At the One Health summit in Lyon on 7 April 2026, heads of state, government, regional and international organisations and civil‑society representatives adopted a joint declaration to reform the global health architecture. The declaration reaffirms commitment to multilateralism and notes that the world faces unprecedented health challenges amid shrinking development aid, demographic and climate pressures, budget constraints, heightened health needs, protracted conflicts and widening economic inequality. It recognises decades of progress and calls for protecting those gains by rationalising and, where necessary, strengthening multilateral institutions and partnerships. The reform should advance national health sovereignty, concrete transition strategies, primary‑care‑based resilient systems, sexual‑reproductive rights, equitable access to health and innovation, solidarity governance, a cross‑sector One Health approach and broader civil‑society participation. The declaration was adopted in Lyon by the leaders of 18 countries and a range of global health agencies, including WHO, GAVI, the Global Fund and the UN agencies.
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