On the Work of the World Health Organization


WHO Director General Dr. Tedros Adhanom Ghebreyesus in virtual conference on national COVID-19 strategy for Pakistan, April 23, 2020.

Transitioning to Next Stage of Measures as
Countries Strive to Reopen

Countries in various regions of the world are considering reducing physical distancing and lockdown measures. Dr. Tedros Adhanom Ghebreyesus, Director General of the World Health Organization (WHO), on April 19 urged that the reopening of societies and economies be a phased process, and that this is not the end of the epidemic but the next stage of dealing with the situation, where emphasis must be placed on educating, engaging and empowering the people to prevent and respond rapidly to any resurgence. It is also crucial, he pointed out, that at this time, countries build up their capacity to "detect, test, isolate and care for every case, and trace every contact; and to ensure their health systems have the capacity to absorb any increase in cases."

During his April 22 media briefing, Dr. Tedros continued to be circumspect about the situation, urging caution: "Make no mistake: we have a long way to go. This virus will be with us for a long time. There's no question that stay-at-home orders and other physical distancing measures have successfully suppressed transmission in many countries. But this virus remains extremely dangerous. Early evidence suggests most of the world's population remains susceptible. That means epidemics can easily re-ignite.

"One of the greatest dangers we face now is complacency. People in countries with stay-at-home orders are understandably frustrated with being confined to their homes for weeks on end. People understandably want to get on with their lives, because their lives and livelihoods are at stake. That's what WHO wants too. And that's what we are working for, all day, every day. But the world will not and cannot go back to the way things were.

"There must be a 'new normal' -- a world that is healthier, safer and better prepared. The same public health measures we have been advocating since the beginning of the pandemic must remain the backbone of the response in all countries."

One of the terrible features of this pandemic is precisely complacency by governments that did not take the lesson from the 2002-2003 SARS epidemic to be prepared with the necessary equipment and procedures to be able to act quickly to protect populations and frontline health care workers, with the active participation of health care workers in making those preparations. In countries such as Canada, where neo-liberal governments have instead weakened health care systems with cuts and privatization, the question facing working people is precisely how to ensure that they are empowered to change the situation so that the situation does not return to "business as usual" after the pandemic.

WHO Efforts to Strengthen and Worldwide Capacity for Testing, Access to Protective Equipment and Therapeutics

To ensure that all countries are able to fulfill the guidelines it has outlined to test all suspected cases, the WHO "is providing technical, scientific and financial support for the rollout of sero-epidemiologic surveys across the world," Dr. Tedros informed on April 20. He explained that "Early data from some of these studies suggest that a relatively small percentage of the population may have been infected, even in heavily affected areas -- not more than two to three per cent. While antibody tests are important for knowing who has been infected, tests that find the virus are a core tool for active case finding, diagnosis, isolation and treatment."

He further explained that the WHO is working with other organizations "to identify and validate five tests that can be manufactured in large quantities. Working together with the Global Fund, UNICEF and Unitaid, we have now placed orders for 30 million tests over the next four months. The first shipments of these tests will begin next week, through the United Nations Supply Chain we have established with the World Food Programme and other partners."

Regarding research into vaccines and their eventual distribution to all countries, Dr. Tedros on April 24 stated:

"Since January, WHO has been working with thousands of researchers all over the world to accelerate and track vaccine development -- from developing animal models to clinical trial designs, and everything in between. We've also developed diagnostics that are being used all over the world; and we're coordinating a global trial on the safety and efficacy of four therapeutics against COVID-19. [...] Past experience has taught us that even when tools are available, they have not been equally available to all. We cannot allow that to happen.

"Today, WHO is proud to be uniting with many partners to launch the Access to COVID-19 Tools Accelerator, or the ACT Accelerator. This is a landmark collaboration to accelerate the development, production and equitable distribution of vaccines, diagnostics, and therapeutics for COVID-19. Our shared commitment is to ensure all people have access to all the tools to defeat COVID-19. The ACT Accelerator brings together the combined power of several organizations to work with speed and scale. Each of us are doing great work, but we cannot work alone."


This article was published in

Volume 50 Number 14 - April 25, 2020

Article Link:
On the Work of the World Health Organization


    

Website:  www.cpcml.ca   Email:  editor@cpcml.ca