{"disclaimer":"Transcripts available through this tool are created by using automatic speech recognition and are not official records nor official documents of the United Nations. Official records and official documents are available on the Official Document System of the United Nations.","url":"https://transcripts.un.org/es/asset/k11/k11hds3sdu?lang=en","llms":{"note":"Plain-text sibling of this page, compact for LLM context. For the full API guide (search, listing, URL grammar) see /llms.txt.","textUrl":"/es/asset/k11/k11hds3sdu.txt","guide":"/llms.txt"},"video":{"id":"k11/k11hds3sdu","kaltura_id":"1_1hds3sdu","title":"Two Regions, One Future: Financing Pandemic Prevention, Preparedness and Response to Build Global Health Security","clean_title":"Two Regions, One Future: Financing Pandemic Prevention, Preparedness and Response to Build Global Health Security","url":"https://webtv.un.org/en/asset/k11/k11hds3sdu","date":"2026-09-22T00:00:00.000Z","scheduled_time":"2026-09-22T19:30:00.000Z","status":"finished","duration":"01:29:58","category":"Side 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want to extend a warm greeting to those participants following us online.","start":2279.91,"end":2284.39,"topics":[],"words":[{"text":"We","start":2279.91,"end":2280.11},{"text":"want","start":2280.11,"end":2280.35},{"text":"to","start":2280.39,"end":2280.67},{"text":"extend","start":2280.71,"end":2281.15},{"text":"a","start":2281.15,"end":2281.19},{"text":"warm","start":2281.19,"end":2281.43},{"text":"greeting","start":2281.43,"end":2281.91},{"text":"to","start":2281.91,"end":2282.07},{"text":"those","start":2282.07,"end":2282.47},{"text":"participants","start":2282.47,"end":2283.19},{"text":"following","start":2283.19,"end":2283.59},{"text":"us","start":2283.59,"end":2283.83},{"text":"online.","start":2283.83,"end":2284.39}]},{"text":"And if you just give us a few minutes, we are going to start really 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distinguished delegates, I am Cecilia Munda Kasha, Vice President for Global Health Strategy at the United Nations Foundation, and it is an honor for me to welcome you all and open this important session entitled, Two Regions, One Future, Financing Pandemic Prevention, Preparedness, and Response to Build Global Health Security.","start":2602.75,"end":2621.87,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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like to begin by acknowledging the presence of His Excellency, Dr. Muhammad Irfan Ali, President of the Cooperative Republic of Guyana, and His Excellencies, Evariste Ndiichimye, President of the Republic of Burundi and Chairperson of the African 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behalf of the UN Foundation, I want to thank the Cooperative Republic of Guyana and the Republic of Burundi, as well as the African Centers for Disease Control and Prevention and the Pan American Health Organization for their leadership and partnership in organizing this event.","start":2641.39,"end":2655.31,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. 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distinguished guests, today we meet on the margins of the UN General Assembly in New York.","start":2667.87,"end":2673.15,"topics":[],"words":[{"text":"Excellencies,","start":2667.87,"end":2668.67},{"text":"distinguished","start":2668.79,"end":2669.35},{"text":"guests,","start":2669.35,"end":2669.71},{"text":"today","start":2669.71,"end":2670.11},{"text":"we","start":2670.11,"end":2670.27},{"text":"meet","start":2670.27,"end":2670.47},{"text":"on","start":2670.47,"end":2670.55},{"text":"the","start":2670.55,"end":2670.67},{"text":"margins","start":2670.67,"end":2671.11},{"text":"of","start":2671.11,"end":2671.19},{"text":"the","start":2671.19,"end":2671.31},{"text":"UN","start":2671.31,"end":2671.59},{"text":"General","start":2671.59,"end":2671.95},{"text":"Assembly","start":2671.95,"end":2672.43},{"text":"in","start":2672.43,"end":2672.63},{"text":"New","start":2672.63,"end":2672.75},{"text":"York.","start":2672.75,"end":2673.15}]},{"text":"In just a few days, countries will convene for a high-level meeting on pandemic prevention, preparedness, and response, also known as PPPR.","start":2673.63,"end":2681.87,"topics":[],"words":[{"text":"In","start":2673.63,"end":2673.79},{"text":"just","start":2673.79,"end":2674.07},{"text":"a","start":2674.07,"end":2674.11},{"text":"few","start":2674.11,"end":2674.43},{"text":"days,","start":2674.43,"end":2674.91},{"text":"countries","start":2675.55,"end":2675.95},{"text":"will","start":2675.95,"end":2676.11},{"text":"convene","start":2676.11,"end":2676.67},{"text":"for","start":2676.67,"end":2676.83},{"text":"a","start":2676.83,"end":2676.87},{"text":"high-level","start":2676.87,"end":2677.27},{"text":"meeting","start":2677.27,"end":2677.63},{"text":"on","start":2677.63,"end":2677.79},{"text":"pandemic","start":2677.79,"end":2678.19},{"text":"prevention,","start":2678.19,"end":2678.79},{"text":"preparedness,","start":2678.79,"end":2679.47},{"text":"and","start":2679.55,"end":2679.71},{"text":"response,","start":2679.71,"end":2680.27},{"text":"also","start":2680.27,"end":2680.59},{"text":"known","start":2680.59,"end":2680.83},{"text":"as","start":2680.83,"end":2681.07},{"text":"PPPR.","start":2681.07,"end":2681.87}]},{"text":"Meanwhile, in the DRC, the Bundibugyo Ebola epidemic is expanding geographically.","start":2682.71,"end":2687.19,"topics":[],"words":[{"text":"Meanwhile,","start":2682.71,"end":2683.35},{"text":"in","start":2683.43,"end":2683.59},{"text":"the","start":2683.59,"end":2683.67},{"text":"DRC,","start":2683.67,"end":2684.39},{"text":"the","start":2684.47,"end":2684.63},{"text":"Bundibugyo","start":2684.63,"end":2685.15},{"text":"Ebola","start":2685.15,"end":2685.39},{"text":"epidemic","start":2685.39,"end":2685.83},{"text":"is","start":2685.83,"end":2685.99},{"text":"expanding","start":2685.99,"end":2686.47},{"text":"geographically.","start":2686.47,"end":2687.19}]},{"text":"In Yemen, a chronic cholera epidemic continues to take hundreds of lives every year.","start":2687.67,"end":2692.63,"topics":[],"words":[{"text":"In","start":2687.67,"end":2687.91},{"text":"Yemen,","start":2687.91,"end":2688.39},{"text":"a","start":2688.63,"end":2688.71},{"text":"chronic","start":2688.71,"end":2689.07},{"text":"cholera","start":2689.07,"end":2689.47},{"text":"epidemic","start":2689.47,"end":2689.95},{"text":"continues","start":2689.95,"end":2690.63},{"text":"to","start":2690.63,"end":2690.71},{"text":"take","start":2690.71,"end":2691.03},{"text":"hundreds","start":2691.03,"end":2691.39},{"text":"of","start":2691.39,"end":2691.47},{"text":"lives","start":2691.47,"end":2691.91},{"text":"every","start":2691.99,"end":2692.39},{"text":"year.","start":2692.39,"end":2692.63}]},{"text":"And across Asia, we see how avian influenza continues to jump from poultry to 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warning.","start":2699.43,"end":2705.75,"topics":[],"words":[{"text":"These","start":2699.43,"end":2699.59},{"text":"are","start":2699.59,"end":2699.75},{"text":"different","start":2699.75,"end":2700.11},{"text":"pathogens","start":2700.11,"end":2700.87},{"text":"affecting","start":2701.03,"end":2701.43},{"text":"regions","start":2701.43,"end":2701.79},{"text":"in","start":2701.79,"end":2701.91},{"text":"different","start":2701.91,"end":2702.27},{"text":"ways,","start":2702.27,"end":2702.79},{"text":"but","start":2703.27,"end":2703.47},{"text":"together,","start":2703.47,"end":2704.07},{"text":"they","start":2704.15,"end":2704.31},{"text":"carry","start":2704.31,"end":2704.71},{"text":"the","start":2704.71,"end":2704.83},{"text":"same","start":2704.83,"end":2705.27},{"text":"warning.","start":2705.27,"end":2705.75}]},{"text":"The cost of responding to large crisis is always higher than the cost of 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with that, it is my privilege to introduce Ambassador Anne-Claire Ampoux, French Ambassador for Global Health and Chair of the Executive Board of 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it is wonderful to see you back in New York.","start":2884.15,"end":2886.87,"topics":[],"words":[{"text":"Ambassador,","start":2884.15,"end":2884.79},{"text":"it","start":2884.79,"end":2884.91},{"text":"is","start":2884.91,"end":2885.11},{"text":"wonderful","start":2885.11,"end":2885.67},{"text":"to","start":2885.67,"end":2885.79},{"text":"see","start":2885.79,"end":2885.95},{"text":"you","start":2885.95,"end":2886.07},{"text":"back","start":2886.07,"end":2886.27},{"text":"in","start":2886.27,"end":2886.35},{"text":"New","start":2886.35,"end":2886.43},{"text":"York.","start":2886.43,"end":2886.87}]},{"text":"Ambassador Ampru has, as you well know, an extensive experience in global health diplomacy, having co-chaired the intergovernmental negotiating body on the WHO Pandemic 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very grateful for your willingness to join us today and to participate as a moderator of this high-level 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the floor is now yours.","start":2903.75,"end":2905.39,"topics":[],"words":[{"text":"Ambassador,","start":2903.75,"end":2904.27},{"text":"the","start":2904.27,"end":2904.43},{"text":"floor","start":2904.43,"end":2904.67},{"text":"is","start":2904.67,"end":2904.75},{"text":"now","start":2904.75,"end":2904.91},{"text":"yours.","start":2904.91,"end":2905.39}]}]}],"speaker":{"name":"Cecilia Munda Kasha","affiliation":"UN Foundation","affiliation_full":"UN Foundation","group":null,"function":"Vice President for Global Health Strategy"}},{"statement_number":2,"start":2908.59,"pageUrl":"/es/asset/k11/k11hds3sdu?lang=en&t=48:29","paragraphs":[{"sentences":[{"text":"Thank you.","start":2908.59,"end":2909.15,"topics":[],"words":[{"text":"Thank","start":2908.59,"end":2908.91},{"text":"you.","start":2908.91,"end":2909.15}]},{"text":"Thank you, Cecilia, and thank you to the United Nations Foundation for your partnership in bringing G7 to 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delegates, we meet today at a consequential moment.","start":2916.83,"end":2922.75,"topics":[],"words":[{"text":"Your","start":2916.83,"end":2917.11},{"text":"Excellencies,","start":2917.11,"end":2917.79},{"text":"distinguished","start":2917.79,"end":2918.91},{"text":"delegates,","start":2918.91,"end":2919.71},{"text":"we","start":2919.71,"end":2919.95},{"text":"meet","start":2919.95,"end":2920.15},{"text":"today","start":2920.15,"end":2920.51},{"text":"at","start":2920.51,"end":2920.79},{"text":"a","start":2920.79,"end":2920.83},{"text":"consequential","start":2920.83,"end":2921.87},{"text":"moment.","start":2922.03,"end":2922.75}]},{"text":"The adoption of the WHO Pandemic Agreement last year, as mentioned by Cecilia, was a hard-won milestone, proof that multilateral cooperation on health security is possible, even in a fragmented geopolitical landscape.","start":2923.15,"end":2939.71,"topics":[{"key":"country-led-planning","label":"Country-Led Preparedness 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"That","start":2979.79,"end":2980.11},{"text":"case","start":2980.11,"end":2980.43},{"text":"is","start":2980.43,"end":2980.75},{"text":"made","start":2980.75,"end":2981.39},{"text":"every","start":2981.47,"end":2981.95},{"text":"time","start":2981.95,"end":2982.43},{"text":"an","start":2982.51,"end":2982.75},{"text":"outbreak","start":2982.75,"end":2983.35},{"text":"crosses","start":2983.35,"end":2983.95},{"text":"a","start":2983.95,"end":2983.99},{"text":"border,","start":2983.99,"end":2984.51},{"text":"every","start":2985.23,"end":2985.63},{"text":"time","start":2985.63,"end":2986.03},{"text":"a","start":2986.03,"end":2986.07},{"text":"health","start":2986.07,"end":2986.43},{"text":"system","start":2986.43,"end":2987.07},{"text":"buckles","start":2987.07,"end":2987.63},{"text":"under","start":2987.71,"end":2988.03},{"text":"a","start":2988.03,"end":2988.11},{"text":"surge","start":2988.11,"end":2988.67},{"text":"it","start":2989.07,"end":2989.31},{"text":"was","start":2989.31,"end":2989.63},{"text":"not","start":2989.63,"end":2989.95},{"text":"resourced","start":2989.95,"end":2990.47},{"text":"to","start":2990.47,"end":2990.55},{"text":"absorb.","start":2990.55,"end":2990.95}]},{"text":"The work before us is to ask How we move from crisis-driven funding to strategic, predictable investment.","start":2992.03,"end":3002.87,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"How","start":3003.83,"end":3004.15},{"text":"do","start":3004.15,"end":3004.47},{"text":"Africa","start":3004.47,"end":3005.11},{"text":"and","start":3005.43,"end":3005.75},{"text":"the","start":3005.79,"end":3005.87},{"text":"Americas,","start":3005.87,"end":3006.63},{"text":"two","start":3006.71,"end":3007.03},{"text":"regions","start":3007.03,"end":3007.75},{"text":"that","start":3008.07,"end":3008.31},{"text":"have","start":3008.31,"end":3008.71},{"text":"paid","start":3008.71,"end":3009.19},{"text":"an","start":3009.19,"end":3009.31},{"text":"outside","start":3009.31,"end":3009.75},{"text":"price","start":3009.75,"end":3010.39},{"text":"in","start":3010.39,"end":3010.55},{"text":"the","start":3010.55,"end":3010.63},{"text":"face","start":3010.63,"end":3011.03},{"text":"of","start":3011.03,"end":3011.19},{"text":"both","start":3011.19,"end":3011.47},{"text":"outbreaks","start":3011.67,"end":3012.31},{"text":"and","start":3012.31,"end":3012.59},{"text":"pandemics,","start":3012.59,"end":3013.27},{"text":"lead","start":3013.67,"end":3013.95},{"text":"that","start":3013.95,"end":3014.15},{"text":"conversation","start":3014.15,"end":3014.79},{"text":"together?","start":3014.79,"end":3015.35}]},{"text":"The leaders and experts in this room have concrete answers, and I look forward to drawing them out.","start":3016.71,"end":3023.35,"topics":[],"words":[{"text":"The","start":3016.71,"end":3016.87},{"text":"leaders","start":3016.87,"end":3017.43},{"text":"and","start":3017.43,"end":3017.71},{"text":"experts","start":3017.71,"end":3018.19},{"text":"in","start":3018.19,"end":3018.39},{"text":"this","start":3018.39,"end":3018.63},{"text":"room","start":3018.63,"end":3018.87},{"text":"have","start":3018.95,"end":3019.43},{"text":"concrete","start":3019.43,"end":3020.15},{"text":"answers,","start":3020.15,"end":3020.83},{"text":"and","start":3020.83,"end":3020.99},{"text":"I","start":3020.99,"end":3021.03},{"text":"look","start":3021.03,"end":3021.27},{"text":"forward","start":3021.27,"end":3021.63},{"text":"to","start":3021.63,"end":3021.83},{"text":"drawing","start":3021.83,"end":3022.31},{"text":"them","start":3022.31,"end":3022.55},{"text":"out.","start":3022.55,"end":3023.35}]},{"text":"So to open our dialogue, I'm honored to invite His Excellency, Dr. Mohammed Irfan Ali, President of the Cooperative Republic of Guyana.","start":3024.27,"end":3034.19,"topics":[],"words":[{"text":"So","start":3024.27,"end":3024.43},{"text":"to","start":3024.43,"end":3024.63},{"text":"open","start":3024.63,"end":3024.91},{"text":"our","start":3024.91,"end":3025.15},{"text":"dialogue,","start":3025.15,"end":3025.63},{"text":"I'm","start":3025.95,"end":3026.19},{"text":"honored","start":3026.27,"end":3026.71},{"text":"to","start":3026.71,"end":3026.87},{"text":"invite","start":3026.87,"end":3027.31},{"text":"His","start":3027.31,"end":3027.79},{"text":"Excellency,","start":3027.79,"end":3028.59},{"text":"Dr.","start":3029.23,"end":3029.63},{"text":"Mohammed","start":3029.63,"end":3030.19},{"text":"Irfan","start":3030.27,"end":3030.83},{"text":"Ali,","start":3030.91,"end":3031.31},{"text":"President","start":3031.39,"end":3032.19},{"text":"of","start":3032.27,"end":3032.39},{"text":"the","start":3032.39,"end":3032.51},{"text":"Cooperative","start":3032.51,"end":3033.15},{"text":"Republic","start":3033.15,"end":3033.59},{"text":"of","start":3033.59,"end":3033.71},{"text":"Guyana.","start":3033.71,"end":3034.19}]},{"text":"President, you have been a consistent and credible voice for the proposition that pandemic preparedness is not a health expenditure, but a cross-sectoral investment in economic resilience, national security, and sustainable development.","start":3034.99,"end":3051.79,"topics":[{"key":"country-led-planning","label":"Country-Led Preparedness Planning","description":"Delegates stressed that preparedness investments should be based on nationally identified gaps, plans, and priorities rather than externally imposed templates. 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Chair of the Executive Board of UNITAID"}},{"statement_number":3,"start":3069.71,"pageUrl":"/es/asset/k11/k11hds3sdu?lang=en&t=51:10","paragraphs":[{"sentences":[{"text":"Thank you very much, colleagues, distinguished ladies and gentlemen.","start":3069.71,"end":3075.43,"topics":[],"words":[{"text":"Thank","start":3069.71,"end":3069.91},{"text":"you","start":3069.91,"end":3069.99},{"text":"very","start":3069.99,"end":3070.23},{"text":"much,","start":3070.23,"end":3070.71},{"text":"colleagues,","start":3070.87,"end":3071.59},{"text":"distinguished","start":3072.55,"end":3073.47},{"text":"ladies","start":3073.99,"end":3074.55},{"text":"and","start":3074.67,"end":3074.83},{"text":"gentlemen.","start":3074.83,"end":3075.43}]},{"text":"The COVID-19 pandemic was one of the most tragic developments in modern human history.","start":3076.47,"end":3084.35,"topics":[],"words":[{"text":"The","start":3076.47,"end":3076.55},{"text":"COVID-19","start":3076.71,"end":3077.83},{"text":"pandemic","start":3077.83,"end":3078.39},{"text":"was","start":3079.43,"end":3079.55},{"text":"one","start":3079.55,"end":3079.75},{"text":"of","start":3079.75,"end":3079.87},{"text":"the","start":3079.87,"end":3079.99},{"text":"most","start":3079.99,"end":3080.51},{"text":"tragic","start":3080.75,"end":3081.31},{"text":"developments","start":3081.31,"end":3082.35},{"text":"in","start":3082.43,"end":3082.59},{"text":"modern","start":3082.59,"end":3083.23},{"text":"human","start":3083.47,"end":3083.83},{"text":"history.","start":3083.83,"end":3084.35}]},{"text":"It took millions of lives, disrupted economies, interrupted education, and exposed the extraordinary fragility of our interconnected world.","start":3085.55,"end":3096.99,"topics":[],"words":[{"text":"It","start":3085.55,"end":3085.75},{"text":"took","start":3085.75,"end":3085.95},{"text":"millions","start":3085.95,"end":3086.43},{"text":"of","start":3086.43,"end":3086.51},{"text":"lives,","start":3086.51,"end":3087.15},{"text":"disrupted","start":3087.79,"end":3088.43},{"text":"economies,","start":3088.43,"end":3089.39},{"text":"interrupted","start":3090.07,"end":3090.75},{"text":"education,","start":3090.75,"end":3091.55},{"text":"and","start":3092.15,"end":3092.31},{"text":"exposed","start":3092.31,"end":3093.23},{"text":"the","start":3093.79,"end":3093.91},{"text":"extraordinary","start":3093.91,"end":3094.75},{"text":"fragility","start":3094.75,"end":3095.47},{"text":"of","start":3095.47,"end":3095.63},{"text":"our","start":3095.63,"end":3095.79},{"text":"interconnected","start":3095.79,"end":3096.55},{"text":"world.","start":3096.55,"end":3096.99}]},{"text":"We can only hope that humanity will never again endure a crisis of such scale and gravity.","start":3097.87,"end":3105.87,"topics":[],"words":[{"text":"We","start":3097.87,"end":3098.03},{"text":"can","start":3098.03,"end":3098.19},{"text":"only","start":3098.19,"end":3098.43},{"text":"hope","start":3098.43,"end":3098.83},{"text":"that","start":3099.55,"end":3099.71},{"text":"humanity","start":3099.71,"end":3100.35},{"text":"will","start":3100.35,"end":3100.47},{"text":"never","start":3100.47,"end":3100.87},{"text":"again","start":3100.87,"end":3101.39},{"text":"endure","start":3101.63,"end":3102.23},{"text":"a","start":3102.23,"end":3102.27},{"text":"crisis","start":3102.27,"end":3103.07},{"text":"of","start":3103.47,"end":3103.63},{"text":"such","start":3103.63,"end":3103.83},{"text":"scale","start":3103.83,"end":3104.91},{"text":"and","start":3105.07,"end":3105.27},{"text":"gravity.","start":3105.27,"end":3105.87}]},{"text":"The best tribute to those We lost is to ensure that we act consistently and with sustained purpose to prevent, prepare for, and respond to any future global health crisis.","start":3107.23,"end":3124.31,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"The","start":3107.23,"end":3107.35},{"text":"best","start":3107.35,"end":3107.67},{"text":"tribute","start":3107.67,"end":3108.31},{"text":"to","start":3108.31,"end":3108.39},{"text":"those","start":3108.39,"end":3109.07},{"text":"We","start":3109.67,"end":3109.83},{"text":"lost","start":3109.83,"end":3110.39},{"text":"is","start":3110.55,"end":3110.75},{"text":"to","start":3110.75,"end":3110.91},{"text":"ensure","start":3110.91,"end":3111.67},{"text":"that","start":3112.63,"end":3112.83},{"text":"we","start":3112.83,"end":3113.03},{"text":"act","start":3113.03,"end":3113.39},{"text":"consistently","start":3113.39,"end":3114.31},{"text":"and","start":3114.91,"end":3115.07},{"text":"with","start":3115.07,"end":3115.19},{"text":"sustained","start":3115.19,"end":3115.99},{"text":"purpose","start":3116.15,"end":3116.95},{"text":"to","start":3117.43,"end":3117.59},{"text":"prevent,","start":3117.59,"end":3118.31},{"text":"prepare","start":3118.71,"end":3119.51},{"text":"for,","start":3119.51,"end":3120.15},{"text":"and","start":3120.71,"end":3120.91},{"text":"respond","start":3120.91,"end":3121.75},{"text":"to","start":3121.75,"end":3121.83},{"text":"any","start":3121.83,"end":3122.07},{"text":"future","start":3122.07,"end":3122.71},{"text":"global","start":3123.03,"end":3123.39},{"text":"health","start":3123.39,"end":3123.63},{"text":"crisis.","start":3123.63,"end":3124.31}]},{"text":"The pandemic exposed crucial fault lines within and between countries.","start":3125.27,"end":3131.59,"topics":[],"words":[{"text":"The","start":3125.27,"end":3125.43},{"text":"pandemic","start":3125.43,"end":3126.07},{"text":"exposed","start":3126.07,"end":3126.83},{"text":"crucial","start":3127.27,"end":3127.91},{"text":"fault","start":3128.07,"end":3128.55},{"text":"lines","start":3128.55,"end":3129.27},{"text":"within","start":3129.59,"end":3130.15},{"text":"and","start":3130.27,"end":3130.43},{"text":"between","start":3130.43,"end":3130.79},{"text":"countries.","start":3130.79,"end":3131.59}]},{"text":"Those must be repaired before the next emergency finds them.","start":3132.39,"end":3137.43,"topics":[],"words":[{"text":"Those","start":3132.39,"end":3132.87},{"text":"must","start":3132.95,"end":3133.47},{"text":"be","start":3133.47,"end":3133.59},{"text":"repaired","start":3133.59,"end":3134.23},{"text":"before","start":3134.71,"end":3135.11},{"text":"the","start":3135.11,"end":3135.19},{"text":"next","start":3135.19,"end":3135.55},{"text":"emergency","start":3135.55,"end":3136.39},{"text":"finds","start":3136.71,"end":3137.11},{"text":"them.","start":3137.11,"end":3137.43}]},{"text":"For developing countries, five lessons deserve particular attention.","start":3138.67,"end":3144.23,"topics":[],"words":[{"text":"For","start":3138.67,"end":3138.79},{"text":"developing","start":3138.79,"end":3139.35},{"text":"countries,","start":3139.35,"end":3140.23},{"text":"five","start":3140.87,"end":3141.27},{"text":"lessons","start":3141.27,"end":3141.99},{"text":"deserve","start":3142.31,"end":3142.87},{"text":"particular","start":3142.95,"end":3143.55},{"text":"attention.","start":3143.55,"end":3144.23}]},{"text":"First, preparedness must begin before the emergency.","start":3144.95,"end":3149.43,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"First,","start":3144.95,"end":3145.43},{"text":"preparedness","start":3146.31,"end":3147.19},{"text":"must","start":3147.27,"end":3147.51},{"text":"begin","start":3147.51,"end":3147.99},{"text":"before","start":3148.07,"end":3148.59},{"text":"the","start":3148.59,"end":3148.67},{"text":"emergency.","start":3148.67,"end":3149.43}]},{"text":"COVID-19 taught us that the real test comes when ordinary capacity is overwhelmed.","start":3150.15,"end":3156.47,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"COVID-19","start":3150.15,"end":3151.35},{"text":"taught","start":3151.35,"end":3151.51},{"text":"us","start":3151.51,"end":3151.91},{"text":"that","start":3152.39,"end":3152.55},{"text":"the","start":3152.55,"end":3152.63},{"text":"real","start":3152.63,"end":3152.95},{"text":"test","start":3152.95,"end":3153.35},{"text":"comes","start":3153.35,"end":3153.83},{"text":"when","start":3153.95,"end":3154.23},{"text":"ordinary","start":3154.23,"end":3154.71},{"text":"capacity","start":3154.71,"end":3155.51},{"text":"is","start":3155.51,"end":3155.67},{"text":"overwhelmed.","start":3155.67,"end":3156.47}]},{"text":"We therefore need to build strength throughout the health system, from community care and disease surveillance to labs hospitals, and trained personnel so that a surge in demand does not result in a collapse in capacity.","start":3157.43,"end":3177.79,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. 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They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."}],"words":[{"text":"The","start":3183.95,"end":3184.03},{"text":"pandemic","start":3184.03,"end":3184.59},{"text":"showed","start":3184.59,"end":3184.95},{"text":"what","start":3184.95,"end":3185.15},{"text":"happens","start":3185.15,"end":3185.75},{"text":"when","start":3185.75,"end":3185.95},{"text":"countries","start":3185.95,"end":3186.67},{"text":"depend","start":3186.67,"end":3187.15},{"text":"too","start":3187.79,"end":3188.03},{"text":"heavily","start":3188.03,"end":3188.51},{"text":"on","start":3188.99,"end":3189.15},{"text":"distant","start":3189.15,"end":3189.75},{"text":"sources","start":3189.75,"end":3190.35},{"text":"for","start":3190.43,"end":3190.59},{"text":"essential","start":3190.59,"end":3191.23},{"text":"medicines,","start":3191.23,"end":3191.95},{"text":"vaccines,","start":3192.43,"end":3193.31},{"text":"diagnostics,","start":3193.71,"end":3194.67},{"text":"and","start":3195.07,"end":3195.23},{"text":"protective","start":3195.23,"end":3195.75},{"text":"equipment.","start":3195.75,"end":3196.35}]},{"text":"Every country must ask, what happens if the supply stops?","start":3197.03,"end":3201.51,"topics":[],"words":[{"text":"Every","start":3197.03,"end":3197.35},{"text":"country","start":3197.35,"end":3197.75},{"text":"must","start":3197.75,"end":3197.99},{"text":"ask,","start":3197.99,"end":3198.31},{"text":"what","start":3199.23,"end":3199.51},{"text":"happens","start":3199.51,"end":3200.15},{"text":"if","start":3200.23,"end":3200.35},{"text":"the","start":3200.35,"end":3200.43},{"text":"supply","start":3200.43,"end":3200.87},{"text":"stops?","start":3200.87,"end":3201.51}]},{"text":"The answer must include diversified suppliers, strategic reserves, and greater domestic and regional capacity.","start":3202.15,"end":3210.63,"topics":[{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."},{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"The","start":3202.15,"end":3202.27},{"text":"answer","start":3202.27,"end":3202.71},{"text":"must","start":3202.71,"end":3202.91},{"text":"include","start":3202.91,"end":3203.51},{"text":"diversified","start":3203.99,"end":3204.91},{"text":"suppliers,","start":3204.91,"end":3205.75},{"text":"strategic","start":3206.23,"end":3206.87},{"text":"reserves,","start":3206.87,"end":3207.59},{"text":"and","start":3208.07,"end":3208.31},{"text":"greater","start":3208.31,"end":3208.67},{"text":"domestic","start":3208.67,"end":3209.35},{"text":"and","start":3209.39,"end":3209.59},{"text":"regional","start":3209.59,"end":3209.99},{"text":"capacity.","start":3209.99,"end":3210.63}]},{"text":"Third, the global South must become a producer of solutions, not merely a consumer of them.","start":3211.51,"end":3219.43,"topics":[{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."}],"words":[{"text":"Third,","start":3211.51,"end":3211.83},{"text":"the","start":3212.87,"end":3213.03},{"text":"global","start":3213.03,"end":3213.43},{"text":"South","start":3213.43,"end":3213.79},{"text":"must","start":3213.83,"end":3214.07},{"text":"become","start":3214.07,"end":3214.39},{"text":"a","start":3214.47,"end":3214.51},{"text":"producer","start":3214.51,"end":3215.27},{"text":"of","start":3215.27,"end":3215.43},{"text":"solutions,","start":3215.43,"end":3216.31},{"text":"not","start":3216.95,"end":3217.35},{"text":"merely","start":3217.35,"end":3217.87},{"text":"a","start":3217.87,"end":3217.91},{"text":"consumer","start":3217.91,"end":3218.87},{"text":"of","start":3218.87,"end":3219.11},{"text":"them.","start":3219.11,"end":3219.43}]},{"text":"Our countries possess scientists, engineers, doctors, researchers, and institutions of considerable talent.","start":3220.31,"end":3229.03,"topics":[],"words":[{"text":"Our","start":3220.31,"end":3220.47},{"text":"countries","start":3220.47,"end":3221.11},{"text":"possess","start":3221.11,"end":3221.75},{"text":"scientists,","start":3221.91,"end":3222.79},{"text":"engineers,","start":3222.87,"end":3223.67},{"text":"doctors,","start":3223.99,"end":3224.79},{"text":"researchers,","start":3224.95,"end":3225.91},{"text":"and","start":3226.19,"end":3226.39},{"text":"institutions","start":3226.39,"end":3227.31},{"text":"of","start":3227.31,"end":3227.47},{"text":"considerable","start":3227.47,"end":3228.35},{"text":"talent.","start":3228.51,"end":3229.03}]},{"text":"Yet, that knowledge remains too fragmented.","start":3229.79,"end":3233.31,"topics":[],"words":[{"text":"Yet,","start":3229.79,"end":3230.19},{"text":"that","start":3230.99,"end":3231.31},{"text":"knowledge","start":3231.31,"end":3231.71},{"text":"remains","start":3231.71,"end":3232.27},{"text":"too","start":3232.35,"end":3232.59},{"text":"fragmented.","start":3232.59,"end":3233.31}]},{"text":"We must connect our scientific and technical capacities across borders, share research, pool investment, and build regional capabilities to develop and manufacture vaccines, medicines, diagnostics, and other lifesaving technologies.","start":3234.03,"end":3253.71,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."},{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."}],"words":[{"text":"We","start":3234.03,"end":3234.19},{"text":"must","start":3234.19,"end":3234.59},{"text":"connect","start":3234.59,"end":3235.11},{"text":"our","start":3235.11,"end":3235.23},{"text":"scientific","start":3235.23,"end":3236.03},{"text":"and","start":3236.67,"end":3236.87},{"text":"technical","start":3236.87,"end":3237.31},{"text":"capacities","start":3237.31,"end":3238.27},{"text":"across","start":3238.43,"end":3238.91},{"text":"borders,","start":3238.91,"end":3239.71},{"text":"share","start":3240.27,"end":3240.71},{"text":"research,","start":3240.71,"end":3241.31},{"text":"pool","start":3241.95,"end":3242.19},{"text":"investment,","start":3242.19,"end":3242.95},{"text":"and","start":3243.55,"end":3243.79},{"text":"build","start":3243.79,"end":3244.15},{"text":"regional","start":3244.15,"end":3244.67},{"text":"capabilities","start":3244.67,"end":3245.79},{"text":"to","start":3246.23,"end":3246.31},{"text":"develop","start":3246.35,"end":3246.91},{"text":"and","start":3246.99,"end":3247.15},{"text":"manufacture","start":3247.15,"end":3247.87},{"text":"vaccines,","start":3247.87,"end":3248.83},{"text":"medicines,","start":3249.23,"end":3250.11},{"text":"diagnostics,","start":3250.51,"end":3251.47},{"text":"and","start":3251.51,"end":3251.75},{"text":"other","start":3251.75,"end":3251.99},{"text":"lifesaving","start":3251.99,"end":3252.75},{"text":"technologies.","start":3252.75,"end":3253.71}]},{"text":"Science should know north or south, but access to its fruits must never depend on geography.","start":3254.67,"end":3263.23,"topics":[{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."}],"words":[{"text":"Science","start":3254.67,"end":3255.47},{"text":"should","start":3255.47,"end":3255.87},{"text":"know","start":3255.87,"end":3256.35},{"text":"north","start":3256.75,"end":3257.27},{"text":"or","start":3257.55,"end":3257.71},{"text":"south,","start":3257.71,"end":3258.15},{"text":"but","start":3259.23,"end":3259.47},{"text":"access","start":3259.47,"end":3260.03},{"text":"to","start":3260.03,"end":3260.15},{"text":"its","start":3260.15,"end":3260.35},{"text":"fruits","start":3260.35,"end":3260.91},{"text":"must","start":3261.23,"end":3261.47},{"text":"never","start":3261.47,"end":3261.87},{"text":"depend","start":3261.87,"end":3262.35},{"text":"on","start":3262.39,"end":3262.59},{"text":"geography.","start":3262.59,"end":3263.23}]},{"text":"We must build a world in which the global south has a scientific capacity, not simply to receive life-saving innovation, but to help create it.","start":3264.03,"end":3275.63,"topics":[{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."}],"words":[{"text":"We","start":3264.03,"end":3264.19},{"text":"must","start":3264.19,"end":3264.59},{"text":"build","start":3264.59,"end":3265.07},{"text":"a","start":3265.07,"end":3265.11},{"text":"world","start":3265.11,"end":3265.67},{"text":"in","start":3265.67,"end":3265.79},{"text":"which","start":3265.79,"end":3266.27},{"text":"the","start":3266.83,"end":3266.99},{"text":"global","start":3266.99,"end":3267.31},{"text":"south","start":3267.31,"end":3267.71},{"text":"has","start":3268.35,"end":3268.75},{"text":"a","start":3268.75,"end":3268.79},{"text":"scientific","start":3268.79,"end":3269.27},{"text":"capacity,","start":3269.27,"end":3270.03},{"text":"not","start":3270.67,"end":3270.91},{"text":"simply","start":3270.91,"end":3271.39},{"text":"to","start":3271.39,"end":3271.51},{"text":"receive","start":3271.51,"end":3272.27},{"text":"life-saving","start":3272.35,"end":3273.15},{"text":"innovation,","start":3273.15,"end":3273.95},{"text":"but","start":3274.43,"end":3274.63},{"text":"to","start":3274.63,"end":3274.71},{"text":"help","start":3274.71,"end":3275.03},{"text":"create","start":3275.03,"end":3275.39},{"text":"it.","start":3275.39,"end":3275.63}]},{"text":"Fourth, resilience requires room to maneuver.","start":3276.27,"end":3280.91,"topics":[],"words":[{"text":"Fourth,","start":3276.27,"end":3276.71},{"text":"resilience","start":3277.63,"end":3278.67},{"text":"requires","start":3278.91,"end":3279.63},{"text":"room","start":3279.63,"end":3280.19},{"text":"to","start":3280.19,"end":3280.31},{"text":"maneuver.","start":3280.31,"end":3280.91}]},{"text":"When the pandemic struck, Governments needed resources immediately at precisely the moment when revenues were falling and economic activity was contracting.","start":3281.83,"end":3293.49,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"When","start":3281.83,"end":3282.07},{"text":"the","start":3282.07,"end":3282.15},{"text":"pandemic","start":3282.15,"end":3282.71},{"text":"struck,","start":3282.71,"end":3283.15},{"text":"Governments","start":3283.75,"end":3284.39},{"text":"needed","start":3284.39,"end":3284.79},{"text":"resources","start":3284.79,"end":3285.51},{"text":"immediately","start":3285.59,"end":3286.23},{"text":"at","start":3287.31,"end":3287.39},{"text":"precisely","start":3287.39,"end":3288.03},{"text":"the","start":3288.03,"end":3288.15},{"text":"moment","start":3288.15,"end":3288.71},{"text":"when","start":3288.75,"end":3289.03},{"text":"revenues","start":3289.03,"end":3289.71},{"text":"were","start":3289.71,"end":3289.83},{"text":"falling","start":3289.83,"end":3290.47},{"text":"and","start":3290.87,"end":3291.03},{"text":"economic","start":3291.03,"end":3291.59},{"text":"activity","start":3291.59,"end":3292.39},{"text":"was","start":3292.65,"end":3292.77},{"text":"contracting.","start":3292.77,"end":3293.49}]},{"text":"Fiscal prudence, therefore, has a human dimension.","start":3294.37,"end":3298.37,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"Fiscal","start":3294.37,"end":3294.93},{"text":"prudence,","start":3294.93,"end":3295.73},{"text":"therefore,","start":3296.05,"end":3296.69},{"text":"has","start":3296.69,"end":3297.01},{"text":"a","start":3297.09,"end":3297.13},{"text":"human","start":3297.13,"end":3297.65},{"text":"dimension.","start":3297.65,"end":3298.37}]},{"text":"Reserves, sustainable debt, and sound public finances give governments the freedom to act when circumstances leave no time for deliberation.","start":3299.09,"end":3310.29,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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National ownership, legislation, health security plans, and country-led budgeting were presented as central to effective implementation."}],"words":[{"text":"The","start":4202.09,"end":4202.21},{"text":"voice","start":4202.21,"end":4202.57},{"text":"of","start":4202.57,"end":4202.65},{"text":"small","start":4202.65,"end":4203.13},{"text":"states","start":4203.13,"end":4203.69},{"text":"must","start":4203.93,"end":4204.33},{"text":"help","start":4204.33,"end":4204.65},{"text":"to","start":4204.65,"end":4204.77},{"text":"shape","start":4204.81,"end":4205.13},{"text":"the","start":4205.13,"end":4205.25},{"text":"global","start":4205.25,"end":4205.69},{"text":"PPR","start":4205.69,"end":4206.65},{"text":"architecture,","start":4206.65,"end":4207.45},{"text":"including","start":4207.69,"end":4208.41},{"text":"its","start":4208.41,"end":4208.57},{"text":"financing.","start":4208.57,"end":4209.37}]},{"text":"Linked to this is a recognition that the vulnerabilities of small states and the work of the regional institutions on which they depend are now being severely impacted by the decline in donor resources.","start":4209.77,"end":4221.61,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"Linked","start":4209.77,"end":4210.13},{"text":"to","start":4210.13,"end":4210.21},{"text":"this","start":4210.21,"end":4210.57},{"text":"is","start":4210.57,"end":4210.73},{"text":"a","start":4210.73,"end":4210.81},{"text":"recognition","start":4210.81,"end":4211.53},{"text":"that","start":4211.53,"end":4211.73},{"text":"the","start":4211.73,"end":4211.81},{"text":"vulnerabilities","start":4211.81,"end":4212.77},{"text":"of","start":4212.77,"end":4212.89},{"text":"small","start":4212.89,"end":4213.37},{"text":"states","start":4213.37,"end":4213.85},{"text":"and","start":4214.17,"end":4214.37},{"text":"the","start":4214.37,"end":4214.45},{"text":"work","start":4214.45,"end":4214.73},{"text":"of","start":4214.73,"end":4214.85},{"text":"the","start":4214.85,"end":4214.93},{"text":"regional","start":4214.93,"end":4215.45},{"text":"institutions","start":4215.45,"end":4216.21},{"text":"on","start":4216.21,"end":4216.33},{"text":"which","start":4216.33,"end":4216.53},{"text":"they","start":4216.57,"end":4216.65},{"text":"depend","start":4216.65,"end":4217.29},{"text":"are","start":4217.69,"end":4217.77},{"text":"now","start":4217.77,"end":4218.01},{"text":"being","start":4218.01,"end":4218.33},{"text":"severely","start":4218.33,"end":4218.85},{"text":"impacted","start":4218.85,"end":4219.41},{"text":"by","start":4219.41,"end":4219.57},{"text":"the","start":4219.57,"end":4219.69},{"text":"decline","start":4219.69,"end":4220.25},{"text":"in","start":4220.25,"end":4220.41},{"text":"donor","start":4220.41,"end":4220.77},{"text":"resources.","start":4220.77,"end":4221.61}]},{"text":"This is but one critical example of why the architecture of global financing needs attention, as CARICOM advocates through the Bridgetown Initiative.","start":4222.29,"end":4231.97,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"This","start":4222.29,"end":4222.53},{"text":"is","start":4222.53,"end":4222.69},{"text":"but","start":4222.69,"end":4222.85},{"text":"one","start":4222.85,"end":4223.17},{"text":"critical","start":4223.17,"end":4223.77},{"text":"example","start":4223.77,"end":4224.45},{"text":"of","start":4224.45,"end":4224.61},{"text":"why","start":4224.61,"end":4225.01},{"text":"the","start":4225.05,"end":4225.13},{"text":"architecture","start":4225.13,"end":4225.85},{"text":"of","start":4225.85,"end":4225.97},{"text":"global","start":4225.97,"end":4226.37},{"text":"financing","start":4226.37,"end":4227.01},{"text":"needs","start":4227.01,"end":4227.25},{"text":"attention,","start":4227.25,"end":4227.97},{"text":"as","start":4227.97,"end":4228.05},{"text":"CARICOM","start":4228.09,"end":4229.17},{"text":"advocates","start":4229.17,"end":4229.97},{"text":"through","start":4230.01,"end":4230.37},{"text":"the","start":4230.37,"end":4230.57},{"text":"Bridgetown","start":4230.57,"end":4231.25},{"text":"Initiative.","start":4231.25,"end":4231.97}]},{"text":"Most Caribbean states are classified as middle income, a classification that limits access to concessional financing, regardless of how exposed we are to pandemics, hurricanes, and climate shocks, sometimes within the same fiscal year.","start":4232.69,"end":4248.69,"topics":[{"key":"sids-resilience-finance","label":"SIDS Resilience Financing","description":"Caribbean speakers highlighted the specific vulnerabilities of small island developing states, where pandemics, hurricanes, and climate shocks can compound each other rapidly. They called for financing frameworks that reflect multidimensional vulnerability rather than relying only on income-based classifications."},{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"Most","start":4232.69,"end":4233.09},{"text":"Caribbean","start":4233.09,"end":4233.73},{"text":"states","start":4233.73,"end":4234.25},{"text":"are","start":4234.25,"end":4234.37},{"text":"classified","start":4234.37,"end":4235.09},{"text":"as","start":4235.09,"end":4235.25},{"text":"middle","start":4235.25,"end":4235.57},{"text":"income,","start":4235.57,"end":4236.13},{"text":"a","start":4236.53,"end":4236.57},{"text":"classification","start":4236.57,"end":4237.61},{"text":"that","start":4237.61,"end":4237.81},{"text":"limits","start":4237.81,"end":4238.29},{"text":"access","start":4238.29,"end":4238.85},{"text":"to","start":4238.85,"end":4238.93},{"text":"concessional","start":4238.93,"end":4239.65},{"text":"financing,","start":4239.65,"end":4240.37},{"text":"regardless","start":4240.85,"end":4241.61},{"text":"of","start":4241.61,"end":4241.81},{"text":"how","start":4241.81,"end":4241.89},{"text":"exposed","start":4241.89,"end":4242.61},{"text":"we","start":4242.61,"end":4242.77},{"text":"are","start":4242.77,"end":4242.93},{"text":"to","start":4242.93,"end":4243.09},{"text":"pandemics,","start":4243.09,"end":4243.81},{"text":"hurricanes,","start":4244.05,"end":4244.73},{"text":"and","start":4244.73,"end":4244.93},{"text":"climate","start":4244.93,"end":4245.33},{"text":"shocks,","start":4245.33,"end":4245.81},{"text":"sometimes","start":4246.13,"end":4247.09},{"text":"within","start":4247.09,"end":4247.49},{"text":"the","start":4247.49,"end":4247.57},{"text":"same","start":4247.57,"end":4247.89},{"text":"fiscal","start":4247.89,"end":4248.29},{"text":"year.","start":4248.29,"end":4248.69}]},{"text":"CARICOM fully supported the development of the Multidimensional Vulnerability Index, which measures countries' exposure to a range of shocks that impact growth and development, rather than using only income per capita to determine access to and cost of resources.","start":4249.65,"end":4268.41,"topics":[{"key":"sids-resilience-finance","label":"SIDS Resilience Financing","description":"Caribbean speakers highlighted the specific vulnerabilities of small island developing states, where pandemics, hurricanes, and climate shocks can compound each other rapidly. They called for financing frameworks that reflect multidimensional vulnerability rather than relying only on income-based classifications."}],"words":[{"text":"CARICOM","start":4249.65,"end":4250.65},{"text":"fully","start":4250.65,"end":4250.81},{"text":"supported","start":4250.81,"end":4251.17},{"text":"the","start":4251.17,"end":4251.25},{"text":"development","start":4251.25,"end":4251.89},{"text":"of","start":4251.89,"end":4252.01},{"text":"the","start":4252.01,"end":4252.13},{"text":"Multidimensional","start":4252.13,"end":4253.21},{"text":"Vulnerability","start":4253.21,"end":4253.97},{"text":"Index,","start":4253.97,"end":4254.65},{"text":"which","start":4254.93,"end":4255.21},{"text":"measures","start":4255.21,"end":4255.85},{"text":"countries'","start":4255.85,"end":4256.41},{"text":"exposure","start":4256.41,"end":4257.21},{"text":"to","start":4257.53,"end":4257.65},{"text":"a","start":4257.65,"end":4257.69},{"text":"range","start":4257.69,"end":4258.25},{"text":"of","start":4258.25,"end":4258.37},{"text":"shocks","start":4258.37,"end":4258.77},{"text":"that","start":4258.77,"end":4259.05},{"text":"impact","start":4259.05,"end":4259.45},{"text":"growth","start":4259.45,"end":4259.81},{"text":"and","start":4259.81,"end":4259.97},{"text":"development,","start":4259.97,"end":4260.73},{"text":"rather","start":4260.97,"end":4261.53},{"text":"than","start":4261.53,"end":4261.77},{"text":"using","start":4261.77,"end":4262.25},{"text":"only","start":4262.25,"end":4262.73},{"text":"income","start":4262.73,"end":4263.29},{"text":"per","start":4263.29,"end":4263.45},{"text":"capita","start":4263.45,"end":4264.09},{"text":"to","start":4264.49,"end":4264.57},{"text":"determine","start":4264.57,"end":4265.21},{"text":"access","start":4265.21,"end":4265.77},{"text":"to","start":4265.77,"end":4266.25},{"text":"and","start":4266.49,"end":4266.81},{"text":"cost","start":4266.81,"end":4267.29},{"text":"of","start":4267.29,"end":4267.45},{"text":"resources.","start":4267.45,"end":4268.41}]},{"text":"The MVI is intended to take into account the vulnerable circumstances faced by SIDS.","start":4268.97,"end":4274.73,"topics":[{"key":"sids-resilience-finance","label":"SIDS Resilience Financing","description":"Caribbean speakers highlighted the specific vulnerabilities of small island developing states, where pandemics, hurricanes, and climate shocks can compound each other rapidly. They called for financing frameworks that reflect multidimensional vulnerability rather than relying only on income-based classifications."}],"words":[{"text":"The","start":4268.97,"end":4269.09},{"text":"MVI","start":4269.09,"end":4269.69},{"text":"is","start":4269.69,"end":4269.85},{"text":"intended","start":4269.85,"end":4270.45},{"text":"to","start":4270.45,"end":4270.53},{"text":"take","start":4270.57,"end":4270.81},{"text":"into","start":4270.81,"end":4271.17},{"text":"account","start":4271.17,"end":4271.45},{"text":"the","start":4271.45,"end":4271.53},{"text":"vulnerable","start":4271.53,"end":4272.25},{"text":"circumstances","start":4272.25,"end":4273.29},{"text":"faced","start":4273.45,"end":4274.01},{"text":"by","start":4274.01,"end":4274.17},{"text":"SIDS.","start":4274.17,"end":4274.73}]},{"text":"We believe the same logic must inform PPPR financing to avoid overlooking those countries most likely to face concurrent compounding crises.","start":4275.29,"end":4286.49,"topics":[{"key":"sids-resilience-finance","label":"SIDS Resilience Financing","description":"Caribbean speakers highlighted the specific vulnerabilities of small island developing states, where pandemics, hurricanes, and climate shocks can compound each other rapidly. They called for financing frameworks that reflect multidimensional vulnerability rather than relying only on income-based classifications."},{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"We","start":4275.29,"end":4275.45},{"text":"believe","start":4275.45,"end":4275.85},{"text":"the","start":4275.85,"end":4275.97},{"text":"same","start":4275.97,"end":4276.41},{"text":"logic","start":4276.41,"end":4276.97},{"text":"must","start":4277.13,"end":4277.61},{"text":"inform","start":4277.61,"end":4278.25},{"text":"PPPR","start":4278.25,"end":4278.97},{"text":"financing","start":4278.97,"end":4279.85},{"text":"to","start":4280.17,"end":4280.33},{"text":"avoid","start":4280.33,"end":4280.89},{"text":"overlooking","start":4280.89,"end":4281.61},{"text":"those","start":4281.61,"end":4281.93},{"text":"countries","start":4281.93,"end":4282.49},{"text":"most","start":4282.49,"end":4282.89},{"text":"likely","start":4282.89,"end":4283.21},{"text":"to","start":4283.21,"end":4283.37},{"text":"face","start":4283.37,"end":4283.77},{"text":"concurrent","start":4283.77,"end":4284.57},{"text":"compounding","start":4284.89,"end":4285.57},{"text":"crises.","start":4285.57,"end":4286.49}]},{"text":"As our member states prepare for the second high-level meeting and the adoption of a political declaration on PPPR, it is important that commitments lead to practical action, predictable financing, and accountability for progress.","start":4287.77,"end":4304.09,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"As","start":4287.77,"end":4287.93},{"text":"our","start":4287.93,"end":4288.09},{"text":"member","start":4288.09,"end":4288.41},{"text":"states","start":4288.41,"end":4288.89},{"text":"prepare","start":4288.89,"end":4289.53},{"text":"for","start":4289.53,"end":4289.69},{"text":"the","start":4289.69,"end":4289.81},{"text":"second","start":4289.81,"end":4290.09},{"text":"high-level","start":4290.25,"end":4290.73},{"text":"meeting","start":4290.73,"end":4291.29},{"text":"and","start":4291.53,"end":4291.81},{"text":"the","start":4291.81,"end":4291.89},{"text":"adoption","start":4291.89,"end":4292.33},{"text":"of","start":4292.33,"end":4292.49},{"text":"a","start":4292.49,"end":4292.53},{"text":"political","start":4292.53,"end":4293.21},{"text":"declaration","start":4293.21,"end":4294.09},{"text":"on","start":4294.09,"end":4294.33},{"text":"PPPR,","start":4294.33,"end":4295.29},{"text":"it","start":4295.61,"end":4295.85},{"text":"is","start":4295.85,"end":4296.01},{"text":"important","start":4296.01,"end":4296.73},{"text":"that","start":4296.73,"end":4296.97},{"text":"commitments","start":4296.97,"end":4297.93},{"text":"lead","start":4298.25,"end":4298.61},{"text":"to","start":4298.61,"end":4298.69},{"text":"practical","start":4298.69,"end":4299.37},{"text":"action,","start":4299.37,"end":4299.93},{"text":"predictable","start":4300.33,"end":4301.05},{"text":"financing,","start":4301.05,"end":4301.93},{"text":"and","start":4301.93,"end":4302.25},{"text":"accountability","start":4302.25,"end":4303.13},{"text":"for","start":4303.13,"end":4303.33},{"text":"progress.","start":4303.33,"end":4304.09}]},{"text":"Of equal importance are international partnerships and platforms for action that can be shared and replicated across regions, including pooled financing mechanisms for procurement.","start":4304.61,"end":4317.17,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."},{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. They linked this to pooled procurement, stronger regional production and manufacturing, and reducing dependence on distant suppliers during emergencies."}],"words":[{"text":"Of","start":4304.61,"end":4304.85},{"text":"equal","start":4304.85,"end":4305.17},{"text":"importance","start":4305.17,"end":4305.81},{"text":"are","start":4305.81,"end":4305.97},{"text":"international","start":4305.97,"end":4306.69},{"text":"partnerships","start":4306.69,"end":4307.37},{"text":"and","start":4307.37,"end":4307.53},{"text":"platforms","start":4307.53,"end":4308.29},{"text":"for","start":4308.29,"end":4308.45},{"text":"action","start":4308.45,"end":4309.01},{"text":"that","start":4309.25,"end":4309.49},{"text":"can","start":4309.49,"end":4309.81},{"text":"be","start":4309.81,"end":4309.97},{"text":"shared","start":4309.97,"end":4310.53},{"text":"and","start":4310.77,"end":4310.97},{"text":"replicated","start":4310.97,"end":4311.73},{"text":"across","start":4311.73,"end":4312.29},{"text":"regions,","start":4312.29,"end":4312.93},{"text":"including","start":4313.25,"end":4314.13},{"text":"pooled","start":4314.37,"end":4314.77},{"text":"financing","start":4314.77,"end":4315.49},{"text":"mechanisms","start":4315.49,"end":4316.21},{"text":"for","start":4316.21,"end":4316.33},{"text":"procurement.","start":4316.33,"end":4317.17}]},{"text":"We would be remiss to forget a lesson which COVID-19 taught the world at great cost, that solidarity and equitable access to medical countermeasures are essential to any credible preparedness strategy.","start":4318.13,"end":4333.41,"topics":[{"key":"medical-countermeasures","label":"Access to Medical Countermeasures","description":"Several speakers emphasized fair and timely access to vaccines, medicines, diagnostics, PPE, oxygen, and other essential tools. 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"More","start":4491.69,"end":4492.05},{"text":"resilient","start":4492.05,"end":4492.49},{"text":"infrastructure,","start":4492.49,"end":4493.45},{"text":"more","start":4494.01,"end":4494.33},{"text":"capable","start":4494.33,"end":4494.89},{"text":"institutions,","start":4494.89,"end":4495.65},{"text":"and","start":4495.65,"end":4495.89},{"text":"deeper","start":4495.89,"end":4496.25},{"text":"investment","start":4496.25,"end":4496.89},{"text":"in","start":4496.89,"end":4497.05},{"text":"prevention.","start":4497.05,"end":4497.77}]},{"text":"The political frameworks to sustain that progress are taking shape.","start":4498.25,"end":4502.97,"topics":[],"words":[{"text":"The","start":4498.25,"end":4498.41},{"text":"political","start":4498.41,"end":4498.97},{"text":"frameworks","start":4498.97,"end":4499.61},{"text":"to","start":4499.61,"end":4499.73},{"text":"sustain","start":4499.77,"end":4500.33},{"text":"that","start":4500.33,"end":4500.57},{"text":"progress","start":4500.57,"end":4501.29},{"text":"are","start":4501.61,"end":4501.85},{"text":"taking","start":4502.09,"end":4502.49},{"text":"shape.","start":4502.49,"end":4502.97}]},{"text":"What remains is the operational question: which specific capacities, built and maintained at regional level, make every country safer when the next threat emerges?","start":4504.29,"end":4518.93,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"For","start":4973.21,"end":4973.45},{"text":"Africa","start":4973.45,"end":4973.97},{"text":"and","start":4973.97,"end":4974.17},{"text":"America,","start":4974.17,"end":4974.81},{"text":"this","start":4975.45,"end":4975.77},{"text":"means","start":4975.77,"end":4976.41},{"text":"continuing","start":4976.65,"end":4977.29},{"text":"to","start":4977.29,"end":4977.37},{"text":"strengthen","start":4977.37,"end":4977.93},{"text":"the","start":4977.93,"end":4978.05},{"text":"systems","start":4978.05,"end":4978.65},{"text":"and","start":4978.73,"end":4978.97},{"text":"institutions","start":4979.13,"end":4980.01},{"text":"that","start":4980.49,"end":4981.37},{"text":"allow","start":4981.45,"end":4982.09},{"text":"the","start":4982.25,"end":4982.49},{"text":"two","start":4982.49,"end":4982.81},{"text":"continents","start":4982.81,"end":4983.61},{"text":"to","start":4983.85,"end":4983.97},{"text":"detect,","start":4984.01,"end":4984.65},{"text":"prevent,","start":4984.89,"end":4985.37},{"text":"and","start":4985.37,"end":4985.57},{"text":"respond","start":4985.57,"end":4986.17},{"text":"to","start":4986.41,"end":4986.57},{"text":"threat.","start":4986.57,"end":4987.05}]},{"text":"And this is even the main reason that Power and Africa CDC signed the MOU that we are implementing for our two continents.","start":4987.85,"end":4996.37,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. 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Thank you, Ambassador.","start":5281.61,"end":5283.05,"topics":[],"words":[{"text":"Thank","start":5281.61,"end":5281.77},{"text":"you.","start":5281.77,"end":5281.93},{"text":"Thank","start":5282.17,"end":5282.33},{"text":"you,","start":5282.33,"end":5282.49},{"text":"Ambassador.","start":5282.49,"end":5283.05}]},{"text":"Ambassador Ampru.","start":5283.41,"end":5284.33,"topics":[],"words":[{"text":"Ambassador","start":5283.41,"end":5283.89},{"text":"Ampru.","start":5283.89,"end":5284.33}]},{"text":"Excellency, President Mohammed Irfan Ali, it's a great pleasure to have you here.","start":5285.93,"end":5291.13,"topics":[],"words":[{"text":"Excellency,","start":5285.93,"end":5286.49},{"text":"President","start":5286.49,"end":5287.13},{"text":"Mohammed","start":5287.21,"end":5287.85},{"text":"Irfan","start":5288.09,"end":5288.49},{"text":"Ali,","start":5288.49,"end":5288.97},{"text":"it's","start":5289.05,"end":5289.45},{"text":"a","start":5289.45,"end":5289.53},{"text":"great","start":5289.53,"end":5289.93},{"text":"pleasure","start":5289.93,"end":5290.37},{"text":"to","start":5290.37,"end":5290.45},{"text":"have","start":5290.45,"end":5290.65},{"text":"you","start":5290.65,"end":5290.73},{"text":"here.","start":5290.73,"end":5291.13}]},{"text":"I had the opportunity to visit Guyana.","start":5291.13,"end":5293.29,"topics":[],"words":[{"text":"I","start":5291.13,"end":5291.45},{"text":"had","start":5291.45,"end":5291.73},{"text":"the","start":5291.73,"end":5291.81},{"text":"opportunity","start":5291.81,"end":5292.33},{"text":"to","start":5292.33,"end":5292.53},{"text":"visit","start":5292.57,"end":5292.81},{"text":"Guyana.","start":5292.81,"end":5293.29}]},{"text":"and to witness the revolution that we that you are doing with your leadership with the leadership from our good friend Minister Anthony they strengthen strengthen the national health system changing completely the access of the people of your country to the health services in in Guyana uh Ambassador manira taganda representing the president of Burundi Excellency Dr. Carla Burnett from the Caribbean community, Minister Cummings and other ministers that are present here, my good friend, my brother, Jean Cazaya, distinguished colleagues and partner Cecilia Mundaco, that is a very strong partner that allow us to have this very important meeting today.","start":5293.97,"end":5341.85,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. 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an honor to join you today, and I want to extend my sincere gratitude to the government of Guyana and Burundi for bringing Africa and America together around a question so vital to our collective future.","start":5342.65,"end":5354.25,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. 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five speakers from the two regions have pointed us towards the same conclusion arrived at from different 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Excellencies, colleagues, ladies and gentlemen, we've heard from our political leadership, we've heard from our head of state and government, we've heard from our regional health organizations, so it's now time to listen to our ministers, our development finance institutions, our able and capable pandemic fund, you know, on how do we better finance pandemic prevention, preparedness, and response.","start":6079.65,"end":6108.29,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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That's a very loaded question, but I will try in a minute.","start":6366.29,"end":6370.53,"topics":[],"words":[{"text":"Thank","start":6366.29,"end":6366.57},{"text":"you,","start":6366.57,"end":6366.65},{"text":"Raj.","start":6366.65,"end":6366.93},{"text":"That's","start":6366.93,"end":6367.25},{"text":"a","start":6367.25,"end":6367.33},{"text":"very","start":6367.33,"end":6367.73},{"text":"loaded","start":6367.73,"end":6368.13},{"text":"question,","start":6368.13,"end":6368.45},{"text":"but","start":6368.45,"end":6368.65},{"text":"I","start":6368.65,"end":6368.69},{"text":"will","start":6368.69,"end":6368.81},{"text":"try","start":6368.81,"end":6369.17},{"text":"in","start":6369.25,"end":6369.49},{"text":"a","start":6370.05,"end":6370.09},{"text":"minute.","start":6370.09,"end":6370.53}]},{"text":"As you rightly pointed, the world has been tested with different outbreaks.","start":6371.73,"end":6377.09,"topics":[],"words":[{"text":"As","start":6371.73,"end":6371.81},{"text":"you","start":6371.81,"end":6371.93},{"text":"rightly","start":6371.93,"end":6372.21},{"text":"pointed,","start":6372.77,"end":6373.25},{"text":"the","start":6374.93,"end":6375.09},{"text":"world","start":6375.09,"end":6375.33},{"text":"has","start":6375.33,"end":6375.49},{"text":"been","start":6375.49,"end":6375.65},{"text":"tested","start":6375.65,"end":6376.05},{"text":"with","start":6376.05,"end":6376.21},{"text":"different","start":6376.21,"end":6376.53},{"text":"outbreaks.","start":6376.53,"end":6377.09}]},{"text":"Maybe as of most recent, you have COVID, Mpox, and Lassa, and others.","start":6377.69,"end":6383.65,"topics":[],"words":[{"text":"Maybe","start":6377.69,"end":6378.13},{"text":"as","start":6378.33,"end":6378.49},{"text":"of","start":6378.49,"end":6378.61},{"text":"most","start":6378.61,"end":6378.85},{"text":"recent,","start":6378.85,"end":6379.17},{"text":"you","start":6379.17,"end":6379.25},{"text":"have","start":6379.25,"end":6379.37},{"text":"COVID,","start":6379.37,"end":6380.13},{"text":"Mpox,","start":6380.13,"end":6380.77},{"text":"and","start":6381.53,"end":6381.73},{"text":"Lassa,","start":6382.05,"end":6382.97},{"text":"and","start":6382.97,"end":6383.13},{"text":"others.","start":6383.13,"end":6383.65}]},{"text":"What we learned from Rwanda is that Number one, preparedness doesn't start when an outbreak is already there.","start":6384.25,"end":6389.77,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"When","start":6408.49,"end":6408.77},{"text":"it","start":6408.77,"end":6408.85},{"text":"hit","start":6408.85,"end":6409.05},{"text":"our","start":6409.05,"end":6409.17},{"text":"shores","start":6409.17,"end":6409.77},{"text":"in","start":6410.81,"end":6410.97},{"text":"Rwanda,","start":6410.97,"end":6411.37},{"text":"the","start":6411.69,"end":6411.77},{"text":"capacity","start":6411.77,"end":6412.25},{"text":"that","start":6412.25,"end":6412.41},{"text":"we","start":6412.41,"end":6412.49},{"text":"had","start":6412.49,"end":6412.65},{"text":"built","start":6412.65,"end":6412.97},{"text":"over","start":6412.97,"end":6413.41},{"text":"a","start":6413.41,"end":6413.45},{"text":"number","start":6413.69,"end":6414.13},{"text":"of","start":6414.13,"end":6414.33},{"text":"years","start":6414.49,"end":6414.97},{"text":"came","start":6414.97,"end":6415.21},{"text":"in","start":6415.21,"end":6415.37},{"text":"handy.","start":6415.37,"end":6415.77}]},{"text":"We were able to detect it very fast.","start":6416.25,"end":6418.25,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"Two,","start":6533.37,"end":6533.85},{"text":"when","start":6534.05,"end":6534.33},{"text":"you","start":6534.33,"end":6534.45},{"text":"build","start":6534.45,"end":6534.65},{"text":"capacity","start":6534.65,"end":6535.13},{"text":"during","start":6535.13,"end":6535.37},{"text":"an","start":6535.37,"end":6535.45},{"text":"outbreak,","start":6535.45,"end":6535.85},{"text":"we","start":6535.85,"end":6535.97},{"text":"should","start":6535.97,"end":6536.17},{"text":"make","start":6536.17,"end":6536.37},{"text":"sure","start":6536.37,"end":6536.57},{"text":"that","start":6536.57,"end":6536.69},{"text":"that","start":6536.69,"end":6536.81},{"text":"capacity","start":6536.81,"end":6537.37},{"text":"stays","start":6537.37,"end":6537.93},{"text":"and","start":6538.33,"end":6538.49},{"text":"strengthens","start":6538.49,"end":6539.13},{"text":"at","start":6539.49,"end":6539.61},{"text":"the","start":6539.61,"end":6539.69},{"text":"national","start":6539.69,"end":6539.97},{"text":"institution.","start":6539.97,"end":6540.57}]},{"text":"I think by doing that, we can be able to ensure that countries are safe at a national level, if you extend to a regional level, and by extent to a global level.","start":6540.57,"end":6551.61,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"I","start":6540.57,"end":6540.65},{"text":"think","start":6540.65,"end":6540.97},{"text":"by","start":6540.97,"end":6541.13},{"text":"doing","start":6541.13,"end":6541.45},{"text":"that,","start":6541.45,"end":6541.65},{"text":"we","start":6541.65,"end":6541.77},{"text":"can","start":6541.77,"end":6541.93},{"text":"be","start":6541.93,"end":6542.09},{"text":"able","start":6542.09,"end":6542.33},{"text":"to","start":6543.53,"end":6543.65},{"text":"ensure","start":6543.65,"end":6544.01},{"text":"that","start":6544.01,"end":6544.57},{"text":"countries","start":6545.37,"end":6545.77},{"text":"are","start":6545.77,"end":6545.93},{"text":"safe","start":6545.93,"end":6546.25},{"text":"at","start":6546.25,"end":6546.41},{"text":"a","start":6546.41,"end":6546.49},{"text":"national","start":6546.49,"end":6547.01},{"text":"level,","start":6547.01,"end":6547.45},{"text":"if","start":6547.93,"end":6548.05},{"text":"you","start":6548.05,"end":6548.13},{"text":"extend","start":6548.13,"end":6548.53},{"text":"to","start":6548.53,"end":6548.61},{"text":"a","start":6548.61,"end":6548.65},{"text":"regional","start":6548.65,"end":6549.01},{"text":"level,","start":6549.01,"end":6549.37},{"text":"and","start":6549.45,"end":6549.65},{"text":"by","start":6549.65,"end":6549.77},{"text":"extent","start":6549.77,"end":6550.29},{"text":"to","start":6550.29,"end":6550.41},{"text":"a","start":6550.97,"end":6551.01},{"text":"global","start":6551.01,"end":6551.33},{"text":"level.","start":6551.33,"end":6551.61}]},{"text":"Thank you.","start":6551.89,"end":6552.17,"topics":[],"words":[{"text":"Thank","start":6551.89,"end":6552.09},{"text":"you.","start":6552.09,"end":6552.17}]}]}],"speaker":{"name":"Yvonne Butera","affiliation":"RWA","affiliation_full":"Rwanda","group":null,"function":"Minister"}},{"statement_number":26,"start":6553.33,"pageUrl":"/es/asset/k11/k11hds3sdu?lang=en&t=1:49:14","paragraphs":[{"sentences":[{"text":"Thank you so much, Your Excellency, Minister Ivan.","start":6553.33,"end":6556.61,"topics":[],"words":[{"text":"Thank","start":6553.33,"end":6553.53},{"text":"you","start":6553.53,"end":6553.61},{"text":"so","start":6553.61,"end":6553.81},{"text":"much,","start":6553.81,"end":6554.13},{"text":"Your","start":6554.13,"end":6554.37},{"text":"Excellency,","start":6554.37,"end":6555.17},{"text":"Minister","start":6555.17,"end":6555.73},{"text":"Ivan.","start":6555.73,"end":6556.61}]},{"text":"So we need to invest in preparedness well ahead of time and you do not wait until there's an outbreak before we start running around looking for support.","start":6556.61,"end":6569.01,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. This included domestic budget commitments, multilateral development bank support, co-financing, and the role of the Pandemic Fund."}],"words":[{"text":"So","start":6556.61,"end":6557.09},{"text":"we","start":6557.09,"end":6557.17},{"text":"need","start":6557.17,"end":6557.33},{"text":"to","start":6557.33,"end":6557.45},{"text":"invest","start":6557.45,"end":6558.05},{"text":"in","start":6558.05,"end":6558.21},{"text":"preparedness","start":6558.21,"end":6559.09},{"text":"well","start":6559.09,"end":6559.33},{"text":"ahead","start":6559.33,"end":6559.53},{"text":"of","start":6559.53,"end":6559.65},{"text":"time","start":6559.65,"end":6560.21},{"text":"and","start":6560.33,"end":6560.53},{"text":"you","start":6561.01,"end":6561.25},{"text":"do","start":6561.25,"end":6561.49},{"text":"not","start":6561.49,"end":6561.89},{"text":"wait","start":6562.13,"end":6562.61},{"text":"until","start":6562.69,"end":6563.29},{"text":"there's","start":6563.29,"end":6563.73},{"text":"an","start":6563.81,"end":6564.37},{"text":"outbreak","start":6564.37,"end":6564.85},{"text":"before","start":6564.85,"end":6565.49},{"text":"we","start":6565.49,"end":6565.65},{"text":"start","start":6565.65,"end":6566.21},{"text":"running","start":6566.37,"end":6566.85},{"text":"around","start":6567.17,"end":6567.49},{"text":"looking","start":6567.49,"end":6567.81},{"text":"for","start":6567.81,"end":6568.13},{"text":"support.","start":6568.37,"end":6569.01}]},{"text":"So let me shift gear and go to Barbados.","start":6569.73,"end":6573.01,"topics":[],"words":[{"text":"So","start":6569.73,"end":6569.97},{"text":"let","start":6570.01,"end":6570.13},{"text":"me","start":6570.13,"end":6570.53},{"text":"shift","start":6570.53,"end":6570.97},{"text":"gear","start":6570.97,"end":6571.09},{"text":"and","start":6571.09,"end":6571.61},{"text":"go","start":6571.61,"end":6571.89},{"text":"to","start":6571.89,"end":6572.21},{"text":"Barbados.","start":6572.29,"end":6573.01}]},{"text":"Let me invite Senator Honorable Lisa.","start":6573.57,"end":6576.69,"topics":[],"words":[{"text":"Let","start":6573.57,"end":6573.69},{"text":"me","start":6573.73,"end":6573.97},{"text":"invite","start":6573.97,"end":6574.69},{"text":"Senator","start":6574.85,"end":6575.65},{"text":"Honorable","start":6575.65,"end":6576.33},{"text":"Lisa.","start":6576.33,"end":6576.69}]},{"text":"to tell us about how preparedness financing should be designed for small island developing states.","start":6577.33,"end":6584.21,"topics":[{"key":"sids-resilience-finance","label":"SIDS Resilience Financing","description":"Caribbean speakers highlighted the specific vulnerabilities of small island developing states, where pandemics, hurricanes, and climate shocks can compound each other rapidly. 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Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"One,","start":6676.67,"end":6677.07},{"text":"we","start":6678.03,"end":6678.19},{"text":"have","start":6678.19,"end":6678.43},{"text":"PAHO,","start":6678.43,"end":6679.07},{"text":"and","start":6679.55,"end":6679.79},{"text":"I'm","start":6679.79,"end":6679.99},{"text":"happy","start":6679.99,"end":6680.35},{"text":"our","start":6680.35,"end":6680.51},{"text":"colleagues","start":6680.51,"end":6681.03},{"text":"are","start":6681.03,"end":6681.15},{"text":"here,","start":6681.15,"end":6681.43},{"text":"and","start":6681.43,"end":6681.55},{"text":"I","start":6681.55,"end":6681.63},{"text":"want","start":6681.63,"end":6681.95},{"text":"to","start":6681.95,"end":6682.03},{"text":"perhaps","start":6682.03,"end":6682.55},{"text":"start","start":6682.55,"end":6682.87},{"text":"by","start":6682.87,"end":6682.99},{"text":"making","start":6682.99,"end":6683.35},{"text":"a","start":6683.35,"end":6683.39},{"text":"call","start":6683.39,"end":6683.95},{"text":"for","start":6684.27,"end":6684.51},{"text":"us","start":6684.51,"end":6684.71},{"text":"to","start":6684.71,"end":6684.79},{"text":"finance","start":6684.79,"end":6685.39},{"text":"the","start":6685.39,"end":6685.51},{"text":"institution.","start":6685.55,"end":6686.43}]},{"text":"as well as to finance the institution's work that is taking place across the Caribbean region.","start":6687.19,"end":6692.79,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"as","start":6687.19,"end":6687.35},{"text":"well","start":6687.35,"end":6687.51},{"text":"as","start":6687.51,"end":6687.63},{"text":"to","start":6687.63,"end":6687.71},{"text":"finance","start":6687.71,"end":6688.23},{"text":"the","start":6688.23,"end":6688.31},{"text":"institution's","start":6688.31,"end":6689.27},{"text":"work","start":6689.27,"end":6689.67},{"text":"that","start":6689.91,"end":6690.15},{"text":"is","start":6690.47,"end":6690.63},{"text":"taking","start":6690.63,"end":6690.95},{"text":"place","start":6690.95,"end":6691.35},{"text":"across","start":6691.35,"end":6691.75},{"text":"the","start":6691.75,"end":6691.83},{"text":"Caribbean","start":6691.83,"end":6692.39},{"text":"region.","start":6692.39,"end":6692.79}]},{"text":"We need to be able to have strong, well-functioning institutions, and much of the things that many of us can recommend are already functioning under the umbrella of PAHO.","start":6693.11,"end":6702.87,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"We","start":6693.11,"end":6693.31},{"text":"need","start":6693.31,"end":6693.47},{"text":"to","start":6693.47,"end":6693.59},{"text":"be","start":6693.59,"end":6693.75},{"text":"able","start":6693.75,"end":6693.91},{"text":"to","start":6693.91,"end":6694.03},{"text":"have","start":6694.03,"end":6694.31},{"text":"strong,","start":6694.31,"end":6695.11},{"text":"well-functioning","start":6695.59,"end":6696.39},{"text":"institutions,","start":6696.39,"end":6697.11},{"text":"and","start":6697.11,"end":6697.23},{"text":"much","start":6697.23,"end":6697.55},{"text":"of","start":6697.55,"end":6697.63},{"text":"the","start":6697.63,"end":6697.75},{"text":"things","start":6697.75,"end":6698.11},{"text":"that","start":6698.11,"end":6698.23},{"text":"many","start":6698.23,"end":6698.59},{"text":"of","start":6698.59,"end":6698.71},{"text":"us","start":6698.71,"end":6698.87},{"text":"can","start":6698.87,"end":6699.03},{"text":"recommend","start":6699.03,"end":6699.59},{"text":"are","start":6699.59,"end":6699.75},{"text":"already","start":6699.75,"end":6700.39},{"text":"functioning","start":6700.63,"end":6701.27},{"text":"under","start":6701.27,"end":6701.59},{"text":"the","start":6701.59,"end":6701.71},{"text":"umbrella","start":6701.75,"end":6702.19},{"text":"of","start":6702.19,"end":6702.31},{"text":"PAHO.","start":6702.31,"end":6702.87}]},{"text":"And so my first call is for us to adequately fund and finance the work of PAHO as an institution, and secondly, to finance the work that is being done across the Americas through PAHO.","start":6703.11,"end":6715.59,"topics":[{"key":"regional-health-cooperation","label":"Regional Health Cooperation","description":"A major theme was that no country can prepare alone, and that regional collaboration across Africa, the Caribbean, and the Americas is essential. Speakers highlighted cross-border coordination and the role of institutions such as Africa CDC, PAHO, and CARPHA in providing shared preparedness capacity."}],"words":[{"text":"And","start":6703.11,"end":6703.27},{"text":"so","start":6703.27,"end":6703.43},{"text":"my","start":6703.43,"end":6703.51},{"text":"first","start":6703.51,"end":6703.91},{"text":"call","start":6703.91,"end":6704.31},{"text":"is","start":6704.47,"end":6704.71},{"text":"for","start":6704.71,"end":6704.87},{"text":"us","start":6704.87,"end":6705.03},{"text":"to","start":6705.03,"end":6705.23},{"text":"adequately","start":6705.23,"end":6706.15},{"text":"fund","start":6706.31,"end":6706.95},{"text":"and","start":6707.03,"end":6707.19},{"text":"finance","start":6707.19,"end":6707.79},{"text":"the","start":6707.79,"end":6707.91},{"text":"work","start":6707.91,"end":6708.23},{"text":"of","start":6708.23,"end":6708.35},{"text":"PAHO","start":6708.35,"end":6708.87},{"text":"as","start":6708.87,"end":6709.07},{"text":"an","start":6709.07,"end":6709.19},{"text":"institution,","start":6709.19,"end":6710.15},{"text":"and","start":6710.15,"end":6710.27},{"text":"secondly,","start":6710.27,"end":6710.95},{"text":"to","start":6711.19,"end":6711.31},{"text":"finance","start":6711.31,"end":6711.91},{"text":"the","start":6711.91,"end":6712.07},{"text":"work","start":6712.07,"end":6712.35},{"text":"that","start":6712.35,"end":6712.55},{"text":"is","start":6712.55,"end":6712.71},{"text":"being","start":6712.71,"end":6712.95},{"text":"done","start":6712.95,"end":6713.19},{"text":"across","start":6713.19,"end":6713.67},{"text":"the","start":6713.67,"end":6713.87},{"text":"Americas","start":6713.87,"end":6714.55},{"text":"through","start":6714.71,"end":6715.11},{"text":"PAHO.","start":6715.11,"end":6715.59}]},{"text":"That's my first call.","start":6715.99,"end":6716.99,"topics":[],"words":[{"text":"That's","start":6715.99,"end":6716.27},{"text":"my","start":6716.27,"end":6716.35},{"text":"first","start":6716.35,"end":6716.67},{"text":"call.","start":6716.67,"end":6716.99}]},{"text":"The second point is for us to look at the way in which we are financing the various types of interventions across the region.","start":6717.55,"end":6724.91,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"One,","start":6738.47,"end":6738.99},{"text":"Institutional","start":6739.91,"end":6740.63},{"text":"development","start":6740.63,"end":6741.11},{"text":"financing","start":6741.11,"end":6741.83},{"text":"through","start":6741.83,"end":6742.07},{"text":"parties","start":6742.07,"end":6742.63},{"text":"like","start":6742.63,"end":6742.79},{"text":"PAHO","start":6742.79,"end":6743.35},{"text":"and","start":6743.35,"end":6743.59},{"text":"the","start":6743.59,"end":6743.67},{"text":"Inter-American","start":6743.67,"end":6744.27},{"text":"Development","start":6744.27,"end":6744.75},{"text":"Bank,","start":6744.75,"end":6745.11},{"text":"helping","start":6745.43,"end":6745.83},{"text":"to","start":6745.83,"end":6745.91},{"text":"work","start":6745.91,"end":6746.39},{"text":"with","start":6746.39,"end":6746.83},{"text":"countries","start":6746.83,"end":6747.43},{"text":"like","start":6747.43,"end":6747.67},{"text":"ours","start":6747.67,"end":6747.91},{"text":"to","start":6747.91,"end":6748.03},{"text":"finance","start":6748.03,"end":6748.63},{"text":"infrastructure","start":6748.63,"end":6749.43},{"text":"to","start":6749.43,"end":6749.51},{"text":"help","start":6749.51,"end":6749.79},{"text":"us","start":6749.79,"end":6749.91},{"text":"to","start":6749.91,"end":6749.99},{"text":"be","start":6749.99,"end":6750.15},{"text":"prepared","start":6750.15,"end":6750.79},{"text":"for","start":6751.11,"end":6751.35},{"text":"outbreaks","start":6751.35,"end":6751.95},{"text":"and","start":6751.95,"end":6752.07},{"text":"health","start":6752.07,"end":6752.31},{"text":"systems","start":6752.31,"end":6752.87},{"text":"resilience.","start":6752.87,"end":6753.51}]},{"text":"Governments, of course, too.","start":6753.51,"end":6755.11,"topics":[],"words":[{"text":"Governments,","start":6753.51,"end":6754.11},{"text":"of","start":6754.11,"end":6754.23},{"text":"course,","start":6754.23,"end":6754.71},{"text":"too.","start":6754.71,"end":6755.11}]},{"text":"Governments having access in our own budgets to be able to put a stake in the game to financing what is important to us.","start":6755.59,"end":6763.23,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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therefore, needs to move beyond Ministry of Health and become part of the broader national development and economic security 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will draw an analogy with insurance.","start":7094.15,"end":7096.83,"topics":[],"words":[{"text":"I","start":7094.15,"end":7094.19},{"text":"will","start":7094.83,"end":7094.99},{"text":"draw","start":7094.99,"end":7095.23},{"text":"an","start":7095.23,"end":7095.35},{"text":"analogy","start":7095.35,"end":7096.03},{"text":"with","start":7096.03,"end":7096.23},{"text":"insurance.","start":7096.23,"end":7096.83}]},{"text":"We do not maintain insurance because we expect disaster every 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challenge, of course, is that preparedness has a visibility problem.","start":7126.31,"end":7130.71,"topics":[],"words":[{"text":"The","start":7126.31,"end":7126.35},{"text":"challenge,","start":7126.35,"end":7126.79},{"text":"of","start":7126.79,"end":7126.95},{"text":"course,","start":7126.95,"end":7127.35},{"text":"is","start":7127.91,"end":7128.15},{"text":"that","start":7128.15,"end":7128.31},{"text":"preparedness","start":7128.31,"end":7128.95},{"text":"has","start":7128.95,"end":7129.19},{"text":"a","start":7129.19,"end":7129.23},{"text":"visibility","start":7129.23,"end":7130.15},{"text":"problem.","start":7130.23,"end":7130.71}]},{"text":"When preparedness succeeds, the crisis that was prevented is 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outcomes.","start":7141.51,"end":7146.15,"topics":[],"words":[{"text":"We,","start":7141.51,"end":7141.75},{"text":"therefore,","start":7141.75,"end":7142.19},{"text":"need","start":7142.19,"end":7142.55},{"text":"to","start":7142.63,"end":7142.87},{"text":"demonstrate","start":7142.87,"end":7143.51},{"text":"its","start":7143.67,"end":7143.91},{"text":"value","start":7143.91,"end":7144.39},{"text":"through","start":7144.51,"end":7144.87},{"text":"tangible","start":7144.87,"end":7145.51},{"text":"outcomes.","start":7145.51,"end":7146.15}]},{"text":"early detection, faster response, stronger local production of vaccines, diagnostics and essential supplies, resilient health system, and the ability to keep essential services running during emergencies.","start":7146.71,"end":7158.51,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"That","start":7211.99,"end":7212.23},{"text":"is","start":7212.23,"end":7212.39},{"text":"why","start":7212.39,"end":7212.79},{"text":"pandemic","start":7212.95,"end":7213.43},{"text":"preparedness","start":7213.43,"end":7214.07},{"text":"must","start":7214.07,"end":7214.51},{"text":"be","start":7214.51,"end":7214.71},{"text":"regarded","start":7214.87,"end":7215.43},{"text":"not","start":7215.43,"end":7215.91},{"text":"as","start":7215.91,"end":7216.07},{"text":"an","start":7216.07,"end":7216.31},{"text":"optional","start":7216.31,"end":7216.71},{"text":"program,","start":7216.71,"end":7217.27},{"text":"but","start":7217.51,"end":7217.75},{"text":"as","start":7217.87,"end":7218.07},{"text":"part","start":7218.07,"end":7218.47},{"text":"of","start":7218.71,"end":7218.83},{"text":"the","start":7218.83,"end":7218.91},{"text":"essential","start":7218.91,"end":7219.43},{"text":"infrastructure","start":7219.43,"end":7220.39},{"text":"of","start":7220.47,"end":7220.67},{"text":"a","start":7220.67,"end":7220.71},{"text":"resilient","start":7220.71,"end":7221.31},{"text":"nation.","start":7221.31,"end":7221.67}]},{"text":"Thank you.","start":7221.91,"end":7222.31,"topics":[],"words":[{"text":"Thank","start":7221.91,"end":7222.15},{"text":"you.","start":7222.15,"end":7222.31}]}]}],"speaker":{"name":"Samuel Kaba","affiliation":"GHA","affiliation_full":"Ghana","group":null,"function":"Director General, Ghana Health Service"}},{"statement_number":30,"start":7227.35,"pageUrl":"/es/asset/k11/k11hds3sdu?lang=en&t=2:00:28","paragraphs":[{"sentences":[{"text":"Thank you.","start":7227.35,"end":7227.63,"topics":[],"words":[{"text":"Thank","start":7227.35,"end":7227.55},{"text":"you.","start":7227.55,"end":7227.63}]},{"text":"Thank you so much, Dr. Kerber.","start":7227.63,"end":7230.19,"topics":[],"words":[{"text":"Thank","start":7227.63,"end":7227.91},{"text":"you","start":7227.91,"end":7227.99},{"text":"so","start":7227.99,"end":7228.27},{"text":"much,","start":7228.27,"end":7228.59},{"text":"Dr.","start":7228.83,"end":7229.31},{"text":"Kerber.","start":7229.71,"end":7230.19}]},{"text":"Consequences of lack of investment, I think the COVID-19 pandemic has clearly laid bare what will happen if we fail to invest in preparedness.","start":7230.67,"end":7240.19,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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The discussion framed these as everyday system investments that also determine crisis readiness."}],"words":[{"text":"In","start":7665.51,"end":7665.67},{"text":"other","start":7665.67,"end":7665.87},{"text":"words,","start":7665.87,"end":7666.39},{"text":"we","start":7666.47,"end":7666.71},{"text":"believe","start":7666.71,"end":7667.11},{"text":"in","start":7667.11,"end":7667.27},{"text":"mainstreaming","start":7667.27,"end":7668.31},{"text":"the","start":7668.55,"end":7668.67},{"text":"investments","start":7668.67,"end":7669.43},{"text":"into","start":7671.59,"end":7672.63},{"text":"pandemic","start":7672.95,"end":7673.47},{"text":"preparedness,","start":7673.47,"end":7674.15},{"text":"into","start":7674.63,"end":7674.95},{"text":"strengthening","start":7674.95,"end":7675.67},{"text":"health","start":7675.67,"end":7675.83},{"text":"systems,","start":7675.83,"end":7676.39},{"text":"and","start":7676.39,"end":7676.51},{"text":"strengthening","start":7676.51,"end":7677.03},{"text":"primary","start":7677.03,"end":7677.39},{"text":"health","start":7677.39,"end":7677.67},{"text":"care,","start":7677.67,"end":7677.99},{"text":"strengthening","start":7678.39,"end":7678.95},{"text":"laboratories,","start":7678.95,"end":7680.03},{"text":"digital","start":7680.03,"end":7680.35},{"text":"transformation,","start":7680.35,"end":7681.03},{"text":"and","start":7681.03,"end":7681.15},{"text":"everything","start":7681.15,"end":7681.59},{"text":"else.","start":7681.59,"end":7681.91}]},{"text":"The second point is the comparative advantage that we bring as multilateral development banks.","start":7682.83,"end":7688.23,"topics":[{"key":"pandemic-financing","label":"Pandemic Preparedness Financing","description":"Speakers repeatedly stressed the need to move from ad hoc, crisis-driven funding to predictable, long-term financing for pandemic prevention, preparedness, and response. 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ready when the pandemic hit.","start":7783.99,"end":7786.23,"topics":[],"words":[{"text":"We","start":7783.99,"end":7784.23},{"text":"were","start":7784.23,"end":7784.35},{"text":"not","start":7784.35,"end":7784.51},{"text":"ready","start":7784.51,"end":7785.03},{"text":"when","start":7785.03,"end":7785.31},{"text":"the","start":7785.31,"end":7785.43},{"text":"pandemic","start":7785.43,"end":7785.91},{"text":"hit.","start":7785.91,"end":7786.23}]},{"text":"And this year, we updated, upgraded our instruments, and now we have several new instruments that we are basically working with, uh, our member countries 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expanding contingent credit facility.","start":7797.47,"end":7801.43,"topics":[],"words":[{"text":"including","start":7797.47,"end":7798.23},{"text":"expanding","start":7798.23,"end":7799.35},{"text":"contingent","start":7799.59,"end":7800.31},{"text":"credit","start":7800.31,"end":7800.63},{"text":"facility.","start":7800.63,"end":7801.43}]},{"text":"Now 15 countries now do have that facility, but also an emergency component on all our investment operations.","start":7801.43,"end":7810.31,"topics":[],"words":[{"text":"Now","start":7801.43,"end":7801.75},{"text":"15","start":7801.75,"end":7802.23},{"text":"countries","start":7802.23,"end":7802.71},{"text":"now","start":7802.71,"end":7803.11},{"text":"do","start":7803.91,"end":7804.15},{"text":"have","start":7804.15,"end":7804.55},{"text":"that","start":7804.79,"end":7805.03},{"text":"facility,","start":7805.03,"end":7805.75},{"text":"but","start":7806.07,"end":7806.31},{"text":"also","start":7806.31,"end":7806.79},{"text":"an","start":7806.79,"end":7806.95},{"text":"emergency","start":7806.95,"end":7807.51},{"text":"component","start":7807.51,"end":7808.19},{"text":"on","start":7808.23,"end":7808.47},{"text":"all","start":7808.47,"end":7808.87},{"text":"our","start":7808.87,"end":7809.03},{"text":"investment","start":7809.03,"end":7809.55},{"text":"operations.","start":7809.55,"end":7810.31}]},{"text":"So every investment loan has an emergency component when a crisis hits that we don't need to go to the board to ask to have flexibility to mobilize the funds.","start":7810.47,"end":7821.35,"topics":[],"words":[{"text":"So","start":7810.47,"end":7810.71},{"text":"every","start":7810.71,"end":7810.99},{"text":"investment","start":7810.99,"end":7811.59},{"text":"loan","start":7811.59,"end":7811.91},{"text":"has","start":7811.91,"end":7812.11},{"text":"an","start":7812.11,"end":7812.23},{"text":"emergency","start":7812.23,"end":7812.71},{"text":"component","start":7812.71,"end":7813.23},{"text":"when","start":7813.23,"end":7813.43},{"text":"a","start":7813.43,"end":7813.51},{"text":"crisis","start":7813.51,"end":7813.99},{"text":"hits","start":7814.63,"end":7815.03},{"text":"that","start":7816.07,"end":7816.31},{"text":"we","start":7816.31,"end":7816.43},{"text":"don't","start":7816.43,"end":7816.79},{"text":"need","start":7816.87,"end":7817.11},{"text":"to","start":7817.11,"end":7817.23},{"text":"go","start":7817.23,"end":7817.43},{"text":"to","start":7817.43,"end":7817.59},{"text":"the","start":7817.59,"end":7817.67},{"text":"board","start":7817.67,"end":7818.11},{"text":"to","start":7818.11,"end":7818.19},{"text":"ask","start":7818.23,"end":7818.59},{"text":"to","start":7818.59,"end":7818.95},{"text":"have","start":7819.27,"end":7819.43},{"text":"flexibility","start":7819.43,"end":7820.15},{"text":"to","start":7820.15,"end":7820.27},{"text":"mobilize","start":7820.27,"end":7820.71},{"text":"the","start":7820.71,"end":7820.79},{"text":"funds.","start":7820.79,"end":7821.35}]},{"text":"But we also have other investment instruments like investment financing to strengthen the health system and cost deferred drawdown options, which is a complementary to the initial contingent credit facility.","start":7821.83,"end":7839.83,"topics":[{"key":"health-system-capacity","label":"Health System Capacity Building","description":"Multiple interventions focused on strengthening the practical capacities needed before an outbreak begins, including surveillance, laboratories, emergency operations centers, trained health workers, and primary care. 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