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  Dr. Fahad Almubarak

Supporting and facilitating supply chains for products essential for combatting COVID-19, as well as the value chain materials comprising those products, including by re-committing to the WTO Trade Facilitation Agreement; fast tracking measures to remove regulatory hurdles and bureaucratic inefficiencies for shipments of medical and its related raw materials, and other life-saving equipment; and implementing “Green Lanes” to ensure goods move efficiently across internal and external borders. 5. Providing facilitating and financing support to suppliers of small- and medium-sized enterprises (SMEs) manufacturing products essential for combatting COVID-19, as well as the value chain materials comprising those products, to bolster supply chains and trade flows. (...) By expediting their domestic procedures to provide temporary tariff relief in brief consultation with chemical industry associations and with local manufacturers, national governments can facilitate the timely import of products essential for combating COVID-19 and the chemical value chain materials comprising those products.

Score: 830719.5 - https://www.wto.org/english/tr..._e/covid19_e/icca_letter_e.pdf

  17A GlobAl Review of

17A GlobAl Review of the key inteRventions RelAted to RMnCh newboRn CARe inteRventions - biRth And postnAtAl pRioRity inteRventions level of CARe (CoMMunity, pRiMARy, RefeRRAl) CoMMunity oR pRofessionAl heAlth woRkeRs key CoMModities (suppleMented by Annex) pRACtiCe Guidelines And tRAininG MAnuAls immEdiatE EssEntial nEwborn CarE (at thE timE of birth) Promotion and provision of thermal care for all newborns to prevent hypothermia (immediate drying, warming, skin to skin, delayed bathing)55 Community Primary Referral ALL Materials for counselling, health education and health promotion WHO essential newborn care www.who.int/making_pregnancy_safer/ documents/newborncare_course/en/index.html WHO. (...) IMPAC - Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice (2006) www.who.int/making_pregnancy_safer/ documents/924159084x/en/index.html Case management of neonatal sepsis, meningitis and pneumonia65-69 Primary Referral Professional health workers Materials for counselling, health education and health promotion Thermometer / digital thermometer Timer Blood sugar sticks (disposable) Nasogastric tube Antibiotics (oral and injectable) WHO. (...) Essential newborn care course (2010) - Training Tool www.who.int/making_pregnancy_safer/ documents/newborncare_course/en/ Extra support for feeding the small and preterm baby 72 Primary Referral Professional health workers Nasogastric tubes Feeding cups Breast pump Syringe drivers Blood sugar testing sticks Materials for counselling WHO guide for feeding preterm and LBW babies (forthcoming in the web) WHO.

Score: 828246.2 - https://www.who.int/pmnch/topi...1_newborncareinterventions.pdf

  Gaza humanitarian assistance - IASC Logistics Cluster - Situation report (26 June-9 July 2009) - Que

While there has been movement of “food, medicine, medical equipment and diesel fuel” and consistency on the Israeli Authorities restriction on delivery of “construction material” to the Gaza Strip there has been little or no movement on access for “ tools and materials for essential humanitarian infrastructures”. Furthermore a shipment of shelter reconstruction materials essential for the implementation of shelter projects was rejected for delivery. It should be noted that the continued rejection of access for essential reconstruction material limits the implementation of the humanitarian reconstruction programme in the Gaza Strip and significantly impacts the disbursement of donor funding for the recovery phase.

Score: 809009.3 - https://www.un.org/unispal/document/auto-insert-198916/

  skox@igbamedicines.o

Given the surge in demand, in particular for Intensive Care Unit (ICU) medicines, there is an absolute urgency to facilitate and speed up the movement of essential products at all levels, in particular at customs control, as well as systematically reserve cargo capacity for those products in air/sea cargo, which are vital partners in delivering much-needed essential goods. (...) “Following the dramatic reduction in commercial air passenger flights that normally carry pharmaceutical goods and the consequential significant increase in costs for air and sea cargo, governments should systematically reserve cargo capacity at affordable prices for priority essential products”, Sboul stressed. The PRIORITY ESSENTIAL PRODUCTS for the green lanes set-up should cover: • Finished medicines • Active Pharmaceutical Ingredients (APIs) • Starting chemicals • Standard material for release testing • Critical packaging material • Critical manufacturing equipment and spare parts • Critical final assembly components and materials • Personal Protection Equipment for workers’ safety • Plastic wrapping & pallets • Sampling product flow to allow the work of external QC laboratories • Patient support service materials (Sharps bins, training pens, etc.) (...) “Governments have seen that cargo and freight are an essential part of the actions against COVID-19, urgent additional steps are now needed to speed up the movement of medicines.

Score: 807608.84 - https://www.wto.org/english/tr...covid19_e/igba_statement_e.pdf

  12 essentiAl inteRve

12 essentiAl inteRventions, CoMModities And Guidelines foR RepRoduCtive, MAteRnAl, newboRn And Child heAlth RepRoduCtive And MAteRnAl heAlth inteRventions pRioRity inteRventions level of CARe (CoMMunity, pRiMARy, RefeRRAl) CoMMunity oR pRofessionAl heAlth woRkeRs key CoMModities (suppleMented by Annex) pRACtiCe Guidelines And tRAininG MAnuAls prEConCEption/pEriConCEptual intErvEntions Family planning5-7 Community Primary Referral ALL Barrier methods (male and female condoms, diaphragm, gels, foams) Oral contraceptives (progestin only and combined) Emergency contraceptives and hormonal injections Medical eligibility criteria for contraceptive use http://whqlibdoc.who.int/ publications/2010/9789241563888_eng.pdf Family Planning: a global handbook for providers http://whqlibdoc.who.int/ publications/2011/9780978856373_eng.pdf Surgical Care at the District Hospital www.who.int/surgery/publications/scdh_ manual/en/index.html pgs 9-8, 11-19 Primary Referral Professional health workers All of the above plus implants Long acting reversible contraceptives (implants) Intrauterine devices Surgical contraception Prevention and management of Sexually Transmitted Infections (STIs), including HIV for Prevention of Mother-to-Child Transmission (PMTCT) of HIV and syphilis8, 9 Community Primary Referral ALL Materials for counselling Condoms (male and female) Antibiotics in line with essential medicine guidelines Sexually transmitted and other reproductive tract infections: a guide to essential practice http://whqlibdoc.who.int/ publications/2005/9241592656.pdf Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Rapid advice: use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants www.who.int/hiv/pub/mtct/advice/en/index.html Primary Referral Professional health workers Materials for counselling Condoms (male and female) Antibiotics in line with essential medicine guidelines Laboratory test kits for STI/HIV Antiretroviral medicines (refer to the essential list of medicines) Folic acid fortification and/or supplementation to prevent Neural Tube Defects10, 11 Community Primary Referral ALL Folic acid fortification of staple food e.g. flour Folic acid tablets Folic Acid for the Prevention of Neural Tube Defects: U.S. Preventive Services Task Force Recommendation Statement www.annals.org/content/150/9/626.abstract prEGnanCy Antenatal Care12 Essential Package Primary Referral Professional health workers Fetal stethoscope Scale Sphygmomanometer Haemoglobinometer Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf WHO Antenatal Care Randomized Trial: Manual for the implementation of the new model http://whqlibdoc.who.int/hq/2001/WHO_ RHR_01.30.pdf Iron and folic acid supplementation during pregnancy13-15 Community Primary Referral ALL Iron and folic acid Guidelines for the use of iron supplements to prevent and treat iron deficiency anaemia www.who.int/nutrition/publications/ micronutrients/guidelines_for_Iron_ supplementation.pdf Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Tetanus immunization in pregnancy for preventing neonatal tetanus16, 17 Community Primary Referral ALL Vaccine (TT vaccine) Neonatal tetanus www.who.int/immunization_monitoring/ diseases/neonatal_tetanus/en/index.html Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf 13A GlobAl Review of the key inteRventions RelAted to RMnCh pRioRity inteRventions level of CARe (CoMMunity, pRiMARy, RefeRRAl) CoMMunity oR pRofessionAl heAlth woRkeRs key CoMModities (suppleMented by Annex) pRACtiCe Guidelines And tRAininG MAnuAls Prevention and management of malaria in pregnancy a) Prophylactic antimalarial for preventing malaria in pregnancy18, 19 b) Provision and promotion of use of Insecticide Treated Nets for preventing malaria in pregnancy20 Community Primary Referral ALL Antimalarial drugs according to the situation/context Insecticide Treated Nets Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Insecticide treated bednets: a WHO position statement www.who.int/malaria/publications/atoz/ itnspospaperfinal.pdf Interventions for smoking cessation during pregnancy for improving birth outcomes21 Community Primary Referral ALL Materials for individual and group counselling and behavioural change interventions on smoking cessation Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Screening and treatment of Syphilis22, 23 Primary Referral Professional health workers Onsite tests and laboratory equipment Penicillin Counselling material Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf The Prevention and management of congenital syphilis: an overview and recommendations www.who.int/bulletin/volumes/82/6/424.pdf Prevention and management of HIV and Prevention of Mother-to-Child Transmission in Pregnancy8, 24, 25 Community Primary Referral ALL HIV test kits Antiretroviral drugs Cotrimoxazole Counselling material Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Rapid advice: use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants www.who.int/hiv/pub/mtct/advice/en/index.html Prevention and management of hypertension in pregnancy: WHO recommendations for the prevention and treatment of pre-eclampsia and eclampsia http://whqlibdoc.who.int/ publications/2011/9789241548335_eng.pdf Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf a) Calcium supplementation in pregnancy26-28 a) Community Primary Referral a) ALL a) Calcium b) Low-dose Aspirin for the prevention of pre-eclampsia in high risk women28, 29 b) Primary Referral b) Professional health workers b) Low dose Aspirin c) Use of antihypertensive drugs for treating severe hypertension in pregnancy28, 30 c) Primary Referral c) Professional health workers c) Methyldopa, Hydralazine, Nifedipine d) Prevention and treatment of Eclampsia28, 31, 32 d) Primary Referral d) Professional health workers d) Magnesium Sulphate (Injection) Reduce malpresentation at term using External Cephalic Version (> 36 weeks)33-35 Referral Professional health workers Stethoscope Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf 14 essentiAl inteRventions, CoMModities And Guidelines foR RepRoduCtive, MAteRnAl, newboRn And Child heAlth pRioRity inteRventions level of CARe (CoMMunity, pRiMARy, RefeRRAl) CoMMunity oR pRofessionAl heAlth woRkeRs key CoMModities (suppleMented by Annex) pRACtiCe Guidelines And tRAininG MAnuAls Management of prelabour rupture of membranes and preterm labour: Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf WHO recommendations for induction of labour http://whqlibdoc.who.int/ publications/2011/9789241501156_eng.pdf a) Induction of labour for management of prelabour rupture of membranes at term36 Referral Professional health workers Uterotonic (Oxytocin and/or Misoprostol) Partograph Stethoscope Sphygmomanometer b) Antibiotics for management of preterm rupture of membranes37 Primary Referral Professional health workers Antibiotic (Erythromycin) Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf c) Corticosteroids for prevention of neonatal respiratory distress syndrome38, 39 Primary Referral Professional health workers Corticosteroids (Betamethasone, Dexamethasone) Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Management of unintended pregnancy:40 a) Availability and provision of safe abortion b) Provision of post abortion care Primary Referral Professional health workers Materials for counselling, health education and health promotion Medications for induced abortion (Mifepristone, Misoprostol) Vacuum aspiration equipment Uterotonics (Misoprostol, Oxytocin) Antibiotics in line with essential medicine guidelines Surgical procedures when required Sphygmomanometer Safe abortion: technical and policy guidance for health systems. (...) In Press Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Childbirth Social support during childbirth41 Community Primary Referral ALL Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Prophylactic antibiotic for caesarean section42 Referral Professional health workers Antibiotics (Ampicillin or Cefazolin) Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Caesarean section for maternal/foetal indication (e.g. obstructed labour and central placenta previa) (established practice) Referral Professional health workers Surgical environment Sphygmomanometer Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Prevention of postpartum haemorrhage a) Prophylactic uterotonic to prevent postpartum haemorrhage43, 44 Community Primary Referral ALL Uterotonics (Oxytocin, Misoprostol) WHO recommendation for prevention of postpartum haemorrhage http://whqlibdoc.who.int/hq/2007/WHO_ MPS_07.06_eng.pdf 15A GlobAl Review of the key inteRventions RelAted to RMnCh pRioRity inteRventions level of CARe (CoMMunity, pRiMARy, RefeRRAl) CoMMunity oR pRofessionAl heAlth woRkeRs key CoMModities (suppleMented by Annex) pRACtiCe Guidelines And tRAininG MAnuAls b) Active management of third stage of labour to prevent postpartum haemorrhage45-49 Primary Referral Professional health workers Uterotonics (Oxytocin, Ergometrine) Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf WHO recommendation for prevention of postpartum haemorrhage http://whqlibdoc.who.int/hq/2007/WHO_ MPS_07.06_eng.pdf Induction of labour for prolonged pregnancy50 Referral Professional health workers Uterotonics (Oxytocin, Misoprostol) Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Managing prolonged and obstructed labour www.who.int/making_pregnancy_safer/ documents/3_9241546662/en/index.html WHO recommendations for induction of labour http://whqlibdoc.who.int/ publications/2011/9789241501156_eng.pdf Management of postpartum haemorrhage e.g. a) uterine massage b) uterotonics48, 51 Community Primary Referral Community health workers Primary and Referral Uterotonics (Oxytocin, Ergometrine, Misoprostol) Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf WHO guidelines for the management of postpartum haemorrhage and retained placenta http://whqlibdoc.who.int/ publications/2009/9789241598514_eng.pdf c) manual removal of placenta (only by professional health workers) Primary Referral Professional health workers Uterotonics (Oxytocin, Ergometrine, Misoprostol) IV fluids Blood transfusion Surgical facilities Initiation or continuation of HIV therapy for HIV positive women Primary Referral Professional health workers HIV testing kit + ARVs Rapid Advice: Use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants http://whqlibdoc.who.int/ publications/2009/9789241598934_eng.pdf PosTnATAl - MoTHeR Advice and provision of family planning52 Community Primary Referral ALL Barrier methods (male and female condoms, diaphragm, gels, foams) Oral contraceptives (progestin only and combined) Emergency contraception and hormonal injections Medical eligibility criteria for contraceptive use http://whqlibdoc.who.int/ publications/2010/9789241563888_eng.pdf Family Planning: a global handbook for providers http://whqlibdoc.who.int/ publications/2011/9780978856373_eng.pdf Surgical Care at the District Hospital www.who.int/surgery/publications/scdh_ manual/en/index.html pgs 9-8, 11-19 Primary Referral Professional health workers All of the above plus implants Long acting reversible contraceptives (implants) Intrauterine devices Surgical contraception Prevent, measure and treat maternal anaemia53 Referral Professional health workers Ferrous Salt (liquid or tablet) Ferrous Salt+Folic Acid (tablet) Folic Acid (tablet) Hydroxycobalamine (injection) Lab tests Blood products Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf 16 essentiAl inteRventions, CoMModities And Guidelines foR RepRoduCtive, MAteRnAl, newboRn And Child heAlth pRioRity inteRventions level of CARe (CoMMunity, pRiMARy, RefeRRAl) CoMMunity oR pRofessionAl heAlth woRkeRs key CoMModities (suppleMented by Annex) pRACtiCe Guidelines And tRAininG MAnuAls Detection and management of postpartum sepsis54 Referral Professional health workers Antibiotics (Ampilcillin, Gentamicin, Metronidazole) Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc.who.int/ publications/2007/9241545879_eng.pdf Screening and initiation or continuation of antiretroviral therapy for HIV8 Primary Referral Professional health workers Antiretroviral medicines HIV test kits Pregnancy, Childbirth, Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.who.int/ publications/2006/924159084X_eng.pdf Rapid advice: use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants www.who.int/hiv/pub/mtct/advice/en/index.html

Score: 798472.95 - https://www.who.int/pmnch/topi...aternalhealthinterventions.pdf

  Worldwide Extraction of Materials Triples in Four Decades, Intensifying Climate Change and Air Pollu

Rethinking the way we use materials is essential if we are to safeguard humanity’s future and must shift towards low carbon economic growth led by an environmental “big push”. (...) Decoupling escalating material use from economic growth is the “imperative of modern environmental policy and essential for the prosperity of human society and a healthy natural environment”, states the IRP, which is a consortium of 34 internationally renowned scientists, over 30 national governments and other groups. (...) Investments in research and development, combined with better public policy and financing, will be essential if the world is to increase material efficiency and achieve decoupling.

Score: 797945.85 - https://www.cepal.org/en/comun...as-agudiza-cambio-climatico-la

  WHO | JSI and its Logistics Services division have developed many useful resource materials and tool

WHO | JSI and its Logistics Services division have developed many useful resource materials and tools through its programs Reproductive Health Essential Medicines Access Home Alt+0 Content Alt+2 Search Search RHEM Submit Advanced search Menu Home Prequalification Policy Procurement Supply chain Programme management Service delivery JSI and its Logistics Services division have developed many useful resource materials and tools through its programs DID YOU KNOW? (...) Commodity Security for Essential Medicines: Challenges and Opportunities - concept paper examining the inputs, variables and opportunities for commodity security of essential medicine JSI web site You are here: Reproductive health essential medicines Did you know?

Score: 795383.06 - https://www.who.int/rhem/didyouknow/jsi/sid/en/

  WHO | Reproductive Health Essential Medicine Network

WHO | Reproductive Health Essential Medicine Network Reproductive Health Essential Medicines Access Home Alt+0 Content Alt+2 Search Search RHEM Submit Advanced search Menu Home Prequalification Policy Procurement Supply chain Programme management Service delivery Reproductive Health Essential Medicine Network The RHEM Network (RHEMN) is a global virtual knowledge network of people who share an interest in improving access to and the use of reproductive health essential medicines and commodities. (...) Join or login to the Reproductive Health Essential Medicines Network Through the RHEM Network you can NETWORK Correspond with colleagues and experts around the world who are working in the field of RH essential medicines. (...) Ask questions, discuss challenges, and work together to help each other solve problems related to RH Essential Medicines. PARTICIPATE Join colleagues around the world in periodic virtual discussion forums and videoconferences on issues related to RH Essential Medicines.

Score: 793337.8 - https://www.who.int/rhem/network/en/

  UNFC critical to ensure sustainable raw material management in support of the European Green Deal |

Both UNFC and UNRMS will provide the essential framework to assure uninterrupted supply of raw materials and ensure the social, environmental and economic viability of production.     (...) Energy and resource-efficient raw material production technologies are essential to achieving the objectives of the European Green Deal and SDGs. (...) DG GROW coordinates the EU raw materials policy. The European Commission's actions to ensure a sustainable supply of these materials include the raw materials initiative, the European innovation partnership on raw materials and the EU action plan on critical raw materials.

Score: 790613 - https://unece.org/media/sustai...esource-Management/news/348581

  WTO | Appellate Body Repertory of Reports and Awards 1995-2013 - Quantitative Restrictions

Q.1.2.5   China — Raw Materials , para. 326 ( WT/DS394/AB/R , WT/DS395/AB/R , WT/DS398/AB/R )   For Article XI:2(a) to apply, the shortage, in turn, must relate to “foodstuffs or other products essential to the exporting Member”. Foodstuff is defined as “an item of food, a substance used as food”. The term “essential” is defined as “[a]bsolutely indispensable or necessary”. (...) By including, in particular, the word “foodstuffs”, Article XI:2(a) provides a measure of what might be considered a product “essential to the exporting Member” but it does not limit the scope of other essential products to only foodstuffs.  

Score: 789377.73 - https://www.wto.org/english/tr...e/dispu_e/repertory_e/q1_e.htm