36 Amendments of Clare DALY related to 2023/2075(INI)
Amendment 93 #
Motion for a resolution
Recital D
Recital D
D. whereas the increasing burden of NCDs on individuals and societies and the health needs of ageing populations represent challenges to the health systems of the Member States;
Amendment 115 #
Motion for a resolution
Recital E
Recital E
E. whereas most NCDs are impacted by four preventable risk factors: tobacco use, unhealthy diet, lack of physical activity and harmful use of alcoholalcohol consumption; whereas behavioural risk factors lead to biological risk factors, the most common being overweight and obesity, high blood pressure, high blood glucose and high blood cholesterol6 ; _________________ 6 World Health Organization, ‘Monitoring noncommunicable disease commitments in Europe 2021’, p. 13, 8 December 2021.
Amendment 135 #
Motion for a resolution
Recital F
Recital F
F. whereas most NCDs are impacted by environmental risk factors such as air pollutionindoor and outdoor air pollution, and multiple global environmental changes, including climate change and biodiversity loss;
Amendment 181 #
Motion for a resolution
Recital H
Recital H
H. whereas innovation with regard to development of technologies, medicines and healthcare practises is crucial to ensure the elimination or reduction of harm caused by preventable risk factors, early detection, integration of care, improved disease management and new and better treatments for NCDs;
Amendment 185 #
Motion for a resolution
Recital H a (new)
Recital H a (new)
Ha. whereas the development of NCDs and resulting health outcomes are significantly based on commercial and social determinants of health, including racism; whereas these underlying factors correspond to substantial and transversal health inequities within and across EU countries, which include prevention and access to care; whereas these inequities are beyond individual control and can accumulate along one’s life-course, affecting their health behaviours and choices;
Amendment 197 #
Motion for a resolution
Recital H b (new)
Recital H b (new)
Hb. whereas people living with one or more NCDs were one of the most severely affected population groups during the COVID-19 pandemic; whereas investment in NCD prevention and management remains limited, despite disrupted access to care, essential complications screening and diagnosis during the COVID-19 pandemic, potentially leading to severe complications over the longer term;
Amendment 202 #
Motion for a resolution
Recital H c (new)
Recital H c (new)
Hc. whereas antimicrobial resistance (AMR) significantly disrupts medical procedures like surgeries, dental implants, cancer treatments, and organ transplants; AMR also complicates the management of prevalent NCDs, including cardiovascular diseases, dementias, and tumours; whereas the repercussions of AMR on disease incidence, mortality rates, hospital stays, and healthcare expenses;
Amendment 228 #
Motion for a resolution
Paragraph 2
Paragraph 2
2. Welcomes the ‘Healthier together – EU non-communicable diseases (NCD)’ initiative, Europe’s Beating Cancer Plan, the EU4Health work programme and the Commission Ccommunication entitled ‘A comprehensive approach to mental health’; calls on the Commission to strengthen the ‘Healthier together – EU NCD’ initiative by introducing a holistic and integrated EU strategy on NCDs complemented by action plans for specific NCDs with clear targets, benchmarks, indicators and mechanisms to monitor progress; welcomes the national plans and actions already taken against NCDs by Member States;
Amendment 258 #
Motion for a resolution
Paragraph 3
Paragraph 3
3. Acknowledges that tobacco use, physical inactivity, the harmful useconsumption of alcohol, unhealthy diets and environmental factors such as air, food, water and soil pollution and chemical exposure increase the risk of NCDs10 ; _________________ 10 https://www.paho.org/en/topics/noncommu nicable-diseases - :~:text=These%204%20groups%20of%20d iseases,of%20the%20response%20to%20N CDs The Pan American Health Organization, ‘Noncommunicable Diseases’.
Amendment 284 #
5. Supports the Commission’s proposalsEurope’s Beating Cancer Plan to achieve a Tobacco-Free Generation and prevent tobacco use by reducing tobacco consumption to 5% by 2040 and urges the Commission to review the Tobacco Products Directive11, and the Tobacco Taxation Directive12 and; supports the proposal to update the Council recommendation of 30 November 2009 on smoke-free environments13 ; calls for athe full implementation of the WHOorld Health Organization Framework Convention on Tobacco Control (WHO FCTC); calls on the Commission and the Member States to: _________________ 11 Directive 2014/40/EU of the European Parliament and of the Council of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products, OJ L 127, 29.4.2014, p. 1. 12 Council Directive 2011/64/EU of 21 June 2011 on the structure and rates of excise duty applied to manufactured tobacco, OJ L 176, 5.7.2011, p. 24. 13 OJ C 296, 5.12.2009, p. 4.
Amendment 297 #
Motion for a resolution
Paragraph 5 – point a
Paragraph 5 – point a
a. implement measures to help tobacco users quit, in line with WHO FCTC guidelines for Article 14;
Amendment 306 #
Motion for a resolution
Paragraph 5 – point b
Paragraph 5 – point b
b. follow up on the scientific evaluations of the health riskdecisions of the Conference of the Parties to the WHO FCTC to which the EU and Member States arelated to electronic cigarettes, heated tobacco products and novel tobacco products including the assessment of the risks of using these products compared to consuming o Parties, particularly Decisions of the FCTC COP9[1] and upcoming COP10 regarding regulation of the novel and emerging tobacco products, depiction of tobacco in entertainment media, protection of public health policies from commercial or other vested interest of ther tobacco products; industry1a _________________ 1a FCTC/COP9 Draft report (untobaccocontrol.org)
Amendment 312 #
Motion for a resolution
Paragraph 5 – point b a (new)
Paragraph 5 – point b a (new)
Amendment 351 #
Motion for a resolution
Paragraph 6 a (new)
Paragraph 6 a (new)
6a. Acknowledges that social, economic, cultural, and commercial determinants of health, and health inequities increase the risk of NCDs and underlines the need to create favourable conditions that address these factors; emphasizes the importance of a more robust implementation of the Health in All Policies principle, in dialogue with the public health community, and with thorough consideration of the health impacts of sectoral policies;
Amendment 353 #
Motion for a resolution
Paragraph 6 b (new)
Paragraph 6 b (new)
6b. Acknowledges the efforts of the European Commission to support Member States in reducing the burden of NCDs with the launch of the ‘Healthier together – EU non-communicable diseases initiative (NCD)’ in December 2021; calls for more ambitious action at EU level not only to revert the rising number of people living with NCDs but also to improve quality of life and well- being of people affected by NCDs;
Amendment 390 #
Motion for a resolution
Paragraph 8 – introductory part
Paragraph 8 – introductory part
8. Notes that an unhealthy diet is one of the major risk factors for NCDs, including cardiovascular diseases, cancer, diabetes, oral diseases, and other conditions linked to obesity15 ; acknowledges that obesity is considered a risk factor for several NCDs and is itself recognized as an NCD1a; calls on the Commission and the Member States to: _________________ 1a European Commission classifies obesity as a chronic disease - The Lancet Diabetes & Endocrinology 15 World Health Organization Regional Office for the Eastern Mediterranean, ‘Noncommunicable diseases’.
Amendment 400 #
Motion for a resolution
Paragraph 8 – point a
Paragraph 8 – point a
a. encourage and help consumers to make informed and healthy choices about food products; promote behavioural changes via communication and mass media campaigns for healthy diets; encourage public food procurement and service policies for healthy and sustainable diets; implement considerable restrictions on advertising of ultra-processed foods, particularly those aimed at children, and encouraging obligatory front-of-pack food labelling;
Amendment 429 #
Motion for a resolution
Paragraph 8 – point b
Paragraph 8 – point b
b. propose a Nnew Acomprehensive and integrated action Pplan for child obesity, with clear biding targets, benchmarks, indicators and mechanisms to monitor and ensure advancements;
Amendment 432 #
Motion for a resolution
Paragraph 8 – point b a (new)
Paragraph 8 – point b a (new)
ba. propose the implementation of taxation on unhealthy foods and sugary beverages, while subsidizing affordable access to minimally processed nutritious foods for socioeconomically disadvantaged populations;
Amendment 440 #
Motion for a resolution
Paragraph 8 – point b b (new)
Paragraph 8 – point b b (new)
bb. enhance the availability, affordability, and accessibility of nutritional care provided by dietitians and nutritionists;
Amendment 441 #
Motion for a resolution
Paragraph 8 – point b c (new)
Paragraph 8 – point b c (new)
bc. establish and nurture food environments that seamlessly promote the selection of healthy and sustainable food options, ensuring they become the default choices due to their ease of access and affordability; enable a shift in focus from individual responsibility to enhancing the environments where choices are made; counter industry-driven narratives and foster a broader understanding of the commercial and social determinants of dietary behaviour;
Amendment 446 #
Motion for a resolution
Paragraph 8 – point b d (new)
Paragraph 8 – point b d (new)
bd. drive transformative shifts in nutritionally poor food availability through limiting the density of fast-food outlets, especially in proximity to schools and underserved areas. acknowledge that encouraging behavioural change is intrinsically linked to an individual's socioeconomic status, geographical location, and available opportunities;
Amendment 487 #
Motion for a resolution
Paragraph 11
Paragraph 11
11. Calls on the Commission and the Member States to accelerate the transition to sustainable energy and transport sectors and to ensure a shift towards sustainable food systems through an ambitious proposal for the Framework for Sustainable Food Systems (FSFS);
Amendment 493 #
Motion for a resolution
Paragraph 11 a (new)
Paragraph 11 a (new)
11a. Highlights the importance of NCD prevention and early intervention; acknowledges that many NCDs have their origins in early childhood and the importance of investing in strategies and programmes that promote children’s healthy growth and development, from infancy and early years;
Amendment 495 #
Motion for a resolution
Paragraph 11 b (new)
Paragraph 11 b (new)
11b. Regrets the delay in the publication of the revision of the Food Information to Consumers Regulation (1169/2011), foreseen under the Farm to Fork Strategy for the fourth quarter of 2022;
Amendment 558 #
Motion for a resolution
Paragraph 15
Paragraph 15
15. Highlights the importance of identifying people with a high risk of developing NCDs and diagnosing people as early as possible to improve disease management, prevent complications and save downstream costs for healthcare systems; calls for the implementation of accessible and equitable self-management tools, including peer support networks, collaborative care platforms, and mental health services, considering factors like technology access;
Amendment 572 #
Motion for a resolution
Paragraph 15 a (new)
Paragraph 15 a (new)
15a. Recommends EU funding support for pan-European public health literacy initiatives, such as the suggestion of creating a European Atlas of Early Warning Signs for Cancer, building on the model for cancer prevention created by the European Code Against Cancer;
Amendment 575 #
Motion for a resolution
Paragraph 15 b (new)
Paragraph 15 b (new)
15b. Recognising that NCDs operate within a broader context, calls for a systemic perspective that acknowledges the interconnected challenges faced by high-risk populations, such as limited access to education, green spaces, healthy foods, physical activity opportunities, healthcare systems, proper air quality, and suitable housing;
Amendment 622 #
Motion for a resolution
Paragraph 18
Paragraph 18
18. Stresses that nurses, doctors, general practitioners and other primary dietitians and nutritionists, dental health professionals and other healthcare professionals; have a significant role in referring patients for diagnostic tests and treating NCDs; encourages the Member States to offer training to healthcare professionals to better identify high-risk individuals and treat NCDs;
Amendment 630 #
Motion for a resolution
Paragraph 18 a (new)
Paragraph 18 a (new)
18a. recognises the critical impact of conflict of interest between public health objectives and the interests of industries producing alcohol, tobacco, and poorly nutritious and ultra-processed foods, acknowledges that the undue influence of these industries on health policies and strategies can hinder effective NCD prevention efforts and that just as transparency is vital in maintaining the integrity of public health, it is equally essential to implement stringent measures to mitigate conflicts of interest;
Amendment 653 #
Motion for a resolution
Paragraph 19
Paragraph 19
19. Bbelieves that every patient is different and that no NCD is the same; calls for NCDs to be prevented and treated as effectively as possible, with a personalised and integrated approach tailored to the patient and the disease and in compliance with human rights obligations, which include meaningful engagement of users in every decision that impacts on them;
Amendment 669 #
Motion for a resolution
Paragraph 19 a (new)
Paragraph 19 a (new)
19a. Recommends urgent actions, including a Commission level study on the current status and impacts of the EU’s health workforce shortage and increased investment in its availability measuring and mapping exercises at the EU level;
Amendment 679 #
Motion for a resolution
Paragraph 19 b (new)
Paragraph 19 b (new)
19b. Calls on the Commission to support Member States in reviewing national models of care with a focus on prevention-oriented primary care systems and the upskilling of primary care professionals, through the Recovery and Resilience Facility, to reduce inequities across Member States, and improve the resilience of national health systems;
Amendment 689 #
Motion for a resolution
Paragraph 19 c (new)
Paragraph 19 c (new)
19c. Urges Member States to provide training to healthcare professionals on the social and environmental determinants of health, including racism and mental health, as well as on intersectoral collaboration, integrated service provision, and human rights;
Amendment 696 #
Motion for a resolution
Paragraph 19 d (new)
Paragraph 19 d (new)
19d. Highlights the increased vulnerability of people living with NCDs to extreme weather events and other impacts of climate change and therefore calls for targeted measures in climate change mitigation and adaptation policies;
Amendment 718 #
Motion for a resolution
Paragraph 21 a (new)
Paragraph 21 a (new)
21a. Address the urgent need to tackle regional disparities in healthcare access, striving for equitable availability of quality NCD management across diverse geographical areas within Member States. Explore innovative methods to enhance access to NCD healthcare, such as mobile clinics, trauma-informed teams, and peer advocates. This strategy aims to not only bridge gaps in healthcare access but also to foster a patient-centred and personalized approach to NCD prevention and treatment