We commend the WHO for accelerating efforts to lead coordination among relevant partners in large-scale outbreaks and public health emergencies, considering its central role particularly in infectious diseases and the need for continuous, predictable, rapid and efficient response throughout the development of outbreaks from small- to large-scale and into public health emergencies, leveraging existing coordination structures, particularly the UN Office for the Coordination of Humanitarian Affairs (OCHA). We invite the WHO and OCHA under the UN Secretary General (UNSG) to review, strengthen and formalize coordination arrangement among the WHO, the UN and other relevant partners, and to update the G7 Health Ministers on the progress in September. Recent outbreaks of Ebola and Zika underscore the imperative to improve prevention of, detection of and response to public health emergencies, whether naturally occurring, deliberate or accidental. In that respect, we remain committed to advancing compliance with the WHO’s IHR objectives including through the Global Health Security Agenda (GHSA). We renew our support to a coordinated approach to offer concrete assistance to 76 countries and regions and support to these partners to develop national plans in close coordination with the WHO and other relevant organizations. Recognizing the primary responsibility of countries to strengthen their IHR core capacities, we intend to assist these partners to achieve the common and measurable targets of the Joint External Evaluation (JEE) tool published by the WHO and in partnership with other organizations such as the Food and Agriculture Organization of the United Nations (FAO) and the World Organization for Animal Health (OIE). We also commit to support, undergo, and share such evaluations with our partners. In order to scale up the implementation of the IHR and in line with its implementation of the new Health Emergencies Program, we encourage the WHO to consider building on already existing structures, such as the Department of Global Capacities, Alert and Response and its Lyon office, and the emerging work of the Alliance for Country Assessment for Global Health Security. We recognize the importance of mobilizing financial resources of the relevant international organizations for strengthening preparedness for and prevention of pandemics, and look forward to discussing on the matter with those organizations, including the World Bank such as International Development Association. Attaining of UHC with strong health systems and better preparedness Recognizing the importance of accelerating achievement of UHC with the principle of no one left behind, we reiterate our commitment to enhance our support and coordination to strengthen health systems, especially in developing countries, to make them more resilient, inclusive, affordable, sustainable, and equitable ones. To this end, we emphasize the need for a strengthened international framework to coordinate the efforts and expertise of all relevant stakeholders and various fora / initiatives at the international level, including disease-specific efforts. In this connection, we support the establishment of UHC 2030 that seeks to ensure the International Health Partnership (IHP+) principles and is supported by initiatives such as the Roadmap Healthy Systems, Healthy 11

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