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Dr. Shyama Kuruvilla, Director a.i. of the WHO Global Traditional Medicine Centre discussed the use and integration of traditional medicine in healthcare. Traditional medicine is a primary or preferred choice for many, and the WHO assesses its efficacy and safety. China is a key partner with the WHO, working together to standardize traditional Chinese medicine practices and education. There has been progress in researching the effectiveness of traditional medicine, but challenges remain, such as the need for frontier science technologies and funding.
Transcript
00:00And I spoke to Dr. Shyama Kurovila, director of the WHO Global Traditional Medicine Center.
00:06So for billions of people around the world, they're already using different forms of traditional medicine,
00:13either because it's their primary access to health care, but for many in low, high, middle income countries,
00:21it's also a preferred choice, a preferred choice for more personalized, holistic, nature-aligned solutions
00:28and something that's more personalized.
00:31And so WHO's role is very clear.
00:35It's about assessing the evidence base, especially on efficacy and safety,
00:41and ensuring that people have the highest quality care for their health and well-being
00:48and with traditional medicine because it's so aligned with nature.
00:52It's also for the health and well-being of the planet we share.
00:55Can you tell me about how China is working with the WHO on traditional medicine?
01:02So China has been a long-standing partner with WHO,
01:06and China has been working with WHO to support the documentation of traditional Chinese medicine
01:16to ensure that there are global standardized codes to collect data for example on the international classification of diseases
01:26and also on the international classification of health interventions.
01:30It's also really important for practitioners.
01:34As you may know, acupuncture is probably one of the most widely practiced traditional medicine interventions around the world globally.
01:43And so having standardized practice and training and education approaches also is very important.
01:50And this knowledge is millennia old in China and continues to use today and is evolving with the science.
02:01And I think China's close engagement with WHO and the complementarity of those roles has been very important.
02:09What developments have there been in researching the effectiveness of TCM and what are the challenges?
02:16So there's been real progress on researching the effectiveness and there have been, as you know, historically several challenges.
02:28Our predominant way of establishing effectiveness has been more aligned around the biomedical pharmaceuticals
02:36where you might have a single molecule or active ingredient and then you're looking at its effect on a single
02:44symptom.
02:45Whereas traditional medicine systems are looking at more holistic, personalized, context-specific applications,
02:53which actually is where the world is moving to now with precision medicine and preventative and personalized medicine.
03:00And what work still needs to be done?
03:02The work around strengthening the evidence base, both in terms of developing fit-for-purpose criteria to establish safety and
03:13efficacy
03:13using frontier science technologies that are now enabling us to do this, would be the first step.
03:21WHO has just conducted a global research priority setting exercise.
03:25And we found that less than 1% of global health research funding is going to traditional medicine,
03:33even though it's used by billions of people and there are so many applications.
03:38So the funding of research as well and the prioritization is really important.
03:43That then informs regulation to ensure it's safe and effective use, as well as equitable access.
03:53And that leads us to the integration agenda and then the cross-sectoral value,
04:00because the global wellness industry is one of the most rapid-growing industries worldwide.
04:08And traditional medicine is at the heart of it.
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