François Picard welcomes Jozef Síkela, European commissioner for international partnerships. He says global health is at a crossroads. The Covid-19 pandemic showed that such crises are not isolated events, but systemic shocks with far-reaching economic and social consequences. Today, a convergence of pressures is adding to the strain: climate change is driving new diseases, funding is declining, and global health governance is fragmented. He says prevention must replace reaction as the organising principle of global health.
Europe’s role, therefore, is to sustain a multilateral, science-driven approach while adapting to diminishing resources. This requires rethinking the global health architecture, strengthening country-led systems, investing in regional resilience, and fostering equitable partnerships, particularly with Africa, that integrate health, economic development, and stability. Ultimately, global health security is inseparable from global stability. We are reminded that diseases cross borders, and so must our solutions.


