Pathogen Access Rules Could Shape Faster, Fairer

Medically reviewed | Published: | Evidence level: 1A
A new open letter urges national leaders to complete the Pathogen Access and Benefit Sharing annex supporting the WHO Pandemic Agreement. The unfinished annex is intended to connect rapid sharing of pathogen materials and sequence information with fair access to vaccines, diagnostics, treatments and other public health benefits.
📅 Published:
Reviewed by iMedic Medical Editorial Team
📄 Public Health

Quick Facts

Agreement Adopted
20 May 2025
WHO Membership
194 Member States
Annex Status
Negotiations remain unfinished

What Is the Pathogen Access and Benefit Sharing Annex?

Quick answer: The annex is meant to establish practical rules for sharing pandemic-relevant pathogens while distributing resulting health benefits more fairly.

Scientists need timely access to pathogen samples and genetic sequence information to identify emerging threats, develop diagnostic tests and begin evaluating vaccines or treatments. The proposed Pathogen Access and Benefit Sharing system, commonly called PABS, seeks to make that exchange more predictable while recognizing that countries providing biological materials should also benefit from the medical advances those materials help produce.

The annex must translate that principle into operational rules. These may address which pathogens and information are covered, how materials move through participating laboratories, what obligations apply to manufacturers and how benefits such as medical products, laboratory capacity or technical knowledge are shared. Clear definitions will be important because uncertainty could discourage participation or delay research during an outbreak.

Why Does Completing the Annex Matter for Pandemic Preparedness?

Quick answer: Completing the annex could reduce uncertainty before the next health emergency and help laboratories, governments and manufacturers coordinate more quickly.

Outbreak response depends on linked systems rather than a single intervention. Surveillance detects unusual infections, laboratories characterize the organism, researchers assess medical countermeasures and manufacturers scale up suitable products. Delays or mistrust at any point can weaken the entire chain, particularly when countries are unsure whether sharing pathogen information will lead to meaningful access to the tools developed from it.

A workable PABS framework could establish expectations before an emergency begins. Its public health value will depend on whether it supports rapid scientific exchange without creating excessive administrative barriers and whether promised benefits can be delivered when demand is high. Independent monitoring, transparent procedures and practical arrangements for countries with limited manufacturing or laboratory capacity would strengthen confidence in the system.

Could the Annex Improve Access to Vaccines and Treatments?

Quick answer: It could support more equitable access, but the effect will depend on enforceable details, manufacturing capacity and implementation by participating countries and companies.

Sharing a pathogen does not automatically produce a usable vaccine, diagnostic or medicine. Product development still requires scientific validation, clinical evaluation, regulatory review, manufacturing capacity and reliable supply chains. The annex therefore cannot guarantee that every emerging threat will quickly yield an effective product, but it may clarify how available products and other benefits should be allocated.

Equity also involves more than doses delivered during a crisis. Sustainable laboratory networks, workforce training, regional production, regulatory capacity and access to relevant technology can improve readiness between emergencies. Negotiators will need to balance these longer-term goals with rules that remain simple enough to function when rapid action is medically necessary.

Frequently Asked Questions

No. The agreement does not replace national governments or give WHO authority to impose domestic laws. Countries retain responsibility for their own public health decisions and implementation.

No. It is a cooperation framework, not a medical product. Its purpose is to support faster pathogen sharing and fairer access, while vaccines and treatments must still undergo development, testing, regulatory review and manufacturing.

Genetic sequence information helps researchers identify organisms, track changes, design diagnostic tests and begin evaluating vaccine or treatment targets. Laboratory and clinical evidence is still needed to determine whether a medical product is safe and effective.

References

  1. World Health Organization. Open letter to leaders of G7, G20, BRICS and all nations on finalizing the WHO Pandemic Agreement’s Pathogen Access and Benefit Sharing annex. 13 July 2026.
  2. World Health Organization. WHO Pandemic Agreement. Adopted by the Seventy-eighth World Health Assembly, 20 May 2025.