世界卫生组织专家利益宣言

WHO's work on global health issues requires the assistance of external experts whomay have interests related totheir expertise.To ensure the highest integrity and public confidence in its activities, WHO requires that experts serving in anadvisory role disclose any circumstances that could give rise to a potential conflict of interest related to the subject of theactivity in which they will be involved. All experts serving in an advisory role must disclose any circumstances that could represent apotential conflict ofinterest(i.e., any interest that may affect, or may reasonably be perceived to affect, the expert's objectivity and independence).You must disclose on this Declaration of Interests (DOI) form any financial, professional or other interest relevant to thesubject of the work or meeting in which you have been asked to participate in or contribute towards and any interest that couldbe affected by the outcome of the meeting or work. You must also declare relevant interests of your immediate familymembers (see definition below) and, if you are aware of it, relevant interests of other parties with whom you have substantial Please complete this form and submit it to WHO Secretariat if possible at least 4 weeks but no later than 2 weeksbefore the meeting or work. You must also promptly inform the Secretariat if there is any change in this information prior to,or during the course of, the meeting or work. All experts must complete this form before participation in a WHO activity can Answering "Yes" to a question on this form does not automatically disqualify you or limit your participation in aWHO activity. Your answers will be reviewed by the Secretariat to determine whether you have a conflict of interest relevantto the subject at hand. One of the outcomes listed in the next paragraph can occur depending on the circumstances (e.g, nature The Secretariat may conclude that no potential conflict exists or that the interest is irrelevant or insignificant. If,however, a declared interest is determined to be potentially or clearly significant, one or more of the following three measuresfor managing the conflict of interest may be applied. The Secretariat (i) allows full participation, with public disclosure of yourinterest; (ii) mandates partial exclusion (i.e., you will be excluded from that portion of the meeting or work related to the All potentially significant interests will bedisclosedto the other participants at the start of the activity and you will beasked if there have been any changes. A summary of all declarations and actions taken to manage any declared interests will be publishedin resulting reports and work products. Furthermore, if the objectivity of the work or meeting in which you areinvolved is subsequently questioned, the contents of your DOI form may be made available by the Secretariat to personsoutside WHO if the Director-General considers such disclosure to be in the best interest of the Organization, after consulting If you are unable or unwilling to disclose the details of an interest that may pose a real or perceived conflict, you mustdisclose that a conflict of interest may exist and the Secretariat may decide that you be totally recused from the meeting orwork concerned, after consulting with you. Name:Institution: Date and title of meeting or work, including description of subject matter to be considered (if a number ofsubstances or processes are to be evaluated, a list should be attached by the organizer of the activity): Please answer each of the questions below. If the answer to any of the questions is "yes", briefly describe thecircumstances on the last page of the form.The term "you" refers to yourself and your immediate family members (i.e., spouse (or partner with whom you have a EMPLOYMENT AND CONSULTINGWithin the past4 years, have you received remuneration from a commercial entity orother organization with an interest related to the subject of the meeting or work? 1aEmploymentYesNo1bConsulting, including service as atechnical or otheradvisorYesNo RESEARCH SUPPORTWithin the past4 years, have you or has your research unit received support from acommercial entity or other organization with an interest related to the subject of themeeting or work? INVESTMENT INTERESTSDo you have current investments (valued at more than US$5 000 overall) in a commercial entity with an interest related to the subject of the meeting or work? Pleasealso include indirect investments such as a trust or holding company. You may exclude 3aStocks, bonds, stock options, other securities(e.g., short sales) 3bCommercial business interests (e.g., proprietorships, partnerships, joint ventures, boardmemberships, controlling interest in a company) PUBLIC STATEMENTS AND POSITIONS(during the past 3 years) 5aAs part of a regulatory, legislative or judicial process, have you provided an expertopinion or testimony, related to the subject of the meeting or work,for a commercial entity or other o