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Costing the intergovernmental negotiating body (INB) process.

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The development of a pandemic treaty by the Intergovernmental Negotiating Body (INB) cost approximately $257 million. This analysis quantizes the financial investment in global health security governance.

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Area of Science:

  • Global Health Governance
  • International Relations
  • Health Economics

Background:

  • The World Health Organization (WHO) established the Intergovernmental Negotiating Body (INB) to negotiate a pandemic instrument.
  • The INB process involved 15 sessions and extensive work on government positions for pandemic preparedness and response (PPR).
  • Developing international treaties incurs significant human resource and travel costs.

Purpose of the Study:

  • To quantify the financial cost of the INB process for negotiating a pandemic instrument.
  • To estimate the total cost of combined governance development, including the parallel WGIHR process.
  • To contextualize these costs against annual pandemic preparedness spending and opportunity costs.

Main Methods:

  • Cost estimation based on human resources and travel expenses for the INB and WGIHR processes.
  • Calculation of total expenditure for the treaty negotiation and associated governance development.
  • Comparative analysis against estimated annual costs for pandemic preparedness.

Main Results:

  • The INB process cost approximately US$201,343,032.
  • The parallel WGIHR process cost an estimated US$56,024,830.
  • The total estimated cost for combined governance development is US$257,367,862.

Conclusions:

  • This study provides one of the first financial estimates for the development and negotiation of multilateral treaties.
  • The significant investment in governance development warrants consideration of opportunity costs in relation to operational health security.
  • Understanding the financial implications of global health governance is crucial for future pandemic preparedness strategies.