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The General Assembly today committed to tackle several major global health challenges, adopting three declarations that laid out measures to better prepare for and respond to pandemics, give everyone access to health coverage and care for people suffering from tuberculosis.Several delegates said the wide-ranging declarations — the outcome of a series of high-level meetings at UN Headquarters from 20‑22 September — disregard the effects of unilateral coercive measures on global health, while others expressed their disappointment that the language on sexual and reproductive rights was not stronger.In the declaration on pandemic prevention, preparedness and response, the Assembly committed to scaling up efforts to strengthen regional and international cooperation at the highest political levels, and committed to work to make access to pandemic-related products — such as vaccines, diagnostics and therapeutics — timely, sustainable and equitable.Through a declaration on universal health coverage, the 193‑member body pledged to bolster efforts to achieve the health-related Sustainable Development Goals and to expedite the achievement of universal health coverage by 2030. To do so, the Assembly resolved to address the global shortfall of 523 million people without access to quality health care, medicines and services, and to reverse the trend of rising catastrophic out-of-pocket health expenditure by 2030.A third declaration, on tuberculosis, laid out commitments to increase international cooperation to advance research and innovation; to strengthen financial and social protections for people affected by the disease and to alleviate the health-related financial burden experienced by those affected and their families. The Assembly also promised to mobilize financing for tuberculosis research with an aim of reaching $5 billion a year by 2027.More than 25 speakers today expressed their position before and after the adoption by consensus of today’s resolutions, through which they endorsed the political declarations. While hailing the declarations as a show of international solidarity to achieve the third Sustainable Development Goal on good health and well-being, many delegates said that while they joined the consensus, they also disagreed with several parts of the texts.The representative of Cuba, speaking for the Group of 77 and China, said the take-it-or-leave-it attitude of the negotiations doesn’t reflect a spirit of multilateralism, describing it as unacceptable and discriminatory that language on tuberculosis was weakened to accommodate one delegation over the concerns of the largest group in the United Nations. The aspiration and concerns of developing countries should not be ignored, he said.The United States’ delegate expressed regret that language on sexual and reproductive health rights was not strengthened — a point echoed by the speaker for the United Kingdom — and further expressed concern with references in that text relating to trade and technology transfer and terminology on equal pay for equal work.The Syrian representative said some Western countries politicized the process and that the concerns of several delegations weren’t considered. “We cannot consider these declarations consensual if they leave a large part of our populations behind,” he said, and noted that because of unilateral coercive measures, many Syrian facilities are not operational and the provision of vaccinations and medicines has been hampered, especially after the earthquake.The representative of Algeria said there were gaps between the views of countries in the North and the South and that the negotiations placed pressure on developing countries. He regretted that certain language on the role of the family was not included in the declaration on tuberculosis, and that the three adopted texts lacked language on the impact of unilateral coercive measures.Nicaragua’s delegate said that less than a week ago the Assembly witnessed a similar situation: the proposals of the affected countries of the Global South were once again ignored. These three declarations are incomplete and exclude millions of people who are shut out from their right to development, he said, adding: How can those countries imposing unilateral coercive measures say they care about “leaving no one behind”.The speaker for Belarus added that the World Health Organization (WHO) should play a stronger role in the global health infrastructure and consider the impact of these measures.Also today, the Assembly adopted a resolution, recommended by its Fifth Committee, by which it agreed that the failure of Comoros, Sao Tome and Principe and Somalia to pay the full minimum amount of their budgetary assessments — necessary to avoid the application of Article 19 of the Charter — was due to conditions beyond their control. The Assembly decided to permit those three States to vote until the end of its seventy-eighth session.Scale of assessments for Apportionment of United Nations ExpensesThe General Assembly first took up the report of the Fifth Committee (Administrative & Budgetary) titled, “Scale of assessments for the apportionment of the expenses of the United Nations” (document A/78/383).The representative of the Russian Federation disassociated himself from paragraphs 108, 113 and 122 of the report. In those paragraphs the war in Ukraine is mentioned as a factor in the abilities of the countries currently in arrears to pay their dues. The economic nature of the concerned countries appeared long before the special military operation in Ukraine, he said.The Assembly then adopted without a vote the resolution titled “Scale of assessments for the apportionment of the expenses of the United Nations: requests under Article 19 of the Charter”, recommended by the Fifth Committee in its report.By that text’s terms, the Assembly, reaffirming its role in accordance with the provisions of Article 19 and the advisory role of the Committee on Contributions in accordance with rule 160 of the Assembly’s rules of procedure, agreed that the failure of Comoros, Sao Tome and Principe and Somalia to pay the full minimum amount of their assessments necessary to avoid the application of Article 19 of the Charter was due to conditions beyond their control. It decided that those three Member States shall be permitted to vote in the Assembly until the end of its seventy‑eighth session.Joint debate on Several Agenda ItemsThe Assembly then in a joint debate took up several agenda items, including “Integrated and coordinated implementation of and follow-up to the outcomes of the major United Nations conferences and summits in the economic, social and related fields”; “Follow-up to the outcome of the Millennium Summit”; “Strengthening of the United Nations system” and “United Nations reform: measures and proposals”.Under the agenda item on “Integrated and coordinated implementation of and follow-up to the outcomes of the major United Nations conferences and summits in the economic, social and related fields”, the Assembly had before it a note by the Secretary-General (document A/78/258).The Assembly then continued its consideration of agenda item entitled “Follow-up to the outcome of the Millennium Summit” to hold a specific meeting focused on development, in accordance with its resolution 60/265 of 30 June 2006.There were no speakers on the above-mentioned agenda items.Global Health and Foreign PolicyThe Assembly then turned to its agenda item on “Global health and foreign policy”, taking up three draft resolutions: Political Declaration of the United Nations General Assembly High-Level Meeting on Pandemic Prevention, Preparedness and Response (document A/78/L.2); Political Declaration of the High-Level Meeting on Universal Health Coverage (document A/78/L.3) and the Political Declaration on the High-Level Meeting on the Fight Against Tuberculosis (document A/78/L.4).In explanation of vote before the vote, the representative of Bolivia said these three resolutions disregard the effect of unilatera
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