Regulation and Prequalification
Progress towards enhancing regulatory practices related to medical products around the world is supported by capacity building, promoting regulatory convergence and harmonization.

Ebola EUAL Status after PHEIC Termination

On 29 March 2016, WHO’s Director General announced that the Ebola situation in West Africa no longer constitutes a Public Health Emergency of International Concern, and that the temporary recommendations adopted in response should now be terminated. Consequently, WHO will no longer accept new applications of Ebola vaccines or in-vitro diagnostics (IVD) through the WHO Emergency Use Assessment and Listing (EUAL) mechanism. However, all IVD applications submitted prior to this announcement will continue to be assessed by WHO under the EUAL procedure. WHO encourages and welcomes manufacturers of IVD products already listed through the EUAL procedure, and/or new products, to apply for full prequalification.

Public Reports: WHO list of IVDs for Ebola virus disease accepted for procurement through the EUAL Procedure for IVDs.

List of IVDs for Ebola virus disease delisted from procurement through the EUAL procedure for IVDs

Emergency Use Assessment and Listing (EUAL) Procedure for IVDs

The WHO Emergency Use Assessment and Listing (EUAL) procedure was set up as an extraordinary process intended to provide guidance to interested UN procurement agencies and National Regulatory Authorities (NRAs) of WHO Member States on the quality, safety and performance of certain In Vitro Diagnostics (IVDs). WHO may elect to open the EUAL procedure to IVDs required for the diagnosis and surveillance of any disease that has been declared a Public Health Emergency of International Concern (PHEIC).

The WHO Emergency Use Assessment and Listing (EUAL) procedure has three key components:

  1. Review of technical documentation relating to safety and performance (e.g. analytical and clinical evidence, stability data); and
  2. Review of the documentation relating to the manufacture of the product and the manufacturer’s quality management system (QMS);
  3. An independent laboratory evaluation coordinated by WHO of the product’s performance and operational characteristics.

The results of the WHO review of the documentation submitted through the EUAL procedure including quality, safety and performance documentation, and the independent laboratory evaluation are used by WHO to make a decision on the product’s suitability for WHO procurement. Products that are reviewed favourably are then listed as eligible for WHO procurement.