QUESTION OF: Developing health care infrastructure to limit the deterioration of public health

SUBMITTED BY: United States of America

CO-SUBMITTERS:Dominican Republic, Greenpeace, Burkina Faso, Madagascar, Cambodia, Liberia, Bolivia, France, Belgium, Botswana, Nicaragua, Ukraine.




Expressing grave concern of the serious risks and challenges facing all member states regarding the Coronavirus Disease of 2019 (COVID-19)  pandemic and its negative implications for healthcare systems and infrastructure globally, with a special emphasis on less economically developed countries (LEDCs) and developing member states,

Recalling the Universal Declaration of Human Rights, specifically article 25(1) declaring access to medical care and necessary social services as a human right, in addition to the United Nations (UN) Sustainable Development Goal (SDG) 3, aiming to ensure healthy lives and promote well-being at all ages,

Reaffirming the right of every human being, without discrimination of any type, to the availibilty of quality of helathcare treatment and infrastructure,

Highlighting the essential role of the UN and World Health Organization (WHO) in continuing to work alongside member states to create a global and comprehensive response to the exponential deterioration of public health as a result of COVID-19,

Further recalling UN resolutions A/74/L.92 and A/74/L.57 to further stress the importance of global cooperation and coordination in combating the COVID-19 pandemic and its implications on public health,

Recognizing that an insufficient global response to limiting the deterioration of public health during a global pandemic will negatively impact the availability and quality of healthcare as a whole to an unprecedented degree, in addition to intensifying public discontent, harming international cooperation, and weakening the strength of international organizations,

Emphasizing the importance of transparency, accountability, and participation within and amongst global institutions, government, and other organizations to create an effective response to the COVID-19 pandemic,

Applauding the efforts and commitments made by healthcare personnel, front-line workers, and other humanitarian personnel to ensure the availability of quality healthcare treatment and infrastructure for all,

Taking note of the WHO protocols to prevent the transmission of the Coronavirus disease between individuals and populations, 

Underscoring the great number of people infected with COVID-19 that were refused to be treated in hospitals due to the overcrowding of hospitals that had reached maximum capacity,

  1. Calls upon member nations to ramp up production throughout the supply chain of personal protective equipment (PPE)  and personal protective technologies (PPT) and other medical devices essential to combatting a pandemic in collaboration with the World Health Organization (WHO) as well as other relevant NGOs , while ensuring that this does not deprive other health sectors of any necessary equipment, by:
    1. conducting a conformity printed or digital, adapted to the population whereby:
      1. all PPT conforms to the national standards in each respective member state through federal agencies, such as the National Institute for Occupational Safety and Health (NIOSH) or National Personal Protective Technology Laboratory (NPPTL),
      2. federal agencies, such as those stated above, undergo accreditation by the International Organization for Standardization (ISO),
      3. ensuring that PPE and PPT imported into member nations goes through rigorous conformity assessment before being allowed to enter the healthcare sector for public use,
    2. merging datasets and creating databases similar to the GetUpPPE web-based platform for organisations requesting PPE to ensure the fair and equitable distribution of equipment throughout a country:
      1. with request forms consisting of the name and type and address of the organisation, as well as collection method,
      2. followed by specific equipment requirements for PPE indicating the type and the acuity of need, 
      3. including options for donations of equipment by hospitals or healthcare sectors to be funneled back into different organisations, ensuring the donations also pass the conformity test and are approved by at least one standardised body such as the WHO,
    3. monthly reviewing both conformity assessments and PPE/PPT caterer databases to ensure the most efficient and accurate distribution and manufacture of PPE/PPT;
  2. Requests member states to work in collaboration with the WHO and Center for Disease Control (CDC) to counter the spread misinformative information regarding the current and future pandemics coined ‘infodemic’ by the WHO, which will implement fact-checkers available for civilians to use on media platforms, in addition to the enforcement of trusting fact-checkers on social media platforms such as Twitter and Instagram, as well as further invest into propaganda campaigns, through means such as but not limited to:
    1. publishing a list of credited sources enforced to the public as the only trusted sources to use for information on the current and future pandemic, such as:
      1. UN bodies, chiefly the WHO,
      2. national agencies within a member state such as the CDC,
    2. developing or enforcing fact-checkers through announcements on national health pages, and/or app extensions for public usage on social media sites such as:
      1. health alerts by the WHO on Whatsapp which would supply, with appropriate text from the user containing latest information on the pandemic, vaccine update, health concerns, language selection
      2. the International Fact Checking Network by the United Nations Development Program (UNDP),
      3. taking guidance from the extensions and organizations above and using them as a guideline to develop user-friendly, easily accessible websites for the general public to fact check information,
    3. investment by member nations through means of crowdfunding into visual campaigns and printed newsletters catered to rural and uncommunicated areas to update communities with reliable information and good practice through the means of:
      1. focusing on the susceptibility of such areas using indexes such as the CDC’s SVI,
      2. recruiting community leaders to relay information coming from urban areas with most recent updates on the pandemic such as village leaders, religious figures as well as mayors,
      3. using the spread printed material with relevant information that is formatted to cater towards the population in these areas with regards to language, level of literacy, dependence on images, and visual information,
      4. variable information with a base consisting of education on the pandemic and how to detect it, hygiene habits,  and preventative measures; 
  3. Strongly encourages the increased construction of field hospitals within members states in easily accessible areas with readily available access to pre-existing hospitals with stores of supply, in collaboration with the WHO, as well as with the Central Emergency Response Fund (CERF), and in accordance with the urgency of the situation:
    1. with an increase in the production of medical technologies, such as but not limited to:
      1. ventilators (with necessary tubing), patient vital sign monitoring as well as syringes (with all necessary needle extensions),
      2. equipment for tents such as medical cleaning brushes, sanitizing agents, sleeping accommodation,
      3. masks and other PPE equipment,
    2. prioritizing the development of field hospitals through various forms:
      1. tent camps consisting of triage zones, intensive care units, recovery wards, storage facilities, prep units for staff, showers and portable toilets,
      2. hosted in pre-existing infrastructure;
  4. Calls upon the World Health Organization to urgently support LEDC member nations in establishing temporary preventative healthcare centers in densely populated areas which will provide:
    1.  preventative health supplies specific to national factors such as climate and endemic diseases, such as, but not limited to:
      1.  Washable and re-wearable face masks,
      2. Sanitary supplies such as soap, hand sanitizer, and rubbing alcohol,
      3. Vaccines against tuberculosis, hepatitis, HPV, tetanus, yellow fever, and measles,
      4. Bandages and antibiotic creams,
      5. Condoms and other contraceptives,
    2.  limited numbers of on the ground WHO staff to assist in training local workers to distribute supplies and administer vaccines at such centers;”
  5. Strongly recommends member nations to increase capacity in hospitals with guidelines from CDC in order to control the flow of patients during a pandemic meanwhile ensuring that existing patients are not compromised and consistently receive care and serving steps to take in addition to the build of ‘pop-up’ hospitals with methods such as but not limited to:
    1. forming or mobilizing Rapid Response Teams (RRTs) consisting of specialists reporting directly to a hospital board to control patient flow in accordance with the CDC’s Guidance for the Establishment and Management of Public Health Rapid Response Teams for Disease Outbreaks whom in addition categorize emergency patients admitted independent of the virus, prioritizing critical surgeries, recommending the creation of a gradation of most critical surgeries to least, keeping in mind variance may occur,
    2. safely speed up the process of discharge of patients freeing hospital capacity on an intraday basis with by discharging patients throughout the week and at all times of the day,
    3. allocating weekends to perform elective surgeries on weekends in order to increase capacity and minimize hospital crowing on weekdays;
  6. Reminds member states of the importance of vaccine immunization against pandemics as a vital, long-term healthcare solution to bring the pandemic to an end, and thus encourages member states to:
    1. Work in close collaboration with vaccine developers such as Pfizer and BioNTech to purchase an adequate number of said vaccines for distribution to the general public as quickly as possible, with funds from the WHO, CERF, other relevant UN organs, or NGOs if necessary,
    2. Create comprehensive, national frameworks for the mass distribution of successfully tested vaccines, funded by the national government and if necessary, the WHO, CERF, other relevant UN organs, and/or NGOs, entailing:
      1. Designated transport and shipping plans to ensure the availability of vaccines regardless of geographic location within the nation,
      2. Construction and management of strategically-placed vaccine distribution infrastructure to ensure the brisk and efficient distribution of the vaccine to local populations,
      3. Allocation of sufficient medical staff and front-line workers tasked with aiding in the distribution of the vaccine, while ensuring that the redistribution of healthcare personnel does not deprive other healthcare sectors,
      4. Prioritizing the distribution of the vaccine to groups most vulnerable, namely elderly populations, those with underlying health conditions, pregnant women, infants, etc.
      5. proper means of transportation such as available paratransit or buses to increase access to healthcare in local areas,
    3. organize the immediate creation of government vaccine education programs in order to alleviate concerns regarding the safety of newly-developed vaccines, which would:
      1. stress the importance of proper immunization during a global pandemic,
      2. only the rigorous testing process vaccine candidates must undergo before being approved for public use,
    4. reach the public populations to properly inform civilians through means such as, but not limited to:
      1. television broadcasts or advertisements,
      2. radio broadcasts or advertisements,
      3. articles, videos, or other media published on the national health website of the member state in question,
      4. physical workshops or presentations in areas with limited access to media technology and/or an internet connection, ensuring accordance with relevant government guidelines regarding physical meetings;
  7. Encourages MEDCs, as well as the WHO, to aid LEDCs with special attention to rural areas in order to protect civilians from the current pandemic through implementing methods such as but not limited to:
    1. Appropriate policies adapted to high risk regions such as: 
      1. lockdowns,
      2. curfews,
      3. PPE including low cost sanitary facilities for citizens, 
      4. relocation of citizens in high risk regions with critical conditions voluntarily and temporarily,
    2. Improved access to healthcare such as:
      1. supplying adequate numbers of skilled doctors, helping temporarily receiving appropriate pay in accordance to duration of stay,
      2. stepping up maintenance of roads and highways in order to better transportations to medical institutions; 
  8. Suggests to introduce programmes that respond to the psychological needs of people and guide them with trauma of loss following the pandemic:
    1. provide classes on essential peace and life skills for a healthy lifestyle, as well as teacher professional development sessions on these topics including, but not limited to recreational activities to help them recover from psychological trauma,
    2. therapeutic group sessions with a vetted counsellor adapted to pandemic/epidemic’s situation,
    3. therapists should be available in order for children to feel secure in their ‘homes’ mentally.