WHO’s response to swine flu pandemic flawed/ AP-WaPo

An excellent piece was published by Agence France Presse.  The article below is by MARIA CHENG, The Associated Press-Washington Post, March 10, 2011:

LONDON — An expert panel commissioned by the World Health Organization to investigate its handling of the swine flu pandemic has slammed mistakes made by the U.N. body and warned tens of millions could die if there is a severe flu outbreak in the future.

The U.N. health agency established the review committee to evaluate its performance after the 2009 global outbreak of swine flu, or H1N1. In a draft report released on Thursday, the committee said WHO performed well in many ways, but made crucial errors.

The group described WHO’s definition of a pandemic and its phases as “needlessly complex,” criticized the agency’s decision to keep the members of its advisory committee secret, and said potential conflicts of interest among those experts, some of whom had ties to drug companies, were not well managed.

It warned that under WHO’s health oversight, the world is not ready to handle a major health disaster in the future . . .

The European Parliament adopted a resolution regarding the Swine Flu pandemic on 3/8/2011.  Its press release reads:

Swine flu: learning from past mistakes
The EU’s response to the outbreak of the H1N1 (“swine flu”) virus in 2009-2010 is scrutinised and found wanting in a resolution adopted by Parliament on Tuesday which weighs up the cost of vaccination programmes and the relative risks. Suggestions for the future include group purchases of vaccines and tighter safeguards against conflicts of interest.

H1N1 had caused 2,900 deaths in Europe by April 2010, which compares with 40,000 for seasonal flu in a moderate year..

Vaccination programmes

EU Member States’ responses ranged from wholesale vaccination programmes to none at all (in the case of Poland). Billions of euros were spent in total. Pointing to the need to reassess vaccination strategies and prevention plans, Parliament urges better cooperation between Member States, such as group purchases of vaccines.

Assessments of and communication about flu outbreaks must be more independent, says the resolution. Safeguards are needed to prevent conflicts of interest. For example, declarations of interest by experts who advise European health authorities should be published. And under EU legislation, full liability for vaccines must lie with the manufacturer, not with Member States.

WHO and EU

The World Health Organisation is asked to review its definition of a “pandemic”, to take into account the severity of the illness, not only the spread of a virus. To buttress the EU’s own risk assessment capacity, the European Centre for Disease Prevention and Control should be equipped to assess risks independently as well as perform its other tasks, say MEPs.

Information to citizens

Consistent communication by the Member States to their citizens is also crucial, believes Parliament. Governments and the Commission are asked to devise better vaccination and communication strategies to build confidence in public health measures designed to prevent pandemics.

The resolution was adopted by show of hands.

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