• Colin J Carlson and Alexandra L Phelan.
• Center for Global Health Science and Security, Medical-Dental Building, Georgetown University, Washington, DC, 20057 USA; Department of Biology, Georgetown University, Washington, DC, USA. Electronic address: colin.carlson@georgetown.edu.
• Lancet. 2022 Aug 6; 400 (10350): 462-468.

AbstractEpidemic risk assessment and response relies on rapid information sharing. Using examples from the past decade, we discuss the limitations of the present system for outbreak notifications, which suffers from ambiguous obligations, fragile incentives, and an overly narrow focus on human outbreaks. We examine existing international legal frameworks, and provide clarity on what a successful One Health approach to proposed international law reforms-including a pandemic treaty and amendments to the International Health Regulations-would require. In particular, we focus on how a treaty would provide opportunities to simultaneously expand reporting obligations, accelerate the sharing of scientific discoveries, and strengthen existing legal frameworks, all while addressing the most complex issues that global health governance currently faces.Copyright © 2022 Elsevier Ltd. All rights reserved.

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