​M.E. highlighted at the 71st World Health Assembly

Press Release: Action for ME, May 23, 2018

The need for accelerated biomedical research, and training and education for health professionals has been highlighted at the first-ever World Health Assembly side event focused on M.E.

Taking place last night in Geneva and held by the International Alliance for M.E. (IAFME), led by Action for M.E. and hosted by the Union for International Cancer Control (UICC), the aim of the event was to raise awareness and understanding of M.E. among international policy-makers, and to build connections with other public health organisations and individuals who support the IAFME’s goal of achieving a global public health response to M.E.

Those attending were visibly shocked by a short screening from Jen Brea’s award-winning documentary Unrest, showing the devastating impact of M.E. on people across the world. Afterwards, panel members Sonya Chowdhury, Prof Chris Ponting, Greg Perry and M.E. patient Steven offered their view on the challenges facing people affected by M.E., and those that support them, and the steps that must be taken to address these.

“It is not OK that people with M.E. are being told there is nothing wrong with them, whether that’s one person, 100 people, or 35 million people – which is the latest estimated number of people with M.E., using data from a new research due to be published,” said Sonya Chowdhury, Chief Executive, Action for M.E. “The universal health coverage championed by the World Health Organisation must include coverage for every single person. They must not turn their backs on one person with M.E., let alone 35 million.”

Steven, who lives on the French-Swiss border, described the difficulties he faced in getting a diagnosis, and we also heard, via video, from Dr Nina Muirhead, a UK surgeon living with M.E. “It is true of most hospital doctors that they do not know about, or understand, M.E./CFS,” she said. “This was the case for me before I got ill in 2016.” You can watch Nina’s video on the IAFME Facebook page.

Turning to the urgent need for accelerated biomedical research, Prof Chris Ponting, University of Edinburgh, suggested four key areas of focus: a large-scale genome-wide association study that will help us understand the genetics of M.E.; cheap, longitudinal, population-scale immune system surveys; molecular and physiological measurements of people with M.E. following exercise; and taking action to ensure that case-control studies use more appropriate control cohorts with individuals with sedentary lives. He was also emphatic about the need to bring more new and established scientists into the field.

Our final speaker was Greg Perry, Assistant Director General, International Federation of Pharmaceutical Manufacturers and Associations. “I am struck by the fact that M.E. has been around for a long time, but there has still not been any real progress ,” he said. “I do think that the World Health Organisation is a hub of innovate thinking, so there are great opportunities here to focus on this neglected disease.”

During a lively discussion, moderated by Alexandra Heumber, Head of International Advocacy and Coordinator of the IAFME, based in Geneva, the panel heard from people directly affected by M.E., and from those working within global health policy. They reinforced the need for global leadership from the World Health Organisation in setting-up a framework, at global level, that guides and supports policy-makers and health professionals whose decisions impact the lives of those with M.E.

We are hugely grateful to Dr Cary Adams, Chief Executive, UICC, for hosting this event, and for everyone who contributed, particularly those affected by M.E.

May 12 Letter to the World Health Organization

Note: Following is a letter sent to the WHO by The International Alliance for M.E. to increase international recognition of and funding for ME/CFS. You can read a PDF file of the letter HERE.

Dr Tedros Adhanom Ghebreyesus
World Health Organisation
Avenue Appia 20
1202 Geneva

11 May 2018
CC Dr Svetlana Akselrod, Assistant Director General for Non-Communicable Diseases and Mental Health

Dear Dr Tedros

Urgent action to address M.E. globally: a neglected NCD

Tomorrow, on 12th May, people across the globe will come together in public spaces, at government buildings, online and in their homes to ask: ‘Can you see M.E. now?’ You can see their films, photographs and stories, shared for this global M.E. Awareness Day event, at  http://www.facebook.com/MEActNet and www.twitter.com/IAforME

M.E. (Myalgic Encephalomyelitis) is a complex, disabling, chronic, fluctuating, neurological condition of unknown aetiology. It is sometimes diagnosed as Chronic Fatigue Syndrome or CFS/M.E. It is a disease which affects 20,000,000 individuals of all ages and from all
ethnic groups – and the families around them – causing significant personal, social and economic hardship.

The US government’s landmark report, Beyond M.E./CFS: redefining an illness, made it clear that M.E. is ‘a serious, chronic, complex, and systemic disease that frequently and dramatically limits the activities of affected patients. In its most severe form, this disease can consume the lives of those whom it afflicts.’1

M.E. is associated with neurological, immunological and energy-metabolism impairment, and is characterised by significant disability and a widespread intolerance to even small amounts of
mental and physical exertion. Other symptoms include sleep dysfunction, dizziness, widespread pain, cognitive dysfunction, and sensitivity to light and sound. We know that:

* one in four people with M.E. are so severely affected that they are unable to leave their beds or homes, sometimes for many years, too ill to bear even the touch of a loved one
* M.E. has the lowest health-related quality-of-life score when compared to cancer, diabetes, lupus, stroke, heart disease and chronic renal failure2
* people with M.E. are at an increased risk of cancer, heart disease, and suicide3
* in children and young people, the disease is the most common cause
of long-term school absence.4

Despite this suffering and disability, and the urgent need to find effective treatments, only 0.02% of international mainstream research funding has been directed towards M.E.5 Moreover, the condition is frequently undiagnosed, misdiagnosed and/or mistreated by physicians and often not recognised by national treatment and health insurance systems.

The International Alliance for M.E.’s awareness event on 12th May in Geneva, just one of thousands of Millions Missing6 events across the world, is part of our work to highlight the challenges faced by people with M.E.

We would greatly appreciate it if you could make time in your busy schedule to meet representatives from the International Alliance for M.E., a new collaboration uniting M.E. organisations in the US, Australia, Spain, Japan, South Africa and the UK. We would like to highlight the serious and significant impact of this often unrecognised condition, and explain why we are seeking urgent national and international action to increase research on the condition and ease the suffering of patients around the world.

We hope that, with the support of Members States and WHO, we will:

1. Recognise M.E. as a ‘serious, chronic, complex, and multisystem disease that frequently and dramatically limits the activities of affected patients’7 and adopt measures to provide a global and co-ordinated public health response to it.
2. Put in place transparency and a consultation process with M.E. organisations and patients on decisions related to M.E.
3. Support accelerated biomedical research to develop better diagnostic methods and treatments for M.E.
4. Ensure appropriate medical education for professionals working with M.E. patients.

As advocates, organisations, patients and carers, the International Alliance for M.E. is determined to see the condition properly recognised and treated, working with scientists and researchers across the world. We very much hope for your support for people living with M.E.

In the hope of your favorable reply to our invitation to meet,

Yours sincerely

The International Alliance for M.E.
ACAF – Associacio Catalana d’Afectades i Afectats de Fibromialgia i d’altres Sindromes de Sensibilitzacio Central, Spain
Action for M.E., United Kingdom
The American ME and CFS Society, United States
Emerge Australia, Australia
Forward ME, United Kingdom
Japan ME Association, Japan
ME CFS Foundation South Africa, South Africa
Plataforma Familiars Fm-SFC-SQM, Spain
Solve ME/CFS Initiative, United States

With support from
Association du Syndrome de Fatigue Chronique, France
Lost Voices Stiftung (Foundation), Germany
#MEAction, United Kingdom
ME/CFS Association Switzerland/Verein ME/CFS Schweiz, Switzerland
ME/FM Society of BC, Canada
ME Research UK, United Kingdom
Millions Missing Canada, Canada
Millions Missing France, France
National ME/FM Action Network, Canada
Open Medicine Foundation, United States
Welsh Association of ME & CFS Support (WAMES), United Kingdom

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1 Institute of Medicine (2015) Beyond M.E./CFS: redefining an illness
http://www.nationalacademies.org/hmd/Reports/2015/ME-CFS.aspx
2 Hvidberg et al (2015) The Health-Related Quality of Life for
Patients with ME/CFS. PLoS ONE
3 Dimmock at al (2016) Estimating the disease burden of ME/CFS in the
United States and its relation to
research funding. Journal of Medicine and Therapeutics
4 Dowsett and Colby (1997) Long-term sickness absence due to ME/CFS in
UK schools; an epidemiological
study with medical and educational implications. Journal of Chronic
Fatigue Syndrome
5 Chowdhury and Radford (2016) M.E./CFS research funding
http://www.actionforme.org.uk/uploads/pdfs/mecfs-research-funding-report-2016.pdf
6 https://millionsmissing.meaction.net
7 Institute of Medicine (2015) Beyond M.E./CFS: redefining an illness
http://www.nationalacademies.org/hmd/Reports/2015/ME-CFS.aspx

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(c) 2018 IAME