La 78.ª Asamblea Mundial de la Salud, celebrada del 19 al 27 de mayo de 2025, finalizó con resultados históricos que marcan un nuevo rumbo en la cooperación internacional para la salud. Con la adopción del primer Acuerdo Mundial sobre Pandemias y la aprobación de un aumento significativo en la financiación de la Organización Mundial de la Salud – OMS, los Estados Miembros consolidaron compromisos que buscan fortalecer la prevención, preparación y respuesta ante futuras crisis sanitarias. Además, la Asamblea aprobó una serie de resoluciones que abordan temas prioritarios como las enfermedades no transmisibles, la salud digital y la mitigación del impacto del cambio climático en la salud pública.
Un Acuerdo Mundial sin precedentes sobre pandemias en la 78.ª Asamblea Mundial de la Salud
El momento más destacado de la Asamblea fue la adopción del Acuerdo de la OMS sobre Pandemias, un instrumento histórico fruto de más de tres años de negociaciones intensas entre los Estados Miembros. El Director General de la OMS, Dr. Tedros Adhanom Ghebreyesus, destacó la trascendencia de este acuerdo, que busca reforzar la coordinación y cooperación global para prevenir y responder de manera equitativa a futuras pandemias.
Este acuerdo pretende garantizar que el acceso a vacunas, tratamientos y tecnologías sanitarias sea equitativo, respetando la soberanía nacional de cada país. Durante el próximo año, se avanzará en la implementación del Sistema de Acceso a los Patógenos y Participación en los Beneficios (Sistema PABS), un anexo al Acuerdo que permitirá consolidar esta equidad en el acceso a los avances médicos.
Fortalecimiento de la financiación sostenible de la OMS
En un contexto de transformación financiera, la Asamblea aprobó un segundo aumento del 20 % en las contribuciones señaladas por los Estados Miembros, lo que permitirá que estas aportaciones representen el 50 % del presupuesto básico de la OMS para 2030-2031. Esta decisión busca otorgar a la Organización una base financiera más resiliente, flexible y previsible.
Paralelamente, en un evento de alto nivel, se anunció el compromiso de aportar al menos 210 millones de dólares adicionales a la campaña de recaudación para el 14.º Programa General de Trabajo de la OMS, la estrategia global para los próximos cuatro años. Con estos recursos, la OMS apunta a ampliar su base de donantes y fortalecer su capacidad operativa para enfrentar desafíos sanitarios globales.
Resoluciones emblemáticas y prioridades de salud
La Asamblea adoptó múltiples resoluciones que reflejan un compromiso firme con la salud pública global:
- Emergencia mundial en financiación de la salud: Nueva resolución para garantizar recursos adecuados ante crisis sanitarias.
- Salud pulmonar y renal: Por primera vez, se aprobaron resoluciones específicas que reconocen la importancia creciente de estas enfermedades no transmisibles.
- Normas basadas en datos científicos: Se establecen criterios para políticas sanitarias fundamentadas en evidencia rigurosa.
- Contaminación atmosférica: Meta para reducir a la mitad sus efectos en la salud para 2040.
- Conexión social: Resolución innovadora que promueve la salud mental y la reducción de muertes prematuras mediante vínculos sociales fortalecidos.
- Eliminación del plomo: Avances hacia un futuro libre de este tóxico ambiental.
- Enfermedades raras: Resolución para proteger a más de 300 millones de personas afectadas globalmente por estas patologías.
- Código Internacional de Comercialización de Sucedáneos de Leche Materna: Ampliación para regular la comercialización digital.
- Erradicación de la dracunculosis: Resolución para acelerar esfuerzos en esta enfermedad desatendida.
Además, se aprobaron medidas sobre salud digital, atención obstétrica y de enfermería, diagnóstico por imagen, y otros ámbitos esenciales.
Preparación y respuesta ante emergencias sanitarias
Durante el último año, la OMS ha respondido a 51 emergencias en 89 países, incluyendo brotes de cólera y viruela símica (mpox), considerada emergencia de salud pública internacional. La Asamblea reconoció el liderazgo de la OMS y apoyó el fortalecimiento de su arquitectura mundial para la preparación y respuesta, especialmente en el marco del Reglamento Sanitario Internacional (2005).
Los Estados Miembros examinaron además las necesidades específicas de salud en contextos como Ucrania y el territorio palestino ocupado, y aprobaron decisiones para reforzar las bases científicas de las medidas sociales y sanitarias destinadas a controlar brotes epidémicos.
Cerca del 60 % de las nuevas emergencias guardan relación con el cambio climático, un factor que pone en evidencia la creciente urgencia de integrar la salud pública con estrategias ambientales.
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