Global Governance Program

Global Governance Program
Including the G7 Research Group, G20 Research Group,
BRICS Research Group and the Global Health Diplomacy Program

University of Toronto

Cover

Health: A Political Choice – The Future of Health in a Fractured World

Edited by Ilona Kickbusch and John Kirton
Published by GT Media, 2025

Free downloadable electronic version available here
See also the Global Governance Project

Welcome

Fragmenting consensus in a fragmenting world
Axel R Pries, president, World Health Summit

Introductions

From dependency to self-reliance: A new chapter in global health
Tedros Adhanom Ghebreyesus, director-general, World Health Organization
Health at the heart of a fairer future
Amina J Mohammed, deputy secretary-general, United Nations
Reclaiming momentum – delivering health in a world of risk
Achim Steiner, former administrator, United Nations Development Programme
Compounding threats, collective response: Why health must drive Europe’s future
Enrico Letta, president, Jacques Delors Institute, and dean, IE School of Politics, Economics and Global Affairs, IE University

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Spotlight

Universal coverage at the heart of global health
Interview with Pakishe Aaron Motsoaledi, minister of health, South Africa

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Editors' introductions

Global health transformation 3x3x3
Ilona Kickbusch, founding director, Global Health Centre, Graduate Institute of International and Development Studies
Fostering a fine future for global health in a fractured world
John Kirton, director, Global Governance Program

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Spotlight

Protecting planetary boundaries
Interview with Johan Rockström, director, Potsdam Institute for Climate Impact Research, and Virchow Prize Laureate 2024

Planetary Health and Climate Change

Better decisions with better data
Gordon G Liu, Peking University BOYA Distinguished Professor of Economics and dean, and Bernhard Schwartländer, co-chair of the Governing Board and Distinguished Research Professor of Global Health, Peking University Institute for Global Health and Development
Bridging climate and health to heal a fractured world
Abdulla Al Mandous, president, World Meteorological Organization, and director-general, National Center of Meteorology, United Arab Emirates
Integrating animal health into a fractured world: A One Health approach to climate resilience
Emmanuelle Soubeyran, director-general, World Organisation for Animal Health
Beyond political choice: A legal mandate for planetary health in a fractured world
Alexandra L Phelan, professor, Johns Hopkins Bloomberg School of Public Health, and senior scholar, Johns Hopkins Center for Health Security
A new playbook for global health: Investing in infrastructure for planetary health
Ajay Bhushan Pandey, vice president, Investment Solutions, and Erik Berglof, chief economist, Asian Infrastructure Investment Bank
Health as a political choice: From overshoot to well-being societies
Rüdiger Krech, director, Environment, Climate Change, Migration and One Health, a.i., World Health Organization

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Spotlight

Reimagining the global health architecture: An African roadmap for shared security
Jean Kaseya, director-general, Africa Centres for Disease

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Pandemics

The Pandemic Agreement is a major achievement
Precious Matsoso and Roland Driece, former co-chairs, Intergovernmental Negotiating Body for a Pandemic Agreement
It’s time to leap to a new global health architecture
Sania Nishtar, chief executive officer, Gavi, the Vaccine Alliance
Building vaccine sovereignty: Africa’s path to resilient health security
Nicaise Ndembi, Africa Regional Office, International Vaccine Institute
Strengthening national public health institutes: Fiocruz’s perspective
Mario Santos Moreira, president, Oswaldo Cruz Foundation (Fiocruz), Paulo Marchiori Buss, former president, and João Miguel Estephanio
Licensing for equity: Why access to medicines needs a new global approach
Charles Gore, executive director, Medicines Patents Pool
UN HLM on Non-communicable Diseases and Mental Health – A case of same old, same old?
C James Hospedales, chair, executive committee, Defeat-NCD Partnership, and founder, EarthMedic and EarthNurse Foundation for Planetary Health

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Spotlight

From dialogue to direction: Enabling partnerships to drive the future of health
Balvir S Tomar, founder and chancellor, NIMS University

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Special Section: Scientific Innovation, Research and Technology

A shift in the centre of gravity and a shift in opportunity (includes section introduction)
Jeremy Farrar, assistant director-general, Fatima Serhan, executive officer, Health Promotion, Disease Prevention and Care Division, and Thidar Pyone, technical officer, Office of the Chief Scientist, World Health Organization
On being unapologetically pro-regulation
Bilal Mateen, chief AI officer, PATH
Poor, sick and unconnected: The paradox of digital health
Cesar Victora, professor emeritus of epidemiology, Federal University of Pelotas, Brazil
Science and solidarity: A new paradigm for global health
Yasmine Belkaid, president, Institut Pasteur, Mario Santos Moreira, president, Pasteur Network, and Rebecca Grais, executive director, Pasteur Network
The only way is forward together
Soumya Swaminathan, chair, MS Swaminathan Research Foundation, and Harkabir Singh Jandu

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Spotlight

American anti-science activism is globalising
Peter Hotez, professor of paediatrics and molecular virology and microbiology; co-director, Texas Children’s Hospital Center for Vaccine Development; and dean, National School of Tropical Medicine, Baylor College of Medicine

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Information Integrity

Health in the age of disinformation: Protecting truth, protecting democracy
Alain Berset, secretary general, Council of Europe
The Health with Science Programme experience: Information integrity in the Global South
Ethel Leonor Maciel, former secretary of health and environmental surveillance, Brazil
Belief in science has eroded, but we can rebuild it
Aviva Philipp-Muller, Beedie School of Business, Simon Fraser University
Now more than ever: We need quality health information for all
Scott C Ratzan, co-chair, Nature Medicine Commission on Quality Health Information for All
The collaborative future of public health intelligence
Oliver Morgan, head, WHO Hub for Pandemic and Epidemic Intelligence, and Rithika Sangameshwaran, CPC Analytics

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Spotlight

Health: A political choice
Interview with Dan Smith, former executive director, SIPRI

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Security from War, Conflict and Crime

Safeguarding the right to health in crisis
Volker Türk, United Nations High Commissioner for Human Rights
Health at the margins: Displacement and the global promise we must keep
Filippo Grandi, United Nations High Commissioner for Refugees
Health and human security: Core to national and global stability
Esperanza Martinez, professor of practice, Australian National University, and commissioner, The Lancet Commission on Health, Conflict and Forced Displacement
Finding alignment in a multi-aligned world
David Miliband, president and CEO, International Rescue Committee
The health and well-being of women and girls in a fractured world
Pascale Allotey, Inka Weissbecker and Alanna Galati, Department of Sexual, Reproductive, Maternal, Child and Adolescent Health and Ageing, and Department of Non-communicable Diseases and Mental Health, World Health Organization
Strengthening biosecurity at the health and security interface
Greg Hinds, director, Counter-Terrorism, Interpol

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Spotlight

Passing the torch: From West to East
Kishore Mahbubani, distinguished fellow, Asia Research Institute, National University of Singapore Improving Global Health Institutions and Instruments

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Improving global health instruments and institutions

From crisis to consensus: The historic gavel of the Pandemic Agreement
Teodoro J Herbosa, secretary of health, the Philippines, and president, 78th World Health Assembly
Health and multilateralism: Brazil’s political choice in a fractured world
Alexandre Padilha, minister of health, Brazil
Promoting health, preventing illness
Interview with Budi Gunadi Sadikin, minister of health, Indonesia
China’s approach to global health governance and its adherence to multilateralism
Jin Jiyong, distinguished professor (Shanghai Oriental scholar), School of International Relations and Public Affairs, Shanghai International Studies University
From crisis to cohesion: A new mandate for health and multilateralism
Dinesh Arora, principal health specialist, Asian Development Bank
Catalysts for change: The evolving role of philanthropy in global health
Interview with Gabriel M Leung, executive director (charities and community), Hong Kong Jockey Club
Beyond traditional aid: Redirecting billionaire philanthropy to health outcomes
Raj Kumar, president and editor-in-chief, Devex
Dying too young: How worsening health and loss of trust in politics gives us the worst possible governments
Martin McKee, professor of European public health, London School of Hygiene and Tropical Medicine

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Sponsored content

Healthspan: A global imperative for humanity’s future
Mehmood Khan, CEO, Hevolution Foundation
The equity bias in cardiovascular care we can’t ignore
Oliver Appelhans, Head of the European Specialty Business Unit at Daiichi Sankyo Europe
The unfinished agenda: Why NTD elimination remains a political choice
Kelly Zongo, Vincent Okungu and Carol Karutu, The End Fund
The Catalyst Effect: Unlocking innovation for global NCD care through cross-sector collaboration
Jon Fairest, head of Global Health Unit, Sanofi

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