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The world has experienced dramatic improvements in health over the past decades. Thanks to economic growth, poverty reduction and the spread of technology, including new medicines and vaccines, premature mortality had declined steadily in all regions of the world. The pace of progress has however slowed down after 2010 and the poorest segments of societies have continued to lag behind in terms of both health outcomes and access to services. The COVID 19 pandemic has exacerbated this trend, sometimes even leading to reversal in progress. The COVID19 pandemic also shed light on country, regional and global weaknesses related to lack of investments in health systems and institutions. In many ways the COVID19 crisis has been a preview of challenges to come as human health is being increasingly threatened by the profound changes in our ecosystems, due to climate’ change, biodiversity loss, pollutions, microbial resistance and other environmental threats. The COVID19 crisis has particularl ....