Activities of Antoni COMÍN I OLIVERES related to 2023/2075(INI)
Shadow opinions (1)
OPINION on non-communicable diseases
Amendments (79)
Amendment 26 #
Draft opinion
Recital A a (new)
Recital A a (new)
Aa. whereas the EU development cooperation policy should emphasize a comprehensive and integrated approach that addresses the multiple risk factors and determinants of NCDs in partner countries, while also considering social, economic and environmental factors that are relevant to each specific context; whereas universal health coverage is an important factor in preventing and treating NCDs;
Amendment 38 #
Draft opinion
Recital A b (new)
Recital A b (new)
Ab. whereas there is a need to enhance access to the diagnosis, treatment, and care of noncommunicable diseases in developing countries;
Amendment 55 #
Draft opinion
Paragraph 1
Paragraph 1
1. Notes the surge in post-acute infection syndromes (PAIS) following COVID-19 infections; recalls that PAIS also occur following other bacterial, viral and parasitic infections, including mononucleosis, Lyme disease, Ebola, polio and influenza; recalls that the pathogenesis of PAIS is linked to chronic fatigue syndrome (ME/CFS), in the context of 65 million people suffering from long COVID to date, as well as reinfection pressure and upcoming pandemics; is concerned that the global health strategy addresses neither the post-acute sequelae of SARS-CoV-2 nor PAIS in general; calls for the EU, with a view to lessons learned from the pandemic, to make PAIS a priority and to develop an EU strategy for PAIS, comparable to Europe’s beating cancer plan and the EU strategy on mental health, and to extend the PAIS strategy to global health security, including in the implementation of the global health strategy; urges the EU to establish programs to address chronic and severe noncommunicable diseases by ensuring that essential medicines, technologies, and diagnostics are both available and accessible at district hospitals;
Amendment 56 #
Draft opinion
Paragraph 1 a (new)
Paragraph 1 a (new)
1a. Stresses the need to strengthen healthcare systems in partner countries and provide support for the integration of NCD programs into national health systems, including by investing in capacity building programs to strengthen the skills and knowledge of healthcare professionals, researchers, and policymakers in addressing NCDs;
Amendment 61 #
Draft opinion
Paragraph 2
Paragraph 2
2. Notes that guiding principle 2 of the global health strategy aims to ensure that innovative vaccines, treatments and diagnostics for new, prevalent or neglected infectious and non-communicable diseases are developed and used, including through funding from Horizon Europe and the EU- Africa Global Health European and Developing Countries Clinical Trials Partnership (EDCTP3) for research, capacity building and strengthening the regulatory environment in sub-Saharan Africa; calls for Team Europe to implement this approach, with a focus on non-communicable diseases.; stresses the need to strengthen healthcare systems in partner countries and provide support for the integration of NCD programs into national health systems, including by investing in capacity building programs to strengthen the skills and knowledge of healthcare professionals, researchers, and policymakers in addressing NCDs;
Amendment 61 #
Motion for a resolution
Recital B
Recital B
B. whereas premature deaths as a result of cardiovascular diseases (CVDs), cancers, diabetes and chronic respiratory diseases account for 68 % of all premature deaths in Europe; whereas other NCDs include mental and neurological disorders, liver and gastrointestinal diseases, kidney diseases, oral diseases, osteoporosis, osteoarthritis and endometriosis among other conditions;
Amendment 67 #
Draft opinion
Paragraph 2 a (new)
Paragraph 2 a (new)
2a. Stresses the need to support developing countries in educating communities about the risk factors and prevention strategies for NCDs by disseminating information through various channels such as mass media, community outreach programs and digital platforms;
Amendment 68 #
Motion for a resolution
Recital B a (new)
Recital B a (new)
Ba. 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 tumours1a; whereas the repercussions of AMR on disease incidence, mortality rates, hospital stays, and healthcare expenses; _________________ 1a https://www.europarl.europa.eu/RegData/ etudes/BRIE/2023/740238/EPRS_BRI(20 23)740238_EN.pdf
Amendment 72 #
Motion for a resolution
Recital B b (new)
Recital B b (new)
Bb. whereas there are about 20 million people who have survived cancer in Europe1a and only seven EU countries recognise the 'right to be forgotten' for former cancer patients therefore continue to experience difficulties in accessing financial services like insurance or mortgages, years after successfully completing treatment; _________________ 1a https://ecpc.org/policy/the-right-to-be- forgotten/
Amendment 73 #
Draft opinion
Paragraph 2 b (new)
Paragraph 2 b (new)
2b. Calls on the EU and its Member States to support developing countries in research and data collection efforts to better understand the prevalence, risk factors, and impact of NCDs in different populations, in view of enabling evidence- based decision-making and designing targeted interventions; underlines the need to design and scale up solutions for high risk, resource-limited, and marginalized populations;
Amendment 88 #
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, 40% of which live with multimorbidity, represent challenges to the health systems of the Member States;
Amendment 99 #
Motion for a resolution
Recital D a (new)
Recital D a (new)
Da. whereas NCDs, such as obesity, diabetes and endocrine disorders, also increasingly affect children1, which requires a dedicated approach to prevention and management;
Amendment 114 #
Motion for a resolution
Recital E
Recital E
E. whereas most NCDs are impacted by fourive preventable risk factors: tobacco use, unhealthy diet, lack of physical activity, and harmful use of alcohollcohol consumption and drug; 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 cholesterol 6 ; _________________ 6 World Health Organization, ‘Monitoring noncommunicable disease commitments in Europe 2021’, p. 13, 8 December 2021.
Amendment 133 #
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 145 #
Motion for a resolution
Recital F a (new)
Recital F a (new)
Fa. whereas most NCDs are impacted by socioeconomic inequalities, notably low socioeconomic status having significant consistent impact on mortality and morbidity caused by NCDs;
Amendment 162 #
Motion for a resolution
Recital G a (new)
Recital G a (new)
Ga. whereas people living with one or more NCDs were one of the most severely affected population groups during the COVID-19 pandemic1a; whereas investment in NCD prevention and management remains limited, despite access to care, essential complications screening and diagnosis being severely disrupted during the COVID-19 pandemic, potentially leading to severe complications over the longer term; _________________ 1a https://www.who.int/publications/i/item/97 89240057661
Amendment 182 #
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 186 #
Motion for a resolution
Recital H a (new)
Recital H a (new)
Amendment 195 #
Motion for a resolution
Recital H b (new)
Recital H b (new)
Hb. whereas recognising 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. The undue influence of these industries on health policies and strategies can hinder effective NCD prevention efforts. 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 226 #
Motion for a resolution
Paragraph 2
Paragraph 2
2. Welcomes the Healthier together – EU non-communicable diseases (NCD) initiative, Europe’s Beating Cancer Plan, EU4Health work programme and the Commission Communication entitled ‘A comprehensive approach to mental health’; calls on the Commission to strengthen the ‘Healthier together – EU NCD’ initiative by introducing a holistic and comprehensive EU strategy on NCDs complemented by action plans for specific NCDs with clear targets, benchmarks, indicators and mechanisms to monitor progress; welcomes national plans and actions already taken against NCDs by Member States;
Amendment 257 #
Motion for a resolution
Paragraph 3
Paragraph 3
3. Acknowledges that tobacco use, physical inactivity, the harmful use of alcoholalcohol consumption, unhealthy diets and environmental factors such as air, food, water and soil pollution and chemical exposure substantially 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 263 #
Motion for a resolution
Paragraph 3 a (new)
Paragraph 3 a (new)
3a. 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 269 #
Motion for a resolution
Paragraph 3 b (new)
Paragraph 3 b (new)
3b. Recognises that over 150,000 new cases of melanoma every year, accounting for 4% of all new cancer diagnoses in EU-27 countries in 2020, making it the sixth most frequently occurring cancer in Europe; Recognises that over 150,000 new cases of melanoma every year, accounting for 4% of all new cancer diagnoses in EU-27 countries in 2020, making it the sixth most frequently occurring cancer in Europe; Recommends a phasing out of the use of sunbeds as consumer products for non- medical purposes1a; Urges Commission to take measures to facilitate improved registration of melanoma cases across the EU, allocate EU funds and support research into and the development of skin cancer screening methods, particularly with new technologies; _________________ 1a https://www.epsu.org/sites/default/files/art icle/files/EADV-Joint-Statement-Skin- Cancer-FINAL.pdf
Amendment 275 #
Motion for a resolution
Paragraph 4
Paragraph 4
4. Acknowledges that tobacco use, including second hand smoking, was responsible for 1.6 million deaths in Europe in 2019 and is a high risk factor for developing NCDs such as cancer, cardiovascular diseases and chronic respiratory diseases;
Amendment 283 #
Motion for a resolution
Paragraph 5 – introductory part
Paragraph 5 – introductory part
5. Supports Europe’s Beating Cancer Plan to achieve a Tobacco-Free Generation and prevent tobacco use by reducing tobacco consumption to 5% by 2040, as well as the Commission’s proposals to review the Tobacco Products Directive11 and the Tobacco Taxation Directive12 and the proposal to update the Council recommendation of 30 November 2009 on smoke-free environments13 and prevent any delays in revisions of the legislation; calls for a full implementation of the WHO Framework Convention on Tobacco Control; 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 296 #
a. implement measures to help tobacco users quit in line with WHO FCTC guidelines for Article 14;
Amendment 302 #
Motion for a resolution
Paragraph 5 – point a a (new)
Paragraph 5 – point a a (new)
aa. strengthen packaging rules by introducing mandatory plain standardised packaging with graphic health warnings covering 80% of the front and the back of all tobacco products and introducing pack inserts;
Amendment 304 #
Motion for a resolution
Paragraph 5 – point b
Paragraph 5 – point b
b. follow up on the scientific evaluations of the health risks related to electronic cigarettes, heated tobacco products and novel tobacco products including the assessment of the risks of using these products compared to consuming other tobacco products; and follow up of the decisions of the Conference of the Parties to the WHO FCTC to which the EU and Member States are Parties, particularly Decisions of the FCTC COP91a 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 the tobacco industry; _________________ 1a https://untobaccocontrol.org/downloads/c op9/main-documents/FCTC- COP9_Report_EN.pdf
Amendment 313 #
Motion for a resolution
Paragraph 5 – point b a (new)
Paragraph 5 – point b a (new)
ba. Implement the European Ombudsman recommendations ‘a whole- of-Commission approach to complying with the obligations stemming from the FCTC constitutes maladministration’; to keep and make available minutes on all of the Commission’s meetings with tobacco interest representatives constitutes maladministration; ensuring implementation of the guidelines for Article 5.3 of the FCTC that state “Parties should interact with the tobacco industry only when and to the extent strictly necessary to enable them to effectively regulate the tobacco industry and tobacco products”;
Amendment 323 #
Motion for a resolution
Paragraph 5 – point b b (new)
Paragraph 5 – point b b (new)
bb. bringing the taxation of novel smoking products, such as vapes and heated tobacco, into line with cigarettes;
Amendment 327 #
Motion for a resolution
Paragraph 5 – point b c (new)
Paragraph 5 – point b c (new)
bc. publish annual reports on the progress towards achieving a tobacco-free generation by 2040;
Amendment 329 #
Motion for a resolution
Paragraph 5 – point b d (new)
Paragraph 5 – point b d (new)
bd. invite European Commission after consulting Member States to adopt Tobacco 21 policies which raise the minimum age for the sale of tobacco products to 21 years.
Amendment 342 #
Motion for a resolution
Paragraph 6
Paragraph 6
6. AHighlights that the WHO estimate 1 million deaths annually in European Region due to alcohol consumption1a; acknowledges that the harmful useconsumption of alcohol is a risk factor for multiple NCDs and underlines that the lower the amount of alcohol consumed, the lower the risk is of developing NCDs14 ; _________________ 14 Global burden of disease 2016 Alcohol Collaborators, ‘Alcohol use and burden for 195 countries and territories,1990–2016: a systematic analysis for the Global Burden of Disease Study 2016’, 23 August 2018.re is no safe amount that does not affect health2a ; also acknowledges that International Agency for Research on Cancer (IARC) has classified alcohol as a Group 1 carcinogen, indicating that there is convincing evidence to show that it can cause cancer in humans and calls for the urgent implementation of evidence-based methods, such as reduce the affordability of alcohol, to reduce alcohol consumption in Europe; recognises that alcohol consumption is causally linked to several different types of cancer, including breast, liver, and colorectal cancer; _________________ 1a https://cdn.who.int/media/docs/librariespr ovider2/regional-committee-meeting- reports/rc72/european-framework-for- action-on-alcohol-2022-2025-cheat-sheet- en.pdf?sfvrsn=8e63aef4_4&download=tru e 2a https://www.who.int/europe/news/item/04- 01-2023-no-level-of-alcohol- consumption-is-safe-for-our- health#:~:text=The%20World%20Health %20Organization%20has,that%20does%2 0not%20affect%20health
Amendment 352 #
Motion for a resolution
Paragraph 6 a (new)
Paragraph 6 a (new)
6a. 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; but 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 362 #
Motion for a resolution
Paragraph 7 – point a
Paragraph 7 – point a
a. Enact more comprehensive restrictions on alcohol advertising targeting minoryoung people and adolescents;
Amendment 371 #
Motion for a resolution
Paragraph 7 – point b a (new)
Paragraph 7 – point b a (new)
ba. urges the Commission to implement evidence-based alcohol policies -based alcohol policies and put forward a legislative proposal on the introduction of health warnings to alcohol labelling requirements, as Ireland did in Section 12 of the Public Health (Alcohol) Act 2018; including possible interactions with other products - ie. drug, medicines and/or analgesics;
Amendment 379 #
Motion for a resolution
Paragraph 7 – point b b (new)
Paragraph 7 – point b b (new)
bb. urges the Commission to welcome the introduction of the list of ingredients and the nutrition declaration on all alcoholic products, as announced in 2021, with the adoption of the Europe’s Beating Cancer Plan;
Amendment 389 #
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 obesity, cardiovascular diseases, cancer, diabetes and other conditions linked to obesity15 , oral diseases, chronic kidney disease, liver, pancreas and other gastrointestinal diseases; acknowledges that obesity is considered a risk factor for several NCDs and is itself recognized as an NCD; calls on the Commission and the Member States to: _________________ 15 World Health Organization Regional Office for the Eastern Mediterranean, ‘Noncommunicable diseases’.
Amendment 401 #
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 427 #
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 binding targets, benchmarks, indicators and mechanisms to monitor and ensure advancements;
Amendment 431 #
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 437 #
Motion for a resolution
Paragraph 8 – point b b (new)
Paragraph 8 – point b b (new)
bb. implement restrictions on advertising of ultra-processed food during child-focused TV and digital media, at cinemas and in locations that attract a high proportion of children;
Amendment 444 #
Motion for a resolution
Paragraph 8 – point b c (new)
Paragraph 8 – point b c (new)
bc. enhance the availability, affordability, and accessibility of nutritional care provided by dietitians and nutritionists;
Amendment 445 #
Motion for a resolution
Paragraph 8 – point b d (new)
Paragraph 8 – point b d (new)
bd. 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 449 #
Motion for a resolution
Paragraph 8 – point b e (new)
Paragraph 8 – point b e (new)
be. 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 451 #
Motion for a resolution
Paragraph 8 a (new)
Paragraph 8 a (new)
Amendment 488 #
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 502 #
Motion for a resolution
Paragraph 12
Paragraph 12
12. Stresses that per- and polyfluorinated alkyl substances (PFAS) can lead to health problems such as diabetes, obesity and cancer16 ; calls on the Commission to implement the PFAS restriction proposal submitted to European Chemicals Agency on 13 January 202317 ; _________________ 16 European Environment Agency, ‘What are PFAS and how are they dangerous for my health?’. 17 European Chemicals Agency, ‘ECHA publishes PFAS restriction proposal’, 2023.
Amendment 510 #
Motion for a resolution
Paragraph 13
Paragraph 13
13. Regrets the slow implementation of the Chemicals Strategy for Sustainability, and, in particular, expects the REACH Regulation18 to be revised in order to be able to identify all substances of concern manufactured or imported in the EU; including endocrine disruptors; calls for the need for more comprehensive identification and regulation of these substances that can interfere with the hormonal system and have been associated with adverse health effects; _________________ 18 Regulation (EC) No 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), Regulation (EC) No 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), OJ L 396, 30.12.2006, p. 1.
Amendment 538 #
Motion for a resolution
Paragraph 14
Paragraph 14
14. Encourages the Commission and the Member States to achieve the UN Sustainable Development Goals that target communicable diseases in order to promote the prevention of NCDs such as cancer related to infectious diseases; welcomes vaccination programmes in this regard such as in the fight against human papillomavirus transmission; (HPV), including vaccinations for all adolescents and young adults;
Amendment 546 #
Motion for a resolution
Paragraph 14 a (new)
Paragraph 14 a (new)
14a. Recognises the impact that the permacrisis, including the COVID-19 pandemic, war, climate change, and the energy crisis, have on the insufficient actions taken on NCDs; calls on the Commission and Member States to prioritise NCD prevention and management as this would strengthen the resilience of healthcare systems and prepare for future shocks;
Amendment 557 #
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 life-altering 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 587 #
Motion for a resolution
Paragraph 16
Paragraph 16
16. Encourages Member States to reduce undiagnosed NCDs by introducing targeted health checks for high-risk individuals addressing the main shared metabolic risk factors, ensuring timely access to high-quality care and support NCD patients’ self- management;
Amendment 591 #
Motion for a resolution
Paragraph 17
Paragraph 17
17. Notes that some NCDs are closely linked such as diabetes, renal diseases and cardiovascular diseases and that important synergies can be achieved by improving diagnosis and integrated care19 ; calls on Member States to develop, implement and monitor national NCD prevention plans that include risk reduction and secondary screening programmes for at-risk populations; _________________ 19 European Commission, ‘Healthier together – EU non-communicable diseases initiative’, p. 30, June 2022.
Amendment 601 #
Motion for a resolution
Paragraph 17 a (new)
Paragraph 17 a (new)
Amendment 605 #
Motion for a resolution
Paragraph 17 b (new)
Paragraph 17 b (new)
17b. Recognizing 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 decent, sustainable, affordable and adequately air-conditioned housing;
Amendment 616 #
Motion for a resolution
Paragraph 18
Paragraph 18
18. Stresses that nurses, doctors, general practitioners and other primary care professionals, dietitians and nutritionists, dental health professionals and other primary care professionals, as well as patient organisations and the third sector at large, have a significant role in referring patients for diagnostic tests, supporting and/or treating NCDs; encourages the Member States to offer training to healthcare professionals to better identify and support high-risk individuals and treat NCDs according to the latest evidence-based studies;
Amendment 631 #
Motion for a resolution
Paragraph 18 a (new)
Paragraph 18 a (new)
18a. Expresses support for the creation of an EU Network of Comprehensive Cancer Centres, as a good case study for pan European action to improve access to high quality care and to deliver next level cooperation across borders in combating inequalities in access and improved research cooperation;
Amendment 640 #
Motion for a resolution
Paragraph 18 b (new)
Paragraph 18 b (new)
18b. Urges the Commission to speed up the procedures to adopt a code of conduct for financial intermediaries, which recognises the right to be forgotten, cancer patients as a fundamental right for all European citizens, allowing former cancer patients access to financial services throughout Europe without discrimination;
Amendment 643 #
Motion for a resolution
Paragraph 18 c (new)
Paragraph 18 c (new)
Amendment 644 #
Motion for a resolution
Paragraph 18 d (new)
Paragraph 18 d (new)
18d. Recognises that health workforce shortage was a pertinent element of the Covid-19 pandemic crisis and therefore recommends that that the European Health Emergency Response Authority (HERA) be provided with explicit mandate to map and propose remedial measures to combat health workforce shortage;
Amendment 648 #
Motion for a resolution
Paragraph 18 e (new)
Paragraph 18 e (new)
18e. Encourages the Commission and Member States to embed engagement with patient organisations and people living with NCDs into all activities and initiatives related to the design and implementation of prevention and care activities; emphasises the need to deploy person-centred and fully integrated care across the entire chronic diseases care pathway and to strengthen community and priority care, with a focus on chronic diseases requiring access to care across specialties and care levels such as diabetes;
Amendment 649 #
Motion for a resolution
Paragraph 18 f (new)
Paragraph 18 f (new)
18f. Calls to provide free and quality diagnostic services and checks and drugs for patients attending the NCD clinics for all NCD patients and give as a priority to the healthcare facility that provided the oncological and/or surgical treatment;
Amendment 652 #
19. Believes that every patient is different and 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 664 #
Motion for a resolution
Paragraph 19 a (new)
Paragraph 19 a (new)
19a. Recommends 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 678 #
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, even through the Recovery and Resilience Facility, guided by the European Semester process, to reduce inequities across Member States, and improve the resilience of national health systems;
Amendment 690 #
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, as well as on inter-sectoral collaboration, integrated service provision, and human rights;
Amendment 695 #
Motion for a resolution
Paragraph 19 d (new)
Paragraph 19 d (new)
19d. Highlights the increased vulnerability of people living with NCDs effected by extreme weather events and other impacts of climate change and therefore calls for targeted measures in climate change mitigation and adaptation policies;
Amendment 712 #
Motion for a resolution
Paragraph 21
Paragraph 21
21. Notes the need to focus on the quality of life of NCD patients whose illnesses cannot be cured but may be stabilised for a number of years; emphasises the importance of specific EU recommendations to improve the quality of life of patients including by integrating comprehensive supportive care into psychological care into the comprehensive healthcare, starting with the diagnosis and continuing over the course of the disease and by granting access to specialised support centres;
Amendment 740 #
Motion for a resolution
Paragraph 22 a (new)
Paragraph 22 a (new)
22a. Calls for the incorporation of an equitable approach for digital healthcare strategies: quality and safety of technology should be ensured and inequities in access be addressed, technology as an option should be discussed and agreed upon by the main healthcare professional and the patient in a process of shared decision-making;
Amendment 758 #
Motion for a resolution
Paragraph 23
Paragraph 23
23. Welcomes public-private partnerships as a way of strengthening innovation in healthcare; highlights the European Health Innovation Collaborative, which promotes entrepreneurship and innovation in the healthcare sector and brings together academia, research, and industry to foster collaboration and investment in health technologies; encourages the Commission and the Member States to foster and accelerate public-private partnerships with the caveat of measures to protect public interest;
Amendment 766 #
Motion for a resolution
Paragraph 24
Paragraph 24
24. Calls on the Commission to ensuring access to existing medical devices and strengthen support and investment in the development of, and access to, new innovative medical devices, and to support the digitalisation of health services; believes that new technologies and digitalisation can lead to new and better treatments formanagement and treatments for NCDs as well as improved quality of life for people living with NCDs;
Amendment 778 #
Motion for a resolution
Paragraph 24 a (new)
Paragraph 24 a (new)
24a. Believes that good quality data and evidence are important and that correlating health data with social, economic, and environmental data, and strengthening the equity elements of existing health monitoring systems, such as European Health Data Space, will support development of evidence-based and targeted policies and interventions for improved health equity;
Amendment 797 #
Motion for a resolution
Paragraph 25 a (new)
Paragraph 25 a (new)
25a. Believes that further economic data collection at national level is needed in order to achieve a better understanding of the associated costs and burden in the Member States;
Amendment 798 #
Motion for a resolution
Paragraph 25 b (new)
Paragraph 25 b (new)
25b. Acknowledges the great disparity in the level of funding between different NCDs and the need to evaluate funding priorities to ensure that those diseases which are underfunded despite their high burden, especially among disadvantaged groups, (such as alcohol-related liver disease, pancreatitis, and irritable bowel syndrome) attract more funding;
Amendment 809 #
Motion for a resolution
Paragraph 26 a (new)
Paragraph 26 a (new)
26a. Express support for EU level exercises and projects such as the European Cancer Inequities Registry and recommend its expansion into further areas of attention such as inequities related to race-ethnicity, age, gender, LGBTIQ+, vulnerable groups, such as people living with a disability, impairment or (multiple) chronic conditions, and concerns about medical deserts;
Amendment 811 #
Motion for a resolution
Paragraph 26 b (new)
Paragraph 26 b (new)
26b. calls on the European Commission to encourage, including with targeted funding, research into autoimmune diseases, which afflict 5 to 10 per cent of the global population;
Amendment 814 #
Motion for a resolution
Paragraph 27
Paragraph 27
27. Calls on the Commission to create a European NCD Health Knowledge Centre to improve data collection and research on NCDs; stresses the need for further research in NCD co-morbidities and management, and the need for open and FAIR (findable, accessible, interoperable, and reusable) data, as well as the promotion and implementation of existing initiatives, including the European Open Science Cloud, to foster research;
Amendment 834 #
Motion for a resolution
Paragraph 28 a (new)
Paragraph 28 a (new)
28a. 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;