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

The Fed's "Doomsday Book" Has Been Revealed The Corbett Report by James Corbett corbettreport.com May 26, 2024 Back in 2011, shareholders of insurance giant American International Group (AIG) filed a $40 billion class action lawsuit against the US government over the terms of its controversial bailout of AIG during the 2008 financial crisis. In 2014, the trial case came to focus on an intriguing oddity. In cross-examination, the plaintiffs learned of a set of documents that the New York Fed—the heart of America's Federal Reserve central bank and the primary wheeler-dealer in the chaotic days of the global financial collapse—dramatically refers to as its "Doomsday Book." This book, it was discovered, contained the various legal opinions and memoranda that the Fed used to determine what power it has to manipulate the financial system in the event of a large-scale crisis. And, it seemed, there was a good chance that the central broke its own rules with all its bailout shenanigans and financial sleight-of-hand during the 2008 collapse. However, the plaintiffs' reasonable request to see the book and examine these supposed emergency powers was immediately rebuffed by the Fed. New York Fed lawyer John S. Kiernan, for example, was adamant that the Fed would not open up the book for the court. "Of the tens of thousands of documents that we have produced in this case, the Federal Reserve Bank of New York has sought to retain confidentiality because of the internal sensitivity of only this one," he told the United States Court of Federal Claims. The court was eventually able to pry the relevant documents out of the Fed's clutches, but the Doomsday Book has remained under court seal for years . . . until now. Late last year, an enterprising researcher managed to get his hands on a copy of the elusive book. And what that book contains should shock you (if you're paying attention). What Is The Doomsday Book? The very first thing to note about the "Doomsday Book" is that you can now read it for yourself! . . . kind of. I'll get into that qualification in a bit. But first, I do recommend you download the publicly available content for yourself. You can download it as a PDF file from The Wall Street Journal website HERE. And, since Corbett Reporteers might not like to give WSJ their traffic (and because these types of files have a pesky habit of disappearing down the internet rabbit hole), I've also gone ahead and preserved a copy on my server HERE! (You're welcome!) Still, you never know when/if/how information online will go missing or become inaccessible, so don't dither. Download it now, while you can! Alright, now that you have a copy saved locally, here's the first question: what is the doomsday book, exactly? The short answer—taken from an article announcing its release last December—is that the doomsday book is "an internal document used to guide the Federal Reserve’s actions during emergencies." The longer answer is that the Doomsday Book is not a book at all. Instead, it's a collection of documents, legal opinions and memoranda that have been assembled and maintained by the Federal Reserve Bank of New York (FRBNY) over the course of decades. It was first compiled in the 1990s and has been revised four times, thus creating five versions of the "book" (that we know of). The latest version is Version 5.0 and it includes extensive revisions to various memoranda and opinions—revisions that were made to reflect the legal and regulatory changes wrought by the 2010 Dodd–Frank Wall Street Reform and Consumer Protection Act (see the "Note on Legal Evolution" on page 46 of the PDF document). According to the Prefatory Matters section of the latest revision (page 44 of the PDF document): The Doomsday Book is intended to help lawyers of the Federal Reserve Bank of New York aid their clients in crisis management. It was originally distributed to a limited set of lawyers and select senior staff members. This has changed with time, as more lawyers are drawn into crisis management. Now, all FRBNY lawyers receive a copy of the Doomsday Book. The same passage also explains that the book "is not intended as an 'off-the-shelf' solution to any particular crisis" but as a "playbook" of general advice that may require modification depending on the circumstances. So, the next question to be answered is . . . How Did The Doomsday Book Get Released? As indicated above, the Doomsday Book first came to the public's attention during the 2014 Starr International Co. v. United States trial, in which AIG shareholders were suing the government over the Fed's questionable bailout practices. (If you need a primer on that trial to bring you up to speed, you're in luck! I wrote an article about the case and its startling conclusion in these very pages nine years ago!) During the trial, Timothy Geithner—who was president of the FRBNY during the global financial collapse—not only confirmed the existence of the book, but admitted that he relied on it to guide his actions in the crisis. “It’s kind of a big, fat binder,” he told the court, adding that “we did occasionally go back and consult it as things were eroding around us. . . . It was a reference material that described precedent and authority.” And, as also noted above, although the plaintiffs' lawyers were able to get their hands on a copy of the book's index, the Fed successfully petitioned the court to keep the documents under court seal. Some quotations from the book were read into the court record during testimony, but, aside from that, no specific information on the documents was forthcoming. Enter Emre Kuvvet. He's a Professor of Finance at Nova Southeastern University who, recognizing the importance of this elusive emergency operations document, filed a Freedom of Information Act request to the Board of Governors of the Federal Reserve System for the book . . . and was promptly rejected. Not one to give up so easily, Kuvvet then filed a simple Freedom of Information request with the FRBNY and—"for reasons unknown to me," as Kuvvet wryly observes—was duly provided the 122-page document that you just downloaded. Now, in order to understand why the FRBNY's compliance with this request is so unusual, you have to understand the difference between the Board of Governors of the Federal Reserve System—the twelve-member panel appointed by the US president and confirmed by the US Senate to oversee the Federal Reserve System—and the Federal Reserve Bank of New York—the most powerful of the twelve regional banks that are responsible for the banking operations of the Federal Reserve System. If you need a refresher on the deliberately confusing structure of the United States' "decentralized central bank," might I humbly suggest that you watch (or re-watch) Century of Enslavement: The History of The Federal Reserve? If and when you do so, you will see for yourself the moment when Federal Reserve Board Senior Counsel Yvonne Mizusawa argues in court that the Federal Reserve Regional Banks (not the Board) are private banks and thus not "persons under FOIA." In other words, the Federal Reserve argues that the records of the Fed's regional banks—including their legal opinions, memoranda, internal records and, of course, the New York Fed's coveted Doomsday Book—are not subject to the Freedom of Information Act. However, no doubt concerned with the optics created by an un-FOIA-able central bank, the FRBNY has a "Freedom of Information Requests" page on its website in which it boasts that "the New York Fed is committed to complying with the spirit of FOIA and has had a Freedom of Information Policy or related practice for decades." In other words, the New York Fed does not believe itself to be legally obligated to give up any of its precious documents . . . but it might occasionally choose to do so if you ask nicely. Accordingly, the FRBNY provided Kuvvet with versions 4.1 (2006) and 5.0 (2012) of the book's index. He then set to work writing an extensive article about the documents, "What Is in the Federal Reserve’s Doomsday Book?" (paywalled content), which was published in the Spring 2024 edition of The Independent Review. The title of Kuvvet's article raises another very good question, namely . . . What Is In The Doomsday Book? Remember when I said you can download the book for yourself . . . kind of? Well, here's the rub: the 122-page PDF document that was released in 2022 and is now available for download is not the full collection of documents. Rather, what has been released is an introduction to the book. Spread out over more than 100 pages, this introduction includes an extensive index of the contents of the full book; a listing of the titles and dates of the various agreements, memos and opinions that form the full collection; the Fed's own internal notes explaining what the collection is; an explanation of what the various sections of the book contain; and even an especially revealing explanatory passage containing the frank admission that "the powers of a Federal Reserve Bank are far greater than is commonly supposed" (page 33). The latest version of the Doomsday Book introduction reveals that the book consists of three volumes: Volume I – Pre-2008 Legal Documents Volume II – Post-2008 Legal Documents Volume III – Memoranda For a complete listing of what documents are contained in each volume and what subject each document covers, you can browse through the confusing and repetitive PDF document or you can read Kuvvet's article for a more logical (if still ponderous) listing. The introduction to Version 4.1, however, does helpfully break down the legal memoranda in the book into broad categories of memo: "Powers Opinions," which "discuss the legal authority of Federal Reserve Banks to provide various kinds of emergency services and facilities that they are not in the habit of providing under ordinary circumstances"; "History and Policy," documenting the history of the Federal Reserve's policy decisions and previous emergency actions; "Operational Issues," which "discuss legal aspects of operational issues, and are probably mostly of interest to attorneys"; "Bankruptcy and Insolvency Law Issues," dealing with the legal risk of lending to bankrupt or insolvent firms; "International Issues," dealing with the cross-border operations the Fed might employ during international crises; Etc. As for the agreements, memoranda and opinions themselves, there are some incredibly interesting documents listed that no doubt contain many valuable nuggets of information about the Fed's internal processes. For the policy wonks and financial eggheads in the crowd, the agreements contained in the book provide a wealth of data on what the Fed believes it is empowered to do during times of crisis. As Kuvvet notes in his "What Is in the Federal Reserve’s Doomsday Book?" article, for instance: In the Section 13(13) Lending Agreement subsection, the FRBNY states that the section 13(13) lending authority can be useful for nonbank government securities dealers. The FRBNY believes that Federal Reserve Banks are authorized to accept ineligible collateral to supplement eligible collateral. Conspiracy realists, meanwhile, will no doubt be intrigued by the "Chronology of Events at the Federal Reserve Bank of New York After the World Trade Center Attack" in the "History and Policy" section of the book. According to the Fed's own description on page 35 of the PDF, the document "begins with the morning of September 11, 2001 and concludes with the full resumption of operations on September 24" and "discusses all significant events: financial, operational and humanitarian." So, how does the New York Fed's internal history of the 9/11 false flag differ from the public version—"The Federal Reserve's Response to the Sept. 11 Attacks"—on the Federal Reserve Bank of St. Louis' website? Does it include information on the puzzling monetary events taking place in the lead-up to those attacks—events that include the largest June-August spike in the currency component of the M1 money supply in half a century? Does it hold the clue to the Die Hard 3-esque gold heist that may or may not have taken place in New York on the day of the attacks? Good questions! Unfortunately, until such time as some intrepid reporter, professor of finance or Corbett Reporteer jumps through the hoops of the New York Fed's Freedom of Information Requests process and pries this specific document—or any of the other documents listed in the Doomsday Book index—from the bankster's clutches, we won't know for sure. After all, we only have the titles of these documents and a cursory description of them from the Doomsday Book's index. All of this leads us to the most important question . . . What Does It Mean? The first-order takeaway from the Doomsday Book is that the Fed apparently believes that it has the authority to do quite a bit more in the event of an emergency than has been specifically authorized by the Federal Reserve Act. For a line-by-line, blow-by-blow analysis of these presumed powers and the Fed's arguments surrounding them, I highly suggest reading Kuvvet's article. In it, you will learn, for instance, that the Fed believes it has the authority to bail out cities during "emergency situations" . . . whatever those are. Surprisingly, the FRBNY states that section 13(3) lending authority extends to municipalities, and that there is an additional independent section 14(b)(1)17 lending authority for municipalities. Thus, the FRBNY considers that it has the legal authority to rescue municipalities in emergency situations. The Doomsday Book does not define what those “emergency situations” are. Even more remarkably, the Fed also reserves the power to receive "equity kickers"—that is, take an ownership stake in a company and presumably even take over a company entirely—when engaged in emergency lending. This is the power that was under scrutiny during the aforementioned AIG shareholder lawsuit, Starr International Co. v. United States, and it raises the specter of the Fed taking over and potentially running companies or even vast swaths of the economy in the face of a truly catastrophic economic collapse. Per Kuvvet: Lenders receive equity kickers frequently to compensate for risk. The FRBNY received an equity kicker in the AIG loan. The FRBNY considers that the scope of the power to receive an equity kicker remains uncertain, particularly whether the National Bank Act restrictions on equity kickers apply to Reserve Banks. The memorandum titled “Equity Kickers and Reserve Bank Loans” contends that they do not. Lenders sometimes employ guarantees appurtenant to financial transactions, and often employ guarantees in workout contexts. The memoranda titled “AIG Loan Restructuring-Reserve Bank Powers” and “Authority of Reserve Banks to Issue Guarantees on Behalf of Depository Institutions” explore the limits of the guarantee power. But perhaps the most brazen statement of the Fed's self-proclaimed emergency power comes in the section on "Powers Opinions" on page 33 of the Doomsday Book PDF. The powers opinions discuss the legal authority of Federal Reserve Banks to provide various kinds of emergency services and facilities that they are not in the habit of providing under ordinary circumstances. [. . .] A constant theme runs through them all: the powers of a Federal Reserve Bank are far greater than is commonly supposed. This is perhaps the most succinct statement of the banksters' arrogance that have ever been set to paper. In other words, the Fed's own internal document is gloating that the Fed reserves itself powers that the public do not know about and presumably would not approve of if they did. This does not trouble the Fed or its legal counsel in the slightest. So, what are we to make of this galling arrogance? Writing in The Hill, op-ed contributor Doug Branch—whose bio notes that he served as Deputy Staff Director of the Joint Economic Committee (JEC) and Deputy Chief of Staff to a Financial Services Subcommittee Chairman in the US government—predictably opines that what is needed is for the government to step in and rein in the Fed, passing legislation to "unambiguously authorize" those emergency powers that the Fed claims and that Congress deems necessary. Congress should also, in Branch's opinion "reserve the right to disapprove [of a Fed emergency power] through an after-action process." Although Branch's answer sounds perfectly straightforward and reasonable—reasonable to statists who believe in The Most Dangerous Superstition, at least—it fails to grasp an extremely basic fact, one that governs all such "emergency powers" and "states of exception." Namely, the fact that power—especially emergency power—is a thing that is demonstrated, not codified. Case in point: the Starr International Co. v. United States case in which the Doomsday Book's existence was first revealed. If you read my 2015 article on that case, you'll know that case's insane conclusion. The court ultimately ruled that the Fed had indeed overstepped its powers in the course of the AIG bailout . . . but imposed no penalty and awarded the prosecution nothing. Based upon the foregoing, the Court concludes that the Credit Agreement Shareholder Class shall prevail on liability due to the Government’s illegal exaction, but shall recover zero damages, and that the Reverse Stock Split Shareholder Class shall not prevail on liability or damages. Naturally, the Fed took this decision as vindication that it had acted legally. The Federal Reserve strongly believes that its actions in the AIG rescue during the height of the financial crisis in 2008 were legal, proper and effective. The court's decision today in Starr International Company, Inc. v. the United States recognizes that AIG's shareholders are not entitled to compensation for that decision, and that the Federal Reserve's extension of credit to AIG prevented losses to millions of policyholders, small businesses, and American workers who would have been harmed by AIG's collapse during the financial crisis. The terms of the credit were appropriately tough to protect taxpayers from the risks the rescue loan presented when it was made. This is how power operates. It acts—illegally if need be—and the judge comes along afterward to clean up the mess. The fact that the Fed's powers have not been delineated down to the nth degree is a feature of the system that the banksters have created, not a bug, as Doug Branch suggests. The banksters who own and run the Fed and who control Congress through blackmail, bribery and extortion are not going to make the mistake of stating exactly what powers they do and don't possess. And they're certainly not going to allow such limitations on their powers to be codified into law. Instead, they will act as power always acts: unilaterally, unapologetically, and without asking for permission. Sorry (not sorry) to burst your bubble, Mr. Branch, and all those other "common sense" thinkers who believe that government is the answer to the problem that was created by the (bankster-controlled) government, but there is no tinkering around the edges here. No amount of legislation is going to make the entire corrupt Federal Reserve System into anything other than the bankster cartel that it was designed to be. No, we do not need to "rein in" the Fed or set up yet another government committee to try to codify its powers. We need to abolish the Fed itself and bring about a separation of money and state altogether. That is the real takeaway from the Fed Doomsday Book. For enterprising researchers out there, I look forward to hearing about your own exploration of these documents and your own adventures with the FRBNY's "Freedom of Information Request" process. The cockroaches always scurry from the light, so let's see if we can shine some more of it on this whole sordid mess. Like this type of essay? Then you’ll love The Corbett Report Subscriber newsletter, which contains my weekly editorial as well as recommended reading, viewing and listening. If you’re a Corbett Report member, you can sign in to corbettreport.com and read the newsletter today. Not a member yet? Sign up today to access the newsletter and support this work. https://open.substack.com/pub/corbettreport/p/the-feds-doomsday-book-has-been-revealed?r=29hg4d&utm_medium=ios

A better way to challenge scientific consensus Are COVID vaccines safe? I think not, but the "scientific consensus" is that they are. How can we definitively determine who is right? I suggest a way using science! Steve Kirsch David Douglass quote: Truth in science is always determined from observational facts. Executive summary In this article, I suggest a simple way to resolve scientific disagreements on important issues. The method is simple: The two parties mutually agree on a series of experiments to resolve the conflict. The experiments are designed so the results are reproducible, for example, by having several independent efforts doing the same thing. Win or lose, the “mainstream view” party (who should be led by a prominent scientist in the field being explored) agrees to write up the results of the experiment(s) and submit it to a prominent peer-reviewed technical journal. The “mainstream” party gets a large monetary award (a research grant) upon publication. The more prestigious the author, the higher the reward. We pay all costs in addition to the reward for people’s time and to fund the experiment(s). The idea is to make this “an offer that nobody can refuse.” For example… Suppose we want to prove whether vaccines cause autism. The two parties could agree on two experiments and how they are carried out such as: Gather data from a randomly selected list of parents of autistic kids which looks at the date the parents first noticed symptoms of ASD vs. the date of the most recent vaccination prior to the diagnosis. Gather the same data from doctors who treat autistic kids. The parties agree in advance what success (for each hypothesis) looks like. The parties agree that if both experiments agree with each other on deciding the question that they will publicly accept the result as scientific truth going forward, until such time as there is more persuasive data showing otherwise. If we set the reward at $1M and there are no takers, the question is resolved by default. Did the COVID vaccines save lives? This question is even easier to test. We pick hospitals at random and look at the vaccination rates of people hospitalized for COVID vs. the flu. This is a simple, fair test. Anyone rejecting attempts like this to expose the truth is not acting in good faith. Summary The problem with challenging scientific consensus is that the party with the mainstream beliefs simply ignores anyone who challenges them. So it’s up to the challengers to get their attention. By providing a large monetary incentive to create and execute a set of mutually agreeable scientific experiments to answer the question, we may be able to make progress on these intractable issues which have been unresolved for decades. What’s new here is large monetary incentives combined with a mutually agreeable set of experiments. This resolves the issue under investigation definitively. Either: 1) the mainstream party accepts and we do the experiments or 2) the mainstream party refuses to engage in which case it is a tacit admission of defeat. Either way, there is finally resolution on each issue explored. Let me know what you think of this idea in the comments. Share https://kirschsubstack.com/p/a-better-way-to-challenge-scientific

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‘Operation Al-Aqsa Flood’ Day 179: Israel kills 7 international aid workers in central Gaza, passes law banning Al Jazeera The World Central Kitchen called the attack that killed seven of its aid workers “unforgivable” as Israeli forces killed 71 people across the Gaza Strip. Meanwhile, the Israeli government voted to approve a bill banning Al Jazeera. Qassam MuaddiApril 2, 2024 Palestinians inspect the heavily damaged vehicle after the Israeli attack targeting the international and local officials with the World Central Kitchen, Deir al-Balah, central Gaza, April 2, 2024. (Photo: Omar Ashtawy/APA Images) Palestinians inspect the heavily damaged vehicle after the Israeli attack targeting the international and local officials with the World Central Kitchen, Deir al-Balah, central Gaza, April 2, 2024. (Photo: Omar Ashtawy/APA Images) Casualties 32,916+ killed* and at least 75,494 wounded in the Gaza Strip. 451+ Palestinians killed in the occupied West Bank and East Jerusalem.** Israel revises its estimated October 7 death toll down from 1,400 to 1,139. 600 Israeli soldiers have been killed since October 7, and at least 3,302 injured.*** *Gaza’s Ministry of Health confirmed this figure on its Telegram channel. Some rights groups estimate the death toll to be much higher when accounting for those presumed dead. ** The death toll in the West Bank and Jerusalem is not updated regularly. According to the PA’s Ministry of Health on March 17, this is the latest figure. *** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Key Developments Israel kills 71 Palestinians and wounds 102 in the Gaza Strip in 7 different massacres, according to the Palestinian health ministry. Israeli army kills seven aid workers of British, Polish, and Australian nationalities belonging to the World Central Kitchen (WCK) in Deir al-Balah. WCK announces halt of operations in light of attack. Israeli government votes on a bill to ban Al Jazeera and other media outlets, Netanyahu accuses Al Jazeera of incitement against Israel. Gaza’s health ministry calls upon Palestinians to evacuate hospitals unless they are patients or wounded. In the West Bank, one Palestinian dies of wounds sustained during Israeli army raid in Jenin. Israeli army raids Qalandia refugee camp north of Jerusalem, arresting seven people. Israeli forces kill 71 Palestinians, wound 102 across Gaza The Palestinian health ministry in Gaza said in a statement Tuesday that Israeli forces committed seven massacres against families in the Gaza Strip since Monday, killing 71 Palestinians and wounding 102, bringing the death toll of Israel’s assault on the Gaza Strip since October 7 to 32,916. The ministry pointed out that medical teams haven’t been able to recover many more bodies buried under the rubble. In Gaza City, Israel’s withdrawal from al-Shifa Hospital revealed the total destruction of the medical complex and its facilities. Accounts from residents in the area describe dead bodies with tied hands, indicating potential cases of execution. In a statement, Gaza’s Government Media Office said that at least 400 Palestinians were killed and 900 were wounded during the two-week-long Israeli raid on Gaza’s largest hospital. In the central Gaza Strip, Israeli forces bombed the al-Bashir mosque, killing one child and wounding 20 more people. Israeli artillery also bombed the village of al-Mighraqa north of the Nuseirat refugee camp. In the southern Gaza Strip, two separate Israeli bombings killed 12 Palestinians in Rafah, including six people, in a bombing of the Zuurub family home. Meanwhile, Israeli artillery continued bombing the western neighborhoods of Khan Younis. Israeli strike kills seven international aid workers in Deir al-Balah Seven international aid workers were killed by an Israeli strike in Deir al-Balah, in the central Gaza Strip on Monday. The aid workers belonged to the U.S.-based international humanitarian organization, the World Central Kitchen. The victims were of British, Canadian, Polish, and Australian, nationalities, and some had dual U.S. and Palestinian citizenship. Passports of the international volunteers with the World Central Kitchen killed in a targeted Israeli airstrike, Deir al-Balah, central Gaza. (Photo: Omar Ashtawy/APA Images) Passports of the international volunteers with the World Central Kitchen killed in a targeted Israeli airstrike, Deir al-Balah, central Gaza. (Photo: Omar Ashtawy/APA Images) The World Central Kitchen said in a statement that its workers were leaving the organization’s warehouse in Deir al-Balah, moving through a “deconflicted zone” in three vehicles when the Israeli strike occurred, “despite coordinating movements” with the Israeli army. “This is an attack on humanitarian organizations showing up in the most dire of situations where food is being used as a weapon of war, this is unforgivable,” said the WCK statement. The organization also announced the suspension of its operations in the Gaza Strip. The World Central Kitchen had been engaged in delivering meals to Palestinians in the besieged Gaza strip, where the UN has warned of famine induced by Israel’s blocking of humanitarian aid from entering the Strip. At least 31 people have died of starvation. Australian Prime Minister Anthony Albanese confirmed the death of a 44-year-old Australian citizen among the team, calling the killing “completely unacceptable.” Albanese also said that his cabinet will call in Israel’s ambassador. Israeli media quoted the Israeli army as saying that it will open an investigation into the incident. Since October 7, Israeli strikes killed at least 170 international humanitarian workers in the Gaza Strip, according to Human Rights Watch. Israeli government votes bill into law banning Al Jazeera Israeli Prime Minister Benjamin Netanyahu vowed Monday to shut down the Qatari media network Al Jazeera’s operations in Palestine soon. The law, dubbed the “Al Jazeera law,” was introduced after the Israeli army claimed it found one Al Jazeera worker to be a member of Hamas, without providing more details. The law sets the ground for the Israeli war cabinet to put a ban on the Qatari media network into effect. However, according to the Israeli daily newspaper Israel Hayom, Netanyahu and his cabinet “are not in a rush” to ban Al Jazeera from broadcasting, given Qatar’s role in mediating negotiations with Hamas. On Monday, Netanyahu accused Al Jazeera of incitement against Israel and “actively taking part in the October 7 attack.” Since October 7, Israeli strikes have killed 139 journalists in the Gaza Strip, including Al Jazeera cameraman Samer Abu Daqa. Back in December, only two months into Israel’s assault on Gaza, the Committee for the Protection of Journalists said that the Strip was the most dangerous place for journalists in the world. One Palestinian killed in Jenin as Israel continues raids across the West Bank A Palestinian was pronounced dead in Jenin on Tuesday after succumbing to his wounds caused earlier by Israeli forces during a military raid on the town of Qabatiya, south of Jenin. The martyr was identified as 20-year-old Rabea Faisal Zakarna, who was wounded on Saturday by Israeli forces that raided his town. Meanwhile, Israeli forces raided the Qalandia refugee camp north of Jerusalem late on Monday, where they were confronted by local youth throwing stones as well as armed clashes with Palestinian fighters. The Palestinian Red Crescent Society reported several injuries in Qalandia by Israeli fire. Across the West Bank, Israeli forces raided several towns in the Nablus, Hebron, and Jericho governorates, arresting at least 40 Palestinians, according to the Palestinian Prisoners’ Club. Since October 7, Israel has arrested more than 7,600 Palestinians. Currently, Israel continues to hold 9,100 Palestinians in its jails, including 50 women, 200 children, and at least 3,500 detainees without charge or trial as part of its policy of administrative detention. With the death of Rabea Zakarneh, the number of Palestinians killed by Israeli forces in the West Bank rose to 456 since October 7 and 139 since the beginning of the year. https://mondoweiss.net/2024/04/operation-al-aqsa-flood-day-179-israel-kills-7-international-aid-workers-in-central-gaza-passes-law-banning-al-jazeera/

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. 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