Amendments to the International Health Regulations (2005) adopted by the Seventy-seventh World Health Assembly through resolution WHA77.17 (2024) are presented in underline and bold character (additions) and strike-through (deletions).

(1) For the purposes of this provision, the Holy See and Liechtenstein shall be regarded as belonging to the European Region of WHO, it being understood that this arrangement is without prejudice to their status as States Parties to the International Health Regulations (2005) that are not Members of WHO.

ANNEX 1

A.	CORE CAPACITY REQUIREMENTS FOR SURVEILLANCE AND RESPONSE

CORE CAPACITIES

States Parties shall utilize existing national structures and resources to meet their core capacity capacities requirements under these Regulations, including with regard to:

(a)	their prevention, surveillance, reporting, notification, verification, preparedness, response and collaboration activities; and

(b)	their activities concerning designated airports, ports and ground crossings.

Each State Party shall assess, within two years following the entry into force of these Regulations for that State Party, the ability of existing national structures and resources to meet the minimum requirements described in this Annex. As a result of such assessment, States Parties shall develop and implement plans of action to ensure that these core capacities are present and functioning throughout their territories as set out in paragraph 1 of Article 5 and, paragraph 1 of Article 13 and subparagraph (a) of Article 19.

3.	States Parties and WHO shall support assessments, planning and implementation processes under this Annex.

4.	Pursuant to Article 44, States Parties shall undertake to collaborate with each other, to the extent possible, in developing, strengthening and maintaining core capacities.

A.	CORE CAPACITIES REQUIREMENTS FOR PREVENTION, SURVEILLANCE, PREPAREDNESS AND RESPONSE

At the local community level and/or primary public health response level (hereinafter the ‘Local level’), each State Party shall develop, strengthen and maintain the core capacities:

The capacities:

(a)	to detect events involving disease or death above expected levels for the particular time and place in all areas within the territory of the State Party; and

(b)

to report all available essential information immediately to the appropriate level of health-care response. At the community level, reporting shall be to local community health care institutions or the appropriate health personnel. At the primary public health response level, reporting shall be to the intermediate or national response level, depending on organizational structures. For the purposes of this Annex, essential information includes the following: clinical descriptions, laboratory results, sources and type of risk, numbers of human cases and deaths, conditions affecting the spread of the disease and the health measures employed; and

(c)	to prepare for the implementation of, and implement immediately, preliminary control measures immediately.;

(d)	to prepare for the provision of, and facilitate access to health services necessary for responding to public health risks and events; and

(e)	to engage relevant stakeholders, including communities, in preparing for and responding to public health risks and events.

2.	At the intermediate public health response levels The(hereinafter the ‘Intermediate level’), where applicable, (1) each State Party shall develop, strengthen and maintain the core capacities:

(a)	to confirm the status of reported events and to support or implement additional control measures; and

(b)	to assess reported events immediately and, if found urgent, to report all essential information to the national level. For the purposes of this Annex, the criteria for urgent events include serious public health impact and/or unusual or unexpected nature with high potential for spread.; and

(c)	to coordinate with and support the Local level in preventing, preparing for and responding to public health risks and events, including in relation to:

(i)	surveillance;

(ii)	on-site investigations;

(iii)

laboratory diagnostics, including referral of samples;

(iv)	implementation of control measures;

(v)	access to health services and health products needed for the response;

(vi)	risk communication, including addressing misinformation and disinformation; and

(vii)

logistical assistance (e.g. equipment, medical and other relevant supplies and transport);

3.	At the national level

Assessment and notification. TheEach State Party shall develop, strengthen and maintain the core capacities:

(a)	to assess all reports of urgent events within 48 hours; and

(b)	to notify WHO immediately through the National IHR Focal Point when the assessment indicates the event is notifiable pursuant to paragraph 1 of Article 6 and Annex 2 and to inform WHO as required pursuant to Article 7 and paragraph 2 of Article 9.

Public health prevention, preparedness and response. The Each State Party shall develop, strengthen and maintain the core capacities for:

(a)	to determine rapidly the determining control measures required to prevent domestic and international spread;

(b)	to provide support through surveillance;

(c)	deploying specialized staff,;

(d)	laboratory analysis of samples (domestically or through collaborating centres) and;

(e)	logistical assistance (e.g. equipment, medical and other relevant supplies and transport);

(c)	to provide(f) providing on-site assistance as required to supplement local investigations;

(d)	to provide(g) developing and/or disseminating guidance for clinical case management and infection prevention and control;

(h)	access to health services and health products needed for the response;

(i)	risk communication, including addressing misinformation and disinformation;

(j)	providing a direct operational link with senior health and other officials to approve rapidly and implement containment and control measures;

(e)	to provide(k) providing direct liaison with other relevant government ministries;

(f)

to provide(l) providing, by the most efficient means of communication available, links with hospitals, clinics, airports, ports, ground crossings, laboratories and other key operational areas for the dissemination of information and recommendations received from WHO regarding events in the State Party’s own territory and in the territories of other States Parties;

(g)	to establish, operate(m) establishing, operating and maintaining a national public health emergency response plan, including the creation of multidisciplinary/multisectoral teams to respond to events that may constitute a public health emergency of international concern; and

(n)	coordinating activities nationally and supporting Local and Intermediate levels, where applicable, in preventing, preparing for and responding to public health risks and events; and

(h)	to provide(o) providing the foregoing on a 24-hour basis.

B.	CORE CAPACITYCAPACITIES REQUIREMENTS FOR DESIGNATED AIRPORTS, PORTS AND GROUND CROSSINGS

1.	At all times The, each State Party shall develop, strengthen and maintain the core capacities: ( )

2.	For responding to events that may constitute a public health emergency of international concern, each State Party shall develop, strengthen and maintain the core capacities: The capacities: ( )

(b)	to provide assessment of and care for affected travellers or animals by establishing arrangements with local medical and veterinary facilities and laboratories, for their isolation, and treatment, the analysis of their samples and other support services that may be required; ( ).

(1) In States Parties where, because of their administrative structure, an Intermediate level either absent or not clearly identifiable, the core capacities listed in subparagraphs (a) through (e) of this paragraph shall be understood to be developed, strengthened or maintained either at the Local level or at the National level, as appropriate, in accordance with national laws and context.

ANNEX 2

DECISION INSTRUMENT FOR THE ASSESSMENT AND NOTIFICATION OF EVENTS THAT MAY CONSTITUTE A PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN

ANNEX 3

MODEL SHIP SANITATION CONTROL EXEMPTION CERTIFICATE / SHIP SANITATION CONTROL CERTIFICATE

Port of Date:

This Certificate records the inspection and 1) exemption from control or 2) control measures applied

Name of ship or inland navigation vessel Flag Registration/ IMO No.

At the time of inspection the holds were unladen/laden with tonnes of cargo

Name and address of inspecting officer

Ship Sanitation Control Exemption Certificate

Ship Sanitation Control Certificate

Areas, [systems and services] inspected

Evidence found1

Sample results2

Documents reviewed

Control measures applied

Re-inspection

date

Comments regarding conditions found

Galley

Medical log

Pantry

Ship's log

Stores

Other

Hold(s) Cargo

Quarters:

crew

officers

-	passengers s

deck

Potable water

Sewage

Ballast tanks

Solid and medical waste

Standing water

Engine room

Medical facilities

Other areas specified - see attached

Note areas not applicable, by marking N/A.

No evidence found. Ship/vessel is exempted from control measures. Control measures indicated were applied on the date below.

Name and designation of issuing officer. Signature and seal Date.

ANNEX 4

TECHNICAL REQUIREMENTS PERTAINING TO CONVEYANCES AND CONVEYANCE OPERATORS

Section A Conveyance operators

Conveyance operators shall prepare for, as appropriate, and facilitate:

(a)	inspections of the cargo, containers and conveyance;

(b)	medical examinations of persons on board;

(c)	application of other health measures under these Regulations, including on board as well as during embarkation and disembarkation; and

(d)	provision of relevant public health information requested by the State Party.

2.	Conveyance operators shall provide to the competent authority a valid Ship Sanitation Control Exemption Certificate or a Ship Sanitation Control Certificate or a MaritimeShip Declaration of Health, or the Health Part of an Aircraft General Declaration, as required under these Regulations.

( )

ANNEX 6

VACCINATION, PROPHYLAXIS AND RELATED CERTIFICATES

MODEL INTERNATIONAL CERTIFICATE OF VACCINATION OR PROPHYLAXIS

This is to certify that [name] , date of birth , sex

nationality , national identification document, if applicable

whose signature follows (1) , or, if applicable:

name of the parent or guardian … …..

signature of the parent or guardian1 … … ..

has on the date indicated been vaccinated or received prophylaxis against:

(name of disease or condition) … … … .

in accordance with the International Health Regulations.

Vaccine or prophylaxis	Date	Name of supervising clinician, or relevant authority responsible for issuing this certificate, or for overseeing the administering centre	Signature and professional status of supervising clinician1	Manufacturer and batch No. of vaccine or prophylaxis	Certificate valid from until	Official stamp of administering centre1
1.
2.

(1) Only applies to certificates issued in non-digital format.

ANNEX 8