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It is, and the reason many countries are silent about it regards the possibility of (more) sanctions. So it could be a snowball effect once countries realize that the US oligarchy can sanction some countries most of the time but not all countries at the same time. Meryl is quite famous even in Thailand, that didn't refuse to sign, yet.

https://www.thaimbc.com/2023/12/08/five-countries-have-now-pushed-back-on-who-pandemic-treaty/

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