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Updated: Jul 14, 2026

Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
Transparent development of the WHO rapid advice guidelines
Holger J Schünemann1, Suzanne R Hill, Meetali Kakad
1Italian National Cancer Institute Regina Elena, Department of Epidemiology, Rome, Italy. Schuneh@mcmaster.ca
The World Health Organization (WHO) developed a rapid, transparent process for creating avian influenza A (H5N1) treatment guidelines. This systematic approach efficiently synthesizes evidence to inform clinical and policy decisions during emerging health crises.
Area of Science:
- Public Health
- Infectious Disease Management
- Guideline Development
Background:
- Emerging health threats necessitate swift, evidence-based guidance.
- Uncertainty in pharmacological management of avian influenza A (H5N1) required rapid advice.
Purpose of the Study:
- To describe the development and pilot testing of a systematic, transparent approach for WHO rapid advice guidelines.
- To address member state needs for guidance on H5N1 infection management.
Main Methods:
- Conducted a comprehensive literature search for systematic reviews and non-trial evidence on influenza and H5N1.
- Convened a multidisciplinary panel of experts for evidence review and guideline development.
- Utilized evidence profiles to summarize key clinical and policy questions.
Main Results:
- The WHO developed a rapid guideline development process in response to H5N1 concerns.
- Evidence profiles and draft guidelines were prepared in five weeks.
- A draft manuscript was finalized within 10 days post-panel meeting.
- The process demonstrated transparency and efficiency.
Conclusions:
- The developed WHO process is a transparent and time-efficient method for creating rapid advice guidelines.
- Areas for improvement include reducing evidence profile commissioning time and enhancing stakeholder involvement.
- Further evaluation is needed to ensure guideline utility and impact.
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