The World Health Organization’s (WHO) recent expansion of its Essential Medicines List (EML) to include key treatments for cancer, diabetes, and obesity marks a significant advancement in global healthcare policy. This biennial update, released on September 5, 2025, introduces 20 new medicines to the adult list and 15 to the children’s list, underscoring the WHO’s commitment to addressing pressing public health needs worldwide .
Cancer Treatments
Among the notable additions are PD-1/PD-L1 immune checkpoint inhibitors, such as pembrolizumab, atezolizumab, and cemiplimab. These therapies are now recommended as first-line treatments for various cancers, including metastatic cervical, colorectal, and non-small-cell lung cancers. Their inclusion reflects a growing recognition of immunotherapy’s role in cancer treatment, offering new hope for patients with limited options .
Diabetes and Obesity Medications
The EML update also incorporates glucagon-like peptide-1 (GLP-1) receptor agonists—semaglutide, tirzepatide, dulaglutide, and liraglutide—for the management of type 2 diabetes, particularly in patients with concurrent cardiovascular disease, chronic kidney disease, or obesity. Notably, these medications, including the active ingredients in Novo Nordisk’s Ozempic and Eli Lilly’s Mounjaro, are now recognized for their multifaceted benefits beyond glycemic control, encompassing weight management and cardiovascular protection .
However, the WHO has not included these drugs solely for obesity treatment in the EML, citing concerns over their high costs and limited access in low- and middle-income countries. Instead, the organization is developing separate guidelines to recommend their use for obesity treatment, emphasizing the need for a comprehensive approach to managing this chronic condition .
Implications for Global Health
The inclusion of these therapies in the EML is a strategic move to enhance their accessibility, especially in resource-constrained settings. By designating these medicines as essential, the WHO aims to stimulate generic production and facilitate procurement processes, thereby reducing costs and improving patient access .
This update also reflects a paradigm shift in the global health community’s approach to non-communicable diseases. Recognizing obesity as a chronic disease and integrating its management into national health systems is a pivotal step toward addressing the global obesity epidemic, which affects over a billion people worldwide .
Conclusion
The WHO’s expansion of the EML to include critical cancer, diabetes, and obesity treatments is a commendable effort to improve global health equity. While challenges remain, particularly concerning the affordability and accessibility of these therapies, this initiative sets a precedent for future healthcare policies aimed at ensuring that essential medicines are available to all populations, irrespective of their economic status.