TO DONATE Share Leave a comment https://jamesroguski.substack.com/p/the-pandemic-treaty-negotiations
    JAMESROGUSKI.SUBSTACK.COM
    The Pandemic Treaty Negotiations Have Failed to Reach an Agreement
    One battle appears to have been won (for now). The war for our health freedom continues. This is not a sprint, this is a marathon.
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  • Metaverse Made Simple Video Course
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  • Diabetes Freedom is a digital program designed to help individuals manage and potentially reverse type 2 diabetes through natural methods. Created by George Reilly, who himself overcame severe complications of type 2 diabetes, the program focuses on dietary and lifestyle changes to address the root causes of the disease.

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    Diabetes Freedom is a digital program designed to help individuals manage and potentially reverse type 2 diabetes through natural methods. Created by George Reilly, who himself overcame severe complications of type 2 diabetes, the program focuses on dietary and lifestyle changes to address the root causes of the disease. Key Components of the Program: Two-Month Nutrition Plan: This plan emphasizes meal timing and specific nutritional strategies aimed at reducing fat deposits around the pancreas, improving insulin sensitivity, and stabilizing blood glucose levels. It includes a detailed guide on what to eat and when to eat, helping users manage their blood sugar more effectively​. 7 Fat-Boosting Metabolic Rules: These rules are designed to enhance metabolism and increase brown fat levels, which help reduce harmful white fat. The guidelines include practical advice on food choices, exercise, and daily habits to promote better health and diabetes management.​ Meal-Timing Strategies: The program teaches optimal times to consume various food groups to maintain stable blood sugar levels. This component helps users feel more energized, sleep better, and manage their weight effectively. Additional Resources: Exercise and Meal Preparation Guides: Diabetes Freedom includes exercise routines and meal preparation guides that offer diabetes-friendly recipes, ingredient lists, and step-by-step instructions for preparing healthy meals​. Quick Start Accelerator: This guide provides a fast-track version of the program with an 8-week plan to develop healthy habits, manage blood sugar levels, and incorporate physical activity into daily routines​. Bonus Content: The program also comes with various bonuses, such as guides on anti-diabetic drinks, dessert recipes, and tips for improving blood circulation in the feet to prevent common diabetic complications. Pros: Natural and Non-Invasive: The program relies on natural dietary and lifestyle changes rather than medication, reducing the risk of side effects​. Comprehensive Support: Users receive extensive support through detailed manuals, videos, and additional resources, making the program easy to follow. Overall, Diabetes Freedom presents a well-rounded approach to managing and potentially reversing type 2 diabetes through scientifically-backed dietary and lifestyle modifications. It offers a promising alternative for those looking to reduce their dependence on medication and embrace a healthier lifestyle. Prefer to Read More: https://tinyurl.com/yhanzdr7 #diabetes, #freedom, #​type2diabetes, #nutritionplan, #healthyhabits
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  • The Parkinson’s Disease Protocol is an alternative approach to managing Parkinson’s disease, emphasizing natural remedies, dietary changes, and lifestyle modifications. While traditional treatment primarily relies on medication and sometimes surgical interventions to manage symptoms, this protocol advocates a more holistic approach. Here’s a summary of its main components:

    1. Diet and Nutrition:
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    Antioxidants: Encourages eating foods high in antioxidants, like fruits (especially berries), vegetables, nuts, and seeds, to combat oxidative stress.
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    Hydration: Importance of staying well-hydrated.
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    Reduce Toxins: Suggests minimizing exposure to environmental toxins (pesticides, pollutants) and avoiding processed foods with artificial additives.
    Detox Foods: Incorporating foods known for their detoxifying properties, such as cruciferous vegetables (broccoli, cauliflower), garlic, and green tea.
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    Herbal Supplements: Use of herbs like turmeric (curcumin), ginkgo biloba, and others purported to have neuroprotective benefits.
    Essential Oils: Aromatherapy with essential oils like frankincense and lavender for their calming effects.
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    Regular Exercise: Encourages engaging in regular physical activity, such as walking, swimming, or yoga, to improve mobility and reduce symptoms.
    Physical Therapy: Working with a physical therapist to develop a tailored exercise program that focuses on balance, strength, and flexibility.

    Scientific Evidence
    While there is some evidence supporting the benefits of lifestyle and dietary changes in managing Parkinson's disease symptoms, more research is needed to fully validate the efficacy of the Parkinson’s Disease Protocol. It is always advisable to consider both traditional and alternative methods under the guidance of a healthcare professional.

    Diet and Exercise: There is supportive evidence suggesting that a healthy diet and regular exercise can improve symptoms and quality of life for individuals with Parkinson’s disease.
    Supplements and Herbs: Research is ongoing, and while some studies show potential benefits, more comprehensive clinical trials are needed.

    This holistic approach aims to support overall health and improve the quality of life for individuals with Parkinson’s disease through natural and lifestyle interventions. It’s essential to tailor these recommendations to individual needs and to work closely with healthcare professionals when implementing these changes.

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    The Parkinson’s Disease Protocol is an alternative approach to managing Parkinson’s disease, emphasizing natural remedies, dietary changes, and lifestyle modifications. While traditional treatment primarily relies on medication and sometimes surgical interventions to manage symptoms, this protocol advocates a more holistic approach. Here’s a summary of its main components: 1. Diet and Nutrition: Anti-inflammatory Foods: Emphasizes consuming foods that reduce inflammation, such as leafy greens, berries, and fatty fish rich in omega-3 fatty acids. Antioxidants: Encourages eating foods high in antioxidants, like fruits (especially berries), vegetables, nuts, and seeds, to combat oxidative stress. Whole Foods: Focus on whole, unprocessed foods, avoiding refined sugars and processed foods. Hydration: Importance of staying well-hydrated. 2. Detoxification: Reduce Toxins: Suggests minimizing exposure to environmental toxins (pesticides, pollutants) and avoiding processed foods with artificial additives. Detox Foods: Incorporating foods known for their detoxifying properties, such as cruciferous vegetables (broccoli, cauliflower), garlic, and green tea. 3. Supplements and Natural Remedies: Vitamins and Minerals: Recommends supplements like Vitamin D, Vitamin B12, and CoQ10, which may support neurological health. Herbal Supplements: Use of herbs like turmeric (curcumin), ginkgo biloba, and others purported to have neuroprotective benefits. Essential Oils: Aromatherapy with essential oils like frankincense and lavender for their calming effects. 4. Exercise and Physical Therapy: Regular Exercise: Encourages engaging in regular physical activity, such as walking, swimming, or yoga, to improve mobility and reduce symptoms. Physical Therapy: Working with a physical therapist to develop a tailored exercise program that focuses on balance, strength, and flexibility. Scientific Evidence While there is some evidence supporting the benefits of lifestyle and dietary changes in managing Parkinson's disease symptoms, more research is needed to fully validate the efficacy of the Parkinson’s Disease Protocol. It is always advisable to consider both traditional and alternative methods under the guidance of a healthcare professional. Diet and Exercise: There is supportive evidence suggesting that a healthy diet and regular exercise can improve symptoms and quality of life for individuals with Parkinson’s disease. Supplements and Herbs: Research is ongoing, and while some studies show potential benefits, more comprehensive clinical trials are needed. This holistic approach aims to support overall health and improve the quality of life for individuals with Parkinson’s disease through natural and lifestyle interventions. It’s essential to tailor these recommendations to individual needs and to work closely with healthcare professionals when implementing these changes. Visit Here for More Information: https://tinyurl.com/yyr2ju6t #parkinson, #disease, #dietandexercise, #physicaltherapy, #naturalremedies
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  • Metaverse Made Simple Video Course
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    Whether you have your own business or you work for someone else, the metaverse can make it easier to communicate employee requirements and to make schedules that are easier for everyone to learn and follow.

    Zoom is getting tiring for many people, so VR and AR are better alternative solutions for those who continue to work online but need a better work-life balance.

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    A Brief History of the Metaverse

    Should I be Worried About the Metaverse?

    The Metaverse and Medicine

    Top 3 Things to Understand About the Metaverse

    Top 5 Ways the Metaverse Will Change the Future

    Understanding the Relationship Between the Metaverse, Crypto, and NFTs

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  • Metaverse Made Simple Video Course
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    4 Ways the Metaverse Will Change the Workplace

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    Should I be Worried About the Metaverse?

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    The ingredients in the formulation of LeanBliss weight management aid have been informed to be natural by its manufacturer. When specifically looking into these, it has been noted that there exists a potential blend of exotic herbs, which are expected to provide the intended results when taken. These include the following:

    Ceylon Cinnamon Bark: It is needless to mention this type of cinnamon bark is native to Sri Lanka. Multiple health benefits are associated with this plant, one of which is reducing inflammatory response in the body. Since a majority of the inflammatory reactions are due to chronic health conditions, such as diabetes, arthritis, and heart disease, the cinnamaldehyde, an active component contained in the Ceylon cinnamon bark is what renders this plant its anti-inflammatory properties. The plant also helps enhance metabolism, which is essential in reducing weight.

    Corosolic Acid: A vital component present within the Banaba leaves from the tree of Banaba (scientific name: Lagerstroemia speciosa) found in Southeast Asia, Corosolic acid helps treat diabetes because of the antidiabetic properties contained within it. Meanwhile, it would be worth noting that every part of this plant is noted with some or other health benefits. For instance, its fruits and roots have been found to have analgesic properties.

    Citrus Sinensis: This ingredient in the LeanBliss formula is considered to be useful in weight loss for overweight people. It is alternatively termed as Sicilian blood orange, which is beneficial in tackling stubborn weight gain in people who are otherwise medically healthy. Notably, it is the anthocyanins and cyanidin 3-glucoside present in this orange that make it effective in reducing unwanted weight.

    Saffron Bulb Extract: Saffron which is often used as a spice is also bestowed with medicinal properties. The anticancer property of saffron helps prevent and treat cancer. The saffron bulb extract is also helpful in treating PMS symptoms in women, such as headaches, pain, irritability, and cravings.

    How Does The LeanBliss Formula Work?
    The LeanBliss weight loss support supplement operates by regulating blood sugar levels, thereby facilitating healthy weight loss. Given the prevalent issues of obesity and overweight in the United States, medical interventions for these conditions often come at considerable expense. Despite numerous attempts, such as restrictive diets, intense workouts, and starvation, many individuals struggle to shed unwanted weight.
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    In response to these challenges, US physicians have sought to develop supplements that are natural, diet-friendly, and yield optimal results. LeanBliss, a fat-burning formula, emerges as a product of such efforts, purportedly created by a doctor and supported by robust clinical research and findings. Contrary to conventional beliefs, studies suggest that fluctuating blood sugar levels may precede weight gain, rather than vice versa.

    This revelation underscores the significance of pancreatic function, particularly insulin production and glucose utilization, in regulating hunger cravings and weight gain. Understanding this mechanism sheds light on how the LeanBliss dietary formula operates, offering insight into its design and functionality.

    Official BUY LINK https://leanbliss24.com/text.php#aff=Vivek5555

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Additionally, its gluten-free and dairy-free composition underscores its safety for consumption. ✅LeanBliss Ingredients: What Goes Into Its Making? The ingredients in the formulation of LeanBliss weight management aid have been informed to be natural by its manufacturer. When specifically looking into these, it has been noted that there exists a potential blend of exotic herbs, which are expected to provide the intended results when taken. These include the following: Ceylon Cinnamon Bark: It is needless to mention this type of cinnamon bark is native to Sri Lanka. Multiple health benefits are associated with this plant, one of which is reducing inflammatory response in the body. Since a majority of the inflammatory reactions are due to chronic health conditions, such as diabetes, arthritis, and heart disease, the cinnamaldehyde, an active component contained in the Ceylon cinnamon bark is what renders this plant its anti-inflammatory properties. The plant also helps enhance metabolism, which is essential in reducing weight. Corosolic Acid: A vital component present within the Banaba leaves from the tree of Banaba (scientific name: Lagerstroemia speciosa) found in Southeast Asia, Corosolic acid helps treat diabetes because of the antidiabetic properties contained within it. Meanwhile, it would be worth noting that every part of this plant is noted with some or other health benefits. For instance, its fruits and roots have been found to have analgesic properties. Citrus Sinensis: This ingredient in the LeanBliss formula is considered to be useful in weight loss for overweight people. It is alternatively termed as Sicilian blood orange, which is beneficial in tackling stubborn weight gain in people who are otherwise medically healthy. Notably, it is the anthocyanins and cyanidin 3-glucoside present in this orange that make it effective in reducing unwanted weight. Saffron Bulb Extract: Saffron which is often used as a spice is also bestowed with medicinal properties. The anticancer property of saffron helps prevent and treat cancer. The saffron bulb extract is also helpful in treating PMS symptoms in women, such as headaches, pain, irritability, and cravings. ✅How Does The LeanBliss Formula Work? The LeanBliss weight loss support supplement operates by regulating blood sugar levels, thereby facilitating healthy weight loss. Given the prevalent issues of obesity and overweight in the United States, medical interventions for these conditions often come at considerable expense. Despite numerous attempts, such as restrictive diets, intense workouts, and starvation, many individuals struggle to shed unwanted weight. Official BUY LINK👇👇👇👇👇👇👇👇👇👇👇 https://leanbliss24.com/text.php#aff=Vivek5555 In response to these challenges, US physicians have sought to develop supplements that are natural, diet-friendly, and yield optimal results. LeanBliss, a fat-burning formula, emerges as a product of such efforts, purportedly created by a doctor and supported by robust clinical research and findings. Contrary to conventional beliefs, studies suggest that fluctuating blood sugar levels may precede weight gain, rather than vice versa. This revelation underscores the significance of pancreatic function, particularly insulin production and glucose utilization, in regulating hunger cravings and weight gain. Understanding this mechanism sheds light on how the LeanBliss dietary formula operates, offering insight into its design and functionality. 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  • CASE 01 - Autopsy proven myocarditis death in AUSTRALIA
    Barrack Heights NSW, AUSTRALIA - Roberto Garin was only 52 when he ‘died suddenly’ on 28 July 2021. The healthy father of two teenagers began feeling ill 48 hours after his first Pfizer shot and dropped dead in front of his terrified wife Kirsti six days later while she was on the phone to paramedics.
    Garin’s family immediately suspected the vaccine caused his death. Kirsti was told her husband was the first person to die after a Pfizer shot. In fact, 176 deaths following Pfizer jabs had already been reported to the Therapeutic Goods Administration (TGA), starting in the first week of the vaccine rollout.
    But when Kirsti shared her concerns with filmmaker Alan Hashem, who released the video together with the accounts of other vaccine injuries and deaths, it unleashed a storm.
    ‘Misinformation researchers’ published by the ABC dismissed Kirsti’s ‘claims her 52-year-old husband died from “sudden onset myocarditis” after receiving the Pfizer vaccine’ because it didn’t ‘square with official data’.
    Yet that was exactly what forensic pathologist Bernard l’Ons wrote in a brilliant report on his autopsy stating that the deceased’s heart showed a clear transition to severe giant cell myocarditis that could be ‘histologically dated to the time period of the Covid-19 mRNA vaccination’ and it was ‘reasonable to state that the deceased’s previously undiagnosed cardiac sarcoidosis may have transitioned to a fulminating myocarditis as a result of the Pfizer Covid-19 vaccination’ noting that myocarditis had been reported in reactions to the Pfizer vaccine. L’Ons proposed a mechanism by which the vaccine could trigger fatal myocarditis and advised that a possible therapeutic implication was that sarcoid patients be given an echocardiogram to detect whether their heart was affected in which case alternative vaccination types could be considered.
    All of this was ignored by the TGA which refuses to admit to this day that any death can be attributed to a Pfizer vaccine and was parroted by the ABC. The TGA did admit that as of 22 August it had received ‘235 reports of suspected myocarditis, (inflammation of the heart muscle) and/or pericarditis (inflammation of the membrane around the heart) following vaccination’ with Pfizer but said, ‘These reports reflect the observations of the people reporting them and have not been confirmed as having been caused by the vaccine,’ and that ‘some events may be coincidental and would have happened anyway, regardless of vaccination.’
    This is a particularly misleading statement. Four out of five reports to the TGA are submitted not by random ‘people’, but by highly qualified health professionals and in Garin’s case by a forensic pathologist.
    Why would the TGA dismiss these reports? That’s a question Associate Professor Michael Nissen could perhaps shed light on. He was appointed to the TGA in February 2021, just as the Covid-19 vaccines were rolled out, to lead its Signal Investigation Unit which investigates safety issues that arise with vaccines in adverse reports or are raised by international regulators or the medical literature.
    Prior to his appointment, Nissen was the Director of Scientific Affairs and Public Health at GSK Vaccines from October 2014 to January 2021, a period during which GSK and Pfizer entered into a joint venture. Nissen worked concurrently in hospital-based medical care and academia. He has led over 40 clinical trials and authored over 200 peer-reviewed publications including vaccine studies. In all these areas pharmaceutical companies are a major source of funding.
    The TGA is sensitive about managing conflicts of interest for advisory committee members but offers no guidance on its website with regard to staff members although presumably the same principles should, at least in theory, apply. It notes that shares, involvement in clinical trials, employment, contracts, consultancies, grants, sponsorships, board memberships and so on, may give rise to a conflict of interest.
    Robert Clancy, an Emeritus Professor of Pathology at the University of Newcastle Medical School and a member of the Australian Academy of Science’s Covid-19 Expert Database wrote in Quadrant online last week that ‘the power of the pharmaceutical industry and its pervasive influence at every level of political and medical decision-making’ has been underestimated in shaping the pandemic narrative which has been driven by commercial imperatives to such an extent that it has crushed scientific debate.
    Clancy recounts that his approach to the College of Pathology (of which he was a Senior Fellow, a foundation Professor of Pathology, and past-Chairman of the College committee for undergraduate pathology education) calling for a national study to determine whether Covid vaccination was responsible for the increase in excess mortality in Australia and elsewhere by developing a protocol for post-mortems ‘to answer what is arguably the most important question facing medicine’ met with a rejection and a suggestion to take it instead to the TGA.
    Nowadays, dying suddenly has become ominously familiar. According to a new film Died Suddenly available as of this week to stream via Twitter, in the last 18 months, the term ‘Died Suddenly’ has risen to the very top of ‘most searched’ Google terms. The film documents the surge in excess mortality in highly vaccinated countries. Dr. Peter McCullough, internist, cardiologist, epidemiologist, and one of the top five most-published, and most censored, medical researchers in the US, says that sudden death frequently occurs because the heart has been damaged by inflammation caused by Covid vaccines.
    Papers that Pfizer and the Food and Drug Administration tried to hide for 75 years show that Pfizer knew in 2020 that myocarditis and pericarditis could be caused by its vaccine.
    And in the Pfizer trial in Argentina, a report on a healthy 36-year old  participant – Augusto German Roux – who developed pericarditis immediately after his second Pfizer jab, mysteriously disappeared from the published trial results.
    The Australian Technical Advisory Group on Immunisation (ATAGI) and the Cardiac Society of Australia and New Zealand (CSANZ) belatedly published a warning about myocarditis and pericarditis in September this year.
    It was too late for Garin. Had his doctors known, his life might have been saved. His grieving family have still not received a cent in compensation. But Pfizer has apparently grossed nearly $100 billion from its sales of Covid-19 vaccines and treatments.
    Rebecca Weisser is an independent journalist.
    ======


    https://open.substack.com/pub/makismd/p/mrna-injury-stories-australian-dad?r=29hg4d&utm_medium=ios
    CASE 01 - Autopsy proven myocarditis death in AUSTRALIA Barrack Heights NSW, AUSTRALIA - Roberto Garin was only 52 when he ‘died suddenly’ on 28 July 2021. The healthy father of two teenagers began feeling ill 48 hours after his first Pfizer shot and dropped dead in front of his terrified wife Kirsti six days later while she was on the phone to paramedics. Garin’s family immediately suspected the vaccine caused his death. Kirsti was told her husband was the first person to die after a Pfizer shot. In fact, 176 deaths following Pfizer jabs had already been reported to the Therapeutic Goods Administration (TGA), starting in the first week of the vaccine rollout. But when Kirsti shared her concerns with filmmaker Alan Hashem, who released the video together with the accounts of other vaccine injuries and deaths, it unleashed a storm. ‘Misinformation researchers’ published by the ABC dismissed Kirsti’s ‘claims her 52-year-old husband died from “sudden onset myocarditis” after receiving the Pfizer vaccine’ because it didn’t ‘square with official data’. Yet that was exactly what forensic pathologist Bernard l’Ons wrote in a brilliant report on his autopsy stating that the deceased’s heart showed a clear transition to severe giant cell myocarditis that could be ‘histologically dated to the time period of the Covid-19 mRNA vaccination’ and it was ‘reasonable to state that the deceased’s previously undiagnosed cardiac sarcoidosis may have transitioned to a fulminating myocarditis as a result of the Pfizer Covid-19 vaccination’ noting that myocarditis had been reported in reactions to the Pfizer vaccine. L’Ons proposed a mechanism by which the vaccine could trigger fatal myocarditis and advised that a possible therapeutic implication was that sarcoid patients be given an echocardiogram to detect whether their heart was affected in which case alternative vaccination types could be considered. All of this was ignored by the TGA which refuses to admit to this day that any death can be attributed to a Pfizer vaccine and was parroted by the ABC. The TGA did admit that as of 22 August it had received ‘235 reports of suspected myocarditis, (inflammation of the heart muscle) and/or pericarditis (inflammation of the membrane around the heart) following vaccination’ with Pfizer but said, ‘These reports reflect the observations of the people reporting them and have not been confirmed as having been caused by the vaccine,’ and that ‘some events may be coincidental and would have happened anyway, regardless of vaccination.’ This is a particularly misleading statement. Four out of five reports to the TGA are submitted not by random ‘people’, but by highly qualified health professionals and in Garin’s case by a forensic pathologist. Why would the TGA dismiss these reports? That’s a question Associate Professor Michael Nissen could perhaps shed light on. He was appointed to the TGA in February 2021, just as the Covid-19 vaccines were rolled out, to lead its Signal Investigation Unit which investigates safety issues that arise with vaccines in adverse reports or are raised by international regulators or the medical literature. Prior to his appointment, Nissen was the Director of Scientific Affairs and Public Health at GSK Vaccines from October 2014 to January 2021, a period during which GSK and Pfizer entered into a joint venture. Nissen worked concurrently in hospital-based medical care and academia. He has led over 40 clinical trials and authored over 200 peer-reviewed publications including vaccine studies. In all these areas pharmaceutical companies are a major source of funding. The TGA is sensitive about managing conflicts of interest for advisory committee members but offers no guidance on its website with regard to staff members although presumably the same principles should, at least in theory, apply. It notes that shares, involvement in clinical trials, employment, contracts, consultancies, grants, sponsorships, board memberships and so on, may give rise to a conflict of interest. Robert Clancy, an Emeritus Professor of Pathology at the University of Newcastle Medical School and a member of the Australian Academy of Science’s Covid-19 Expert Database wrote in Quadrant online last week that ‘the power of the pharmaceutical industry and its pervasive influence at every level of political and medical decision-making’ has been underestimated in shaping the pandemic narrative which has been driven by commercial imperatives to such an extent that it has crushed scientific debate. Clancy recounts that his approach to the College of Pathology (of which he was a Senior Fellow, a foundation Professor of Pathology, and past-Chairman of the College committee for undergraduate pathology education) calling for a national study to determine whether Covid vaccination was responsible for the increase in excess mortality in Australia and elsewhere by developing a protocol for post-mortems ‘to answer what is arguably the most important question facing medicine’ met with a rejection and a suggestion to take it instead to the TGA. Nowadays, dying suddenly has become ominously familiar. According to a new film Died Suddenly available as of this week to stream via Twitter, in the last 18 months, the term ‘Died Suddenly’ has risen to the very top of ‘most searched’ Google terms. The film documents the surge in excess mortality in highly vaccinated countries. Dr. Peter McCullough, internist, cardiologist, epidemiologist, and one of the top five most-published, and most censored, medical researchers in the US, says that sudden death frequently occurs because the heart has been damaged by inflammation caused by Covid vaccines. Papers that Pfizer and the Food and Drug Administration tried to hide for 75 years show that Pfizer knew in 2020 that myocarditis and pericarditis could be caused by its vaccine. And in the Pfizer trial in Argentina, a report on a healthy 36-year old  participant – Augusto German Roux – who developed pericarditis immediately after his second Pfizer jab, mysteriously disappeared from the published trial results. The Australian Technical Advisory Group on Immunisation (ATAGI) and the Cardiac Society of Australia and New Zealand (CSANZ) belatedly published a warning about myocarditis and pericarditis in September this year. It was too late for Garin. Had his doctors known, his life might have been saved. His grieving family have still not received a cent in compensation. But Pfizer has apparently grossed nearly $100 billion from its sales of Covid-19 vaccines and treatments. Rebecca Weisser is an independent journalist. ====== https://open.substack.com/pub/makismd/p/mrna-injury-stories-australian-dad?r=29hg4d&utm_medium=ios
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  • The WHO Pandemic Agreement: A Guide
    By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read
    The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed.

    One, consisting of draft amendments to the existing International health Regulations (IHR), seeks to change the current IHR non-binding recommendations into requirements or binding recommendations, by having countries “undertake” to implement those given by the WHO in future declared health emergencies. It covers all ‘public health emergencies of international concern’ (PHEIC), with a single person, the WHO Director-General (DG) determining what a PHEIC is, where it extends, and when it ends. It specifies mandated vaccines, border closures, and other directives understood as lockdowns among the requirements the DG can impose. It is discussed further elsewhere and still under negotiation in Geneva.

    A second document, previously known as the (draft) Pandemic Treaty, then Pandemic Accord, and more recently the Pandemic Agreement, seeks to specify governance, supply chains, and various other interventions aimed at preventing, preparing for, and responding to, pandemics (pandemic prevention, preparedness and response – PPPR). It is currently being negotiated by the Intergovernmental Negotiating Body (INB).

    Both texts will be subject to a vote at the May 2024 World Health Assembly (WHA) in Geneva, Switzerland. These votes are intended, by those promoting these projects, to bring governance of future multi-country healthcare emergencies (or threats thereof) under the WHO umbrella.

    The latest version of the draft Pandemic Agreement (here forth the ‘Agreement’) was released on 7th March 2024. However, it is still being negotiated by various committees comprising representatives of Member States and other interested entities. It has been through multiple iterations over two years, and looks like it. With the teeth of the pandemic response proposals in the IHR, the Agreement looks increasingly irrelevant, or at least unsure of its purpose, picking up bits and pieces in a half-hearted way that the IHR amendments do not, or cannot, include. However, as discussed below, it is far from irrelevant.

    Historical Perspective

    These aim to increase the centralization of decision-making within the WHO as the “directing and coordinating authority.” This terminology comes from the WHO’s 1946 Constitution, developed in the aftermath of the Second World War as the world faced the outcomes of European fascism and the similar approaches widely imposed through colonialist regimes. The WHO would support emerging countries, with rapidly expanding and poorly resourced populations struggling under high disease burdens, and coordinate some areas of international support as these sovereign countries requested it. The emphasis of action was on coordinating rather than directing.

    In the 80 years prior to the WHO’s existence, international public health had grown within a more directive mindset, with a series of meetings by colonial and slave-owning powers from 1851 to manage pandemics, culminating in the inauguration of the Office Internationale d’Hygiene Publique in Paris in 1907, and later the League of Nations Health Office. World powers imposed health dictates on those less powerful, in other parts of the world and increasingly on their own population through the eugenics movement and similar approaches. Public health would direct, for the greater good, as a tool of those who wish to direct the lives of others.

    The WHO, governed by the WHA, was to be very different. Newly independent States and their former colonial masters were ostensibly on an equal footing within the WHA (one country – one vote), and the WHO’s work overall was to be an example of how human rights could dominate the way society works. The model for international public health, as exemplified in the Declaration of Alma Ata in 1978, was to be horizontal rather than vertical, with communities and countries in the driving seat.

    With the evolution of the WHO in recent decades from a core funding model (countries give money, the WHO decides under the WHA guidance how to spend it) to a model based on specified funding (funders, both public and increasingly private, instruct the WHO on how to spend it), the WHO has inevitably changed to become a public-private partnership required to serve the interests of funders rather than populations.

    As most funding comes from a few countries with major Pharma industrial bases, or private investors and corporations in the same industry, the WHO has been required to emphasize the use of pharmaceuticals and downplay evidence and knowledge where these clash (if it wants to keep all its staff funded). It is helpful to view the draft Agreement, and the IHR amendments, in this context.

    Why May 2024?

    The WHO, together with the World Bank, G20, and other institutions have been emphasizing the urgency of putting the new pandemic instruments in place earnestly, before the ‘next pandemic.’ This is based on claims that the world was unprepared for Covid-19, and that the economic and health harm would be somehow avoidable if we had these agreements in place.

    They emphasize, contrary to evidence that Covid-19 virus (SARS-CoV-2) origins involve laboratory manipulation, that the main threats we face are natural, and that these are increasing exponentially and present an “existential” threat to humanity. The data on which the WHO, the World Bank, and G20 base these claims demonstrates the contrary, with reported natural outbreaks having increased as detection technologies have developed, but reducing in mortality rate, and in numbers, over the past 10 to 20 years..

    A paper cited by the World Bank to justify urgency and quoted as suggesting a 3x increase in risk in the coming decade actually suggests that a Covid-19-like event would occur roughly every 129 years, and a Spanish-flu repetition every 292 to 877 years. Such predictions are unable to take into account the rapidly changing nature of medicine and improved sanitation and nutrition (most deaths from Spanish flu would not have occurred if modern antibiotics had been available), and so may still overestimate risk. Similarly, the WHO’s own priority disease list for new outbreaks only includes two diseases of proven natural origin that have over 1,000 historical deaths attributed to them. It is well demonstrated that the risk and expected burden of pandemics is misrepresented by major international agencies in current discussions.

    The urgency for May 2024 is clearly therefore inadequately supported, firstly because neither the WHO nor others have demonstrated how the harms accrued through Covid-19 would be reduced through the measures proposed, and secondly because the burden and risk is misrepresented. In this context, the state of the Agreement is clearly not where it should be as a draft international legally binding agreement intended to impose considerable financial and other obligations on States and populations.

    This is particularly problematic as the proposed expenditure; the proposed budget is over $31 billion per year, with over $10 billion more on other One Health activities. Much of this will have to be diverted from addressing other diseases burdens that impose far greater burden. This trade-off, essential to understand in public health policy development, has not yet been clearly addressed by the WHO.

    The WHO DG stated recently that the WHO does not want the power to impose vaccine mandates or lockdowns on anyone, and does not want this. This begs the question of why either of the current WHO pandemic instruments is being proposed, both as legally binding documents. The current IHR (2005) already sets out such approaches as recommendations the DG can make, and there is nothing non-mandatory that countries cannot do now without pushing new treaty-like mechanisms through a vote in Geneva.

    Based on the DG’s claims, they are essentially redundant, and what new non-mandatory clauses they contain, as set out below, are certainly not urgent. Clauses that are mandatory (Member States “shall”) must be considered within national decision-making contexts and appear against the WHO’s stated intent.

    Common sense would suggest that the Agreement, and the accompanying IHR amendments, be properly thought through before Member States commit. The WHO has already abandoned the legal requirement for a 4-month review time for the IHR amendments (Article 55.2 IHR), which are also still under negotiation just 2 months before the WHA deadline. The Agreement should also have at least such a period for States to properly consider whether to agree – treaties normally take many years to develop and negotiate and no valid arguments have been put forward as to why these should be different.

    The Covid-19 response resulted in an unprecedented transfer of wealth from those of lower income to the very wealthy few, completely contrary to the way in which the WHO was intended to affect human society. A considerable portion of these pandemic profits went to current sponsors of the WHO, and these same corporate entities and investors are set to further benefit from the new pandemic agreements. As written, the Pandemic Agreement risks entrenching such centralization and profit-taking, and the accompanying unprecedented restrictions on human rights and freedoms, as a public health norm.

    To continue with a clearly flawed agreement simply because of a previously set deadline, when no clear population benefit is articulated and no true urgency demonstrated, would therefore be a major step backward in international public health. Basic principles of proportionality, human agency, and community empowerment, essential for health and human rights outcomes, are missing or paid lip-service. The WHO clearly wishes to increase its funding and show it is ‘doing something,’ but must first articulate why the voluntary provisions of the current IHR are insufficient. It is hoped that by systematically reviewing some key clauses of the agreement here, it will become clear why a rethink of the whole approach is necessary. The full text is found below.

    The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic. Much of the remaining text is essentially pointless as it reiterates vague intentions to be found in other documents or activities which countries normally undertake in the course of running health services, and have no place in a focused legally-binding international agreement.

    REVISED Draft of the negotiating text of the WHO Pandemic Agreement. 7th March, 2024

    Preamble

    Recognizing that the World Health Organization…is the directing and coordinating authority on international health work.

    This is inconsistent with a recent statement by the WHO DG that the WHO has no interest or intent to direct country health responses. To reiterate it here suggests that the DG is not representing the true position regarding the Agreement. “Directing authority” is however in line with the proposed IHR Amendments (and the WHO’s Constitution), under which countries will “undertake” ahead of time to follow the DG’s recommendations (which thereby become instructions). As the HR amendments make clear, this is intended to apply even to a perceived threat rather than actual harm.

    Recalling the constitution of the World Health Organization…highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.

    This statement recalls fundamental understandings of public health, and is of importance here as it raises the question of why the WHO did not strongly condemn prolonged school closures, workplace closures, and other impoverishing policies during the Covid-19 response. In 2019, WHO made clear that these dangers should prevent actions we now call ‘lockdowns’ from being imposed.

    Deeply concerned by the gross inequities at national and international levels that hindered timely and equitable access to medical and other Covid-19 pandemic-related products, and the serious shortcomings in pandemic preparedness.

    In terms of health equity (as distinct from commodity of ‘vaccine’ equity), inequity in the Covid-19 response was not in failing to provide a vaccine against former variants to immune, young people in low-income countries who were at far higher risk from endemic diseases, but in the disproportionate harm to them of uniformly-imposed NPIs that reduced current and future income and basic healthcare, as was noted by the WHO in 2019 Pandemic Influenza recommendations. The failure of the text to recognize this suggests that lessons from Covid-19 have not informed this draft Agreement. The WHO has not yet demonstrated how pandemic ‘preparedness,’ in the terms they use below, would have reduced impact, given that there is poor correlation between strictness or speed of response and eventual outcomes.

    Reiterating the need to work towards…an equitable approach to mitigate the risk that pandemics exacerbate existing inequities in access to health services,

    As above – in the past century, the issue of inequity has been most pronounced in pandemic response, rather than the impact of the virus itself (excluding the physiological variation in risk). Most recorded deaths from acute pandemics, since the Spanish flu, were during Covid-19, in which the virus hit mainly sick elderly, but response impacted working-age adults and children heavily and will continue to have effect, due to increased poverty and debt; reduced education and child marriage, in future generations.

    These have disproportionately affected lower-income people, and particularly women. The lack of recognition of this in this document, though they are recognized by the World Bank and UN agencies elsewhere, must raise real questions on whether this Agreement has been thoroughly thought through, and the process of development been sufficiently inclusive and objective.

    Chapter I. Introduction

    Article 1. Use of terms

    (i) “pathogen with pandemic potential” means any pathogen that has been identified to infect a human and that is: novel (not yet characterized) or known (including a variant of a known pathogen), potentially highly transmissible and/or highly virulent with the potential to cause a public health emergency of international concern.

    This provides a very wide scope to alter provisions. Any pathogen that can infect humans and is potentially highly transmissible or virulent, though yet uncharacterized means virtually any coronavirus, influenza virus, or a plethora of other relatively common pathogen groups. The IHR Amendments intend that the DG alone can make this call, over the advice of others, as occurred with monkeypox in 2022.

    (j) “persons in vulnerable situations” means individuals, groups or communities with a disproportionate increased risk of infection, severity, disease or mortality.

    This is a good definition – in Covid-19 context, would mean the sick elderly, and so is relevant to targeting a response.

    “Universal health coverage” means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship.

    While the general UHC concept is good, it is time a sensible (rather than patently silly) definition was adopted. Society cannot afford the full range of possible interventions and remedies for all, and clearly there is a scale of cost vs benefit that prioritizes certain ones over others. Sensible definitions make action more likely, and inaction harder to justify. One could argue that none should have the full range until all have good basic care, but clearly the earth will not support ‘the full range’ for 8 billion people.

    Article 2. Objective

    This Agreement is specifically for pandemics (a poorly defined term but essentially a pathogen that spreads rapidly across national borders). In contrast, the IHR amendments accompanying it are broader in scope – for any public health emergencies of international concern.

    Article 3. Principles

    2. the sovereign right of States to adopt, legislate and implement legislation

    The amendments to the IHR require States to undertake to follow WHO instructions ahead of time, before such instruction and context are known. These two documents must be understood, as noted later in the Agreement draft, as complementary.

    3. equity as the goal and outcome of pandemic prevention, preparedness and response, ensuring the absence of unfair, avoidable or remediable differences among groups of people.

    This definition of equity here needs clarification. In the pandemic context, the WHO emphasized commodity (vaccine) equity during the Covid-19 response. Elimination of differences implied equal access to Covid-19 vaccines in countries with large aging, obese highly vulnerable populations (e.g. the USA or Italy), and those with young populations at minimal risk and with far more pressing health priorities (e.g. Niger or Uganda).

    Alternatively, but equally damaging, equal access to different age groups within a country when the risk-benefit ratio is clearly greatly different. This promotes worse health outcomes by diverting resources from where they are most useful, as it ignores heterogeneity of risk. Again, an adult approach is required in international agreements, rather than feel-good sentences, if they are going to have a positive impact.

    5. …a more equitable and better prepared world to prevent, respond to and recover from pandemics

    As with ‘3’ above, this raises a fundamental problem: What if health equity demands that some populations divert resources to childhood nutrition and endemic diseases rather than the latest pandemic, as these are likely of far higher burden to many younger but lower-income populations? This would not be equity in the definition implied here, but would clearly lead to better and more equal health outcomes.

    The WHO must decide whether it is about uniform action, or minimizing poor health, as these are clearly very different. They are the difference between the WHO’s commodity equity, and true health equity.

    Chapter II. The world together equitably: achieving equity in, for and through pandemic prevention, preparedness and response

    Equity in health should imply a reasonably equal chance of overcoming or avoiding preventable sickness. The vast majority of sickness and death is due to either non-communicable diseases often related to lifestyle, such as obesity and type 2 diabetes mellitus, undernutrition in childhood, and endemic infectious diseases such as tuberculosis, malaria, and HIV/AIDS. Achieving health equity would primarily mean addressing these.

    In this chapter of the draft Pandemic Agreement, equity is used to imply equal access to specific health commodities, particularly vaccines, for intermittent health emergencies, although these exert a small fraction of the burden of other diseases. It is, specifically, commodity-equity, and not geared to equalizing overall health burden but to enabling centrally-coordinated homogenous responses to unusual events.

    Article 4. Pandemic prevention and surveillance

    2. The Parties shall undertake to cooperate:

    (b) in support of…initiatives aimed at preventing pandemics, in particular those that improve surveillance, early warning and risk assessment; .…and identify settings and activities presenting a risk of emergence and re-emergence of pathogens with pandemic potential.

    (c-h) [Paragraphs on water and sanitation, infection control, strengthening of biosafety, surveillance and prevention of vector-born diseases, and addressing antimicrobial resistance.]

    The WHO intends the Agreement to have force under international law. Therefore, countries are undertaking to put themselves under force of international law in regards to complying with the agreement’s stipulations.

    The provisions under this long article mostly cover general health stuff that countries try to do anyway. The difference will be that countries will be assessed on progress. Assessment can be fine if in context, less fine if it consists of entitled ‘experts’ from wealthy countries with little local knowledge or context. Perhaps such compliance is best left to national authorities, who are more in use with local needs and priorities. The justification for the international bureaucracy being built to support this, while fun for those involved, is unclear and will divert resources from actual health work.

    6. The Conference of the Parties may adopt, as necessary, guidelines, recommendations and standards, including in relation to pandemic prevention capacities, to support the implementation of this Article.

    Here and later, the COP is invoked as a vehicle to decide on what will actually be done. The rules are explained later (Articles 21-23). While allowing more time is sensible, it begs the question of why it is not better to wait and discuss what is needed in the current INB process, before committing to a legally-binding agreement. This current article says nothing not already covered by the IHR2005 or other ongoing programs.

    Article 5. One Health approach to pandemic prevention, preparedness and response

    Nothing specific or new in this article. It seems redundant (it is advocating a holistic approach mentioned elsewhere) and so presumably is just to get the term ‘One Health’ into the agreement. (One could ask, why bother?)

    Some mainstream definitions of One Health (e.g. Lancet) consider that it means non-human species are on a par with humans in terms of rights and importance. If this is meant here, clearly most Member States would disagree. So we may assume that it is just words to keep someone happy (a little childish in an international document, but the term ‘One Health’ has been trending, like ‘equity,’ as if the concept of holistic approaches to public health were new).

    Article 6. Preparedness, health system resilience and recovery

    2. Each Party commits…[to] :

    (a) routine and essential health services during pandemics with a focus on primary health care, routine immunization and mental health care, and with particular attention to persons in vulnerable situations

    (b) developing, strengthening and maintaining health infrastructure

    (c) developing post-pandemic health system recovery strategies

    (d) developing, strengthening and maintaining: health information systems

    This is good, and (a) seems to require avoidance of lockdowns (which inevitably cause the harms listed). Unfortunately other WHO documents lead one to assume this is not the intent…It does appear therefore that this is simply another list of fairly non-specific feel-good measures that have no useful place in a new legally-binding agreement, and which most countries are already undertaking.

    (e) promoting the use of social and behavioural sciences, risk communication and community engagement for pandemic prevention, preparedness and response.

    This requires clarification, as the use of behavioral science during the Covid-19 response involved deliberate inducement of fear to promote behaviors that people would not otherwise follow (e.g. Spi-B). It is essential here that the document clarifies how behavioral science should be used ethically in healthcare. Otherwise, this is also a quite meaningless provision.

    Article 7. Health and care workforce

    This long Article discusses health workforce, training, retention, non-discrimination, stigma, bias, adequate remuneration, and other standard provisions for workplaces. It is unclear why it is included in a legally binding pandemic agreement, except for:

    4. [The Parties]…shall invest in establishing, sustaining, coordinating and mobilizing a skilled and trained multidisciplinary global public health emergency workforce…Parties having established emergency health teams should inform WHO thereof and make best efforts to respond to requests for deployment…

    Emergency health teams established (within capacity etc.) – are something countries already do, when they have capacity. There is no reason to have this as a legally-binding instrument, and clearly no urgency to do so.

    Article 8. Preparedness monitoring and functional reviews

    1. The Parties shall, building on existing and relevant tools, develop and implement an inclusive, transparent, effective and efficient pandemic prevention, preparedness and response monitoring and evaluation system.

    2. Each Party shall assess, every five years, with technical support from the WHO Secretariat upon request, the functioning and readiness of, and gaps in, its pandemic prevention, preparedness and response capacity, based on the relevant tools and guidelines developed by WHO in partnership with relevant organizations at international, regional and sub-regional levels.

    Note that this is being required of countries that are already struggling to implement monitoring systems for major endemic diseases, including tuberculosis, malaria, HIV, and nutritional deficiencies. They will be legally bound to divert resources to pandemic prevention. While there is some overlap, it will inevitably divert resources from currently underfunded programs for diseases of far higher local burdens, and so (not theoretically, but inevitably) raise mortality. Poor countries are being required to put resources into problems deemed significant by richer countries.

    Article 9. Research and development

    Various general provisions about undertaking background research that countries are generally doing anyway, but with an ’emerging disease’ slant. Again, the INB fails to justify why this diversion of resources from researching greater disease burdens should occur in all countries (why not just those with excess resources?).

    Article 10. Sustainable and geographically diversified production

    Mostly non-binding but suggested cooperation on making pandemic-related products available, including support for manufacturing in “inter-pandemic times” (a fascinating rendering of ‘normal’), when they would only be viable through subsidies. Much of this is probably unimplementable, as it would not be practical to maintain facilities in most or all countries on stand-by for rare events, at cost of resources otherwise useful for other priorities. The desire to increase production in ‘developing’ countries will face major barriers and costs in terms of maintaining quality of production, particularly as many products will have limited use outside of rare outbreak situations.

    Article 11. Transfer of technology and know-how

    This article, always problematic for large pharmaceutical corporations sponsoring much WHO outbreak activities, is now watered down to weak requirements to ‘consider,’ promote,’ provide, within capabilities’ etc.

    Article 12. Access and benefit sharing

    This Article is intended to establish the WHO Pathogen Access and Benefit-Sharing System (PABS System). PABS is intended to “ensure rapid, systematic and timely access to biological materials of pathogens with pandemic potential and the genetic sequence data.” This system is of potential high relevance and needs to be interpreted in the context that SARS-CoV-2, the pathogen causing the recent Covid-19 outbreak, was highly likely to have escaped from a laboratory. PABS is intended to expand the laboratory storage, transport, and handling of such viruses, under the oversight of the WHO, an organization outside of national jurisdiction with no significant direct experience in handling biological materials.

    3. When a Party has access to a pathogen [it shall]:

    (a) share with WHO any pathogen sequence information as soon as it is available to the Party;

    (b) as soon as biological materials are available to the Party, provide the materials to one or more laboratories and/or biorepositories participating in WHO-coordinated laboratory networks (CLNs),

    Subsequent clauses state that benefits will be shared, and seek to prevent recipient laboratories from patenting materials received from other countries. This has been a major concern of low-and middle-income countries previously, who perceive that institutions in wealthy countries patent and benefit from materials derived from less-wealthy populations. It remains to be seen whether provisions here will be sufficient to address this.

    The article then becomes yet more concerning:

    6. WHO shall conclude legally binding standard PABS contracts with manufacturers to provide the following, taking into account the size, nature and capacities of the manufacturer:

    (a) annual monetary contributions to support the PABS System and relevant capacities in countries; the determination of the annual amount, use, and approach for monitoring and accountability, shall be finalized by the Parties;

    (b) real-time contributions of relevant diagnostics, therapeutics or vaccines produced by the manufacturer, 10% free of charge and 10% at not-for-profit prices during public health emergencies of international concern or pandemics, …

    It is clearly intended that the WHO becomes directly involved in setting up legally binding manufacturing contracts, despite the WHO being outside of national jurisdictional oversight, within the territories of Member States. The PABS system, and therefore its staff and dependent entities, are also to be supported in part by funds from the manufacturers whom they are supposed to be managing. The income of the organization will be dependent on maintaining positive relationships with these private entities in a similar way in which many national regulatory agencies are dependent upon funds from pharmaceutical companies whom their staff ostensibly regulate. In this case, the regulator will be even further removed from public oversight.

    The clause on 10% (why 10?) products being free of charge, and similar at cost, while ensuring lower-priced commodities irrespective of actual need (the outbreak may be confined to wealthy countries). The same entity, the WHO, will determine whether the triggering emergency exists, determine the response, and manage the contracts to provide the commodities, without direct jurisdictional oversight regarding the potential for corruption or conflict of interest. It is a remarkable system to suggest, irrespective of political or regulatory environment.

    8. The Parties shall cooperate…public financing of research and development, prepurchase agreements, or regulatory procedures, to encourage and facilitate as many manufacturers as possible to enter into standard PABS contracts as early as possible.

    The article envisions that public funding will be used to build the process, ensuring essentially no-risk private profit.

    10. To support operationalization of the PABS System, WHO shall…make such contracts public, while respecting commercial confidentiality.

    The public may know whom contracts are made with, but not all details of the contracts. There will therefore be no independent oversight of the clauses agreed between the WHO, a body outside of national jurisdiction and dependent of commercial companies for funding some of its work and salaries, and these same companies, on ‘needs’ that the WHO itself will have sole authority, under the proposed amendments to the IHR, to determine.

    The Article further states that the WHO shall use its own product regulatory system (prequalification) and Emergency Use Listing Procedure to open and stimulate markets for the manufacturers of these products.

    It is doubtful that any national government could make such an overall agreement, yet in May 2024 they will be voting to provide this to what is essentially a foreign, and partly privately financed, entity.

    Article 13. Supply chain and logistics

    The WHO will become convenor of a ‘Global Supply Chain and Logistics Network’ for commercially-produced products, to be supplied under WHO contracts when and where the WHO determines, whilst also having the role of ensuring safety of such products.

    Having mutual support coordinated between countries is good. Having this run by an organization that is significantly funded directly by those gaining from the sale of these same commodities seems reckless and counterintuitive. Few countries would allow this (or at least plan for it).

    For this to occur safely, the WHO would logically have to forgo all private investment, and greatly restrict national specified funding contributions. Otherwise, the conflicts of interest involved would destroy confidence in the system. There is no suggestion of such divestment from the WHO, but rather, as in Article 12, private sector dependency, directly tied to contracts, will increase.

    Article 13bis: National procurement- and distribution-related provisions

    While suffering the same (perhaps unavoidable) issues regarding commercial confidentiality, this alternate Article 13 seems far more appropriate, keeping commercial issues under national jurisdiction and avoiding the obvious conflict of interests that underpin funding for WHO activities and staffing.

    Article 14. Regulatory systems strengthening

    This entire Article reflects initiatives and programs already in place. Nothing here appears likely to add to current effort.

    Article 15. Liability and compensation management

    1. Each Party shall consider developing, as necessary and in accordance with applicable law, national strategies for managing liability in its territory related to pandemic vaccines…no-fault compensation mechanisms…

    2. The Parties…shall develop recommendations for the establishment and implementation of national, regional and/or global no-fault compensation mechanisms and strategies for managing liability during pandemic emergencies, including with regard to individuals that are in a humanitarian setting or vulnerable situations.

    This is quite remarkable, but also reflects some national legislation, in removing any fault or liability specifically from vaccine manufacturers, for harms done in pushing out vaccines to the public. During the Covid-19 response, genetic therapeutics being developed by BioNtech and Moderna were reclassified as vaccines, on the basis that an immune response is stimulated after they have modified intracellular biochemical pathways as a medicine normally does.

    This enabled specific trials normally required for carcinogenicity and teratogenicity to be bypassed, despite raised fetal abnormality rates in animal trials. It will enable the CEPI 100-day vaccine program, supported with private funding to support private mRNA vaccine manufacturers, to proceed without any risk to the manufacturer should there be subsequent public harm.

    Together with an earlier provision on public funding of research and manufacturing readiness, and the removal of former wording requiring intellectual property sharing in Article 11, this ensures vaccine manufacturers and their investors make profit in effective absence of risk.

    These entities are currently heavily invested in support for WHO, and were strongly aligned with the introduction of newly restrictive outbreak responses that emphasized and sometimes mandated their products during the Covid-19 outbreak.

    Article 16. International collaboration and cooperation

    A somewhat pointless article. It suggests that countries cooperate with each other and the WHO to implement the other agreements in the Agreement.

    Article 17. Whole-of-government and whole-of-society approaches

    A list of essentially motherhood provisions related to planning for a pandemic. However, countries will legally be required to maintain a ‘national coordination multisectoral body’ for PPPR. This will essentially be an added burden on budgets, and inevitably divert further resources from other priorities. Perhaps just strengthening current infectious disease and nutritional programs would be more impactful. (Nowhere in this Agreement is nutrition discussed (essential for resilience to pathogens) and minimal wording is included on sanitation and clean water (other major reasons for reduction in infectious disease mortality over past centuries).

    However, the ‘community ownership’ wording is interesting (“empower and enable community ownership of, and contribution to, community readiness for and resilience [for PPPR]”), as this directly contradicts much of the rest of the Agreement, including the centralization of control under the Conference of Parties, requirements for countries to allocate resources to pandemic preparedness over other community priorities, and the idea of inspecting and assessing adherence to the centralized requirements of the Agreement. Either much of the rest of the Agreement is redundant, or this wording is purely for appearance and not to be followed (and therefore should be removed).

    Article 18. Communication and public awareness

    1. Each Party shall promote timely access to credible and evidence-based information …with the aim of countering and addressing misinformation or disinformation…

    2. The Parties shall, as appropriate, promote and/or conduct research and inform policies on factors that hinder or strengthen adherence to public health and social measures in a pandemic, as well as trust in science and public health institutions and agencies.

    The key word is as appropriate, given that many agencies, including the WHO, have overseen or aided policies during the Covid-19 response that have greatly increased poverty, child marriage, teenage pregnancy, and education loss.

    As the WHO has been shown to be significantly misrepresenting pandemic risk in the process of advocating for this Agreement and related instruments, its own communications would also fall outside the provision here related to evidence-based information, and fall within normal understandings of misinformation. It could not therefore be an arbiter of correctness of information here, so the Article is not implementable. Rewritten to recommend accurate evidence-based information being promoted, it would make good sense, but this is not an issue requiring a legally binding international agreement.

    Article 19. Implementation and support

    3. The WHO Secretariat…organize the technical and financial assistance necessary to address such gaps and needs in implementing the commitments agreed upon under the Pandemic Agreement and the International Health Regulations (2005).

    As the WHO is dependent on donor support, its ability to address gaps in funding within Member States is clearly not something it can guarantee. The purpose of this article is unclear, repeating in paragraphs 1 and 2 the earlier intent for countries to generally support each other.

    Article 20. Sustainable financing

    1. The Parties commit to working together…In this regard, each Party, within the means and resources at its disposal, shall:

    (a) prioritize and maintain or increase, as necessary, domestic funding for pandemic prevention, preparedness and response, without undermining other domestic public health priorities including for: (i) strengthening and sustaining capacities for the prevention, preparedness and response to health emergencies and pandemics, in particular the core capacities of the International Health Regulations (2005);…

    This is silly wording, as countries obviously have to prioritize within budgets, so that moving funds to one area means removing from another. The essence of public health policy is weighing and making such decisions; this reality seems to be ignored here through wishful thinking. (a) is clearly redundant, as the IHR (2005) already exists and countries have agreed to support it.

    3. A Coordinating Financial Mechanism (the “Mechanism”) is hereby established to support the implementation of both the WHO Pandemic Agreement and the International Health Regulations (2005)

    This will be in parallel to the Pandemic Fund recently commenced by the World Bank – an issue not lost on INB delegates and so likely to change here in the final version. It will also be additive to the Global Fund to fight AIDS, tuberculosis, and malaria, and other health financing mechanisms, and so require another parallel international bureaucracy, presumably based in Geneva.

    It is intended to have its own capacity to “conduct relevant analyses on needs and gaps, in addition to tracking cooperation efforts,” so it will not be a small undertaking.

    Chapter III. Institutional and final provisions

    Article 21. Conference of the Parties

    1. A Conference of the Parties is hereby established.

    2. The Conference of the Parties shall keep under regular review, every three years, the implementation of the WHO Pandemic Agreement and take the decisions necessary to promote its effective implementation.

    This sets up the governing body to oversee this Agreement (another body requiring a secretariat and support). It is intended to meet within a year of the Agreement coming into force, and then set its own rules on meeting thereafter. It is likely that many provisions outlined in this draft of the Agreement will be deferred to the COP for further discussion.

    Articles 22 – 37

    These articles cover the functioning of the Conference of Parties (COP) and various administrative issues.

    Of note, ‘block votes’ will be allowed from regional bodies (e.g. the EU).

    The WHO will provide the secretariat.

    Under Article 24 is noted:

    3. Nothing in the WHO Pandemic Agreement shall be interpreted as providing the Secretariat of the World Health Organization, including the WHO Director-General, any authority to direct, order, alter or otherwise prescribe the domestic laws or policies of any Party, or to mandate or otherwise impose any requirements that Parties take specific actions, such as ban or accept travellers, impose vaccination mandates or therapeutic or diagnostic measures, or implement lockdowns.

    These provisions are explicitly stated in the proposed amendments to the IHR, to be considered alongside this agreement. Article 26 notes that the IHR is to be interpreted as compatible, thereby confirming that the IHR provisions including border closures and limits on freedom of movement, mandated vaccination, and other lockdown measures are not negated by this statement.

    As Article 26 states: “The Parties recognize that the WHO Pandemic Agreement and the International Health Regulations should be interpreted so as to be compatible.”

    Some would consider this subterfuge – The Director-General recently labeled as liars those who claimed the Agreement included these powers, whilst failing to acknowledge the accompanying IHR amendments. The WHO could do better in avoiding misleading messaging, especially when this involves denigration of the public.

    Article 32 (Withdrawal) requires that, once adopted, Parties cannot withdraw for a total of 3 years (giving notice after a minimum of 2 years). Financial obligations undertaken under the agreement continue beyond that time.

    Finally, the Agreement will come into force, assuming a two-thirds majority in the WHA is achieved (Article 19, WHO Constitution), 30 days after the fortieth country has ratified it.

    Further reading:

    WHO Pandemic Agreement Intergovernmental Negotiating Board website:

    https://inb.who.int/

    International Health Regulations Working Group website:

    https://apps.who.int/gb/wgihr/index.html

    On background to the WHO texts:

    Amendments to WHO’s International Health Regulations: An Annotated Guide
    An Unofficial Q&A on International Health Regulations
    On urgency and burden of pandemics:

    https://essl.leeds.ac.uk/downloads/download/228/rational-policy-over-panic

    Disease X and Davos: This is Not the Way to Evaluate and Formulate Public Health Policy
    Before Preparing for Pandemics, We Need Better Evidence of Risk
    Revised Draft of the negotiating text of the WHO Pandemic Agreement:

    Published under a Creative Commons Attribution 4.0 International License
    For reprints, please set the canonical link back to the original Brownstone Institute Article and Author.

    Authors

    David Bell
    David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA.

    View all posts
    Thi Thuy Van Dinh
    Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings.

    View all posts
    Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work.

    https://brownstone.org/articles/the-who-pandemic-agreement-a-guide/

    https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077
    The WHO Pandemic Agreement: A Guide By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed. One, consisting of draft amendments to the existing International health Regulations (IHR), seeks to change the current IHR non-binding recommendations into requirements or binding recommendations, by having countries “undertake” to implement those given by the WHO in future declared health emergencies. It covers all ‘public health emergencies of international concern’ (PHEIC), with a single person, the WHO Director-General (DG) determining what a PHEIC is, where it extends, and when it ends. It specifies mandated vaccines, border closures, and other directives understood as lockdowns among the requirements the DG can impose. It is discussed further elsewhere and still under negotiation in Geneva. A second document, previously known as the (draft) Pandemic Treaty, then Pandemic Accord, and more recently the Pandemic Agreement, seeks to specify governance, supply chains, and various other interventions aimed at preventing, preparing for, and responding to, pandemics (pandemic prevention, preparedness and response – PPPR). It is currently being negotiated by the Intergovernmental Negotiating Body (INB). Both texts will be subject to a vote at the May 2024 World Health Assembly (WHA) in Geneva, Switzerland. These votes are intended, by those promoting these projects, to bring governance of future multi-country healthcare emergencies (or threats thereof) under the WHO umbrella. The latest version of the draft Pandemic Agreement (here forth the ‘Agreement’) was released on 7th March 2024. However, it is still being negotiated by various committees comprising representatives of Member States and other interested entities. It has been through multiple iterations over two years, and looks like it. With the teeth of the pandemic response proposals in the IHR, the Agreement looks increasingly irrelevant, or at least unsure of its purpose, picking up bits and pieces in a half-hearted way that the IHR amendments do not, or cannot, include. However, as discussed below, it is far from irrelevant. Historical Perspective These aim to increase the centralization of decision-making within the WHO as the “directing and coordinating authority.” This terminology comes from the WHO’s 1946 Constitution, developed in the aftermath of the Second World War as the world faced the outcomes of European fascism and the similar approaches widely imposed through colonialist regimes. The WHO would support emerging countries, with rapidly expanding and poorly resourced populations struggling under high disease burdens, and coordinate some areas of international support as these sovereign countries requested it. The emphasis of action was on coordinating rather than directing. In the 80 years prior to the WHO’s existence, international public health had grown within a more directive mindset, with a series of meetings by colonial and slave-owning powers from 1851 to manage pandemics, culminating in the inauguration of the Office Internationale d’Hygiene Publique in Paris in 1907, and later the League of Nations Health Office. World powers imposed health dictates on those less powerful, in other parts of the world and increasingly on their own population through the eugenics movement and similar approaches. Public health would direct, for the greater good, as a tool of those who wish to direct the lives of others. The WHO, governed by the WHA, was to be very different. Newly independent States and their former colonial masters were ostensibly on an equal footing within the WHA (one country – one vote), and the WHO’s work overall was to be an example of how human rights could dominate the way society works. The model for international public health, as exemplified in the Declaration of Alma Ata in 1978, was to be horizontal rather than vertical, with communities and countries in the driving seat. With the evolution of the WHO in recent decades from a core funding model (countries give money, the WHO decides under the WHA guidance how to spend it) to a model based on specified funding (funders, both public and increasingly private, instruct the WHO on how to spend it), the WHO has inevitably changed to become a public-private partnership required to serve the interests of funders rather than populations. As most funding comes from a few countries with major Pharma industrial bases, or private investors and corporations in the same industry, the WHO has been required to emphasize the use of pharmaceuticals and downplay evidence and knowledge where these clash (if it wants to keep all its staff funded). It is helpful to view the draft Agreement, and the IHR amendments, in this context. Why May 2024? The WHO, together with the World Bank, G20, and other institutions have been emphasizing the urgency of putting the new pandemic instruments in place earnestly, before the ‘next pandemic.’ This is based on claims that the world was unprepared for Covid-19, and that the economic and health harm would be somehow avoidable if we had these agreements in place. They emphasize, contrary to evidence that Covid-19 virus (SARS-CoV-2) origins involve laboratory manipulation, that the main threats we face are natural, and that these are increasing exponentially and present an “existential” threat to humanity. The data on which the WHO, the World Bank, and G20 base these claims demonstrates the contrary, with reported natural outbreaks having increased as detection technologies have developed, but reducing in mortality rate, and in numbers, over the past 10 to 20 years.. A paper cited by the World Bank to justify urgency and quoted as suggesting a 3x increase in risk in the coming decade actually suggests that a Covid-19-like event would occur roughly every 129 years, and a Spanish-flu repetition every 292 to 877 years. Such predictions are unable to take into account the rapidly changing nature of medicine and improved sanitation and nutrition (most deaths from Spanish flu would not have occurred if modern antibiotics had been available), and so may still overestimate risk. Similarly, the WHO’s own priority disease list for new outbreaks only includes two diseases of proven natural origin that have over 1,000 historical deaths attributed to them. It is well demonstrated that the risk and expected burden of pandemics is misrepresented by major international agencies in current discussions. The urgency for May 2024 is clearly therefore inadequately supported, firstly because neither the WHO nor others have demonstrated how the harms accrued through Covid-19 would be reduced through the measures proposed, and secondly because the burden and risk is misrepresented. In this context, the state of the Agreement is clearly not where it should be as a draft international legally binding agreement intended to impose considerable financial and other obligations on States and populations. This is particularly problematic as the proposed expenditure; the proposed budget is over $31 billion per year, with over $10 billion more on other One Health activities. Much of this will have to be diverted from addressing other diseases burdens that impose far greater burden. This trade-off, essential to understand in public health policy development, has not yet been clearly addressed by the WHO. The WHO DG stated recently that the WHO does not want the power to impose vaccine mandates or lockdowns on anyone, and does not want this. This begs the question of why either of the current WHO pandemic instruments is being proposed, both as legally binding documents. The current IHR (2005) already sets out such approaches as recommendations the DG can make, and there is nothing non-mandatory that countries cannot do now without pushing new treaty-like mechanisms through a vote in Geneva. Based on the DG’s claims, they are essentially redundant, and what new non-mandatory clauses they contain, as set out below, are certainly not urgent. Clauses that are mandatory (Member States “shall”) must be considered within national decision-making contexts and appear against the WHO’s stated intent. Common sense would suggest that the Agreement, and the accompanying IHR amendments, be properly thought through before Member States commit. The WHO has already abandoned the legal requirement for a 4-month review time for the IHR amendments (Article 55.2 IHR), which are also still under negotiation just 2 months before the WHA deadline. The Agreement should also have at least such a period for States to properly consider whether to agree – treaties normally take many years to develop and negotiate and no valid arguments have been put forward as to why these should be different. The Covid-19 response resulted in an unprecedented transfer of wealth from those of lower income to the very wealthy few, completely contrary to the way in which the WHO was intended to affect human society. A considerable portion of these pandemic profits went to current sponsors of the WHO, and these same corporate entities and investors are set to further benefit from the new pandemic agreements. As written, the Pandemic Agreement risks entrenching such centralization and profit-taking, and the accompanying unprecedented restrictions on human rights and freedoms, as a public health norm. To continue with a clearly flawed agreement simply because of a previously set deadline, when no clear population benefit is articulated and no true urgency demonstrated, would therefore be a major step backward in international public health. Basic principles of proportionality, human agency, and community empowerment, essential for health and human rights outcomes, are missing or paid lip-service. The WHO clearly wishes to increase its funding and show it is ‘doing something,’ but must first articulate why the voluntary provisions of the current IHR are insufficient. It is hoped that by systematically reviewing some key clauses of the agreement here, it will become clear why a rethink of the whole approach is necessary. The full text is found below. The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic. Much of the remaining text is essentially pointless as it reiterates vague intentions to be found in other documents or activities which countries normally undertake in the course of running health services, and have no place in a focused legally-binding international agreement. REVISED Draft of the negotiating text of the WHO Pandemic Agreement. 7th March, 2024 Preamble Recognizing that the World Health Organization…is the directing and coordinating authority on international health work. This is inconsistent with a recent statement by the WHO DG that the WHO has no interest or intent to direct country health responses. To reiterate it here suggests that the DG is not representing the true position regarding the Agreement. “Directing authority” is however in line with the proposed IHR Amendments (and the WHO’s Constitution), under which countries will “undertake” ahead of time to follow the DG’s recommendations (which thereby become instructions). As the HR amendments make clear, this is intended to apply even to a perceived threat rather than actual harm. Recalling the constitution of the World Health Organization…highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. This statement recalls fundamental understandings of public health, and is of importance here as it raises the question of why the WHO did not strongly condemn prolonged school closures, workplace closures, and other impoverishing policies during the Covid-19 response. In 2019, WHO made clear that these dangers should prevent actions we now call ‘lockdowns’ from being imposed. Deeply concerned by the gross inequities at national and international levels that hindered timely and equitable access to medical and other Covid-19 pandemic-related products, and the serious shortcomings in pandemic preparedness. In terms of health equity (as distinct from commodity of ‘vaccine’ equity), inequity in the Covid-19 response was not in failing to provide a vaccine against former variants to immune, young people in low-income countries who were at far higher risk from endemic diseases, but in the disproportionate harm to them of uniformly-imposed NPIs that reduced current and future income and basic healthcare, as was noted by the WHO in 2019 Pandemic Influenza recommendations. The failure of the text to recognize this suggests that lessons from Covid-19 have not informed this draft Agreement. The WHO has not yet demonstrated how pandemic ‘preparedness,’ in the terms they use below, would have reduced impact, given that there is poor correlation between strictness or speed of response and eventual outcomes. Reiterating the need to work towards…an equitable approach to mitigate the risk that pandemics exacerbate existing inequities in access to health services, As above – in the past century, the issue of inequity has been most pronounced in pandemic response, rather than the impact of the virus itself (excluding the physiological variation in risk). Most recorded deaths from acute pandemics, since the Spanish flu, were during Covid-19, in which the virus hit mainly sick elderly, but response impacted working-age adults and children heavily and will continue to have effect, due to increased poverty and debt; reduced education and child marriage, in future generations. These have disproportionately affected lower-income people, and particularly women. The lack of recognition of this in this document, though they are recognized by the World Bank and UN agencies elsewhere, must raise real questions on whether this Agreement has been thoroughly thought through, and the process of development been sufficiently inclusive and objective. Chapter I. Introduction Article 1. Use of terms (i) “pathogen with pandemic potential” means any pathogen that has been identified to infect a human and that is: novel (not yet characterized) or known (including a variant of a known pathogen), potentially highly transmissible and/or highly virulent with the potential to cause a public health emergency of international concern. This provides a very wide scope to alter provisions. Any pathogen that can infect humans and is potentially highly transmissible or virulent, though yet uncharacterized means virtually any coronavirus, influenza virus, or a plethora of other relatively common pathogen groups. The IHR Amendments intend that the DG alone can make this call, over the advice of others, as occurred with monkeypox in 2022. (j) “persons in vulnerable situations” means individuals, groups or communities with a disproportionate increased risk of infection, severity, disease or mortality. This is a good definition – in Covid-19 context, would mean the sick elderly, and so is relevant to targeting a response. “Universal health coverage” means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. While the general UHC concept is good, it is time a sensible (rather than patently silly) definition was adopted. Society cannot afford the full range of possible interventions and remedies for all, and clearly there is a scale of cost vs benefit that prioritizes certain ones over others. Sensible definitions make action more likely, and inaction harder to justify. One could argue that none should have the full range until all have good basic care, but clearly the earth will not support ‘the full range’ for 8 billion people. Article 2. Objective This Agreement is specifically for pandemics (a poorly defined term but essentially a pathogen that spreads rapidly across national borders). In contrast, the IHR amendments accompanying it are broader in scope – for any public health emergencies of international concern. Article 3. Principles 2. the sovereign right of States to adopt, legislate and implement legislation The amendments to the IHR require States to undertake to follow WHO instructions ahead of time, before such instruction and context are known. These two documents must be understood, as noted later in the Agreement draft, as complementary. 3. equity as the goal and outcome of pandemic prevention, preparedness and response, ensuring the absence of unfair, avoidable or remediable differences among groups of people. This definition of equity here needs clarification. In the pandemic context, the WHO emphasized commodity (vaccine) equity during the Covid-19 response. Elimination of differences implied equal access to Covid-19 vaccines in countries with large aging, obese highly vulnerable populations (e.g. the USA or Italy), and those with young populations at minimal risk and with far more pressing health priorities (e.g. Niger or Uganda). Alternatively, but equally damaging, equal access to different age groups within a country when the risk-benefit ratio is clearly greatly different. This promotes worse health outcomes by diverting resources from where they are most useful, as it ignores heterogeneity of risk. Again, an adult approach is required in international agreements, rather than feel-good sentences, if they are going to have a positive impact. 5. …a more equitable and better prepared world to prevent, respond to and recover from pandemics As with ‘3’ above, this raises a fundamental problem: What if health equity demands that some populations divert resources to childhood nutrition and endemic diseases rather than the latest pandemic, as these are likely of far higher burden to many younger but lower-income populations? This would not be equity in the definition implied here, but would clearly lead to better and more equal health outcomes. The WHO must decide whether it is about uniform action, or minimizing poor health, as these are clearly very different. They are the difference between the WHO’s commodity equity, and true health equity. Chapter II. The world together equitably: achieving equity in, for and through pandemic prevention, preparedness and response Equity in health should imply a reasonably equal chance of overcoming or avoiding preventable sickness. The vast majority of sickness and death is due to either non-communicable diseases often related to lifestyle, such as obesity and type 2 diabetes mellitus, undernutrition in childhood, and endemic infectious diseases such as tuberculosis, malaria, and HIV/AIDS. Achieving health equity would primarily mean addressing these. In this chapter of the draft Pandemic Agreement, equity is used to imply equal access to specific health commodities, particularly vaccines, for intermittent health emergencies, although these exert a small fraction of the burden of other diseases. It is, specifically, commodity-equity, and not geared to equalizing overall health burden but to enabling centrally-coordinated homogenous responses to unusual events. Article 4. Pandemic prevention and surveillance 2. The Parties shall undertake to cooperate: (b) in support of…initiatives aimed at preventing pandemics, in particular those that improve surveillance, early warning and risk assessment; .…and identify settings and activities presenting a risk of emergence and re-emergence of pathogens with pandemic potential. (c-h) [Paragraphs on water and sanitation, infection control, strengthening of biosafety, surveillance and prevention of vector-born diseases, and addressing antimicrobial resistance.] The WHO intends the Agreement to have force under international law. Therefore, countries are undertaking to put themselves under force of international law in regards to complying with the agreement’s stipulations. The provisions under this long article mostly cover general health stuff that countries try to do anyway. The difference will be that countries will be assessed on progress. Assessment can be fine if in context, less fine if it consists of entitled ‘experts’ from wealthy countries with little local knowledge or context. Perhaps such compliance is best left to national authorities, who are more in use with local needs and priorities. The justification for the international bureaucracy being built to support this, while fun for those involved, is unclear and will divert resources from actual health work. 6. The Conference of the Parties may adopt, as necessary, guidelines, recommendations and standards, including in relation to pandemic prevention capacities, to support the implementation of this Article. Here and later, the COP is invoked as a vehicle to decide on what will actually be done. The rules are explained later (Articles 21-23). While allowing more time is sensible, it begs the question of why it is not better to wait and discuss what is needed in the current INB process, before committing to a legally-binding agreement. This current article says nothing not already covered by the IHR2005 or other ongoing programs. Article 5. One Health approach to pandemic prevention, preparedness and response Nothing specific or new in this article. It seems redundant (it is advocating a holistic approach mentioned elsewhere) and so presumably is just to get the term ‘One Health’ into the agreement. (One could ask, why bother?) Some mainstream definitions of One Health (e.g. Lancet) consider that it means non-human species are on a par with humans in terms of rights and importance. If this is meant here, clearly most Member States would disagree. So we may assume that it is just words to keep someone happy (a little childish in an international document, but the term ‘One Health’ has been trending, like ‘equity,’ as if the concept of holistic approaches to public health were new). Article 6. Preparedness, health system resilience and recovery 2. Each Party commits…[to] : (a) routine and essential health services during pandemics with a focus on primary health care, routine immunization and mental health care, and with particular attention to persons in vulnerable situations (b) developing, strengthening and maintaining health infrastructure (c) developing post-pandemic health system recovery strategies (d) developing, strengthening and maintaining: health information systems This is good, and (a) seems to require avoidance of lockdowns (which inevitably cause the harms listed). Unfortunately other WHO documents lead one to assume this is not the intent…It does appear therefore that this is simply another list of fairly non-specific feel-good measures that have no useful place in a new legally-binding agreement, and which most countries are already undertaking. (e) promoting the use of social and behavioural sciences, risk communication and community engagement for pandemic prevention, preparedness and response. This requires clarification, as the use of behavioral science during the Covid-19 response involved deliberate inducement of fear to promote behaviors that people would not otherwise follow (e.g. Spi-B). It is essential here that the document clarifies how behavioral science should be used ethically in healthcare. Otherwise, this is also a quite meaningless provision. Article 7. Health and care workforce This long Article discusses health workforce, training, retention, non-discrimination, stigma, bias, adequate remuneration, and other standard provisions for workplaces. It is unclear why it is included in a legally binding pandemic agreement, except for: 4. [The Parties]…shall invest in establishing, sustaining, coordinating and mobilizing a skilled and trained multidisciplinary global public health emergency workforce…Parties having established emergency health teams should inform WHO thereof and make best efforts to respond to requests for deployment… Emergency health teams established (within capacity etc.) – are something countries already do, when they have capacity. There is no reason to have this as a legally-binding instrument, and clearly no urgency to do so. Article 8. Preparedness monitoring and functional reviews 1. The Parties shall, building on existing and relevant tools, develop and implement an inclusive, transparent, effective and efficient pandemic prevention, preparedness and response monitoring and evaluation system. 2. Each Party shall assess, every five years, with technical support from the WHO Secretariat upon request, the functioning and readiness of, and gaps in, its pandemic prevention, preparedness and response capacity, based on the relevant tools and guidelines developed by WHO in partnership with relevant organizations at international, regional and sub-regional levels. Note that this is being required of countries that are already struggling to implement monitoring systems for major endemic diseases, including tuberculosis, malaria, HIV, and nutritional deficiencies. They will be legally bound to divert resources to pandemic prevention. While there is some overlap, it will inevitably divert resources from currently underfunded programs for diseases of far higher local burdens, and so (not theoretically, but inevitably) raise mortality. Poor countries are being required to put resources into problems deemed significant by richer countries. Article 9. Research and development Various general provisions about undertaking background research that countries are generally doing anyway, but with an ’emerging disease’ slant. Again, the INB fails to justify why this diversion of resources from researching greater disease burdens should occur in all countries (why not just those with excess resources?). Article 10. Sustainable and geographically diversified production Mostly non-binding but suggested cooperation on making pandemic-related products available, including support for manufacturing in “inter-pandemic times” (a fascinating rendering of ‘normal’), when they would only be viable through subsidies. Much of this is probably unimplementable, as it would not be practical to maintain facilities in most or all countries on stand-by for rare events, at cost of resources otherwise useful for other priorities. The desire to increase production in ‘developing’ countries will face major barriers and costs in terms of maintaining quality of production, particularly as many products will have limited use outside of rare outbreak situations. Article 11. Transfer of technology and know-how This article, always problematic for large pharmaceutical corporations sponsoring much WHO outbreak activities, is now watered down to weak requirements to ‘consider,’ promote,’ provide, within capabilities’ etc. Article 12. Access and benefit sharing This Article is intended to establish the WHO Pathogen Access and Benefit-Sharing System (PABS System). PABS is intended to “ensure rapid, systematic and timely access to biological materials of pathogens with pandemic potential and the genetic sequence data.” This system is of potential high relevance and needs to be interpreted in the context that SARS-CoV-2, the pathogen causing the recent Covid-19 outbreak, was highly likely to have escaped from a laboratory. PABS is intended to expand the laboratory storage, transport, and handling of such viruses, under the oversight of the WHO, an organization outside of national jurisdiction with no significant direct experience in handling biological materials. 3. When a Party has access to a pathogen [it shall]: (a) share with WHO any pathogen sequence information as soon as it is available to the Party; (b) as soon as biological materials are available to the Party, provide the materials to one or more laboratories and/or biorepositories participating in WHO-coordinated laboratory networks (CLNs), Subsequent clauses state that benefits will be shared, and seek to prevent recipient laboratories from patenting materials received from other countries. This has been a major concern of low-and middle-income countries previously, who perceive that institutions in wealthy countries patent and benefit from materials derived from less-wealthy populations. It remains to be seen whether provisions here will be sufficient to address this. The article then becomes yet more concerning: 6. WHO shall conclude legally binding standard PABS contracts with manufacturers to provide the following, taking into account the size, nature and capacities of the manufacturer: (a) annual monetary contributions to support the PABS System and relevant capacities in countries; the determination of the annual amount, use, and approach for monitoring and accountability, shall be finalized by the Parties; (b) real-time contributions of relevant diagnostics, therapeutics or vaccines produced by the manufacturer, 10% free of charge and 10% at not-for-profit prices during public health emergencies of international concern or pandemics, … It is clearly intended that the WHO becomes directly involved in setting up legally binding manufacturing contracts, despite the WHO being outside of national jurisdictional oversight, within the territories of Member States. The PABS system, and therefore its staff and dependent entities, are also to be supported in part by funds from the manufacturers whom they are supposed to be managing. The income of the organization will be dependent on maintaining positive relationships with these private entities in a similar way in which many national regulatory agencies are dependent upon funds from pharmaceutical companies whom their staff ostensibly regulate. In this case, the regulator will be even further removed from public oversight. The clause on 10% (why 10?) products being free of charge, and similar at cost, while ensuring lower-priced commodities irrespective of actual need (the outbreak may be confined to wealthy countries). The same entity, the WHO, will determine whether the triggering emergency exists, determine the response, and manage the contracts to provide the commodities, without direct jurisdictional oversight regarding the potential for corruption or conflict of interest. It is a remarkable system to suggest, irrespective of political or regulatory environment. 8. The Parties shall cooperate…public financing of research and development, prepurchase agreements, or regulatory procedures, to encourage and facilitate as many manufacturers as possible to enter into standard PABS contracts as early as possible. The article envisions that public funding will be used to build the process, ensuring essentially no-risk private profit. 10. To support operationalization of the PABS System, WHO shall…make such contracts public, while respecting commercial confidentiality. The public may know whom contracts are made with, but not all details of the contracts. There will therefore be no independent oversight of the clauses agreed between the WHO, a body outside of national jurisdiction and dependent of commercial companies for funding some of its work and salaries, and these same companies, on ‘needs’ that the WHO itself will have sole authority, under the proposed amendments to the IHR, to determine. The Article further states that the WHO shall use its own product regulatory system (prequalification) and Emergency Use Listing Procedure to open and stimulate markets for the manufacturers of these products. It is doubtful that any national government could make such an overall agreement, yet in May 2024 they will be voting to provide this to what is essentially a foreign, and partly privately financed, entity. Article 13. Supply chain and logistics The WHO will become convenor of a ‘Global Supply Chain and Logistics Network’ for commercially-produced products, to be supplied under WHO contracts when and where the WHO determines, whilst also having the role of ensuring safety of such products. Having mutual support coordinated between countries is good. Having this run by an organization that is significantly funded directly by those gaining from the sale of these same commodities seems reckless and counterintuitive. Few countries would allow this (or at least plan for it). For this to occur safely, the WHO would logically have to forgo all private investment, and greatly restrict national specified funding contributions. Otherwise, the conflicts of interest involved would destroy confidence in the system. There is no suggestion of such divestment from the WHO, but rather, as in Article 12, private sector dependency, directly tied to contracts, will increase. Article 13bis: National procurement- and distribution-related provisions While suffering the same (perhaps unavoidable) issues regarding commercial confidentiality, this alternate Article 13 seems far more appropriate, keeping commercial issues under national jurisdiction and avoiding the obvious conflict of interests that underpin funding for WHO activities and staffing. Article 14. Regulatory systems strengthening This entire Article reflects initiatives and programs already in place. Nothing here appears likely to add to current effort. Article 15. Liability and compensation management 1. Each Party shall consider developing, as necessary and in accordance with applicable law, national strategies for managing liability in its territory related to pandemic vaccines…no-fault compensation mechanisms… 2. The Parties…shall develop recommendations for the establishment and implementation of national, regional and/or global no-fault compensation mechanisms and strategies for managing liability during pandemic emergencies, including with regard to individuals that are in a humanitarian setting or vulnerable situations. This is quite remarkable, but also reflects some national legislation, in removing any fault or liability specifically from vaccine manufacturers, for harms done in pushing out vaccines to the public. During the Covid-19 response, genetic therapeutics being developed by BioNtech and Moderna were reclassified as vaccines, on the basis that an immune response is stimulated after they have modified intracellular biochemical pathways as a medicine normally does. This enabled specific trials normally required for carcinogenicity and teratogenicity to be bypassed, despite raised fetal abnormality rates in animal trials. It will enable the CEPI 100-day vaccine program, supported with private funding to support private mRNA vaccine manufacturers, to proceed without any risk to the manufacturer should there be subsequent public harm. Together with an earlier provision on public funding of research and manufacturing readiness, and the removal of former wording requiring intellectual property sharing in Article 11, this ensures vaccine manufacturers and their investors make profit in effective absence of risk. These entities are currently heavily invested in support for WHO, and were strongly aligned with the introduction of newly restrictive outbreak responses that emphasized and sometimes mandated their products during the Covid-19 outbreak. Article 16. International collaboration and cooperation A somewhat pointless article. It suggests that countries cooperate with each other and the WHO to implement the other agreements in the Agreement. Article 17. Whole-of-government and whole-of-society approaches A list of essentially motherhood provisions related to planning for a pandemic. However, countries will legally be required to maintain a ‘national coordination multisectoral body’ for PPPR. This will essentially be an added burden on budgets, and inevitably divert further resources from other priorities. Perhaps just strengthening current infectious disease and nutritional programs would be more impactful. (Nowhere in this Agreement is nutrition discussed (essential for resilience to pathogens) and minimal wording is included on sanitation and clean water (other major reasons for reduction in infectious disease mortality over past centuries). However, the ‘community ownership’ wording is interesting (“empower and enable community ownership of, and contribution to, community readiness for and resilience [for PPPR]”), as this directly contradicts much of the rest of the Agreement, including the centralization of control under the Conference of Parties, requirements for countries to allocate resources to pandemic preparedness over other community priorities, and the idea of inspecting and assessing adherence to the centralized requirements of the Agreement. Either much of the rest of the Agreement is redundant, or this wording is purely for appearance and not to be followed (and therefore should be removed). Article 18. Communication and public awareness 1. Each Party shall promote timely access to credible and evidence-based information …with the aim of countering and addressing misinformation or disinformation… 2. The Parties shall, as appropriate, promote and/or conduct research and inform policies on factors that hinder or strengthen adherence to public health and social measures in a pandemic, as well as trust in science and public health institutions and agencies. The key word is as appropriate, given that many agencies, including the WHO, have overseen or aided policies during the Covid-19 response that have greatly increased poverty, child marriage, teenage pregnancy, and education loss. As the WHO has been shown to be significantly misrepresenting pandemic risk in the process of advocating for this Agreement and related instruments, its own communications would also fall outside the provision here related to evidence-based information, and fall within normal understandings of misinformation. It could not therefore be an arbiter of correctness of information here, so the Article is not implementable. Rewritten to recommend accurate evidence-based information being promoted, it would make good sense, but this is not an issue requiring a legally binding international agreement. Article 19. Implementation and support 3. The WHO Secretariat…organize the technical and financial assistance necessary to address such gaps and needs in implementing the commitments agreed upon under the Pandemic Agreement and the International Health Regulations (2005). As the WHO is dependent on donor support, its ability to address gaps in funding within Member States is clearly not something it can guarantee. The purpose of this article is unclear, repeating in paragraphs 1 and 2 the earlier intent for countries to generally support each other. Article 20. Sustainable financing 1. The Parties commit to working together…In this regard, each Party, within the means and resources at its disposal, shall: (a) prioritize and maintain or increase, as necessary, domestic funding for pandemic prevention, preparedness and response, without undermining other domestic public health priorities including for: (i) strengthening and sustaining capacities for the prevention, preparedness and response to health emergencies and pandemics, in particular the core capacities of the International Health Regulations (2005);… This is silly wording, as countries obviously have to prioritize within budgets, so that moving funds to one area means removing from another. The essence of public health policy is weighing and making such decisions; this reality seems to be ignored here through wishful thinking. (a) is clearly redundant, as the IHR (2005) already exists and countries have agreed to support it. 3. A Coordinating Financial Mechanism (the “Mechanism”) is hereby established to support the implementation of both the WHO Pandemic Agreement and the International Health Regulations (2005) This will be in parallel to the Pandemic Fund recently commenced by the World Bank – an issue not lost on INB delegates and so likely to change here in the final version. It will also be additive to the Global Fund to fight AIDS, tuberculosis, and malaria, and other health financing mechanisms, and so require another parallel international bureaucracy, presumably based in Geneva. It is intended to have its own capacity to “conduct relevant analyses on needs and gaps, in addition to tracking cooperation efforts,” so it will not be a small undertaking. Chapter III. Institutional and final provisions Article 21. Conference of the Parties 1. A Conference of the Parties is hereby established. 2. The Conference of the Parties shall keep under regular review, every three years, the implementation of the WHO Pandemic Agreement and take the decisions necessary to promote its effective implementation. This sets up the governing body to oversee this Agreement (another body requiring a secretariat and support). It is intended to meet within a year of the Agreement coming into force, and then set its own rules on meeting thereafter. It is likely that many provisions outlined in this draft of the Agreement will be deferred to the COP for further discussion. Articles 22 – 37 These articles cover the functioning of the Conference of Parties (COP) and various administrative issues. Of note, ‘block votes’ will be allowed from regional bodies (e.g. the EU). The WHO will provide the secretariat. Under Article 24 is noted: 3. Nothing in the WHO Pandemic Agreement shall be interpreted as providing the Secretariat of the World Health Organization, including the WHO Director-General, any authority to direct, order, alter or otherwise prescribe the domestic laws or policies of any Party, or to mandate or otherwise impose any requirements that Parties take specific actions, such as ban or accept travellers, impose vaccination mandates or therapeutic or diagnostic measures, or implement lockdowns. These provisions are explicitly stated in the proposed amendments to the IHR, to be considered alongside this agreement. Article 26 notes that the IHR is to be interpreted as compatible, thereby confirming that the IHR provisions including border closures and limits on freedom of movement, mandated vaccination, and other lockdown measures are not negated by this statement. As Article 26 states: “The Parties recognize that the WHO Pandemic Agreement and the International Health Regulations should be interpreted so as to be compatible.” Some would consider this subterfuge – The Director-General recently labeled as liars those who claimed the Agreement included these powers, whilst failing to acknowledge the accompanying IHR amendments. The WHO could do better in avoiding misleading messaging, especially when this involves denigration of the public. Article 32 (Withdrawal) requires that, once adopted, Parties cannot withdraw for a total of 3 years (giving notice after a minimum of 2 years). Financial obligations undertaken under the agreement continue beyond that time. Finally, the Agreement will come into force, assuming a two-thirds majority in the WHA is achieved (Article 19, WHO Constitution), 30 days after the fortieth country has ratified it. Further reading: WHO Pandemic Agreement Intergovernmental Negotiating Board website: https://inb.who.int/ International Health Regulations Working Group website: https://apps.who.int/gb/wgihr/index.html On background to the WHO texts: Amendments to WHO’s International Health Regulations: An Annotated Guide An Unofficial Q&A on International Health Regulations On urgency and burden of pandemics: https://essl.leeds.ac.uk/downloads/download/228/rational-policy-over-panic Disease X and Davos: This is Not the Way to Evaluate and Formulate Public Health Policy Before Preparing for Pandemics, We Need Better Evidence of Risk Revised Draft of the negotiating text of the WHO Pandemic Agreement: Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Authors David Bell David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA. View all posts Thi Thuy Van Dinh Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-who-pandemic-agreement-a-guide/ https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077
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    The WHO Pandemic Agreement: A Guide ⋆ Brownstone Institute
    The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic.
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  • Why Does the WHO Make False Claims Regarding Proposals to Seize States’ Sovereignty?
    By David Bell, Thi Thuy Van Dinh December 11, 2023 Government, Law, Public Health 15 minute read
    The Director General (DG) of the World Health Organization (WHO) states:

    No country will cede any sovereignty to WHO,

    referring to the WHO’s new pandemic agreement and proposed amendments to the International Health Regulations (IHR), currently being negotiated. His statements are clear and unequivocal, and wholly inconsistent with the texts he is referring to.

    A rational examination of the texts in question shows that:

    The documents propose a transfer of decision-making power to the WHO regarding basic aspects of societal function, which countries undertake to enact.
    The WHO DG will have sole authority to decide when and where they are applied.
    The proposals are intended to be binding under international law.
    Continued claims that sovereignty is not lost, echoed by politicians and media, therefore raise important questions concerning motivations, competence, and ethics.

    The intent of the texts is a transfer of decision-making currently vested in Nations and individuals to the WHO, when its DG decides that there is a threat of a significant disease outbreak or other health emergency likely to cross multiple national borders. It is unusual for Nations to undertake to follow external entities regarding the basic rights and healthcare of their citizens, more so when this has major economic and geopolitical implications.

    The question of whether sovereignty is indeed being transferred, and the legal status of such an agreement, is therefore of vital importance, particularly to the legislators of democratic States. They have an absolute duty to be sure of their ground. We systematically examine that ground here.

    The Proposed IHR Amendments and Sovereignty in Health Decision-Making

    Amending the 2005 IHR may be a straightforward way to quickly deploy and enforce “new normal” health control measures. The current text applies to virtually the entire global population, counting 196 States Parties including all 194 WHO Member States. Approval may or may not require a formal vote of the World Health Assembly (WHA), as the recent 2022 amendment was adopted through consensus. If the same approval mechanism is to be used in May 2024, many countries and the public may remain unaware of the broad scope of the new text and its implications to national and individual sovereignty.

    The IHR are a set of recommendations under a treaty process that has force under international law. They seek to provide the WHO with some moral authority to coordinate and lead responses when an international health emergency, such as pandemic, occurs. Most are non-binding, and these contain very specific examples of measures that the WHO can recommend, including (Article 18):

    require medical examinations;
    review proof of vaccination or other prophylaxis;
    require vaccination or other prophylaxis;
    place suspect persons under public health observation;
    implement quarantine or other health measures for suspect persons;
    implement isolation and treatment where necessary of affected persons;
    implement tracing of contacts of suspect or affected persons;
    refuse entry of suspect and affected persons;
    refuse entry of unaffected persons to affected areas; and
    implement exit screening and/or restrictions on persons from affected areas.
    These measures, when implemented together, are generally referred to since early 2020 as ‘lockdowns’ and ‘mandates.’ ‘Lockdown’ was previously a term reserved for people incarcerated as criminals, as it removes basic universally accepted human rights and such measures were considered by the WHO to be detrimental to public health. However, since 2020 it has become the default standard for public health authorities to manage epidemics, despite its contradictions to multiple stipulations of the Universal Declaration of Human Rights (UDHR):

    Everyone is entitled to all the rights and freedoms set forth in this Declaration, without distinction of any kind including no arbitrary detention (Article 9).
    No one shall be subjected to arbitrary interference with his privacy, family, home or correspondence (Article 12).
    Everyone has the right to freedom of movement and residence within the borders of each state, and Everyone has the right to leave any country, including his own, and to return to his country (Article 13).
    Everyone has the right to freedom of opinion and expression; this right includes freedom to hold opinions without interference and to seek, receive and impart information and ideas through any media and regardless of frontiers (Article 19).
    Everyone has the right to freedom of peaceful assembly and association (Article 20).
    The will of the people shall be the basis of the authority of government (Article 21).
    Everyone has the right to work (Article 23).
    Everyone has the right to education (Article 26).
    Everyone is entitled to a social and international order in which the rights and freedoms set forth in this Declaration can be fully realized (Article 28).
    Nothing in this Declaration may be interpreted as implying for any State, group or person any right to engage in any activity or to perform any act aimed at the destruction of any of the rights and freedoms set forth herein (Article 30).
    These UDHR stipulations are the basis of the modern concept of individual sovereignty, and the relationship between authorities and their populations. Considered the highest codification of the rights and freedoms of individuals in the 20th century, they may soon be dismantled behind closed doors in a meeting room in Geneva.

    The proposed amendments will change the “recommendations” of the current document to requirements through three mechanisms on

    Removing the term ‘non-binding’ (Article 1),
    Inserting the phrase that Member States will “undertake to follow WHO’s recommendations” and recognize WHO, not as an organization under the control of countries, but as the “coordinating authority” (New Article 13A).
    States Parties recognize WHO as the guidance and coordinating authority of international public health response during public health Emergency of International Concern and undertake to follow WHO’s recommendations in their international public health response.

    As Article 18 makes clear above, these include multiple actions directly restricting individual liberty. If transfer of decision-making power (sovereignty) is not intended here, then the current status of the IHR as ‘recommendations’ could remain and countries would not be undertaking to follow the WHO’s requirements.

    States Parties undertake to enact what previously were merely recommendations, without delay, including requirements of WHO regarding non-State entities under their jurisdiction (Article 42):
    Health measures taken pursuant to these Regulations, including the recommendations made under Articles 15 and 16, shall be initiated and completed without delay by all State Parties and applied in a transparent, equitable and non-discriminatory manner. State Parties shall also take measures to ensure Non-State Actors operating in their respective territories comply with such measures.

    Articles 15 and 16 mentioned here allow the WHO to require a State to provide resources “health products, technologies, and know-how,” and to allow the WHO to deploy personnel into the country (i.e., have control over entry across national borders for those they choose). They also repeat the requirement for the country to require the implementation of medical countermeasures (e.g., testing, vaccines, quarantine) on their population where WHO demands it.

    Of note, the proposed Article 1 amendment (removing ‘non-binding’) is actually redundant if New Article 13A and/or the changes in Article 42 remain. This can (and likely will) be removed from the final text, giving an appearance of compromise without changing the transfer of sovereignty.

    All of the public health measures in Article 18, and additional ones such as limiting freedom of speech to reduce public exposure to alternative viewpoints (Annex 1, New 5 (e); “…counter misinformation and disinformation”) clash directly with the UDHR. Although freedom of speech is currently the exclusive purview of national authorities and its restriction is generally seen as negative and abusive, United Nations institutions, including the WHO, have been advocating for censoring unofficial views in order to protect what they call “information integrity.”

    It seems outrageous from a human rights perspective that the amendments will enable the WHO to dictate countries to require individual medical examinations and vaccinations whenever it declares a pandemic. While the Nuremberg Code and Declaration of Helsinki refer specifically to human experimentation (e.g. clinical trials of vaccines) and the Universal Declaration on Bioethics and Human Rights also to the provider-patient relationship, they can reasonably be extended to public health measures that impose restrictions or changes to human behavior, and specifically to any measures requiring injection, medication, or medical examination which involve a direct provider-person interaction.

    If vaccines or drugs are still under trial or not fully tested, then the issue of being the subject of an experiment is also real. There is a clear intent to employ the CEPI ‘100 day’ vaccine program, which by definition cannot complete meaningful safety or efficacy trials within that time span.

    Forced examination or medication, outside of a situation where the recipient is clearly not mentally competent to comply or reject when provided with information, is unethical. Requiring compliance in order to access what are considered basic human rights under the UDHR would constitute coercion. If this does not fit the WHO’s definition of infringement on individual sovereignty, and on national sovereignty, then the DG and his supporters need to publicly explain what definition they are using.

    The Proposed WHO Pandemic Agreement as a Tool to Manage Transfer of Sovereignty

    The proposed pandemic agreement will set humanity in a new era strangely organized around pandemics: pre-pandemic, pandemic, and inter-pandemic. A new governance structure under WHO auspices will oversee the IHR amendments and related initiatives. It will rely on new funding requirements, including the WHO’s ability to demand additional funding and materials from countries and to run a supply network to support its work in health emergencies (Article 12):

    In the event of a pandemic, real-time access by WHO to a minimum of 20% (10% as a donation and 10% at affordable prices to WHO) of the production of safe, efficacious and effective pandemic-related products for distribution based on public health risks and needs, with the understanding that each Party that has manufacturing facilities that produce pandemic-related products in its jurisdiction shall take all necessary steps to facilitate the export of such pandemic-related products, in accordance with timetables to be agreed between WHO and manufacturers.

    And Article 20 (1):

    …provide support and assistance to other Parties, upon request, to facilitate the containment of spill-over at the source.

    The entire structure will be financed by a new funding stream separate from current WHO funding – an additional requirement on taxpayers over current national commitments (Article 20 (2)). The funding will also include an endowment of voluntary contributions of “all relevant sectors that benefit from international work to strengthen pandemic preparation, preparedness and response” and donations from philanthropic organizations (Article 20 (2)b).

    Currently, countries decide on foreign aid on the basis of national priorities, apart from limited funding that they have agreed to allocate to organizations such as WHO under existing obligations or treaties. The proposed agreement is remarkable not just in greatly increasing the amount countries must give as treaty requirements, but in setting up a parallel funding structure disconnected from other disease priorities (quite the opposite of previous ideas on integration in health financing). It also gives power to an external group, not directly accountable, to demand or acquire further resources whenever it deems necessary.

    In a further encroachment into what is normally within the legal jurisdiction of Nation States, the agreement will require countries to establish (Article 15) “…, no-fault vaccine injury compensation mechanism(s),…”, consecrating effective immunity for pharmaceutical companies for harm to citizens resulting from use of products that the WHO recommends under an emergency use authorization, or indeed requires countries to mandate onto their citizens.

    As is becoming increasingly acceptable for those in power, ratifying countries will agree to limit the right of their public to voice opposition to the WHO’s measures and claims regarding such an emergency (Article 18):

    …and combat false, misleading, misinformation or disinformation, including through effective international collaboration and cooperation…

    As we have seen during the Covid-19 response, the definition of misleading information can be dependent on political or commercial expediency, including factual information on vaccine efficacy and safety and orthodox immunology that could impair the sale of health commodities. This is why open democracies put such emphasis on defending free speech, even at the risk of sometimes being misleading. In signing on to this agreement, governments will be agreeing to abrogate that principle regarding their own citizens when instructed by the WHO.

    The scope of this proposed agreement (and the IHR amendments) is broader than pandemics, greatly expanding the scope under which a transfer of decision-making powers can be demanded. Other environmental threats to health, such as changes in climate, can be declared emergencies at the DG’s discretion, if broad definitions of ‘One Health’ are adopted as recommended.

    It is difficult to think of another international instrument where such powers over national resources are passed to an unelected external organization, and it is even more challenging to envision how this is seen as anything other than a loss of sovereignty. The only justification for this claim would appear to be if the draft agreement is to be signed on the basis of deceit – that there is no intention to treat it other than as an irrelevant piece of paper or something that should only apply to less powerful States (i.e. a colonialist tool).

    Will the IHR Amendments and the Proposed Pandemic Agreement be Legally Binding?

    Both texts are intended to be legally binding. The IHR already has such status, so the impact of the proposed changes on the need for new acceptance by countries are complicated national jurisdictional issues. There is a current mechanism for rejection of new amendments. However, unless a high number of countries will actively voice their oppositions and rejections, the adoption of the current published version dated February 2023 will likely lead to a future shadowed by the permanent risks of the WHO’s lockdown and lockstep dictates.

    The proposed pandemic agreement is also clearly intended to be legally binding. WHO discusses this issue on the website of the International Negotiating Body (INB) that is working on the text. The same legally binding intent is specifically stated by the G20 Bali Leaders Declaration in 2022:

    We support the work of the Intergovernmental Negotiating Body (INB) that will draft and negotiate a legally binding instrument that should contain both legally binding and non-legally binding elements to strengthen pandemic PPR…,

    repeated in the 2023 G20 New Delhi Leaders Declaration:

    …an ambitious, legally binding WHO convention, agreement or other international instruments on pandemic PPR (WHO CA+) by May 2024,

    and by the Council of the European Union:

    A convention, agreement or other international instrument is legally binding under international Law. An agreement on pandemic prevention, preparedness and response adopted under the World Health Organization (WHO) would enable countries around the globe to strengthen national, regional and global capacities and resilience to future pandemics.

    The IHR already has standing under international law.

    While seeking such status, WHO officials who previously described the proposed agreement as a ‘treaty” are now insisting neither instrument impacts sovereignty. The implication that it is States’ representatives at the WHA that will agree to the transfer, rather than the WHO, is a nuance irrelevant to its claims regarding their subsequent effect.

    The WHO’s position raises a real question of whether its leadership is truly ignorant of what is proposed, or is actively seeking to mislead countries and the public in order to increase the probability of acceptance. The latest version dated 30 October 2023 requires 40 ratifications for the future agreement to enter into force, after a two-thirds vote in favor within the WHA. Opposition by a considerable number of countries will therefore be needed to derail this project. As it is backed by powerful governments and institutions, financial mechanisms including IMF and World Bank instruments and bilateral aids are likely to make opposition from lower-income countries difficult to sustain.

    The Implications of Ignoring the Issue of Sovereignty

    The relevant question regarding these two WHO instruments should really be not whether sovereignty is threatened, but why any sovereignty would be forfeited by democratic States to an organization that is (i) significantly privately funded and bound to obey the dictates of corporations and self-proclaimed philanthropists and (ii) jointly governed by Member States, half of which don’t even claim to be open representative democracies.

    If it is indeed true that sovereignty is being knowingly forfeited by governments without the knowledge and consent of their peoples, and based on false claims from governments and the WHO, then the implications are extremely serious. It would imply that leaders were working directly against their peoples’ or national interest, and in support of external interests. Most countries have specific fundamental laws dealing with such practice. So, it is really important for those defending these projects to either explain their definitions of sovereignty and democratic process, or explicitly seek informed public consent.

    The other question to be asked is why public health authorities and media are repeating the WHO’s assurances of the benign nature of the pandemic instruments. It asserts that claims of reduced sovereignty are ‘misinformation’ or ‘disinformation,’ which they assert elsewhere are major killers of humankind. While such claims are somewhat ludicrous and appear intended to denigrate dissenters, the WHO is clearly guilty of that which it claims is such a crime. If its leadership cannot demonstrate how its claims regarding these pandemic instruments are not deliberately misleading, its leadership would appear ethically compelled to resign.

    The Need for Clarification

    The WHO lists three major pandemics in the past century – influenza outbreaks in the late 1950s and 1960s, and the Covid-19 pandemic. The first two killed less than die each year today from tuberculosis, whilst the reported deaths from Covid-19 never reached the level of cancer or cardiovascular disease and remained almost irrelevant in low-income countries compared to endemic infectious diseases including tuberculosis, malaria, and HIV/AIDs.

    No other non-influenza outbreak recorded by the WHO that fits the definition of a pandemic (e.g., rapid spread across international borders for a limited time of a pathogen not normally causing significant harm) has caused greater mortality in total than a few days of tuberculosis (about 4,000/day) or more life-years lost than a few days of malaria (about 1,500 children under 5 years old every day).

    So, if it is indeed the case that our authorities and their supporters within the public health community consider that powers currently vested within national jurisdictions should be given over to external bodies on the basis of this level of recorded harm, it would be best to have a public conversation as to whether this is sufficient basis for abandoning democratic ideals in favor of a more fascist or otherwise authoritarian approach. We are, after all, talking about restricting basic human rights essential for a democracy to function.

    Published under a Creative Commons Attribution 4.0 International License
    For reprints, please set the canonical link back to the original Brownstone Institute Article and Author.

    Authors

    David Bell
    David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA.

    View all posts
    Thi Thuy Van Dinh
    Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings.

    View all posts
    Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work.

    https://brownstone.org/articles/why-does-the-who-make-false-claims-regarding-proposals-to-seize-states-sovereignty/
    Why Does the WHO Make False Claims Regarding Proposals to Seize States’ Sovereignty? By David Bell, Thi Thuy Van Dinh December 11, 2023 Government, Law, Public Health 15 minute read The Director General (DG) of the World Health Organization (WHO) states: No country will cede any sovereignty to WHO, referring to the WHO’s new pandemic agreement and proposed amendments to the International Health Regulations (IHR), currently being negotiated. His statements are clear and unequivocal, and wholly inconsistent with the texts he is referring to. A rational examination of the texts in question shows that: The documents propose a transfer of decision-making power to the WHO regarding basic aspects of societal function, which countries undertake to enact. The WHO DG will have sole authority to decide when and where they are applied. The proposals are intended to be binding under international law. Continued claims that sovereignty is not lost, echoed by politicians and media, therefore raise important questions concerning motivations, competence, and ethics. The intent of the texts is a transfer of decision-making currently vested in Nations and individuals to the WHO, when its DG decides that there is a threat of a significant disease outbreak or other health emergency likely to cross multiple national borders. It is unusual for Nations to undertake to follow external entities regarding the basic rights and healthcare of their citizens, more so when this has major economic and geopolitical implications. The question of whether sovereignty is indeed being transferred, and the legal status of such an agreement, is therefore of vital importance, particularly to the legislators of democratic States. They have an absolute duty to be sure of their ground. We systematically examine that ground here. The Proposed IHR Amendments and Sovereignty in Health Decision-Making Amending the 2005 IHR may be a straightforward way to quickly deploy and enforce “new normal” health control measures. The current text applies to virtually the entire global population, counting 196 States Parties including all 194 WHO Member States. Approval may or may not require a formal vote of the World Health Assembly (WHA), as the recent 2022 amendment was adopted through consensus. If the same approval mechanism is to be used in May 2024, many countries and the public may remain unaware of the broad scope of the new text and its implications to national and individual sovereignty. The IHR are a set of recommendations under a treaty process that has force under international law. They seek to provide the WHO with some moral authority to coordinate and lead responses when an international health emergency, such as pandemic, occurs. Most are non-binding, and these contain very specific examples of measures that the WHO can recommend, including (Article 18): require medical examinations; review proof of vaccination or other prophylaxis; require vaccination or other prophylaxis; place suspect persons under public health observation; implement quarantine or other health measures for suspect persons; implement isolation and treatment where necessary of affected persons; implement tracing of contacts of suspect or affected persons; refuse entry of suspect and affected persons; refuse entry of unaffected persons to affected areas; and implement exit screening and/or restrictions on persons from affected areas. These measures, when implemented together, are generally referred to since early 2020 as ‘lockdowns’ and ‘mandates.’ ‘Lockdown’ was previously a term reserved for people incarcerated as criminals, as it removes basic universally accepted human rights and such measures were considered by the WHO to be detrimental to public health. However, since 2020 it has become the default standard for public health authorities to manage epidemics, despite its contradictions to multiple stipulations of the Universal Declaration of Human Rights (UDHR): Everyone is entitled to all the rights and freedoms set forth in this Declaration, without distinction of any kind including no arbitrary detention (Article 9). No one shall be subjected to arbitrary interference with his privacy, family, home or correspondence (Article 12). Everyone has the right to freedom of movement and residence within the borders of each state, and Everyone has the right to leave any country, including his own, and to return to his country (Article 13). Everyone has the right to freedom of opinion and expression; this right includes freedom to hold opinions without interference and to seek, receive and impart information and ideas through any media and regardless of frontiers (Article 19). Everyone has the right to freedom of peaceful assembly and association (Article 20). The will of the people shall be the basis of the authority of government (Article 21). Everyone has the right to work (Article 23). Everyone has the right to education (Article 26). Everyone is entitled to a social and international order in which the rights and freedoms set forth in this Declaration can be fully realized (Article 28). Nothing in this Declaration may be interpreted as implying for any State, group or person any right to engage in any activity or to perform any act aimed at the destruction of any of the rights and freedoms set forth herein (Article 30). These UDHR stipulations are the basis of the modern concept of individual sovereignty, and the relationship between authorities and their populations. Considered the highest codification of the rights and freedoms of individuals in the 20th century, they may soon be dismantled behind closed doors in a meeting room in Geneva. The proposed amendments will change the “recommendations” of the current document to requirements through three mechanisms on Removing the term ‘non-binding’ (Article 1), Inserting the phrase that Member States will “undertake to follow WHO’s recommendations” and recognize WHO, not as an organization under the control of countries, but as the “coordinating authority” (New Article 13A). States Parties recognize WHO as the guidance and coordinating authority of international public health response during public health Emergency of International Concern and undertake to follow WHO’s recommendations in their international public health response. As Article 18 makes clear above, these include multiple actions directly restricting individual liberty. If transfer of decision-making power (sovereignty) is not intended here, then the current status of the IHR as ‘recommendations’ could remain and countries would not be undertaking to follow the WHO’s requirements. States Parties undertake to enact what previously were merely recommendations, without delay, including requirements of WHO regarding non-State entities under their jurisdiction (Article 42): Health measures taken pursuant to these Regulations, including the recommendations made under Articles 15 and 16, shall be initiated and completed without delay by all State Parties and applied in a transparent, equitable and non-discriminatory manner. State Parties shall also take measures to ensure Non-State Actors operating in their respective territories comply with such measures. Articles 15 and 16 mentioned here allow the WHO to require a State to provide resources “health products, technologies, and know-how,” and to allow the WHO to deploy personnel into the country (i.e., have control over entry across national borders for those they choose). They also repeat the requirement for the country to require the implementation of medical countermeasures (e.g., testing, vaccines, quarantine) on their population where WHO demands it. Of note, the proposed Article 1 amendment (removing ‘non-binding’) is actually redundant if New Article 13A and/or the changes in Article 42 remain. This can (and likely will) be removed from the final text, giving an appearance of compromise without changing the transfer of sovereignty. All of the public health measures in Article 18, and additional ones such as limiting freedom of speech to reduce public exposure to alternative viewpoints (Annex 1, New 5 (e); “…counter misinformation and disinformation”) clash directly with the UDHR. Although freedom of speech is currently the exclusive purview of national authorities and its restriction is generally seen as negative and abusive, United Nations institutions, including the WHO, have been advocating for censoring unofficial views in order to protect what they call “information integrity.” It seems outrageous from a human rights perspective that the amendments will enable the WHO to dictate countries to require individual medical examinations and vaccinations whenever it declares a pandemic. While the Nuremberg Code and Declaration of Helsinki refer specifically to human experimentation (e.g. clinical trials of vaccines) and the Universal Declaration on Bioethics and Human Rights also to the provider-patient relationship, they can reasonably be extended to public health measures that impose restrictions or changes to human behavior, and specifically to any measures requiring injection, medication, or medical examination which involve a direct provider-person interaction. If vaccines or drugs are still under trial or not fully tested, then the issue of being the subject of an experiment is also real. There is a clear intent to employ the CEPI ‘100 day’ vaccine program, which by definition cannot complete meaningful safety or efficacy trials within that time span. Forced examination or medication, outside of a situation where the recipient is clearly not mentally competent to comply or reject when provided with information, is unethical. Requiring compliance in order to access what are considered basic human rights under the UDHR would constitute coercion. If this does not fit the WHO’s definition of infringement on individual sovereignty, and on national sovereignty, then the DG and his supporters need to publicly explain what definition they are using. The Proposed WHO Pandemic Agreement as a Tool to Manage Transfer of Sovereignty The proposed pandemic agreement will set humanity in a new era strangely organized around pandemics: pre-pandemic, pandemic, and inter-pandemic. A new governance structure under WHO auspices will oversee the IHR amendments and related initiatives. It will rely on new funding requirements, including the WHO’s ability to demand additional funding and materials from countries and to run a supply network to support its work in health emergencies (Article 12): In the event of a pandemic, real-time access by WHO to a minimum of 20% (10% as a donation and 10% at affordable prices to WHO) of the production of safe, efficacious and effective pandemic-related products for distribution based on public health risks and needs, with the understanding that each Party that has manufacturing facilities that produce pandemic-related products in its jurisdiction shall take all necessary steps to facilitate the export of such pandemic-related products, in accordance with timetables to be agreed between WHO and manufacturers. And Article 20 (1): …provide support and assistance to other Parties, upon request, to facilitate the containment of spill-over at the source. The entire structure will be financed by a new funding stream separate from current WHO funding – an additional requirement on taxpayers over current national commitments (Article 20 (2)). The funding will also include an endowment of voluntary contributions of “all relevant sectors that benefit from international work to strengthen pandemic preparation, preparedness and response” and donations from philanthropic organizations (Article 20 (2)b). Currently, countries decide on foreign aid on the basis of national priorities, apart from limited funding that they have agreed to allocate to organizations such as WHO under existing obligations or treaties. The proposed agreement is remarkable not just in greatly increasing the amount countries must give as treaty requirements, but in setting up a parallel funding structure disconnected from other disease priorities (quite the opposite of previous ideas on integration in health financing). It also gives power to an external group, not directly accountable, to demand or acquire further resources whenever it deems necessary. In a further encroachment into what is normally within the legal jurisdiction of Nation States, the agreement will require countries to establish (Article 15) “…, no-fault vaccine injury compensation mechanism(s),…”, consecrating effective immunity for pharmaceutical companies for harm to citizens resulting from use of products that the WHO recommends under an emergency use authorization, or indeed requires countries to mandate onto their citizens. As is becoming increasingly acceptable for those in power, ratifying countries will agree to limit the right of their public to voice opposition to the WHO’s measures and claims regarding such an emergency (Article 18): …and combat false, misleading, misinformation or disinformation, including through effective international collaboration and cooperation… As we have seen during the Covid-19 response, the definition of misleading information can be dependent on political or commercial expediency, including factual information on vaccine efficacy and safety and orthodox immunology that could impair the sale of health commodities. This is why open democracies put such emphasis on defending free speech, even at the risk of sometimes being misleading. In signing on to this agreement, governments will be agreeing to abrogate that principle regarding their own citizens when instructed by the WHO. The scope of this proposed agreement (and the IHR amendments) is broader than pandemics, greatly expanding the scope under which a transfer of decision-making powers can be demanded. Other environmental threats to health, such as changes in climate, can be declared emergencies at the DG’s discretion, if broad definitions of ‘One Health’ are adopted as recommended. It is difficult to think of another international instrument where such powers over national resources are passed to an unelected external organization, and it is even more challenging to envision how this is seen as anything other than a loss of sovereignty. The only justification for this claim would appear to be if the draft agreement is to be signed on the basis of deceit – that there is no intention to treat it other than as an irrelevant piece of paper or something that should only apply to less powerful States (i.e. a colonialist tool). Will the IHR Amendments and the Proposed Pandemic Agreement be Legally Binding? Both texts are intended to be legally binding. The IHR already has such status, so the impact of the proposed changes on the need for new acceptance by countries are complicated national jurisdictional issues. There is a current mechanism for rejection of new amendments. However, unless a high number of countries will actively voice their oppositions and rejections, the adoption of the current published version dated February 2023 will likely lead to a future shadowed by the permanent risks of the WHO’s lockdown and lockstep dictates. The proposed pandemic agreement is also clearly intended to be legally binding. WHO discusses this issue on the website of the International Negotiating Body (INB) that is working on the text. The same legally binding intent is specifically stated by the G20 Bali Leaders Declaration in 2022: We support the work of the Intergovernmental Negotiating Body (INB) that will draft and negotiate a legally binding instrument that should contain both legally binding and non-legally binding elements to strengthen pandemic PPR…, repeated in the 2023 G20 New Delhi Leaders Declaration: …an ambitious, legally binding WHO convention, agreement or other international instruments on pandemic PPR (WHO CA+) by May 2024, and by the Council of the European Union: A convention, agreement or other international instrument is legally binding under international Law. An agreement on pandemic prevention, preparedness and response adopted under the World Health Organization (WHO) would enable countries around the globe to strengthen national, regional and global capacities and resilience to future pandemics. The IHR already has standing under international law. While seeking such status, WHO officials who previously described the proposed agreement as a ‘treaty” are now insisting neither instrument impacts sovereignty. The implication that it is States’ representatives at the WHA that will agree to the transfer, rather than the WHO, is a nuance irrelevant to its claims regarding their subsequent effect. The WHO’s position raises a real question of whether its leadership is truly ignorant of what is proposed, or is actively seeking to mislead countries and the public in order to increase the probability of acceptance. The latest version dated 30 October 2023 requires 40 ratifications for the future agreement to enter into force, after a two-thirds vote in favor within the WHA. Opposition by a considerable number of countries will therefore be needed to derail this project. As it is backed by powerful governments and institutions, financial mechanisms including IMF and World Bank instruments and bilateral aids are likely to make opposition from lower-income countries difficult to sustain. The Implications of Ignoring the Issue of Sovereignty The relevant question regarding these two WHO instruments should really be not whether sovereignty is threatened, but why any sovereignty would be forfeited by democratic States to an organization that is (i) significantly privately funded and bound to obey the dictates of corporations and self-proclaimed philanthropists and (ii) jointly governed by Member States, half of which don’t even claim to be open representative democracies. If it is indeed true that sovereignty is being knowingly forfeited by governments without the knowledge and consent of their peoples, and based on false claims from governments and the WHO, then the implications are extremely serious. It would imply that leaders were working directly against their peoples’ or national interest, and in support of external interests. Most countries have specific fundamental laws dealing with such practice. So, it is really important for those defending these projects to either explain their definitions of sovereignty and democratic process, or explicitly seek informed public consent. The other question to be asked is why public health authorities and media are repeating the WHO’s assurances of the benign nature of the pandemic instruments. It asserts that claims of reduced sovereignty are ‘misinformation’ or ‘disinformation,’ which they assert elsewhere are major killers of humankind. While such claims are somewhat ludicrous and appear intended to denigrate dissenters, the WHO is clearly guilty of that which it claims is such a crime. If its leadership cannot demonstrate how its claims regarding these pandemic instruments are not deliberately misleading, its leadership would appear ethically compelled to resign. The Need for Clarification The WHO lists three major pandemics in the past century – influenza outbreaks in the late 1950s and 1960s, and the Covid-19 pandemic. The first two killed less than die each year today from tuberculosis, whilst the reported deaths from Covid-19 never reached the level of cancer or cardiovascular disease and remained almost irrelevant in low-income countries compared to endemic infectious diseases including tuberculosis, malaria, and HIV/AIDs. No other non-influenza outbreak recorded by the WHO that fits the definition of a pandemic (e.g., rapid spread across international borders for a limited time of a pathogen not normally causing significant harm) has caused greater mortality in total than a few days of tuberculosis (about 4,000/day) or more life-years lost than a few days of malaria (about 1,500 children under 5 years old every day). So, if it is indeed the case that our authorities and their supporters within the public health community consider that powers currently vested within national jurisdictions should be given over to external bodies on the basis of this level of recorded harm, it would be best to have a public conversation as to whether this is sufficient basis for abandoning democratic ideals in favor of a more fascist or otherwise authoritarian approach. We are, after all, talking about restricting basic human rights essential for a democracy to function. Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Authors David Bell David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA. View all posts Thi Thuy Van Dinh Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/why-does-the-who-make-false-claims-regarding-proposals-to-seize-states-sovereignty/
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    Why Does the WHO Make False Claims Regarding Proposals to Seize States’ Sovereignty? ⋆ Brownstone Institute
    If it is indeed the case that our authorities and their supporters within the public health community consider that powers currently vested within national jurisdictions should be given over to external bodies on the basis of this level of recorded harm, it would be best to have a public conversation as to whether this is sufficient basis for abandoning democratic ideals in favor of a more fascist or otherwise authoritarian approach.
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  • ‘No, dear. I will never leave Gaza.’
    I tried to convince my parents to leave Gaza, but my father’s resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly. The weight of our conversation lingered long after we said our goodbyes.

    Ghada HaniaMarch 30, 2024
    A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images)
    A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images)
    I sip my coffee, pondering whether my mother has enough coffee stocked at home. Recognizing the importance of this question, especially during the sacred month of Ramadan when she typically begins her fast with a sip of coffee, a ritual I have mirrored, I resolve to call her via WhatsApp.

    Dialing her number, I encounter the frustration of a phone call that fails to connect, indicating a lack of internet service. Undeterred, I make my way to the nearby supermarket, where I top up my phone with 60 RM, the maximum allowed per charge. With experience guiding me, I opt for three charges, estimating that 180 units should afford me about a 35-minute conversation.

    Each call to my mother serves as a conduit for updates on her well-being, my father’s health, and the overall status of our extended family, all residing together in one apartment.

    During Ramadan, these conversations delve into her preparations for breaking the fast. Perhaps this time, she’s managed to procure budget-friendly alternatives from the market, steering away from the monotony of canned meals like beans, hummus, or tuna, and perhaps opting for cherished dishes like chicken maqloubeh or mloukhiyyeh, beloved by both herself and our family.

    As the phone finally rings after multiple attempts, I eagerly await my mother’s answer. When she finally picks up on the fifth try, I greet her affectionately, “Hello, my love. How are you?”

    “I am fine, my dear Ghadoosh,” she responds, using her term of endearment for me.

    I ask about her third-day iftar meal, to which she replies, “Today, we’re preparing beans with lemon and tomato, served alongside saj bread.”

    “You know we’ve finished building a clay oven on the roof of the house, and we use it to bake bread.”

    “Oh, that sounds good, Mom. Bon appétit,” I replied, understanding how monotonous it can be to eat the same meal for more than 100 days.

    Concerned about her health, especially given her diagnosis of irritable bowel syndrome (IBS), I ask about her condition. She acknowledges her discomfort, expressing gratitude for the doctor’s recommendations to avoid certain foods. Unfortunately, everything the doctor recommended is either unavailable or too expensive to afford.

    As our conversation progresses, the familiar sound of her voice brings comfort, even amidst the backdrop of challenges we face. Every time we talk, there’s a quiet sadness that hangs in the air, partly because of the miles between us and the heavy load of worries we both carry.

    “All praises to Allah,” my mother began, her voice tinged with discomfort. “I have persistent abdominal pain, but it’s bearable. It will pass,” she reassured me.

    Responding like a concerned physician, I rushed to advise her, “Mom, please pay careful attention to your diet and hydration during Ramadan. Make sure you drink plenty of water and consume nourishing foods like dates, while avoiding anything that exacerbates your discomfort. Choose light, healthy meals like thyme and cheese with bread, and incorporate olive oil. If canned foods like hummus, beans, or chickpeas make you feel tired or worsen your symptoms, refrain from eating them. Your well-being is paramount, so take care of yourself, my love. Remember to say bismillah before each meal, and trust in Allah for strength and healing.”

    “Okay, my love. Don’t worry,” she responded, her tone conveying gratitude for my concern.

    “How is your husband and his family?” she inquired. “How is your mother-in-law? Please convey my regards to them, and I hope we can meet soon once the war ends, Allah willing, if we are still alive on that day.”

    “Oh, mom, please don’t say that. May all negativity fade away. May Allah safeguard you and bring us all together again.”

    My husband’s family and I are unable to communicate with each other within Gaza due to poor connectivity. Therefore, when I speak to my husband’s relatives, I extend greetings from my family, and when I converse with my own family, I convey greetings from my husband’s family.

    “How are my sisters, mom? Have you been in touch with Sara? Did you manage to visit Mona?” I asked anxiously.

    “Sara is still in Gaza with her kids, husband, and his family. They’re facing immense struggles to find food and water. I’ve only managed to contact her once during these difficult months. Sadly, the call was abruptly cut off, and I couldn’t even say goodbye,” my mom explained with a heavy heart.

    “Mona and her family are living in a tent in Khan Younis. The conditions are harsh — when it rains, the tent floods, and when it stops, the sand’s smell makes them sick,” she continued.

    “We’ve had limited contact with your sisters, Ghada. Last week, we were able to confirm Sara’s well-being through one of your father’s cousins in Gaza. However, you know there’s a famine in the north. May Allah ease their hardships,” my mom said tearfully.

    After composing herself, she added, “Mona visited us briefly yesterday. Thankfully, she and her kids are doing okay. Don’t worry, dear.”

    “Don’t cry, mom. Let’s pray. It’s our most powerful tool. May Allah alleviate their suffering, guide us all, and bring an end to this war. May the situation improve,” I reassured her.

    The wail of an ambulance interrupted our conversation. My mother’s voice, usually composed, now shook with emotion as she recounted the struggles since being forcibly displaced from Gaza City to Rafah. Reflecting on our decision to settle in Rafah in my uncle’s home due to the lack of available housing, she expressed her sorrow, “If we had a home in Gaza, we would never have left, Ghada. They’ve destroyed everything in Gaza: the trees, the stones, the streets. There’s nothing left, my dear. The city has transformed; you wouldn’t recognize it.”

    “Inshallah everything will improve, mom. We’ll rebuild the city again,” I said optimistically.

    She replied softly, “Inshallah, dear.”

    I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before.
    I seized the opportunity to speak to my father, eagerly greeting him, “Hello, Dad. How are you?”

    His warm voice comforted me, assuring me, “Everything is good, dear. Don’t worry. We’re in good spirits, and as long as we have each other, we’ll be fine.”

    “How much is the fish per kilo?” I asked. My father has always had a deep love for fish, enjoying it day after day before the war.

    He replied with sadness, “The price for a kilo of sardines is around 130 shekels. That’s the cheapest rate in the market. Prices have increased tenfold.”

    Despite his assurances, I couldn’t shake the heavy burden weighing on my heart. “May Allah protect you, dear Baba,” I said, my voice trembling with emotion. “I know it’s not easy, but please stay steadfast. Your strength gives me hope.”

    I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before.

    “We’ve purchased tents in case the situation deteriorates further. We’ll relocate to Nuseirat refugee camp or Deir al-Balah,” he added.

    The weight of our conversation lingered long after we said our goodbyes. Despite my efforts to offer comfort, I couldn’t shake the sense of helplessness that settled over me, leaving me feeling powerless to ease their suffering.

    https://mondoweiss.net/2024/03/no-dear-i-will-never-leave-gaza/
    ‘No, dear. I will never leave Gaza.’ I tried to convince my parents to leave Gaza, but my father’s resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly. The weight of our conversation lingered long after we said our goodbyes. Ghada HaniaMarch 30, 2024 A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images) A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images) I sip my coffee, pondering whether my mother has enough coffee stocked at home. Recognizing the importance of this question, especially during the sacred month of Ramadan when she typically begins her fast with a sip of coffee, a ritual I have mirrored, I resolve to call her via WhatsApp. Dialing her number, I encounter the frustration of a phone call that fails to connect, indicating a lack of internet service. Undeterred, I make my way to the nearby supermarket, where I top up my phone with 60 RM, the maximum allowed per charge. With experience guiding me, I opt for three charges, estimating that 180 units should afford me about a 35-minute conversation. Each call to my mother serves as a conduit for updates on her well-being, my father’s health, and the overall status of our extended family, all residing together in one apartment. During Ramadan, these conversations delve into her preparations for breaking the fast. Perhaps this time, she’s managed to procure budget-friendly alternatives from the market, steering away from the monotony of canned meals like beans, hummus, or tuna, and perhaps opting for cherished dishes like chicken maqloubeh or mloukhiyyeh, beloved by both herself and our family. As the phone finally rings after multiple attempts, I eagerly await my mother’s answer. When she finally picks up on the fifth try, I greet her affectionately, “Hello, my love. How are you?” “I am fine, my dear Ghadoosh,” she responds, using her term of endearment for me. I ask about her third-day iftar meal, to which she replies, “Today, we’re preparing beans with lemon and tomato, served alongside saj bread.” “You know we’ve finished building a clay oven on the roof of the house, and we use it to bake bread.” “Oh, that sounds good, Mom. Bon appétit,” I replied, understanding how monotonous it can be to eat the same meal for more than 100 days. Concerned about her health, especially given her diagnosis of irritable bowel syndrome (IBS), I ask about her condition. She acknowledges her discomfort, expressing gratitude for the doctor’s recommendations to avoid certain foods. Unfortunately, everything the doctor recommended is either unavailable or too expensive to afford. As our conversation progresses, the familiar sound of her voice brings comfort, even amidst the backdrop of challenges we face. Every time we talk, there’s a quiet sadness that hangs in the air, partly because of the miles between us and the heavy load of worries we both carry. “All praises to Allah,” my mother began, her voice tinged with discomfort. “I have persistent abdominal pain, but it’s bearable. It will pass,” she reassured me. Responding like a concerned physician, I rushed to advise her, “Mom, please pay careful attention to your diet and hydration during Ramadan. Make sure you drink plenty of water and consume nourishing foods like dates, while avoiding anything that exacerbates your discomfort. Choose light, healthy meals like thyme and cheese with bread, and incorporate olive oil. If canned foods like hummus, beans, or chickpeas make you feel tired or worsen your symptoms, refrain from eating them. Your well-being is paramount, so take care of yourself, my love. Remember to say bismillah before each meal, and trust in Allah for strength and healing.” “Okay, my love. Don’t worry,” she responded, her tone conveying gratitude for my concern. “How is your husband and his family?” she inquired. “How is your mother-in-law? Please convey my regards to them, and I hope we can meet soon once the war ends, Allah willing, if we are still alive on that day.” “Oh, mom, please don’t say that. May all negativity fade away. May Allah safeguard you and bring us all together again.” My husband’s family and I are unable to communicate with each other within Gaza due to poor connectivity. Therefore, when I speak to my husband’s relatives, I extend greetings from my family, and when I converse with my own family, I convey greetings from my husband’s family. “How are my sisters, mom? Have you been in touch with Sara? Did you manage to visit Mona?” I asked anxiously. “Sara is still in Gaza with her kids, husband, and his family. They’re facing immense struggles to find food and water. I’ve only managed to contact her once during these difficult months. Sadly, the call was abruptly cut off, and I couldn’t even say goodbye,” my mom explained with a heavy heart. “Mona and her family are living in a tent in Khan Younis. The conditions are harsh — when it rains, the tent floods, and when it stops, the sand’s smell makes them sick,” she continued. “We’ve had limited contact with your sisters, Ghada. Last week, we were able to confirm Sara’s well-being through one of your father’s cousins in Gaza. However, you know there’s a famine in the north. May Allah ease their hardships,” my mom said tearfully. After composing herself, she added, “Mona visited us briefly yesterday. Thankfully, she and her kids are doing okay. Don’t worry, dear.” “Don’t cry, mom. Let’s pray. It’s our most powerful tool. May Allah alleviate their suffering, guide us all, and bring an end to this war. May the situation improve,” I reassured her. The wail of an ambulance interrupted our conversation. My mother’s voice, usually composed, now shook with emotion as she recounted the struggles since being forcibly displaced from Gaza City to Rafah. Reflecting on our decision to settle in Rafah in my uncle’s home due to the lack of available housing, she expressed her sorrow, “If we had a home in Gaza, we would never have left, Ghada. They’ve destroyed everything in Gaza: the trees, the stones, the streets. There’s nothing left, my dear. The city has transformed; you wouldn’t recognize it.” “Inshallah everything will improve, mom. We’ll rebuild the city again,” I said optimistically. She replied softly, “Inshallah, dear.” I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before. I seized the opportunity to speak to my father, eagerly greeting him, “Hello, Dad. How are you?” His warm voice comforted me, assuring me, “Everything is good, dear. Don’t worry. We’re in good spirits, and as long as we have each other, we’ll be fine.” “How much is the fish per kilo?” I asked. My father has always had a deep love for fish, enjoying it day after day before the war. He replied with sadness, “The price for a kilo of sardines is around 130 shekels. That’s the cheapest rate in the market. Prices have increased tenfold.” Despite his assurances, I couldn’t shake the heavy burden weighing on my heart. “May Allah protect you, dear Baba,” I said, my voice trembling with emotion. “I know it’s not easy, but please stay steadfast. Your strength gives me hope.” I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before. “We’ve purchased tents in case the situation deteriorates further. We’ll relocate to Nuseirat refugee camp or Deir al-Balah,” he added. The weight of our conversation lingered long after we said our goodbyes. Despite my efforts to offer comfort, I couldn’t shake the sense of helplessness that settled over me, leaving me feeling powerless to ease their suffering. https://mondoweiss.net/2024/03/no-dear-i-will-never-leave-gaza/
    MONDOWEISS.NET
    ‘No, dear. I will never leave Gaza.’
    I tried to convince my parents to leave Gaza, but my father’s resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly. The weight of our conversation lingered long after we said our goodbyes.
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  • The WHO Wants to Rule the World
    Ramesh Thakur
    The World Health Organisation (WHO) will present two new texts for adoption by its governing body, the World Health Assembly comprising delegates from 194 member states, in Geneva on 27 May–1 June. The new pandemic treaty needs a two-thirds majority for approval and, if and once adopted, will come into effect after 40 ratifications.

    The amendments to the International Health Regulations (IHR) can be adopted by a simple majority and will be binding on all states unless they recorded reservations by the end of last year. Because they will be changes to an existing agreement that states have already signed, the amendments do not require any follow-up ratification. The WHO describes the IHR as ‘an instrument of international law that is legally-binding’ on its 196 states parties, including the 194 WHO member states, even if they voted against it. Therein lies its promise and its threat.

    The new regime will change the WHO from a technical advisory organisation into a supra-national public health authority exercising quasi-legislative and executive powers over states; change the nature of the relationship between citizens, business enterprises, and governments domestically, and also between governments and other governments and the WHO internationally; and shift the locus of medical practice from the doctor-patient consultation in the clinic to public health bureaucrats in capital cities and WHO headquarters in Geneva and its six regional offices.

    From net zero to mass immigration and identity politics, the ‘expertocracy’ elite is in alliance with the global technocratic elite against majority national sentiment. The Covid years gave the elites a valuable lesson in how to exercise effective social control and they mean to apply it across all contentious issues.

    The changes to global health governance architecture must be understood in this light. It represents the transformation of the national security, administrative, and surveillance state into a globalised biosecurity state. But they are encountering pushback in Italy, the Netherlands, Germany, and most recently Ireland. We can but hope that the resistance will spread to rejecting the WHO power grab.

    Addressing the World Governments Summit in Dubai on 12 February, WHO Director-General (DG) Tedros Adhanom Ghebreyesus attacked ‘the litany of lies and conspiracy theories’ about the agreement that ‘are utterly, completely, categorically false. The pandemic agreement will not give WHO any power over any state or any individual, for that matter.’ He insisted that critics are ‘either uninformed or lying.’ Could it be instead that, relying on aides, he himself has either not read or not understood the draft? The alternative explanation for his spray at the critics is that he is gaslighting us all.

    The Gostin, Klock, and Finch Paper

    In the Hastings Center Report “Making the World Safer and Fairer in Pandemics,” published on 23 December, Lawrence Gostin, Kevin Klock, and Alexandra Finch attempt to provide the justification to underpin the proposed new IHR and treaty instruments as ‘transformative normative and financial reforms that could reimagine pandemic prevention, preparedness, and response.’

    The three authors decry the voluntary compliance under the existing ‘amorphous and unenforceable’ IHR regulations as ‘a critical shortcoming.’ And they concede that ‘While advocates have pressed for health-related human rights to be included in the pandemic agreement, the current draft does not do so.’ Directly contradicting the DG’s denial as quoted above, they describe the new treaty as ‘legally binding’. This is repeated several pages later:

    …the best way to contain transnational outbreaks is through international cooperation, led multilaterally through the WHO. That may require all states to forgo some level of sovereignty in exchange for enhanced safety and fairness.

    What gives their analysis significance is that, as explained in the paper itself, Gostin is ‘actively involved in WHO processes for a pandemic agreement and IHR reform’ as the director of the WHO Collaborating Center on National and Global Health Law and a member of the WHO Review Committee on IHR amendments.

    The WHO as the World’s Guidance and Coordinating Authority

    The IHR amendments will expand the situations that constitute a public health emergency, grant the WHO additional emergency powers, and extend state duties to build ‘core capacities’ of surveillance to detect, assess, notify, and report events that could constitute an emergency.

    Under the new accords, the WHO would function as the guidance and coordinating authority for the world. The DG will become more powerful than the UN Secretary-General. The existing language of ‘should’ is replaced in many places by the imperative ‘shall,’ of non-binding recommendations with countries will ‘undertake to follow’ the guidance. And ‘full respect for the dignity, human rights and fundamental freedoms of persons’ will be changed to principles of ‘equity’ and ‘inclusivity’ with different requirements for rich and poor countries, bleeding financial resources and pharmaceutical products from industrialised to developing countries.

    The WHO is first of all an international bureaucracy and only secondly a collective body of medical and health experts. Its Covid performance was not among its finest. Its credibility was badly damaged by tardiness in raising the alarm; by its acceptance and then rejection of China’s claim that there was no risk of human-human transmission; by the failure to hold China accountable for destroying evidence of the pandemic’s origins; by the initial investigation that whitewashed the origins of the virus; by flip-flops on masks and lockdowns; by ignoring the counterexample of Sweden that rejected lockdowns with no worse health outcomes and far better economic, social, and educational outcomes; and by the failure to stand up for children’s developmental, educational, social, and mental health rights and welfare.

    With a funding model where 87 percent of the budget comes from voluntary contributions from the rich countries and private donors like the Gates Foundation, and 77 percent is for activities specified by them, the WHO has effectively ‘become a system of global public health patronage’, write Ben and Molly Kingsley of the UK children’s rights campaign group UsForThem. Human Rights Watch says the process has been ‘disproportionately guided by corporate demands and the policy positions of high-income governments seeking to protect the power of private actors in health including the pharmaceutical industry.’ The victims of this Catch-22 lack of accountability will be the peoples of the world.

    Much of the new surveillance network in a model divided into pre-, in, and post-pandemic periods will be provided by private and corporate interests that will profit from the mass testing and pharmaceutical interventions. According to Forbes, the net worth of Bill Gates jumped by one-third from $96.5 billion in 2019 to $129 billion in 2022: philanthropy can be profitable. Article 15.2 of the draft pandemic treaty requires states to set up ‘no fault vaccine-injury compensation schemes,’ conferring immunity on Big Pharma against liability, thereby codifying the privatisation of profits and the socialisation of risks.

    The changes would confer extraordinary new powers on the WHO’s DG and regional directors and mandate governments to implement their recommendations. This will result in a major expansion of the international health bureaucracy under the WHO, for example new implementation and compliance committees; shift the centre of gravity from the common deadliest diseases (discussed below) to relatively rare pandemic outbreaks (five including Covid in the last 120 years); and give the WHO authority to direct resources (money, pharmaceutical products, intellectual property rights) to itself and to other governments in breach of sovereign and copyright rights.

    Considering the impact of the amendments on national decision-making and mortgaging future generations to internationally determined spending obligations, this calls for an indefinite pause in the process until parliaments have done due diligence and debated the potentially far-reaching obligations.

    Yet disappointingly, relatively few countries have expressed reservations and few parliamentarians seem at all interested. We may pay a high price for the rise of careerist politicians whose primary interest is self-advancement, ministers who ask bureaucrats to draft replies to constituents expressing concern that they often sign without reading either the original letter or the reply in their name, and officials who disdain the constraints of democratic decision-making and accountability. Ministers relying on technical advice from staffers when officials are engaged in a silent coup against elected representatives give power without responsibility to bureaucrats while relegating ministers to being in office but not in power, with political accountability sans authority.

    US President Donald Trump and Australian and UK Prime Ministers Scott Morrison and Boris Johnson were representative of national leaders who had lacked the science literacy, intellectual heft, moral clarity, and courage of conviction to stand up to their technocrats. It was a period of Yes, Prime Minister on steroids, with Sir Humphrey Appleby winning most of the guerrilla campaign waged by the permanent civil service against the transient and clueless Prime Minister Jim Hacker.

    At least some Australian, American, British, and European politicians have recently expressed concern at the WHO-centred ‘command and control’ model of a public health system, and the public spending and redistributive implications of the two proposed international instruments. US Representatives Chris Smith (R-NJ) and Brad Wenstrup (R-OH) warned on 5 February that ‘far too little scrutiny has been given, far too few questions asked as to what this legally binding agreement or treaty means to health policy in the United States and elsewhere.’

    Like Smith and Wenstrup, the most common criticism levelled has been that this represents a power grab at the cost of national sovereignty. Speaking in parliament in November, Australia’s Liberal Senator Alex Antic dubbed the effort a ‘WHO d’etat’.

    A more accurate reading may be that it represents collusion between the WHO and the richest countries, home to the biggest pharmaceutical companies, to dilute accountability for decisions, taken in the name of public health, that profit a narrow elite. The changes will lock in the seamless rule of the technocratic-managerial elite at both the national and the international levels. Yet the WHO edicts, although legally binding in theory, will be unenforceable against the most powerful countries in practice.

    Moreover, the new regime aims to eliminate transparency and critical scrutiny by criminalising any opinion that questions the official narrative from the WHO and governments, thereby elevating them to the status of dogma. The pandemic treaty calls for governments to tackle the ‘infodemics’ of false information, misinformation, disinformation, and even ‘too much information’ (Article 1c). This is censorship. Authorities have no right to be shielded from critical questioning of official information. Freedom of information is a cornerstone of an open and resilient society and a key means to hold authorities to public scrutiny and accountability.

    The changes are an effort to entrench and institutionalise the model of political, social, and messaging control trialled with great success during Covid. The foundational document of the international human rights regime is the 1948 Universal Declaration of Human Rights. Pandemic management during Covid and in future emergencies threaten some of its core provisions regarding privacy, freedom of opinion and expression, and rights to work, education, peaceful assembly, and association.

    Worst of all, they will create a perverse incentive: the rise of an international bureaucracy whose defining purpose, existence, powers, and budgets will depend on more frequent declarations of actual or anticipated pandemic outbreaks.

    It is a basic axiom of politics that power that can be abused, will be abused – some day, somewhere, by someone. The corollary holds that power once seized is seldom surrendered back voluntarily to the people. Lockdowns, mask and vaccine mandates, travel restrictions, and all the other shenanigans and theatre of the Covid era will likely be repeated on whim. Professor Angus Dalgliesh of London’s St George’s Medical School warns that the WHO ‘wants to inflict this incompetence on us all over again but this time be in total control.’

    Covid in the Context of Africa’s Disease Burden

    In the Hastings Center report referred to earlier, Gostin, Klock, and Finch claim that ‘lower-income countries experienced larger losses and longer-lasting economic setbacks.’ This is a casual elision that shifts the blame for harmful downstream effects away from lockdowns in the futile quest to eradicate the virus, to the virus itself. The chief damage to developing countries was caused by the worldwide shutdown of social life and economic activities and the drastic reduction in international trade.

    The discreet elision aroused my curiosity on the authors’ affiliations. It came as no surprise to read that they lead the O’Neill Institute–Foundation for the National Institutes of Health project on an international instrument for pandemic prevention and preparedness.

    Gostin et al. grounded the urgency for the new accords in the claim that ‘Zoonotic pathogens…are occurring with increasing frequency, enhancing the risk of new pandemics’ and cite research to suggest a threefold increase in ‘extreme pandemics’ over the next decade. In a report entitled “Rational Policy Over Panic,” published by Leeds University in February, a team that included our own David Bell subjected claims of increasing pandemic frequency and disease burden behind the drive to adopt the new treaty and amend the existing IHR to critical scrutiny.

    Specifically, they examined and found wanting a number of assumptions and several references in eight G20, World Bank, and WHO policy documents. On the one hand, the reported increase in natural outbreaks is best explained by technologically more sophisticated diagnostic testing equipment, while the disease burden has been effectively reduced with improved surveillance, response mechanisms, and other public health interventions. Consequently there is no real urgency to rush into the new accords. Instead, governments should take all the time they need to situate pandemic risk in the wider healthcare context and formulate policy tailored to the more accurate risk and interventions matrix.


    The lockdowns were responsible for reversals of decades worth of gains in critical childhood immunisations. UNICEF and WHO estimate that 7.6 million African children under 5 missed out on vaccination in 2021 and another 11 million were under-immunised, ‘making up over 40 percent of the under-immunised and missed children globally.’ How many quality adjusted life years does that add up to, I wonder? But don’t hold your breath that anyone will be held accountable for crimes against African children.

    Earlier this month the Pan-African Epidemic and Pandemic Working Group argued that lockdowns were a ‘class-based and unscientific instrument.’ It accused the WHO of trying to reintroduce ‘classical Western colonialism through the backdoor’ in the form of the new pandemic treaty and the IHR amendments. Medical knowledge and innovations do not come solely from Western capitals and Geneva, but from people and groups who have captured the WHO agenda.

    Lockdowns had caused significant harm to low-income countries, the group said, yet the WHO wanted legal authority to compel member states to comply with its advice in future pandemics, including with respect to vaccine passports and border closures. Instead of bowing to ‘health imperialism,’ it would be preferable for African countries to set their own priorities in alleviating the disease burden of their major killer diseases like cholera, malaria, and yellow fever.

    Europe and the US, comprising a little under ten and over four percent of world population, account for nearly 18 and 17 percent, respectively, of all Covid-related deaths in the world. By contrast Asia, with nearly 60 percent of the world’s people, accounts for 23 percent of all Covid-related deaths. Meantime Africa, with more than 17 percent of global population, has recorded less than four percent of global Covid deaths (Table 1).

    According to a report on the continent’s disease burden published last year by the WHO Regional Office for Africa, Africa’s leading causes of death in 2021 were malaria (593,000 deaths), tuberculosis (501,000), and HIV/AIDS (420,000). The report does not provide the numbers for diarrhoeal deaths for Africa. There are 1.6 million such deaths globally per year, including 440,000 children under 5. And we know that most diarrhoeal deaths occur in Africa and South Asia.

    If we perform a linear extrapolation of 2021 deaths to estimate ballpark figures for the three years 2020–22 inclusive for numbers of Africans killed by these big three, approximately 1.78 million died from malaria, 1.5 million from TB, and 1.26 million from HIV/AIDS. (I exclude 2023 as Covid had faded by then, as can be seen in Table 1). By comparison, the total number of Covid-related deaths across Africa in the three years was 259,000.

    Whether or not the WHO is pursuing a policy of health colonialism, therefore, the Pan-African Epidemic and Pandemic Working Group has a point regarding the grossly exaggerated threat of Covid in the total picture of Africa’s disease burden.

    A shorter version of this was published in The Australian on 11 March

    Published under a Creative Commons Attribution 4.0 International License
    For reprints, please set the canonical link back to the original Brownstone Institute Article and Author.

    Author

    Ramesh Thakur, a Brownstone Institute Senior Scholar, is a former United Nations Assistant Secretary-General, and emeritus professor in the Crawford School of Public Policy, The Australian National University.

    View all posts
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    https://brownstone.org/articles/the-who-wants-to-rule-the-world/
    The WHO Wants to Rule the World Ramesh Thakur The World Health Organisation (WHO) will present two new texts for adoption by its governing body, the World Health Assembly comprising delegates from 194 member states, in Geneva on 27 May–1 June. The new pandemic treaty needs a two-thirds majority for approval and, if and once adopted, will come into effect after 40 ratifications. The amendments to the International Health Regulations (IHR) can be adopted by a simple majority and will be binding on all states unless they recorded reservations by the end of last year. Because they will be changes to an existing agreement that states have already signed, the amendments do not require any follow-up ratification. The WHO describes the IHR as ‘an instrument of international law that is legally-binding’ on its 196 states parties, including the 194 WHO member states, even if they voted against it. Therein lies its promise and its threat. The new regime will change the WHO from a technical advisory organisation into a supra-national public health authority exercising quasi-legislative and executive powers over states; change the nature of the relationship between citizens, business enterprises, and governments domestically, and also between governments and other governments and the WHO internationally; and shift the locus of medical practice from the doctor-patient consultation in the clinic to public health bureaucrats in capital cities and WHO headquarters in Geneva and its six regional offices. From net zero to mass immigration and identity politics, the ‘expertocracy’ elite is in alliance with the global technocratic elite against majority national sentiment. The Covid years gave the elites a valuable lesson in how to exercise effective social control and they mean to apply it across all contentious issues. The changes to global health governance architecture must be understood in this light. It represents the transformation of the national security, administrative, and surveillance state into a globalised biosecurity state. But they are encountering pushback in Italy, the Netherlands, Germany, and most recently Ireland. We can but hope that the resistance will spread to rejecting the WHO power grab. Addressing the World Governments Summit in Dubai on 12 February, WHO Director-General (DG) Tedros Adhanom Ghebreyesus attacked ‘the litany of lies and conspiracy theories’ about the agreement that ‘are utterly, completely, categorically false. The pandemic agreement will not give WHO any power over any state or any individual, for that matter.’ He insisted that critics are ‘either uninformed or lying.’ Could it be instead that, relying on aides, he himself has either not read or not understood the draft? The alternative explanation for his spray at the critics is that he is gaslighting us all. The Gostin, Klock, and Finch Paper In the Hastings Center Report “Making the World Safer and Fairer in Pandemics,” published on 23 December, Lawrence Gostin, Kevin Klock, and Alexandra Finch attempt to provide the justification to underpin the proposed new IHR and treaty instruments as ‘transformative normative and financial reforms that could reimagine pandemic prevention, preparedness, and response.’ The three authors decry the voluntary compliance under the existing ‘amorphous and unenforceable’ IHR regulations as ‘a critical shortcoming.’ And they concede that ‘While advocates have pressed for health-related human rights to be included in the pandemic agreement, the current draft does not do so.’ Directly contradicting the DG’s denial as quoted above, they describe the new treaty as ‘legally binding’. This is repeated several pages later: …the best way to contain transnational outbreaks is through international cooperation, led multilaterally through the WHO. That may require all states to forgo some level of sovereignty in exchange for enhanced safety and fairness. What gives their analysis significance is that, as explained in the paper itself, Gostin is ‘actively involved in WHO processes for a pandemic agreement and IHR reform’ as the director of the WHO Collaborating Center on National and Global Health Law and a member of the WHO Review Committee on IHR amendments. The WHO as the World’s Guidance and Coordinating Authority The IHR amendments will expand the situations that constitute a public health emergency, grant the WHO additional emergency powers, and extend state duties to build ‘core capacities’ of surveillance to detect, assess, notify, and report events that could constitute an emergency. Under the new accords, the WHO would function as the guidance and coordinating authority for the world. The DG will become more powerful than the UN Secretary-General. The existing language of ‘should’ is replaced in many places by the imperative ‘shall,’ of non-binding recommendations with countries will ‘undertake to follow’ the guidance. And ‘full respect for the dignity, human rights and fundamental freedoms of persons’ will be changed to principles of ‘equity’ and ‘inclusivity’ with different requirements for rich and poor countries, bleeding financial resources and pharmaceutical products from industrialised to developing countries. The WHO is first of all an international bureaucracy and only secondly a collective body of medical and health experts. Its Covid performance was not among its finest. Its credibility was badly damaged by tardiness in raising the alarm; by its acceptance and then rejection of China’s claim that there was no risk of human-human transmission; by the failure to hold China accountable for destroying evidence of the pandemic’s origins; by the initial investigation that whitewashed the origins of the virus; by flip-flops on masks and lockdowns; by ignoring the counterexample of Sweden that rejected lockdowns with no worse health outcomes and far better economic, social, and educational outcomes; and by the failure to stand up for children’s developmental, educational, social, and mental health rights and welfare. With a funding model where 87 percent of the budget comes from voluntary contributions from the rich countries and private donors like the Gates Foundation, and 77 percent is for activities specified by them, the WHO has effectively ‘become a system of global public health patronage’, write Ben and Molly Kingsley of the UK children’s rights campaign group UsForThem. Human Rights Watch says the process has been ‘disproportionately guided by corporate demands and the policy positions of high-income governments seeking to protect the power of private actors in health including the pharmaceutical industry.’ The victims of this Catch-22 lack of accountability will be the peoples of the world. Much of the new surveillance network in a model divided into pre-, in, and post-pandemic periods will be provided by private and corporate interests that will profit from the mass testing and pharmaceutical interventions. According to Forbes, the net worth of Bill Gates jumped by one-third from $96.5 billion in 2019 to $129 billion in 2022: philanthropy can be profitable. Article 15.2 of the draft pandemic treaty requires states to set up ‘no fault vaccine-injury compensation schemes,’ conferring immunity on Big Pharma against liability, thereby codifying the privatisation of profits and the socialisation of risks. The changes would confer extraordinary new powers on the WHO’s DG and regional directors and mandate governments to implement their recommendations. This will result in a major expansion of the international health bureaucracy under the WHO, for example new implementation and compliance committees; shift the centre of gravity from the common deadliest diseases (discussed below) to relatively rare pandemic outbreaks (five including Covid in the last 120 years); and give the WHO authority to direct resources (money, pharmaceutical products, intellectual property rights) to itself and to other governments in breach of sovereign and copyright rights. Considering the impact of the amendments on national decision-making and mortgaging future generations to internationally determined spending obligations, this calls for an indefinite pause in the process until parliaments have done due diligence and debated the potentially far-reaching obligations. Yet disappointingly, relatively few countries have expressed reservations and few parliamentarians seem at all interested. We may pay a high price for the rise of careerist politicians whose primary interest is self-advancement, ministers who ask bureaucrats to draft replies to constituents expressing concern that they often sign without reading either the original letter or the reply in their name, and officials who disdain the constraints of democratic decision-making and accountability. Ministers relying on technical advice from staffers when officials are engaged in a silent coup against elected representatives give power without responsibility to bureaucrats while relegating ministers to being in office but not in power, with political accountability sans authority. US President Donald Trump and Australian and UK Prime Ministers Scott Morrison and Boris Johnson were representative of national leaders who had lacked the science literacy, intellectual heft, moral clarity, and courage of conviction to stand up to their technocrats. It was a period of Yes, Prime Minister on steroids, with Sir Humphrey Appleby winning most of the guerrilla campaign waged by the permanent civil service against the transient and clueless Prime Minister Jim Hacker. At least some Australian, American, British, and European politicians have recently expressed concern at the WHO-centred ‘command and control’ model of a public health system, and the public spending and redistributive implications of the two proposed international instruments. US Representatives Chris Smith (R-NJ) and Brad Wenstrup (R-OH) warned on 5 February that ‘far too little scrutiny has been given, far too few questions asked as to what this legally binding agreement or treaty means to health policy in the United States and elsewhere.’ Like Smith and Wenstrup, the most common criticism levelled has been that this represents a power grab at the cost of national sovereignty. Speaking in parliament in November, Australia’s Liberal Senator Alex Antic dubbed the effort a ‘WHO d’etat’. A more accurate reading may be that it represents collusion between the WHO and the richest countries, home to the biggest pharmaceutical companies, to dilute accountability for decisions, taken in the name of public health, that profit a narrow elite. The changes will lock in the seamless rule of the technocratic-managerial elite at both the national and the international levels. Yet the WHO edicts, although legally binding in theory, will be unenforceable against the most powerful countries in practice. Moreover, the new regime aims to eliminate transparency and critical scrutiny by criminalising any opinion that questions the official narrative from the WHO and governments, thereby elevating them to the status of dogma. The pandemic treaty calls for governments to tackle the ‘infodemics’ of false information, misinformation, disinformation, and even ‘too much information’ (Article 1c). This is censorship. Authorities have no right to be shielded from critical questioning of official information. Freedom of information is a cornerstone of an open and resilient society and a key means to hold authorities to public scrutiny and accountability. The changes are an effort to entrench and institutionalise the model of political, social, and messaging control trialled with great success during Covid. The foundational document of the international human rights regime is the 1948 Universal Declaration of Human Rights. Pandemic management during Covid and in future emergencies threaten some of its core provisions regarding privacy, freedom of opinion and expression, and rights to work, education, peaceful assembly, and association. Worst of all, they will create a perverse incentive: the rise of an international bureaucracy whose defining purpose, existence, powers, and budgets will depend on more frequent declarations of actual or anticipated pandemic outbreaks. It is a basic axiom of politics that power that can be abused, will be abused – some day, somewhere, by someone. The corollary holds that power once seized is seldom surrendered back voluntarily to the people. Lockdowns, mask and vaccine mandates, travel restrictions, and all the other shenanigans and theatre of the Covid era will likely be repeated on whim. Professor Angus Dalgliesh of London’s St George’s Medical School warns that the WHO ‘wants to inflict this incompetence on us all over again but this time be in total control.’ Covid in the Context of Africa’s Disease Burden In the Hastings Center report referred to earlier, Gostin, Klock, and Finch claim that ‘lower-income countries experienced larger losses and longer-lasting economic setbacks.’ This is a casual elision that shifts the blame for harmful downstream effects away from lockdowns in the futile quest to eradicate the virus, to the virus itself. The chief damage to developing countries was caused by the worldwide shutdown of social life and economic activities and the drastic reduction in international trade. The discreet elision aroused my curiosity on the authors’ affiliations. It came as no surprise to read that they lead the O’Neill Institute–Foundation for the National Institutes of Health project on an international instrument for pandemic prevention and preparedness. Gostin et al. grounded the urgency for the new accords in the claim that ‘Zoonotic pathogens…are occurring with increasing frequency, enhancing the risk of new pandemics’ and cite research to suggest a threefold increase in ‘extreme pandemics’ over the next decade. In a report entitled “Rational Policy Over Panic,” published by Leeds University in February, a team that included our own David Bell subjected claims of increasing pandemic frequency and disease burden behind the drive to adopt the new treaty and amend the existing IHR to critical scrutiny. Specifically, they examined and found wanting a number of assumptions and several references in eight G20, World Bank, and WHO policy documents. On the one hand, the reported increase in natural outbreaks is best explained by technologically more sophisticated diagnostic testing equipment, while the disease burden has been effectively reduced with improved surveillance, response mechanisms, and other public health interventions. Consequently there is no real urgency to rush into the new accords. Instead, governments should take all the time they need to situate pandemic risk in the wider healthcare context and formulate policy tailored to the more accurate risk and interventions matrix. The lockdowns were responsible for reversals of decades worth of gains in critical childhood immunisations. UNICEF and WHO estimate that 7.6 million African children under 5 missed out on vaccination in 2021 and another 11 million were under-immunised, ‘making up over 40 percent of the under-immunised and missed children globally.’ How many quality adjusted life years does that add up to, I wonder? But don’t hold your breath that anyone will be held accountable for crimes against African children. Earlier this month the Pan-African Epidemic and Pandemic Working Group argued that lockdowns were a ‘class-based and unscientific instrument.’ It accused the WHO of trying to reintroduce ‘classical Western colonialism through the backdoor’ in the form of the new pandemic treaty and the IHR amendments. Medical knowledge and innovations do not come solely from Western capitals and Geneva, but from people and groups who have captured the WHO agenda. Lockdowns had caused significant harm to low-income countries, the group said, yet the WHO wanted legal authority to compel member states to comply with its advice in future pandemics, including with respect to vaccine passports and border closures. Instead of bowing to ‘health imperialism,’ it would be preferable for African countries to set their own priorities in alleviating the disease burden of their major killer diseases like cholera, malaria, and yellow fever. Europe and the US, comprising a little under ten and over four percent of world population, account for nearly 18 and 17 percent, respectively, of all Covid-related deaths in the world. By contrast Asia, with nearly 60 percent of the world’s people, accounts for 23 percent of all Covid-related deaths. Meantime Africa, with more than 17 percent of global population, has recorded less than four percent of global Covid deaths (Table 1). According to a report on the continent’s disease burden published last year by the WHO Regional Office for Africa, Africa’s leading causes of death in 2021 were malaria (593,000 deaths), tuberculosis (501,000), and HIV/AIDS (420,000). The report does not provide the numbers for diarrhoeal deaths for Africa. There are 1.6 million such deaths globally per year, including 440,000 children under 5. And we know that most diarrhoeal deaths occur in Africa and South Asia. If we perform a linear extrapolation of 2021 deaths to estimate ballpark figures for the three years 2020–22 inclusive for numbers of Africans killed by these big three, approximately 1.78 million died from malaria, 1.5 million from TB, and 1.26 million from HIV/AIDS. (I exclude 2023 as Covid had faded by then, as can be seen in Table 1). By comparison, the total number of Covid-related deaths across Africa in the three years was 259,000. Whether or not the WHO is pursuing a policy of health colonialism, therefore, the Pan-African Epidemic and Pandemic Working Group has a point regarding the grossly exaggerated threat of Covid in the total picture of Africa’s disease burden. A shorter version of this was published in The Australian on 11 March Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Author Ramesh Thakur, a Brownstone Institute Senior Scholar, is a former United Nations Assistant Secretary-General, and emeritus professor in the Crawford School of Public Policy, The Australian National University. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-who-wants-to-rule-the-world/
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    The WHO Wants to Rule the World ⋆ Brownstone Institute
    The World Health Organisation (WHO) will present two new texts for adoption by its governing body, the World Health Assembly comprising delegates from 194 member states, in Geneva on 27 May–1 June.
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