The UN General Assembly on Monday adopted a non-binding political declaration on pandemic prevention, preparedness and response by 153 votes to three (Argentina, Israel and the United States), with two abstentions, after US-led objections prevented approval by consensus at a September high-level meeting. The text calls for stronger cooperation guided by science, equity and human rights, and welcomes the World Health Organization's Pandemic Agreement, which cannot open for signature until states finish an annex on sharing pathogen samples and the resulting benefits (talks stalled by a standoff between developing countries and the US plus some wealthy European states). The vote highlights lingering divisions over global health governance, with the World Health Assembly due to revisit the annex next May.