Tag Archives: global health

Biden Legacy: Biden-Harris Administration Releases Global Health Security Annual Report Demonstrating the Impact of United States Leadership and Investments

Shortly after taking office, President Biden successfully set up the most ambitious vaccination delivery program since the polio vaccine in the 1950s, saving millions of lives. He was determined to make progress toward a world that is safe from biological threats and as he leaves office, issued global health  security report, highlighting progress and identifying remaining challenges. © Karen Rubin/news-photos-features.com

President Biden and Vice President Harris came into office determined to end the COVID-19 pandemic while making progress toward a world that is safe from biological threats. Today we are releasing the final annual global health security report of the Biden-Harris Administration, U.S. Government Support for Global Health Security – Protecting Lives and Safeguarding Economies, which highlights progress in global health security and identifies remaining challenges. This fact sheet was provided by the White House:
 
The Biden-Harris Administration has advanced a bold agenda to prevent the devastating toll of outbreaks and pandemics, including investing more than $3 billion in strengthening global health security (GHS) since 2020. These investments have helped to: prepare countries around the world to more effectively prevent, detect and respond to biological threats; build stronger and more effective regional and global institutions to support health emergency preparedness and response; and respond rapidly to numerous outbreaks – from Ebola to mpox – to limit the health and economic impacts on the American people, as well as people living around the world. U.S. leadership in global health security is built on decades of investments in global health and research and development, as well as strong partnerships with other countries, regional and multilateral institutions, civil society, and the private sector.
 
REDUCING THE RISK OF NEW THREATS EMERGING AND BUILDING COUNTRY CAPACITY TO RESPOND TO THREATS
The most effective way to limit the impact of biological threats is to stop them at their source. The United States is working with countries and partners around the world to ensure they have the capacity to identify and stop emerging threats before they grow into regional or global threats. Central to these partnerships is the development of a shared plan based on gaps in each country’s capacity, as well as country ownership to sustain global health security capacities once U.S. Government support has ended. Highlights from the report include:

  • More than 100 countries are building stronger global health security capacities: Over the last four years, the Biden-Harris Administration expanded formal Global Health Security partnerships from 19 countries to more than 50 countries and one regional group. The United States has also leveraged financial resources and diplomatic channels to mobilize support for 50 additional countries to strengthen their health security capacities, for a total of more than 100 countries receiving support. For example, through U.S. support to the Pandemic Fund and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) COVID-19 Response Mechanism, over sixty countries received financing to strengthen core health security capacities. The United States is not the sole provider of these resources, as countries around the world contribute, including through co-financing by low and middle-income countries.
     
  • Measuring the impact of U.S. investments: The Biden-Harris Administration is focused on measurable results of these investments. Of the 25 formal GHS partner countries that have received U.S. support for at least two years, five have achieved the U.S. target of “demonstrated capacity” in at least five technical areas, and an additional five countries are close. We can also see the impact of investments when threats emerge. For example, the Democratic Republic of the Congo (DRC) – a U.S. government GHS partner since 2015 – has successfully contained five Ebola outbreaks since 2020, dramatically improving detection and response times. In 2022 the government of DRC detected an Ebola outbreak in 48 hours and contained the outbreak with only five lives lost to the disease.
     
  • Country ownership on global health security: Many United States GHS partner countries are leading their own responses to crises, with U.S. collaboration when needed. For example, the U.S. Government is partnering with Nigeria to build stronger capacity on zoonotic diseases, disease surveillance, and health emergency management, among other areas. In 2023, Nigeria experienced outbreaks of anthrax, a zoonotic disease that can cause severe illness in people and animals. Nigeria activated national response mechanisms to coordinate collaboration across the human and animal sectors and reduce the risk for further disease transmission. Nigeria also collaborated with Ghana to exchange strategies for anthrax prevention and control. These and other measures helped curtail the impact of anthrax in Nigeria.
     
  • Reducing the risk of biosafety and biosecurity incidents: Expanding biosurveillance capacity and the rapid evolution of technology are critical for health security, but can also elevate the risk of accidental and deliberate incidents. The Biden-Harris Administration has taken significant steps to minimize the chances of laboratory accidents; reduce the likelihood of deliberate use or accidental misuse; ensure effective biosafety and biosecurity practices and oversight; and promote responsible research and innovation. For example, the United States secured inclusion of biosafety and biosecurity as a critical component of the Pandemic Fund grants to support laboratory strengthening. One of the projects, the Caribbean Public Health Agency Train-the-Trainer Workshop on the Safe Transportation of Infectious Substances, resulted in certified trainers well-positioned to serve as national trainers and advisors in biosafety and safe transport protocols, ensuring safer practices across the region. The U.S. global health security bilateral partnerships also build capacity in biosafety and biosecurity: the GHS partner countries with at least two years of U.S. Government support demonstrated a net improvement in biosafety and biosecurity capacity from 2018 to 2023.
     
  • Modernizing biorisk management: The Administration released the 2024 United States Government Policy for Oversight of Dual Use Research of Concern and Pathogens with Enhanced Pandemic Potential, marking a major new step in modernizing biorisk management. This policy streamlines and expands oversight of research of concern across the entire U.S. Government – setting a new global standard for effective research oversight. The Administration also introduced a new framework for biotechnology safeguards on federally funded purchases of synthetic DNA and RNA. These safeguards, which include Know-Your-Customer screening, will reduce the likelihood of misuse of synthetic biology. 

 
BUILDING MORE EFFECTIVE AND SUSTAINABLE GLOBAL HEALTH SECURITY GOVERNANCE AND FINANCING SYSTEMS
Strong national systems within the United States and other countries are essential to global health security. However, each country, including the United States, operates within a regional or global system that can either facilitate or hamper quick and effective responses to health emergencies. The Biden-Harris Administration has invested in building stronger multilateral systems and partnerships to strengthen global health security. 
Multilateral Partnerships

  • Multilateral Negotiations: Through strong leadership and diplomatic outreach to World Health Organization (WHO) Member States, the United States helped secure an ambitious suite of amendments to the International Health Regulations (IHR) that will strengthen health emergency prevention, preparedness, and response. The United States is actively negotiating a pandemic agreement, with the goal of putting in place practical measures to prevent future pandemics, and strengthening the international community’s ability to respond rapidly and effectively in the event of a pandemic. The United States has also supported successful negotiations through the United Nations (UN) and UN agencies such as WHO on pandemic prevention, preparedness and response; antimicrobial resistance; biosafety and biosecurity; and biological weapons nonproliferation; among other areas.
     
  • Multi-country Partnerships: The Biden-Harris Administration has worked closely with our allies and partners to advance initiatives critical to improving health security. For example, the G20 has been instrumental in establishing and sustaining stronger links between health and finance ministries. The G7 has committed to support more than 100 countries to strengthen their global health security capacities, and has led progress in transforming pandemic preparedness and response financing. The U.S. Department of State launched the Foreign Ministry Channel for Health Security to foster greater diplomatic engagement among Foreign Ministries on global health security. The Quad, a diplomatic grouping between the United States, Australia, India, and Japan, delivered more than 400 million safe and effective COVID-19 vaccine doses to Indo-Pacific countries and almost 800 million doses globally; advanced health security priorities in the Indo-Pacific region; and recently launched the Quad Cancer Moonshot, which will deliver up to 40 million doses of the human papillomavirus vaccine and support other efforts to address cervical cancer to the Indo-Pacific. Since its inception in 2014, the United States has actively engaged in the Global Health Security Agenda (GHSA), a partnership of over 70 countries, more than 10 international organizations and coalitions, and more than 30 non-governmental organizations, including private sector and civil society partners, working together to accelerate implementation of the International Health Regulations.

 
Financing
Limitations in the existing systems to finance pandemic prevention, preparedness, and response left countries and financial institutions ill prepared to effectively contain COVID-19, contributing to the health and financial crises that resulted in the deaths of over 1.2 million Americans and an estimated $14 trillion in economic losses to the U.S. economy. On day one, President Biden called on his Administration to transform the existing financing institutions and to cultivate new financing sources for global health security that are more effective and sustainable, and that are less dependent on U.S. government assistance. 

  • Expanding Reliable Financing for Pandemic Prevention and Preparedness: The United States was instrumental in the creation of the Pandemic Fund in 2022, the only multilateral financing facility dedicated exclusively to pandemic preparedness financing for low- and middle- income countries. The Pandemic Fund made significant progress in its first two years, awarding grants totaling $885 million, which mobilized an additional $6 billion in investments, to support 75 countries and economies across six geographic regions. The Pandemic Fund also effectively pivoted to support countries to prepare for mpox outbreaks as part of the global response to the ongoing mpox public health emergency. The United States has supported the Pandemic Fund’s $2 billion replenishment goal by pledging up to $667 million by 2025, calling on other donors to step up their contributions and end the cycle of panic and neglect.
     
  • Strengthening Existing Financing Institutions to Support GHS: The United States is working to evolve Multilateral Development Banks to be better equipped to respond to the increasing frequency, scope, and complexity of global challenges, including pandemics. The Biden-Harris Administration strongly supported the establishment of the International Monetary Fund Resilience and Sustainability Trust and its goal of supporting low-income and vulnerable middle-income countries to access long-term, affordable financing to address longer-term challenges, such as health emergencies.
     
  • Improving Timely Access to Emergency Response Financing: During the COVID-19 pandemic, many countries and institutions lacked the liquidity to procure the medical countermeasures (MCM) needed to mount effective and timely responses. The U.S. Development Finance Corporation helped develop and lead a G7 Surge Financing Initiative, through which G7 development finance institutions (DFIs), the European Investment Bank, the International Finance Corporation, and global and regional health stakeholders are developing and deploying innovative financing tools to accelerate access to MCMs in health emergencies. The United States also supported the establishment of the Day Zero Financing Facility, a suite of tools that will enable Gavi, The Vaccine Alliance, to quickly meet demand for vaccines during a pandemic, including up to $2 billion in bridge financing loans. The United States also supports the roles of the Coalition for Epidemic Preparedness Innovations (CEPI), the Global Fund, and other regional and multilateral organizations in the development of solutions to surge financing for MCMs during emergencies.
     
  • Increasing International Coordination and Cooperation in Health Security Financing: During health emergencies donors often surge rapid financial and technical support, with limited effective means for transparency and coordination, which can lead to inefficiencies, duplication of efforts, and gaps in support. The Biden-Harris Administration has taken action to enhance the impact of financing though increased coordination and cooperation including supporting the establishment of the G20 Finance-Health Task Force to strengthen coordination between Finance and Health Ministries; and contributed to improved international mpox response coordination.

 
EXPANDING ACCESS TO MEDICAL COUNTERMEASURES
The Biden-Harris Administration has prioritized expanding access to quality medical countermeasures (MCMs) around the world, building on decades of global health and health security leadership by the United States. The United States has long led the world in innovation, research and development. The COVID-19 pandemic demonstrated the vital role of U.S. biotechnology and biomanufacturing in developing and producing the life-saving diagnostics, therapeutics, and vaccines needed to protect American lives and livelihoods, and national and economic security against future biological threats, whether naturally-occurring, accidental, or deliberate. The Biden-Harris Administration has strengthened sustainable global manufacturing and supply chain capacity; donated vaccines, diagnostic tests and treatments and support for their delivery; expanded pandemic response financing for MCMs; and strengthened legal and regulatory systems to ensure quality products and overcome barriers to rapid access. 
 

  • Investments in Research and Development for Preparedness: While there will always be new or evolving biological threats, developing effective countermeasures for known threats is a critical piece of preparedness. For example, the U.S. government invested billions of dollars in mRNA technology in advance of the COVID-19 pandemic. These public investments translated into millions of lives saved in the United States and around the world, and were crucial to developing the mRNA vaccine technology that can be leveraged in a future pandemic, as well as potentially treating other diseases. The U.S. supports the goals of the mRNA Technology Transfer Programme, a capacity-building initiative in low- and middle-income countries to sustainably produce mRNA vaccines. Similarly, the United States Government invested more than $2 billion in the JYNNEOS vaccine as part of smallpox preparedness. These investments directly led to product licensure for both smallpox and mpox. On September 13, 2024, WHO announced pre-qualification of the JYNNEOS vaccine for global use, including in the Africa region in response to ongoing mpox outbreaks. The JYNNEOS vaccine that has now been used to protect Americans and people living around the world from mpox; it would not exist without the investment and technical expertise provided by the United States.
     
  • Investments in Biotechnology: The Biden-Harris Administration has prioritized transforming our biotechnology capabilities, including catalyzing advances in science, technology, and core capabilities and has advanced a whole-of-government approach to strengthening U.S. biotechnology and biomanufacturing, including for health security. The United States Government’s historic investments in science and technology, from basic science to piloting innovative financing mechanisms to real-time research during health emergencies, are transforming the tools and approaches we use to detect, contain and respond to health threats. These efforts support the ambitious international goal of developing vaccines, treatments and diagnostics within 100 days from the onset of a potential pandemic.
     
  • Support for the Coalition for Epidemic Preparedness Innovations (CEPI): CEPI is working to accelerate the development of life-saving vaccines against emerging disease threats, and to transform capability for rapid countermeasure development in response to future threats. Notable achievements include: the market authorization of the world’s first Chikungunya vaccine and technology transfer to regional producers for regional supply to LMICs; the advancement through clinical development of vaccine candidates against Lassa, Nipah, and coronaviruses, among others; and the launch of a new Disease X Vaccine Library with six viral families prioritized as high risk.
     
  • Expanding Access to Publicly-supported Medical Inventions: The U.S. supports broad access to medical inventions facilitated by public investments and science, including through: the NIH proposal to promote access to products that rely on NIH-owned inventions (“Promoting Equity Through Access Planning”); fair pricing guarantees in funding agreements between manufacturers and the Biomedical Advanced Research and Development Authority (BARDA); and appropriate provisions in a Pandemic Agreement for timely and equitable access to pandemic-related health products. During the COVID-19 pandemic, NIH licensed COVID-19 technologies arising from NIH intramural research to the Medicines Patent Pool (MPP) for access through WHO’s COVID-19 Technology Access Pool (C-TAP). Such contributions are an important step toward facilitating wider availability of lifesaving interventions around the world.
     
  • Respecting Countries’ Rights to Protect Public Health: The United States respects countries’ right to protect public health and to promote access to medicines for all. The United States respects and does not call out countries for exercising health rights and flexibilities enshrined in the World Trade Organization’s (WTO’s) Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), including with respect to compulsory licenses, in a manner consistent with TRIPS obligations. Toward that end, the United States endorsed negotiations of a temporary waiver of WTO intellectual property rules to support access to COVID vaccines.

 
STOPPING BIOLOGICAL THREATS AT THEIR SOURCE
In February 2021, just a few weeks into the Biden-Harris Administration and during the height of the COVID-19 pandemic, DRC and Guinea experienced two unrelated Ebola outbreaks. Since then, the United States Government has supported responses to numerous outbreaks, from Ebola disease and Marburg virus disease to mpox, avian influenza, Oropouche virus, as well as ongoing threats including dengue, cholera, measles, malaria and HIV. United States Government support to emergency response is closely linked with ongoing bilateral investments in preparedness, with the goal of each country developing the capacity and resources to lead and coordinate responses to threats as soon as they emerge. Examples of U.S. Government support to outbreak responses during the Biden-Harris Administration include:

  • COVID-19 Pandemic: Starting in 2021, the United States invested $16 billion in the global COVID-19 response. The Administration accelerated global access to COVID-19 vaccines, including sharing nearly 700 million COVID-19 vaccine doses with countries around the world, as well as diagnostics and therapeutics, supporting health workers, securing supply chains, and combatting mis- and disinformation on safe and effective COVID-19 vaccines. The United States was the world’s largest donor to the Access to COVID-19 Tools Accelerator (ACT-A) and provided global leadership to raise additional billions in critical funding through the U.S.-hosted and co-hosted Global COVID-19 Summits to save lives globally, end the pandemic, and build stronger health security.
     
  • Mpox Outbreaks: The world has faced two regional or global outbreaks of mpox during the Biden-Harris Administration. In 2022, the Biden-Harris Administration mounted a robust response to the spread of clade IIb mpox by making vaccines available to those at risk, making testing more convenient, and providing treatments to those who needed them both in the United States and worldwide. During the ongoing clade I mpox outbreak, the U.S. Government has committed over $500 million to support mpox preparedness and response activities in mpox-affected countries in Africa, and the U.S. Government has made more than one million mpox vaccine doses available for global use. The United States has delivered additional support through technical assistance and in-kind contributions to surveillance, case investigation, procurement of diagnostic kits, consumable reagents, other laboratory supplies, and personal protective equipment.
     
  • Marburg Virus Disease (MVD): After learning of the MVD outbreak in Rwanda in September 2024, the United States committed to making nearly $11 million available to address urgent health needs in Rwanda and surrounding countries, including for surveillance and contact tracing, infection prevention and control guidance, and exit screening. Within days of learning of the MVD outbreak, CDC deployed three senior scientists to Rwanda to support its response. Although there are currently no FDA-approved vaccines or drugs against MVD, the United States contributed thousands of investigational vaccine doses and a small number of investigational therapeutics doses, which arrived in Rwanda within a week of the U.S. Government learning of the outbreak. The United States has also contributed hundreds of MVD tests and units of personal protective equipment.
     
  • Enhanced U.S. Government Response Coordination: Building on work in previous Administrations, the Biden-Harris Administration has successfully shepherded the “Playbook for Biological Incident Response” and a “Biological Incident Notification and Assessment” protocol from concept stage to an established and well-exercised process for rapid communication and coordination when biological threats emerge. This playbook and the protocol serve to give U.S. federal agencies “off-the-shelf” tools to respond to biological threats from all sources – natural, accidental and deliberate – that avoid response delays that cost lives and resources.

 
While we have made progress since emerging from the acute phase of the COVID-19 pandemic, continued investment of financial, political, and technical resources is needed to ensure success in building stronger preparedness today, sustainability of those efforts, and resilience to future biological threats. Both at home and abroad, willingness to invest critical financial and political resources has waned as global health security competes with other priorities for attention and resources. Collective action across sectors and throughout the world is needed to ensure we do not cycle once more into neglect, rather that we sustain and build on the significant progress made. Success in these efforts will make Americans safer, protect our economy and reduce international reliance on U.S. resources and expertise during times of crisis.

Biden at UN Slams Russia’s Ukraine Invastion, Calls for Action on Climate Change, Human Rights, Global Health, Nuclear NonProliferation

President Joe Biden at the United Nations General Assembly: So let’s stand together to again declare the unmistakable resolve that nations of the world are united still, that we stand for the values of the U.N. Charter, that we still believe by working together we can bend the arc of history toward a freer and more just world for all our children, although none of us have fully achieved it. © Karen Rubin/news-photos-features via msnbc.

President Joe Biden presented America’s foreign policy manifesto in his speech to the United Nations 77th General Assembly in New York, asserting a world striving toward equity, shared progress, social, economic and environmental justice, just as he has endeavored to implement at home. He called out Russia, China and others for their human rights abuses, called for climate action, global health initiatives, food security, cooperation rather than competition on the technology advances to improve the lives of everyone. He called for diplomacy instead of conflict and a reaffirmation of the rule of law and the essential founding principles embodied in the United Nations Charter.

“So let’s stand together to again declare the unmistakable resolve that nations of the world are united still, that we stand for the values of the U.N. Charter, that we still believe by working together we can bend the arc of history toward a freer and more just world for all our children, although none of us have fully achieved it,” Biden declared. “We’re not passive witnesses to history; we are the authors of history. We can do this — we have to do it — for ourselves and for our future, for humankind.”

Here is an edited, highlighted transcript – Karen Rubin/news-photos-features.com

11:08 A.M. EDT
 
THE PRESIDENT:  Thank you. 
 
Mr. President, Mr. Secretary-General, my fellow leaders, in the last year, our world has experienced great upheaval: a growing crisis in food insecurity; record heat, floods, and droughts; COVID-19; inflation; and a brutal, needless war — a war chosen by one man, to be very blunt. 
 
Russia’s Invasion of Ukraine

Let us speak plainly.  A permanent member of the United Nations Security Council invaded its neighbor, attempted to erase a sovereign state from the map. 
 
Russia has shamelessly violated the core tenets of the United Nations Charter — no more important than the clear prohibition against countries taking the territory of their neighbor by force. 
 
Again, just today, President Putin has made overt nuclear threats against Europe and a reckless disregard for the responsibilities of the non-proliferation regime. 
 
Now Russia is calling — calling up more soldiers to join the fight.  And the Kremlin is organizing a sham referenda to try to annex parts of Ukraine, an extremely significant violation of the U.N. Charter. 
 
This world should see these outrageous acts for what they are.  Putin claims he had to act because Russia was threatened.  But no one threatened Russia, and no one other than Russia sought conflict. 
 
In fact, we warned it was coming.  And with many of you, we worked to try to avert it.
 
Putin’s own words make his true purpose unmistakable.  Just before he invaded, Putin asserted — and I quote — Ukraine was “created by Russia” and never had, quote, “real statehood.”
 
And now we see attacks on schools, railway stations, hospitals, wa- — on centers of Ukrainian history and culture. 

In the past, even more horrifying evidence of Russia’s atrocity and war crimes: mass graves uncovered in Izyum; bodies, according to those that excavated those bodies, showing signs of torture. 
 
This war is about extinguishing Ukraine’s right to exist as a state, plain and simple, and Ukraine’s right to exist as a people.  Whoever you are, wherever you live, whatever you believe, that should not — that should make your blood run cold.
 
That’s why 141 nations in the General Assembly came together to unequivocally condemn Russia’s war against Ukraine.  The United States has marshaled massive levels of security assistance and humanitarian aid and direct economic support for Ukraine — more than $25 billion to date. 
 
Our allies and partners around the world have stepped up as well.  And today, more than 40 countries represented in here have contributed billions of their own money and equipment to help Ukraine defend itself. 
 
The United States is also working closely with our allies and partners to impose costs on Russia, to deter attacks against NATO territory, to hold Russia accountable for the atrocities and war crimes.
 
Because if nations can pursue their imperial ambitions without consequences, then we put at risk everything this very institution stands for.  Everything.
 
Every victory won on the battlefield belongs to the courageous Ukrainian soldiers.  But this past year, the world was tested as well, and we did not hesitate. 
 
We chose liberty.  We chose sovereignty.  We chose principles to which every party to the United Nations Charter is beholding.  We stood with Ukraine.
 
Like you, the United States wants this war to end on just terms, on terms we all signed up for: that you cannot seize a nation’s territory by force.  The only country standing in the way of that is Russia. 
 
So, we — each of us in this body who is determined to uphold the principles and beliefs we pledge to defend as members of the United Nations — must be clear, firm, and unwavering in our resolve. 
 
Ukraine has the same rights that belong to every sovereign nation.  We will stand in solidarity with Ukraine.  We will stand in solidarity against Russia’s aggression.  Period.
 
The US Will Defend Democracy

Now, it’s no secret that in the contest between democracy and autocracy, the United States — and I, as President — champion a vision for our world that is grounded in the values of democracy. 
 
The United States is determined to defend and strengthen democracy at home and around the world.  Because I believe democracy remains humanity’s greatest instrument to address the challenges of our time. 
 
We’re working with the G7 and likeminded countries to prove democracies can deliver for their citizens but also deliver for the rest of the world as well. 
 
Reaffirm the United Nations’ Founding Principles

But as we meet today, the U.N. Charter — the U.N. Charter’s very basis of a stable and just rule-based order is under attack by those who wish to tear it down or distort it for their own political advantage. 
 
And the United Nations Charter was not only signed by democracies of the world, it was negotiated among citizens of dozens of nations with vastly different histories and ideologies, united in their commitment to work for peace. 
 
As President Truman said in 1945, the U.N. Charter — and I quote — is “proof that nations, like men, can state their differences, can face them, and then can find common ground on which to stand.”  End of quote.
 
That common ground was so straightforward, so basic that, today, 193 of you — 193 member states — have willingly embraced its principles.  And standing up for those principles for the U.N. Charter is the job of every responsible member state. 
 
I reject the use of violence and war to conquer nations or expand borders through bloodshed.
 
To stand against global politics of fear and coercion; to defend the sovereign rights of smaller nations as equal to those of larger ones; to embrace basic principles like freedom of navigation, respect for international law, and arms control — no matter what else we may disagree on, that is the common ground upon which we must stand. 
 
If you’re still committed to a strong foundation for the good of every nation around the world, then the United States wants to work with you. 
 
The UN Should Become More Inclusive

I also believe the time has come for this institution to become more inclusive so that it can better respond to the needs of today’s world.
 
Members of the U.N. Security Council, including the United States, should consistently uphold and defend the U.N. Charter and refrain — refrain from the use of the veto, except in rare, extraordinary situations, to ensure that the Council remains credible and effective.
 
That is also why the United States supports increasing the number of both permanent and non-permanent representatives of the Council.  This includes permanent seats for those nations we’ve long supported and permanent seats for countries in Africa, Latin America, and the Caribbean.
 
The United States is committed to this vital work.  In every region, we pursued new, constructive ways to work with partners to advance shared interests, from elevating the Quad in the Indo-Pacific; to signing the Los Angeles Declaration of Migration and Protection at the Summit of the Americas; to joining a historic meeting of nine Arab leaders to work toward a more peaceful, integrated Middle East; to hosting the U.S.-Africa Leaders’ Summit in — this December.
 
Relentless Diplomacy to Tackle Challenges

As I said last year, the United States is opening an era of relentless diplomacy to address the challenges that matter most to people’s lives — all people’s lives: tackling the climate crisis, as the previous speaker spoke to; strengthening global health security; feeding the world — feeding the world.
 
We made that priority.  And one year later, we’re keeping that promise.
 
From the day I came to office, we’ve led with a bold climate agenda.  We rejoined the Paris Agreement, convened major climate summits, helped deliver critical agreements on COP26.  And we helped get two thirds of the world GDP on track to limit warming to 1.5 degrees Celsius. 
 
And now I’ve signed a historic piece of legislation here in the United States that includes the biggest, most important climate commitment we have ever made in the history of our country: $369 billion toward climate change.  That includes tens of billions in new investments in offshore wind and solar, doubling down on zero emission vehicles, increasing energy efficiency, supporting clean manufacturing.
 
Our Department of Energy estimates that this new law will reduce U.S. emissions by one gigaton a year by 2030 while unleashing a new era of clean-energy-powered economic growth.
 
Our investments will also help reduce the cost of developing clean energy technologies worldwide, not just the United States.  This is a global gamechanger — and none too soon.  We don’t have much time.
 
Climate Crisis

We all know we’re already living in a climate crisis.  No one seems to doubt it after this past year.  As we meet, much of Pakistan is still underwater; it needs help.  Meanwhile, the Horn of Africa faces unprecedented drought. 
 
Families are facing impossible choices, choosing which child to feed and wondering whether they’ll survive.
 
This is the human cost of climate change.  And it’s growing, not lessening.
 
So, as I announced last year, to meet our global responsibility, my administration is working with our Congress to deliver more than $11 billion a year to international climate finance to help lower-income countries implement their climate goals and ensure a just energy transition.
 
The key part of that will be our [PREPARE] plan, which will help half a billion people, and especially vulnerable countries, adapt to the impacts of climate change and build resilience.
 
This need is enormous.  So let this be the moment we find within ourselves the will to turn back the tide of climate devastation and unlock a resilient, sustainable, clean energy economy to preserve our planet.
 
Global Health

On global health, we’ve delivered more than 620 million doses of COVID-19 vaccine to 116 countries around the world, with more available to help meet countries’ needs — all free of charge, no strings attached.
 
And we’re working closely with the G20 and other countries.  And the United States helped lead the change to establish a groundbreaking new Fund for Pandemic Prevention, Preparedness, and Response at the World Bank.
 
At the same time, we’ve continued to advance the ball on enduring global health challenges.
 
Later today, I’ll host the Seventh Replenishment Conference for the Global Fund to Fight AIDS, Tuberculosis, and Malaria.  With bipartisan support in our Congress, I have pledged to contribute up to $6 billion to that effort.
 
So I look forward to welcoming a historic round of pledges at the conference resulting in one of the largest global health fundraisers ever held in all of history.
 
Food Crisis

We’re also taking on the food crisis head on.  With as many as 193 million people around the world experiencing acute — acute food insecurity — a jump of 40 million in a year — today I’m announcing another $2.9 billion in U.S. support for lifesaving humanitarian and food security assistance for this year alone.
 
Russia, in the meantime, is pumping out lies, trying to pin the blame for the crisis — the food crisis — onto sanctions imposed by many in the world for the aggression against Ukraine. 
 
So let me be perfectly clear about something: Our sanctions explicitly allow — explicitly allow Russia the ability to export food and fertilizer.  No limitation.  It’s Russia’s war that is worsening food insecurity, and only Russia can end it.
 
I’m grateful for the work here at the U.N. — including your leadership, Mr. Secretary-General — establishing a mechanism to export grain from Black Sea ports in Ukraine that Russia had blocked for months, and we need to make sure it’s extended.
 
We believe strongly in the need to feed the world.  That’s why the United States is the world’s largest supporter of the World Food Programme, with more than 40 percent of its budget.
 
We’re leading support — we’re leading support of the UNICEF efforts to feed children around the world. 
 
And to take on the larger challenge of food insecurity, the United States introduced a Call to Action: a roadmap eliminating global food insecurity — to eliminating global food insecurity that more than 100 nation member states have already supported.
 
In June, the G7 announced more than $4.5 billion to strengthen food security around the world.
 
Through USAID’s Feed the Future initiative, the United States is scaling up innovative ways to get drought- and heat-resistant seeds into the hands of farmers who need them, while distributing fertilizer and improving fertilizer efficiency so that farmers can grow more while using less.
 
And we’re calling on all countries to refrain from banning food exports or hoarding grain while so many people are suffering.  Because in every country in the world, no matter what else divides us, if parents cannot feed their children, nothing — nothing else matters if parents cannot feed their children.
 
Rules of the Road for International Cooperation

As we look to the future, we’re working with our partners to update and create rules of the road for new challenges we face in the 21st century.
 
We launched the Trade and Technology Council with the European Union to ensure that key technologies — key technologies are developed and governed in the way that benefits everyone. 
 
With our partner countries and through the U.N., we’re supporting and strengthening the norms of responsibility — responsible state behavior in cyberspace and working to hold accountable those who use cyberattacks to threaten international peace and security. 
 
With partners in the Americas, Africa, Europe, and the Middle East, and the Indo-Pacific, we’re working to build a new economic ecosystem while — where every nation — every nation gets a fair shot and economic growth is resilient, sustainable, and shared. 
 
That’s why the United States has championed a global minimum tax.  And we will work to see it implemented so major corporations pay their fair share everywhere — everywhere.
 
It’s also been the idea behind the Indo-Pacific Economic Framework, which the United States launched this year with 13 other Indo-Pacific economies.  We’re working with our partners in ASEAN and the Pacific Islands to support a vision for a critical Indo-Pacific region that is free and open, connected and prosperous, secure and resilient.
 
Together with partners around the world, we’re working to secure resilient supply chains that protect everyone from coercion or domination and ensure that no country can use energy as a weapon.
 
And as Russia’s war riles the global economy, we’re also calling on major global creditors, including the non-Paris Club countries, to transparently negotiate debt forgiveness for lower-income countries to forestall broader economic and political crises around the world. 
 
Instead of infrastructure projects that generate huge and large debt without delivering on the promised advantages, let’s meet the enormous infrastructure needs around the world with transparent investments — high-standard projects that protect the rights of workers and the environment — keyed to the needs of the communities they serve, not to the contributor.
 
That’s why the United States, together with fellow G7 partners, launched a Partnership for Global Infrastructure and Investment.  We intend to collectively mobilize $600 billion
in investment through this partnership by 2027. 
 
Dozens of projects are already underway: industrial-scale vaccine manufacturing in Senegal, transformative solar projects in Angola, first-of-its-kind small modular nuclear power plant in Romania.
 
These are investments that are going to deliver returns not just for those countries, but for everyone.  The United States will work with every nation, including our competitors, to solve global problems like climate change.  Climate diplomacy is not a favor to the United States or any other nation, and walking away hurts the entire world.
 
Relations with China, Nations

Let me be direct about the competition between the United States and China.  As we manage shifting geopolitical trends, the United States will conduct itself as a reasonable leader.  We do not seek conflict.  We do not seek a Cold War.  We do not ask any nation to choose between the United States or any other partner. 
 
But the United States will be unabashed in promoting our vision of a free, open, secure, and prosperous world and what we have to offer communities of nations: investments that are designed not to foster dependency, but to alleviate burdens and help nations become self-sufficient; partnerships not to create political obligation, but because we know our own success — each of our success is increased when other nations succeed as well.
 
When individuals have the chance to live in dignity and develop their talents, everyone benefits.  Critical to that is living up to the highest goals of this institution: increasing peace and security for everyone, everywhere. 
 
The United States will not waver in our unrelenting determination to counter and thwart the continuing terrorist threats to our world.  And we will lead with our diplomacy to strive for peaceful resolution of conflicts. 
 
We seek to uphold peace and stability across the Taiwan Straits. 
 
We remain committed to our One China policy, which has helped prevent conflict for four decades.  And we continue to oppose unilateral changes in the status quo by either side. 
 
We support an African Union-led peace process to end the fight in Ethiopia and restore security for all its people. 
 
In Venezuela, where years of the political oppression have driven more than 6 million people from that country, we urge a Venezuelan-led dialogue and a return to free and fair elections.
 
We continue to stand with our neighbor in Haiti as it faces political-fueled gang violence and an enormous human crisis.
 
And we call on the world to do the same.  We have more to do. 
 
We’ll continue to back the U.N.-mediated truce in Yemen, which has delivered precious months of peace to people that have suffered years of war.
 
And we will continue to advocate for lasting negotiating peace between the Jewish and democratic state of Israel and the Palestinian people.  The United States is committed to Israel’s security, full stop.  And a negotiated two-state solution remains, in our view, the best way to ensure Israel’s security and prosperity for the future and give the Palestinians the state which — to which they are entitled — both sides to fully respect the equal rights of their citizens; both people enjoying equal measure of freedom and dignity.
 
Nuclear Non-Proliferation

Let me also urge every nation to recommit to strengthening the nuclear non-proliferation regime through diplomacy.  No matter what else is happening in the world, the United States is ready to pursue critical arms control measures.  A nuclear war cannot be won and must never be fought. 
 
The five permanent members of the Security Council just reaffirmed that commitment in January.  But today, we’re seeing disturbing trends.  Russia shunned the Non-Proliferation ideals embraced by every other nation at the 10th NPT Review Conference
 
And again, today, as I said, they’re making irresponsible nuclear threats to use nuclear weapons.  China is conducting an unprecedented, concerning nuclear buildup without any transparency. 
 
Despite our efforts to begin serious and sustained diplomacy, the Democratic People’s Republic of Korea continues to blatantly violate U.N. sanctions.
 
And while the United States is prepared for a mutual return to the Joint Comprehensive Plan of Action if Iran steps up to its obligations, the United States is clear: We will not allow Iran to acquire a nuclear weapon.
 
I continue to believe that diplomacy is the best way to achieve this outcome.  The nonproliferation regime is one of the greatest successes of this institution.  We cannot let the world now slide backwards, nor can we turn a blind eye to the erosion of human rights.
 
Human Rights

Perhaps singular among this body’s achievements stands the Universal Declaration of Human Rights, which is the standard by which our forebears challenged us to measure ourselves.
 
They made clear in 1948: Human rights are the basis for all that we seek to achieve.  And yet today, in 2022, fundamental freedoms are at risk in every part of our world,
from the violations in Xinjiang detailed in recent reports by the Office of U.N. High Commissioner, to the horrible abuses against pro-democracy activists and ethnic minorities by the military regime in Burma, to the increased repression of women and girls by the Taliban in Afghanistan.

And today, we stand with the brave citizens and the brave women of Iran who right now are demonstrating to secure their basic rights.
 
But here’s what I know: The future will be won by those countries that unleash the full potential of their populations, where women and girls can exercise equal rights, including basic reproductive rights, and contribute fully to building a stronger economies and more resilient societies; where religious and ethnic minorities can live their lives without harassment and contribute to the fabric of their communities; where the LGBTQ+ community individuals live and love freely without being targeted with violence; where citizens can question and criticize their leaders without fear of reprisal.
 
The United States will always promote human rights and the values enshrined in the U.N. Charter in our own country and around the world.
 
Let me end with this: This institution, guided by the U.N. Charter and the Universal Declaration of Human Rights, is at its core an act of dauntless hope.

Let me say that again: It’s an act of dauntless hope.
 
Think about the vision of those first delegates who undertook a seemingly impossible task while the world was still smoldering.
 
Think about how divided the people of the world must have felt with the fresh grief of millions dead, the genocidal horrors of the Holocaust exposed.
 
They had every right to believe only the worst of humanity.  Instead, they reached for what was best in all of us, and they strove to build something better: enduring peace; comity among nations; equal rights for every member of the human family; cooperation for the advancement of all humankind.
 
My fellow leaders, the challenges we face today are great indeed, but our capacity is greater.  Our commitment must be greater still.

So let’s stand together to again declare the unmistakable resolve that nations of the world are united still, that we stand for the values of the U.N. Charter, that we still believe by working together we can bend the arc of history toward a freer and more just world for all our children, although none of us have fully achieved it.

We’re not passive witnesses to history; we are the authors of history.
 
We can do this — we have to do it — for ourselves and for our future, for humankind.

Thank you for your tolerance, for listening to me.  I appreciate it very much.  God bless you all.  (Applause.)

11:37 A.M. EDT

Biden Administration Commits to Advancing Global Health Security

The United States Government is the largest donor for global health. “As we work to end the COVID-19 pandemic, we remain committed to strengthening health systems and institutions; advancing global health security; combatting HIV/AIDS, malaria, and tuberculosis; advancing sexual and reproductive health and rights, and maternal, neonatal, and child health; closing gaps in nutrition and non-communicable diseases; and accelerating efforts towards universal health coverage and the Sustainable Development Agenda.” © Karen Rubin/news-photos-features.com  

This is a fact sheet from the White House detailing the Biden Administration’s commitment to advancing global health:

The United States Government is proud to be the largest donor for global health. As we work to end the COVID-19 pandemic, we remain committed to strengthening health systems and institutions; advancing global health security; combatting HIV/AIDS, malaria, and tuberculosis; advancing sexual and reproductive health and rights, and maternal, neonatal, and child health; closing gaps in nutrition and non-communicable diseases; and accelerating efforts towards universal health coverage and the Sustainable Development Agenda. In Fiscal Year (FY) 2021, the United States appropriated over $9 billion in global health programs, in addition to almost $16 billion in emergency supplemental funding for COVID-19.  
 
We continue to lead the global community toward a safer, more equitable future. Over the last year, the Biden-Harris Administration has renewed the U.S. leadership in global health, and taken decisive steps to advance global health priorities, including:

  • Supporting and strengthening the WHO. Among his first acts in office one year ago, President Biden declared the United States would reengage with the World Health Organization (WHO), highlighting our nation’s commitment to advancing multilateral cooperation in a time of international health crisis. Last week, the United States once again demonstrated that commitment, by leading a successful decision at the WHO Executive Board meeting to strengthen the International Health Regulations (2005). This strengthening will enhance the world’s ability to prevent, detect, and rapidly respond to infectious disease outbreaks in the future. Beyond COVID-19, the United States is collaborating with global partners through WHO on a wide range of global health challenges such as childhood immunization, nutrition, polio eradication, strengthening the global health workforce to achieve universal health coverage, and tackling the threat that climate change poses to health. These and other issues remain critical priorities, especially in the wake of COVID-19, and demonstrate the importance of strong, equitable health systems that serve those most at risk.
     
  • Leading the global COVID-19 response. Under President Biden’s leadership, the United States has committed to donate 1.2 billion doses of safe and effective vaccine to the world, more than any other nation. To date, we have shipped over 400 million of those vaccines to 112 countries around the world, all for free, with no strings attached or promises extracted. We were the first nation to purchase doses solely for the purpose of donation, with the historic purchase of 1 billion doses of Pfizer vaccine. We were the first nation to step out of the queue for Moderna vaccines, allowing the African Union quicker access to tens of millions of doses. We were the first to broker access to doses for individuals in humanitarian crises. And now, we are leading the push to turn vaccines into vaccinations, with the creation of the Global Vaccine Initiative. To date, the United States is providing nearly $16 billion for life-saving health, economic, and humanitarian COVID-19 assistance to our partners to fight this virus and its impacts. These funds are delivering shots in arms, lifesaving supplies to hospitals, and support that reaches the most vulnerable communities.
     
  • Advancing sexual and reproductive health and rights. One of President Biden’s first actions was issuing a Presidential Memorandum on Protecting Women’s Health at Home and Abroad, which revoked the expanded Mexico City Policy and directed agencies to resume funding to the United Nations Population Fund (UNFPA) in support of its essential work to prevent maternal deaths, expand access to voluntary family planning, and prevent and respond to gender-based violence around the world. The Administration continues to advance sexual and reproductive health and rights (SRHR) for all in the face of continued threats. The White House Gender Policy Council released the first-ever National Strategy on Gender Equity and Equality, which emphasizes the core role of advancing SRHR to achieve gender equality. As the largest bilateral donor to family planning, the United States also leads globally by advancing SRHR in multilateral fora and with bilateral partners. As we address the indirect impacts of the COVID-19 pandemic on health systems and vulnerable populations, the United States has supported increased access to SRHR services, particularly in emergency contexts.
     
  • Continued global leadership on addressing HIV/AIDS, malaria, and tuberculosis. Last week, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) celebrated its nineteen-year anniversary. Since its inception and with bilateral support, the U.S. Government has invested $100 billion to transform the global AIDS response. PEPFAR has saved more than 21 million lives, prevented millions of HIV infections, and helped countries build a strong foundation to prevent, detect, and respond to other health threats, including COVID-19. Across 55 countries, PEPFAR invests over $1 billion annually in local health systems strengthening to respond to HIV. At the end of FY21, PEPFAR supported 63.4 million people with HIV testing services, and 18.96 million people with antiretroviral treatment. With $250 million in funding through the American Rescue Plan Act, PEPFAR has continued to advance HIV gains and supported the global COVID-19 response. The U.S. President’s Malaria Initiative invested $770 million in 2020 to forge forward in the fight against malaria, despite the COVID-19 pandemic, reaching almost 60 million people with malaria medicine and protecting more than 7.5 million pregnant women with preventive treatment for malaria. Through the most recent five-year U.S. Government Global TB Strategy, U.S. government investments led to the treatment of 15.7 million people with TB, starting 438,000 individuals with drug resistant TB on second-line drug therapy, and accomplished a treatment success rate of almost 90 percent.
     
  • Building health security capacities. The United States continues to work with partners across the globe, including 19 intensive support partner countries, to provide assistance to better prevent, detect, and respond to infectious disease threats and to meet the target of the multilateral Global Health Security Agenda. The need for these capacities has never been more clear, and robust interagency efforts helped address numerous outbreaks including Ebola, Anthrax, Influenza, Rabies, Polio, Cholera, and more. The U.S. Government’s global health security programs also pivoted to support critical COVID-19 response activities.
     
  • Sustaining commitments in maternal and child health. The United States’ sustained commitment, financial investment, and adaptability has ensured that critical health services continue reaching women, children, and families. In 2020, the United States helped more than 92 million women and children access essential—and often lifesaving—care. The U.S. Government’s investments towards polio eradication have also helped ensure over 400 million children are vaccinated against polio each year; last year was a significant milestone as Africa was declared wild polio free.

In the coming year, the Administration will take the following steps to continue to advance global health priorities:

  • Continue supporting and strengthening the World Health Organization. The United States looks forward to rejoining the WHO Executive Board in May 2022, and will launch a Strategic Dialogue with WHO to ensure our mutual priorities are fully aligned. The United States will continue to work closely with WHO and partners around the world, to ensure that the prevention of sexual exploitation and abuse, and support for victims and survivors, remain priority issues.
     
  • Accelerate global COVID-19 response efforts. The U.S. Government will continue to roll out the Initiative for Global Vaccine Access (Global VAX) to accelerate global efforts to get COVID-19 shots into arms and enhance international coordination. This whole of government effort will bolster cold chain supply and logistics, service delivery, vaccine confidence and demand, human resources, data and analytics, local planning, and vaccine safety and effectiveness. The United States has committed more than $1.6 billion in funding to help get shots into arms around the world.
     
  • Advance health security and pandemic preparedness. The United States will continue to advance health security and pandemic preparedness abroad, including through strengthening WHO, working with partners towards targeted IHR amendments and a new pandemic instrument, building country capacities towards the Global Health Security Agenda target, strengthening sustained financing including establishing a new financial intermediary fund at the World Bank, building back better biosafety and biosecurity norms and mitigating biotechnological risks, innovating our science and technological capabilities to shorten the cycle for development of safe, effect, and affordable vaccines, therapeutics, and diagnostics, and more.
  • Continue investments to strengthen health systems. The United States will continue to advance the newly launched Vision for Health System Strengthening and will work to align global partners toward shared commitments for the health workforce. The United States has committed to supporting and protecting health workers, and affirmed support for WHO’s Gender Equal Health and Care Workforce Initiative, which aim to address gender inequities and inequalities health workers face globally. The United States will continue to invest resources and provide assistance to strengthen countries’ disease surveillance and laboratory detection capacities, continue to lead efforts to eradicate polio, and also strengthen immunization systems and vaccine delivery to ensure a world where people live healthier, safer lives.
     
  • Continue championing and expanding sexual and reproductive health and rights. In addition to maintaining strong financial support, the United States will continue to collaborate with allies and partners through multilateral, bilateral and civil society partnerships to expand progress and leadership to advance sexual and reproductive health and rights. Federal agencies are developing SRHR implementation plans and the National Security Council will continue to elevate and expand SRHR as a core component of our global health policy.
     
  • Continue the fight against HIV/AIDS, malaria, and tuberculosis. This year, President Biden will host the Global Fund’s Seventh Replenishment Conference, advancing global efforts to address HIV/AIDS, malaria, and tuberculosis, alongside the U.S. government’s programs.  PEPFAR is saving lives and curbing new HIV infections while supporting the health systems infrastructure in countries that continue to serve as a backbone of the COVID-19 response. PEPFAR’s assets can be further leveraged to support the COVID-19 response, while protecting and expanding HIV services and serving the most vulnerable populations around the world. PMI is reshaping its fight against malaria, focusing on reaching the unreached, further building community health systems, and increasing the impact of community health workers as part of its new “End Malaria Faster” Strategy. Current investments are building countries’ capacities to respond to both tuberculosis and COVID-19 with support for bi-directional testing approaches for both diseases, joint contact investigations and community screenings, stigma reduction and community empowerment, and expanding infection prevention and control measures—providing vital platforms to address both diseases and respond to future airborne pandemics.
     
  • Continue demonstrating strong global leadership on nutrition. At the 2021 Tokyo Nutrition for Growth Summit, the United States announced a financial commitment of up to $11 billion over three years to combat global malnutrition. The United States also launched the Global Nutrition Coordination Plan, which will guide the collaborative work of seven U.S. government agencies engaged in scaling up proven approaches to better nutrition.