Chapter 11 describes the Pandemic Influenza Preparedness Framework, a landmark public health and benefit sharing agreement that was adopted to address many of the concerns raised in the preceding chapters. Under the PIP Framework regime, companies, universities, and others may still access materials from the WHO Global Influenza Surveillance and Response System, but many must contribute toward its maintenance and companies especially must promise to provide access to vaccines, medicines, or intellectual property should a pandemic emerge. The authors are representatives of the World Health Organization, and they articulate how the PIP Framework might operate as a lesson for other access and benefit regimes developed under the Nagoya Protocol.