‘No proof’ drug industry swayed WHO on H1N1

INDEPENDENT experts who examined the World Health Organisation’s handling of the H1N1 pandemic said they had found no evidence of drug industry influence on the UN agency’s decision-making in the crisis.

But in a draft report made public, the panel said the WHO had failed to recognise and manage conflicts of interest among some experts on its advisory Emergency Committee who had disclosed their ties to pharmaceutical companies.

The world remains “ill-prepared” to face a severe influenza pandemic or similar public health emergency, the experts added.

The UN agency announced in June 2009 that the newly-emerged H1N1 swine flu virus was causing the world’s first influenza pandemic in more than 40 years. It declared the pandemic over in August 2010, saying the global outbreak had turned out to be much less severe than was feared.

“WHO performed well in many ways during the pandemic and confronted systemic difficulties and demonstrated some shortcomings,” the panel said in a 33-page report. “The committee found no evidence of malfeasance.”

“As far as the Review Committee can determine, no critic of WHO has produced any direct evidence of commercial influence on decision-making,” it added.

Critics who have suggested “invisible commercial influences” may account for WHO’s actions ignored the agency’s core public health values to prevent disease and save lives, according to the panel headed by American flu expert Dr Harvey Fineberg.

The Review Committee, composed of 27 experts, holds its last meeting in Geneva on March 28-30 to finalise its report which is to be submitted to WHO’s annual ministerial meeting in May.

The panel criticised the WHO’s lack of a consistent and measurable description for judging a pandemic’s severity which had created confusion. It suggested a scale of three phases rather than the current six-phase scale which is under revision.