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dossier SWD(2012)142 - Implementation of the Health Programme in 2010.
document SWD(2012)142
datum 23 mei 2012
agreements with international organisations — awarded to international organisations active in the area of public health: the Organisation for Economic Cooperation and Development (OECD), the World Health Organization (WHO), the Council of Europe, the International Agency for Research on Cancer (IARC) and the European Observatory on Health Policies and Health Systems. The maximum EU contribution is 60%.

• Procurement (service contracts): these are used to purchase services, such as evaluations, studies, data procurement and IT applications. The Health Programme covers the full cost of these.

Competitive selection and award procedures are used to select actions for funding, with the exception of direct grant agreements and conferences organised by Council Presidencies.

Administrative credits cover expenditure such as studies, meetings of experts, information and publication costs, and technical and administrative assistance for IT systems.

OJLC 358, 31.12.2010, p. 23.

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4. Implementation of the operational budget by financing mechanism

Number of grants / contracts signedType of financing mechanismImplementation

£
Share of mecnanism in total executed

budget
Call for proposals:ir hi /ill nn 35.313.433.0075.27 vo
zUProject grantslo. zz5.jz4.UUO /I con/
11Conference grantsonn 1 1 O

oyy. j jy.uu
i no o/ l.yzyo
yOperating grantsz.jzz. / /4.UU/i nc 0/ 4.y5 %
1 n

1U
Grants for joint actionsi c qac noA c\c\i i 00 0/ j j.öz 70
i n 1UDirect grant agreements4CAA AAA AA

2.600.000.00
E E 4 O/

5.54 %
Procurement (service contracts)Q *>11 Jl 1 AA

8.231.411.00
17.55 vo
Scientific Committees270.000.000.58 %
Other: JRC500.000.001.07 %
FvprntpH huHpct in 201046 914 844 00
Total available budget47 365 553 00
Credits not used (pre-accession credits not yet used, differences between amounts in the award decision and amounts actually contracted)450.709.00
Level of budget execution99.05 %

Call for proposals

for proposals consists of the following parts: a call for proposals for projects, a call for proposals for conferences, a call for proposals for operating grants, a call for proposals for joint actions.

5

The call was launched on 22 December 2009 and closed on 19 May 2010. Announcements were published in the Official Journal5, the Public Health Europa website6 and the EAHC website7.

On 13-14 January 2010 the EAHC organised a workshop in Luxembourg on how to prepare project proposals. Participation was open to those planning to submit proposals. In addition, 11 Member States organised national information days. Guides for applicants were made available on the EAHC website. The EAHC helpdesk also provided assistance and practical help.

In all, 177 applications were submitted for requested funding totalling EUR 117.858 million. The proposals were evaluated in accordance with the rules and criteria set out in Commission Decision 2009/964/EU and the calls for proposals. The proposals were reviewed by 39 external experts drawn from a list that was established following a call for expressions of interest 'Experts for the second programme of Community action in the field of health in various evaluation activities'8.

The evaluation took place in two stages.

In the first stage, three external evaluators reviewed each proposal, and the Commission departments assessed the policy relevance of each of the proposed projects.

In the second stage, an evaluation committee checked that the evaluators had adhered to the relevant rules and criteria. It then drew up final lists of proposals recommended for funding together with reserve lists. The evaluation committee comprised representatives from the Directorate-General for Health and Consumers, the Directorate-General for Research and Innovation, Eurostat and the EAHC.

At its meeting on 7 July 2010 the committee of the second programme of Community action in the field of health (2008-13) issued a favourable opinion on the activities proposed for funding. The Commission adopted the related awarding Decision on 27 October 20109.

Following the amendment of the 2010 work plan on 22 December 2010, a number of additional projects and one joint action were funded from the reserve lists which had been drawn up.

4.1.1. Project grants

In all, 115 proposals were submitted in response to the call for proposals for projects and 17 proposals were recommended for funding. Three proposals were placed on a reserve list. In the end, 20 projects were funded for a total of EUR 16225 324. Their distribution among the programme objectives was as follows:

OJC 313, 22.12.2009, p. 16. .

http://ec.europa.eu/health/programme/application/index_en.htm. http://ec.europa.eu/eahc.

OJ S 28, 9.02. 2008 and http://ec.europa.eu/phea/phea_ami/. http://ec.europa.eu/health/programme/docs/award_decision2010.pdf.

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- Health security:

EUR 3 534667 (5 projects)

- Health promotion, including the reduction of health inequalities: EUR 12 083 314 (14 projects)

- Health information: EUR 607343 (1 project).

A table in Annex 1 lists the projects funded. The EAHC database, which is publicly accessible on the Internet10, provides abstracts of these.

4.1.2. Conference grants

Apart from 2 Presidency conferences, 27 proposals were submitted in response to the call for proposals for conferences. Of these, 8 were recommended for funding and 2 were put on the reserve list. In the end, 11 conferences were funded for a total of EUR 899339: two Presidency conferences, one under the Belgian Presidency and one under the Hungarian Presidency, and 9 conferences under the call for proposals. The distribution among the programme objectives was as follows:

- Health promotion: EUR 456369 (4 conferences)

- Health information: EUR 442 970 (5 conferences).

The issues addressed in the conferences which were funded included cancer, child health, HIV, injury prevention and patients' rights. A table in Annex 2 lists the conferences funded. The EAHC database provides abstracts of these.

The conference organised by the Belgian Presidency focused on chronic diseases, and the conference organised by the Hungarian Presidency focused on prevention.

4.1.3. Operating grants

A total of 25 proposals were submitted in response to the call for proposals for operating grants. Of these, 6 were renewal applications. In the end, 9 proposals — 5 new proposals and 4 renewal proposals — were funded for a total of EUR 2322774. They all came under the objective 'Health promotion'.

New operating grants were awarded to: Assistance publique des höpitaux de Paris (rare diseases networks: porphyria); Assistance publique des höpitaux de Paris (rare diseases networks: Wilson's disease); the Association of Schools of Public Health in the European Region; European Alcohol Policy Alliance and Stichting Health Action International. Renewals were awarded to: Alzheimer Europe; the European Organisation for Rare Diseases; European Public Health Alliance and Stichting Aids Fonds — Soa Aids Nederland.

Annex 3 contains a table listing the operating grants which received funding. The EAHC database provides abstracts of these.

http://ec.europa.eu/eahc/proiects/database.html.

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4.1.4. Joint actions

2010 was a record year for joint actions, with 10 being funded for a total of EUR 15 865 996. They were distributed among the programme objectives as follows:

- Health security: EUR 3 600 573 (2 joint actions)

- Health promotion: EUR 10626371 (6 joint actions)

- Health information: EUR 1 639052 (2 joint actions).

These joint actions, with the participation of a large number of Member States and third countries taking part in the Programme, focused on: Alzheimer's; eHealth; European Health and Life Expectancy Information System; cancer; health inequalities; surveillance of congenital anomalies; injury monitoring; organ donation and transplantation; rare diseases and orphan medicines; and the detection of highly infectious pathogens.

All the joint actions selected for funding were signed between 30 December 2010 and 1 August 2011.

Annex 4 contains a table listing the joint actions which were funded. The EAHC database provides abstracts of these.

4.2. Direct grant agreements with international organisations

In all, 5 direct grant agreements were signed for a total of EUR 2 600 000 with the following international organisations:

- Council of Europe — cooperation on substances of human origin;

- European Observatory on Health Policies and Health Systems — Commission membership fee to the Observatory;

- International Agency for Research on Cancer — data, information and knowledge on cancer;

- Organisation for Economic Cooperation and Development — cooperation on key areas of the OECD Health Committee;

- World Health Organization — joint data gathering on the alcohol situation and policies in the Member States.

A table in Annex 5 lists the direct grant agreements which were funded.

4.3. Procurement (service contracts)

Altogether, 79 service contracts were signed for a total of EUR 8231411. They were distributed among programme objectives and IT applications in support of programme implementation as follows:

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Programme objectiveTenders / contracts SANCOTenders / contracts EAHCTotal
Health Security596.703763.9011.360.604
Health Promotion1.521.4381.312.1752.833.613
Health Information1.792.749629.0952.421.844
Information technologies1.615.35001.615.350
Total5.526.2402.705.1718.231.411

These service contracts covered needs as specified in the work plan for 2010: evaluation and monitoring; studies; provision of advice, data and information on health; scientific and technical assistance; communication and awareness-raising activities and IT applications in support of policy design and implementation.

A table in Annex 6 lists the service contracts which were funded.

4.4. Scientific Committees

The objective of Scientific Committees is to provide the Commission with high quality, independent advice on health risks. Funding from the Health Programme supports the functioning of Scientific Committees in accordance with Commission Decision 2008/721/EC11. Special indemnities are paid to experts for taking part in meetings and their work on scientific opinions.

A sum of EUR 270000 was earmarked for this in 2010.

4.5. Other

Based on an administrative agreement with the Joint Research Centre (JRC), a sum of EUR 500000 went towards work on the Health Emergency and Diseases Information System (Hedis) and the Medical Intelligence System (Medisys).

5. Implementation of the operational budget by programme objectives 5.1. Global budget consumption in 2010

The graph below illustrates the consumption of the budget in 2010 according to the three programme objectives: Health Security, Health Promotion and Health Information. It also covers IT spending and shows the unused budget.

In the following sections the graphs and tables give details of budget consumption according to the three programme objectives.

OJL241, 10.9.2008, p. 21.

9

Implementation of 2010 Health Programme budget per main objective

Non-implemented budget;

Health Promotion; 29.722.441; 63%

10

5.2. Health security — EUR 9.365.844 - 20 % of the operational budget in 2010

Health Security: distribution of committed amounts per priority

Safety of substances of human origin; 8%

Enhancing r capacity

HEALTH SECURITY
Prevention and control of communicable diseases4.712.698.00
Emergency preparedness2.276.904.00
Enhancing response capacity1.226.491.00
Scientific advice429.383.00
Safety of substances of human origin720.368.00
TOTAL9.365.844.00
Health Programme budget in 201047.365.553.00

11

5.3. Health promotion EUR 29.722.441 - 63 % of the operational budget in 2010

Health Promotion: distribution of committed amounts per priority

Public health

HEALTH PROMOTION
Public health capacity building120.266.00
Reduction of health inequalities2.012.743.00
Children and young people98.512.00
Health and work587.575.00
Nutrition and physical activity1.993.418.00
Mental health3.420.534.00
Major and chronic diseases6.017.458.00
Rare diseases9.005.328.00
Sexual health and HIV-AIDS1.239.960.00
Tobacco489.432.00
Alcohol1.124.441.00
Illicit drugs900.000.00
Injury prevention1.712.774.00
TOTAL29.722.441.00
Health Programme budget in 201047.365.553.00

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5.4.

Health information —

EUR 6.211.209 - 13 % of the operational budget in 2010

Health Information: distribution of commited amounts per priority

Analysis and reporting;

European H Information S;

40,2%

HEALTH INFORMATION
Exchange knowledge and best practice568.840.00
Collect, analyse and disseminate health information2.810.425.00
European Health Information System2.494.357.00
Dissemination and application of health information332.787.00
Analysis and reporting4.800.00
TOTAL6.211.209.00
Health Programme budget in 201047.365.553.00

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ANNEX 1 -Project grants (signed and committed)

HEALTH SECURITY
3.2.1.1. Prevention and control of communicable diseases
AcronymTitleAmount
HProImmunePromotion of immunisation for Health Professionals in Europe603 900
EU-HEP-SCREENScreening for Hepatitis B and C among migrants in the European Union+792816
3.2.1.2. Emergency preparedness
FLURESPCost-effectiveness assessment of European influenza human pandemic alert and response strategies699220
PHASEPublic Health Adaptation Strategies to Extreme weather events744038
3.2.1.3. Enhancing response capacity
TUBIDUEmpowering Civil society & Public Health system to fight tuberculosis Epidemic Among Vulnerable groups694693
Total3534667
HEALTH PROMOTION
3.3.2. Promote healthier ways of life and reduce major diseases and injuries by tackling health determinants
3.3.2.2. Health and work
PHWorkPromoting Healthy Work for Employees with Chronic Illness — Public Health & Work587 575
3.3.2.3. Nutrition and physical activity
MOVEEuropean Physical Activity Promotion Forum676020
SALUSA European network to follow up the reformulation of food. Identification & Exchange of good practices for SMEs & Consumers834688
3.3.2.5. Mental health
PRO YOUTHPromotion of young people's mental health through technology-enhanced personalisation of care930378

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EUROGENASEuropean regions enforcing actions against suicide750000
PREDI-NUPreventing Depression and Improving Awareness through Networking in the EU1099032
3.3.2.7 Prevention of major and chronic diseases and rare diseases
Major and chronic diseases
EuroHeart IIEuropean Heart Health Strategy II1 149364
Rare diseases
E-IMDEuropean registry and network for Intoxication type Metabolic Diseases779746
EURO-WABBAn EU rare diseases registry for Wolfram syndrome, Alstrom syndrome & Bardet Biedl syndrome900000
EPIRAREBuilding Consensus and Synergies for the EU Registration of Rare Disease patients661402
EUReMSEuropean Register for Multiple Sclerosis — A tool to assess, compare and enhance the status of people with MS throughout the EU987198
3.3.2.4. Sexual health and HIV-AIDS
SIALON IICapacity building in combining targeted prevention with meaningful HIV surveillance among MSM989960
3.3.2.6. Addiction prevention
Illicit drugs
NEW ImplementationNightlife Empowerment and Well-being Implementation project900000
3.3.2.9. Injury prevention
TACTICSTools to address childhood Trauma, Injury and Children's Safety837951
Total12083314
HEALTH INFORMATION
3.4.2. Collect, analyse and disseminate health information
EURO-PERISTATPromoting better health for mothers and babies through routine European monitoring of perinatal health and health care607343
Total607343
TOTAL PROJECTS16225324

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ANNEX 2 — Conference grants (signed and committed)

HEALTH PROMOTION-
3.3.1. Foster healthier ways of life and reduce health inequalities
3.3.1.3. Reduction of health inequalities
AcronymTitleAmount
Bridges for CHILDCHILD-Combating Health Inequalities in Life-threatening diseases96500
3.3.2. Promote healthier ways of life and reduce major diseases and injuries by tackling health determinants
3.3.2.1. Children and young people
YEP — Youth Cancer ConferenceCancer Education and Awareness for all Young People49869
3.3.2.6. Addiction prevention — Tobacco
ECToH2011European Conference on Tobacco or Health 201150000
3.3.2.9. Injury prevention
InjuryConf-2011Tackling the challenges of implementing good practices in safety promotion — EUROSAFE85 000
Presidency conferences
Chronic diseases — BEInnovative approaches for chronic illness in Public health and healthcare systems100000
PREVACT — HUAction for Prevention75 000
Total456369
HEALTH INFORMATION
3.4.1. Exchange knowled^e and best practice
AIDS 2011HIV in Europe — unity and diversity100000
cccContinuing Cancer Care20845
Copenhagen 2011Fourth Joint European Public Health Conference150000
EU Patients and Rights Day5th European Patients and Rights Day: Putting Citizens at the Centre of EU Health Policy75125
FEMP2011Men, Men, Sex and HIV 2011 — The Future of European MSM Prevention100000

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Total442970
TOTAL CONFERENCES899339

EN

17

EN

ANNEX 3 -Operating grants (signed and committed)

HEALTH PROMOTION
3.3.1. Foster healthier ways of life and reduce health inequalities
3.3.1.2. Public health capacity building
AcronymTitleAmount
EPHAEuropean Public Health Alliance — renewal OG 2009550000
HAIStichting Health Action International218000
ASPHERThe Association of Schools of Public Health in the European Region160000
3.3.2.7. Prevention of major and chronic diseases and rare diseases
Major and chronic diseases
AEAlzheimer Europe — renewal OG 2009200000
Rare diseases
AP-HP WILSONRare diseases network — Wilson's disease; Assistance publique des höpitaux de Paris168160
EURORDISEuropean Organisation for Rare Diseases — renewal OG 2009580000
AP-HP PorphyriaRare diseases network — Porphyria; Assistance publique des höpitaux de Paris99250
3.3.2.4. Sexual health and HIV-AIDS
SANLStichting Aids Fonds ~ Soa Aids Nederland — renewal OG 2009250000
3.3.2.6. Addiction prevention
Alcohol
EUROCAREEuropean Alcohol Policy Alliance99000
TOTAL OPERATING GRANTS2322774

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ANNEX 4 -Joint actions (signed and committed)

HEALTH SECURITY
3.2. Improve citizen's health security
3.2.2. Improve citizen's safety
AcronymTitleAmount
MODEMutual Organ Donation and Transplantation Exchanges293 060
3.2.1.1. Prevention and control of communicable diseases
QUANDHIPQuality Assurance Exercises and Networking on the Detection of Highly Infectious Pathogens3315982
Total3600573
HEALTH PROMOTION
3.3.1. Foster healthier ways of life and reduce health inequalities
3.3.1.3. Reduction of health inequalities
EQUITY ACTIONJoint Action on Health Inequalities1700000
3.3.2.7 Prevention of major and chronic diseases and rare diseases
Major and chronic diseases
EPAACEuropean Partnership for Action Against Cancer3212278
ALCOVEALzheimer Cooperative Valuation in Europe638163
Rare diseases
EUROCATEuropean Surveillance of Congenital Anomalies1106302
ORPHANETEuropean portal of rare diseases and orphan drugs3 295 857
3.3.2.9. Injury prevention
JAMIEJoint Action on Monitoring Injuries in Europe790773
Total10626371
HEALTH INFORMATION
3.4.2. Collect, analyse and disseminate health information
EHLEISEuropean Health and Life Expectancy Information System643 259

19

3.4.2.1. European Health Information System
JA- EHGovJoint Action eHealth Governance Initiative1001970
Total1639052
TOTAL JOINT ACTIONS15865996

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ANNEX 5 -Direct grant agreements with international organisations (signed and committed)

HEALTH SECURITY
3.2.2.3. Safety of substances of human origin
OrganisationTitleAmount
Council of EuropeCooperation with the CoE on specific matters related to human substances100000
Total100000
HEALTH PROMOTION
3.3.2. Promote healthier ways of life and reduce major diseases and injuries by tackling health determinants
3.3.2.7. Prevention of major and chronic diseases and rare diseases
Major and chronic diseases
I ARCData, information and knowledge on cancer800000
3.3.2.6. Addiction prevention
Alcohol
WHOCooperation 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 States600000
Total1400000
HEALTH INFORMATION
3.4.2. Collect, analyse and disseminate health information
OECDCooperation on key areas of work of the Health Committee of the OECD600000
ObservatoryEuropean Observatory on Health Policies and Health Systems — Membership Fee500000
Total1100000
TOTAL DIRECT GRANTS2600000

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ANNEX 6 — List of service contracts — procurement (signed and committed)

HEALTH SECURITY-
3.2.1.2. Emergency preparedness
TitleAmount
Organisation of training of staff and conducting exercises at European level as a fundamental element of preparedness — HPA333 646
3.2.1.3. Enhancing response capacity
Developing evidence-based, scientifically validated public health counter-measures243 610
Establishing risk assessment networks of toxic industrial chemicals and radioactive threats and risks249534
Specific contract lab exercises38654
3.2.2.2. Scientific advice
Literature search — publications health and environment12372
Editorial guidelines layout opinions8 847
Editorial work on rules of procedure for scientific committees1577
Investigate the scientific basis for the term 'nanomaterials'7171
Literature search for sources on mixture toxicity8306
Editorial support for the SCENIHR opinion on nanomaterials2763
Editorial support — food-imitating products2763
Editorial support for the SCENIHR opinion on weight of evidence2154
Editorial work on SCENIHR opinion — artificial light3381
Editorial support for opinion on TTC2000
Editorial support for opinion on fluoridation2309
Editorial support for opinion on risk assessment1536
Web-based text - opinion of non-food committee17645
Literature search — nitrosamine11439
Literature search — nitrosamine14023
Data on nano effects12310
Literature search — nanomaterials in medical devices11137
Complementary commitment for Media Consulta 200913 500

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Literature search — health effects of swimming pools4835
Literature search — health effects of aircraft cabins4835
CD Rom and newsletter8177
Synthetic biology workshop6303
3.2.2.3. Safety of substances of human origin
Training health professionals270757
Banner organ donation18756
Workshop 2011 — Ligaris on organ donation23 000
Workshop 2011 — Ligaris on organ donation23 264
Total1360604
HEALTH PROMOTION
_

3.3.1. Foster healthier ways of life and reduce health inequalities
3.3.1.2.Public health capacity building
Expertise, advice and production of scientific data58796
Use of existing framework contract with the EPHA for the Health Forum134106
3.3.1.3. Reduction of health inequalities
Preparation of a report on health inequalities in the EU249948
3.3.2. Promote healthier ways of life and reduce major diseases and injuries by tackling health determinants
3.3.2.1. Children and young people
Conference on Youth Health Initiative 2010 — Food for Mind — Mind for Health — 22-24/10/2010 — Torino48643
3.3.2.3. Nutrition and physical activity
Sharing of know-how on Community based initiatives to reduce overweight and obesity74294
Belgian Presidency Conference on Nutrition 8-9.12.2010 — Ligaris99815
Use of existing framework contract with EVENT TECH for nutrition and physical activity233 601
3.3.2.5. Mental health
Study, in three parts, assessing mental health systems, situations and outcomes in Member States299507
Berlin Conference on mental health — 3-4/3/201199300
Scientific contract for conference in Berlin on mental health72594
Conference in Lisbon, expert advice, production of scientific documentation69729

23

Organisation of Lisbon conference99994
3.3.2.7 Prevention of major and chronic diseases and rare diseases
Rare diseases
Orphan medicines181295
Orphan medicines — 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 medicines247118
3.3.2.6. Addiction prevention
Tobacco
Support for the implementation of EU policy on tobacco control, in particular in raising awareness of health risks5 000
2 studies on cigarette packaging369000
Availability, accessibility, usage and regulatory environment for new tobacco and nicotine products65432
Alcohol
EU-wide overview of the market and regulation regarding types of alcoholic beverages with particular appeal to minors99979
Studies on the affordability of alcoholic beverages94602
European Alcohol & Health forum — scientific work first semester89392
European Alcohol & Health forum115568
Assessing quality of 2010 monitoring activities by members of EAHF25 900
Total2833613
HEALTH INFORMATION
3.4.1. Exchange of knowledge and best practice
Participation in the 20th IUHPE world conference on health, Geneva125 870
3.4.2. Collect, analyse and disseminate health information
Evaluation of the impact of Structural Funds investments on health gains467570
5 Eurobarometers (electromagnetic fields, rare diseases, mental health, patients' rights, tobacco)1098354
3.4.2.1. European Health Information System
Mutual Recognition of Medical Prescriptions: State of Play161525
Study in support of the identification and development of a non-exhaustive list of elements to be included in prescriptions110938

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Level 1 commitment for WIKI project120000
3.4.2.2. Dissemination and application of health information
Provisional journalist prize25 000
Publication Journal: Promotion of the portal on the Agenda of Journalists of Italy1600
Publication Journal: Promotion of the portal on the Agenda of Journalists of BE NL1250
Publication Journal: Promotion of the portal on the Agenda of Journalists of BE FR1250
Video and DVD 'Health in all policies'57970
Schema directeur comm36318
Conference on global health Banner17674
Third European Public Health Conference26764
European Health forum Gastein 6-9 Oct 2010164961
3.4.3. Analysis and reporting
Impact of youth health on EU economy4800
Total2421844
IT applications in support of programme implementation
Service providers1615350
Total1615350
TOTAL PROCUREMENT (SERVICE CONTRACTS)8231411

25

Appendix Annual Report 2010 Key results of actions funded under the Health Programme

EN

1

EN

TABLE OF CONTENTS

1. Health Security.............................................................................................................3

1.1. European Union Standards and Training for the Inspection of Tissue Establishments — project......................................................................................................................3

1.2. Increasing Public Health Safety for the External Borders of an Enlarged European Union — project...........................................................................................................4

1.3. European Network for Highly Infectious Diseases — project.....................................4

2. Health Promotion.........................................................................................................5

2.1. EuroHeart — proj ect....................................................................................................5

2.2. Europl an — proj ect......................................................................................................6

2.3. European Organisation for Rare Diseases (EURORDIS) — operating grant..............7

2.4. Alzheimer Europe — operating grant..........................................................................8

3. Health information.......................................................................................................9

3.1. EU Network on Health Technology Assessment — Joint action................................9

3.2. eHealth Presidency Conference.................................................................................10

2

The following projects produced key results in 2010 and represent all strands. 1. Health Security

1.1. European Union Standards and Training for the Inspection of Tissue Establishments — project

http://www.sohovs.org/soho/mod/resource/view.php?id=43

Programme Objective: Health Security. Area: Substances of human origin.

The project was funded under the first Public Health Programme 2003-2008, under the 2005 work plan, with total cofunding from the EU of €1.226.827. It started in December 2006 and ended in December 2009.

Background information

The European Union Standards and Training for the Inspection of Tissue Establishments project (EUSTITE) is an example of EU-wide cooperation in the area of public health directly related to EU legislation, and specifically Directive 2004/23/EC on substances of human origin and its associated implementing directives. To ensure the quality and safety of blood, tissues and cells, all Member States are obliged to comply with the standards laid down in EU legislation.

The objective of the project was to review the standards and methods applied by the national competent authorities in the inspection and authorisation of tissue procurement and tissue establishments within the EU, by bringing together a wide consortium of 11 organisations from 10 EU Member States and the World Health Organization, to analyse their advantages and disadvantages.

Main achievements

The project produced significant results, based on an initial analysis which showed that national inspection systems are at very different stages of development and highlighted the considerable disparities between Member States in the implementation of common legislation.

While recognising these differences in approach and acknowledging their advantages and disadvantages in national practice, the project contributed to the need for guidelines and training on how to conduct inspections in order to ensure a common approach. This approach was strengthened as a result of the following deliverables and guides made available in 2010.

• Guidelines for the inspection of tissue and cells procurement establishments.

• Guidelines for national competent authorities.

• EUSTITE inspector training programme for tissue and cells inspectors.

• Implementation guides for the tissues and cells directives.

• International tissue and cell distribution.

• Common reporting system for serious adverse events and reactions.

3

1.2. Increasing Public Health Safety for the External Borders of an Enlarged European Union — project

http://www.iom.int/iahia/webdav/shared/shared/mains^ Summarv-Brief-011209.pdf

Programme Objective: Health Security. Area: Cross-Border Health Threats.

The project was funded under the first Public Health Programme 2003-2008, under the 2006 work plan, with total funding from the EU of €471.076. The project started in June 2007 and was concluded in June 2010.

Background information

The EU faces increased and more complex migration flows. The inherent challenges have been amplified through the enlargement of the Schengen zone. Health systems and border services need to be prepared to address general public health concerns. They need also to respond to the health needs and rights of migrants, while at the same time safeguarding their own staffs occupational health.

The project 'Increasing Public Health Safety for the External Borders of an Enlarged European Union' (PHBLM) first assessed the magnitude and nature of current public health threats and hazards in border regions, and identified the needs for improvement and structural change. The safety and healthcare of border management staff and migrants themselves were at the heart of the recommendations of the project, which further developed a comprehensive public health and border management module.

Main achievements

• A protocol for assessing public health conditions and related health hazards.

• Guidelines for public health aspects of border management and detention procedures.

• Recommendations for structural changes in border management and controls involving the movement of persons, with a view to improving public health risk assessment and management in the new Schengen II covering the Eastern external borders of the EU.

• Training materials on aspects of migration health in border management.

1.3. European Network for Highly Infectious Diseases — project

Programme Objective: Health Security. Area: Cross-B order Health Threats.

The project was funded under the first Public Health Programme 2003-2008, under the 2006 work plan, with total co-funding from the EU of €361.925.20. The project started in July 2007 and ended in December 2010.

Background information

The occurrence of highly infectious diseases represents a serious cross-border health threat with a possible high impact on health and the economy. Experience has highlighted the critical importance of the hospital setting: almost all the patients requiring isolation were

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initially admitted to a general hospital without adequate isolation facilities and later transferred to a high-level isolation unit. The project revealed a high level of heterogeneity as well as weaknesses in terms of recognition, public health response and diagnostic and clinical management. Nevertheless, the proper application of infection-control measures greatly reduces the risk of transmission of contagious diseases in hospital settings.

The objective of the European Network for Highly Infectious Diseases (EURONHID) was to create a network of national centres, identified within the participating EU Member States, as high-level isolation units or reference hospitals involved in the care of patients affected by highly infectious diseases12.

Main achievements

The project comprised partners from 16 Member States, bringing together a significant group of European clinicians experienced in the management of highly infectious diseases and high-level isolation units. It contributed to initiating and enhancing collaboration, communication and exchange of information among the highly specialised staff of the participating centres and establishing a wide reference network.

The major outputs from this project were:

• Assessment of hospitals' preparedness and assessment of current capabilities, based on a commonly agreed checklist for data collection and data analysis.

• A manual for the safe and appropriate management of patients suffering from highly infectious diseases in isolation facilities.

• Consensus proposals for affordable and sustainable improvements to ensure bio safety and bio security.

2. Health Promotion 2.1. EuroHeart — project

http://www.ehnheart.org/euroheart/about.html

Programme Objective: Health Promotion. Area: Cardiovascular disease.

The project was funded under the 2006 work plan of the first Public Health Programme 2003-2008, with total co-funding from the EU of €1.023.993. The project started in April 2007 and finished in March 2010.

Background information

HIDs list: Viral Haemorrhagic Fever (marburgvirus, ebolavirus, Crimean-Congo haemorrhagic fever virus, and Lassa virus), and South American haemorrhagic fever (Junin, Machupo, Sabia, and Guanarito) viruses; SARS Co-V; multi-drug resistant M tuberculosis (known or suspected infection); emerging highly pathogenic strains of influenza virus; smallpox and other orthopox infections (eg, monkey pox, camel pox, but excluding vaccinia virus); other emerging, highly pathogenic, agents, including agents of deliberate release (e.g. pneumonic plague).

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Cardiovascular disease (CVD) remains the leading cause of mortality in the European Union, accounting for over 2 million deaths every year. Building on developments in the area of tobacco, alcohol and nutrition/physical activity, the European Heart Network and the European Society of Cardiology agreed to pool their expertise in a joint project called EuroHeart. The objective of the project was to address the significant problem of CVD in Europe and to determine specific areas of intervention aimed at preventing avoidable deaths and disability. It involved partners in 21 EU countries as well as Iceland, Norway and Turkey.

Main achievements

• The European Heart Health Charter (http://www.ehnheart.org/euroheart/european-health-charter.html) was launched in 30 countries and translated into 24 languages, mobilising broad support for CVD prevention and strengthening cross-sector cooperation.

• The partners carried out studies to obtain comprehensive and comparable information on policies and measures with respect to CVD prevention through mapping and analysing national plans, policies and measures across Europe. (http://www.ehnheart.org/euroheart/publications-wp-5-wp-6/publication/119-cvd-prevention-in-europe-the-unfinished-agenda.html)

• Significant efforts were deployed to improve the awareness, diagnosis and treatment of CVD among women. A report 'Red Alert for Women's Hearts' (http://www.ehnheart.org/euroheart/publications-wp-5-wp-6/publication/117-red-alert-on-womens-hearts.html) shows that heart disease and stroke are the leading causes of female mortality worldwide. However, the risk for women is largely underestimated by the general population, and often by the medical profession itself, because women usually suffer from CVD 10 years later in their life than men do.

• The 'Heartscore' was rolled out throughout Europe (www.HeartScore.org). This is a very simple tool which is used to define an individual's risk of CVD.

The results of this project were presented to Members of the European Parliament, at the April 2010 meeting of the MEP Heart Group in Brussels.

2.2. Europlan — project

http ://www. europlanproj ect. eu/Home. aspx

Programme Objective: Health Promotion. Area: Rare Diseases.

The project was funded under the 2007 work plan of the first Public Health Programme 2003-2008, with total cofunding from the EU of €640.000. It started in April 2008 and ended in March 2011.

Background information

The main goal of the Europlan project was to provide national health authorities in the Member States with supporting tools for the development and implementation of National

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Plans and Strategies for rare diseases in line with the Council Recommendation on Rare Diseases13.

The main objectives of the project were:

• to stimulate discussion and reach a consensus on the importance of national plans for structuring all relevant actions in the field of rare diseases;

• to promote the development of national plans or strategies for rare diseases within EU Member States;

• to provide an instrument to support countries in designing national plans or strategies for rare diseases in accordance with the Council Recommendation 13.

Main achievements

• Organisation of 15 national conferences, throughout the EU, bringing together national stakeholders, patient representatives, public health authorities, clinicians and other health professionals, as well as researchers and other experts to promote concerted action in the area of rare diseases. The conferences raised awareness of rare diseases as a public health issue with a European dimension, and contributed to the creation of momentum to launch new activities or consolidate existing activities, initiatives or policies. They also enabled stakeholders to make full use of the tools developed by the Europlan project: a guide with recommendations for the definition and implementation of national plans and strategies for rare diseases; a report on current practices and relevant cases in the field of rare diseases; and a recommended set of indicators for monitoring and evaluating the implementation of national initiatives.

More information on the 15 conferences can be found at:

http://www.europlanproject.eu/ContenutoPage/104/en-GB/project/national-conferences-to-

discuss-europlan-supporting-tool-locations.aspx.

• A report on the state of the art of rare disease activities in the EU27 (http://www.eucerd.eu/upload/file/Reports/2011ReportStateofArtRDActivities.pdf) was coproduced by the Europlan project and the Joint Action on the scientific secretariat of the rare disease taskforce (funded under the 2008 annual work plan with total EU cofinancing of €749.162). The report lists all measures put in place by all EU Member States, whether through a fully-fledged national plan for rare diseases or through sets of coordinated activities in all areas, including basic and clinical research, health services development and practice, public health policy and patient support.

2.3. European Organisation for Rare Diseases (EURORDIS) — operating grant

http://www.eurordis.org/

Programme Objective: Health Promotion. Area: Rare Diseases.

European Council Recommendation on an action in the field of Rare Diseases (2009/C 151/02).

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The operating grant, funded under the 2009 work plan of the second Health Programme 2008-2013, cofinanced the operation of EURORDIS during 2010 with a total EU contribution of €733.000. Duration of the grant: January — December 2010.

Background information

The European Organisation for Rare Diseases (EURORDIS) is a non-governmental patient-driven alliance of organisations representing more than 492 rare disease patient organisations in over 46 countries. The mission of EURORDIS is to build a strong pan-European community of patient organisations and people living with rare diseases, to be their voice at European level, and — directly or indirectly — to mitigate the impact of rare diseases on their lives.

Main achievements

The European Conference on Rare Diseases, held in Krakow in May 2010, was funded from the operating grant awarded to EURORDIS. It brought together more than 600 participants from 43 different countries, including the US, Canada, Israel, Tunisia and Argentina. The conference focused on four fundamental strategic issues for the European rare diseases community:

• developing and implementing national plans for rare diseases;

• establishing national centres of expertise and European reference networks;

• supporting research and treatments;

• disseminating information and developing specialised services.

These areas need better policies in order to meet the objectives of the Council recommendation14 and build momentum for national plans and strategies to be implemented across Europe.

More information can be found at http://www.eurordis.org/content/european-conference-rare-diseases-%E2%80%93-ecrd-2010-krakow.

2.4. Alzheimer Europe — operating grant

http ://www. alzheimer-europe. org/

Programme Objective: Health Promotion. Area: rare diseases.

The operating grant, which was funded under the 2009 work plan of the second Health Programme 2008-2013, cofinanced the operation of Alzheimer Europe during 2010 with a total EU contribution of €250.000. Duration of the grant: January — December 2010.

Background information

European Council Recommendation on an action in the field of Rare Diseases (2009/C 151/02).

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As the European organisation representing the interests of people with dementia and their carers, the key aim of Alzheimer Europe is to make dementia a European priority. In its campaign, Alzheimer Europe used the results of European projects, such as the 'European collaboration on dementia — EuroCoDe' project or surveys of carers of people with dementia in different European countries. Alzheimer Europe currently has 35 member associations from 31 countries across Europe.

Main achievements

• The operating grant focused on the collection of national legislation and the exchange of good practice in the care and treatment of people with Alzheimer's. Activities focused on the promotion of mental health and the fight against stigma.

• The organisation also focused on the mental health of older people in the European Pact for mental health and well-being and its priorities of promoting the active inclusion of people with mental health problems in society and taking measures to support carers.

• Alzheimer Europe established a network to help carers deal with ethical issues arising in the care of people with dementia, identify a way of promoting the active participation of people with dementia and carry out an inventory of laws on guardianship and proxy decision-making in the Member States of the European Union.

• Alzheimer Europe also ensured that information on best practice in the care of Alzheimer's sufferers is available throughout Europe and beyond.

3. Health information

3.1. EU Network on Health Technology Assessment — Joint action

http ://www. eunethta. eu/

Programme Objective: Health information. Area: Health Technology Assessment.

The Joint Action was funded under the second Health Programme 2008-2013, under the 2009 work plan, with total cofunding from the EU of €2.979.655. The project started in December 2009 and is expected to end by December 2012.

Background information

Health technology is the application of scientific knowledge to health care and disease prevention. Health technology assessment (HTA) is a multidisciplinary process that summarises information about the medical, social, economic and ethical issues related to the use of health technology in a systematic, transparent, unbiased and robust manner. Its aim is to inform the formulation of safe, effective health policies that are patient-focused and seek to achieve best value. Despite its policy goals, HTA must always be firmly rooted in research and the scientific method.

The Joint Action on HTA is part of the global action developed by DG SANCO to help support a coordinated network of most of the EU HTA agencies. This Joint Action aims to:

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• produce clear guidelines on what can be better achieved on HTA at EU level;

• avoid duplication of work between national agencies;

• spread expertise for the benefit of all EU countries;

• strengthen evaluations carried out by EU countries;

• develop transparent governance tools, in particular vis a vis stakeholders;

• produce a number of joint scientific assessments on interventions, medical devices and pharmaceuticals;

• implement the Pharmaceutical Forum's recommendations on the relative effectiveness of pharmaceuticals.

Main achievements

• The first project on cooperation in the area of HTA (EUnetHTA) had already

developed a core model presenting a catalogue of standardised tools and methodologies used in HTA. To complement this initial effort, it was necessary to establish a basis for more structured and long-term collaboration in the field. Thus the common core model could be extended and used for commonly developed and delivered assessments of technologies or processes.

• The development of a tri-annual work plan as the network's consolidated organisational basis for the future.

• Establishment of a set of standard operating procedures for structuring collaboration between HTA agencies and development of a stakeholder involvement policy aimed at making the process more transparent.

• Completion of a set of technical tools, such as a web-based toolkit and an information management system.

3.2. eHealth Presidency Conference

Programme Objective: Health Information. Area: eHealth.

The Presidency Conference took place in Barcelona on 15-18 March 2010. It was funded under the 2009 work plan of the second Health Programme 2008-2013, with total co-funding from the EU of €100.000.

Background information

The Spanish Presidency organised a high-level conference on eHealth, simultaneously bringing together the two most important European events in the eHealth area:

• the High Level European Union Conference (EU) on eHealth;

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• the World of Health IT (WoHIT), where the ICT world can meet businesses and

health-care institutions and professionals, in parallel with eHealth Week in Barcelona in 2010 (www.ehealthweek2010.org).

Main achievements

Under the slogan 'eHealth for sustainable healthcare: global changes through local actions', this ministerial conference acknowledged the urgent challenges of a rapidly ageing European society, the lack of prevention and prediction of illnesses and the growing demand for quality of care. It also reiterated the need for rapid use of ICT as a cost-effective means of improving the health of European citizens while supporting the work of health care professionals. Thus, it helped to foster the adoption of eHealth in Europe and improve the accessibility, quality and efficiency of healthcare services for patients in Europe.

A key outcome of the conference was the adoption of the European declaration 'Cooperation for eHealth' to promote eHealth and digital health. The declaration shows that the introduction and development of ICT in the healthcare area are not only the result of a political and strategic commitment to improve public health in Europe, but are also intended to link eHealth policies to policies of competitiveness, innovation and research. It is also necessary to foster the cohesion, social inclusion and sustainability of health systems in the EU.

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