WHO Pandemic Agreement and International Health Regulations
The WHO Pandemic Agreement aims to strengthen international preparedness for pandemics and other public health emergencies.
Multilateral cooperation is essential for combating pandemics and other large-scale health emergencies, which, as a rule, know no borders and require joint action.
Based on its mandate, the WHO plays a key role in responding to global health challenges. Under its Constitution, the WHO may also, upon request, assist its Member States in health emergencies.
The WHO Member States negotiated the Pandemic Agreement in 2022–2025. The Pandemic Agreement was adopted at the World Health Assembly on 20 May 2025.
PABS Annex
The WHO Member States are now in the process of negotiating an annex to the Pandemic Agreement that will establish a Pathogen Access and Benefit-Sharing (PABS) System. The negotiations on the PABS annex take place between 2025 and 2026.
The purpose of the annex is to describe how countries can share information on pathogens. The annex also aims to determine how vaccines and other benefits developed on the basis of such information can be shared between countries as fairly as possible.
The negotiations on the PABS annex to the Pandemic Agreement began in July 2025 with WHO Members States holding their first meeting of the Intergovernmental Working Group (IGWG) on the Pandemic Agreement. The aim is to adopt the annex at the World Health Assembly in May 2026. Finland is represented in the negotiations by the delegation appointed for the agreement negotiations. Just like during the agreement negotiations, Parliament is kept informed of the progress of the annex negotiations, and Parliament takes part in forming Finland's positions.
Pandemic Agreement to be discussed next at national level
Finland participated in the negotiations as part of the European Union, which formed the common positions for the negotiations. Finland’s delegation for the negotiations included representatives from the Ministry of Social Affairs and Health, the Ministry for Foreign Affairs and the Finnish Institute for Health and Welfare. The delegation also consulted other government branches and stakeholders.
Parliament was kept informed throughout the negotiations, and it took part in forming Finland’s positions for the negotiations.
After the World Health Assembly has adopted the PABS annex, each WHO Member State will process and commit to the Pandemic Agreement in accordance with its constitutional processes. In Finland, this means that the Agreement will first be considered by the Government, which will then submit a proposal to Parliament for the adoption of the Agreement. Parliament will consider the proposal and vote on it, after which the Pandemic Agreement needs to be approved by the President of the Republic.
IHR
The WHO’s International Health Regulations (IHR, 2005) are the key international agreement in force and the key foundation for international cooperation that cover measures for preparing for, and responding to, cross-border health emergencies. The purpose of the IHR is to prevent, protect against, control and provide a public health response to the international spread of diseases.
Based on the IHR, the States Parties are committed to measures that strengthen the capacities of the states to prevent, detect and respond to health emergencies. The States Parties must also report threats that have been detected. Finland brought the IHR into force by an act and a decree (Finnish Treaty Series 50 and 51/2007).
In parallel with the negotiations on the Pandemic Agreement, the WHO Member States started negotiating amendments to the IHR in November 2022. The World Health Assembly adopted the IHR amendments in June 2024. Some of the amendments adopted by the World Health Assembly were minor and technical, whereas others were larger-scale in nature. The outcome of the negotiations was in line with Finland’s position and objectives.
In Finland, the amendments were considered first by the Government, then by Parliament and finally by the President of the Republic.
More information:
- Intergovernmental Working Group (IGWG) on the WHO Pandemic Agreement on the WHO website
- Agreement on pandemic prevention, preparedness and response on the WHO website
- International Health Regulations on the WHO website
- Europe communications submitted to Parliament (in Finnish)
- Union communications submitted to Parliament (in Finnish)
News Items and Press Releases
- Press release 27 June 2025: Finland adopts amendments to International Health Regulations at national level
- Press release 20 May 2025: World Health Assembly adopts new Pandemic Agreement
- News item 14 March 2025: Stakeholders discuss WHO pandemic treaty
- News item 19 March 2024: WHO pandemic treaty to be negotiated in Geneva on 18–29 March
- News item 26 April 2023: Stakeholders were consulted about negotiations on WHO pandemic treaty
- News item 5 December 2022: Negotiations on future WHO pandemic treaty take place in Geneva this week
- News item 30 September 2022: Future WHO pandemic treaty discussed in Helsinki
Frequently asked questions
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Based on the mandate given to it by its Member States, the World Health Organization (WHO) has a key coordinating role in combating pandemics and other large-scale health emergencies. The WHO may assist its Member States in health emergencies upon their request. In addition, the Member States may draw up international treaties within the WHO framework. An example of such a treaty is the WHO International Health Regulations (IHR 2005), which were drawn up to combat cross-border health threats. Finland brought the IHR into force in 2007.
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The purpose of the pandemic treaty and the IHR amendments is not to change the competence of the WHO under the WHO Constitution in relation to the nation states but to intensify cooperation between the Member States and with the WHO and to strengthen national preparedness. Now, the WHO may, for example, declare a global public health emergency on the basis of expert assessments, which is intended to serve as an alert to the Member States. There is currently no similar mechanism for declaring a pandemic. The WHO provides advice and guidance to its Member States and supports them in responding to emergencies, especially in the early stages.
At the global level, preparedness, readiness and healthcare capacity is inadequate. The purpose of the pandemic treaty is to commit the Member States to capacity building and to improve the structures of cooperation. The organisation of healthcare and preparedness will continue to fall within the scope of national competence.
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Finland considers it important that global pandemic preparedness and readiness be improved in all countries. Pandemics can begin in different ways and in different parts of the world. Because of this, it is important to identify and manage them so that the spread of an infectious disease can be stopped or limited. The treaty can also enhance international cooperation between different operators and sectors. It is essential that cooperation in crises works well and is effective.
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Finland considers that the pandemic treaty should strengthen global justice and international cooperation. During the negotiations, Finland stressed that the pandemic treaty should primarily address issues that are not covered by other existing mechanisms. Issues related to health security require strong national commitment and ownership from all Member States. It is also important to respect national competence in the future, even though international cooperation in, and the normative framework for, health security are strengthened. No obligations or powers restricting national competence during a health threat should be included in the treaty. The role of the Member States in defining health policy and organising health services must be taken into account.
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The issue of putting WHO funding on a more sustainable basis will be discussed separately during other processes. WHO funding relies largely on the biggest donors, with a large proportion of the funding earmarked for specific areas of work. The lack of flexibility and predictability in funding makes the Organization’s work more difficult. For a long time, membership fees have accounted for less than 20 per cent of the WHO's total budget. For this reason, the World Health Assembly made a decision in spring 2022 to gradually increase the Member States' assessed contributions (membership dues) by 2031 at the latest. This will help to ensure a more sustainable funding base. In addition, efforts will be made to improve the efficiency of the Organization’s activities.
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Finland participated in the negotiations as part of the European Union, which formed the common positions for the negotiations. Finland took an active part in forming the EU’s common positions. According to a preliminary assessment, the pandemic treaty and the possible amendments to the IHR would include provisions that fall within the competence of both the EU and the Member States.
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Parliament was kept informed of the progress of both negotiations at their different stages, and Parliament took part in forming Finland’s positions for the negotiations.
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World Health Assembly adopted the pandemic agreement on 20 May 2025. After this each WHO Member State will discuss the Pandemic Agreement at the national level and commit to the Agreement in accordance with its constitutional processes. In Finland, this means that the Agreement will first be considered by the Government, which will then submit a proposal to Parliament for the adoption of the Agreement. Parliament will consider the proposal and vote on it, after which the Pandemic Agreement needs to be approved by the President of the Republic.
The international pandemic treaty will not enter into force until a sufficient number of Member States, as defined in the treaty, have ratified it.
Further information
Pasi Korhonen, Director of EU and International Affairs
Ministry of Social Affairs and Health, International Affairs Unit (KVY) Telephone:0295163175 Email Address: [email protected]