Strategic discussions spotlight efforts to defeat meningitis, stop outbreaks, and accelerate measles and rubella elimination
During the Seventy-eighth World Health Assembly, held from 19 to 27 May 2025, Member States and global health partners urged continued action on vaccine-preventable diseases—such as cervical cancer, measles, meningitis, polio, and rubella—through Assembly agenda items and side events aimed at accelerating global immunization efforts and preventing future outbreaks.
Innovation, integration and investment to outsmart outbreaks
Immunization discussions kicked off at the high-level side event, "Outsmarting Outbreaks: Innovation, Integration & Investment", hosted by Chile, Democratic Republic of the Congo, Madagascar, Niger, Somalia, and Zambia, and supported by the Gates Foundation, the United Nations Foundation and other partners. The event underscored the alarming resurgence of measles, cholera, and polio amid escalating conflict and climate threats, urging countries to safeguard immunization progress, complete polio eradication efforts, and strengthen preparedness for emerging health risks.
Attendees shared successes and challenges, particularly from countries facing simultaneous outbreaks, while emphasizing the criticality of routine immunization, cross-sector partnerships, and innovative techniques – including wastewater monitoring and digital disease modeling for surveillance and the use of electronic registries for immunization in low-resource settings – to controlling preventable diseases and avoid outbreaks.
Discussions also emphasized the necessity of a 'SMART' approach—strategic, measurable, aligned, resilient, and timely collaboration—as well as innovative solutions like the AI-powered All Hazard Information Management Toolkit, to enhance rapid response capabilities. A call to action capped the event, urging concerted efforts to sustain investment in immunization programmes, build trust in vaccines through community engagement, and ensure robust pandemic preparedness, including through surveillance.
Countries reaffirm commitment to defeat meningitis
As part of Assembly discussions on agenda item 13.4 , Member States from all six regions acknowledged the progress report on the Global road map on defeating meningitis by 2030 and reaffirmed their commitment to defeating meningitis.
Member States praised WHO's launch of new guidelines on meningitis diagnosis, treatment and care , and the continued rollout of new vaccines, including Men5CV, in high-burden countries. They also emphasized the strong commitment of national leaders, partners, civil society organizations and the dedicated teams supporting the road map at all levels of WHO.
Despite progress, delegates raised key challenges including vaccine affordability and equitable access, shortages in trained healthcare personnel, insufficient laboratory infrastructure, and gaps in surveillance systems.
Member States called for technical and financial support, maintaining emergency vaccine stockpiles, research and innovations, particularly of early detection, strengthened community engagement and awareness campaigns among both communities and health care workers as well as supported rehabilitation services.
Meningitis was further discussed during an official side event hosted by Mali, Nigeria and Pakistan, along with Gavi, the Vaccine Alliance on integrating solutions to defeat malaria, meningitis and polio. The event aimed to highlight how an integrated approach to elimination or eradication goals of the three diseases could maximize available resources and improve health service delivery for people and communities.
"We are at an inflection point in global health," said Dr Sania Nishtar, Chief Executive Officer, Gavi, the Vaccine Alliance in her remarks. "We all know the challenges that we face as partners in global health. Between now and 2030, we will have to work smarter, more collaboratively, and with the needs of countries at the center of everything we do."
Attendees discussed how integration can be achieved within disease surveillance, diagnosis, treatment and long-term care, and prevention through equitable access to vaccines. Several countries presented examples of delivering polio, malaria and meningitis vaccines through integrated campaigns alongside bed net distribution. The event closed on a call for increased technical and financial support to accelerate integration across the three programmes in order to end polio, malaria, and meningitis.
(Left to Right) Derrick Sim, Managing Director of Vaccine Markets & Health Security at Gavi; Dr Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean; Dr Jo Mulligan, Senior Health Advisor,Foreign, Commonwealth & Development Office, United Kingdom; H.E. Dr Colonel Assa Badiallo Touré, Minister of Health and Social Development, Mali; H.E. Dr Iziaq Adekunle Salako, Minister of State for Health and Social Welfare, Nigeria, and Ambassador Bilal Ahmad, Permanent Representative of Pakistan to the United Nations.
Life-saving power of measles and rubella vaccines emphasized
Amidst a global surge in measles outbreaks and with millions of children still lacking protection, global health leaders convened at a high-level side event titled "The Power of Prevention – Immunizing for a Safer, Healthier World" to deliver a unified message: these outbreaks are preventable—if we act decisively and without delay.
Co-hosted by Oman, Somalia, the Gates Foundation, Gavi, the Vaccine Alliance, the International Federation of Red Cross and Red Crescent Societies (IFRC), UNICEF, and the United Nations Foundation, on behalf of the Measles & Rubella Partnership, the side event focused on accelerating global immunization efforts and promoting equity in vaccine access.
"The Measles & Rubella Partnership has been a backbone of measles and rubella programs, surveillance and outbreak response across the world," said Dr Razia Pendse, WHO Chef de Cabinet in her opening remarks. "Yet, these gains are fragile. Measles is making a dangerous comeback threatening communities, economies and global health security. We must remain steadfast in our commitment to investing in measles vaccination and other vaccines, investments that will lead healthier children, communities, and a more resilient future for people of all ages."
Dr Razia Pendse, WHO Chef de Cabinet and Dr. Hilal bin Ali bin Halil Alsabti, Minister of Health of Oman.
The meeting was moderated by Mr. Jarrett Barrios, senior vice-president of the American Red Cross. Dr Sania Nishtar, CEO of Gavi, the Vaccine Alliance reminded countries of what is at stake if targets for the organization's ongoing replenishment are not met—millions of children remaining unprotected and increasing outbreaks.
A key focus of the discussion was WHO's updated rubella vaccine recommendation , which removes the requirement for 80% measles coverage before introducing the combined measles-rubella vaccine. This policy shift allows all countries to include rubella vaccination in routine immunization—opening the door for the 13 remaining countries to introduce the vaccine, save lives, and prevent future outbreaks.
Grace Melia, an Indonesian mother who recently lost her daughter after a 12-year battle against the devastating effects of congenital rubella, concluded the event by sharing her testimonial and calling for action. "They say knowledge is power," she said. "With all due respect, knowledge applied into action would be much more powerful. And I hope we are all here today to be part of that action."
