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Aaron Motsoaledi hails historic Pandemic Agreement at G20 Health Summit

Aaron Motsoaledi hails historic Pandemic Agreement at G20 Health Summit

Health Minister, Dr Aaron Motsoaledi, has praised the adoption of the Pandemic Agreement during the 4th Health Working Group meeting of the Group of 20 (G20) held in Johannesburg.
This significant international treaty, supported by 124 member states, is only the second international health treaty approved by the World Health Organisation (WHO) since its establishment in 1948.
The agreement's adoption follows three years of intensive negotiation launched due to gaps and inequities identified in the national and global COVID-19 response.
It aims to boost global collaboration to ensure a stronger, more equitable response to future pandemics.
Delivering the welcome address on Tuesday morning, Aaron Motsoaledi celebrated the momentous achievement and emphasised the importance of collective action in ensuring global health security.
'Your presence here today is a testament to our collective commitment to global health security,' he said.
Motsoaledi stated that the agreement results from the diligent efforts of the Intergovernmental Negotiating Body (INB), which was established to develop a legally binding framework for pandemic prevention, preparedness, and response.
'The stark lessons of the COVID-19 crisis fuelled our collective resolve to forge a more robust and equitable framework, one that ensures international cooperation and protects all nations from the devastating impact of future pandemics,' the Minister told the attendees.
South Africa, playing a pivotal leadership role as a co-chair of the INB, worked alongside partners from France and the Netherlands, while acknowledging contributions from vice-chairs representing Brazil, Thailand, Egypt, and New Zealand.
The Minister stated that the four key pillars of the agreement are designed to fundamentally transform the global response to health emergencies.
The agreement emphasises the importance of equitable access to pandemic-related health products, the establishment of a global supply chain and logistics network, and the creation of a coordinating financial mechanism to strengthen pandemic response capabilities.
In addition, the agreement highlights a holistic 'One Health' approach, which stresses the connections between human, animal, and environmental health, which is now a central focus of global pandemic strategies.
The Minister said the agreement incorporates a Pathogen Access and Benefit-Sharing (PABS) system, requiring pharmaceutical companies to contribute 20% of production during pandemics in exchange for access to critical pathogen data.
This mechanism aims to ensure that all nations benefit from scientific advancements, especially in times of crisis.
'As an active participant and representative member for the African region, I can say with certainty that we see this agreement as a crucial step towards rectifying the deep-seated imbalances in access to life-saving pandemic products that were so painfully exposed during the recent crisis.'
Although Aaron Motsoaledi has acknowledged the agreement's adoption as a significant success, there is still much work ahead.
'While we celebrate the adoption of the Pandemic Agreement, our work is far from over. We are now entering a critical new phase.'
He urged immediate engagement in further discussions regarding the PABS system, to convene the Intergovernmental Working Group before 15 July 2025.
'Finalising a robust and equitable PABS annex is the ultimate litmus test of our collective commitment. It is the essential next step to transform the Pandemic Agreement from a document of principles into a functional, life-saving tool for justice and our shared global health security.'
He has since called for continued collaboration and commitment to safeguarding global health for everyone.
This important week-long meeting began this morning and will conclude on Friday, 13 June 2025.
The event brings together health leaders, experts, and policymakers from the world's largest economies, invited nations, and international organisations.
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Motsoaledi's big HIV treatment jump: is it true?
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Motsoaledi's big HIV treatment jump: is it true?

Numbers are powerful. They can also be dangerous — if not used correctly. When the health minister said last month that 520,700 extra previously diagnosed people with HIV have started treatment since the end of February, the number sounded astounding. The health department's goal is to find 1.1-million people who know they have HIV, but either never started treatment, or fell out of treatment, before the end of the year. In his words, the department has reached 'more than 50% of the target' they set out to achieve by the end of the year. If that gap is closed, South Africa would have met two of the three so-called 95-95-95 goals the country signed up for as part of the UN plan to end Aids as a public health threat by 2030. However, knowing by exactly how much the gap is closing is tricky, because people who know they have HIV may start and stop and then restart treatment again later — sometimes several times — during the course of their care. In fact, a study from the Western Cape shows that close to half of people on medication stop at least once, and that some even pause and then restart up to three times. So many of the 520,700 previously diagnosed people Motsoaledi says are now on medication could, at least in theory, very well be people who are counted repeatedly as they cycle in and out of treatment. But because the patient information system isn't digitally centralised — most clinics still keep track of their clients on paper, which means different facilities can't easily access one another's records — someone who stops treatment at one clinic can easily be counted as a new start at another, rather than a restart. The set of UN targets aim for 95% of people in a country with HIV to know their diagnosis, 95% of those being on treatment and 95% of those taking medication having such low levels of virus in their bodies that they can't infect someone through sex. 'The reason that we [were] able to reach half a million within a short space of time, was because of weekly check-in meetings with provinces, where reports that come from the ground are verified in the presence of all provincial colleagues before they are regarded as final figures for reporting,' said the minister. But simply counting better isn't the same as doing better, and critics called the reported progress 'inconceivable'. Why? Because for the last few years, the number of people with HIV who have gone on treatment has crept up very slowly, so much so that the gap to 95% has remained more or less the same for about five years. (At the moment just over 80% of people diagnosed with HIV are on treatment.) Moreover, that was while treatment programmes had funding and US-backed money for HIV projects was in place. So now, at a time of funding shortfalls, programmes closing and the government scrambling to plug the holes, could nearly half of the number of people who need to get on treatment really have been added in just 10 weeks? We dive into the data to get a sense of what the numbers really mean. Mind the gap In 2021, South Africa was about 1.2-million people short of its 95%-treatment goal; by 2025 the shortfall will likely be 990,000. That means that the gap — that is, the difference between where the country actually is and where it wants to be when it comes to HIV treatment — has closed by about 210,000.

Motsoaledi's big HIV treatment jump: Is it true?
Motsoaledi's big HIV treatment jump: Is it true?

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Motsoaledi's big HIV treatment jump: Is it true?

How close is South Africa to meeting its HIV treatment goals? We look at the numbers. (NIAID/Wikimedia) Numbers are powerful. They can also be dangerous if not used correctly. When the The health department's goal is In his words, the department has reached 'more than 50% of the target' they set out to achieve by the end of the year. If that gap is closed, South Africa would have met two of the three But knowing exactly how much the gap is closing is tricky, because people who know they have HIV may start and stop and then restart treatment again later — sometimes several times — during the course of their care. So, many of the 520 700 previously diagnosed people Motsoaledi says are now on medication could, at least in theory, very well be people who are counted repeatedly as they cycle in and out of treatment. But because the patient information system isn't digitally centralised — most clinics still keep track of their clients on paper, which means different facilities can't easily access one another's records — someone who stops treatment at one clinic can easily be counted as a new start at another, rather than a restart. The set of UN targets aim for 95% of people in a country with HIV to know their diagnosis, 95% of those being on treatment and 95% of those taking medication having such low levels of virus in their bodies that they can't infect someone through sex. 'The reason that we [were] able to reach half a million within a short space of time, was because of weekly check-in meetings with provinces, where reports that come from the ground are verified in the presence of all provincial colleagues before they are regarded as final figures for reporting,' said the minister. But simply counting better isn't the same as doing better, and critics called the reported progress Why? 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SA highlights strong surveillance as new COVID variant spreads across Asia
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SA highlights strong surveillance as new COVID variant spreads across Asia

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