The Old Switcheroo

It is difficult to issue a thoughtful mea culpa message and still manage to undermine your credibility. WHO just pulled off that rare double. In short, they posted their message and then replaced it with another, toned-down version. As if the world wouldn’t notice! Sarah Boseley’s blog captures the changes.

The contents should be well-received, in either version. Admitting that it has learned lessons of humility, fragility and (ironically) the need for clear communication – hard to disagree. And it is not the fact of the old switcheroo that bothers me; nor even the innocence in believing that one could slip this by without being caught. No, what I find so depressing is that in all the lessons forced onto the organization by its Ebola response, perhaps the most important has been missed.

I cannot be certain why WHO has toned-down its message, or felt so compelled to do so that it pulled the switcheroo. Somewhere, though, it seems likely that the problem was having rankled some feathers. Some people didn’t like the message, and they weren’t little people. So it had to unrankle them.

And that is the problem. That is precisely what was missing in WHO’s failure to sound the alarm, loudly and early, on this outbreak – the willingness to take the heat for making a call that would have been unpopular with those in power. Humility, fragility, capacity, solidarity… all worthy lessons. But if WHO is to become a force for global epidemic response, it must learn the lesson of rankling feathers. Take a lesson from MSF: It must learn to piss people off.

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