Re: Global rules for global health: why we need an independent, impartial WHO

Response to (June 19, 2014): 
Sridhar Devi, Frenk J, Gostin L, Moon S. Global rules for global health: why we need an independent, impartial WHO


Dear Editor,

I read with interest the analysis published today by Sridhar and colleagues.

I would like to make the following comments:

– Over 50% of strong recommendations published by the World Health Organization (WHO) are based on low or very low confidence estimates.(1)

– It is surprising that the article does not mention the WHO guidance promoting the prescription, purchase, and stockpiling of Tamiflu during the 2009 H1N1 pandemic influenza outbreak.(2-4)

References

1. Alexander PE, Bero L, Montori VM, et al. World Health Organization recommendations are often strong based on low confidence in effect estimates. J Clin Epidemiol 2014;67:629–34.

2. Krumholz HM, Jackevicius CA, Ross JS. Tamiflu: 14 flu seasons and still questions. BMJ 2013;346:f547.

3. Trish Groves: What does Tamiflu do, and how will we know?
URL: http://blogs.bmj.com/bmj/2013/06/26/trish-groves-what-does-tamiflu-do-an… (Date accessed: June 18, 2014)

4. BMJ Tamiflu campaign
URL: http://www.bmj.com/tamiflu (Date accessed: June 18, 2014)

Competing interests: I endorse the principles of open data in human biomedical research


Read the original letter on The BMJ website.


Additional comments: it is true that we have given guidelines too much power (see previous post in this blog).

  1 comment for “Re: Global rules for global health: why we need an independent, impartial WHO

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