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In 2005, the Inter-Governmental Working Groups (IGWG) of member states, a United Nations group, created what was to become the International Health Regulations, 2005. This initial plan was revised in 2006, 2007 and again this year 2009.

Inter-governmental Issues *Although these articles date from the original 2005 draft, they have remained unchanged through various revisions and remain as originally proposed in 2001.

IGWG

*Article 21 of the WHO Constitution

The Health Assembly shall have the authority to adopt regulations concerning:

(a) Sanitary and quarantine requirements and other procedures to prevent the international spread of disease;

*Article 22 of the UN Constitution

Regulations adopted pursuant to article 21 shall come into force for all members after due notice has been given after their adoption by the Health Assembly except for such members as may notify the Director General of rejection or reservations within the period stated in the notice. (Few members did notify; without result)

Several nation states objected to the WHO Constitutional provisions which rejected federalism: in the context of the UN Constitution, meaning the right of sovereign states to retain central authority in times of crisis or UN intervention. Several drafts on a proposed Article asserting Federalism, wherein [nation] states would remain the central authority but which would allow the WHO via the United Nations to implement emergency plans was ultimately rejected by the member states involved in IGWG. This rejection of federalism was the member states acquiescence to WHO imposed assumption of government, in the event of a declared health emergency. WHO made clear it would not be subservient to [nation] states.

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