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TWN Info Service on Intellectual Property Issues (Nov06/03)

10 November 2006


NEWS STORIES ON THE ELECTION OF WHO DIRECTOR GENERAL

Please find below news stories on the recent election of the WHO Director General. More information on the election procedures can also be found at www.who.int

Best Wishes
Sangeeta Shashikant
Third World Network
Email: ssangeeta@myjaring.net
Tel: +41(0) 22 908 3550
Fax: +41 (0) 22 908 3551


DR MARGARET CHAN OF CHINA TO BE NEXT WHO DIRECTOR-GENERAL

SUNS #6137 THURSDAY 9 NOVEMBER 2006

Geneva, 8 Nov (Kanaga Raja) -- The Executive Board of the World Health Organization (WHO) on Wednesday nominated Dr Margaret Chan of China to be the next Director-General of the organization.

This nomination will be submitted to the World Health Assembly, which is meeting for a one-day special session on Thursday (9 November) to appoint a Director-General. The nomination is expected to be adopted by the Assembly.

Dr Chan will replace Dr Lee Jong-wook of South Korea who passed away suddenly on 22 May 2006.

The organization in the interim has been led by Acting Director-General Dr Anders Nordstrom. Dr Nordstrom will continue in this role until the new Director-General takes office.

Dr Chan's term of office commences on 4 January 2007 and will end on 30 June 2012.

Dr Chan, who was the WHO Director for Communicable Diseases Surveillance and Response, took a leave of absence in July in relation to her candidacy for the position of WHO Director-General.

Following Dr Lee's death, the Executive Board, at its meeting on 23 May, agreed on an ''accelerated process'' for electing a new Director-General.

On Monday, the Executive Board agreed on a shortlist of five candidates for the post of Director-General. The five were Dr Kazem Behbehani of Kuwait; Dr Margaret Chan of China; Dr Julio Frenk of Mexico; Dr Shigeru Omi of Japan; and Ms Elena Salgado Mendez of Spain.

After interviewing the five short-listed candidates on Tuesday, the Board met again Wednesday to nominate a single candidate for the post of Director-General.

Four rounds of voting were held in which Dr Chan came first in every round. In each round, the candidate with the lowest vote was eliminated.

In the first round, she garnered 10 votes, followed by Dr Omi with 9, Dr Frenk 6, Ms Mendez 5, and Dr Behbehani 4. In the second round, Dr Chan got 11 votes, Dr Frenk 10, Dr Omi 9 and Ms Mendez 4. In the third round, Dr Chan got 15 votes, Dr Frenk 10 and Dr Omi 9. In the final round, Dr Chan got 24 votes and Dr Frenk 10 votes.

The Executive Board is composed of 34 Members who are technically qualified in the field of health.

The countries represented on the current Executive Board are: Afghanistan, Australia, Azerbaijan, Bahrain, Bhutan, Bolivia, Brazil, China, Denmark, Djibouti, El Salvador, Iraq, Jamaica, Japan, Kenya, Latvia, Lesotho, Liberia, Libya, Luxembourg, Madagascar, Mali, Mexico, Namibia, Portugal, Romania, Rwanda, Singapore, Slovenia, Sri Lanka, Tonga, Thailand, Turkey and the United States.

In a brief statement at the Executive Board, Dr Chan expressed appreciation for the vote of confidence given to her by the Board.

She said that she had been among a list of candidates that contained some of the leading figures in public health today.

She said that Dr Lee will always be remembered for his ''3 by 5'' initiative (a global target to provide three million people living with HIV/AIDS in low and middle-income countries with anti-retroviral treatment by the end of 2005), and that she intended to take Dr Lee's legacy forward.

FIVE CANDIDATES SHORTLISTED FOR WHO DIRECTOR-GENERAL

SUNS #6136 WEDNESDAY 8 NOVEMBER 2006

Geneva, 7 Nov (Kanaga Raja) -- The Executive Board of the World Health Organization (WHO) on Monday shortlisted five candidates for the post of Director-General.

The five shortlisted candidates (in alphabetical order) are: Dr Kazem Behbehani; Dr Margaret Chan; Dr Julio Frenk; Dr Shigeru Omi; and Ms Elena

Salgado Mendez.

The five candidates will be interviewed by the Board on Tuesday. On Wednesday, it will nominate one of them for the post of Director-General.

This nomination will then be submitted to the World Health Assembly, which is meeting for a one-day special session on Thursday to appoint the next Director-General.

According to media reports, Dr Margaret Chan, a WHO official, came first in every round of voting, and Dr Shigeru Omi, another WHO official, came in second place. This was followed by Dr Julio Frenk, Mexico's health minister.

The current election process follows the sudden death of Director-General Dr Lee Jong-wook on 22 May 2006.

Since then, the organization has been headed by Acting Director-General Dr Anders Nordstrom.

The Executive Board, at its meeting on 23 May, agreed on an ''accelerated process'' for electing a new Director-General.

From 1 June onwards, the 192 Member States of the WHO had the opportunity to propose candidates for the post of Director-General.

The deadline for proposals for nominations passed on 5 September.

The names that had been proposed (as at 5 September) were: Dr Kazem Behbehani (proposed by Kuwait); Dr Margaret Chan (proposed by China); Dr Julio Frenk (proposed by Mexico); Mr David A. Gunnarsson (proposed by Iceland); Dr Nay Htun (proposed by Myanmar); Dr Karam Karam (proposed by Syrian Arab Republic); Dr Bernard Kouchner (proposed by France); Dr Pascoal Manuel Mocumbi (proposed by Mozambique); Dr Shigeru Omi (proposed by Japan); Dr Alfredo Palacio Gonzalez (proposed by Ecuador); Professor Pekka Puska (proposed by Finland); Ms Elena Salgado Mendez (proposed by Spain); and Professor Dr Tomris Turmen (proposed by Turkey).

US ACCUSED OF INTERFERENCE AHEAD OF VOTE FOR NEXT WHO CHIEF

Geneva, Nov. 7(AP): The World Health Organization is convening this week to pick its next leader, and some leading public health officials are worried the new chief may not have the strength to stand up to Washington on drug and sexual health policy.

Critics say WHO has been largely controlled behind the scenes by the United States _ its biggest donor, and one which many contend is intent on promoting the interests of its pharmaceuticals industry and the Bush administration's ideological line on issues like abortion.

Leading public health experts and senior WHO officials told The Associated Press that Washington consistently interfered with policy under the U.N. agency's last director-general, Dr. Lee Jong-Wook, who died in May.

``The U.S. government has a direct role in every significant decision made in Geneva, and even close to a veto role,'' said Dr. Richard Horton, editor of the influential medical journal, The Lancet. Horton also sits on an independent advisory panel for WHO.

In one prominent case, the United States recently requested the suppression of a book commissioned by WHO that criticized U.S. free trade agreements for jeopardizing poor countries' access to cheap medicines.

In a letter to WHO's acting Director-General, a senior official from the U.S. Department of Health and Human Services said the report ``spuriously'' characterized of U.S. trade policy. WHO has yet to make a decision on the U.S. demand.

``Standing up to the U.S. is not the easiest thing to do at the WHO,'' said Sisule Musungu, a Kenyan intellectual property specialist, who co-authored the report with a former WHO staffer.

The episode has sparked concern from two U.S. Democrats, Senator Edward Kennedy and Representative Henry Waxman, who have called for an investigation into how American trade agreements threaten the health of people in developing countries.

``Attempting to suppress a report because it is critical of U.S. trade policy is unacceptable,'' Kennedy wrote in a letter to Mike Leavitt, Secretary of Health and Human Services. ``We need more _ not less _ analysis of the factors affecting global public health.''

The five shortlisted contenders were former Hong Kong director of health and WHO insider Dr. Margaret Chan from China; Dr. Shigeru Omi, a Japanese who heads WHO's operations in the Western Pacific; Mexican Health Minister Dr. Julio Frenk; longtime WHO Kuwaiti official, Dr. Kazem Behbehani; and Spanish Health Minister Elena Salgado Mendez.

Chan and Omi were the frontrunners after the first round of balloting Monday. After two days of mostly closed-door deliberations, WHO's executive board, comprised of 34 representatives from 193 member states, will announce the new leader on Wednesday.

For many, the clearest sign of U.S. meddling under Lee's tenure came in January, when WHO's top official in Thailand was stripped of his post after he said in an editorial that a U.S.-Thai free trade agreement would jeopardize Thai access to cheap drugs, leading to the deaths of hundreds of thousands of AIDS patients.

The official, Dr. William Aldis was swiftly dispatched to the WHO's regional office in New Delhi, India, and was given no explanation for his demotion. Aldis was authorized by WHO rules to write the editorial, which largely followed the lines of WHO policy on generic AIDS drugs.

Several Asian newspapers complained about American interference, and the transfer was the subject of articles in Britain's Financial Times accusing the U.S. of bullying the international organization and endangering the lives of AIDS patients.

``This was an example of an instance where there was probably pressure from a certain member state, in this case the U.S., and unfortunately, WHO was not able to take a clear stance in defending health issues,'' said Dr. Tido von Schoen-Angerer, of Medecins Sans Frontieres, which works closely with WHO.

Several senior WHO officials, speaking on condition of anonymity because of the sensitivity of the issue, told The Associated Press that American opposition to Aldis was indeed behind his removal.

The United States denies it had anything to do with Aldis' transfer.

``We had no role in that,'' said Bill Hall, a spokesman for the U.S. Health and Human Services Department. Though Hall says Washington formally complained to the WHO about the editorial, he said no suggestions were made about disciplining Aldis.

The Bush administration has challenged ideologically charged WHO programs such as needle exchanges and condom distribution. Republican policies have had a ``chilling'' effect on condom distribution in Africa, a WHO official who works on HIV/AIDS said on condition of anonymity because of the sensitivity of the topic.

Bush has made more money available for AIDS research than any previous American president, but that largesse has not been extended to programs in reproductive and sexual health.

``As soon as the word 'abortion' appears, there is likely to be severe scrutiny from the Director-General's office,'' said a WHO official who works on reproductive health issues and spoke on condition of anonymity because he is not authorized to speak to the media.

In the case of Thailand, experts say, WHO's AIDS policy has wideranging implications.

Thailand has often been praised as a success story in its approach to tackling AIDS _ producing cheap, generic versions of anti-retrovirals. More than 80,000 people depend on these life-prolonging treatments and AIDS deaths have dropped by nearly 80 percent in the last decade.

Advocacy groups say a free trade agreement with the United States could jeopardize all that: in exchange for increased trade with Washington, Thailand would be obliged to tighten its intellectual property laws, making it harder to produce generic drugs without the consent of the company holding the patent. Normally, there is great flexibility under World Trade Organization rules for manufacturing generic drugs for domestic use.

Since the publication of Aldis' editorial, the Thailand-U.S. free trade agreement has been stalled _ largely because of the attention drawn to what the pact would do to Thailand's strategy on fighting AIDS.

For some who have worked at the top echelons of WHO, the imprint of the U.S. has been unmistakable.

``A huge number of decisions at WHO were affected by the U.S. And the ones that weren't were in areas in which the U.S. didn't have a particular interest, like whether the leprosy department should be in Geneva or Delhi,'' said Dr. Jim Yong Kim, former WHO AIDS director.

In reproductive health, Washington allegedly has delayed the approval of lists of essential medicines for countries because they included drugs that could induce abortions.

In malaria control, WHO's recent endorsement of the use of the controversial pesticide DDT was seen by some in the malaria world as a capitulation to the American industries that produce it since other equally effective alternatives exist.

http://online.wsj.com/article/SB116282988858814513.html

CANDIDATES FROM CHINA, JAPAN

TOP SHORTLIST FOR WHO DIRECTRO

By BETSY MCKAY

November 7, 2006; Page A4

GENEVA -- The World Health Organization chose five finalists to fill its top post, led by two experts in emerging infectious diseases and Mexico's health minister, an advocate for providing health coverage to the poor.

The choices reflect growing interest in having WHO assert more leadership in some of the world's biggest public-health challenges, including the battle against pandemic flu and improving health-care delivery in developing countries.

The shortlist for director-general emerged from five rounds of voting by the United Nations health agency's 34-member executive board. The board will vote again tomorrow to pick the new director-general.

Margaret Chan, WHO's top communicable-diseases official and a former Hong Kong health director, got more votes in every round of balloting yesterday than any of the other 10 candidates, according to people close to the executive board. Shigeru Omi of Japan, WHO regional director for the western Pacific, consistently placed second, followed by Julio Frenk of Mexico.

Drs. Chan and Omi have been on leave from their WHO posts while pursuing the agency's top job, to succeed South Korea's Lee Jong Wook, who died in May.

Also still in the running for one of the world's most powerful public-health posts were Kazem Behbehani, a Kuwaiti who is a top WHO external-relations official, and Elena Salgado, Spain's health minister. Both those selections were seen as surprising and may reflect the international politics and horse-trading that goes on behind closed doors during the election process. Ms. Salgado is admired for her strong managerial skill, but had little health-related experience before becoming health minister in 2004.

Among those who had been considered strong candidates but didn't make the cut yesterday were Pascoal Manuel Mocumbi, a former prime minister of Mozambique, and Pekka Puska, director-general of Finland's National Public Health Institute and a noted expert in interventions to lower chronic-disease rates. The candidates receiving the fewest votes in each round by the WHO executive board were eliminated from further consideration.

The five remaining candidates will be interviewed by the board today.

They are expected to face tough questions about how they would forge a global strategy for health threats such as AIDS, pandemic flu, tuberculosis and heart disease.

Drs. Chan and Omi have been leading contenders, partly because of their experience in the battle against severe acute respiratory syndrome, or SARS, and the earliest outbreaks of avian flu. Dr. Chan also stands out because she was nominated by China, where SARS first erupted and which has been slow at times to disclose health threats. China's support of Dr. Chan is seen as unusual because the five permanent-member countries of the U.N.'s Security Council traditionally haven't backed candidates for the job, though no rule prevents them from doing so.

Support for Dr. Frenk, Mexico's health minister since 2000, suggests that his candidacy hasn't been hurt by a deal made two years ago with some tobacco companies to help fund health overhauls in Mexico. Under the program he launched, 22 million of Mexico's poorest citizens are expected to receive health-insurance coverage by the end of this year.

Write to Betsy McKay at betsy.mckay@wsj.com

WORLD HEALTH'S TOP JOB DOWN TO SHORTLIST OF FIVE CANDIDATES

The Associated Press

The five candidates shortlisted for the world's top health job will undergo grilling Tuesday before the World Health Organization's Executive Board with two Asian candidates at the top of the list competing against each other.

At the end of voting Monday, WHO bird flu expert Margaret Chan from China held a slight lead in the race to become the WHO's director-general with 32 votes, followed by Shigero Omi, a Japanese who heads WHO's operations in the Western Pacific and China, with 31.

Among the five candidates were also Mexico's Health Minister Julio Frenk with 30 votes, and Kazem Behbehani, a senior WHO official from Kuwait as well as Spanish Health Minister Elena Salgado Mendez with 28 each.

Omi was the only candidate to issue a statement, saying he was "delighted" to be on the shortlist, and that it was "an excellent first step, but there is still a lot of work to be done."

The contest for the United Nations' top health job entered its final round Monday with the start of a three-day meeting to nominate a new chief, which narrowed the roster of 11 nominees down to five.

Each board member voted for five candidates in each round of secret ballots.

Anders Nordstrom, who has been acting director-general since late Director-General Lee Jong-wook died in May, said there is no formal regional rotation for the leadership position.

On Wednesday the board will nominate one final candidate for approval by Thursday at a special session of the agency's governing World Health Assembly, made up of all 193 member countries.

The United States, a member of the WHO executive board, has not expressed a preference for any of the candidates.

Observers say Hong Kong native Chan, who was the WHO's top official for pandemic influenza as well as the assistant director-general for communicable diseases, has China and other Asian countries backing her, but her chances could be limited because Ban Ki-Moon of South Korea will be the new U.N. secretary-general. A long-standing U.N. tradition holds that the top posts at different agencies are geographically divided.

Omi, a WHO insider with 16 years' experience at the organization's Asia office, faces the same handicap but could get votes from countries keen to keep China's influence in the United Nations in check.

Mexico's Frenk is the only candidate from the Americas after Ecuadorean president Alfredo Palacio Gonzalez dropped out of the running last week. The minister is credited with revamping the country's health system by introducing an insurance system for the poor.

Lee took over as director-general of WHO in 2003 as the agency was winding up its battle against the worldwide SARS outbreak. The South Korean died of a brain hemorrhage, aged 61.

 


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