{
  "abstract": "The Pandemic Agreement’s (PA’s) unanimous adoption by the 78th World Health Assembly is an important step in preparing domestic and international health systems for future pandemics. As the PA undergoes ratification by individual member states, and the Intergovernmental Working Group prepares the Annex on Pathogen Access and Benefit Sharing that includes vaccines and therapeutics, it is imperative that it is implemented with fidelity to its stated values. As ethicists specialising in public health and global health, we applaud the centrality that equity, solidarity and trust enjoy in the PA. At the same time, we caution that without explicitly naming the injustices that lead to health inequities, like colonialism, efforts to build trust and solidarity to achieve equity will fail. We fully acknowledge that the negotiations for the PA were contentious and that its adoption was likely based, in part, on intentionally overlooking historical injustices. Despite—or perhaps in spite—of that ahistorical compromise, recognising the root causes of global health inequity will be critical for the PA’s success so that it does not merely serve the existing unjust status quo. Now that the PA has been adopted, we highlight how this can be achieved in the interpretation and implementation of the PA’s own values.",
  "authors": [
    {
      "affiliations": [
        "Sydney Health Ethics, The University of Sydney School of Public Health, Sydney, New South Wales, Australia"
      ],
      "name": "Diego S Silva"
    },
    {
      "affiliations": [
        "Sydney Health Ethics, The University of Sydney School of Public Health, Sydney, New South Wales, Australia"
      ],
      "name": "Kari Pahlman"
    },
    {
      "affiliations": [
        "Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada"
      ],
      "name": "Maxwell J Smith"
    }
  ],
  "title": "Achieving equity to fully realise the pandemic agreement",
  "uid": "7b0614b7-c51d-559b-a46a-3b124e0cc10e"
}