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Activities under this section are designed to promote health and prevent major diseases in line with the overall priority to reduce health inequalities across the EU by addressing key health determinants — such as nutrition and physical activity, alcohol, tobacco and drug consumption — as well as broader social determinants and healthy environments. This should take into account the gender dimension.
In 2010, actions under this objective aim to contribute to reducing health inequalities within and between EU Member States and regions; promoting the Health in All Policies approach as well as assessing and promoting sustainable health investment at national and regional level, therefore supporting the strategic themes outlined in the EU Health Strategy. Cooperation activities between the EU regions and local authorities envisaging health promoting partnerships are strongly encouraged.
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Textual Amendments
F1 Deleted by Commission Decision of 22 December 2010 amending Decision 2009/964/EU on the adoption of the Work plan for 2010 for the implementation of the second programme of Community action in the field of health (2008-2013), on the selection, award and other criteria for financial contributions to the actions of this programme and Community payment to the WHO Framework Convention on Tobacco Control 2010/C 358/04.
Developing action plans and strategies at national, regional or local level for public health capacity development. The aim is to improve the capacity of European public health systems and organisations including public health systems, civil society, NGOs and universities. The plans should target the development of public health professionals as well as the development of public health skills and knowledge of those who are not full time public health professionals but whose work would benefit from additional public health knowledge (including other health professionals, managers and administrators). They should also address the development of tools, knowledge and systems to support public health practice, including improvement of communication skills. Tasks may include networking and sharing of good practice, training programme development, information systems and public health aspects of public administration.
[Call for proposals for projects]
Developing tools, procedures, good practice and pilot work to improve interaction between public health researchers and policy development at EU level. Focus should in particular be on leadership, infra-structure and capacity in the medium and short-term perspective as well as the development of criteria and key elements. The aim is to support the defining of health policy proposals and development in view to strengthening civil society and NGOs in the field of health in particular in new Member States and central and eastern European countries.
[Call for proposals for projects]
Operating grants to non-governmental European networks and organisations which cover broad horizontal public health issues which are of relevance to developing the EU health agenda and with interest in overall public health policy development. The main aim is to strengthen relevant networks and organisations in order to improve and promote the participation of civil society and NGOs at European, national, regional and local level in the implementation of the health strategy.
[Operating grants]
Technical and scientific support to EU Expert Group and associated groups including scientific groups, stakeholder groups and a regional network on health inequalities as well as technical work to include the development of a methodology and implementation of a work programme on health inequality impact assessment for 3 years. The aim is to implement actions in the Commission Communication on health inequalities(1).
[Joint actions]
Technical assistance in the preparation of a report on health inequalities in the EU. The aim is to implement actions in the Commission Communication on Health Inequalities.
[Call for tenders]
Identifying and evaluating the effectiveness of best practices aimed at:
promoting the health and well-being of children and young people through informal and non-formal education and through social/youth work, building on the experiences and examples of youth organisations and social welfare organisations;
preventing young people from engaging in risky behaviours;
making schools and other education establishments a healthy setting and a setting for health promotion, also by implementing health issues in the school curricula, and also by the Youth health initiative.
[Call for proposals for projects]
Analysing best practices in the provision of services or investment in health promoting activities targeting young people at local level, especially in big urban areas.The Commission intends to use the results of the financed activity for developing its Youth health initiative, integrating the outcome of the Conference on the health of young people which took place in July 2009 in Brussels.
[Call for proposals for projects]
Development and support of good practice in enabling those with chronic illness to stay at work or return to the labour market. This includes rehabilitation programmes and other activities, particularly those which involve collaboration between the health care sector and the employment sector. The aim is to support the Health Strategy and the Community Strategy for health and safety at work 2007-2012.(2)
[Call for proposals for projects]
Follow-up of the reformulation of manufactured foods — exchange of good practice with regard to the reduction of the levels of fat, saturated and trans fats, salt and sugar in manufactured foods focusing on the technical and economical aspects of reformulations in small and medium sized enterprises. The aim is to support the follow-up of the implementation of the White Paper on a Strategy for Europe on Nutrition, Overweight, and Obesity-related health issues(3).
[Call for proposals for projects]
Developing and/or implementing good practice on how to promote physical activity in socioeconomically disadvantaged areas through future planning of infrastructure and through recreational policies and whole community actions. The aim is to support the follow-up of the implementation of the White Paper on a Strategy for Europe on Nutrition, Overweight, and Obesity-related health issues and EU Physical Activity Guidelines(4).
[Call for proposals for projects]
Sharing of know-how on community based initiatives to reduce overweight and obesity. The aim is to support the follow-up of the implementation of the White Paper on a Strategy for Europe on Nutrition, Overweight, and Obesity-related health issues, and feed further policy development and activities.
[Call for tenders]
In line with the Commission communication on combating HIV/AIDS(5) and in line with health policy initiatives focusing on young people, particular priority will be given to the following:
[F1. . . . .]
Identify good practice on the methods and adequate settings for the information of all young people on sexual and reproductive health with a particular emphasis on marginalised and hard to reach groups with the goal to decrease sexually transmitted infections and other measurable effects, such as unwanted teenager pregnancies and sexual violence. The aim is to bring forward discussion and exchange of information on sexual health at EU level for developing further EU policy.
[Call for proposals for projects]
[F1. . . . .]
In line with the Health Strategy to promote access to good quality care, equity and solidarity and to strengthen the EU voice in Global Health, the second Commission communication on combating HIV/AIDS sets out details on the European Union's goals to achieve a reduction of new HIV infections in the mid-term perspective and to improve the quality of life of people living with or affected by HIV/AIDS in the European Union and neighbouring countries. The following activities will be key elements in contributing to an effective response to HIV/AIDS in the EU and its neighbourhood:
Developing strategies to reach the populations most at risk and to develop, in cooperation with stakeholders, appropriate means of communication whilst respecting specific cultural and socioeconomic backgrounds. The aim is to support the implementation of the Commission Communication on HIV/AIDS.
[Call for proposals for projects]
Promoting combined and targeted prevention complemented by a meaningful surveillance, access to state of the art treatment, HIV testing and effective infrastructure. The aim is to support the implementation of the Commission Communication on HIV/AIDS.
[Call for proposals for projects]
Coordinating and facilitating the exchange of good practice and transfer of know-how on HIV prevention, testing, treatment and care among EU Member States and Eastern European neighbouring countries with a particular focus on injecting drug users. The aim is to support the implementation of Commission Communication on combating HIV/AIDS.
[Operating grants]
In line with the overall strategic approach on mental health(6), as reflected in the European Pact for Mental Health and Well-being(7), focus will be on activities which contribute to implementing the outcomes of the thematic conferences organised during 2009 on ‘Mental Health in Youth and Education’(8) and on ‘Prevention of Depression and Suicide’(9).
Involving young people in the development and implementation of approaches for integrating mental health promotion and the prevention of mental disorders into educational settings and youth initiatives. The aim is to achieve improved academic, social and health outcomes. This will enable the Community to encourage other actors to engage in similar approaches.
[Call for proposals for projects]
Promoting the creation of regional and local networks and implementation strategies for mental health promotion, mental disorder prevention and suicide prevention, which involve health and other public authorities as well as non-health stakeholders and civil society. This will take into account the fact that decisions and actions taken in regions and municipalities have a key impact on the mental health of the population. The aim is to develop examples of action on mental health, which the Community can highlight as good practices.
[Call for proposals for projects]
Promoting interdisciplinary cooperation between health professionals which addresses the links between mental and physical health and builds on the increasing understanding of their interdependence. Particular focus is put on identifying possibilities for preventing depression in co-morbidity with physical illness. The aim is to identify the benefits from such action for the health and quality of life of patients and the sustainability of health systems. This will enable the Community to support Member States in improving the quality of care and ensuring the sustainability of health systems.
[Call for proposals for projects]
Study, composed of three parts, assessing mental health systems, situations and outcomes in Member States. The aim is to support the Mental Health Pact by procuring further knowledge. The first part describes the mental health systems of the Member States, candidate countries and EFTA/EEA countries, highlighting their differences and similarities; the second part compiles information about levels of mental health and mental illness in these countries; the third part identifies the benefits in terms of health, education, employment and social performance from investing in mental health and its promotion and prevention.
[Call for tenders]
Actions related to tobacco are developed in line with the overall EU approach on tobacco control as well as the Framework Convention on tobacco control.
Study on availability, accessibility, usage and regulatory environment for new tobacco and nicotine products. The aim is to identify any gaps in the existing EC legislation (e.g. products not covered by tobacco, food or medical legislation).
[Call for tenders]
Support in implementation of EU policy on tobacco control, in particular with respect to raising awareness on health risks.
[Call for tenders]
Neutral scientific policy support. The aim of this activity is getting strong support for the implementation of the Framework Convention on tobacco control (FCTC). The outcome of the project will be: support to DG SANCO in its role as Key Facilitator for the development of FCTC guidelines for testing and measuring tobacco products and the effective functioning of the European Governmental Tobacco Laboratories Network.
[Administrative agreement with JRC]
In line with the Commission's Communication on an EU strategy to support Member States in reducing alcohol-related harm(10), and in order to further develop policies to reduce alcohol-related harm, particular priority will be given to the following:
EU-wide overview of the market and regulation regarding types of alcoholic beverages with particular appeal to minors (alcopops, RTDs, flavoured beers, alcoholic energy drinks as well as other products such as alcoholic gels and ice creams). Mapping of the situation at EU level will contribute to the development and coordination of Member States' activities in the framework of the EU alcohol strategy, with special attention on the protection of children and young people.
[Call for tenders]
Further studies on the affordability of alcoholic beverages in the EU, building on the findings regarding links between affordability, consumption and harm presented in a recent study commissioned by DG SANCO(11).
[Call for tenders]
Cooperation between the EC and the WHO Regional Office for Europe on further development of joint data gathering and common knowledge base relating to the alcohol situation and alcohol policies in Member States. This is a follow-up to a previous project in which a joint survey of alcohol consumption, harm and policies was carried out in 2008, a.o. for monitoring the implementation of the EU alcohol strategy. Continued cooperation on the development of the survey instrument and presentation of data is essential for supporting and evaluating the implementation of the EU alcohol strategy also in the future. The objective for this project is to improve monitoring of alcohol related developments and indicators in Member States in order to underpin the implementation of the EU alcohol strategy, to avoid overlap in reporting obligations for Member States. WHO is uniquely placed to revise and develop indicators at the European level. A direct grant agreement with the WHO to develop the European system will ensure that the European approach is fully coherent and compatible with the global approach. This will facilitate easy comparative analysis between the EU, its Member States and other parts of the world.
[Direct grant agreement with WHO]
In line with the EU Drugs Strategy(12) and Action Plans(13), the Drug prevention and information programme(14) of DG JLS, the Council Recommendation on the prevention and reduction of health-related harm associated with drug dependence(15), particular focus will be on the following drug demand reduction activities:
Developing, implementing and exchanging good practice guidelines/quality standards for harm reduction interventions and services, taking into account specific needs of drug users (according to gender, cultural background, age and type of drugs), and focusing on synthetic drugs. Synthetic drugs use (e.g. Amphetamine-type Stimulants — ATS) is an increasing trend in the EU (cf. EMCDDA annual report), in particular among young people. The aim is to enhance the quality and effectiveness of demand reduction activities, as requested by the EU Action Plan objective 8, action 17(16), with the ultimate objective of curbing drug use. The outcome will also feed into the preparatory inventory work of the Commission, with the support of the EMCDDA, foreseen under action 18 of above EU Action Plan. This will help Member States to survey the availability and effectiveness of prevention, treatment, harm reduction and rehabilitation services.
[Call for proposals for projects]
[F1. . . . .]
Implementing the Communication on Action against Cancer: European Partnership(17). The overall aim is to support Member States and other stakeholders to more efficiently and effectively work together at European level in addressing the burden of cancer, using innovative cooperation and governance structures. The Partnership, by bringing together European stakeholders with a common objective and commitment to reduce the cancer burden, will provide Member States and other stakeholders with a framework for sharing information, resources, best practise and expertise in cancer prevention and control. It should also help identifying common action at EU level that can provide added-value to national efforts.
[Joint action]
[F1. . . . .]
In the general context of the European action against cancer, providing high quality data, information and knowledge on cancer, among others in the areas of cancer registration, cancer screening, cancer risk factors and cancer prevention strategies, development of a voluntary European pilot accreditation scheme for breast cancer screening and follow-up based on the European guidelines for quality assurance in breast cancer screening and diagnosis. A widely accepted accreditation/certification scheme based on the European quality assurance guidelines should enable women to recognize which breast units meet the European quality assurance standards and would provide a valuable additional tool for Member States in ensuring that quality standards are met. The aim of the development of a pilot scheme is to explore the potential for using this mechanism to encourage continuous quality improvement in breast cancer care throughout the EU.
IARC's mission is to coordinate and conduct research on the causes of human cancer, the mechanisms of carcinogenesis, and to develop scientific strategies for cancer prevention and control. IARC is the only organisation of its kind in the area of cancer, and it provides high-quality scientific support and technical knowledge in the area of cancer on which DG Sanco relies.
[Direct grant agreement with IARC]
Developing European approaches and guidelines to identify strategic good practice approaches across society to address non-communicable diseases, in particular diseases of the heart and circulatory system, with a focus on inequalities and social conditions, linking to a broader strategic approach to address non-communicable diseases. This should include reporting on and analysing of the current situation with regard to cardiovascular and circulatory diseases in the EU. The aim is to use the results for developing Community initiatives on cardiovascular health, building on the initiatives already financed by the Community.
[Call for proposals for projects]
Technical action to support the improvement of collection of better epidemiological data on dementias in Member States, analysis of existing early detection tools for cognitive decline at European and national level in order to define best practices recommendations and establishment of a platform to assess existing practices on rights and to preserve autonomy of persons suffering from dementias as well as promoting the dementia dimension in health determinants actions at EU level in order to define a healthy brain lifestyle set of recommendations. The aim is to implement actions in the Commission Communication on a European Initiative on Alzheimer's disease and other dementias(18).
[Joint action]
Implementation of a pilot phase of the European Autism Prevalence Protocol as defined in the European Autism Information System. This is necessary to obtain valid information about ASD prevalence in several European countries as well as to define harmonized methods for planning a more broad ASD prevalence study in Europe. The protocol should try to establish how the public health authorities defined ASD as a condition, whether there were existing protocols on detection, including early recognition, and whether case registries exist and how these are maintained. The aim is to gather initial information in order to provide comparable European information about ASD, building on the needs already identified at European level.
[Call for proposals for project]
Launching of a first phase of a European Multiple Sclerosis (MS) Register as transnational MS data collection system in Europe on the basis of pilot projects tested in former EU projects in the field focusing on the development of a minimum dataset, divided into a medical and a socio-economic part under certain conditions (such as a modular structure of the register, allowing input from existing and future national registries). The aim is to support the development of European Multiple Sclerosis registers, in order to provide comparable and reliable information at European level.
[Call for proposals for projects]
Support to the creation of networks of action on neurodegenerative or neurodevelopmental diseases not covered by existing EU actions (e.g. Parkinson, epilepsy, etc.). These networks should constitute key instruments to increase stakeholders cooperation and consensus initiatives on best practices and epidemiological knowledge on these diseases and contribute to developing clinical research. The aim is to have better comparable European information in the area of neurodegenerative/neurodevelopmental diseases, following the Communication on Alzheimer's and other dementias.
[Call for proposals for projects]
Technical action to support the development of the Orphanet database on rare diseases and orphan drugs which is run by a large consortium of European partners and which is the most important rare diseases database in the world. In order to implement the establishment of a dynamic EU inventory of rare diseases it will be necessary to further develop the database. The aim is to implement actions in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases(19) by providing a single reference point adding value at European level by bringing together all relevant information on rare diseases.
[Joint action]
Technical action to support the European Surveillance on Congenital Anomalies (Eurocat) network which is run by a large consortium of European partners in order to create a sustainable prevalence data system for 90 congenital anomaly subgroups which are to be updated annually. The aim is to implement actions identified in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases.
[Joint action]
Creation of a mechanism for the exchange of knowledge between Member States and European authorities on the scientific assessment of the clinical added value for orphan medicines. The aim is to implement actions in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases by sharing information in this area between Member States as efficiently as possible.
[Call for tenders]
Improving and refining definition of rare diseases taking into account incidence aspects as defined in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases. The aim is to implement actions in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases, reflecting in particular the concerns around the definition of rare diseases expressed during the discussion in the European Parliament.
[Call for proposals for projects]
Support to the creation of new registers on rare diseases. These registries should constitute key instruments to increase knowledge on rare diseases and develop clinical research. They are the only way to pool data in order to achieve a sufficient sample size for epidemiological research and/or clinical research. Collaborative efforts to establish data collection and maintain them will be considered, provided that these resources are open and accessible. The aim is to implement actions in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases as well as in the High level Pharmaceutical Forum recommendations.(19)
[Call for proposals for projects]
Support to the continuation of existing performing EU networks on information and registers on rare diseases in several areas (e.g. Ercusyn, Regiscar, EuroMyasthenia). The aim is to implement actions in the Commission Communication and in the Council Recommendation for a European Action in the field of rare diseases as well as in the High level Pharmaceutical Forum recommendations.
[Operating grants]
In line with the European Environment and Health Action Plan(20), particular focus will be given to the following activities:
Exchange of best practices in Member States on the prevention and management of chronic respiratory diseases such as asthma and Chronic Obstructive Pulmonary Disease. Respiratory diseases such as asthma are one of the most common causes of morbidity in children. WHO Europe identified an important increase of asthma rate for children in Europe. The International Study of Asthma and Allergies in Childhood (ISAAC) found an 11,5 % annual average prevalence of self-reported asthma symptoms in children aged 13-14 years in Europe. Current activities try to reduce the exposure of people to know key risk factors, e.g. tobacco and other air pollutants. It is also important to support Member States' work on the prevention and management of chronic respiratory diseases and identifying and disseminating best practice. This would lead to significantly improving the quality of life of affected people by ensuring appropriate management of the disease and ultimately reducing morbidity.
[Call for proposals for projects]
Pilot project on indoor air quality measurements of key pollutants in different settings in EU Member States to test newly developed monitoring protocols. Some Member States already conduct periodical monitoring of indoor air quality. JRC has developed standard protocols on how to conduct monitoring of key indoor air pollutants. These protocols need to be tested/validated with the help of a field campaign. The aim is to provide Member States with reliable, validated tools to conduct monitoring and to achieve a certain level of harmonisation which should deliver reliable and comparable results across Member States.
[Administrative agreement with JRC]
Identification of best practices in Member States to improve indoor air quality with reference to heating/cooking and air conditioning systems (maintenance, ventilation etc.). The aim is to provide Member States with good practices on cost benefit measures to improve indoor air quality in homes.
[Call for proposals for projects]
Implementation of the Child Safety Action Plan (CSAP) in new countries, update of existing information and expanding existing CSAP into national action plans for all age groups. The aim is to target child safety, in particular in new countries and to get 27 countries summaries of Member States' performances with respect to the level of safety provided to children and adolescents, based on over 100 effective prevention strategies and policies at national level. The results of these report card assessments are aimed at ultimately raising the level of all children's health.
[Call for proposals for projects]
Preparation of an evaluation report four years after the adoption of the Council Recommendation of 2007(22). In order to determine whether the measures proposed are effective and to assess the need for further action, the aim is to provide technical support to prepare a report on the implementation of this Community policy. Data will be taken from the Injury Database and gaps will be filled in (eg. through scientific review, additional collection of data from Member States and stakeholders). This will enable the Community to consider, together with the Member States, if there is a need for further recommendations.
[Call for tenders]
Injury prevention and safety promotion through a European Conference. The aim is to assist Member States' governments and other stakeholders in identifying priorities for action at national level as well as to facilitate the development of national plans, infrastructures and capacities for safety promotion at the national, regional and local levels. Participants will represent ministries of health, other relevant government departments and agencies, health professionals, injury prevention and safety promotion practitioners, academics and the private sector. It will show Community commitment for injury prevention, in particular among vulnerable groups. It should provide recommendations for further action, thus helping Member States to implement the Council Recommendation of 2007.
[Conference grant]
Joint action on injury data and monitoring at European level. Comparable European data and information on accidents and injuries is needed in order to support policy and action in this area and to monitor the implementation of the Council Recommendation. This action aims at building on the Injury Database developed so far in order to expand country coverage, improve the quality, representativity and comparability of data, and laying the ground for integration of the IDB into the European statistical system.
[Joint action]
Publication foreseen for October 2009.
Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions — Improving quality and productivity at work: Community strategy 2007-2012 on health and safety at work COM(2007) 62.
http://eur-lex.europa.eu/LexUriServ/LexUriServ.do? uri = COM:2007:0279:FIN:EN:PDF
White Paper on sport:
http://eur-lex.europa.eu/LexUriServ/LexUriServ.do? uri = COM:2007:0391:FIN:EN:PDF
Communication from the Commission to the Council and the European Parliament (COM(2005) 654 final of 15.12.2005).
Green paper ‘Promoting the mental health of the population. Towards a strategy on mental health for the EU’ (COM(2005) 484 final of 14.10.2005).
http://ec.europa.eu/health/ph_determinants/life_style/mental/mental_health_en.htm
Thematic conference ‘Mental health in Youth and Education’, 29-30 September, Stockholm, Sweden, organised by the European Commission's Directorate-General for Health and Consumers and the Swedish Department for Public Health.
Thematic conference ‘Prevention of Depression and Suicide’, 10-11 December 2009, Budapest, Hungary, organised by the European Commission's Directorate-General for Health and Consumers and the Ministry of Health of Hungary.
COM(2006) 625 of 24 October 2006.
The affordability of alcoholic beverages in the European Union, RAND Europe, 2009.
http://ec.europa.eu/health/ph_determinants/life_style/alcohol/news_rand_en.htm
http://register.consilium.europa.eu/pdf/en/04/st15/st15074.en04.pdf
http://ec.europa.eu/health/ph_determinants/life_style/drug/documents/action2012_en.pdf
http://ec.europa.eu/justice_home/funding/drugs/funding_drugs_en.htm
See footnote above.
http://ec.europa.eu/health/ph_information/dissemination/diseases/cancer_en.htm#1
http://ec.europa.eu/health/ph_information/dissemination/documents/com2009_380_en.pdf
http://ec.europa.eu/health/ph_threats/non_com/rare_10_en.htm
Communication from the Commission to the Council, the European Parliament, the European Economic and Social Committee — The European Environment & Health Action Plan 2004-2010 (COM(2004) 416 final of 9.6.2004).
Activities implemented to reduce alcohol-related harm (see above), and especially those aimed at curbing driving when drunk, will also contribute to injury prevention
http://eur-lex.europa.eu/LexUriServ/LexUriServ.do? uri = OJ:C:2007:164:0001:0002:EN:PDF
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