The document summarizes a policy audit launch event on fertility held in the European Parliament. It discusses the challenges of infertility in Europe, including unequal access to treatment across EU countries. Presentations were given highlighting issues like long wait times, high costs, and discrimination faced. There were calls to improve coordination between countries and promote universal access to safe, effective fertility treatments for all. The need to reduce stigma and support those undergoing treatment was also emphasized.
The incidence of lung cancer is rising in Italy, particularly among women. On the other hand Italy, like many of its European neighbours, is improving the ways that it fights lung cancern, both in a clinical sense and through an array of broader policies. By considering a variety of measures to discourage smoking, and by experimenting with innovative approaches to financing new treatments, Italy is starting to formulate plans to reduce the burdens of the disease.
This study, which assesses the burden of the disease and the policies aimed at reducing it, concludes that stronger policies are needed to wage a successful war on lung cancer in Italy.While important advances are being made in benefits coverage, and in financing clinical innovations, some of the basic ways to tackle the disease receive too little attention. These include recognising the disease's true demographics, and strengthening measures to discourage smoking, a major cause of the illness.
The incidence of lung cancer is rising in Italy, particularly among women. On the other hand Italy, like many of its European neighbours, is improving the ways that it fights lung cancern, both in a clinical sense and through an array of broader policies. By considering a variety of measures to discourage smoking, and by experimenting with innovative approaches to financing new treatments, Italy is starting to formulate plans to reduce the burdens of the disease.
This study, which assesses the burden of the disease and the policies aimed at reducing it, concludes that stronger policies are needed to wage a successful war on lung cancer in Italy.While important advances are being made in benefits coverage, and in financing clinical innovations, some of the basic ways to tackle the disease receive too little attention. These include recognising the disease's true demographics, and strengthening measures to discourage smoking, a major cause of the illness.
Compared with its European neighbours, France has been slower to stake out a more aggressive policy for combatting obesity. In part, this is a simple question of numbers: around 15% of the country’s adult population was obese in 2014, well below the levels seen in England (24.8%), Germany (23.6%) or Spain (22.9%).
Integration of homeopathy and complementary medicine in the public health sys...home
Complementary medicine (CM) is being
increasingly used by citizens across Europe as a means to
maintain their health and to treat illness and disease. In
Italy the reform of Title V of the Italian Constitution allows
each Region to decide how to put into practice and organize
the Public Healthcare System. The agreement among
the Italian National Government, the Regions, and the
Provinces of Trento and Bolzano on the terms and
requirements for the quality certification of training and
practice of acupuncture, herbal medicine, and homeopathy
by medical doctors and dentists, signed on February 2013,
sets up rules for education and training in acupuncture,
herbal medicine, homeopathy, homotoxicology, and anthroposophic
medicine. Some regions, including Tuscany,
have decided to include Complementary Medicine in their
Essential Levels of Assistance, by creating some structures
that integrate the health services into the public structures.
The Homeopathic Clinic in Lucca, funded by the Tuscany
Region, was established in 1998 as part of a pilot project
aimed at assessing the feasibility of integrating complementary
medicine into the public health care system. To
date, over 4,000 patients have been consecutively visited at
the Homeopathic Clinic in Lucca. Concomitantly, research
into homeopathy effectiveness has been conducted on the
whole sample and on specific groups of children, women or
patients’ parents as well. Studies were also performed on
symptom reduction or resolution of atopic diseases,
respiratory diseases, side effects of anticancer therapies in
women. Other researches concerned cost/effectiveness of
therapies, sociodemographic characteristics and compliance
of patients, and risk management. The results demonstrate
that homeopathy can effectively integrate or, in
some cases, substitute allopathic medicine and that the
Tuscan example can be useful to the development of
national or European rules on CM utilization.
When it comes to the scale of the obesity problem and the strategy for addressing it, Italy is a study in contrasts. Levels of overweight and obesity among adults are lower than the European average. However, childhood obesity has already reached crisis levels, highlighting that the obesity burden is likely to rise significantly in the years ahead if policymakers do not take action.
Workshop 7 - Brainstorming & Policy Development session: Prevention
"EUROCAT Study on Prevention of Congenital Anomalies"
Dr. Domenica Taruscio, ISS Italy
Report capturing the content of the MSD Access, Innovation, and Affordability Forum organized by MSD in 2007 (Munich) and 2008 (Istanbul). The report was produced for the third edition of the AIA Forum, which took place in Warsaw in 2009.
Material para los temas de violencia familiar, contra niños, mayores de familia, mujeres en la familia, factores de riesgo y factores protectores asociados a la violencia familiar, identificacion prevencion y control de la violencia familiar y servicios de apoyo
Compared with its European neighbours, France has been slower to stake out a more aggressive policy for combatting obesity. In part, this is a simple question of numbers: around 15% of the country’s adult population was obese in 2014, well below the levels seen in England (24.8%), Germany (23.6%) or Spain (22.9%).
Integration of homeopathy and complementary medicine in the public health sys...home
Complementary medicine (CM) is being
increasingly used by citizens across Europe as a means to
maintain their health and to treat illness and disease. In
Italy the reform of Title V of the Italian Constitution allows
each Region to decide how to put into practice and organize
the Public Healthcare System. The agreement among
the Italian National Government, the Regions, and the
Provinces of Trento and Bolzano on the terms and
requirements for the quality certification of training and
practice of acupuncture, herbal medicine, and homeopathy
by medical doctors and dentists, signed on February 2013,
sets up rules for education and training in acupuncture,
herbal medicine, homeopathy, homotoxicology, and anthroposophic
medicine. Some regions, including Tuscany,
have decided to include Complementary Medicine in their
Essential Levels of Assistance, by creating some structures
that integrate the health services into the public structures.
The Homeopathic Clinic in Lucca, funded by the Tuscany
Region, was established in 1998 as part of a pilot project
aimed at assessing the feasibility of integrating complementary
medicine into the public health care system. To
date, over 4,000 patients have been consecutively visited at
the Homeopathic Clinic in Lucca. Concomitantly, research
into homeopathy effectiveness has been conducted on the
whole sample and on specific groups of children, women or
patients’ parents as well. Studies were also performed on
symptom reduction or resolution of atopic diseases,
respiratory diseases, side effects of anticancer therapies in
women. Other researches concerned cost/effectiveness of
therapies, sociodemographic characteristics and compliance
of patients, and risk management. The results demonstrate
that homeopathy can effectively integrate or, in
some cases, substitute allopathic medicine and that the
Tuscan example can be useful to the development of
national or European rules on CM utilization.
When it comes to the scale of the obesity problem and the strategy for addressing it, Italy is a study in contrasts. Levels of overweight and obesity among adults are lower than the European average. However, childhood obesity has already reached crisis levels, highlighting that the obesity burden is likely to rise significantly in the years ahead if policymakers do not take action.
Workshop 7 - Brainstorming & Policy Development session: Prevention
"EUROCAT Study on Prevention of Congenital Anomalies"
Dr. Domenica Taruscio, ISS Italy
Report capturing the content of the MSD Access, Innovation, and Affordability Forum organized by MSD in 2007 (Munich) and 2008 (Istanbul). The report was produced for the third edition of the AIA Forum, which took place in Warsaw in 2009.
Material para los temas de violencia familiar, contra niños, mayores de familia, mujeres en la familia, factores de riesgo y factores protectores asociados a la violencia familiar, identificacion prevencion y control de la violencia familiar y servicios de apoyo
Where's the hope? Dialogues for Solidarity - Session 4ReShape
This session explored current work experiences in HIV care from a specialist point of view and looked at how current conditions impacted related care providers. Reflecting on the changing nature of HIV care and the changing needs of people living with HIV, the session examined the policy implications of a fragmented system and the patients' perspective on HIV care.
The Care Providers session was expected to lay the groundwork for a future session on the failing Health Economy as a leading issue.
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Public Health Assignment Essay
Public health (PH) is an issue continually on the UK Government agenda and one in which it is anticipated that all health professionals will participate in (Nuttall, 2008). PH focuses on the health and well being of a society and is the most effective means of protecting and improving it. It addresses the root causes of illness and disease, including the interacting social environmental, biological, and psychological dimensions, as well as the provision of effective health services. PH relies on evidence, judgement and skills and promotes the participation of the populations who are themselves the subject of policy and action (United Kingdom Public Health Association (UKPHA), 2008).
Health promotion is a process of enabling people to...show more content...This means that seeing an individual in terms of only one aspect of their identity can be unproductive (Weaver, 2009). All mothers present at the health promotion event were of the same culture, but if there had been mothers there of different culture, their needs would have been taken into account. An example of this would be having an interpreter present at the event and the information leaflets being in their own language. Sure Start does provide interpreters for the Polish and Hungarian mothers within the community, but due to low funding in the community, this service is not always available. When researching this topic, there is a website available, called Polish Information Plus (2009), this service translates all the National Health Service leaflets into Polish, many of these leaflets include, child immunizations, cervical screening and other health related issues. The health visitor sta
Prof Arzu KANIK World Medical Journal MedicReS Good Biostatistical Practice (...MedicReS
Th e main themes at the MedicReS World
Congress June 6–9, 2012, at Hofburg Palace
in Vienna, were Good Medical Research and
Good Biostatistical Practice which had been
introduced to the medical literature by MedicReS
for the fi rst time at the MedicReS International
Conference 2011 in Istanbul [1].
At the MedicReS World Congress 2012,
these themes were made open for contributed
discussions for all medical scientists
working at diff erent stages of medical research.
Th is is the fi rst time that authors,
editors, reviewers, ethical board members,
research education professionals, publishers,
clinical research organizations and management
teams of medical sector were brought
together to discuss the concept of “Good
Medical Research”.
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Mills and MacGregor presented on HIV, citizenship and access to treatment.
Call Brocher Summer Academy on Ethical, Legal and Social Issues in ARTFondation Brocher
The Brocher Summer Academy brings together distinguished professors
from different disciplines and countries and highly promising researchers
willing to acquire a strong background on a ELSI in ART. It gives the
participants a rare opportunity to meet personally and exchange ideas
with many established international professors in an intimate and
collegiate atmosphere.
The sessions take place at the Brocher Centre in Geneva, Switzerland in
an amazing and peaceful environment on the shore of the Lake of
Geneva.
It’s important to define what Primary Care is and the priorities and
context in which Primary Care works.
After few but important and cornerstone words on Primary Care
as in Alma Ata Declaration, we needed a Document defining what
General Practice is and its competencies, a really authoritative
view on what family doctors in Europe should be providing in the
way of services and health to patients, at the highest quality and
cost effective
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. “To talk about fertility
is to talk about life, it
is to talk about family.
“
MEP Ramón Luis Valcárcel Siso,
European Parliament Vice-President
On28March2017,
MEPNoricaNicolai(ALDE),hosted
alauncheventforthefirstPolicyAudit
onFertility–Analysisof9EUCountries.
Thereport,sponsoredbyMerck,waswritten
byFertilityEurope(FE)andtheEuropeanSociety
ofHumanReproductionandEmbryology(ESHRE),
resultedinaconstructiveroundtablediscussion
addressingnotonlythechallengessurrounding
infertility,butalsowhatcanbedonetosolvethem.
Close to 100 participants gathered
together to participate in the growing
debate around reproductive rights.
In welcoming participants, MEP
Nicolai discussed the importance
of addressing the challenges posed
by infertility in Europe, stressing
that infertility is a medical condition
that needs national legislative
frameworks. She called on, not only
experts and researchers, but also
patients affected by infertility. Her
welcome address was echoed by
European Parliament Vice-President,
MEP Ramón Luis Valcárcel Siso (EPP,
SP), who contributed a video
message to the event.
‘The debate regarding infertility is,
increasingly relevant due to demographic
challenges that test oursocial model.”
MEP Ramón Luis Valcárcel Siso spoke to
the necessity of tackling this challenges
forthe well-being of future generations,
highlighting that infertility not only affects
women but also men. He went on to say
that both politicians and medical specialists,
without forgetting patients, can do more
to coordinate at the European Union level,
nationally and regionally.
Moderator,MsTamsinRose, facilitated
an engaging debate, guiding the audience
through various presentations on key issues.
MsIsabelleChandler,FE, presented the
perspective and underlying needs of the
25 million people affected by infertility in
Europe. She stressed that infertility remains
a social taboo and stigma that permeates
life in many ways. She went on to say that
the issue remains largely underestimated
and misunderstood, and that treatment
access is not equitable across EU countries.
“Thelaunchofthispolicyauditisa
uniqueopportunitytoputafocus
onthisissue.Peopletakefertility
forgranted.Infertilityresultsfrom
amedicalconditionandithas
professional,psychologicaland
socialconsequences.”
FE advocates foruniversal access,
developments in research and a bioethics
legal framework. FE needs to be supported
by otherstakeholders in its advocacy
campaigns.
DrKerstiLundin,ESHRE, presented
theiractivities and the mission of ESHRE,
emphasizing that rights and an individual’s
ability to access treatment are not equal
among EU MS (e.g. few countries have
plans forreimbursements regarding
treatments). A big step forward is needed
to raise awareness among memberstates
in a way that provides a clearview of the
situation.
“Thisisaveryimportantreport
showingdifferencesregardingfertility
treatmentsaccess.Isincerelyhope
thatwecanmakeadifference.”
ESHRE’s mission is to promote interest on
reproductive health and science through
outreach and communication with
professionals, patients and policy-makers.
MrMartinPowell introduced the world’s
first IVF conceived baby, Louise Brown. He
recalled Louise’s motherand herstrong
desire to have a baby.
“LeslieBrownwastherealpioneerby
beingthefirstwomantosuccessfully
conceiveababythroughIVF.”
MsLouiseBrown,theworld’s1stIVF
conceivedbaby, stressed the importance
of scientific advances in the field of
reproductive medicine. She called for
medical assistance to be provided to those
who cannot conceive, because infertility is a
health issue. Recalling that hermother, first
went to the doctornot forherinfertility issue
but fordepression.
“IVFisnotaboutmakingbabies,itis
aboutcreatingfamilies.”
THE WORKSHOP
WELCOMED
PRESENTATIONS BY:
RECOGNITION OF
AN ISSUE THAT AFFECTS
MILLIONS OF CITIZENS
IN THE EUROPEAN
UNION
PRESENTATIONS
Ms Isabelle Chandler,
Policy and Government
Relations Adviser Fertility
Europe (FE),
Dr Kersti Lundin,
Chairman of the European
Society of Human Reproduction
and Embryology (ESHRE),
Ms Louise Brown,
world’s 1st IVF conceived baby,
Ms Helen Kendrew,
Ex Officio Chair Paramedical
Group and Executive Committee
Member, European Society
of Human Reproduction and
Embryology (ESHRE),
Ms Monika
Bulmańska-Wingett,
Member of the WGs POLI and
COMM Fertility Europe (FE)
POLICY AUDIT ON
FERTILITYAnalysis of 9 EU Countries
REPORT LAUNCH
Ms I. Chandler
Ms I. Chandler
MEP N. Nicolai
MEP B. Becerra Basterrechea
and Ms L. Brown
Dr K. Lundin Ms L. Brown
3
3. To conclude the roundtable session,
MEP Beatriz Becerra Basterrechea
(ALDE, ES), contributed to the debate
with her insights. The idea of family
has changed. Science and society are
evolving and the law needs to keep up.
The role of the MEPs is to find solutions
to citizens’ problems.
She suggested a few ways of
addressing the issue of infertility
at the EU level:
Given its psychological impact, infertility
could be addressed through EU mental
health policies;
Infertility should be included in the EU
public health agenda as well as in the
genderequality and employment agenda;
Through a bettercoordination among
countries to improve fertility policies and
in particularto abolish discrimination and
existing barriers;
To address infertility with a holistic
approach, accounting forits many health,
social, and economic factors;
To promote awareness campaigns and to
engage decision makers, institutions and
stakeholders;
To recognise that infertility is not an
individual problem but it affects the whole
society and it is closely related to economy
and welfare;
To respect and guarantee sexual health
and reproductive rights as human rights.
5
Ms Helen Kendrew, ESHRE, presented
the findings of the policy audit, giving
an overview of the analysis with specific
examples from the UK. The study was
conducted through a questionnaire, sent
out to patients and doctors across the 9
EU countries.
“InfertilityisdefinedbyWHOas
amedicalproblem,affecting1on
6couplesworldwide…Despite
thesefiguresthereisanenormous
underestimationofthepsychological
burdenontheNHS.”
MsMonikaBulmańska-Wingett, FE,
presented the patients’ perspective on the
policy audit.
“The most crucial issue regarding
infertility and infertility policies is
access to treatment and the fact
that it is often limited by availability
of treatments, eligibility criteria
and state funding/reimbursement.
Limitations are only justified when
they improve safety, efficacy and
fairness. They are not justified
when they create discrimination
against life choices, like postponing
parenthood or being single, against
sexual orientation and when they are
based on ideology- or religion-driven
decisions rather than ethics and EBM
(evidence based medicine).”
The primary consequence of differences
in EU MS legislations is the so-called
medical tourism. This is not a problem per
se, but it becomes an issue when people
are forced to seek treatment in a different
country because it is not provided in their
home country.
Furthermore, severe limitations are
imposed on single women in many
EU MS. Ms Bulmańska-Wingett
pointed out the next steps to be taken:
To recognise and follow up on the patients’
needs;
To be inclusive and fight discrimination;
To provide universal, fairand safe
treatment;
To develop scientific research;
To promote dialogue with all the
stakeholders and to boost stakeholders’
support towards patients. “Limitations
are only justified when they improve
safety, efficacy and fairness of
treatment for all involved.”
Nicole Brunel, SOS Infertilitatea Romania,
was glad that Romania was included in
the audit and she raised the issue of the
Romanian situation regarding fertility
policies. Up until 2008, there was a
different legislative framework in place
in Romania. Advocacy organisations
in Romania have developed many
campaigns to raise awareness about
infertility problems and invested a lot
in education and communication, also
through social media.
Themoderator,TamsinRose,invitedthe
nationalrepresentativestointerveneto
thedebatewithexperiencesandinsights
fromtheircountries.ThePermanent
RepresentationsofRomaniaandItalytothe
EUprovidedtheircontributiontothedebate.
Mr Stefan Staicu, Health Attaché
Permanent Representation of Romania
to the EU, expressed his gratitude forthe
work that is being done. He stressed that
there is room forimprovement in Romania,
but it is also important to recognise the
results achieved so farin his country, in
terms of legislative framework addressing
fertility issues.
“Romania faces many demographic
challenges and more efforts need to
be put in place to invert the decreasing
trend in population growth.”
Dr Pasqualino Rossi, Health Attaché
Permanent Representation of Italy
to the EU also commented, reporting
insights on the debate in Italy, steaming
from religious influences in the political
arena. Another issue of concern in Italy
is represented by the conscientious
objectors’ phenomenon, which
complicates the situation.
An FE representative drew attention
to the difficulties people affected by
infertility encounter in the workplace.
There is lack of support for people
undergoing fertility treatment, putting
them at a greater risk of discrimination
in the workplace.
Marc Scheijven welcomed the policy
audit and expressed his surprise at
the results of the audit; not expecting
so much variation amongst EU MS
legislations. He also introduced the issue
of anonymity, stating a child’s right to
know their genetic origin.
The moderator, Tamsin Rose, also
invited the representative of DG SANTE,
Mr Catalani, to take the floor and
explain the current situation from the
Commission perspective.
“DG SANTE is aware of the
discrepancies in legal frameworks
among the Member States.”
The Commission has started an
evaluation process of the existing
legislation and will launch an open
consultation (spring 2017) on the
Directive on Human Tissues and Cells
and corresponding directives.
PRESENTATIONS
Q&A
Ms M. Bulmańska-Wingett
Ms T. Rose MEP B. Becerra Basterrechea
Ms H. Kendrew
MEP N. Nicolai
Dr P. Rossi
4. Supported by:
MEP Beatriz Becerra
Basterrechea (ALDE, ES)
stressed the need to raise
awareness and engage with
different stakeholders and she
welcomed the engagement of
Merck. She referenced a written
question on EU action in the field
of reproductive medicine. The
answer was that competence in
this field is with the member states.
The EU can support the action of
Member States. Particularly in the
field of reproductive medicine,
the EU acted with the Directive on
quality and safety of human tissues
and cells. She also highlighted the
need to talk about employment
policies regarding infertility, and
the need for better coordination
to abolish the existing barriers
to non-discriminatory working
environments. Lastly, she raised
the issue of surrogacy, an issue
that requires addressing.
Raise awareness to combat
stigmatization of patients
affected by fertility issues.;
To secure state-funded
fertility treatment in all EU
countries.
MEP N. Nicolai and Ms L. Brown
Media coverage was provided by:
Euronews:
http://www.euronews.com/2017/03/28/numerous-
barriers-in-accessing-eu-infertility-services
Euractiv:
http://www.euractiv.com/section/health-consumers/
video/worlds-first-ivf-baby-addresses-infertility-
hold-until-image-insert/
Suddeutsche Zeitung:
http://www.sueddeutsche.de/leben/kuenstliche-
befruchtung-zu-besuch-beim-ersten-retortenbaby-
der-welt-1.3441928
MEP B. Becerra Basterrechea
FINAL GOALS: