Changing leadership of a project during the final stages can be challenging, but can also create opportunities for fresh perspectives on outstanding issues. Having joined WHO on 1 September 2017 as Director of the Department for Information, Evidence, and Research following the March 2017 retirement of Dr Ties Boerma, an immediate priority has been to take stock of the work to date on ICD-11, the known challenges and tasks outstanding, and the current plan by the team on how to reach finalization. At the same time, a primary focus has been how ICD- 11 will serve to meet the needs of Member States and the global user community. To this end, four key themes or questions may serve to guide the work of the department, including on ICD.
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