The British Medical Journal has released a report by Professor Joel Negin and Dr Ranu argue that the World Health Organisation is in need of major reform including outsourcing of major activities. The report notes the failures of the organisation to respond quickly and effectively an outbreak of drug-resistant tuberculosis in Papua New Guinea and the Ebola situation in West Africa. About 11,000 people died in the outbreak of Ebola in 2013. The report says: “WHO should aim to outsource a number of its functions to other global agencies that are already leading the way. This would allow the WHO to focus on a small number of core activities where it has comparative advantage”.

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