Learning lessons from the Ebola outbreak, especially through the wisdom offered by a wide-range of experts across the globe, including the work of the UN High-Level Panel on the Global Response to Health Crises, we recognize that health systems need to be resilient and have the capacity to respond to, better prepare for and prevent global public health threats such as pandemics and other severe events. Prompt and effective responses to public health emergencies will also require World Health Organization (WHO) reforms, funding mechanisms that enable speedy disbursement for prompt response, coordinated implementation of action among relevant stakeholders and systems, and better implementation of the International Health Regulations (IHR). We note that the efforts and achievements toward UHC, health system strengthening (HSS) and preparing and responding to public health emergencies are further jeopardized by the significant threat posed by AMR. We also acknowledge the importance and contribution of R&D and innovation to preserve and deploy existing remedies, and to discover new remedies for these and other health areas, such as neglected tropical diseases and poverty related infectious diseases as well as conditions related to ageing. With these in mind, we particularly commit to take concrete actions in the following areas as elaborated in the G7 Ise-Shima Vision for Global Health, as set out in the Annex. We also instruct our Health Ministers to further elaborate necessary actions on these areas at their Meeting in Kobe in September. Reinforcing of the Global Health Architecture to strengthen response to public health emergencies Recognizing the Ebola outbreak turned into a major epidemic partly due to the lack of swift and coordinated actions among relevant stakeholders, we commit to take leadership in reinforcing the Global Health Architecture, relying on strengthening existing organizations. We reaffirm the WHO’s central role in that architecture to enable and support more swift, effective and coordinated responses to public health emergencies. In this light, we urge and support the WHO to implement its emergency and wider reforms, including its One WHO approach across the three levels of the Organization, namely its headquarters, regional and country offices, in a timely manner, recognizing its resource needs. We also highlight the vital importance of adequate, responsible and timely disbursement of financial resources to ensure appropriate response to public health emergencies. In this connection, we call on the international community to support the Contingency Fund for Emergency (CFE) to enable swift initial responses by the WHO. Further, to support a surge response by governments, multilateral agencies and NGOs, we welcome the World Bank’s formal announcement of launching the Pandemic Emergency Financing Facility (PEF), and invite the international community including G7 members to extend technical support and financial contributions to this end. We also call upon relevant international organizations to ensure coordination among the PEF and their related funding mechanisms including the CFE. 10

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