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ESR Meeting, Vienna, March 4, 2011 1 | WHO Perspective on Health Technologies: Medical Imaging Adriana Velazquez-Berumen Coordinator WHO/HQ/HSS/EHT/DIM

WHO Perspective on Health Technologies: Medical Imaging · 1 | ESR Meeting, Vienna, March 4, 2011 WHO Perspective on Health Technologies: Medical Imaging Adriana Velazquez-Berumen

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ESR Meeting, Vienna, March 4, 2011 1 |

WHO Perspective

on Health Technologies:

Medical Imaging

Adriana Velazquez-Berumen

Coordinator WHO/HQ/HSS/EHT/DIM

ESR Meeting, Vienna, March 4, 2011 2 |

World Health Organization (WHO)

April 7, 1948 (193 Member States)

The attainment by all peoples of the highest possible level of

health.

The Constitution defines health as a state of complete

physical, mental and social well-being and not merely the

absence of disease or infirmity.

ESR Meeting, Vienna, March 4, 2011 3 |

WHO Core Functions

Leadership on matters critical to

health and partnerships where

joint action is needed

Shaping research agenda

Setting norms and standards

Articulating ethical, evidence

based policy options

Technical support

Monitoring and assessing health

situation / trends

ESR Meeting, Vienna, March 4, 2011 4 |

PAHO

EHT/DIM

6 Regional and

147 Country

Offices

Family and

Community Health

(FCH)

Health Systems and

Services

(HSS)

HIV, TB, Malaria,

Neglected Tropical

Diseases, (HTM)

General Management

(GM)

Director General

Office (DGO)

WHO HQ

WHO Structure

Health Action in

Crises

(HAC)

Health Security and

Environment

(HSE)

Cancer Control

Program

IAEA/PACT

PHE/RAD

IARC/Lyon

Non-communicable

Diseases & Mental Health

(NMH)

Evidence and

Information for Policy

(EIP)

ESR Meeting, Vienna, March 4, 2011 5 |

Medical Devices in Health Systems

ESR Meeting, Vienna, March 4, 2011 6 |

First Global Forum for Medical Devices 9-11 September 2010, Bangkok, Thailand

122 recommendations

Short and long term actions

planned for the 15 priority

recommendations

Safe, accessible and affordable

medical devices

Ensure that properly trained area in

place at the time of installation of

radiation medicine technology

ESR Meeting, Vienna, March 4, 2011 7 |

Baseline Country Survey on Medical Devices

2010 WHO Survey

Ministry of Health

appointed a focal person

for data collection

CT scan units

MRI scanners

Nuclear medicine equipment

* Number in public sector

* Number in private sector

* Total number of equipment

* Density per population

145 Countries

Members of

WHO

Linear accelerators

Telecobalt units

PET equipments

Mammography equipment

ESR Meeting, Vienna, March 4, 2011 8 |

Number of Countries by Income World Bank Data

0

5

10

15

20

25

30

35

40

45

50

Low Lower middle Upper middle High

32 33

38 41

ESR Meeting, Vienna, March 4, 2011 9 |

Mammography Equipment

6.98

0

5

10

15

20

25

Income Country Group

Low Lower middle Upper middle High

Global

Density per 1 000 000 population Density per 1 000 000 population

0.27 1.40

8.05

22.93

0

5

10

15

20

25

24/32 24/33 29/38 26/41

Number of countries that responded/total number of countries

Number of countries 103

ESR Meeting, Vienna, March 4, 2011 10 |

Mammography Equipment: Geographical Distribution

ESR Meeting, Vienna, March 4, 2011 11 |

CT Scan Units

0.252.06

7.16

44.31

0

5

10

15

20

25

30

35

40

45

50

Income Country Group

11.84

0

5

10

15

20

25

30

35

40

45

50

Global

Density per 1 000 000 population Density per 1 000 000 population

28/32 26/33 30/38 29/41

Low Lower middle Upper middle High

Number of countries that responded/total number of countries

Number of countries 113

ESR Meeting, Vienna, March 4, 2011 12 |

MRI Scanners

0.10 0.25

2.85

19.51

0

5

10

15

20

25

Income Country Group

5.37

0

5

10

15

20

25

Global

Density per 1 000 000 population Density per 1 000 000 population

26/32 25/33 30/38 29/41

Low Lower middle Upper middle High

Number of countries that responded/total number of countries

Number of countries 110

ESR Meeting, Vienna, March 4, 2011 13 |

Nuclear Medicine Equipment

Income Country Group

1.75

0

2

4

6

8

10

Global

Density per 1 000 000 population Density per 1 000 000 population

0.06 0.23

1.49

8.00

0

2

4

6

8

10

26/32 26/38 26/41 24/33

Low Lower middle Upper middle High

Number of countries that responded/total number of countries

Number of countries 102

ESR Meeting, Vienna, March 4, 2011 14 |

Radiotherapy Units

0

1

2

3

4

5

6

7

8

Income Country Group

1.8

0

1

2

3

4

5

6

7

8

Global

0.1 0.6

1.4

7.3

Density per 1 000 000 population Density per 1 000 000 population

193 countries/total of 196 Low Lower middle Upper middle High

2010 WHO Survey and IAEA Data

ESR Meeting, Vienna, March 4, 2011 15 |

PET Equipment

0.0016 0.0270

0.2892

2.2459

0

0.5

1

1.5

2

2.5

3

Income Country Group

0.53

0

0.5

1

1.5

2

2.5

3

Global

Density per 1 000 000 population Density per 1 000 000 population

22/32 22/33 28/38 27/41

Low Lower middle Upper middle High

Number of countries that responded/total number of countries

Number of countries 99

ESR Meeting, Vienna, March 4, 2011 16 |

e-Documentation Centre

Searchable database of WHO documentation

on health technologies

Available on www.who.int/medical_devices

More than 300 documents currently available

in 15 languages

ESR Meeting, Vienna, March 4, 2011 17 |

Contact

www.who.int/medical_devices

[email protected]