Pandemic Prevention, Preparedness and Response: International Agreement

Debate between John Spellar and Danny Kruger

Monday 17th April 2023 Westminster Hall

[Danny Kruger (Devizes) (Con)]

Thank you very much indeed, Mr Sharma. I am grateful to be called, and I thank my hon. Friend the Member for Don Valley (Nick Fletcher) for introducing the debate and all the petitioners who have brought this very important matter to the House. I am pleased to see so many colleagues present, which suggests to me that we should be debating this matter on the Floor of the House. I hope we will do so in due course, as I will explain.

I also thank the organisation UsforThem, which I have been working with on this and other matters. It is the campaign group that led the calls on behalf of children and young people during the lockdowns, and it is now very concerned about what the WHO’s proposal might mean for the most vulnerable people in our society.

I acknowledge the impulse behind the treaty and the proposals that are before the World Health Organisation. I acknowledge that global threats that defy borders require global co-operation, and it is certainly true to say that this country was not sufficiently prepared for the pandemic when it broke out, but I do not believe that the lack of readiness was due to a lack of international co-operation. Indeed, the degree of international co-operation was astonishing. The lack of readiness was in the ordinary business of contingency planning by the British state—the security of supply of equipment, capacity in the health service, and our ability to support the vulnerable and the isolating. That is where we were not ready.

In fact, we could say that in a crucial respect the UK was prepared. We thought that we knew what we would do in the event of a pandemic. We would introduce targeted isolation and targeted protection of the most vulnerable—the application of personal responsibility, not mass lockdowns, which were not part of the plan—but we threw that plan aside immediately, and we went for exactly what everybody else around the world was doing. Or almost everyone—never forget plucky Sweden.

During covid-19, we had an excess of global collaboration and not enough independence—and certainly not enough parliamentary scrutiny. That is why I am concerned about the treaty and what lies beneath it. The treaty would create, via amendments to international health regulations, the infrastructure and funding to implement changes that are being planned anyway. Those amendments are of greater concern. The proposed new regulations would hardwire into international law and our domestic policy a top-down approach to pandemics and global public health. Yes, we need co-operation and strategic vision, but no, we do not need ever more centralised solutions.

In this country, the top-down approach to covid-19, from the centralised test and trace system to food parcels for the isolated, did not work. What worked best was people taking responsibility for themselves and their neighbours, local government working with civil society, medical leaders exercising their judgment, and public servants at the local level working flexibly and with initiative. What worked was not central control but subsidiarity: decisions being taken as close as possible to the people that they affected.

[John Spellar]

The hon. Gentleman is absolutely right about tracking and tracing people, for which there was already an established infrastructure, but surely vaccines, for example, can be done only at a national and international level.

[Danny Kruger]

I am all for international collaboration, including in the development of vaccines, but no, what we need is more independent development of medical devices and treatments. In fact, it was a race between different countries that led to the vaccine programme. We have a high degree of international collaboration at the medical level, and I am not sure that we need more.

What we now see is the World Health Organisation setting itself up as responsible not just for identifying pandemics but, crucially, for the worldwide responses to those pandemics. The proposed amendments recognise the WHO as the guiding and co-ordinating authority of international responses to public health emergencies of international concern. Of course, we know the WHO’s unaccountable nature: the director general is appointed through an opaque, non-democratic process, and international pharmaceutical companies have too much power.

The regulations propose the creation of a vast public health surveillance mechanism at public expense; if the WHO itself is anything to go by, that would be substantially funded by the pharmaceutical industry. Crucially, as my hon. Friend the Member for Don Valley said, the regulations propose that the WHO’s existing powers to make recommendations about what countries should do be upgraded from non-binding to binding. That amounts to a vast transfer of power to the WHO.

What would the new regulations enable? They would enable legally binding obligations on countries to mandate financial contributions to fund pandemic-response activities. They could require the surrender of intellectual property in technologies. They could mandate the manufacture and international sharing of vaccines. They could override national safety approval processes for vaccines, gene-based therapies, medical devices and diagnostics.