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EUROPEAN CENTRE FOR DISEASE PREVENTION AND CONTROL. Ana Stavljenić Rukavina OSI-New York NPHP Sub-board Member; Zagreb University School of Medicine, Croatia. G lobalization and the determinants of health. Determinants of health. PUBLIC HEALTH. EPIDEMIOLOGY & DEMOGRAPHY. Genes an d biology.
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EUROPEAN CENTRE FOR DISEASE PREVENTION AND CONTROL Ana Stavljenić RukavinaOSI-New York NPHP Sub-board Member;Zagreb University School of Medicine, Croatia
Globalization and the determinants of health Determinants of health PUBLIC HEALTH EPIDEMIOLOGY & DEMOGRAPHY • Genes andbiology PHARMACOLOGY • Nutrition HUMAN GENETICS ENVIRONMENTAL HEALTH • Health care HUMAN NUTRITION • Health-related behaviouralrisk factors HEALTH SERVICES AND POLICY MOH, CIHI, CIPH, professional chambers CLINICAL MEDICINE • Social and natural environments
International health threats in the 21st century • Communicable disease outbreaks examples: SARS, anthrax • Multiresistant tuberculosis, HIV/AIDS • Bio-terrorism
Antibiotic resistance “antibiotic resistance is a global and social problem. Even if an individual scrupulously follows antibiotic regimens and uses them sparingly, he or she is still vulnerable to resistant strains that have emerged anywhere in the world. And with air travel and international commerce shrinking the global village, no place is safe….The next wave of bugs is just a few days away. “
EU Regulation of the European Centre • EU Treaty: Article 152, paragraph 4, Article 151 • EU Parliament Decision 2119/98/EC: network for epidemiological surveillance and control of CD in EU (DSN) • Telematic System on Early Warning and Response System (EWRS) • EU Council May 2003: European Centre for Disease Prevention and Control • Transition of Dedicated Surveillance Networks into the Centre until 2006
The Mission of the Centre • to analyse and assess risks to human health from communicable diseases and other serious health threats • to provide expert advice to Commission and Member States enhancing the capacity to protect human health • health monitoring • cooperation with Member States in coherent, timely and effective actions • coordination of networking activities • technical support
Main tasks of the European Centre Epidemiological surveillance and networking of laboratories (health monitoring) The Centre shall provide QA by monitoring and evaluation of surveillance activities, maintain database for epidemiological surveillance and communicate the results of data analysis to community networks. By enhancing cooperation between expert laboratories the Centre shall develop sufficient capacity for microbiological diagnostics. The Centre shall work with competent bodies recognised by Member States
cont. Scientific support and training Scientific expertise and opinions (Advisory Forum, EFSA, EMEA): community funded research projects, coordination of training programmes: capacity building. Operation of early warning and response via EWRS network according to Decision No57/2000/1998/EC Centre shall ensure efficiently and effectively coordinated actions (animal health, food, feed and civil protection)
cont. Technical assistance Technical and scientific assistance based on scientific excellence to Commission, Member States, international organisations (with agreement of Commission) Emergencies and communication Collecting and analysing information and data with the aim to identify of emerging public threats to EU. Annual information to EC, EP and Council Support to EU bodies and Member States in developing intervention strategies Cooperation with competent bodies of Member States, EC and WHO.
Organisation of the Centre(principles) • The Centre would be small in terms of human resources, but possessing far larger influence through its synergy with national institutes • Staff will include relevant specialists (multisectoral) • The Centre will be funded from Community budget • Within this budget the Centre should have appropriate budget for outbreak investigation or controlling, consultation and advicing in crises.
The structure of the Centre • The Centre is an independent agency with a director and his staff responsible for administration, preparation and implementation of work programme. • Management board(15): representatives appointed by EC(6), Council (6-representing national executives), 3 members nominated by Commission representing stakeholders (NGOs, professional bodies or academia); ensuring that the Centre carries its mission and tasks by adopting its annual work programme and financial regulation. • Advisory Forum: members chosen from senior scientific personnel from national competent bodies. Its duty is to exchange information, pooling knowledge, monitoring scientific excellence of activities of the Centre.
For more information http://europa.eu.int/comm/health legal document: COM(2003)441 final/2 2003/0174 (COD) Proposal for a Regulation of the European Parliament and of the Council Establishing a European Centre for Disease Prevention and Control