陈冯富珍总干事在研究与开发方面筹资和协调问题会议上的讲话（中英对照）

Opening remarks at the Open-ended meeting of Member States on the follow-up of the report of the Consultative Expert Working Group on Research and Development: Financing and Coordination<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

在关于研究与开发方面筹资和协调问题的磋商性专家工作小组报告后续工作的会员国不限成员名额会议上的开幕词

Dr Margaret Chan, Director-General of the World Health Organization

世界卫生组织总干事 陈冯富珍博士

Geneva, Switzerland

瑞士日内瓦

26 November 2012

2012年11月26日

Honourable ministers, ambassadors, distinguished delegates, ladies and gentlemen,

尊贵的各位部长、各位大使、尊敬的代表们、女士们、先生们：

This open-ended meeting has been convened, at your request, to thoroughly analyze the report of the Consultative Expert Working Group on Research and Development: Financing and Coordination. You are asked, in particular, to assess the feasibility of recommendations proposed in that report.

应你们的要求召开了这次不限成员名额的会议，以便彻底分析研究与开发方面筹资和协调问题的磋商性专家工作小组的报告。尤其要请你们评估报告中所提建议的可行性。

I want to warmly thank the Chair, Vice-Chair, and members of the CEWG for the massive amount of work that went into the preparation of this report. I thank them for their wisdom, their rigour, their balance, and the very open and transparent way in which they analysed proposals and formulated recommendations.

我要衷心感谢专家工作小组的主席、副主席和各位成员为编写本报告开展的大量工作。我感谢他们的智慧、他们的严谨态度、他们的平衡能力以及他们分析提案和制定建议时采用的非常公开和透明的方式。

I thank them, too, for their obvious public health bias. Throughout the report, it is clear that members of the CEWG care deeply about the lives of people excluded from the benefits of R&D. I share that deep concern.

我也感谢他们对公共卫生有明显的偏向。在整个报告中，清楚地显示专家工作小组各位成员深切关心不能受益于研究与开发的人们的生活。我也有同样的深切关注。

Your work benefits from national consultations and consultations organized by the WHO Regional Offices. This meeting also has broad support outside WHO in the form of great interest on the part of civil society, by the authors of recent articles and editorials in medical journals, and by additional meetings of experts convened to explore the recommended options for implementation.

你们的工作受益于国家进行的磋商以及世卫组织各区域办事处组织的磋商。这次会议也得到世卫组织之外的广泛支持，民间社会、医学杂志中近期文章和社论的作者以及为探索建议的实施方案召开的其它专家会议都表示了极大的兴趣。

Many welcome this initiative as long overdue and view its outcomes as potentially transformational for public health.

许多人欢迎这一行动，认为早就应当这样做，并认为其结果有潜力改变公共卫生。

You have been given a broad range of recommendations and options to consider in the three broad areas of monitoring R&D flows, the coordination of R&D, and financing mechanisms. The three areas are interlinked. We need all three.

在研究与开发流向的监测、研究与开发协调以及融资机制等三大领域内，你们有范围广泛的建议和方案需要考虑。这三个领域是相互关联的。我们全都需要。

We need money, of course. But we need to know where money is currently being spent. And we need coordination to guide the smart investment of that money.

我们当然需要资金。但我们需要知道目前资金用在何处。而且，我们需要进行协调，以便指导资金的明智投资。

Only in this way can we know, for example, whether better diagnostics or better medicines are the top priority for a particular disease, and then invest resources accordingly.

例如，只有这样，我们才能知道，更好的诊断制剂或更好的药物对某种特定疾病是不是最重要的优先事项，然后相应地进行资源投资。

Specific recommendations that you will be considering range from establishing an R&D observatory, to setting up a funding instrument that pools funds at the international level, to the start of negotiations on a global framework or convention.

你们将审议的具体建议包括一系列问题，从建立研究与开发观察站，到确立在国际层面上汇总资金的供资工具，到开始关于一个全球框架或公约的谈判。

You have before you hard-law options, and soft-law options. Let me remind you. Hard-law agreements, like conventions and treaties, are no guarantee that money will follow, especially if compliance mechanisms are weak.

你们面前有硬法方案和软法方案。让我提醒你们。硬法协定，例如公约和条约，并不能保证随后就有资金，尤其是如果遵约机制薄弱。

Soft-law agreements, like political declarations and codes of practice, will go nowhere without an assurance of adequate and sustainable financing. It all boils down to political will.

软法协定，例如政治宣言和行为守则，如果得不到充分和可持久资金供应的保证，就不会产生任何作用。归根结底，这涉及政治意愿。

For example, one proposal is to establish a global advisory body to facilitate agreement on priorities. But the impact of that body depends on the willingness to act on the priorities it identifies.

例如，一项提案是建立一个全球咨询机构以便利商定优先重点。但是，该机构的影响取决于是否愿意对其确认的优先重点采取行动。

If political will and determination are present, workable solutions can be crafted. It is high time to do so.

如果具备政治意愿和决心，就可以产生可行的解决方案。是该这样做的时候了。