Everything You Need to Know About This Year’s Meeting of Leaders at the UN General Assembly 

A "#UNGA" sign is on display at United Nations headquarters, Saturday, Sept. 24, 2022. (AP)
A "#UNGA" sign is on display at United Nations headquarters, Saturday, Sept. 24, 2022. (AP)
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Everything You Need to Know About This Year’s Meeting of Leaders at the UN General Assembly 

A "#UNGA" sign is on display at United Nations headquarters, Saturday, Sept. 24, 2022. (AP)
A "#UNGA" sign is on display at United Nations headquarters, Saturday, Sept. 24, 2022. (AP)

For two years, it was the coronavirus pandemic. Then, it was Russia's war in Ukraine. Throughout it all, the perils of climate change, poverty and inequality have steadily, increasingly thrummed through each convening of world leaders at the UN General Assembly.

As the 78th session opens, there's no single clear crisis set to dominate the General Debate, as none of the aforementioned ones have been resolved. The high-level meeting will be set against the backdrop of an ongoing war, new political crises in West Africa and Latin America, a lingering coronavirus, economic instability, widening inequality and fresh natural disasters in the forms of devastating earthquakes, floods and fires.

In the face of this tumult, the theme for this year's General Debate will be “Rebuilding trust and reigniting global solidarity: Accelerating action on the 2030 Agenda and its Sustainable Development Goals towards peace, prosperity, progress and sustainability for all.”

Here's what to know about this year's UN General Assembly, presided over by Trinidad and Tobago's Dennis Francis.

WHAT IS THE POINT OF THE UN GENERAL ASSEMBLY? While the effectiveness of the United Nations has been questioned for as long as it has existed, the benefits of attendance are undeniable. From the dais, countries broadcast their agendas, grievances and calls to action to the entire world and for the permanent record.

The exercise in multilateralism was born in the wake of World War II, and grounded in the hope for lasting peace. This week is a key chance for countries often drowned out by what they decry as a hegemonic world order to grab the attention of a larger audience. It’s also a chance for leaders to engage in meetings on the sidelines in neutral territory.

WHO IS COMING TO NEW YORK THIS YEAR? Heads of state and government from at least 145 countries are expected to take the dais at the river's edge. Among them will be Brazilian President Luiz Inácio Lula da Silva, US President Joe Biden and Ukrainian President Volodymyr Zelenskyy — all expected in the first day. This will be Zelenskyy's first in-person appearance at the United Nations since the Russian invasion of his country — in 2022, the General Assembly voted to grant him special dispensation to submit a prerecorded speech.

But the parade of speakers will be marked by some key absences: While they're all sending representatives, the leaders of the rest of the permanent UN Security Council members — France, the United Kingdom, China and Russia — will not make the trip. The presence of Vladimir Putin would certainly have been surprising, but Emmanuel Macron is a regular attendee and this would have been British Prime Minister Rishi Sunak's first opportunity to address the General Assembly. Macron cited King Charles III's imminent visit; Sunak, a busy schedule.

Top leaders from other major countries, including India — who just played host to the G20 summit in New Delhi this month — and Mexico, are also slated to send ministers in their steads.

WHAT DOES THE GENERAL DEBATE LOOK LIKE? We might be in the midst of US presidential primary debate season, but the structure of the General Debate at the United Nations bears little resemblance. It doesn't lend itself to obvious fireworks — booing or interruptions or immediate rebuttals are not permitted — but that doesn’t mean intrigue and drama are absent.

Each speech alone offers a rich text and the delivery adds subtext. Speeches can be fonts of evocative language, barbs and gauzily veiled messages. They're supposed to run for 15 minutes, but many miss that mark. Last year, speeches averaged around 19 minutes, drawing a wry chiding from Slovakian President Zuzana Čaputová — clocking in under 12 minutes, her speech ended with: “And since obeying even the smallest of rules matters, let me finish here to respect the agreed time limit.” The longest speech in history ran to 269 minutes, and was delivered by Cuba's Fidel Castro in 1960.

Member states are also allowed to exercise the right of reply, in which they can rebut criticism voiced during the General Debate. These are often fiery exchanges at day's end, but aren’t typically delivered by heads of state or heads of government — rather, lower-level members of a country's delegation. Last year, there were 21 exercises of the right of reply.

HOW LONG DOES THIS YEAR'S GENERAL DEBATE RUN? It's still six days, as usual, but this year's General Debate ends a day later — Tuesday, Sept. 26. While past General Debates usually ran from Tuesday through Monday, with a break only on Sunday, this year there's a two-day break. A UN spokesperson confirmed that there will be no speeches on the usually final Monday in observance of the Jewish holiday of Yom Kippur.

WHY DOES BRAZIL SPEAK FIRST AT THE UN GENERAL ASSEMBLY? It's tradition. Early on, Brazil ventured forward when no other country would volunteer to speak first. Decades later, the South American country retains the pole position. As the host country, the United States typically speaks second (though last year, President Joe Biden had to delay his speech by a day because he was attending Queen Elizabeth II's funeral).

For the scores of speeches that follow, the order is determined by multiple variables, including whom a country is sending to deliver the speech (heads of state precede heads of government, who precede mere ministers and other representatives), countries' own preferences and geographic balance.

ARE NON-UN MEMBERS ALLOWED TO ATTEND? Some. While all member states are invited to speak, not all necessarily make avail of the opportunity. But the United Nations also has permanent observers, which have access to “most meetings and relevant documentation,” per the UN website.

The European Union, Palestine and the Holy See (the Vatican) are permanent observers again on the docket this year. Last year, Palestine had the longest speech, with President Mahmoud Abbas clocking in at more than 47 minutes.



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”