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State of the Arts of Services  in Europe:  where are the problems ? 5the European Conference on Rare Diseases 2010 Krakow, Poland, 13 may 2010 [email_address] Paris, France
[object Object],[object Object],[object Object],[object Object],Services addressing rarity ,[object Object],[object Object],National policy and  social forums Access to innovative  therapies Support to  patient groups ,[object Object],[object Object],[object Object],[object Object],Funding for network  and registries Neonatal screening for  additional diseases if relevant Specialised centres for  disability due to RD  ,[object Object],[object Object],[object Object],Neonatal screening for PKU  and hypothyroidism Centres of expertise  by disease / group of diseases ,[object Object],[object Object],Networks of laboratories  by level / External  quality assessment AVAILABILITY OF SERVICES AFFORDABILITY OF SERVICES
National Centres of Expertise
Designated centres of expertise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
European Networks Call for proposals from DG Public Health since 2007 Calls for proposals from DG Research  since 2000
Current Pilot European Reference Networks of Centres of Expertise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome so far…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Molecular genetics services
Diagnostic tests are part  of quality healthcare ,[object Object],[object Object],[object Object]
Major progresses in gene identification translated into diagnostic tests Number of genes tested by country Number of diseases tested by country
Genes tested  in the greatest number of laboratories ,[object Object],[object Object],[object Object],[object Object]
Quality Assurance of genetic services  ,[object Object],CPA standards 24 CCKL guidelines ISO 15189 ISO 17025 7 37 25 14 1 ,[object Object],[object Object],[object Object]
Availability of innovative treatments
Availability at national level in 2007  of the 22 first OMPs authorised at EU level  before 1 January 2006  (source: Eurordis Survey) 20-21 15-19 10-14 5-9 0-5
Information services
Information sources  at country level  ,[object Object],[object Object],[object Object],Country  National information centres National helplines Bulgaria x x Denmark x x Finland x France x x Germany x Italy x x Norway x x Sweden x Spain x x UK x x
Supported by DG Sanco (Orphanet contract) Supported by DG Research (RDPlatform contract
A common portal / A diversity of sources
Challenges/Opportunities  for Orphanet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sources of data for clinical research
395 Registries as strategic tools Number of patient registries per country ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of Patient Registries
60 International Patient Registries    around a medicinal product ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Policy to develop services in MS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Report on initiatives and incentives 2009 www.eucerd.eu

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Session 2 segolene_ayme