The World Health Organization must undergo fundamental changes if it is to fulfill its function of protecting global health, according to an independent panel of experts that reviewed the agency’s bungled response to the deadly Ebola outbreak.

“The panel considers that WHO does not currently possess the capacity or organizational culture to deliver a full emergency public health response,” it said in a scathing report released Tuesday.

The panel headed by Barbara Stocking, a former head of the aid group Oxfam GB, urged the WHO to create a new division to oversee preparations for the next major outbreak and coordinate the response.

The WHO welcomed the panel’s findings. In a statement Tuesday, it said it was already moving forward on some of the recommendations, including the development of a global workforce that can be deployed in a health emergency and the establishment of a contingency fund to ensure that resources are available for the initial response. Others will be discussed at a meeting in August.

The WHO ordered the review in March after coming under criticism from aid groups such as Doctors Without Borders, which argued that the largest Ebola epidemic on record could have been averted had the agency quickly sounded the alarm and mobilized outside help.

The WHO reported the outbreak in March 2014 but did not declare a public health emergency of global concern until August. By then, the virus had spread to four West African countries, and casualties were arriving in the U.S. and Europe.

Over 11,000 people are now believed to have died of Ebola, most of them in Guinea, Liberia and Sierra Leone. The epidemic has slowed, but new cases continue to be reported in these countries.


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