Health
WHO designates new WHO-Listed Authorities, strengthening global access to quality-assured medical products
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The World Health Organization (WHO) has officially designated Health Canada, the Ministry of Health, Labour and Welfare/Pharmaceuticals and Medical Devices Agency (MHLW/PMDA) of Japan, and the Medicines and Healthcare products Regulatory Agency (MHRA) of the United Kingdom as WHO-Listed Authorities (WLAs), a status granted to national authorities that meet the highest international regulatory standards for medical products.
With these latest designations, WHO expands the growing list of WLAs, now involving 39 agencies across the world, supporting faster and broader access to quality-assured medical products, particularly in low- and middle-income countries (LMICs).
In addition, the Republic of Korea’s Ministry of Food and Drug Safety (MFDS) – one of the first regulatory authorities to complete the WLA assessment for both medicines and vaccines in October 2023 – has had its listing scope successfully expanded, now covering all regulatory functions.
“This recognition reflects the deep commitment of these authorities to regulatory excellence,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Their designation as WHO-Listed Authorities is not only a testament to their robust regulatory systems but also a critical contribution to global public health. Strong and trusted regulators help ensure that people everywhere have access to safe, effective, and high-quality medical products.”
Around 70% of countries worldwide still face significant challenges due to weak or inadequate regulatory systems for evaluating and authorizing medical products. The WLA framework promotes regulatory convergence, harmonization and international collaboration, allowing WHO Prequalification Programme and regulatory authorities, especially those in LMICs, to rely on the trusted work and decisions of designated agencies. This collaboration supports efficient use of limited resources, enabling better and faster access to quality-assured life-saving medical products to millions more people.
“The principle of reliance is central to WHO’s approach to regulatory systems strengthening and a cornerstone for effective, efficient and smart regulatory oversight of medical products,” said Dr Yukiko Nakatani, WHO Assistant Director-General for Health Systems, Access and Data. “WHO-Listed Authorities are key enablers in promoting trust, transparency, and faster access to quality-assured medical products, especially in low- and middle-income countries.”
In a world where health threats, including substandard and falsified medical products, know no borders, WLAs also serve as critical pillars of preparedness and equity, making life-saving products available more broadly, rapidly and efficiently.
The designations follow a rigorous performance evaluation process carried out by WHO using its globally recognized benchmarking and assessment tools. These evaluations were reviewed by the Technical Advisory Group on WLAs (TAG-WLA), which convened in June 2025.
Canada, Japan and the UK’s regulatory authorities were previously recognized as Stringent Regulatory Authorities (SRAs). Their designation under the WLA framework marks an important step in moving beyond the old SRA system, while ensuring continuity and stability in global procurement processes of quality-assured medical products.
Launched in 2022 to replace the previous SRA model, the WLA initiative provides a transparent and evidence-based pathway for global recognition of regulatory authorities to facilitate regulatory convergence and reliance. It builds on decades of WHO leadership to help countries work together more closely on regulating medical products, speeding up access to safe, effective and quality-assured medical products for people around the world.
Health
Press Release OHCAR annual report 2024
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Bystander CPR in cases of out-of-hospital cardiac arrest in this country increased by 24 per cent between 2012 and 2024. Bystander CPR happens when someone who has witnessed or comes across a cardiac arrest steps in to provide CPR.
Overall, in 2024 there were 2,885 cases of out-of-hospital cardiac arrests where resuscitation continued after the arrival of the Emergency Medical Services.
The figures are contained in the 2024 annual report of the Out-of-Hospital Cardiac Arrest Register (OHCAR) which has been published by the National Ambulance Service.
Of the 2,885 patients, 68 per cent were male and the median age was 68 years – patients ranged in age from less than one year to over 100 years of age. Women who suffered a cardiac arrest were on average older by 5 years than men (71 years vs. 66) and the majority or 68 per cent of all cardiac arrests happened in the home.
Of the 2,885 people who suffered an out-of-hospital cardiac arrest where resuscitation was attempted, 232 individuals or 8.0 per cent survived to leave hospital alive, according to the report.
Bystander CPR was attempted in 84% of cardiac arrests in 2024 which were not witnessed by members of the Emergency Medical Services.
Attempted defibrillation before the arrival of Emergency Medical Services has increased to 12% of all patients (n=339/2,885).
Latest figures show that defibrillation was attempted in 962 cases last year and that 35% of those attempts were made prior to the arrival of the Emergency Medical Services (n=339/962), highlighting the valuable life-saving work of First Responders in the community.
First Responders can include members of the general public, off-duty healthcare workers, members of Community First Responder groups, Local Authority Fire Services, voluntary organisations (such as the Irish Red Cross, Order of Malta, St. John Ambulance, and the Irish Coast Guard), auxiliary services such as Civil Defence and members of An Garda Síochána.
Community First Responders and other First Responders play a very important role in supporting the delivery of prehospital emergency care in local communities.
Professor Conor Deasy, Chair of the OHCAR said: “It’s great to see that bystander CPR in cases of out-of-hospital cardiac arrest in this country increased by 24 per cent between 2012 and 2023. In line with previous years, surviving patients were more likely to be younger and have been witnessed to collapse in a public urban location. Knowing what to do; ring 999/112, put your phone on a speaker while speaking to the 999 Call Taker and start chest compressions.’’
“Members of the public defibrillated 339 patients, of whom 90 survived (27%). This achievement emphasises the importance of Community First Responders and Public Access Defibrillators in saving lives.”
The OHCAR is hosted and funded by the National Ambulance Service (NAS) and captures the work of EMTs, Paramedics and Advanced Paramedics working for the National Ambulance Service, Dublin Fire Brigade and Airport Fire and Rescue Service, Dublin Airport – aiming to improve outcomes in Ireland for this extreme emergency by continuous evidence based performance measurement and feedback to service providers and the broader community.
Last updated on: 24 / 09 / 2025
Health
2024 OHCAR Infographic
Health
OHCAR Annual Report 2024
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