1 min against speech on the following resolution:

GENERAL ASSEMBLY 2, WORLD HEALTH ORGANIZATION
MAIN SUBMITTER: State of Japan
CO-SUBMITTERS: Republic of the Philippines, Kingdom of Denmark, United States of America
SIGNATORIES: Republic of Moldova, Federative Republic of Brazil, Republic of Senegal, Republic of Peru, Republic of the Maldives, Republic of Cameroon, Republic of Rwanda, Barbados, Malaysia, Democratic Republic of Korea, Islamic Republic of Afghanistan, Federal Republic of Germany, Slovak Republic, Kingdom of Morocco, Democratic Republic of Timor-Leste, Republic of Belarus 



TOPIC: Ensuring Access to Controlled Medicines in Natural Disasters

The General Assembly,

Recalling United Nations General Assembly Resolution 47/168 1992
Alarmed by the 45,000 average death toll of natural disasters globally each year, 
Bearing in mind  that all essential medicines should be available at all times in functioning health systems including and especially during natural disasters,
Reminding Member States that preventative measures regarding the severity of damage caused by natural disasters is wholly relevant and key to the central discussion and resolution of this topic,
Reminding that Japan is a hub for real-time information exchange and intelligence sharing on disaster response, encouraging Member States to collaborate closely with Japan in this regard;
Acknowledging the increasing frequency of natural disaster occurrence,Expressing deep concern that in the last decade 91% of deaths in natural disasters occurred in developing countries,
Emphasizing the importance of timely and equitable access to controlled medicines in disaster-affected areas,
Keeping in mind The World Health Organisation/United Nations’ existing policies and how they can be improved to further benefit all nations involved, 
Fully aware that solutions provided must be applicable globally to protect human lives and promote global stability,

Ensuring access to controlled medicines in natural disasters,

Recommending the United Nations Office for Disaster Risk Reduction support in developing risk countries to implement the Sendai Framework for Disaster Risk Reduction by,
Continuing to act on the prior agreed upon global targets,
Substantially reduce global disaster mortality by 2030, aiming to lower the average per 100,000 global mortality rate in the decade 2020–2030 compared to the period 2005–2015;
Substantially reduce the number of affected people globally by 2030, aiming to lower the average global figure per 100,000 in the decade 2020–2030 compared to the period 2005–2015;
Reduce direct disaster economic loss in relation to global gross domestic product (GDP) by 2030;
Substantially reduce disaster damage to critical infrastructure and disruption of basic services, among them health and educational facilities, including through developing their resilience by 2030;
Substantially increase the number of countries with national and local disaster risk reduction strategies by 2020;
Substantially enhance international cooperation to developing countries through adequate and sustainable support to complement their national actions for implementation of the present Framework by 2030;
Substantially increase the availability of and access to multi-hazard early warning systems and disaster risk information and assessments to people by 2030
Highlighting the four priorities:
Understanding disaster risk,
Strengthening disaster risk governance to manage disaster risk,
Investing in disaster risk reduction for resilience,
Enhancing disaster preparedness for effective response and to “Build Back Better” in recovery, rehabilitation and reconstruction;

Recommends that Member States be guided by,
Sendai Framework for Disaster Risk Reduction,
The Global Risk Assessment Framework,
United Nations Disaster Risk Reduction’s Making Cities Resilient 2030 initiative;

Recommends that Member States feel obligated and responsible to educating the public on preventative measures and methods, 
All public and private schools must require basic medication and healthcare lessons in at least 3 years of elementary school and 1 year of high school,
The curriculum shall be standardized and provided by the World Health Organization and reviewed by the Member States before publication,
This subclause may be subjected to amendments for Member States that have yet to grant access to nation-wide education,
The absence of adequate teachers or medical personnel will be taken into consideration,
The lack of facilities and adequate teaching materials will be taken into consideration,
Member States are strongly encouraged to promote higher education in the medical field,
Recognizing that the number of medical personnel in all regions is insufficient,
Promotion of higher education need not be restricted to solely professional medical school;
Organize, formulate, and improve personnel safety accidents and natural disaster accident rescue management measures and accident rescue plans; coordinate the accident management work of various units,
Supervise and inspect the implementation of the safety accident and natural disaster accident management system of the joint-stock company by all units,
Organize and coordinate the management of safety accidents and natural disasters,
Acknowledges that there is newly increasing accessibility for pharmaceutical transport to rural areas, therefore urges to enforce the equal importance of transferring to such areas,
Suggesting a minimum ratio of 1:90000 medical relief vehicles per population in an area in addition to the recommended 1:100000 ambulance per population as recommended by the World Health Organization,
Acknowledging that some Member States in need do not have adequate facilities for said ratio and the number may be adjusted accordingly,
Relevant fire department vehicles include firefighting aircrafts, fire command vehicles, water tenders, fireboats, etc.,
Relevant emergency service vehicles include ambulances, bariatric ambulances, non-transporting EMS vehicles, air medical services, water ambulances, etc.,
Relevant military and police vehicles include police cars, police vans, police motorcycles, armored vehicles, mobile communications vehicles, hazardous materials apparatuses, tow trucks, blimps, drones, rescue vehicles, etc.,
Recognizing that blimps will be deployed under specific and special circumstances only,
Recognizing that research and financial efforts shall be extended towards modern transportations such as blimps, drones, etc.,
All Member States are responsible for gauging adequate types and quantities of relief vehicles in their respective regions,
Requiring the construction of roads or pathways that ensure immediate and adequate access to relief bases and hospitals,
Acknowledging that some Member States in need do not have adequate facilities for said procedure and may be adjusted accordingly,
Roads and pathways must be constructed with one of the following materials as the surface: concrete, asphalt, gravel, or dirt,
Member States recognize that some Member States do not have access to adequate materials for full-scale road constructions,
Road access must be made accessible at all times in the event of natural disasters; vehicles referred in clause 4 subclause (a) must contain equipments for road clearance such as chainsaws and natural ropes;

Urges Member States to prioritize nations with advanced disaster response capabilities, including the State of Japan, for expedited assistance in accessing controlled medicines during and after natural disasters,
Encourages Member States to be in guidance of the State of Japan, Republic of the Philippines, Kingdom of Denmark, and the United States of America for first emergency responses,
Aid shall be provided by headquarters established as followed in clause 6 in respect to each region;

Calls for the creation of the International Centers of Excellence for Disaster Management (ICEDM) and medical resource distribution, to promote the global exchange of knowledge and expertise,
Member States are all invited to the ICEDM as a leading nation or participating nation,
Suggest headquarters of the ICEDM to be in the State of Japan, United States of America, and the Kingdom of Denmark,
Headquarters shall serve the purpose of facilitating training and distributing medical and necessary supplies to Member States,
Headquarters must be prepared allocate is resources and personnels to nations, if accessible, that are affected by natural disasters immediately,
Biannual performance checks are permitted by a council within the ICEDM consisting of Member States excluding headquarter nations;

Encourages the establishment of regional stockpiles of controlled medicines within every major geopolitical region under the supervision of the most prepared local nation, to ensure immediate access to necessary medications in times of disaster such as, 
Regional stockpile locations shall be recommended by the nations of the ICEDM in clause 6 subclause (a),
Medicinal stockpile shall be guided by the World Health Organization list of essential medicine updated for 2023 categorized as followed,
General anesthetics and oxygen including, but not limited to inhalation medicines such as halothane, isoflurane, and sevoflurane; injectable medicines such as ketamine and propofol,
Local anesthetics including, but not limited to bupivacaine and lidocaine,
Preoperative medication and sedation for short-term procedures including, but not limited to atropine, morphine, and midazolam,
Medicines for pain and palliative care including, but not limited to non-opioids and non-steroidal anti-inflammatory medicines, opioid analgesics, and medicines for other common symptoms in palliative care,
All medicinal categories as presented by the list of essential medicines 2023
Regional stockpiles need not the entirety of the recommended list as stated in subclause (b),
Member States are strongly encouraged to determine adequate quantities and types of medication necessary,
To be acted upon in accordance to its varying conditions, frequent disasters, demographics, and population size,

Calling for the encouragement, by Member States, in support of the creation of domestic logistic services for medicinal distribution, either privately owned and funded partially by governments or government owned firms, to specifically provide medical equipment on the local scale to,
Work closely with government agencies/departments to distribute materials and provide its functions even outside times of crisis by directing resources to areas in need,
Create methods for international resource management departments/agencies to ease  access and deliverance of medical aid/equipment to and from foreign nations in the events needed;

Recognizes Japan as a leading host country for an international research and development center dedicated to advancing disaster response technologies, in name, within the following entities,
United Nations University (UNU),
United Nations Institute for Training and Research (UNITAR);
Recognizing that the resolution shall not be entitled to bolster the economic development of the State of Japan or any leading nations of the ICEDM of any kind,

Highly Encourages Member States affected by earthquakes to adopt international standards for earthquake-resilient infrastructure and construction; “Technical Standards for Houses Built to Withstand Earthquakes” (Taishin Jutaku Gijutsu Kijun), leading industry standards, striving to provide the utmost resistance to natural disasters;

Calls Upon Member States affected by tsunamis to adopt international standards for Tsunami-resilient infrastructure and construction; “Tsunami-Resistant Building Standards” (Tsunami Bousai Kenchiku Kijun);
Implementing reinforced-concrete or steel-frame structures for general buildings,
Checking plans shall be put in place from buildings surrounding densely-populated areas and outwards,
Implementing passages for water flow through buildings,
Encouraging buildings to have an open first floor for reduced rising water damage and mitigate water resistance,
Implementing deep foundations with braced footings,
Implementing redundant designs that will prevent progressive collapsing,
The designs will be able to experience partial damage,
Implementing designs with structural connectors as stress absorbers and solid framings,
Reminding Member States that the purpose of this clause is to provide protection against natural disasters as well as emergency shelter or distribution buildings for medicines,
Reminding Member States that this standard applies to floods as well,
12. Encourages member states to promote research and development efforts to enhance the availability of non-addictive pain management alternatives, particularly in the context of natural disaster response,
Calls upon the international community to provide financial and technical assistance to support capacity-building, training, and the establishment of efficient supply chains for controlled medicines during humanitarian emergencies,
Invites member states to collaborate with relevant stakeholders, including civil society organizations, humanitarian agencies, and non-governmental organizations, in efforts to ensure access to controlled medicines in natural disasters,
Decides to remain actively seized of the matter and requests the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) to provide regular reports on the progress and impact of the actions outlined in this resolution.
Further Invites Member States to adopt international standards for medicinal procedures in the event of droughts,
Implementing a procedure for deployments of land vehicles for ease of medicinal transportation,
Calling for drought-prone areas to hold an emergency supply of clean water enough for 2,000 residents for a period of 3 days,
Developing a list of medicine in relation to clause 8 that will aid in dehydration,
Reminding Member States that this standard is applicable to heat waves and wildfires as well,

Further Recommends Member States to adopt international standards for medicinal procedures in the event of landslides,
Implementing a procedure for deployments of land vehicles for ease of medicinal transportation,
Implementing a procedure for clearance of roadblocks and obstacles in relation to clause 4 for ease of medicinal transportation,
Developing a list of medicine and supplies in relation to clause 8 that will aid in suffocation,
Reminding Member States that this standard is applicable to snow-related disasters as well,
Snow-related disasters shall have additional medicines that will aid in frostbite and hypothermia,

Urges Member States to adopt international standards for medicinal procedures in the event of storms,
Implementing a framework in accordance with clause 12 and clause 13,
Developing a list of medicine and supplies in relation to clause 8 that will aid in widespread disease preventions and waterborne diseases,

 Suggesting Member States prioritize the allocation of supplies under criteria derived from the following suggested,
Magnitude and Impact of the Disaster: The scale and severity of the natural disaster,
Human Casualties: The number of casualties, including fatalities and injuries, potential for additional loss of life,
Displacement: The extent of population displacement,
Access to Clean Water and Sanitation: The availability of clean drinking water and sanitation facilities,
Food and Nutrition Security: The availability of food, including access to adequate nutrition for affected populations,
Shelter and Housing Damage: The level of damage to housing and infrastructure, and the number of people left homeless or in need of temporary shelter,
Infrastructure Disruption: The extent of damage to critical infrastructure which can hinder response and recovery efforts,
Geographic Isolation: The remoteness and accessibility of the affected area,
With specific interest on speed of response and the delivery of aid,
Climate and Seasonal Considerations: Seasonal factors with the potential of exacerbating the crisis,
Pre-existing Vulnerabilities: Any pre-existing vulnerabilities in the affected area, such as:
 poverty, 
population density, 
inadequate infrastructure
Local and National Response Capacity: The ability of local and national authorities to respond effectively to the disaster,
Early Warning Systems and Preparedness: The effectiveness of early warning systems and disaster preparedness in place before the disaster struck,
International Response and Coordination: The need for international assistance and the level of coordination among humanitarian organizations,
Secondary Hazards: The risk of secondary hazards, such as aftershocks, landslides, or disease outbreaks, that can follow the initial disaster,
Community Resilience and Coping Capacity: The capacity of local communities to cope with the disaster and participate in their own recovery,
Cultural and Environmental Factors: The preservation of cultural heritage, protection of the environment, and adherence to environmentally sustainable practices during the response and recovery efforts,
Accountability and Transparency: The ability to ensure that aid is delivered efficiently and reaches the intended beneficiaries,
Long-Term Recovery Needs: An assessment of long-term recovery and rebuilding needs, including efforts to reduce vulnerability to future disasters;

Strongly Encourages the implementation of a procedure to prevent drug abuse in the case of medicinal overflow in medical sites and in the process of distribution,
Procedures determined in a further multilateral recommended resolution,
Deemed necessary to,
Encourage external (non-hospital) modes of medical attention,
Decrease overcapacity in hospitals,
Allowing for focus on the seriously injured, most vulnerable parties. 
Rejecting the possibility for exploitation of the “State of Emergency” which increases the exposure of a nation’s internal drug control, 
Implementing a protocol to determine specific amounts of medicine in distribution regulated by the ICEDM to prevent contaminated water from  circulating medicinal waste,

Calls for the implementation of financial regulations to prevent monopolization over the medicine market in both local and global areas alongside nations in need,
Encouraging ICEDM Member States to provide grants for local medicinal businesses, research centers, and producers,
Affirming that this resolution recognises delegates are working under the assumption that organization have the ability to fund projects,
Ensuring adequate supply and aid to Member States in need that are in absence of financial power for medicinal independence,

Suggesting the instatement of a World Health Organisation-guided initiative regarding the implementation and standardization of disaster alert systems in high risk vulnerable areas which will include, 
Continuing to work in accordance with the Global Disaster Alert and Coordination System (GDACS),
Providing member states with the necessary means to fulfill the guidelines within the resolution,
Allocating volunteers and medical workers to directly support victims in need of aid,
The presence of trained professionals that will be present at these camps will allow for the facilitation of the monitoring of health conditions and allow for evaluating the triages of individual patients with the goal of addressing the most urgent medical needs. The healthcare professionals will assess patients, prescribe necessary controlled medicines, and ensure follow-up care as required, 
The healthcare professionals, emergency responders, and community members will participate in biannual mock disaster drills and simulations for various natural disasters. These exercises are essential to identify areas for improvement and ensure readiness for the real events, 
Invest in the training of healthcare personnel especially first responders to natural disasters,
The adaptation of emergency response training from locations where teams have been proven to be successful in their emergency response procedures to aid less developed nations with less experience,

Calling for the development and implementation of modern medicinal storage facilities and procedures to prevent expired medicines,
Welcomes the introduction of an inventory management system of warehouses, a tracking systems which are utilized to monitor stock levels, minimize wastage, prevent overstocking and understocking, and minimize the amount of paperwork,
Acknowledging the need to further advance research in developing a standard storage for various types of medicine,