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G20 Leaders' Health Commitments, 2008–2019

N=75
Identified by Brittaney Warren, July 9, 2019

Summit	# commitments	Ebola	Antimicrobial resistance	Systems	Polio	Universal health coverage	Obesity	Global Fund/financing	Aging populations	AIDS, tuberculosis, malaria
2014 Brisbane	33	32	1
2015 Antalya	2		2
2016 Hangzhou	3		3
2017 Hamburg	19		10	8	1
2018 Buenos Aires	4			1		1	1	1
2019 Osaka	14	1	2	4	1			1	4	1
Total	75	33	18	13	2	1	1	2	4	1

Note: No health commitments were made from 2008 to 2013.

These are core health commitments. They exclude health-related commitments, such as those referring to occupation health and safety, that are categorized as core labour and employment commitments.

Two of these core health commitments can be considered health-environment ones (both from the 2017 Hamburg Summit):

2017-65:	To tackle the spread of AMR in humans, animals and the environment, we aim to have implementation of our National Action Plans, based on a One-Health approach, well under way by the end of 2018.
2017-70:	[We will] improve the understanding of the issue of antimicrobials in the environment

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Brisbane 2014

N=33

2014-81:	We are deeply concerned with the humanitarian and economic impact of the Ebola outbreak in Guinea, Liberia and Sierra Leone.] We support the urgent coordinated international response (health)
2014-82:	[We are deeply concerned with the humanitarian and economic impact of the Ebola outbreak in Guinea, Liberia and Sierra Leone. We] have committed to do all we can to contain [this crisis] (health)
2014-83:	[We are deeply concerned with the humanitarian and economic impact of the Ebola outbreak in Guinea, Liberia and Sierra Leone. We have committed to do all we can to] respond to this crisis (health)
2014-88:	We fully support the UN Mission for Ebola Emergency Response's ongoing work to harness capacity to stop the outbreak (health)
2014-89:	[We fully support the UN Mission for Ebola Emergency Response's ongoing work to] treat the infected (health)
2014-90:	[We fully support the UN Mission for Ebola Emergency Response's ongoing work to] ensure essential services, (health)
2014-91:	[We fully support the UN Mission for Ebola Emergency Response's ongoing work to] preserve stability (health)
2014-92:	[We fully support the UN Mission for Ebola Emergency Response's ongoing work to] prevent further outbreaks and urge that it act swiftly to achieve these objectives. (health)
2014-93:	G20 members are committed to do what is necessary to ensure the international effort can extinguish the outbreak (health)
2014-94:	[G20 members are committed to do what is necessary to ensure the international effort can] address its medium-term economic costs (health)
2014-95:	[G20 members are committed to do what is necessary to ensure the international effort can address its] humanitarian costs. (health)
2014-96:	We will work through bilateral [channels] (health)
2014-97:	[We will work through] regional [channels] (health)
2014-98:	[We will work through] multilateral channels, (health)
2014-99:	[We will work] in partnership with non-governmental stakeholders. (health)
2014-100:	We will share our experiences of successfully fighting Ebola with our partners, including to promote safe conditions and training for health care and relief workers. (health)
2014-101:	We will work to expedite the effective and targeted disbursement of funds [balancing between emergency and longer-term needs.] (health)
2014-102:	[We will work to expedite the effective and targeted disbursement of] other assistance, balancing between emergency and longer-term needs. (health)
2014-103:	G20 members recommit to full implementation of the WHO's International Health Regulations (IHR). (health)
2014-104:	To this end, and in the context of our broader efforts to strengthen health systems globally, we commit to support others to implement the IHR (health)
2014-105:	[To this end, and in the context of our broader efforts to strengthen health systems globally, we commit to support others to] build capacity to prevent, [to infectious diseases like Ebola.] (health)
2014-106:	[To this end, and in the context of our broader efforts to strengthen health systems globally, we commit to support others to] detect [to infectious diseases like Ebola.] (health)
2014-107:	[To this end, and in the context of our broader efforts to strengthen health systems globally, we commit to support others to] report early [to infectious diseases like Ebola.] (health)
2014-108:	[To this end, and in the context of our broader efforts to strengthen health systems globally, we commit to support others to] rapidly respond to infectious diseases like Ebola. (health)
2014-109:	We also commit to fight anti-microbial resistance. (health)
2014-110:	[Interested G20 members] will report progress [by May 2015 at the World Health Assembly.] (health)
2014-111:	[Interested G20 members will] announce a time frame by May 2015 at the World Health Assembly. (health)
2014-112:	We invite all countries to join us in mobilising resources to strengthen national, [preparedness against the threat posed by infectious diseases to global health and strong, sustainable and balanced growth for all] (health)
2014-113:	[We invite all countries to join us in mobilising resources to strengthen] regional [preparedness against the threat posed by infectious diseases to global health and strong, sustainable and balanced growth for all.] (health)
2014-114:	[We invite all countries to join us in mobilising resources to strengthen] global preparedness against the threat posed by infectious diseases to global health and strong, sustainable and balanced growth for all. (health)
2014-115:	We invite all countries to join us in mobilising resources to strengthen national, [preparedness against the threat posed by infectious diseases to] [strong, sustainable and balanced growth for all] (health)
2014-116:	[We invite all countries to join us in mobilising resources to strengthen] regional [preparedness against the threat posed by infectious diseases to] [strong, sustainable and balanced growth for all.] (health)
2014-117:	[We invite all countries to join us in mobilising resources to strengthen] global preparedness against the threat posed by infectious diseases to] strong, sustainable and balanced growth for all. (health)

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Antalya 2015

N=2

2015-100:

We agree that attention should be given to global health risks, such as antimicrobial resistance, infectious disease threats and weak health systems. These can significantly impact growth and stability. Building on the Brisbane Statement, we underscore the importance of a coordinated international response and reiterate our resolve to tackle these issues to fight the adverse impacts on the global economy (health)

2015-101:

[we] will discuss the terms of reference to deal with this issue in the G20 next year. (health)

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Hangzhou 2016

N=3

2016-137:	We affirm the need to explore in an inclusive manner to fight antimicrobial resistance by developing evidence-based ways to prevent and mitigate resistance, and unlock research and development into new and existing antimicrobials from a G20 value-added perspective, and call on the WHO, FAO, OIE and OECD to collectively report back in 2017 on options to address this including the economic aspects. (Catalyst: Core International Organization, International Organization Surveillance) (Issue-Area: Health)
2016-138:	In this context, we will promote prudent use of antibiotics and take into consideration huge challenges of affordability and access of antimicrobials and their impact on public health. (Issue-Areas: Health)
2016-139:	We strongly support the work of the WHO, FAO and the OIE and look forward to a successful high-level meeting on AMR during the UN General Assembly. (Catalysts: Core International Organization, Other International Organization) (Issue-Area: Health)

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Hamburg 2017

N=19

2017-62:	we strive for cooperative action to strengthen health systems worldwide, including through developing the health workforce. (health)
2017-63:	We strive to fully eradicate polio. (health)
2017-64:	We advocate for sufficient and sustainable funding to strengthen global health capacities, including for rapid financing mechanisms and the WHO's Health Emergencies Programme. (health)
2017-65:	To tackle the spread of AMR in humans, animals and the environment, we aim to have implementation of our National Action Plans, based on a One-Health approach, well under way by the end of 2018. (health)
2017-66:	We will promote the prudent use of antibiotics in all sectors (health)
2017-67:	[We] strive to restrict their use in veterinary medicine to therapeutic uses alone (health)
2017-68:	We will strengthen public awareness [of AMR] (health)
2017-69:	[We will strengthen] infection prevention and control [of AMR] (health)
2017-70:	[We will] improve the understanding of the issue of antimicrobials in the environment (health)
2017-71:	We will promote access to affordable and quality antimicrobials, vaccines and diagnostics, including through efforts to preserve existing therapeutic options. (health)
2017-72:	In collaboration with relevant experts including from the OECD and the WHO, we will further examine practical market incentive options (health)
2017-141:	Act in line with our obligations under the International Health Regulations (health)
2017-142:	support the leadership and coordination of WHO for health crises management. (SDG 3) (health)
2017-143:	Continue to contribute to health systems strengthening based on a common understanding at national, regional and international levels with relevant partners and combine these efforts with requirements of the International Health Regulations, with the aim to develop resilient health systems. (SDG 3) (health)
2017-144:	Develop and implement National Action Plans against Antimicrobial Resistance applying the One Health approach. (SDG 3) (health)
2017-291:	Support national and international efforts to strengthen sustainable health systems. (health)
2017-292:	Support international efforts, including those of the WHO Health Emergencies Program, to manage health risks and crises in a comprehensive way, from prevention, preparedness and early identification of disease outbreaks to effective response and recovery efforts. (health)
2017-293:	Advance common efforts against anti-microbial resistance by developing evidence-based ways to prevent resistance (health)
2017-294:	unlock research and development into new and existing antimicrobial medicines and diagnostic tools. (health)

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Buenos Aires 2018

N=4

2018-46:	We will tackle malnutrition, with a special focus on childhood overweight and obesity, through national, community-based and collaborative multi-stakeholder approaches. (health)
2018-47:	We reaffirm the need for stronger health systems providing cost effective and evidence-based intervention to achieve better access to health care and to improve its quality and affordability to move towards Universal Health Coverage (UHC), in line with their national contexts and priorities. (health)
2018-48:	We will continue to strengthen core capacities required by International Health Regulations (IHR, 2005) for prevention, detection and response to public health emergencies, while recognizing the critical role played by WHO in this regard. (health)
2018-49:	We are committed to ending HIV/AIDS, tuberculosis and malaria, and look forward to a successful 6° replenishment of the Global Fund in 2019. (health)

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Osaka 2019

Global Health

2019-101:	We will strengthen health systems with a focus on quality including through enhancing health workforce and human resources for policy development (health)
2019-102:	[We will strengthen health systems with a focus on quality including through]…promoting public and private sector innovation, such as cost-effective and appropriate digital and other innovative technologies. (health)
2019-103:	We will promote healthy and active ageing through policy measures to address health promotion (health)
2019-104:	[We will promote healthy and active ageing through policy measures to address]…prevention and control of communicable and non-communicable diseases (health)
2019-105:	[We will promote healthy and active ageing]…through people-centered, multi-sectoral, community-based integrated health and long-term care over the life course in accordance with national context including demographic trends. (health)
2019-106:	We will implement comprehensive set of policies to address dementia, including promoting risk reduction and sustainable provision of long-term care as well as inclusive societies aiming to improve quality of lives of people with dementia and caregivers. (health)
2019-107:	We are committed to improving public health preparedness and response including strengthening our own core capacities (health)
2019-108:	[We are committed to improving public health preparedness and response including]…supporting capacities of other countries in compliance with the World Health Organization (WHO) International Health Regulations (2005). (health)
2019-109:	We will support countries suffering from the current Ebola outbreak in Africa, through both timely financial and technical assistance and in line with the central coordination responsibility that WHO has for international responses to health emergencies. (health)
2019-110:	We will work for the sustainability and efficiency of global health emergency financing mechanisms. (health)
2019-111:	We reaffirm our commitment to eradicate polio (health)
2019-112:	[We reaffirm our commitment to]…end the epidemics of AIDS, tuberculosis and malaria (health)
2019-113:	We will accelerate efforts based on the One-Health approach to tackle antimicrobial resistance (AMR). (health)
2019-114:	Noting the ongoing work done by Global AMR R&D Hub, we will promote R&D to tackle AMR. (health)

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