GRF One Health Summit 2012, Davos: Presentation by Dr. Monika Przygucka-Gawlik - Councellor of the Minister - Department of Public Health - Ministry of Health - Poland

1. Polish Presidency in
European Council 2011
CRD network is the new perspective in EU
policy.
Bolesław Samoliński
Chairman of the Sub-Committee on Priorities of Ministry of Health during
Polish Presidency of the EU Council
Monika Przygucka - Gawlik
Councellor of the Minister
Ministry of Health, Poland
Davos, 20 February 2012

2. We have 27 health policies. This is the consequence of:
• Different economic situation in particular member states (MS)
• Different national health systems in each country
• Different understanding and position of public health in health
managementpractices
• Different level of technology and innovations
• Different tradition and mentality of the EU countries

3. There are many programmes on health, e.g. Europe
Health 2020, healthy aging, metal health, but these are
mostly political declarations.
The only one which really integrates the EU in trans-
border health care directive.
There are plenty of differences in risk factors and health
determinants, not only between countries but also
between regions in particular countries as well.

4. The presidency is too short a period of time to establish a new law in
the EU. It usually takes a few presidencies.
We must remember that all directives and conclusions must be
accepted by all Member States of the EU.
An EU ministers meeting, called COREPER, is one during each
presidency and this is the only moment when political declarations
like council conclusions are voted on. This is usually preceded by
hard work of Public Health Working Parties and ambassadors of all
European Union countries.
So, during such a presidential time the Country of Presidency can
propose, prepare and establish only 2 – 3 Council Conclusions.

5. During the Polish Presidency in the EU we proposed 4 priorities and
3 conclusions:
1. Closing health gaps within the EU through concerted action to
promote healthy lifestyle behaviours
2. Early detection and treatment of communication disorders in
children, including the use of e-Health tools and innovative
solutions
3. Prevention, early diagnosis and treatment of chronic respiratory
diseases in children

6. Prevention, early detection and treatement of chronic
respiratory diseases in children
Prevention, early detection and treatment of chronic
respiratory diseases affect child development and have a
positive impact on quality of life and on health, and
contribute to active and healthy ageing.
Therefore it is important to develop new tools to
improve the prevention, early detection and treatment of
chronic respiratory diseases in children by using the
“health in all policies” approach, especially across the
health, education, environment, research and
employment sectors.

7. Working on chronic respiratory deseases Council
Conlcusion, we:
- first had to establish CRD priority: prevention, early
diagnosis and treatment of chronic respiratory diseases
in children
-organized expert conference September 21st -22nd 2011,
in Warsaw : Childhood chronic respiratory diseases:
urgent need to close the gap
- prepared Council Conclusion: Prevention, early
diagnosis and treatment of chronic respiratory diseases
in children

8. The most important in this final document were two
political statements:
1. To implement chronic respiratory diseases into all EU
Member States health policies
2. To give an appropriate position of international
cooperation of scientific and public health networks.

9. This is the first Council Conclusion on
respiratory diseases and their prevention.
This is one of a few conucil conclusion regarding
health problems in children
And finally, this is the only one CC on
networking as a new tool for making health
policy in the EU and its integration on practical
and operational level.

10. In this text
… invites the Member States and The
Commission to:
• Encourage and support research in prevention, early
detection, treatment and causative factors
• Develop better understanding of the reasons of increase
of the prevalence and the influence of the environment
• Promote multisectoral approach and innovative
partnerships , especially e-health

11. .. invites the Member States to:
• take national action on childhood asthma
• strengthening cooperation
• raise awareness and education level
• exchange of best practices and data/statistics.
Common action at the EU level on respiratory diseases :
creation of networks, preferably employing already
existing infrastructure

12. … invites the European Commission to:
• include childhood asthma and allergy in the research
and health community programmes and activities
• support Member States and stakeholders

13. Polish Presidency
in European Union Council
implement early detection, prevention, and treatment of
noncommunicable respiratory diseases with particular emphasis on
developmental age (CRD)

14. Such networks integrate scientific and public
health nationals centers, NGOs and particular
patients organizations in preparing international
standards, guidelines with perspective on
implementing them into EU policy, especially the
European Commission, national governments
and parliamentarian and authorities.

15. The proposal of networks’ activities:
1. Focusing on a problem from a scientific and practical point of view
using EBM and HTA
2. Presentation of issues to the European Commission
3. International cooperation in order to pass knowledge, skills and
technology to national centres
4. Implementing a solution to clinical and public health problem into
national policy by the cooperation with national and regional
authorities.
5. In such a way, preparing a background for political decisions on
the European Council level.

16. Networks in the cooperation with all
stakeholders are the best model for the
utilization of Evedence Based Medicine
background in HAT for public health on
European Union and MS level policy.

17. Many thanks to the experts for supporting us in the
work on draft on CRD council conclusion
this is the solidarity in health
Polish Presidency in EU Council

18. Thank you.