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Volume 386, Issue 10009, Pages (November 2015)

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Presentation on theme: "Volume 386, Issue 10009, Pages (November 2015)"— Presentation transcript:

1 Volume 386, Issue 10009, Pages 2204-2221 (November 2015)
Will Ebola change the game? Ten essential reforms before the next pandemic. The report of the Harvard-LSHTM Independent Panel on the Global Response to Ebola  Dr Suerie Moon, PhD, Prof Devi Sridhar, DPhil, Muhammad A Pate, MD, Prof Ashish K Jha, MD, Chelsea Clinton, DPhil, Sophie Delaunay, MA, Valnora Edwin, MA, Mosoka Fallah, PhD, Prof David P Fidler, JD, Laurie Garrett, PhD, Prof Eric Goosby, MD, Prof Lawrence O Gostin, JD, Prof David L Heymann, MD, Prof Kelley Lee, DPhil, Prof Gabriel M Leung, MD, J Stephen Morrison, PhD, Jorge Saavedra, MD, Prof Marcel Tanner, PhD, Jennifer A Leigh, MPH, Benjamin Hawkins, PhD, Liana R Woskie, MSc, Prof Peter Piot, MD  The Lancet  Volume 386, Issue 10009, Pages (November 2015) DOI: /S (15) Copyright © 2015 Elsevier Ltd Terms and Conditions

2 Figure 1 Current global response system for responding to public health emergencies of international concern11 The Lancet  , DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions

3 Figure 2 Framework of reform proposals
(A) Outbreak response involves several overlapping systems, including the humanitarian system, the UN System, and the biomedical and research development system. The scope of the proposed Accountability Commission would include all of these. Examples of organisations within each system are shown. ILO=International Labour Organisation. OIE=World Organisation for Animal Health. FAO=Food and Agriculture Organisation. OCHA=Office for the Coordination of Humanitarian Affairs. WFP=World Food Programme. LNGOs=local non-governmental organisations. CBO=community-based organisations. INGOs=international non-governmental organisations. (B) Taking a closer look within the WHO, several changes are proposed. The proposed Centre for Emergency Preparedness and Response would sit within WHO, coordinating the many actors involved in global outbreak response and sharing and receiving information with those actors. The Centre's governing Board is to be comprised of member states and non-state actors. The creation of a Standing Emergency Committee would replace the current ad hoc International Health Regulation Emergency Committee. The Standing Emergency Committee will meet and receive information from the Emergency Centre regularly, with the mandate to declare a public health emergency of international concern by a majority vote of its members. The Director-General would chair this committee. A permanent Inspector General's office is proposed, along with other good governance reforms (not depicted in the figure) such as a freedom of information policy. The Lancet  , DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions


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