5月20日，在瑞士日内瓦参加第66届世界卫生大会期间，国家卫生和计划生育委员会主任李斌、我常驻联合国日内瓦代表团大使吴海涛等参加了金砖国家卫生会议。会后发表了联合公报。联合公报中、英文全文如下：

金砖国家卫生联合公报

2013年5月20日

　　一、2013年5月20日，巴西、俄罗斯、印度、中国和南非卫生部长代表金砖国家在日内瓦召开的第66届世界卫生大会期间举行会议。

　　二、忆及2011、2013年在北京和新德里分别召开的首次和第二次金砖国家卫生部长会议发表的北京宣言和德里公报，各方承诺加强金砖国家内部的合作，提高金砖国家人民的健康水平。金砖国家卫生部长决定将通过技术工作组继续开展卫生领域的合作。

　　三、重申将致力于以下五个领域的合作：1.加强卫生监测体系；2.降低慢病风险因素、慢病预防、健康促进和全民健康覆盖；3.重点关注传染病和非传染病的战略性卫生技术；4.医疗技术；5.药品研发。

　　四、关注世卫组织关于千年发展目标监测成果的报告，认为尽管在相关领域取得了进步，但到2015年及以后实现这些目标仍需做许多工作。部长们承诺将携手合作，充分认识卫生可促进发展，影响相关议程的讨论。他们重申承诺，支持世卫组织作为全球卫生的协调机构。

　　五、忆及妇女儿童卫生全球战略，他们重申儿童生存战略的重要性。儿童生存战略旨在显著降低孕产妇、婴儿、新生儿、5岁以下儿童死亡率，以实现千年发展目标。关于联合国拯救妇女和儿童生命产品委员会，他们进一步承认世卫组织在相关监管途径、产品质量方面的作用，包括预认证、扩大弱势人群基本卫生产品的可及。他们重申承诺，将在此领域通过交流最佳实践加强合作。

　　六、认识到全民健康覆盖发展契机，特别是2013年2月世卫组织和世界银行主办的部长级圆桌会发布的报告。他们支持世卫组织行动计划的领导作用和全面指导方向，并进一步强调高质量的初级卫生保健可及和加强卫生体系建设的重要性。

　　七、同意全民健康覆盖监测进程的重要性。金砖国家同意确定各自的相关机构与世卫组织共同制定监测框架，帮助金砖国家监测全民健康覆盖实现的进展情况。

　　八、感谢首个《标准材料转让协议2》的成功谈判工作。世卫组织和全球最大疫苗制造商之一签订《标准材料转让协议2》为全面实现大流行性流感防范框架、分享流感病毒迈出了积极一步。他们重申，将与世卫组织合作，确保在未来应对流感流行时，该框架可促进流感疫苗的公平和全面可及。

　　九、承认世卫组织改革在三大领域取得进步：规划和优先领域确定、治理、管理和世卫组织改革的高级实施计划。他们进一步强调需要确保组织机构的透明性和决策制定的包容性。他们表达了对新成立的筹资对话机制的支持。筹资对话机制描绘了筹资需求和筹资差距的清晰蓝图，提出改进世卫组织筹资的可预测性和可持续性。

　　十、欢迎世卫组织研究与开发筹资和协调问题磋商性专家工作小组（CEWG）的报告。欢迎在世卫组织秘书处建立全球卫生研发观察站的建议，监测和分析卫生研发相关信息，以便提高可负担药品的可及性。他们进一步欢迎实施一些卫生研发示范项目，来解决已知的严重影响发展中国家，尤其是影响贫穷国家的卫生研发差距，为此可以即刻采取行动。他们强调，示范项目的实施应充分透明和包容，所有利益相关方都应参与其中。

　　十一、强调技术转让对提高发展中国家能力的重要性。他们强调有必要建立金砖国家技术合作网络，通过灵活使用《与贸易有关的知识产权协议》(TRIPS)联合促进药品的可及、安全、有效和高质量。

　　十二、宣布技术工作组将按照《德里公报》通过的行动计划开展工作。技术工作组将提交报告，为在南非举办的第三届金砖国家卫生部长会议做准备。

2013年5月20日于日内瓦

Joint Communiqué of the BRICS Member States on Health

Geneva, Monday 20 May 2013

　　1.    The BRICS countries, represented by the Ministers of Health of Brazil, Russia, India, China and South Africa, met on 20th of May 2013 on the sidelines of the 66th session of the World Health Assembly in Geneva, Switzerland. 

　　2.    Recalled the Beijing and Delhi Declarations of the BRICS Health Ministers Meetings in 2011 and 2013 respectively, where they committed to strengthen intra-BRICS cooperation for promoting health of the BRICS population. The BRICS Health Ministers resolved to continue cooperation in the sphere of health through the Technical Working Groups.

　　3.    Reiterated their commitment to collaborate on five thematic issues namely: strengthening health surveillance system; reducing NCD risk factors, prevention and health promotion and Universal Health Coverage; strategic health technologies, with a focus on communicable and non-communicable diseases; medical technologies; and drug discovery and development.

　　4.    Drew attention to the WHO report on Monitoring Achievements of the Millennium Development Goals and acknowledged that despite progress made, much needs to be done if these Goals are to be achieved by 2015 and beyond. They undertook to work collaborately to shape the debate, fully recognizing that there cannot be development without Health. The symbiotic relationship between health and development has been acknowledged by the Ministers. They reiterated their commitment to support WHO as a coordinating authority in global health.

　　5.    Recalling the Global Strategy for Women’s and Children’s Health, they reiterated the importance of child survival strategy through progressive reduction in the maternal mortality, infant mortality, neo-natal mortality and under-5 mortality, with the aim of achieving the Millennium Development Goals. With respect to the UN Commission on Lifesaving Commodities for Women and Children, they further acknowledged the role of WHO in addressing related regulatory pathways and product quality issues, including prequalification, and expanding access to selected essential health products for the world’s most vulnerable people.  They reiterated their commitment to a renewed effort in this area and to enhance collaboration through exchange of best practices.

　　6.    Recognized the momentum built with regard to Universal Health Coverage, particularly the report of the WHO/World Bank Ministerial Roundtable Meeting held in February 2013. They expressed support for the leadership role and broad directions of WHO’s action plan and further emphasized the importance of providing access to quality Primary Health Care services for all, including strengthening other aspects of the health system.

　　7.    Agreed on the importance of monitoring progress towards Universal Health Coverage. To this end the BRICS countries agreed to identify their institutions to work with WHO in developing a monitoring framework that would help countries track their progress towards achieving Universal Health Coverage.

　　8.    Expressed their appreciation for work leading to successfully negotiating the first Standard Material Transfer Agreement 2 (SMTA 2) and its signing between WHO and one of the  largest vaccine manufacturers as a positive step toward the full implementation of the Framework on Pandemic Influenza Preparedness for Sharing of Influenza Viruses an Access and Other Benefits. They reaffirmed their commitment to work with WHO to ensure that the Framework advance equitable and universal access to Influenza Vaccines in response to future pandemics.    

　　9.    Recognised progress made on the three broad areas of WHO reform, namely: programmes and priority-setting; governance; and management, as well as a high-level implementation plan for WHO Reforms. They further highlighted the need to ensure transparency and inclusive decision-making processes within the organisation. They expressed their appreciation of the newly established Financing Dialogue Mechanism, designed to give a clearer picture of funding requirements and funding gaps, as well as to improve the predictability and sustainability of funding for the WHO.

　　10.   Welcomed the WHO report of the Consultative Expert Working Group on Research and Development: Financing and Coordination (CEWG). They also welcomed the proposal to establish a Global Health and Development Observatory within WHO’s Secretariat in order to monitor and analyze relevant information on health research and development as important steps towards increasing access to affordable medicines. They further welcomed the implementation of a few health R&D demonstration projects to address identified gaps that disproportionately affect developing countries, particularly the poor, and for which immediate action can be taken. They also underscored that the implementation of demonstration projects should be fully transparent and inclusive, with broad engagement of all relevant stakeholders.

　　11.   Eemphasised the importance for technology transfer as a means to empower developing countries. They underlined the need to establish the BRICS network of technological cooperation and jointly promote access to affordable, safe, efficacious and quality medical products, through the use of TRIPS flexibilities.

　　12.   Announced that the Technical Working Groups will implement the plans of action adopted by the Ministers in line with the Delhi Declaration. The report of the Technical Working Groups will serve as a preparation for the 3rd BRICS Health Ministers Meeting to take place in South Africa.

Geneva,  20 May 2013

（云南省健康教育所 2013.05.27 转载）