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    • News
    • The Future of Global Health

    US template for bilateral health deals bypasses WHO pandemic negotiations

    Experts are raising concern around a template for bilateral agreements between the U.S. and partner governments that includes pathogen sharing and agreements on automatic approval for American products.

    By Sara Jerving // 07 November 2025

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    A template for bilateral agreements between the United States and partner governments sheds light on the ideas floating around the Trump administration on how it will engage with countries around global health.

    This includes locking countries into decades-long pathogen sharing agreements — which would circumvent global agreements.

    “In our view, these bilateral agreements will undermine the multilateral system. They will bypass the [World Health Organization], and the foundations of solidarity and equity we have been trying to build here,” Dr. Michel Kazatchkine, member of the Independent Panel for Pandemic Preparedness and Response, said during a meeting of the Intergovernmental Working Group on the WHO Pandemic Agreement.

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    More reading:

    ► Landmark pandemic treaty adopted despite pushback by some countries

    ► What role will Africa CDC play in an ‘America First’ global health vision?

    ► Trump's 'America First' global health plan sidelines NGOs

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    About the author

    • Sara Jerving

      Sara Jervingsarajerving

      Sara Jerving is a Senior Reporter at Devex, where she covers global health. Her work has appeared in The New York Times, the Los Angeles Times, The Wall Street Journal, VICE News, and Bloomberg News among others. Sara holds a master's degree from Columbia University Graduate School of Journalism where she was a Lorana Sullivan fellow. She was a finalist for One World Media's Digital Media Award in 2021; a finalist for the Livingston Award for Young Journalists in 2018; and she was part of a VICE News Tonight on HBO team that received an Emmy nomination in 2018. She received the Philip Greer Memorial Award from Columbia University Graduate School of Journalism in 2014.

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    Related Stories

    Opinion: Global healthRelated Stories - The Kenya-US health deal is pragmatic, but could have been done better

    The Kenya-US health deal is pragmatic, but could have been done better

    The Future of Global HealthRelated Stories - Will African nations lose their leverage in an ‘America First’ health plan?

    Will African nations lose their leverage in an ‘America First’ health plan?

    The Future of Global HealthRelated Stories - US has begun bilateral health negotiations with 16 African nations

    US has begun bilateral health negotiations with 16 African nations

    The future of global healthRelated Stories - Kenya limits US access to disease outbreak data in new bilateral deal

    Kenya limits US access to disease outbreak data in new bilateral deal

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