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

Suerie Moon¹, Devi Sridhar², Muhammad A Pate³, Ashish K Jha⁴, Chelsea Clinton⁵, Sophie Delaunay⁶, Valnora Edwin⁷, Mosoka Fallah⁸, David P Fidler⁹, Laurie Garrett¹⁰, Eric Goosby¹¹, Lawrence O Gostin¹², David L Heymann¹³, Kelley Lee¹⁴, Gabriel M Leung¹⁵, J Stephen Morrison¹⁶, Jorge Saavedra¹⁷, Marcel Tanner¹⁸, Jennifer A Leigh⁴, Benjamin Hawkins¹⁹, Liana R Woskie⁴, Peter Piot¹⁹

Affiliations

¹ Harvard Global Health Institute, Harvard University, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; Harvard Kennedy School, Harvard University, Boston, MA, USA. Electronic address: smoon@hsph.harvard.edu.
² University of Edinburgh Medical School, Edinburgh.
³ Duke Global Health Institute, Durham, NC, USA.
⁴ Harvard Global Health Institute, Harvard University, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
⁵ Bill, Hillary & Chelsea Clinton Foundation, New York, NY, USA.
⁶ Médecins Sans Frontières, New York, NY, USA.
⁷ Campaign for Good Governance, Freetown, Sierra Leone.
⁸ Action Contre La Faim International, Monrovia, Liberia.
⁹ Indiana University Maurer School of Law, Bloomington, IN, USA.
¹⁰ Council on Foreign Relations, New York, NY, USA.
¹¹ University of California, San Francisco, CA, USA.
¹² Georgetown University, Washington, DC, USA.
¹³ Chatham House, London, UK.
¹⁴ Simon Fraser University, Burnaby, BC, Canada.
¹⁵ Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
¹⁶ Center for Strategic and International Studies, Washington DC, USA.
¹⁷ AIDS Healthcare Foundation, Mexico City, Mexico.
¹⁸ Swiss Tropical & Public Health Institute, Basel, Switzerland.
¹⁹ London School of Hygiene & Tropical Medicine, London, UK.

PMID: 26615326
PMCID: PMC7137174
DOI: 10.1016/S0140-6736(15)00946-0

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

Suerie Moon et al. Lancet. 2015.

. 2015 Nov 28;386(10009):2204-21.

doi: 10.1016/S0140-6736(15)00946-0. Epub 2015 Nov 23.

Authors

Affiliations

¹ Harvard Global Health Institute, Harvard University, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; Harvard Kennedy School, Harvard University, Boston, MA, USA. Electronic address: smoon@hsph.harvard.edu.
² University of Edinburgh Medical School, Edinburgh.
³ Duke Global Health Institute, Durham, NC, USA.
⁴ Harvard Global Health Institute, Harvard University, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
⁵ Bill, Hillary & Chelsea Clinton Foundation, New York, NY, USA.
⁶ Médecins Sans Frontières, New York, NY, USA.
⁷ Campaign for Good Governance, Freetown, Sierra Leone.
⁸ Action Contre La Faim International, Monrovia, Liberia.
⁹ Indiana University Maurer School of Law, Bloomington, IN, USA.
¹⁰ Council on Foreign Relations, New York, NY, USA.
¹¹ University of California, San Francisco, CA, USA.
¹² Georgetown University, Washington, DC, USA.
¹³ Chatham House, London, UK.
¹⁴ Simon Fraser University, Burnaby, BC, Canada.
¹⁵ Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
¹⁶ Center for Strategic and International Studies, Washington DC, USA.
¹⁷ AIDS Healthcare Foundation, Mexico City, Mexico.
¹⁸ Swiss Tropical & Public Health Institute, Basel, Switzerland.
¹⁹ London School of Hygiene & Tropical Medicine, London, UK.

PMID: 26615326
PMCID: PMC7137174
DOI: 10.1016/S0140-6736(15)00946-0

No abstract available

PubMed Disclaimer

Figures

**Figure 1**
Current global response system for responding to public health emergencies of international concern

**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.

See this image and copyright information in PMC

Comment in

The Harvard-LSHTM panel on the global response to Ebola report.
Paterson BJ, Durrheim DN. Paterson BJ, et al. Lancet. 2016 Feb 27;387(10021):847-8. doi: 10.1016/S0140-6736(16)00508-0. Epub 2016 Feb 26. Lancet. 2016. PMID: 26972073 No abstract available.
The Harvard-LSHTM panel on the global response to Ebola report.
Glaser E, Davis S, Flomo C, Sliney A, Tiah MW. Glaser E, et al. Lancet. 2016 Feb 27;387(10021):848. doi: 10.1016/S0140-6736(16)00509-2. Epub 2016 Feb 26. Lancet. 2016. PMID: 26972075 No abstract available.

References

1. Naimah JKP. MSF addresses UN Security Council emergency session on Ebola. 2014. http://www.msf.org/article/msf-addresses-un-security-council-emergency-s... (accessed Aug 19, 2015).
1. WHO Ebola situation reports. 2015. http://apps.who.int/ebola/ebola-situation-reports (accessed Oct 7, 2015).
1. UN Office of the Special Envoy on Ebola Resources for Results III. 2015. https://ebolaresponse.un.org/sites/default/files/rriii_finalf_updated.pdf (accessed Aug 19, 2015).
1. Financial Tracking Service Appeal: Ebola virus outbreak—overview of needs and requirements (inter-agency plan for Guinea, Liberia, Sierra Leone, region). October 2014–June 2015. https://fts.unocha.org/pageloader.aspx?page=emerg-emergencyDetails&emerg... (accessed July 28, 2015).
1. Heymann DL, Chen L, Takemi K. Global health security: the wider lessons from the west African Ebola virus disease epidemic. Lancet. 2015;385:1884–1901. - PMC - PubMed

Uncited References

1. Financial Tracking Service Ebola Virus Outbreak - Overview of Needs and Requirements (inter-agency plan for Guinea, Liberia, Sierra Leone, Region) 2015. https://fts.unocha.org/pageloader.aspx?page=emerg-emergencyDetails&emerg... (accessed June 10, 2015).
1. Bogner P, Capua I, Cox NJ, Lipman DJ. A global initiative on sharing avian flu data. Nature. 2006;442:981.

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Other Literature Sources
- H1 Connect - Access expert opinions and insights on biomedical research.
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

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

Affiliations

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

Authors

Affiliations

Figures

Comment in

References

Uncited References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical