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Being a member of the WHO Programme - Uppsala Monitoring Centre

Being a member of the WHO Programme - Uppsala Monitoring Centre

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Figure 1. World map showing <strong>the</strong> <strong>of</strong>fi cial and associate<strong>member</strong> countries as <strong>of</strong> October 2012.Offi cial MemberAssociate MemberBackgroundWhen a country becomes a <strong>member</strong> <strong>of</strong> <strong>the</strong> <strong>WHO</strong> Medicines Safety <strong>Programme</strong>, it is essentialthat national centre staff are fully aware <strong>of</strong> <strong>the</strong> benefits and obligations <strong>of</strong> <strong>member</strong>ship. Thisdocument gives an overview <strong>of</strong> <strong>the</strong> services provided by <strong>WHO</strong> and UMC as well as <strong>the</strong>requirements that national centres are expected to meet.The <strong>WHO</strong> Medicines Safety <strong>Programme</strong> was set up in 1968 as a direct consequence <strong>of</strong> <strong>the</strong>thalidomide tragedy. In <strong>the</strong> 1960s it was discovered that this medicine could cause limbdeformities in babies if taken by pregnant women. This was <strong>the</strong> modern starting point <strong>of</strong>pharmacovigilance, <strong>the</strong> science focusing on patient problems caused by <strong>the</strong> use <strong>of</strong> medicines.The intention <strong>of</strong> <strong>the</strong> <strong>WHO</strong> <strong>Programme</strong> was to ensure that early signs <strong>of</strong> previously unknownmedicine-related safety problems would be identified and information about <strong>the</strong>m shared andacted upon throughout <strong>the</strong> world.The <strong>WHO</strong> Medicines Safety <strong>Programme</strong> has grown to become a global network <strong>of</strong> pharmacovigilancecentres in over 140 countries. In each participating country <strong>the</strong> Ministry <strong>of</strong> Health, orequivalent, has appointed a national centre for pharmacovigilance responsible for maintainingcontacts with <strong>WHO</strong> on issues related to medicine safety. The network <strong>of</strong> national centres iscoordinated by a <strong>WHO</strong> Collaborating <strong>Centre</strong> for International Drug <strong>Monitoring</strong> in <strong>Uppsala</strong>,Sweden, known as <strong>the</strong> <strong>Uppsala</strong> <strong>Monitoring</strong> <strong>Centre</strong> (UMC). This is a foundation created by <strong>the</strong>Swedish government on <strong>the</strong> basis <strong>of</strong> an agreement with <strong>WHO</strong>. A provision <strong>of</strong> this agreement isthat <strong>WHO</strong> headquarters is responsible for all policy issues relating to <strong>the</strong> <strong>Programme</strong>.UMC manages a database <strong>of</strong> Individual Case Safety Reports (ICSRs) received from nationalcentres in <strong>the</strong> <strong>WHO</strong> network. The database, called VigiBase, currently contains over 8million descriptions <strong>of</strong> individual cases in which medicines, including vaccines and biologicals,have been suspected <strong>of</strong> contributing to an adverse reaction in <strong>the</strong> exposed patient.2Background

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