First-ever WHO list of essential diagnostic tests to improve diagnosis and treatment outcomes

Deepanjali Surendran deepanjalis at GMAIL.COM
Fri May 18 03:50:21 UTC 2018


Very insensitive response. The third world includes countries like Ireland,
Austria, Sweden, Finland and Switzerland Austria too.

Deepanjali S
Associate Professor
Department of Medicine
Jawaharlal Institute of Postgraduate Medical Education and Research
Dhanvantri Nagar
Puducherry
India
605006

On Thu, May 17, 2018 at 6:48 PM, Ed Hoffer <ehoffer at gmail.com> wrote:

> Remember that this is focused on 3rd world countries where CT scans are
> fantasy and hand-held glucometers a major advance.
> Ed
>
> Sent from my iPhone
>
> On May 17, 2018, at 8:31 AM, HM Epstein <hmepstein at GMAIL.COM> wrote:
>
> This seems like big news. I can’t judge if it’s solely *good* news for
> reducing Dx error or mixed news because I don’t know if they’re either
> missing key tests or including ones that aren’t proven reliable.
> http://www.who.int/news-room/detail/15-05-2018-first-ever-
> who-list-of-essential-diagnostic-tests-to-improve-diagnosis-and-treatment-
> outcomes?utm_source=STAT+Newsletters&utm_campaign=
> 4bdb5cb16f-MR&utm_medium=email&utm_term=0_8cab1d7961-4bdb5cb16f-150508981
>
> First-ever WHO list of essential diagnostic tests to improve diagnosis and
> treatment outcomes
> 15 May 2018
>
> Today, many people are unable to get tested for diseases because they
> cannot access diagnostic services. Many are incorrectly diagnosed. As a
> result, they do not receive the treatment they need and, in some cases, may
> actually receive the wrong treatment.
>
> For example, an estimated 46% of adults with Type 2 diabetes worldwide are
> undiagnosed, risking serious health complications and higher health costs.
> Late diagnosis of infectious diseases such as HIV and tuberculosis
> increases the risk of spread and makes them more difficult to treat.
>
> To address this gap, WHO today published its first Essential Diagnostics
> List, a catalogue of the tests needed to diagnose the most common
> conditions as well as a number of global priority diseases.
>
> “An accurate diagnosis is the first step to getting effective treatment,”
> says Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “No one should
> suffer or die because of a lack of diagnostic services, or because the
> right tests were not available.”
>
> The list concentrates on *in vitro* tests - i.e. tests of human specimens
> like blood and urine. It contains 113 products: 58 tests are listed for
> detection and diagnosis of a wide range of common conditions, providing an
> essential package that can form the basis for screening and management of
> patients.  The remaining 55 tests are designed for the detection, diagnosis
> and monitoring of “priority” diseases such as HIV, tuberculosis, malaria,
> hepatitis B and C, human papillomavirus and syphilis.
>
> Some of the tests are particularly suitable for primary health care
> facilities, where laboratory services are often poorly resourced and
> sometimes non-existent; for example, tests that can rapidly diagnose a
> child for acute malaria or glucometers to test diabetes.  These tests do
> not require electricity or trained personnel.  Other tests are more
> sophisticated and therefore intended for larger medical facilities.
>
> “Our aim is to provide a tool that can be useful to all countries, to test
> and treat better, but also to use health funds more efficiently by
> concentrating on the truly essential tests,” says Mariângela Simão, WHO
> Assistant Director-General for Access to Medicines, Vaccines and
> Pharmaceuticals. “Our other goal is to signal to countries and developers
> that the tests in the list must be of good quality, safe and affordable.”
>
> For each category of test, the Essential Diagnostics List specifies the
> type of test and intended use, format, and if appropriate for primary
> health care or for health facilities with laboratories. The list also
> provides links to WHO Guidelines or publications and, when available, to
> prequalified products.
>
> Similar to the WHO Essential Medicines List, which has been in use for
> four decades, the Essential Diagnostics List is intended to serve as a
> reference for countries to update or develop their own list of essential
> diagnostics. In order to truly benefit patients, national governments will
> need to ensure appropriate and quality-assured supplies, training of health
> care workers and safe use. To that end, WHO will provide support to
> countries as they adapt the list to the local context.
>
> The Essential Diagnostics List was developed following an extensive
> consultation within WHO and externally. The draft list was then considered
> for review by WHO’s Strategic Advisory Group of Experts on In-Vitro
> Diagnostics – a group of 19 experts with global representation.
>
> WHO will update the Essential Diagnostics List on a regular basis. In the
> coming months, WHO will issue a call for applications to add categories to
> the next edition. The list will expand significantly over the next few
> years, as it incorporates other important areas including antimicrobial
> resistance, emerging pathogens, neglected tropical diseases and additional
> noncommunicable diseases.
>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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