Under NDP 4, we are expanding health investments to ensure accessible, affordable, and equitable healthcare across the country. This includes modernizing health centers, upgrading regional referral hospitals, and integrating digital health solutions to improve service delivery and accountability. We are actively addressing the dual burden of communicable and non-communicable diseases, and our responses to HIV/AIDS combine strong political leadership with sustained community involvement, keeping Uganda on track to achieve the UNAIDS 95-95-95 targets and contribute to ending AIDS as a public health threat by 2030. Having successfully contained outbreaks such as the Bundibugyo Ebola virus, Uganda has built a resilient public health framework. We call upon development partners and multilateral institutions to bridge financing gaps, enhance pandemic preparedness, and ensure equitable access to diagnostic tools, medicines, and vaccines worldwide. As the Chair of NAM, Uganda continues to uphold the principles of unity, peace, and solidarity among developing nations. We remain dedicated to advancing the international covenant on the right to development, aiming to transform the 1986 Declaration into a binding operational instrument that tackles structural global inequalities. We look forward to hosting the ministers of NAM member states and observers at the Ministerial Meeting of the NAM Coordinating Bureau in Kampala from December 2 to 4, 2026.

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Mr. President, Mauritius is committed to upholding the pledges made at the social summit in Doha last year. Nowhere is that promise to universal social protection more concrete than in our health services. As non-communicable diseases and a rapidly ageing population place growing pressure on our health system, we are strengthening public healthcare through major investment, improved service delivery, expanded specialised care and a greater focus on prevention. Mauritius will continue to offer free and quality public health care to each and every citizen. We thus welcome the holding of the 2027 high level meeting on universal health coverage, and Mauritius stands ready to contribute to that global effort. Today, the high level meeting on pandemic prevention, preparedness and response met at a decisive moment, and decisive moments demand more than mere intentions. Mauritius supports the conclusions of the terms of benefit sharing, guaranteeing vulnerable countries real access to affordable, safe, effective and quality medicines including generics, vaccines, diagnostics and health technologies. It is of crucial importance to widen pandemic financing eligibility, including the Pandemic Fund, to formally incorporate the Multidimensional Vulnerability Index. Mauritius also welcomes UN initiatives on road safety, an issue to which we attach the highest importance and which acts as a silent epidemic that continues to claim far too many lives disproportionately in developing countries. We call for greater international attention and resources for this critical issue.

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Three decades ago, our country faced an HIV/AIDS pandemic of such severity that some questioned our long-term resilience. Through determined national leadership, bold public investment, and sustainable global partnership, Botswana built one of the world's most comprehensive HIV/AIDS treatment programs. We achieved the UNAIDS 95-95-95 targets ahead of schedule, and we became the first African country to achieve World Health Organization silver-tier status for the elimination of mother-to-child transmission of HIV. Our experience demonstrates that when national ownership and international solidarity converge, seemingly impossible challenges can be overcome. This kind of practical solidarity restores confidence in multilateralism. We stand ready to share the lessons of this experience through South-South and triangular cooperation. Botswana attaches particular importance to preserving UNAIDS, an indispensable partner in our national response, through evidence-based policymaking, technical assistance, resource mobilization, and global advocacy. That partnership helped to mitigate an epidemic by means of one of the world's most successful national responses and placed Botswana firmly on the path toward ending HIV/AIDS as a public health threat by 2030.

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Your excellencies 1 in 60 of adults is now estimated to be living with the virus. Fewer than 4 in 10 know that. I say this plainly, because stigma and silence are how this epidemic grew and because of the late Ratu Epeli Nailatikau, a former head of state and UNAIDS goodwill ambassador for the Pacific, spent his last years telling us so. This is also a security question. Methamphetamine trafficked into our region by transnational criminal networks is now driving transmission through injecting drug use. Our borders are ocean. Our populations are small, and the profits at stake exceed our national budgets. A country such as Fiji of under a million people cannot interdict a global supply chain alone. So Fiji asked three things that treatment and diagnostics reach small states at prices we can pay, that the Global Fund and UNAIDS be resourced at a level that does not force a triage between regions, and that our partners treat Pacific narcotics interdiction as the shared security interest it is. These are the same loss. A nurse who emigrates is a nurse Fiji trained and will not have because they left. A Fijian who died 35 of a treatable virus is the same subtraction made permanent with the cost of care left behind. Small states are not losing workers at the margin. We are losing the capacity to staff our own future.

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Non-Communicable diseases cut short too many lives and diminishes the quality of lives of too many people in my country and in our region. These diseases, detecting them early and ensuring effective treatment are national development priorities for Antigua and Barbuda. Mental health challenges are increasing. Preventable vision loss denies dozens and dozens of our people opportunities to learn, work and live independently. Antigua and Barbuda will continue to champion mental health, strengthen our universal health programmes to address non-communicable diseases, and place eye health firmly within our development priorities. This November, Antigua and Barbuda will host, along with the Commonwealth Heads of Government, a global eye health summit, the first of its kind to move the international community from advocacy to action against the growing burden of preventable sight loss. We invite member states and partners to join us and support an eye health compact that expands access, strengthens prevention and treatment, mobilizes finance, and integrates eye health fully into our development strategies. Excellencies, two years ago, the international community gathered in Antigua and Barbuda and adopted the agenda for small island developing states, ABAS, our ten year framework for sustainable development and resilient prosperity. Now excellencies becomes the real hard work of implementation.

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In that respect, Tanzania has made significant strides in reducing maternal and child mortality by expanding facility delivery from 51 per cent in 2015 to 81 per cent in 2022. Our experience on this demonstrates that when we invest in feasible projects, and remain people-centred, development can move from promises to measurable results. It is in this spirit that H.E. President Samia Suluhu Hassan, accepted the responsibility of championing Maternal and Child Health for the African Union. Under her leadership, Tanzania reduced maternal deaths by 80 per cent in just seven years. We now aim to advance the Three Zeros, i.e., Zero Preventable Maternal and Child Deaths; Zero home deliveries; and Zero Unvaccinated Children. Our experience shows that this is an agenda that Africa can successfully achieve, but it will require sustained political leadership, adequate financing, and stronger partnerships. We, therefore, urge the international community to join us in giving this agenda a push.

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Mr. president, universal health coverage remains central to our development agenda. While investments have been made, we continue to face serious public health challenges, including a high burden of communicable and non-communicable diseases and inequalities in access to health. Lesotho is undertaking reforms to strengthen our health care system and invite partnerships to ensure universal access to quality primary health care, medicines, vaccines, diagnostics and robust disease surveillance and pandemic preparedness. The social and economic costs of cancer are profound. With support from the International Atomic Energy Agency, Lesotho is developing its first radiotherapy and nuclear medicine facility to provide domestic oncology services. We therefore call for enhanced cooperation in technology sharing, capacity building and sustainable health financing to build resilient health systems capable of responding to current and emerging challenges. Mr. president, migration is not an abstract concept for the people of Lesotho.

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Economic transformation and sustainable development are impossible without a healthy population. The vulnerabilities exposed by recent global pandemics continue to linger, reminding us that global health security is only as strong as its weakest link. Malawi is making strides towards a universal health coverage and strengthening our primary health care system. However, systemic global inequities in healthcare access, medical manufacturing and vaccine distribution remain glaringly unresolved. True global health security demands decentralised pharmaceutical manufacturing capabilities, unrestricted technology transfer and intellectual property waivers during health emergencies. My delegation appeals to all of us here to finalize a robust, legally binding pandemic treaty that guarantees equity, solidarity and immediate resource sharing for the Global South. We also call for collaboration in efforts to build long term resilience against pandemics through investment in our domestic pharmaceutical manufacturing capacity. By producing essential medicines within Africa, the entire world gains through stronger health security and stable supply chains, especially through faster outbreak response.

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Economic and social progress, however, remain vulnerable to global health crises. The COVID-19 pandemic taught humanity a vital lesson: no country can protect itself from a global health emergency alone. Yet, even as we recover from that crisis, recent resurgences of mpox, recurring Ebola outbreaks, and other emerging infectious diseases remind us that our health system must remain vigilant and resilient. We must decisively address persistent inequalities in access to vaccines, medicines, and medical technologies. Critically, the international community must support African countries in developing robust local and regional capacities to manufacture essential pharmaceuticals and health products. In a recent meeting of the East, Central, and Southern African Health Community Conference held in Eswatini, the countries resolved to act as a singular bloc when purchasing essential drugs and medical supplies. This will help reduce costs and ensure supply chain stability. We appeal to the UN through the World Health Organization to support this endeavor.

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It has even gone as far as the United States exerting a unseen pressure on sovereign governments so that they renounce the medical services they requested from us for the benefit of their respective populations, and which are offered by Cuban professionals altruistically, because the US government is opposed to such cooperation, regardless of the impact and harm that this may cause to those populations, if they are deprived of free quality medical care, that is to say, deprived of an elemental human right. Last Thursday, the State Department convened within this General Assembly a humiliating meeting specifically with the states that are the recipients of this cooperation in order to apply pressure and make threats. According to the US Secretary of State, the official policy of the United States is to shut down every relief valve from Cuba to block every possible way out and eliminate any form of survival for Cuba. The impact of such an ironclad and ruthless siege has a human face.

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We're continuing the gradual expansion of universal health coverage, in particular through free maternity care, improved maternal and newborn care, vaccination, access to essential medicines, the strengthening of the healthcare workforce, and by expanding social protections. Mr. President, every health crisis confirms the same truth. Health sovereignty is built before emergencies. It is based upon accessible healthcare systems, robust epidemiological surveillance, high-performing laboratories, well-funded research, and above all, the trust of the population. In this regard, the Ebola virus outbreak caused by the Bundibugyo strain remains a major test for our country. For the DRC, fighting this epidemic is an absolute priority. After having contained 16 previous outbreaks, the DRC is mobilizing recognized scientific and operational expertise. And thanks to national mobilization and the support of our partners, the response has recently begun producing tangible results. In addition, clinical trials are now underway to evaluate vaccines and treatments for this strain in particular. I'd like to pay tribute to the Congolese and foreign healthcare workers, researchers, communities, and our partners, especially the WHO and the Africa Centers for Disease Control and Prevention, or the Africa CDC, for their invaluable support to the DRC in eradicating this disease and strengthening resilience to it. Mr. President, this need for resilience does not stop at the boundaries of health. It is also vital when it comes to climate disruptions, whose effects are already putting our societies under growing pressure: flooding, droughts, and erosion, not to mention population displacement, are threatening our stability.

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During the pandemic, bodies under the auspices of this House put themselves before scientific evidence and the sovereignty of nations and promoted forced lockdown policies throughout the world that ruined jobs, that ruined the education of entire generations of children, and cost the lives of millions of people who died alone without basic medical care. Where some allege a public health policy error, we see a global experiment in social control disguised as science. And when a state wearing public health blinkers deprives its population of the right to work, to receive an education, and to bid farewell to their dead, this results in millions of unavoidable deaths, there is a word for it: genocide. That happens in many countries, including Argentina, which boasted of being the World Health Organization's star pupil. And that is why we decided to leave the World Health Organization. Added to that is something more subtle but equally damaging: the psychological terror instilled by the state. For years, citizens around the world were told that they should be afraid. Afraid of their neighbors, of the air they breathe, of leaving their homes. That fear wasn't a mere side effect. It was the chosen instrument of their government. The problem is that emergencies eventually pass. Fear passes.

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Her efforts led to the formal request to the UN Secretary-General to initiate a WHO review of nicotine as a psychotropic substance. Globally, nicotine claims over 7 million lives annually, and more than a billion trapped in addiction. Protecting our future requires expanding prevention, enhancing cessation support, and enacting strong policies to diminish the appeal and affordability of these harmful products. No country should have to choose between the health of its children and the commercial interest of an industry that is built on addiction.

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Recognising continued vulnerability to epidemics, Zambia calls for the expedited conclusion of negotiations on the Pathogen Access and Benefit Sharing Annex under the World Health Organization Pandemic Agreement, alongside strengthened access to technology and preparedness capabilities to detect and respond to future health threats. Zambia is further making efforts towards building capacity for local vaccine manufacturing. Mr. president, in Zambia, we have taken decisive steps to expand access to education through the enactment of the Free Education Act and the strengthening of the school feeding programme, ensuring that more children can access education and remain in school without the burden of fees or hunger standing in their way of learning.

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Through our history, we know that peace is difficult to build, but it is the only victory that benefits one and all. Ladies and gentlemen, Your Excellencies, guided by the same sense of responsibility, the recurring Ebola outbreaks and repeated pandemics have shown that global threats are no longer solely military or economic. Health security has become an essential component of collective security, and here we will continue supporting the strengthening of the World Health Organization Regional Office for Africa in Brazzaville and will shoulder all of its responsibilities in accordance with the 1952 Headquarters Agreement.

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Already, the burden of non-communicable diseases strains our health system, reduces workforce productivity and diverts limited resources. We are strengthening our national health capacity, increasing investment in diagnostics and life saving medicine, expanding the use of telehealth to access specialist care and medical education, and partnering with neighbouring countries to support regular medical exchange programmes that augment our treatment capability in country. These efforts are essential to safeguard our communities as climate impacts intensify.

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Health is equally fundamental. We continue to strengthen our health systems across our widely dispersed and remote islands, improve access to essential services and address both communicable and non-communicable diseases. A healthy and educated population is the foundation upon which every other national priority rests. Mr. President, we cannot speak about development without speaking about women and youth.

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Care is free and drugs are free too. And we are the first in the world to achieve this feat. The vision of our first Lady, Gabriela Rodriguez de Bukele, uh, is a profoundly human one. And that is that every boy girl, each and every young person, deserves to grow up in liberty to fully develop their potential and to have real opportunities to build the life that he or she wants for him or herself.

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This demand for justice also applies to global health. We call for equitable access to vaccines and health care technologies, and for strengthening health systems in the most vulnerable countries. Restoring trust, Mr. President, is not limited to interstate relations. First and foremost, it is built within our own borders between the state and its citizens.

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The Covid 19 pandemic claimed the lives of millions of people around the world, but it also sent a message to the world: for the global community to survive, mutual assistance, empathy and cooperation are indispensable. It is essential to ensure sustainable production of vaccines, therapeutics and diagnostic equipment in developing countries so that these are readily accessible to all. Mr. president, a state can never become strong by keeping its citizens powerless.

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We will never forget the millions of lives lost due to the negligence in the fight against Covid 19. Anti-Vaccine campaigns are bringing back diseases we thought were eradicated. Weakening the World Health Organization makes everyone more vulnerable. Until recently, the response to climate change was firmly established at the center of the international agenda. This year, however, the topic disappeared from the debates of the G7 and G20 forums that bring together the largest carbon emitters.

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