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. 2025 Apr 19:53:127107.
doi: 10.1016/j.vaccine.2025.127107. Epub 2025 Apr 10.

Regional cooperation on pandemic preparedness and vaccine equity from an economic, regulatory and legal perspective

Mei Xuan Jessalyn Chan  1 , Olivier J Wouters  2 , Hui Yun Chan  3 , Petro Terblanche  4 , Nakorn Premsri  5 , Jerome H Kim  6 , John C W Lim  7 , Wei Chuen Tan-Koi  8 , Mark Jit  9
Affiliations

Regional cooperation on pandemic preparedness and vaccine equity from an economic, regulatory and legal perspective

Mei Xuan Jessalyn Chan et al. Vaccine. .

Abstract

The COVID-19 pandemic has underscored the need for a global agreement to strengthen international health regulations. However, progress towards such an agreement has been deferred to a future World Health Assembly and is likely to be further hampered by an increasingly uncertain global geopolitical context, a delay which we cannot afford. In the interim, urgent immediate action to intensify regional cooperation on pandemic preparedness and vaccine equity is needed. The three key aspects of intensified regional cooperation are: financial and economic sustainability, regulatory systems strengthening and legal frameworks that facilitate cooperation. While there is still momentum, the global community must act swiftly and cohesively, intensifying regional cooperation to strengthen governance on pandemic prevention, preparedness and response.

Keywords: Equity; Pandemics; Regional cooperation; Regulation; Vaccines.

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Conflict of interest statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Olivier J Wouters reports financial support for research provided by Commonwealth Fund. Mark Jit reports a relationship with Gates Foundation, Gavi, NIHR, RCUK, BMGF, WHO, Gavi, Wellcome Trust, European Commission, InnoHK, TFGH and CDC that includes: funding grants. Olivier J Wouters reports a relationship with World Bank and WHO that includes: consulting fees. Editorial board member - Mark Jit. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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