The pandemic treaty: A forensic review of process and pitfalls.

This article examines efforts to develop a pandemic treaty through World Health Organization member state agreement from 2021 to 2025, focusing on challenges during the process. The COVID-19 pandemic showed the critical need for strong global agreements to prepare for and respond to health crises, with relevance for policymakers and researchers. Drawing on observations as invited stakeholders, relevant literature, official documents, and reports from other stakeholders, we identify key patterns, themes, and challenges, particularly the competing priorities of countries and difficulties in reaching consensus. Barriers that slowed progress include uneven political commitment, lack of transparency, and exclusion of key stakeholders, which hindered agreements and limited the treaty's potential to address global health threats. Our analysis highlights practical steps for future negotiations, including stronger political engagement, better coordination, greater transparency, and ensuring a broader range of voices and stakeholders are included in the process. Learning from these lessons will be critical for improving global pandemic preparedness and addressing future health challenges.