• Unlocking the Delectable World of Variety Flavor HHC Gummies

    Welcome to the flavorful realm of HHC Gummies, where each bite is a journey into sweet delight. In this comprehensive guide, we delve into the fascinating world of Variety Flavor HHC Gummies, with a particular focus on the tantalizing Peach and Watermelon flavors.

    #HHCGummies #VarietyFlavor

    https://pastebin.com/fkj4DReg
    Unlocking the Delectable World of Variety Flavor HHC Gummies Welcome to the flavorful realm of HHC Gummies, where each bite is a journey into sweet delight. In this comprehensive guide, we delve into the fascinating world of Variety Flavor HHC Gummies, with a particular focus on the tantalizing Peach and Watermelon flavors. #HHCGummies #VarietyFlavor https://pastebin.com/fkj4DReg
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  • Dive into a world of flavor and relaxation with our Delta-8 Watermelon Gummies! Elevate your mood and unwind with each bite. Tap the link in our bio to order yours now! #Delta8 #NirvanaOrganics #CBDGummies

    https://shopnirvanaorganics.com/product/delta-8-gummies-watermelon/
    Dive into a world of flavor and relaxation with our Delta-8 Watermelon Gummies! 🍉 Elevate your mood and unwind with each bite. Tap the link in our bio to order yours now! #Delta8 #NirvanaOrganics #CBDGummies https://shopnirvanaorganics.com/product/delta-8-gummies-watermelon/
    SHOPNIRVANAORGANICS.COM
    Shop Delta-8 Gummies watermelon - Nirvana Organics
    Explore Nirvana Organics' Delta-8 Watermelon Gummies and enjoy organic euphoria in every bite. Elevate your senses with refreshing flavor.
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  • Eliminating knee pain involves a combination of lifestyle changes, exercises, and possibly medical interventions. Here's a comprehensive guide to help you achieve "ageless knees":

    Maintain a Healthy Weight: Extra weight puts additional strain on your knees. Losing weight can significantly reduce knee pain and prevent further damage.

    Stay Active: Low-impact exercises like swimming, cycling, and walking can strengthen the muscles around your knees without putting too much stress on them. Strengthening these muscles can provide better support and stability for your knees.

    Stretch and Flexibility Exercises: Incorporate stretching exercises to improve flexibility in your hamstrings, quadriceps, and calves. This helps in reducing stiffness and increasing the range of motion in your knees.

    Strengthening Exercises: Focus on strengthening exercises for the muscles around your knees, including quadriceps, hamstrings, and calves. This can help stabilize the knee joint and reduce pain.

    Proper Footwear: Wear supportive and comfortable shoes that provide adequate cushioning and stability. Good footwear can reduce stress on your knees, especially during physical activities.

    Correct Posture: Maintain proper posture while sitting, standing, and walking to prevent unnecessary strain on your knees. Avoid activities or positions that put excessive pressure on your knees.

    Avoid High-Impact Activities: Minimize activities that involve repetitive high-impact movements, such as running on hard surfaces or jumping, as these can exacerbate knee pain.

    Use Knee Braces or Supports: Consider using knee braces or supports during physical activities to provide additional stability and reduce strain on your knees.

    Warm-up Before Exercise: Always warm up before starting any physical activity to prepare your muscles and joints for movement. This can help prevent injuries and reduce knee pain.

    Cold Therapy: Apply ice packs to your knees after physical activity or when experiencing pain to reduce inflammation and numb the area, providing temporary relief.

    Maintain Proper Nutrition: Eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains to support overall joint health. Consider incorporating foods rich in omega-3 fatty acids, such as salmon and walnuts, which have anti-inflammatory properties.

    Stay Hydrated: Drink plenty of water throughout the day to keep your joints well-lubricated and prevent dehydration, which can exacerbate knee pain.

    Listen to Your Body: Pay attention to your body's signals. If you experience pain or discomfort during any activity, stop and rest. Pushing through pain can lead to further injury.

    Consult a Healthcare Professional: If knee pain persists or worsens despite home remedies and lifestyle changes, consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options, which may include physical therapy, medications, injections, or surgery in severe cases.

    Remember, consistency is key when it comes to managing knee pain. Incorporate these tips into your daily routine and be patient with your progress. Click to Read More: https://tinyurl.com/2w7xnxut
    #jointpain #kneepain #agelessknees #fitness #exercise
    Eliminating knee pain involves a combination of lifestyle changes, exercises, and possibly medical interventions. Here's a comprehensive guide to help you achieve "ageless knees": Maintain a Healthy Weight: Extra weight puts additional strain on your knees. Losing weight can significantly reduce knee pain and prevent further damage. Stay Active: Low-impact exercises like swimming, cycling, and walking can strengthen the muscles around your knees without putting too much stress on them. Strengthening these muscles can provide better support and stability for your knees. Stretch and Flexibility Exercises: Incorporate stretching exercises to improve flexibility in your hamstrings, quadriceps, and calves. This helps in reducing stiffness and increasing the range of motion in your knees. Strengthening Exercises: Focus on strengthening exercises for the muscles around your knees, including quadriceps, hamstrings, and calves. This can help stabilize the knee joint and reduce pain. Proper Footwear: Wear supportive and comfortable shoes that provide adequate cushioning and stability. Good footwear can reduce stress on your knees, especially during physical activities. Correct Posture: Maintain proper posture while sitting, standing, and walking to prevent unnecessary strain on your knees. Avoid activities or positions that put excessive pressure on your knees. Avoid High-Impact Activities: Minimize activities that involve repetitive high-impact movements, such as running on hard surfaces or jumping, as these can exacerbate knee pain. Use Knee Braces or Supports: Consider using knee braces or supports during physical activities to provide additional stability and reduce strain on your knees. Warm-up Before Exercise: Always warm up before starting any physical activity to prepare your muscles and joints for movement. This can help prevent injuries and reduce knee pain. Cold Therapy: Apply ice packs to your knees after physical activity or when experiencing pain to reduce inflammation and numb the area, providing temporary relief. Maintain Proper Nutrition: Eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains to support overall joint health. Consider incorporating foods rich in omega-3 fatty acids, such as salmon and walnuts, which have anti-inflammatory properties. Stay Hydrated: Drink plenty of water throughout the day to keep your joints well-lubricated and prevent dehydration, which can exacerbate knee pain. Listen to Your Body: Pay attention to your body's signals. If you experience pain or discomfort during any activity, stop and rest. Pushing through pain can lead to further injury. Consult a Healthcare Professional: If knee pain persists or worsens despite home remedies and lifestyle changes, consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options, which may include physical therapy, medications, injections, or surgery in severe cases. Remember, consistency is key when it comes to managing knee pain. Incorporate these tips into your daily routine and be patient with your progress. Click to Read More: https://tinyurl.com/2w7xnxut #jointpain #kneepain #agelessknees #fitness #exercise
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  • Xinhua - Glasses in Moon's soil preserve water from multiple sources:

    http://en.people.cn/n3/2024/0511/c90000-20168495.html

    #ChangE5 #Moon #Hydroxyl #Water #Glass #LunarSoil #ProtonImplantation #SolarWind #LunarExploration #SolarSystemScience #Astronomy #Mineralogy #Geology
    Xinhua - Glasses in Moon's soil preserve water from multiple sources: http://en.people.cn/n3/2024/0511/c90000-20168495.html #ChangE5 #Moon #Hydroxyl #Water #Glass #LunarSoil #ProtonImplantation #SolarWind #LunarExploration #SolarSystemScience #Astronomy #Mineralogy #Geology
    Glasses in Moon's soil preserve water from multiple sources: study - People's Daily Online
    BEIJING, May 11 (Xinhua) -- A team of Chinese scientists has discovered that glassy materials within
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  • Simple and nutritious smoothie diet plan recipe:
    Morning Kickstart Smoothie: Ingredients:
    1 cup spinach,1 banana, 1/2 cup frozen berries (blueberries, strawberries, raspberries), 1/2 cup Greek yogurt, 1 tablespoon honey, 1/2 cup almond
    milk.
    Instructions:
    Blend all ingredients together until smooth.
    Enjoy as a refreshing breakfast or morning snack.

    Midday Boost Smoothie: Ingredients:
    1 cup kale, 1/2 cup pineapple chunks, 1/2 cup cucumber slices, 1/2 avocadoJuice of , 1/2 lime, 1/2 cup coconut water.
    Instructions:
    Blend all ingredients until smooth.
    Pour into a glass and savor the rejuvenating flavors.

    Afternoon Refuel Smoothie: Ingredients:

    1 cup spinach, 1/2 cup mango chunks, 1/2 cup pineapple chunks, 1/2 cup Greek yogurt, 1 tablespoon chia seeds, 1/2 cup water or coconut water.

    Instructions:Combine all ingredients in a blender.
    Blend until creamy and enjoy as a healthy pick-me-up.

    Evening Relaxation Smoothie: Ingredients:

    1/2 cup kale, 1/2 cup cucumber slices, 1/2 avocado, 1/2 banana, 1 tablespoon almond butter, 1/2 cup almond milk, A dash of cinnamon (optional).

    Instructions:Blend all ingredients until smooth and creamy.
    Pour into a glass, sprinkle with cinnamon if desired, and unwind with this nourishing treat.

    Remember to drink plenty of water throughout the day and listen to your body's hunger cues. Enjoy your smoothie journey!

    And more click here to know
    https://bit.ly/3UkMKHo

    #weightloss #weightlossjourney #fitness #healthylifestyle #motivation #health #healthy #workout #diet #fitnessmotivation #healthyfood #weightlosstransformation #gym #fit #nutrition #fitfam #fatloss #healthyeating #exercise #slimmingworld #weightlossmotivation #transformation #keto #bodybuilding #healthyliving #personaltrainer #lifestyle #food #fitnessjourney #training #smootheidietplan


    Simple and nutritious smoothie diet plan recipe: Morning Kickstart Smoothie: Ingredients: 1 cup spinach,1 banana, 1/2 cup frozen berries (blueberries, strawberries, raspberries), 1/2 cup Greek yogurt, 1 tablespoon honey, 1/2 cup almond milk. Instructions: Blend all ingredients together until smooth. Enjoy as a refreshing breakfast or morning snack. Midday Boost Smoothie: Ingredients: 1 cup kale, 1/2 cup pineapple chunks, 1/2 cup cucumber slices, 1/2 avocadoJuice of , 1/2 lime, 1/2 cup coconut water. Instructions: Blend all ingredients until smooth. Pour into a glass and savor the rejuvenating flavors. Afternoon Refuel Smoothie: Ingredients: 1 cup spinach, 1/2 cup mango chunks, 1/2 cup pineapple chunks, 1/2 cup Greek yogurt, 1 tablespoon chia seeds, 1/2 cup water or coconut water. Instructions:Combine all ingredients in a blender. Blend until creamy and enjoy as a healthy pick-me-up. Evening Relaxation Smoothie: Ingredients: 1/2 cup kale, 1/2 cup cucumber slices, 1/2 avocado, 1/2 banana, 1 tablespoon almond butter, 1/2 cup almond milk, A dash of cinnamon (optional). Instructions:Blend all ingredients until smooth and creamy. Pour into a glass, sprinkle with cinnamon if desired, and unwind with this nourishing treat. Remember to drink plenty of water throughout the day and listen to your body's hunger cues. Enjoy your smoothie journey! And more click here to know 👇 https://bit.ly/3UkMKHo #weightloss #weightlossjourney #fitness #healthylifestyle #motivation #health #healthy #workout #diet #fitnessmotivation #healthyfood #weightlosstransformation #gym #fit #nutrition #fitfam #fatloss #healthyeating #exercise #slimmingworld #weightlossmotivation #transformation #keto #bodybuilding #healthyliving #personaltrainer #lifestyle #food #fitnessjourney #training #smootheidietplan
    BIT.LY
    Weight loss- Smoothie diet plan
    THE SMOOTHIE DIET is a Progressive New life-Change Framework That not just certifications to assist you with getting in shape and feel improved than you have in years, it likewise vows to wipe out more muscle versus fat — quicker than anything you've attempted previously. In only a couple of
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  • Utrecht University - First experimental proof for brain-like computer with water and salt:

    https://phys.org/news/2024-04-experimental-proof-brain-salt.html

    #ArtificialSynapse #Synapse #Iontronic #NeuromorphicComputing #Neurology #Physics
    Utrecht University - First experimental proof for brain-like computer with water and salt: https://phys.org/news/2024-04-experimental-proof-brain-salt.html #ArtificialSynapse #Synapse #Iontronic #NeuromorphicComputing #Neurology #Physics
    PHYS.ORG
    First experimental proof for brain-like computer with water and salt
    Theoretical physicists at Utrecht University, together with experimental physicists at Sogang University in South Korea, have succeeded in building an artificial synapse. This synapse works with water and salt and provides the first evidence that a system using the same medium as our brains can process complex information.
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  • KingsMainaMSsteve - What Woman Wants Song Short Lyrics 2024
    Ameona wameona amesikia wamesikia fetch water no more water at home oooh fetch wood no more wood at home
    #whatswomanwantssong #kingsmainamsstevemusic #2024 #Music #song #news
    KingsMainaMSsteve - What Woman Wants Song Short Lyrics 2024 Ameona wameona amesikia wamesikia fetch water no more water at home oooh fetch wood no more wood at home 🤣 #whatswomanwantssong #kingsmainamsstevemusic #2024 #Music #song #news
    0 Comments 0 Shares 1142 Views
  • https://winepressnews.com/2024/04/22/dubai-underwater-after-cloudseeding-experiments-create-massive-storms-but-media-attempts-to-walk-it-back/
    https://winepressnews.com/2024/04/22/dubai-underwater-after-cloudseeding-experiments-create-massive-storms-but-media-attempts-to-walk-it-back/
    Like
    1
    0 Comments 0 Shares 1710 Views
  • https://top10moviesbest.blogspot.com/2024/04/water-monster-full-adventure-hindi.html
    https://top10moviesbest.blogspot.com/2024/04/water-monster-full-adventure-hindi.html
    TOP10MOVIESBEST.BLOGSPOT.COM
    Water Monster Full Adventure Hindi Dubbed Movie | Hollywood New Release Superhit Chines Action Film
    A film-also called a top10 movie,motion picture,moving picture,or flick is a work of visual art that simulates exper All movies will be found here.
    0 Comments 0 Shares 1040 Views
  • https://writinganessay.org/2024/04/09/water-management-in-south-africa-essay/
    https://writinganessay.org/2024/04/09/water-management-in-south-africa-essay/
    0 Comments 0 Shares 859 Views
  • Los Angeles, a city with a blend of iconic architecture and a commitment to sustainability, has instituted a significant ordinance named the Existing Building Energy and Water Efficiency (EBEWE) Program. As Los Angeles strides towards a greener future, understanding EBEWE, particularly its extension, is crucial for property owners.
    Click here to read more: https://www.hituponviews.com/ebewe-extension-checklist-what-do-i-need-to-prepare-in-los-angeles/
    Los Angeles, a city with a blend of iconic architecture and a commitment to sustainability, has instituted a significant ordinance named the Existing Building Energy and Water Efficiency (EBEWE) Program. As Los Angeles strides towards a greener future, understanding EBEWE, particularly its extension, is crucial for property owners. Click here to read more: https://www.hituponviews.com/ebewe-extension-checklist-what-do-i-need-to-prepare-in-los-angeles/
    WWW.HITUPONVIEWS.COM
    EBEWE Checklist for LA Buildings: Get Compliant
    Master EBEWE compliance in LA with our expert checklist. Ensure your building meets all energy and water efficiency standards.
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  • Drinking Boiled Tap Water Reduces Human Intake of Nanoplastics and Microplastics
    Ana Maria Mihalcea, MD, PhD

    Morphology and composition of incrustants in different conditions. (a) Scanning electron microscopic (SEM) images of bare-polystyrene (PS, 1 μm, 1 mg L–1) and incrustant coprecipitates formed in tap water at different temperatures (180 mg L–1 of CaCO3, 40 mL, 25–100 oC); (b) SEM images of bare-PS (1 μm, 1 mg L–1) and incrustant coprecipitates in different water hardness upon boiling (60–300 mg L–1 of CaCO3, 100 oC); (c) SEM images of bare-PS and incrustant coprecipitates in different PS concentrations (1 μm, 0–5 mg L–1) upon boiling of tap water (180 mg L–1 of CaCO3, 100 oC); and (d) SEM images and (e) X-ray diffraction patterns of bare-, carboxyl-, and amino-PS and incrustant coprecipitates upon boiling of tap water (1 and 0.1 μm, 1 mg L–1, 180 mg L–1 of CaCO3, 100 oC).

    ____________________________________________________________________________

    This is a hopeful article explaining the methodology to decontaminate drinking water. This is very important because we do know that all bottled water is contaminated. You can read that study here:

    Study Shows A Quarter Million Nanoparticle Polymers Per Liter In Water Bottles - Same Polymers Found As In Moderna Patent For Covid 19 Shots, Morgellons Filaments, Blood & Rubbery Clots

    The abstract states:

    Tap water nano/microplastics (NMPs) escaping from centralized water treatment systems are of increasing global concern, because they pose potential health risk to humans via water consumption. Drinking boiled water, an ancient tradition in some Asian countries, is supposedly beneficial for human health, as boiling can remove some chemicals and most biological substances. However, it remains unclear whether boiling is effective in removing NMPs in tap water. Herein we present evidence that polystyrene, polyethylene, and polypropylene NMPs can coprecipitate with calcium carbonate (CaCO3) incrustants in tap water upon boiling. Boiling hard water (>120 mg L–1 of CaCO3) can remove at least 80% of polystyrene, polyethylene, and polypropylene NMPs size between 0.1 and 150 μm. Elevated temperatures promote CaCO3 nucleation on NMPs, resulting in the encapsulation and aggregation of NMPs within CaCO3 incrustants. This simple boiling-water strategy can “decontaminate” NMPs from household tap water and has the potential for harmlessly alleviating human intake of NMPs through water consumption.


    Here is the ACS article:

    Drinking Boiled Tap Water Reduces Human Intake of Nanoplastics and Microplastics

    Here is the sciencedaily write up:

    Want fewer microplastics in your tap water? Try boiling it first

    Contamination of water supplies with nano- and microplastics (NMPs), which can be as small as one thousandth of a millimeter in diameter or as large as 5 millimeters, has become increasingly common. The effects of these particles on human health are still under investigation, though current studies suggest that ingesting them could affect the gut microbiome. Some advanced drinking water filtration systems capture NMPs, but simple, inexpensive methods are needed to substantially help reduce human plastic consumption. So, Zhanjun Li, Eddy Zeng and colleagues wanted to see whether boiling could be an effective method to help remove NMPs from both hard and soft tap water.

    The researchers collected samples of hard tap water from Guangzhou, China, and spiked them with different amounts of NMPs. Samples were boiled for five minutes and allowed to cool. Then, the team measured the free-floating plastic content. Boiling hard water, which is rich in minerals, will naturally form a chalky substance known as limescale, or calcium carbonate (CaCO3). Results from these experiments indicated that as the water temperature increased, CaCO3 formed incrustants, or crystalline structures, which encapsulated the plastic particles. Zeng says that over time, these incrustants would build up like typical limescale, at which point they could be scrubbed away to remove the NMPs. He suggests any remaining incrustants floating in the water could be removed by pouring it through a simple filter such as a coffee filter.

    In the tests, the encapsulation effect was more pronounced in harder water -- in a sample containing 300 milligrams of CaCO3 per liter of water, up to 90% of free-floating MNPs were removed after boiling. However, even in soft water samples (less than 60 milligrams CaCO3 per liter), boiling still removed around 25% of NMPs. The researchers say that this work could provide a simple, yet effective, method to reduce NMP consumption.

    From the paper supplemental information

    Results. Boiling hard water can remove most PS, PE, and PP MPs, and PS, PE, and PP MPs precipitation efficiencies were 95 ± 4%, 81 ± 3%, and 90 ± 3%, respectively, at 100 oC. Increasing temperature accelerated the formation of incrustants on spherical, fragmented, and fibrous MP surfaces. MPs continued to be encapsulated by newly formed incrustants (Figure S2) and finally precipitated under gravity, confirming that spherical PS, fragmented PE, and fibrous PP MPs are able to coprecipitate with incrustants in tap water upon boiling. In concluding, the results with NPs in the main text were also applicable to MPs.

    Here are the polymer plastics found in drinking water throughout the world:



    Thank you to Karen Kingston, who brought this article to my attention.

    https://anamihalceamdphd.substack.com/p/drinking-boiled-tap-water-reduces

    https://telegra.ph/Drinking-Boiled-Tap-Water-Reduces-Human-Intake-of-Nanoplastics-and-Microplastics-04-02
    Drinking Boiled Tap Water Reduces Human Intake of Nanoplastics and Microplastics Ana Maria Mihalcea, MD, PhD Morphology and composition of incrustants in different conditions. (a) Scanning electron microscopic (SEM) images of bare-polystyrene (PS, 1 μm, 1 mg L–1) and incrustant coprecipitates formed in tap water at different temperatures (180 mg L–1 of CaCO3, 40 mL, 25–100 oC); (b) SEM images of bare-PS (1 μm, 1 mg L–1) and incrustant coprecipitates in different water hardness upon boiling (60–300 mg L–1 of CaCO3, 100 oC); (c) SEM images of bare-PS and incrustant coprecipitates in different PS concentrations (1 μm, 0–5 mg L–1) upon boiling of tap water (180 mg L–1 of CaCO3, 100 oC); and (d) SEM images and (e) X-ray diffraction patterns of bare-, carboxyl-, and amino-PS and incrustant coprecipitates upon boiling of tap water (1 and 0.1 μm, 1 mg L–1, 180 mg L–1 of CaCO3, 100 oC). ____________________________________________________________________________ This is a hopeful article explaining the methodology to decontaminate drinking water. This is very important because we do know that all bottled water is contaminated. You can read that study here: Study Shows A Quarter Million Nanoparticle Polymers Per Liter In Water Bottles - Same Polymers Found As In Moderna Patent For Covid 19 Shots, Morgellons Filaments, Blood & Rubbery Clots The abstract states: Tap water nano/microplastics (NMPs) escaping from centralized water treatment systems are of increasing global concern, because they pose potential health risk to humans via water consumption. Drinking boiled water, an ancient tradition in some Asian countries, is supposedly beneficial for human health, as boiling can remove some chemicals and most biological substances. However, it remains unclear whether boiling is effective in removing NMPs in tap water. Herein we present evidence that polystyrene, polyethylene, and polypropylene NMPs can coprecipitate with calcium carbonate (CaCO3) incrustants in tap water upon boiling. Boiling hard water (>120 mg L–1 of CaCO3) can remove at least 80% of polystyrene, polyethylene, and polypropylene NMPs size between 0.1 and 150 μm. Elevated temperatures promote CaCO3 nucleation on NMPs, resulting in the encapsulation and aggregation of NMPs within CaCO3 incrustants. This simple boiling-water strategy can “decontaminate” NMPs from household tap water and has the potential for harmlessly alleviating human intake of NMPs through water consumption. Here is the ACS article: Drinking Boiled Tap Water Reduces Human Intake of Nanoplastics and Microplastics Here is the sciencedaily write up: Want fewer microplastics in your tap water? Try boiling it first Contamination of water supplies with nano- and microplastics (NMPs), which can be as small as one thousandth of a millimeter in diameter or as large as 5 millimeters, has become increasingly common. The effects of these particles on human health are still under investigation, though current studies suggest that ingesting them could affect the gut microbiome. Some advanced drinking water filtration systems capture NMPs, but simple, inexpensive methods are needed to substantially help reduce human plastic consumption. So, Zhanjun Li, Eddy Zeng and colleagues wanted to see whether boiling could be an effective method to help remove NMPs from both hard and soft tap water. The researchers collected samples of hard tap water from Guangzhou, China, and spiked them with different amounts of NMPs. Samples were boiled for five minutes and allowed to cool. Then, the team measured the free-floating plastic content. Boiling hard water, which is rich in minerals, will naturally form a chalky substance known as limescale, or calcium carbonate (CaCO3). Results from these experiments indicated that as the water temperature increased, CaCO3 formed incrustants, or crystalline structures, which encapsulated the plastic particles. Zeng says that over time, these incrustants would build up like typical limescale, at which point they could be scrubbed away to remove the NMPs. He suggests any remaining incrustants floating in the water could be removed by pouring it through a simple filter such as a coffee filter. In the tests, the encapsulation effect was more pronounced in harder water -- in a sample containing 300 milligrams of CaCO3 per liter of water, up to 90% of free-floating MNPs were removed after boiling. However, even in soft water samples (less than 60 milligrams CaCO3 per liter), boiling still removed around 25% of NMPs. The researchers say that this work could provide a simple, yet effective, method to reduce NMP consumption. From the paper supplemental information Results. Boiling hard water can remove most PS, PE, and PP MPs, and PS, PE, and PP MPs precipitation efficiencies were 95 ± 4%, 81 ± 3%, and 90 ± 3%, respectively, at 100 oC. Increasing temperature accelerated the formation of incrustants on spherical, fragmented, and fibrous MP surfaces. MPs continued to be encapsulated by newly formed incrustants (Figure S2) and finally precipitated under gravity, confirming that spherical PS, fragmented PE, and fibrous PP MPs are able to coprecipitate with incrustants in tap water upon boiling. In concluding, the results with NPs in the main text were also applicable to MPs. Here are the polymer plastics found in drinking water throughout the world: Thank you to Karen Kingston, who brought this article to my attention. https://anamihalceamdphd.substack.com/p/drinking-boiled-tap-water-reduces https://telegra.ph/Drinking-Boiled-Tap-Water-Reduces-Human-Intake-of-Nanoplastics-and-Microplastics-04-02
    ANAMIHALCEAMDPHD.SUBSTACK.COM
    Drinking Boiled Tap Water Reduces Human Intake of Nanoplastics and Microplastics
    Morphology and composition of incrustants in different conditions. (a) Scanning electron microscopic (SEM) images of bare-polystyrene (PS, 1 μm, 1 mg L–1) and incrustant coprecipitates formed in tap water at different temperatures (180 mg L–1 of CaCO3, 40 mL, 25–100 oC); (b) SEM images of bare-PS (1 μm, 1 mg L–1) and incrustant coprecipitates in different water hardness upon boiling (60–300 mg L–1 of CaCO3, 100 oC); (c) SEM images of bare-PS and incrustant coprecipitates in different PS concentrations (1 μm, 0–5 mg L–1) upon boiling of tap water (180 mg L–1 of CaCO3, 100 oC); and (d) SEM images and (e) X-ray diffraction patterns of bare-, carboxyl-, and amino-PS and incrustant coprecipitates upon boiling of tap water (1 and 0.1 μm, 1 mg L–1, 180 mg L–1 of CaCO3, 100 oC).
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  • ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians
    Israeli TV channels aired a number of reports showing the torture and humiliation of Palestinians in Israeli prisons. The videos are consumed by the Israeli public as entertainment, revealing the sadism of Israeli society.

    Jonathan OfirMarch 6, 2024
    Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel)
    Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel)
    Over the past month, mainstream Israeli television channels have aired what can only be described as snuff films. They depict the systematic torture of Palestinians from Gaza in Israeli jails. Such videos have aired on at least three occasions — twice on Channel 14, and once on the public broadcaster, Channel 13. While Channel 14 is considered right-wing, so is about two-thirds of the Israeli public, and the more “mainstream” Channel 13 has shown no qualms about airing similar footage.

    The broadcasts follow prison officials into detention centers to document the mistreatment of prisoners, which seems to be something that the officials — and apparently the viewers — find satisfying rather than revolting. The airing of these snuff films is a demonstration of societal sadism.

    As Yumna Patel has recently reported, several rights groups have sounded the alarm over the widespread and systemic abuse that Palestinian prisoners face at the hands of the Israeli authorities. These groups’ calls have been unintentionally buttressed by Israeli soldiers’ unapologetic videos of themselves torturing or demeaning Palestinian detainees, which they boastfully post on social media. Now, it seems that the phenomenon has expanded to mainstream Israeli television.

    The two aforementioned reports on Channel 14 (threads with subtitles can be found here and here) contained footage of actual interrogation sessions during which torture was used. The Channel 13 report did not, but it exposed some of the worst prison conditions to be broadcast to the public. These conditions include forcing prisoners to live in inhumane conditions and subjecting them to torture and harassment. Here’s the 11-minute video with translated subtitles.

    Israel Channel 13 prison tour 18.2.2024
    ‘The feeling is one of pride’

    “Here, we see the cells in which the Nukhba terrorists are held,” the narrator says.

    The “Nukhba” refers to elite Hamas-led fighters who carried out the October 7 attack. In the cell, viewers notice metal bunkbeds without mattresses, and instead of a toilet, there is just a hole in the floor. The room is almost completely dark throughout the day, and prisoners have their hands and legs chained together.

    We hear attack dogs barking constantly as prisoners are made to kneel while bound and blindfolded, their heads touching the floor.

    “This is how it should be,” a guard says. “This is how a Nukhba prisoner should be…what happened on October 7 will never return.”

    In another scene, a guard shouts at prisoners as dogs continue to bark incessantly. “Heads down! Heads on the floor!” he yells.

    “There are many prisoners here that I personally saw at the [October 7] events,” a prison official says, taking pride in humiliating them. “The difference is that this time, he is afraid, shaking, with his head on the floor…no Allahu Akbar, nothing. You won’t hear a squeak from him.”

    “They have no mattresses,” says a warden shift commander. “They have nothing…we control them 100% — their food, their shackling, their sleep…[we] show them we are the masters of the house.” Even without knowing the background to that phrase, to hear him say it is chilling.

    “Masters of the house” was the election slogan of Itamar Ben-Gvir, the Jewish Power leader and current Minister of National Security. Ben-Gvir declared war on Palestinian prisoners long before October 7, and this has included shutting down bakeries that supply bread to prisoners — described by Ben-Gvir as an “indulgence” — and drastically limiting prisoners’ water use. So now it’s become much worse.

    While one is tempted to believe that all prisoners here are “Nukhba” members, it turns out that many of them aren’t even suspected of that. Rather, they were rounded up in Gaza after October 7, during mass arrests in which hundreds of Gazan men were stripped and paraded in a most sadistic demonstration of power. The mass arrests also included hundreds of women, including pregnant women detained with their babies. Israeli security officials told Haaretz that by their own estimate, “only 10 to 15 percent of the hundreds of the semi-naked and bound Gazan men arrested in the Strip during the recent days are Hamas members or those who identified with the organization.”

    Back to the Channel 13 coverage, viewers can hear the nonstop blasting of the Zionist anthem, Am Israel Hai (“the people of Israel live”).

    “The prison authorities claim that it is meant to boost the morale of the staff,” the narrator declares. “But it is clear that this is another part of the psychological warfare against the prisoners.”

    Torture, in other words.

    It’s hard to imagine the depths to which Israeli society has sunk. The official tells the Channel 13 reporter that “the feeling is one of pride.”

    The reason such sadism has become formalized as a matter of policy is because this is what the Israeli public demands. The Israeli Democracy Institute released a survey last week showing that two-thirds of Jewish Israelis oppose “the transfer of humanitarian aid to Gaza residents at this time,” even if “via international bodies that are not linked to Hamas or to UNRWA.” For right-wing voters, the opposition to aid jumps from 68% to 80%.

    This is not Israel’s Abu Ghraib moment, because when Abu Ghraib was revealed, most Americans were revolted. Israeli society, on the other hand, is thirsting for genocide. No wonder they consume such videos as entertainment on mainstream TV.

    Thanks to Tali Shapiro, B.M.@ireallyhatyou, Hilel Biton-Rosen, and Dave Reed.


    ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians

    https://mondoweiss.net/2024/03/we-are-the-masters-of-the-house-israeli-channels-air-snuff-videos-featuring-systematic-torture-of-palestinians/?utm_content=buffer5ce81&utm_medium=social&utm_source=twitter&utm_campaign=buffer
    ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians Israeli TV channels aired a number of reports showing the torture and humiliation of Palestinians in Israeli prisons. The videos are consumed by the Israeli public as entertainment, revealing the sadism of Israeli society. Jonathan OfirMarch 6, 2024 Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel) Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel) Over the past month, mainstream Israeli television channels have aired what can only be described as snuff films. They depict the systematic torture of Palestinians from Gaza in Israeli jails. Such videos have aired on at least three occasions — twice on Channel 14, and once on the public broadcaster, Channel 13. While Channel 14 is considered right-wing, so is about two-thirds of the Israeli public, and the more “mainstream” Channel 13 has shown no qualms about airing similar footage. The broadcasts follow prison officials into detention centers to document the mistreatment of prisoners, which seems to be something that the officials — and apparently the viewers — find satisfying rather than revolting. The airing of these snuff films is a demonstration of societal sadism. As Yumna Patel has recently reported, several rights groups have sounded the alarm over the widespread and systemic abuse that Palestinian prisoners face at the hands of the Israeli authorities. These groups’ calls have been unintentionally buttressed by Israeli soldiers’ unapologetic videos of themselves torturing or demeaning Palestinian detainees, which they boastfully post on social media. Now, it seems that the phenomenon has expanded to mainstream Israeli television. The two aforementioned reports on Channel 14 (threads with subtitles can be found here and here) contained footage of actual interrogation sessions during which torture was used. The Channel 13 report did not, but it exposed some of the worst prison conditions to be broadcast to the public. These conditions include forcing prisoners to live in inhumane conditions and subjecting them to torture and harassment. Here’s the 11-minute video with translated subtitles. Israel Channel 13 prison tour 18.2.2024 ‘The feeling is one of pride’ “Here, we see the cells in which the Nukhba terrorists are held,” the narrator says. The “Nukhba” refers to elite Hamas-led fighters who carried out the October 7 attack. In the cell, viewers notice metal bunkbeds without mattresses, and instead of a toilet, there is just a hole in the floor. The room is almost completely dark throughout the day, and prisoners have their hands and legs chained together. We hear attack dogs barking constantly as prisoners are made to kneel while bound and blindfolded, their heads touching the floor. “This is how it should be,” a guard says. “This is how a Nukhba prisoner should be…what happened on October 7 will never return.” In another scene, a guard shouts at prisoners as dogs continue to bark incessantly. “Heads down! Heads on the floor!” he yells. “There are many prisoners here that I personally saw at the [October 7] events,” a prison official says, taking pride in humiliating them. “The difference is that this time, he is afraid, shaking, with his head on the floor…no Allahu Akbar, nothing. You won’t hear a squeak from him.” “They have no mattresses,” says a warden shift commander. “They have nothing…we control them 100% — their food, their shackling, their sleep…[we] show them we are the masters of the house.” Even without knowing the background to that phrase, to hear him say it is chilling. “Masters of the house” was the election slogan of Itamar Ben-Gvir, the Jewish Power leader and current Minister of National Security. Ben-Gvir declared war on Palestinian prisoners long before October 7, and this has included shutting down bakeries that supply bread to prisoners — described by Ben-Gvir as an “indulgence” — and drastically limiting prisoners’ water use. So now it’s become much worse. While one is tempted to believe that all prisoners here are “Nukhba” members, it turns out that many of them aren’t even suspected of that. Rather, they were rounded up in Gaza after October 7, during mass arrests in which hundreds of Gazan men were stripped and paraded in a most sadistic demonstration of power. The mass arrests also included hundreds of women, including pregnant women detained with their babies. Israeli security officials told Haaretz that by their own estimate, “only 10 to 15 percent of the hundreds of the semi-naked and bound Gazan men arrested in the Strip during the recent days are Hamas members or those who identified with the organization.” Back to the Channel 13 coverage, viewers can hear the nonstop blasting of the Zionist anthem, Am Israel Hai (“the people of Israel live”). “The prison authorities claim that it is meant to boost the morale of the staff,” the narrator declares. “But it is clear that this is another part of the psychological warfare against the prisoners.” Torture, in other words. It’s hard to imagine the depths to which Israeli society has sunk. The official tells the Channel 13 reporter that “the feeling is one of pride.” The reason such sadism has become formalized as a matter of policy is because this is what the Israeli public demands. The Israeli Democracy Institute released a survey last week showing that two-thirds of Jewish Israelis oppose “the transfer of humanitarian aid to Gaza residents at this time,” even if “via international bodies that are not linked to Hamas or to UNRWA.” For right-wing voters, the opposition to aid jumps from 68% to 80%. This is not Israel’s Abu Ghraib moment, because when Abu Ghraib was revealed, most Americans were revolted. Israeli society, on the other hand, is thirsting for genocide. No wonder they consume such videos as entertainment on mainstream TV. Thanks to Tali Shapiro, B.M.@ireallyhatyou, Hilel Biton-Rosen, and Dave Reed. ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians https://mondoweiss.net/2024/03/we-are-the-masters-of-the-house-israeli-channels-air-snuff-videos-featuring-systematic-torture-of-palestinians/?utm_content=buffer5ce81&utm_medium=social&utm_source=twitter&utm_campaign=buffer
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    ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians
    Israeli TV channels aired a number of reports showing the torture and humiliation of Palestinians in Israeli prisons. The videos are consumed by the Israeli public as entertainment, revealing the sadism of Israeli society.
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  • The WHO Pandemic Agreement: A Guide
    By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read
    The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed.

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

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

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

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

    Historical Perspective

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

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

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

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

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

    Why May 2024?

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

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

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

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

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

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

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

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

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

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

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

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

    Preamble

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

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

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

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

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

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

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

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

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

    Chapter I. Introduction

    Article 1. Use of terms

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

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

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

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

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

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

    Article 2. Objective

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

    Article 3. Principles

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

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

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

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

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

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

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

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

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

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

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

    Article 4. Pandemic prevention and surveillance

    2. The Parties shall undertake to cooperate:

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

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

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

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

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

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

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

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

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

    Article 6. Preparedness, health system resilience and recovery

    2. Each Party commits…[to] :

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

    (b) developing, strengthening and maintaining health infrastructure

    (c) developing post-pandemic health system recovery strategies

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

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

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

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

    Article 7. Health and care workforce

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

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

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

    Article 8. Preparedness monitoring and functional reviews

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

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

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

    Article 9. Research and development

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

    Article 10. Sustainable and geographically diversified production

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

    Article 11. Transfer of technology and know-how

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

    Article 12. Access and benefit sharing

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

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

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

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

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

    The article then becomes yet more concerning:

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

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

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

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

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

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

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

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

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

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

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

    Article 13. Supply chain and logistics

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

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

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

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

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

    Article 14. Regulatory systems strengthening

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

    Article 15. Liability and compensation management

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

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

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

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

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

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

    Article 16. International collaboration and cooperation

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

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

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

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

    Article 18. Communication and public awareness

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

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

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

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

    Article 19. Implementation and support

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

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

    Article 20. Sustainable financing

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

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

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

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

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

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

    Chapter III. Institutional and final provisions

    Article 21. Conference of the Parties

    1. A Conference of the Parties is hereby established.

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

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

    Articles 22 – 37

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

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

    The WHO will provide the secretariat.

    Under Article 24 is noted:

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

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

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

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

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

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

    Further reading:

    WHO Pandemic Agreement Intergovernmental Negotiating Board website:

    https://inb.who.int/

    International Health Regulations Working Group website:

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

    On background to the WHO texts:

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

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

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

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

    Authors

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

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

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

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

    https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077
    The WHO Pandemic Agreement: A Guide By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed. One, consisting of draft amendments to the existing International health Regulations (IHR), seeks to change the current IHR non-binding recommendations into requirements or binding recommendations, by having countries “undertake” to implement those given by the WHO in future declared health emergencies. It covers all ‘public health emergencies of international concern’ (PHEIC), with a single person, the WHO Director-General (DG) determining what a PHEIC is, where it extends, and when it ends. It specifies mandated vaccines, border closures, and other directives understood as lockdowns among the requirements the DG can impose. It is discussed further elsewhere and still under negotiation in Geneva. A second document, previously known as the (draft) Pandemic Treaty, then Pandemic Accord, and more recently the Pandemic Agreement, seeks to specify governance, supply chains, and various other interventions aimed at preventing, preparing for, and responding to, pandemics (pandemic prevention, preparedness and response – PPPR). It is currently being negotiated by the Intergovernmental Negotiating Body (INB). Both texts will be subject to a vote at the May 2024 World Health Assembly (WHA) in Geneva, Switzerland. These votes are intended, by those promoting these projects, to bring governance of future multi-country healthcare emergencies (or threats thereof) under the WHO umbrella. The latest version of the draft Pandemic Agreement (here forth the ‘Agreement’) was released on 7th March 2024. However, it is still being negotiated by various committees comprising representatives of Member States and other interested entities. It has been through multiple iterations over two years, and looks like it. With the teeth of the pandemic response proposals in the IHR, the Agreement looks increasingly irrelevant, or at least unsure of its purpose, picking up bits and pieces in a half-hearted way that the IHR amendments do not, or cannot, include. However, as discussed below, it is far from irrelevant. Historical Perspective These aim to increase the centralization of decision-making within the WHO as the “directing and coordinating authority.” This terminology comes from the WHO’s 1946 Constitution, developed in the aftermath of the Second World War as the world faced the outcomes of European fascism and the similar approaches widely imposed through colonialist regimes. The WHO would support emerging countries, with rapidly expanding and poorly resourced populations struggling under high disease burdens, and coordinate some areas of international support as these sovereign countries requested it. The emphasis of action was on coordinating rather than directing. In the 80 years prior to the WHO’s existence, international public health had grown within a more directive mindset, with a series of meetings by colonial and slave-owning powers from 1851 to manage pandemics, culminating in the inauguration of the Office Internationale d’Hygiene Publique in Paris in 1907, and later the League of Nations Health Office. World powers imposed health dictates on those less powerful, in other parts of the world and increasingly on their own population through the eugenics movement and similar approaches. Public health would direct, for the greater good, as a tool of those who wish to direct the lives of others. The WHO, governed by the WHA, was to be very different. Newly independent States and their former colonial masters were ostensibly on an equal footing within the WHA (one country – one vote), and the WHO’s work overall was to be an example of how human rights could dominate the way society works. The model for international public health, as exemplified in the Declaration of Alma Ata in 1978, was to be horizontal rather than vertical, with communities and countries in the driving seat. With the evolution of the WHO in recent decades from a core funding model (countries give money, the WHO decides under the WHA guidance how to spend it) to a model based on specified funding (funders, both public and increasingly private, instruct the WHO on how to spend it), the WHO has inevitably changed to become a public-private partnership required to serve the interests of funders rather than populations. As most funding comes from a few countries with major Pharma industrial bases, or private investors and corporations in the same industry, the WHO has been required to emphasize the use of pharmaceuticals and downplay evidence and knowledge where these clash (if it wants to keep all its staff funded). It is helpful to view the draft Agreement, and the IHR amendments, in this context. Why May 2024? The WHO, together with the World Bank, G20, and other institutions have been emphasizing the urgency of putting the new pandemic instruments in place earnestly, before the ‘next pandemic.’ This is based on claims that the world was unprepared for Covid-19, and that the economic and health harm would be somehow avoidable if we had these agreements in place. They emphasize, contrary to evidence that Covid-19 virus (SARS-CoV-2) origins involve laboratory manipulation, that the main threats we face are natural, and that these are increasing exponentially and present an “existential” threat to humanity. The data on which the WHO, the World Bank, and G20 base these claims demonstrates the contrary, with reported natural outbreaks having increased as detection technologies have developed, but reducing in mortality rate, and in numbers, over the past 10 to 20 years.. A paper cited by the World Bank to justify urgency and quoted as suggesting a 3x increase in risk in the coming decade actually suggests that a Covid-19-like event would occur roughly every 129 years, and a Spanish-flu repetition every 292 to 877 years. Such predictions are unable to take into account the rapidly changing nature of medicine and improved sanitation and nutrition (most deaths from Spanish flu would not have occurred if modern antibiotics had been available), and so may still overestimate risk. Similarly, the WHO’s own priority disease list for new outbreaks only includes two diseases of proven natural origin that have over 1,000 historical deaths attributed to them. It is well demonstrated that the risk and expected burden of pandemics is misrepresented by major international agencies in current discussions. The urgency for May 2024 is clearly therefore inadequately supported, firstly because neither the WHO nor others have demonstrated how the harms accrued through Covid-19 would be reduced through the measures proposed, and secondly because the burden and risk is misrepresented. In this context, the state of the Agreement is clearly not where it should be as a draft international legally binding agreement intended to impose considerable financial and other obligations on States and populations. This is particularly problematic as the proposed expenditure; the proposed budget is over $31 billion per year, with over $10 billion more on other One Health activities. Much of this will have to be diverted from addressing other diseases burdens that impose far greater burden. This trade-off, essential to understand in public health policy development, has not yet been clearly addressed by the WHO. The WHO DG stated recently that the WHO does not want the power to impose vaccine mandates or lockdowns on anyone, and does not want this. This begs the question of why either of the current WHO pandemic instruments is being proposed, both as legally binding documents. The current IHR (2005) already sets out such approaches as recommendations the DG can make, and there is nothing non-mandatory that countries cannot do now without pushing new treaty-like mechanisms through a vote in Geneva. Based on the DG’s claims, they are essentially redundant, and what new non-mandatory clauses they contain, as set out below, are certainly not urgent. Clauses that are mandatory (Member States “shall”) must be considered within national decision-making contexts and appear against the WHO’s stated intent. Common sense would suggest that the Agreement, and the accompanying IHR amendments, be properly thought through before Member States commit. The WHO has already abandoned the legal requirement for a 4-month review time for the IHR amendments (Article 55.2 IHR), which are also still under negotiation just 2 months before the WHA deadline. The Agreement should also have at least such a period for States to properly consider whether to agree – treaties normally take many years to develop and negotiate and no valid arguments have been put forward as to why these should be different. The Covid-19 response resulted in an unprecedented transfer of wealth from those of lower income to the very wealthy few, completely contrary to the way in which the WHO was intended to affect human society. A considerable portion of these pandemic profits went to current sponsors of the WHO, and these same corporate entities and investors are set to further benefit from the new pandemic agreements. As written, the Pandemic Agreement risks entrenching such centralization and profit-taking, and the accompanying unprecedented restrictions on human rights and freedoms, as a public health norm. To continue with a clearly flawed agreement simply because of a previously set deadline, when no clear population benefit is articulated and no true urgency demonstrated, would therefore be a major step backward in international public health. Basic principles of proportionality, human agency, and community empowerment, essential for health and human rights outcomes, are missing or paid lip-service. The WHO clearly wishes to increase its funding and show it is ‘doing something,’ but must first articulate why the voluntary provisions of the current IHR are insufficient. It is hoped that by systematically reviewing some key clauses of the agreement here, it will become clear why a rethink of the whole approach is necessary. The full text is found below. The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic. Much of the remaining text is essentially pointless as it reiterates vague intentions to be found in other documents or activities which countries normally undertake in the course of running health services, and have no place in a focused legally-binding international agreement. REVISED Draft of the negotiating text of the WHO Pandemic Agreement. 7th March, 2024 Preamble Recognizing that the World Health Organization…is the directing and coordinating authority on international health work. This is inconsistent with a recent statement by the WHO DG that the WHO has no interest or intent to direct country health responses. To reiterate it here suggests that the DG is not representing the true position regarding the Agreement. “Directing authority” is however in line with the proposed IHR Amendments (and the WHO’s Constitution), under which countries will “undertake” ahead of time to follow the DG’s recommendations (which thereby become instructions). As the HR amendments make clear, this is intended to apply even to a perceived threat rather than actual harm. Recalling the constitution of the World Health Organization…highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. This statement recalls fundamental understandings of public health, and is of importance here as it raises the question of why the WHO did not strongly condemn prolonged school closures, workplace closures, and other impoverishing policies during the Covid-19 response. In 2019, WHO made clear that these dangers should prevent actions we now call ‘lockdowns’ from being imposed. Deeply concerned by the gross inequities at national and international levels that hindered timely and equitable access to medical and other Covid-19 pandemic-related products, and the serious shortcomings in pandemic preparedness. In terms of health equity (as distinct from commodity of ‘vaccine’ equity), inequity in the Covid-19 response was not in failing to provide a vaccine against former variants to immune, young people in low-income countries who were at far higher risk from endemic diseases, but in the disproportionate harm to them of uniformly-imposed NPIs that reduced current and future income and basic healthcare, as was noted by the WHO in 2019 Pandemic Influenza recommendations. The failure of the text to recognize this suggests that lessons from Covid-19 have not informed this draft Agreement. The WHO has not yet demonstrated how pandemic ‘preparedness,’ in the terms they use below, would have reduced impact, given that there is poor correlation between strictness or speed of response and eventual outcomes. Reiterating the need to work towards…an equitable approach to mitigate the risk that pandemics exacerbate existing inequities in access to health services, As above – in the past century, the issue of inequity has been most pronounced in pandemic response, rather than the impact of the virus itself (excluding the physiological variation in risk). Most recorded deaths from acute pandemics, since the Spanish flu, were during Covid-19, in which the virus hit mainly sick elderly, but response impacted working-age adults and children heavily and will continue to have effect, due to increased poverty and debt; reduced education and child marriage, in future generations. These have disproportionately affected lower-income people, and particularly women. The lack of recognition of this in this document, though they are recognized by the World Bank and UN agencies elsewhere, must raise real questions on whether this Agreement has been thoroughly thought through, and the process of development been sufficiently inclusive and objective. Chapter I. Introduction Article 1. Use of terms (i) “pathogen with pandemic potential” means any pathogen that has been identified to infect a human and that is: novel (not yet characterized) or known (including a variant of a known pathogen), potentially highly transmissible and/or highly virulent with the potential to cause a public health emergency of international concern. This provides a very wide scope to alter provisions. Any pathogen that can infect humans and is potentially highly transmissible or virulent, though yet uncharacterized means virtually any coronavirus, influenza virus, or a plethora of other relatively common pathogen groups. The IHR Amendments intend that the DG alone can make this call, over the advice of others, as occurred with monkeypox in 2022. (j) “persons in vulnerable situations” means individuals, groups or communities with a disproportionate increased risk of infection, severity, disease or mortality. This is a good definition – in Covid-19 context, would mean the sick elderly, and so is relevant to targeting a response. “Universal health coverage” means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. While the general UHC concept is good, it is time a sensible (rather than patently silly) definition was adopted. Society cannot afford the full range of possible interventions and remedies for all, and clearly there is a scale of cost vs benefit that prioritizes certain ones over others. Sensible definitions make action more likely, and inaction harder to justify. One could argue that none should have the full range until all have good basic care, but clearly the earth will not support ‘the full range’ for 8 billion people. Article 2. Objective This Agreement is specifically for pandemics (a poorly defined term but essentially a pathogen that spreads rapidly across national borders). In contrast, the IHR amendments accompanying it are broader in scope – for any public health emergencies of international concern. Article 3. Principles 2. the sovereign right of States to adopt, legislate and implement legislation The amendments to the IHR require States to undertake to follow WHO instructions ahead of time, before such instruction and context are known. These two documents must be understood, as noted later in the Agreement draft, as complementary. 3. equity as the goal and outcome of pandemic prevention, preparedness and response, ensuring the absence of unfair, avoidable or remediable differences among groups of people. This definition of equity here needs clarification. In the pandemic context, the WHO emphasized commodity (vaccine) equity during the Covid-19 response. Elimination of differences implied equal access to Covid-19 vaccines in countries with large aging, obese highly vulnerable populations (e.g. the USA or Italy), and those with young populations at minimal risk and with far more pressing health priorities (e.g. Niger or Uganda). Alternatively, but equally damaging, equal access to different age groups within a country when the risk-benefit ratio is clearly greatly different. This promotes worse health outcomes by diverting resources from where they are most useful, as it ignores heterogeneity of risk. Again, an adult approach is required in international agreements, rather than feel-good sentences, if they are going to have a positive impact. 5. …a more equitable and better prepared world to prevent, respond to and recover from pandemics As with ‘3’ above, this raises a fundamental problem: What if health equity demands that some populations divert resources to childhood nutrition and endemic diseases rather than the latest pandemic, as these are likely of far higher burden to many younger but lower-income populations? This would not be equity in the definition implied here, but would clearly lead to better and more equal health outcomes. The WHO must decide whether it is about uniform action, or minimizing poor health, as these are clearly very different. They are the difference between the WHO’s commodity equity, and true health equity. Chapter II. The world together equitably: achieving equity in, for and through pandemic prevention, preparedness and response Equity in health should imply a reasonably equal chance of overcoming or avoiding preventable sickness. The vast majority of sickness and death is due to either non-communicable diseases often related to lifestyle, such as obesity and type 2 diabetes mellitus, undernutrition in childhood, and endemic infectious diseases such as tuberculosis, malaria, and HIV/AIDS. Achieving health equity would primarily mean addressing these. In this chapter of the draft Pandemic Agreement, equity is used to imply equal access to specific health commodities, particularly vaccines, for intermittent health emergencies, although these exert a small fraction of the burden of other diseases. It is, specifically, commodity-equity, and not geared to equalizing overall health burden but to enabling centrally-coordinated homogenous responses to unusual events. Article 4. Pandemic prevention and surveillance 2. The Parties shall undertake to cooperate: (b) in support of…initiatives aimed at preventing pandemics, in particular those that improve surveillance, early warning and risk assessment; .…and identify settings and activities presenting a risk of emergence and re-emergence of pathogens with pandemic potential. (c-h) [Paragraphs on water and sanitation, infection control, strengthening of biosafety, surveillance and prevention of vector-born diseases, and addressing antimicrobial resistance.] The WHO intends the Agreement to have force under international law. Therefore, countries are undertaking to put themselves under force of international law in regards to complying with the agreement’s stipulations. The provisions under this long article mostly cover general health stuff that countries try to do anyway. The difference will be that countries will be assessed on progress. Assessment can be fine if in context, less fine if it consists of entitled ‘experts’ from wealthy countries with little local knowledge or context. Perhaps such compliance is best left to national authorities, who are more in use with local needs and priorities. The justification for the international bureaucracy being built to support this, while fun for those involved, is unclear and will divert resources from actual health work. 6. The Conference of the Parties may adopt, as necessary, guidelines, recommendations and standards, including in relation to pandemic prevention capacities, to support the implementation of this Article. Here and later, the COP is invoked as a vehicle to decide on what will actually be done. The rules are explained later (Articles 21-23). While allowing more time is sensible, it begs the question of why it is not better to wait and discuss what is needed in the current INB process, before committing to a legally-binding agreement. This current article says nothing not already covered by the IHR2005 or other ongoing programs. Article 5. One Health approach to pandemic prevention, preparedness and response Nothing specific or new in this article. It seems redundant (it is advocating a holistic approach mentioned elsewhere) and so presumably is just to get the term ‘One Health’ into the agreement. (One could ask, why bother?) Some mainstream definitions of One Health (e.g. Lancet) consider that it means non-human species are on a par with humans in terms of rights and importance. If this is meant here, clearly most Member States would disagree. So we may assume that it is just words to keep someone happy (a little childish in an international document, but the term ‘One Health’ has been trending, like ‘equity,’ as if the concept of holistic approaches to public health were new). Article 6. Preparedness, health system resilience and recovery 2. Each Party commits…[to] : (a) routine and essential health services during pandemics with a focus on primary health care, routine immunization and mental health care, and with particular attention to persons in vulnerable situations (b) developing, strengthening and maintaining health infrastructure (c) developing post-pandemic health system recovery strategies (d) developing, strengthening and maintaining: health information systems This is good, and (a) seems to require avoidance of lockdowns (which inevitably cause the harms listed). Unfortunately other WHO documents lead one to assume this is not the intent…It does appear therefore that this is simply another list of fairly non-specific feel-good measures that have no useful place in a new legally-binding agreement, and which most countries are already undertaking. (e) promoting the use of social and behavioural sciences, risk communication and community engagement for pandemic prevention, preparedness and response. This requires clarification, as the use of behavioral science during the Covid-19 response involved deliberate inducement of fear to promote behaviors that people would not otherwise follow (e.g. Spi-B). It is essential here that the document clarifies how behavioral science should be used ethically in healthcare. Otherwise, this is also a quite meaningless provision. Article 7. Health and care workforce This long Article discusses health workforce, training, retention, non-discrimination, stigma, bias, adequate remuneration, and other standard provisions for workplaces. It is unclear why it is included in a legally binding pandemic agreement, except for: 4. [The Parties]…shall invest in establishing, sustaining, coordinating and mobilizing a skilled and trained multidisciplinary global public health emergency workforce…Parties having established emergency health teams should inform WHO thereof and make best efforts to respond to requests for deployment… Emergency health teams established (within capacity etc.) – are something countries already do, when they have capacity. There is no reason to have this as a legally-binding instrument, and clearly no urgency to do so. Article 8. Preparedness monitoring and functional reviews 1. The Parties shall, building on existing and relevant tools, develop and implement an inclusive, transparent, effective and efficient pandemic prevention, preparedness and response monitoring and evaluation system. 2. Each Party shall assess, every five years, with technical support from the WHO Secretariat upon request, the functioning and readiness of, and gaps in, its pandemic prevention, preparedness and response capacity, based on the relevant tools and guidelines developed by WHO in partnership with relevant organizations at international, regional and sub-regional levels. Note that this is being required of countries that are already struggling to implement monitoring systems for major endemic diseases, including tuberculosis, malaria, HIV, and nutritional deficiencies. They will be legally bound to divert resources to pandemic prevention. While there is some overlap, it will inevitably divert resources from currently underfunded programs for diseases of far higher local burdens, and so (not theoretically, but inevitably) raise mortality. Poor countries are being required to put resources into problems deemed significant by richer countries. Article 9. Research and development Various general provisions about undertaking background research that countries are generally doing anyway, but with an ’emerging disease’ slant. Again, the INB fails to justify why this diversion of resources from researching greater disease burdens should occur in all countries (why not just those with excess resources?). Article 10. Sustainable and geographically diversified production Mostly non-binding but suggested cooperation on making pandemic-related products available, including support for manufacturing in “inter-pandemic times” (a fascinating rendering of ‘normal’), when they would only be viable through subsidies. Much of this is probably unimplementable, as it would not be practical to maintain facilities in most or all countries on stand-by for rare events, at cost of resources otherwise useful for other priorities. The desire to increase production in ‘developing’ countries will face major barriers and costs in terms of maintaining quality of production, particularly as many products will have limited use outside of rare outbreak situations. Article 11. Transfer of technology and know-how This article, always problematic for large pharmaceutical corporations sponsoring much WHO outbreak activities, is now watered down to weak requirements to ‘consider,’ promote,’ provide, within capabilities’ etc. Article 12. Access and benefit sharing This Article is intended to establish the WHO Pathogen Access and Benefit-Sharing System (PABS System). PABS is intended to “ensure rapid, systematic and timely access to biological materials of pathogens with pandemic potential and the genetic sequence data.” This system is of potential high relevance and needs to be interpreted in the context that SARS-CoV-2, the pathogen causing the recent Covid-19 outbreak, was highly likely to have escaped from a laboratory. PABS is intended to expand the laboratory storage, transport, and handling of such viruses, under the oversight of the WHO, an organization outside of national jurisdiction with no significant direct experience in handling biological materials. 3. When a Party has access to a pathogen [it shall]: (a) share with WHO any pathogen sequence information as soon as it is available to the Party; (b) as soon as biological materials are available to the Party, provide the materials to one or more laboratories and/or biorepositories participating in WHO-coordinated laboratory networks (CLNs), Subsequent clauses state that benefits will be shared, and seek to prevent recipient laboratories from patenting materials received from other countries. This has been a major concern of low-and middle-income countries previously, who perceive that institutions in wealthy countries patent and benefit from materials derived from less-wealthy populations. It remains to be seen whether provisions here will be sufficient to address this. The article then becomes yet more concerning: 6. WHO shall conclude legally binding standard PABS contracts with manufacturers to provide the following, taking into account the size, nature and capacities of the manufacturer: (a) annual monetary contributions to support the PABS System and relevant capacities in countries; the determination of the annual amount, use, and approach for monitoring and accountability, shall be finalized by the Parties; (b) real-time contributions of relevant diagnostics, therapeutics or vaccines produced by the manufacturer, 10% free of charge and 10% at not-for-profit prices during public health emergencies of international concern or pandemics, … It is clearly intended that the WHO becomes directly involved in setting up legally binding manufacturing contracts, despite the WHO being outside of national jurisdictional oversight, within the territories of Member States. The PABS system, and therefore its staff and dependent entities, are also to be supported in part by funds from the manufacturers whom they are supposed to be managing. The income of the organization will be dependent on maintaining positive relationships with these private entities in a similar way in which many national regulatory agencies are dependent upon funds from pharmaceutical companies whom their staff ostensibly regulate. In this case, the regulator will be even further removed from public oversight. The clause on 10% (why 10?) products being free of charge, and similar at cost, while ensuring lower-priced commodities irrespective of actual need (the outbreak may be confined to wealthy countries). The same entity, the WHO, will determine whether the triggering emergency exists, determine the response, and manage the contracts to provide the commodities, without direct jurisdictional oversight regarding the potential for corruption or conflict of interest. It is a remarkable system to suggest, irrespective of political or regulatory environment. 8. The Parties shall cooperate…public financing of research and development, prepurchase agreements, or regulatory procedures, to encourage and facilitate as many manufacturers as possible to enter into standard PABS contracts as early as possible. The article envisions that public funding will be used to build the process, ensuring essentially no-risk private profit. 10. To support operationalization of the PABS System, WHO shall…make such contracts public, while respecting commercial confidentiality. The public may know whom contracts are made with, but not all details of the contracts. There will therefore be no independent oversight of the clauses agreed between the WHO, a body outside of national jurisdiction and dependent of commercial companies for funding some of its work and salaries, and these same companies, on ‘needs’ that the WHO itself will have sole authority, under the proposed amendments to the IHR, to determine. The Article further states that the WHO shall use its own product regulatory system (prequalification) and Emergency Use Listing Procedure to open and stimulate markets for the manufacturers of these products. It is doubtful that any national government could make such an overall agreement, yet in May 2024 they will be voting to provide this to what is essentially a foreign, and partly privately financed, entity. Article 13. Supply chain and logistics The WHO will become convenor of a ‘Global Supply Chain and Logistics Network’ for commercially-produced products, to be supplied under WHO contracts when and where the WHO determines, whilst also having the role of ensuring safety of such products. Having mutual support coordinated between countries is good. Having this run by an organization that is significantly funded directly by those gaining from the sale of these same commodities seems reckless and counterintuitive. Few countries would allow this (or at least plan for it). For this to occur safely, the WHO would logically have to forgo all private investment, and greatly restrict national specified funding contributions. Otherwise, the conflicts of interest involved would destroy confidence in the system. There is no suggestion of such divestment from the WHO, but rather, as in Article 12, private sector dependency, directly tied to contracts, will increase. Article 13bis: National procurement- and distribution-related provisions While suffering the same (perhaps unavoidable) issues regarding commercial confidentiality, this alternate Article 13 seems far more appropriate, keeping commercial issues under national jurisdiction and avoiding the obvious conflict of interests that underpin funding for WHO activities and staffing. Article 14. Regulatory systems strengthening This entire Article reflects initiatives and programs already in place. Nothing here appears likely to add to current effort. Article 15. Liability and compensation management 1. Each Party shall consider developing, as necessary and in accordance with applicable law, national strategies for managing liability in its territory related to pandemic vaccines…no-fault compensation mechanisms… 2. The Parties…shall develop recommendations for the establishment and implementation of national, regional and/or global no-fault compensation mechanisms and strategies for managing liability during pandemic emergencies, including with regard to individuals that are in a humanitarian setting or vulnerable situations. This is quite remarkable, but also reflects some national legislation, in removing any fault or liability specifically from vaccine manufacturers, for harms done in pushing out vaccines to the public. During the Covid-19 response, genetic therapeutics being developed by BioNtech and Moderna were reclassified as vaccines, on the basis that an immune response is stimulated after they have modified intracellular biochemical pathways as a medicine normally does. This enabled specific trials normally required for carcinogenicity and teratogenicity to be bypassed, despite raised fetal abnormality rates in animal trials. It will enable the CEPI 100-day vaccine program, supported with private funding to support private mRNA vaccine manufacturers, to proceed without any risk to the manufacturer should there be subsequent public harm. Together with an earlier provision on public funding of research and manufacturing readiness, and the removal of former wording requiring intellectual property sharing in Article 11, this ensures vaccine manufacturers and their investors make profit in effective absence of risk. These entities are currently heavily invested in support for WHO, and were strongly aligned with the introduction of newly restrictive outbreak responses that emphasized and sometimes mandated their products during the Covid-19 outbreak. Article 16. International collaboration and cooperation A somewhat pointless article. It suggests that countries cooperate with each other and the WHO to implement the other agreements in the Agreement. Article 17. Whole-of-government and whole-of-society approaches A list of essentially motherhood provisions related to planning for a pandemic. However, countries will legally be required to maintain a ‘national coordination multisectoral body’ for PPPR. This will essentially be an added burden on budgets, and inevitably divert further resources from other priorities. Perhaps just strengthening current infectious disease and nutritional programs would be more impactful. (Nowhere in this Agreement is nutrition discussed (essential for resilience to pathogens) and minimal wording is included on sanitation and clean water (other major reasons for reduction in infectious disease mortality over past centuries). However, the ‘community ownership’ wording is interesting (“empower and enable community ownership of, and contribution to, community readiness for and resilience [for PPPR]”), as this directly contradicts much of the rest of the Agreement, including the centralization of control under the Conference of Parties, requirements for countries to allocate resources to pandemic preparedness over other community priorities, and the idea of inspecting and assessing adherence to the centralized requirements of the Agreement. Either much of the rest of the Agreement is redundant, or this wording is purely for appearance and not to be followed (and therefore should be removed). Article 18. Communication and public awareness 1. Each Party shall promote timely access to credible and evidence-based information …with the aim of countering and addressing misinformation or disinformation… 2. The Parties shall, as appropriate, promote and/or conduct research and inform policies on factors that hinder or strengthen adherence to public health and social measures in a pandemic, as well as trust in science and public health institutions and agencies. The key word is as appropriate, given that many agencies, including the WHO, have overseen or aided policies during the Covid-19 response that have greatly increased poverty, child marriage, teenage pregnancy, and education loss. As the WHO has been shown to be significantly misrepresenting pandemic risk in the process of advocating for this Agreement and related instruments, its own communications would also fall outside the provision here related to evidence-based information, and fall within normal understandings of misinformation. It could not therefore be an arbiter of correctness of information here, so the Article is not implementable. Rewritten to recommend accurate evidence-based information being promoted, it would make good sense, but this is not an issue requiring a legally binding international agreement. Article 19. Implementation and support 3. The WHO Secretariat…organize the technical and financial assistance necessary to address such gaps and needs in implementing the commitments agreed upon under the Pandemic Agreement and the International Health Regulations (2005). As the WHO is dependent on donor support, its ability to address gaps in funding within Member States is clearly not something it can guarantee. The purpose of this article is unclear, repeating in paragraphs 1 and 2 the earlier intent for countries to generally support each other. Article 20. Sustainable financing 1. The Parties commit to working together…In this regard, each Party, within the means and resources at its disposal, shall: (a) prioritize and maintain or increase, as necessary, domestic funding for pandemic prevention, preparedness and response, without undermining other domestic public health priorities including for: (i) strengthening and sustaining capacities for the prevention, preparedness and response to health emergencies and pandemics, in particular the core capacities of the International Health Regulations (2005);… This is silly wording, as countries obviously have to prioritize within budgets, so that moving funds to one area means removing from another. The essence of public health policy is weighing and making such decisions; this reality seems to be ignored here through wishful thinking. (a) is clearly redundant, as the IHR (2005) already exists and countries have agreed to support it. 3. A Coordinating Financial Mechanism (the “Mechanism”) is hereby established to support the implementation of both the WHO Pandemic Agreement and the International Health Regulations (2005) This will be in parallel to the Pandemic Fund recently commenced by the World Bank – an issue not lost on INB delegates and so likely to change here in the final version. It will also be additive to the Global Fund to fight AIDS, tuberculosis, and malaria, and other health financing mechanisms, and so require another parallel international bureaucracy, presumably based in Geneva. It is intended to have its own capacity to “conduct relevant analyses on needs and gaps, in addition to tracking cooperation efforts,” so it will not be a small undertaking. Chapter III. Institutional and final provisions Article 21. Conference of the Parties 1. A Conference of the Parties is hereby established. 2. The Conference of the Parties shall keep under regular review, every three years, the implementation of the WHO Pandemic Agreement and take the decisions necessary to promote its effective implementation. This sets up the governing body to oversee this Agreement (another body requiring a secretariat and support). It is intended to meet within a year of the Agreement coming into force, and then set its own rules on meeting thereafter. It is likely that many provisions outlined in this draft of the Agreement will be deferred to the COP for further discussion. Articles 22 – 37 These articles cover the functioning of the Conference of Parties (COP) and various administrative issues. Of note, ‘block votes’ will be allowed from regional bodies (e.g. the EU). The WHO will provide the secretariat. Under Article 24 is noted: 3. Nothing in the WHO Pandemic Agreement shall be interpreted as providing the Secretariat of the World Health Organization, including the WHO Director-General, any authority to direct, order, alter or otherwise prescribe the domestic laws or policies of any Party, or to mandate or otherwise impose any requirements that Parties take specific actions, such as ban or accept travellers, impose vaccination mandates or therapeutic or diagnostic measures, or implement lockdowns. These provisions are explicitly stated in the proposed amendments to the IHR, to be considered alongside this agreement. Article 26 notes that the IHR is to be interpreted as compatible, thereby confirming that the IHR provisions including border closures and limits on freedom of movement, mandated vaccination, and other lockdown measures are not negated by this statement. As Article 26 states: “The Parties recognize that the WHO Pandemic Agreement and the International Health Regulations should be interpreted so as to be compatible.” Some would consider this subterfuge – The Director-General recently labeled as liars those who claimed the Agreement included these powers, whilst failing to acknowledge the accompanying IHR amendments. The WHO could do better in avoiding misleading messaging, especially when this involves denigration of the public. Article 32 (Withdrawal) requires that, once adopted, Parties cannot withdraw for a total of 3 years (giving notice after a minimum of 2 years). Financial obligations undertaken under the agreement continue beyond that time. Finally, the Agreement will come into force, assuming a two-thirds majority in the WHA is achieved (Article 19, WHO Constitution), 30 days after the fortieth country has ratified it. Further reading: WHO Pandemic Agreement Intergovernmental Negotiating Board website: https://inb.who.int/ International Health Regulations Working Group website: https://apps.who.int/gb/wgihr/index.html On background to the WHO texts: Amendments to WHO’s International Health Regulations: An Annotated Guide An Unofficial Q&A on International Health Regulations On urgency and burden of pandemics: https://essl.leeds.ac.uk/downloads/download/228/rational-policy-over-panic Disease X and Davos: This is Not the Way to Evaluate and Formulate Public Health Policy Before Preparing for Pandemics, We Need Better Evidence of Risk Revised Draft of the negotiating text of the WHO Pandemic Agreement: Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Authors David Bell David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA. View all posts Thi Thuy Van Dinh Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-who-pandemic-agreement-a-guide/ https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077
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    The WHO Pandemic Agreement: A Guide ⋆ Brownstone Institute
    The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic.
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  • ‘Operation Al-Aqsa Flood’ Day 178: Israel withdraws from al-Shifa Hospital, leaving evidence of a massacre in its wake
    Dozens of bodies are still being recovered from the rubble of a destroyed and burnt al-Shifa Hospital, following a two-week Israeli raid and siege on the hospital.

    Qassam MuaddiApril 1, 2024
    A destroyed and bombed out hospital room in the al-Shifa Hospital in the foreground; a burned edifice of the al-Shifa Hospital complex in the background.
    Palestinians assess the damage and search the rubble in the area of the destroyed al-Shifa Hospital in Gaza City on April 1, 2024. The Israeli army said Monday that it wrapped up its military operation at the al-Shifa Hospital complex following a 14-day siege and attack that resulted in scores of casualties and hundreds of arrests. (Khaled Daoud /apaimages)
    Casualties

    32,623 + killed* and at least 75,092 wounded in the Gaza Strip.
    450+ 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 6,800 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 has killed 140 Palestinians and wounded 202 in the Gaza Strip since Saturday morning, according to the Palestinian health ministry.
    Israeli army withdraws from al-Shifa Hospital complex after two-week siege, leaving total destruction in its wake and dozens of dead. Israeli military sources say al-Shifa “will not come back to operation” after withdrawal.
    Gaza’s interior ministry announces the arrest of 10 intelligence officers from the Ramallah-based Palestinian Authority, claiming that they entered Gaza in coordination with Israel to “destabilize the internal front.” Ramallah officially denies the claims.
    Gaza’s health ministry calls upon the international community to intervene to reopen Nasser Hospital in Khan Younis, which was put out of service by Israeli forces after sustained attacks in recent weeks.
    Israel announces killing of Hezbollah military commander in strike on southern Lebanon. Israeli strikes hit the Lebanese towns of al-Khyam and Markaba, while Hezbollah fires rockets on Israeli settlements and military bases in the Galilee.
    Israeli forces raid Jenin in the occupied West Bank amid arrest wave.
    Palestinians in Israel and West Bank march in commemoration of Palestinian Land Day protesting Gaza genocide.
    Israeli Channel 12: Over 6,800 Israeli soldiers wounded since October 7th.
    Israel kills 140 Palestinians in Gaza, including 10 journalists in targeted strike

    The Palestinian health ministry reported that Israeli forces committed 14 massacres across the Gaza Strip since Saturday, killing 140 Palestinians and wounding 202, raising the death toll of Israel’s assault since October 7 to 32,782 with more than 75,392 wounded.

    In Gaza City, medical sources reported finding at least 50 dead bodies in the surroundings of al-Shifa hospital after the Israeli army withdrew from the medical complex following two weeks of raids. The health ministry said in a statement on Sunday that medical staff are unable to recover the bodies and the wounded under the rubble.

    Palestinians search the rubble of destroyed and burned buildings of the Al-Shifa Hospital in Gaza City following a two-week Israeli raid.
    Palestinians search the rubble of destroyed and burned buildings of the al-Shifa Hospital in Gaza City following a two-week Israeli raid that claimed hundreds of casualties. The Israeli military said that the hospital will be inoperable following the withdrawal of its forces. (APA Images)
    On Sunday, Israeli airstrikes hit a residential building in the al-Daraj neighborhood in Gaza City, killing an unspecified number of Palestinians. In western Gaza City, Israeli strikes killed at least two Palestinians and wounded 10 in al-Shati refugee camp.

    In the central Gaza Strip, Israeli forces killed six Palestinians in a strike on a family house in al-Maghazi refugee camp. Israeli strikes also killed four Palestinians and wounded 15, including 10 journalists in a strike on a tent in the courtyard of the al-Aqsa Martyrs Hospital in Deir al-Balah.

    In the southern Gaza Strip, Israeli strikes continued over the weekend on Khan Younis and its surrounding villages. In Bani Suhaila, west of Khan Younis, Palestinian medical teams recovered five more bodies. Local media sources also reported that Israeli armored vehicles opened fire at Palestinian houses in Khuza’a, east of Khan Younis.

    Israeli army withdraws from al-Shifa Hospital after two-week attack, leaving ‘total destruction’

    The Israeli army withdrew from al-Shifa Hospital in Gaza City early on Monday, following 14 days of raids on Gaza’s largest medical complex. Testimonies from the ground reported finding at least 50 dead bodies in the complex, while medical sources said that “hundreds of bodies” continue to be found in the hospital’s vicinity.

    Israeli media quoted the Israeli army spokesperson saying that Israeli forces have “ended their operation” at al-Shifa, killing 200 Palestinians whom it claims to be members of Palestinian resistance groups, including a senior commander of Hamas’s military wing.

    The Israeli army repeated throughout the two-week-long raid that it took “precautions” to avoid harming civilians and civilian infrastructure. However, testimonies from journalists and civilians of executions and torture inside the hospital and photos of a completely burnt hospital indicate otherwise.

    Palestinians look on at the damaged and burned remaining edifice of al-Shifa Hospital, Gaza's largest hospital, which was destroyed by the Israeli military in a deadly two-week raid.
    Palestinians look on at the damaged and burned remaining edifice of al-Shifa Hospital, Gaza’s largest hospital, which was destroyed by the Israeli military in a deadly two-week raid. April 1, 2024 (APA Images)
    Palestinians rushed into al-Shifa following the withdrawal of Israeli forces, with reports from local media sources describing the “total destruction” of the hospital’s facilities.

    According to medical sources at al-Shifa, Israeli troops completely destroyed the specialized surgeries building and set fire to the rest of the building. Sources also indicated that Israeli soldiers also torched the reception and emergency buildings, destroying dozens of rooms and all of its equipment.

    Local sources added that Israeli forces destroyed or torched several residential buildings surrounding al-Shifa and that residents have recovered dozens of dead bodies in the streets surrounding the complex.

    On Monday, the Haboush family told news outlet Arab 48 as they evacuated the area that they had spent nine days with very little water at their home in al-Shifa’s vicinity. The family said that their eldest son was killed by an Israeli quadcopter drone and was left to bleed to death and then decompose before their eyes, as they couldn’t risk recovering his body under Israeli fire.

    On the second day of the Israeli raid, Palestinian Gaza-based journalist Bayan Abu Sultan reported through her X account that Israeli forces killed her brother in the surroundings of al-Shifa.

    Palestinian medical sources said in the aftermath of Israel’s withdrawal from al-Shifa that the medical complex was completely inoperational and that it will be “very difficult to resume work in al-Shifa in the current stage.”

    Hours prior to Israeli forces’ withdrawal, the Director General of the World Health Organization, Tedros Adhom Ghebreyesus, called upon opening a humanitarian corridor to al-Shifa.

    Ghebreyesus added that 21 Palestinian patients have died inside al-Shifa during the Israeli raid since March 19 and that 107 more patients are still inside the hospital in inappropriate medical conditions, including four children and 28 in critical condition. Ghebreyesus indicated that the patients include some with wound inflammation, due to the lack of clean water.

    Israeli army sources also said through the Israeli army radio that al-Shifa Hospital “will not come back to work” after the destruction it suffered during the Israeli military raid.

    Israeli forces had raided al-Shifa in November and forced Palestinians, including patients and medical staff, to exit, leaving behind several newborn babies without functioning incubators.

    Palestinians returned to al-Shifa following the first Israeli withdrawal from the hospital in December, where journalists reported finding the left-behind-babies decomposing.

    Gaza interior ministry accuses PA intelligence of ‘infiltrating Gaza in coordination with Israel


    The Gaza-based Palestinian interior ministry, which is administered by Hamas, said on Monday that an intelligence force belonging to the Ramallah-based Palestinian Authority, led by Hamas’ political rival Fatah, entered the Gaza Strip on Saturday.

    The ministry announced arresting the force’s members, whom it claimed were on a mission to “sabotage the internal front” in Gaza. A Palestinian Authority senior official denied accusations on Monday in statements to the PA-affiliated Wafa agency.

    According to Gaza authorities, the intelligence force entered on Saturday in Egyptian Red Crescent trucks that were allegedly allowed into the Strip by Israel. Gaza officials added that Egyptian authorities denied having any knowledge of the alleged infiltration.

    An official in the Gaza interior ministry said that the force entered by direct orders of the Ramallah-based Palestinian general intelligence apparatus chief, Majed Faraj, with the mission of “spreading chaos,” and in coordination with the Israeli army and the Israeli internal security intelligence – the Shin Bet, or as it’s known locally, the Shabak.

    The official noted that the Gaza security forces received instructions from the ‘Palestinian resistance factions joint operation group,’ the coordinating body of a dozen Palestinian armed factions in the Strip. The instructions, according to the official, were to intercept the alleged force “and any security force that enters Gaza other than through the resistance.”

    On Monday, the Palestinian Authority’s official Wafa news agency quoted a senior PA official calling the Gaza interior ministry statement “an enraged media campaign to cover up the suffering of our people in Gaza.”

    The Israeli Kan channel had reported earlier that Israel’s war minister Yoav Gallant had proposed Majed Faraj take charge of running the Strip after the war in cooperation with local figures who wouldn’t include members of Hamas.

    Last week, The White House spokesperson Mathew Miller said that one of the U.S. administration’s orders for a post-war Gaza is that the PA must run both the West Bank and the Gaza Strip. Miller added that the U.S. is discussing with the PA and other countries in the region all the issues concerning the administration of the Strip after the war, without giving further details.

    600 Israeli soldiers killed, 6,800 wounded as fighting with Palestinian resistance continues

    The Israeli army announced on Monday that a soldier from its 77th brigade was killed in combat with the Palestinian resistance in the Gaza Strip, as Israeli media outlets reported that 600 Israeli soldiers and officers have been killed since October 7, and 6,800 have been wounded.

    The Israeli army, which delays the announcement of its losses under strict military censorship, has so far admitted the loss of 264 soldiers and officers since the beginning of its ground invasion of the Gaza Strip in November.

    Meanwhile, the al-Qassam Brigades, the armed wing of Hamas, announced that its fighters targeted an Israeli tank in Khan Younis with an armor-piercing explosive device and that Israeli military helicopters rushed to evacuate casualties.

    Al-Qassam also announced that its fighters engaged Israeli soldiers with an anti-fortification projectile inside a house near the Nasser Hospital, west of Khan Younis. Al-Qassam added that it targeted Israeli troops in the vicinity of al-Shifa Hospital in Gaza City with mortar rounds.

    Simultaneously, the armed wing of the Palestinian Islamic Jihad -PIJ announced that its fighters engaged Israeli forces in the al-Qarara neighborhood in Khan Younis.

    For its part, the Israeli army announced that it continues to fight Palestinian factions in al-Qarara and that 81 soldiers were wounded in the southern Gaza Strip in the past week.

    Qassam Muaddi
    Qassam Muaddi is the Palestine Staff Writer for Mondoweiss.



    https://mondoweiss.net/2024/04/operation-al-aqsa-flood-day-178-israel-withdraws-from-al-shifa-hospital-leaving-evidence-of-a-massacre-in-its-wake/
    ‘Operation Al-Aqsa Flood’ Day 178: Israel withdraws from al-Shifa Hospital, leaving evidence of a massacre in its wake Dozens of bodies are still being recovered from the rubble of a destroyed and burnt al-Shifa Hospital, following a two-week Israeli raid and siege on the hospital. Qassam MuaddiApril 1, 2024 A destroyed and bombed out hospital room in the al-Shifa Hospital in the foreground; a burned edifice of the al-Shifa Hospital complex in the background. Palestinians assess the damage and search the rubble in the area of the destroyed al-Shifa Hospital in Gaza City on April 1, 2024. The Israeli army said Monday that it wrapped up its military operation at the al-Shifa Hospital complex following a 14-day siege and attack that resulted in scores of casualties and hundreds of arrests. (Khaled Daoud /apaimages) Casualties 32,623 + killed* and at least 75,092 wounded in the Gaza Strip. 450+ 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 6,800 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 has killed 140 Palestinians and wounded 202 in the Gaza Strip since Saturday morning, according to the Palestinian health ministry. Israeli army withdraws from al-Shifa Hospital complex after two-week siege, leaving total destruction in its wake and dozens of dead. Israeli military sources say al-Shifa “will not come back to operation” after withdrawal. Gaza’s interior ministry announces the arrest of 10 intelligence officers from the Ramallah-based Palestinian Authority, claiming that they entered Gaza in coordination with Israel to “destabilize the internal front.” Ramallah officially denies the claims. Gaza’s health ministry calls upon the international community to intervene to reopen Nasser Hospital in Khan Younis, which was put out of service by Israeli forces after sustained attacks in recent weeks. Israel announces killing of Hezbollah military commander in strike on southern Lebanon. Israeli strikes hit the Lebanese towns of al-Khyam and Markaba, while Hezbollah fires rockets on Israeli settlements and military bases in the Galilee. Israeli forces raid Jenin in the occupied West Bank amid arrest wave. Palestinians in Israel and West Bank march in commemoration of Palestinian Land Day protesting Gaza genocide. Israeli Channel 12: Over 6,800 Israeli soldiers wounded since October 7th. Israel kills 140 Palestinians in Gaza, including 10 journalists in targeted strike The Palestinian health ministry reported that Israeli forces committed 14 massacres across the Gaza Strip since Saturday, killing 140 Palestinians and wounding 202, raising the death toll of Israel’s assault since October 7 to 32,782 with more than 75,392 wounded. In Gaza City, medical sources reported finding at least 50 dead bodies in the surroundings of al-Shifa hospital after the Israeli army withdrew from the medical complex following two weeks of raids. The health ministry said in a statement on Sunday that medical staff are unable to recover the bodies and the wounded under the rubble. Palestinians search the rubble of destroyed and burned buildings of the Al-Shifa Hospital in Gaza City following a two-week Israeli raid. Palestinians search the rubble of destroyed and burned buildings of the al-Shifa Hospital in Gaza City following a two-week Israeli raid that claimed hundreds of casualties. The Israeli military said that the hospital will be inoperable following the withdrawal of its forces. (APA Images) On Sunday, Israeli airstrikes hit a residential building in the al-Daraj neighborhood in Gaza City, killing an unspecified number of Palestinians. In western Gaza City, Israeli strikes killed at least two Palestinians and wounded 10 in al-Shati refugee camp. In the central Gaza Strip, Israeli forces killed six Palestinians in a strike on a family house in al-Maghazi refugee camp. Israeli strikes also killed four Palestinians and wounded 15, including 10 journalists in a strike on a tent in the courtyard of the al-Aqsa Martyrs Hospital in Deir al-Balah. In the southern Gaza Strip, Israeli strikes continued over the weekend on Khan Younis and its surrounding villages. In Bani Suhaila, west of Khan Younis, Palestinian medical teams recovered five more bodies. Local media sources also reported that Israeli armored vehicles opened fire at Palestinian houses in Khuza’a, east of Khan Younis. Israeli army withdraws from al-Shifa Hospital after two-week attack, leaving ‘total destruction’ The Israeli army withdrew from al-Shifa Hospital in Gaza City early on Monday, following 14 days of raids on Gaza’s largest medical complex. Testimonies from the ground reported finding at least 50 dead bodies in the complex, while medical sources said that “hundreds of bodies” continue to be found in the hospital’s vicinity. Israeli media quoted the Israeli army spokesperson saying that Israeli forces have “ended their operation” at al-Shifa, killing 200 Palestinians whom it claims to be members of Palestinian resistance groups, including a senior commander of Hamas’s military wing. The Israeli army repeated throughout the two-week-long raid that it took “precautions” to avoid harming civilians and civilian infrastructure. However, testimonies from journalists and civilians of executions and torture inside the hospital and photos of a completely burnt hospital indicate otherwise. Palestinians look on at the damaged and burned remaining edifice of al-Shifa Hospital, Gaza's largest hospital, which was destroyed by the Israeli military in a deadly two-week raid. Palestinians look on at the damaged and burned remaining edifice of al-Shifa Hospital, Gaza’s largest hospital, which was destroyed by the Israeli military in a deadly two-week raid. April 1, 2024 (APA Images) Palestinians rushed into al-Shifa following the withdrawal of Israeli forces, with reports from local media sources describing the “total destruction” of the hospital’s facilities. According to medical sources at al-Shifa, Israeli troops completely destroyed the specialized surgeries building and set fire to the rest of the building. Sources also indicated that Israeli soldiers also torched the reception and emergency buildings, destroying dozens of rooms and all of its equipment. Local sources added that Israeli forces destroyed or torched several residential buildings surrounding al-Shifa and that residents have recovered dozens of dead bodies in the streets surrounding the complex. On Monday, the Haboush family told news outlet Arab 48 as they evacuated the area that they had spent nine days with very little water at their home in al-Shifa’s vicinity. The family said that their eldest son was killed by an Israeli quadcopter drone and was left to bleed to death and then decompose before their eyes, as they couldn’t risk recovering his body under Israeli fire. On the second day of the Israeli raid, Palestinian Gaza-based journalist Bayan Abu Sultan reported through her X account that Israeli forces killed her brother in the surroundings of al-Shifa. Palestinian medical sources said in the aftermath of Israel’s withdrawal from al-Shifa that the medical complex was completely inoperational and that it will be “very difficult to resume work in al-Shifa in the current stage.” Hours prior to Israeli forces’ withdrawal, the Director General of the World Health Organization, Tedros Adhom Ghebreyesus, called upon opening a humanitarian corridor to al-Shifa. Ghebreyesus added that 21 Palestinian patients have died inside al-Shifa during the Israeli raid since March 19 and that 107 more patients are still inside the hospital in inappropriate medical conditions, including four children and 28 in critical condition. Ghebreyesus indicated that the patients include some with wound inflammation, due to the lack of clean water. Israeli army sources also said through the Israeli army radio that al-Shifa Hospital “will not come back to work” after the destruction it suffered during the Israeli military raid. Israeli forces had raided al-Shifa in November and forced Palestinians, including patients and medical staff, to exit, leaving behind several newborn babies without functioning incubators. Palestinians returned to al-Shifa following the first Israeli withdrawal from the hospital in December, where journalists reported finding the left-behind-babies decomposing. Gaza interior ministry accuses PA intelligence of ‘infiltrating Gaza in coordination with Israel The Gaza-based Palestinian interior ministry, which is administered by Hamas, said on Monday that an intelligence force belonging to the Ramallah-based Palestinian Authority, led by Hamas’ political rival Fatah, entered the Gaza Strip on Saturday. The ministry announced arresting the force’s members, whom it claimed were on a mission to “sabotage the internal front” in Gaza. A Palestinian Authority senior official denied accusations on Monday in statements to the PA-affiliated Wafa agency. According to Gaza authorities, the intelligence force entered on Saturday in Egyptian Red Crescent trucks that were allegedly allowed into the Strip by Israel. Gaza officials added that Egyptian authorities denied having any knowledge of the alleged infiltration. An official in the Gaza interior ministry said that the force entered by direct orders of the Ramallah-based Palestinian general intelligence apparatus chief, Majed Faraj, with the mission of “spreading chaos,” and in coordination with the Israeli army and the Israeli internal security intelligence – the Shin Bet, or as it’s known locally, the Shabak. The official noted that the Gaza security forces received instructions from the ‘Palestinian resistance factions joint operation group,’ the coordinating body of a dozen Palestinian armed factions in the Strip. The instructions, according to the official, were to intercept the alleged force “and any security force that enters Gaza other than through the resistance.” On Monday, the Palestinian Authority’s official Wafa news agency quoted a senior PA official calling the Gaza interior ministry statement “an enraged media campaign to cover up the suffering of our people in Gaza.” The Israeli Kan channel had reported earlier that Israel’s war minister Yoav Gallant had proposed Majed Faraj take charge of running the Strip after the war in cooperation with local figures who wouldn’t include members of Hamas. Last week, The White House spokesperson Mathew Miller said that one of the U.S. administration’s orders for a post-war Gaza is that the PA must run both the West Bank and the Gaza Strip. Miller added that the U.S. is discussing with the PA and other countries in the region all the issues concerning the administration of the Strip after the war, without giving further details. 600 Israeli soldiers killed, 6,800 wounded as fighting with Palestinian resistance continues The Israeli army announced on Monday that a soldier from its 77th brigade was killed in combat with the Palestinian resistance in the Gaza Strip, as Israeli media outlets reported that 600 Israeli soldiers and officers have been killed since October 7, and 6,800 have been wounded. The Israeli army, which delays the announcement of its losses under strict military censorship, has so far admitted the loss of 264 soldiers and officers since the beginning of its ground invasion of the Gaza Strip in November. Meanwhile, the al-Qassam Brigades, the armed wing of Hamas, announced that its fighters targeted an Israeli tank in Khan Younis with an armor-piercing explosive device and that Israeli military helicopters rushed to evacuate casualties. Al-Qassam also announced that its fighters engaged Israeli soldiers with an anti-fortification projectile inside a house near the Nasser Hospital, west of Khan Younis. Al-Qassam added that it targeted Israeli troops in the vicinity of al-Shifa Hospital in Gaza City with mortar rounds. Simultaneously, the armed wing of the Palestinian Islamic Jihad -PIJ announced that its fighters engaged Israeli forces in the al-Qarara neighborhood in Khan Younis. For its part, the Israeli army announced that it continues to fight Palestinian factions in al-Qarara and that 81 soldiers were wounded in the southern Gaza Strip in the past week. Qassam Muaddi Qassam Muaddi is the Palestine Staff Writer for Mondoweiss. https://mondoweiss.net/2024/04/operation-al-aqsa-flood-day-178-israel-withdraws-from-al-shifa-hospital-leaving-evidence-of-a-massacre-in-its-wake/
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    ‘Operation Al-Aqsa Flood’ Day 178: Israel withdraws from al-Shifa Hospital, leaving evidence of a massacre in its wake
    Dozens of bodies are still being recovered from the rubble of a destroyed and burnt al-Shifa Hospital, following a two-week Israeli raid and siege on the hospital.
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