Respiratory Diseases in European Health Priorities during the Polish Presidency: CRD Network is the New Perspective in EU Policy
Polish Presidency in European Council 2011 CRD network is the new perspective in EU policy. Bolesław SamolińskiChairman of the Sub-Committee on Priorities of Ministry of Health during Polish Presidency of the EU Council Monika Przygucka - Gawlik Councellor of the Minister Ministry of Health, Poland Davos, 20 February 2012
We have 27 health policies. This is the consequence of:• Different economic situation in particular member states (MS)• Different national health systems in each country• Different understanding and position of public health in healthmanagementpractices• Different level of technology and innovations• Different tradition and mentality of the EU countries
There are many programmes on health, e.g. Europe Health 2020, healthy aging, metal health, but these are mostly political declarations. The only one which really integrates the EU in trans- border health care directive.There are plenty of differences in risk factors and health determinants, not only between countries but also between regions in particular countries as well.
The presidency is too short a period of time to establish a new law in the EU. It usually takes a few presidencies. We must remember that all directives and conclusions must be accepted by all Member States of the EU. An EU ministers meeting, called COREPER, is one during eachpresidency and this is the only moment when political declarations like council conclusions are voted on. This is usually preceded byhard work of Public Health Working Parties and ambassadors of all European Union countries. So, during such a presidential time the Country of Presidency can propose, prepare and establish only 2 – 3 Council Conclusions.
During the Polish Presidency in the EU we proposed 4 priorities and 3 conclusions: 1. Closing health gaps within the EU through concerted action to promote healthy lifestyle behaviours 2. Early detection and treatment of communication disorders in children, including the use of e-Health tools and innovative solutions3. Prevention, early diagnosis and treatment of chronic respiratory diseases in children
Prevention, early detection and treatement of chronic respiratory diseases in children Prevention, early detection and treatment of chronicrespiratory diseases affect child development and have a positive impact on quality of life and on health, and contribute to active and healthy ageing. Therefore it is important to develop new tools toimprove the prevention, early detection and treatment of chronic respiratory diseases in children by using the “health in all policies” approach, especially across the health, education, environment, research and employment sectors.
Working on chronic respiratory deseases Council Conlcusion, we:- first had to establish CRD priority: prevention, earlydiagnosis and treatment of chronic respiratory diseases in children-organized expert conference September 21st -22nd 2011, in Warsaw : Childhood chronic respiratory diseases: urgent need to close the gap - prepared Council Conclusion: Prevention, earlydiagnosis and treatment of chronic respiratory diseases in children
The most important in this final document were two political statements:1. To implement chronic respiratory diseases into all EU Member States health policies2. To give an appropriate position of international cooperation of scientific and public health networks.
This is the first Council Conclusion on respiratory diseases and their prevention.This is one of a few conucil conclusion regarding health problems in children And finally, this is the only one CC on networking as a new tool for making healthpolicy in the EU and its integration on practical and operational level.
In this text… invites the Member States and The Commission to: • Encourage and support research in prevention, early detection, treatment and causative factors• Develop better understanding of the reasons of increase of the prevalence and the influence of the environment • Promote multisectoral approach and innovative partnerships , especially e-health
.. invites the Member States to:• take national action on childhood asthma• strengthening cooperation• raise awareness and education level• exchange of best practices and data/statistics.Common action at the EU level on respiratory diseases :creation of networks, preferably employing alreadyexisting infrastructure
… invites the European Commission to:• include childhood asthma and allergy in the researchand health community programmes and activities• support Member States and stakeholders
Polish Presidency in European Union Councilimplement early detection, prevention, and treatment ofnoncommunicable respiratory diseases with particular emphasis ondevelopmental age (CRD)
Such networks integrate scientific and public health nationals centers, NGOs and particularpatients organizations in preparing international standards, guidelines with perspective onimplementing them into EU policy, especially the European Commission, national governments and parliamentarian and authorities.
The proposal of networks’ activities:1. Focusing on a problem from a scientific and practical point of view using EBM and HTA 2. Presentation of issues to the European Commission 3. International cooperation in order to pass knowledge, skills and technology to national centres4. Implementing a solution to clinical and public health problem into national policy by the cooperation with national and regional authorities. 5. In such a way, preparing a background for political decisions on the European Council level.
Networks in the cooperation with allstakeholders are the best model for theutilization of Evedence Based Medicinebackground in HAT for public health on European Union and MS level policy.
Many thanks to the experts for supporting us in the work on draft on CRD council conclusion this is the solidarity in health Polish Presidency in EU Council