WHO Perspective

on Health Technologies:
Medical Imaging

Adriana Velazquez-Berumen

Coordinator
WHO/HQ/HSS/EHT/DIM

1| ESR Meeting, Vienna, March 4, 2011

 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.

2| ESR Meeting, Vienna, March 4, 2011

 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

3| ESR Meeting, Vienna, March 4, 2011

 WHO Structure
Director General
Office (DGO)

General Management Health Security and

(GM) Environment PHE/RAD
(HSE)

Family and IARC/Lyon

Community Health Health Action in
(FCH) Crises
(HAC)

Non-communicable WHO HQ
Diseases & Mental Health
(NMH) Health Systems and
Services EHT/DIM
(HSS)

Cancer Control Evidence and

Program Information for Policy
(EIP) 6 Regional and PAHO
IAEA/PACT 147 Country
Offices
HIV, TB, Malaria,
Neglected Tropical
Diseases, (HTM)

4| ESR Meeting, Vienna, March 4, 2011

 Medical Devices in Health Systems

5| ESR Meeting, Vienna, March 4, 2011

 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

6| ESR Meeting, Vienna, March 4, 2011

 Baseline Country Survey on Medical Devices

145 Countries Ministry of Health

2010 WHO Survey Members of appointed a focal person
WHO for data collection

Mammography equipment
CT scan units
MRI scanners * Number in public sector
Nuclear medicine equipment * Number in private sector
* Total number of equipment
Linear accelerators
* Density per population
Telecobalt units
PET equipments

7| ESR Meeting, Vienna, March 4, 2011

 Number of Countries by Income
World Bank Data

50
45 41
38
40
32 33
35
30
25
20
15
10
5
0
Low Lower middle Upper middle High

8| ESR Meeting, Vienna, March 4, 2011

 Mammography Equipment

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

25 22.93
25

20
20

15 15

10 8.05 6.98
10

5 5
0.27 1.40

0 0
24/32 24/33 29/38 26/41 Number of countries 103
Number of countries that responded/total number of countries
Low Lower middle Upper middle High

Income Country Group Global

9| ESR Meeting, Vienna, March 4, 2011

 Mammography Equipment:
Geographical Distribution

10 | ESR Meeting, Vienna, March 4, 2011

 CT Scan Units

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

50
44.31 50
45
45
40
40
35 35
30 30
25 25
20 20 11.84
15 15
7.16
10 10
2.06
5 0.25 5
0 0
28/32 26/33 30/38 29/41 Number of countries 113
Number of countries that responded/total number of countries
Low Lower middle Upper middle High Global

Income Country Group

11 | ESR Meeting, Vienna, March 4, 2011

 MRI Scanners

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

25
25
19.51
20
20

15
15

10 10
5.37

5 2.85 5
0.10 0.25
0 0
26/32 25/33 30/38 29/41 Number of countries 110
Number of countries that responded/total number of countries
Low Lower middle Upper middle High
Global
Income Country Group

12 | ESR Meeting, Vienna, March 4, 2011

 Nuclear Medicine Equipment

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

10 10

8.00
8 8

6 6

4 4
1.75

2 1.49 2

0.06 0.23
0 0
26/32 24/33 26/38 26/41 Number of countries 102
Number of countries that responded/total number of countries
Low Lower middle Upper middle High
Global
Income Country Group

13 | ESR Meeting, Vienna, March 4, 2011

 Radiotherapy Units
2010 WHO Survey and IAEA Data

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

8 7.3
8
7
7
6
6
5 5
4 4
3 3
1.8
2 1.4 2
0.6
1 0.1 1

0 0
Low Lower middle Upper middle High 193 countries/total of 196

Income Country Group Global

14 | ESR Meeting, Vienna, March 4, 2011

 PET Equipment

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

3
3

2.5
2.2459 2.5

2
2

1.5 1.5

1 1 0.53

0.5 0.2892
0.5
0.0016 0.0270
0 0
22/32 22/33 28/38 27/41 Number of countries 99
Number of countries that responded/total number of countries
Low Lower middle Upper middle High Global

Income Country Group

15 | ESR Meeting, Vienna, March 4, 2011

 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

16 | ESR Meeting, Vienna, March 4, 2011

 Contact

www.who.int/medical_devices

velazquezberumena@who.int

17 | ESR Meeting, Vienna, March 4, 2011