Activities of Michèle RIVASI related to 2023/2075(INI)
Shadow reports (1)
REPORT on non-communicable diseases (NCDs)
Shadow opinions (1)
OPINION on non-communicable diseases
Amendments (100)
Amendment 12 #
Motion for a resolution
Citation 6 a (new)
Citation 6 a (new)
– having regard to its resolution on strengthening Europe in the fight against cancer – towards a comprehensive and coordinated strategy (2020/2267(INI)) adopted on 16-02-2022,
Amendment 13 #
Motion for a resolution
Citation 9 a (new)
Citation 9 a (new)
– having regard to its resolution of 16 January 2019 on the Union’s authorisation procedure for pesticides1a _________________ 1a Texts adopted, P8_TA(2019)0023.
Amendment 21 #
Motion for a resolution
Citation 8 c (new)
Citation 8 c (new)
– having regard to the conclusions and recommendations of the European Parliament's Science and Technology Options Assessment (STOA) Panel's study of July 2021 on ‘The health impact of 5G’,
Amendment 30 #
Draft opinion
Recital A a (new)
Recital A a (new)
Aa. whereas according to the World Health Organisation, climate change, air pollution and non-communicable diseases represent some of the most serious threats to global health;
Amendment 35 #
Motion for a resolution
Citation 8 a (new)
Citation 8 a (new)
– having regard to the EEA report Zero pollution monitoring assessment from December 2022,
Amendment 36 #
Draft opinion
Recital A b (new)
Recital A b (new)
Ab. whereas the COVID-19 pandemic has exposed insufficient investment in the Health Care Workforce and shown how unprepared health systems were to respond to a global health crisis;
Amendment 36 #
Motion for a resolution
Citation 8 b (new)
Citation 8 b (new)
– having regard to the report 'Healthy environment, healthy lives: how the environment influences health and well-being in Europe' by the European Environment Agency, Report No 21/2019,
Amendment 37 #
Motion for a resolution
Citation 8 d (new)
Citation 8 d (new)
– having regard to EFSA scientific opinion regarding Tolerable upper intake level for dietary sugars 2a _________________ 2a https://efsa.onlinelibrary.wiley.com/doi/ep df/10.2903/j.efsa.2022.7074
Amendment 39 #
Draft opinion
Recital A c (new)
Recital A c (new)
Amendment 41 #
Motion for a resolution
Citation 9 c (new)
Citation 9 c (new)
– having regard to the Global Monitoring Framework for the prevention and control of non-communicable diseases (NCDs),
Amendment 42 #
Motion for a resolution
Citation 9 d (new)
Citation 9 d (new)
– having regard to the World Health Assembly resolution of May 2019 on improving the transparency of markets for medicines, vaccines, and other health products (WHA72.8)m
Amendment 43 #
Draft opinion
Recital A d (new)
Recital A d (new)
Ad. whereas the Agreement on Trade Related Investment Measures (TRIMS) and other investment rules, which are part of the Free Trade Agreements (FTAs), also compromise the efforts of many developing countries to achieve self- sufficiency in manufacturing of medical products by making the application of many local production stimulation tools like local content rule, export obligation, etc. as illegal;
Amendment 43 #
Motion for a resolution
Citation 9 e (new)
Citation 9 e (new)
Amendment 44 #
Motion for a resolution
Citation 9 f (new)
Citation 9 f (new)
– having regard to Appendix 3 (= set of best buys and other recommended interventions for the prevention and control of NCDs) of the WHO global action plan for the prevention and control of noncommunicable diseases 2013–2030,
Amendment 46 #
Motion for a resolution
Citation 9 b (new)
Citation 9 b (new)
– having regard to the OECD/European Union (2022), Health at a Glance: Europe 2022: State of Health in the EU Cycle, OECD Publishing, Paris,
Amendment 54 #
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; recalls that many countries, especially those on the African continent, are still having major difficulties in accessing the health technologies used to fight not only the coronavirus but also other diseases; emphasises that the universal access to health depends among others on the ability of developing countries to build up their own production capacities and develop local know-how; in this respect, stresses that Intellectual Property Rights undoubtedly constitute a barrier to access to vaccines; urges the EU to support developing countries, in particular LDCs, in the effective implementation of flexibilities for the protection of public health provided for in TRIPs agreements, notably compulsory licencing and parallel import; 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;
Amendment 60 #
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. calls on the EU to support investment in health education and skills in developing countries, as well as regional cooperation, such as the African Continental Free Trade Area (AfCFTA) which have the potential advantages of establishing regional value chains to enable small economies in the region to collectively build the productive capability;
Amendment 63 #
Draft opinion
Paragraph 2 a (new)
Paragraph 2 a (new)
2a. Recalls that health is a prerequisite for human development, which implies mobilizing additional public funds to guarantee Universal Health Coverage; stresses that the delivering of “horizontal health” through an holistic and rights-based approach entails i.a. to fully address the multidimensional nature of health (with close links to gender, food security and nutrition, water and sanitation, education and poverty), along the line of “One Health” approach;
Amendment 65 #
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, kidney diseases, liver diseases, oral diseases, osteoporosis, osteoarthritis and endometriosis among other conditions;
Amendment 71 #
Draft opinion
Paragraph 2 b (new)
Paragraph 2 b (new)
2b. Notes with deep concern that pollutants in the environment have a massive impact on global health, especially for low- and middle-income countries (LMICs); calls on the EU to assist developing countries, notably the LMICs and LDCs, to prioritize disease prevention, through investment in the management of pollution, including through strategies on access to clean energies, clean and efficient transport, control of industrial emissions, the sound use of chemicals, as it is a highly cost- effective strategy for enhancing population health, reducing the burden on limited health resources and advancing national development;
Amendment 80 #
Motion for a resolution
Recital C a (new)
Recital C a (new)
Ca. whereas air pollution increases the health cost for EU citizens; whereas, in 2018, average every inhabitant of a European city suffered a welfare loss of over € 1,250 a year owing to direct and indirect health losses associated with poor air quality with amounts varying from the Romanian capital Bucharest total welfare loss amounts to over € 3,000 per capita/year to Santa Cruz de Tenerife in Spain where it is under € 400/cap/yr; whereas most of these costs relate to premature mortality: for the 432 cities investigated in the report, the average contribution of mortality to total social costs is 76.1% while, the average contribution of morbidity (diseases) is 23.9%.1b _________________ 1b report Health costs of air pollution in European cities and the linkage with transport published by CE Delft,
Amendment 109 #
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 alcohol, environmental pollution and alcohol 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 118 #
Motion for a resolution
Recital E a (new)
Recital E a (new)
Ea. whereas the World Health Organization’s best buys and other recommended interventions for the prevention and control of NCDs include policies such as: front-of-pack nutrition labelling, reformulation of food products and policies to protect children from the harmful impact of unhealthy food marketing on diet;
Amendment 122 #
Motion for a resolution
Recital E b (new)
Recital E b (new)
Eb. whereas there is no safe amount of alcohol that does not affect health and ere is no threshold for safe drinking; all levels bring some added risk of cancer or NCDs when it comes to alcohol consumption; whereas alcohol consumption has been linked to a large number of diseases and disorders, including CVD, cancers, diabetes, digestive diseases and mental health disorders; whereas all types of alcoholic beverages, including beer, wine and spirits, can cause cancer and the risk starts at low levels and increases substantially the more alcohol is consumed;
Amendment 125 #
Motion for a resolution
Recital E c (new)
Recital E c (new)
Ec. whereas the EFSA panel could not set “a safe level of intake” of free and added sugars because: “the risk of adverse health effects (responses) increased across the whole range of observed intake levels (doses) in a constant (linear) manner, i.e. the higher the intake, the greater the risk of adverse effects.”; whereas the World Health Organization's Cancer Research Agency (IARC) has classified the sweetener aspartame as "possibly carcinogenic to humans."; whereas a systematic review by the WHO suggests that non-sugar sweeteners could be linked to an increased risk of type 2 diabetes, cardiovascular disease, all-cause mortality, and increased body weight
Amendment 130 #
Motion for a resolution
Recital F
Recital F
F. whereas most NCDs are impacted by environmental risk factors such as air pollution, water, soil pollution, chemicals exposure, indoor fuel combustion, radiation, noise pollution, land use patterns, work environment, and climate change ;
Amendment 139 #
Motion for a resolution
Recital F a (new)
Recital F a (new)
Fa. whereas, according to WHO environmental burden of disease estimations, annually, 13% of deaths (630 000) in the WHO Europe region are attributable to environmental stressors1c; whereas an EEA report concluded that, 90% of deaths attributable to the environment result from non- communicable diseases, including cancers, cardiovascular diseases, stroke, chronic obstructive pulmonary disease, mental, behavioural and neurological disorders, diabetes, kidney, liver disease and asthma; whereas according to Report No21/2019 of the European Environment Agency (EEA), cancer is the top non- communicable disease attributable to the environment, with more than 250.000 cancer deaths attributable to the environment in 32 European high-income countries in 2016; _________________ 1c Source of the text is EEA report 'Healthy environment, healthy lives: how the environment influences health and well-being in Europe' 2019- Data is from the World Health Organization (WHO) 2012 -
Amendment 147 #
Motion for a resolution
Recital F b (new)
Recital F b (new)
Fb. whereas in 2020, air pollution led to a significant number of premature deaths in the 27 EU Member States; whereas about 300 000 premature deaths per year and a significant number of non- communicable diseases such as asthma, cardiovascular problems and lung cancer are attributed to air pollution;
Amendment 150 #
Motion for a resolution
Recital F c (new)
Recital F c (new)
Amendment 153 #
Motion for a resolution
Recital F d (new)
Recital F d (new)
Fd. whereas noise from transport continues to harm health, with little progress made towards reducing noise levels in EU; whereas long-term noise pollution is more than just a nuisance, it can cause serious health effects, such as ischaemic heart disease, obesity and diabetes, amongst others; whereas it is estimated that long-term exposure to noise causes 41,000 new cases of heart disease and 11,000 premature deaths every year in Europe; whereas 5 million people are highly sleep disturbed because of long- term exposure to noise. 1e _________________ 1e https://www.eea.europa.eu/en/newsroom/e ditorial/are-you-noticing-the-harmful- noise
Amendment 156 #
Motion for a resolution
Recital F e (new)
Recital F e (new)
Fe. whereas the International Agency for Research on Cancer (IARC) classified radiofrequency (RF) EMF as 'possibly carcinogenic to humans' (Group 2B) in 2011, and that extremely low frequency (ELF) magnetic fields were also evaluated as ‘possibly carcinogenic to humans’(2B) in 2002 by IARC;
Amendment 157 #
Motion for a resolution
Recital G
Recital G
G. whereas improved evidence-based health promotion and disease prevention can reduce the prevalence of NCDs by as much as 70 %7 ; whereas digital and literal literacy discrepancies can create barriers that hinder individuals' ability to access, comprehend, and utilize health- related information, resulting in suboptimal engagement in NCD prevention measures; whereas all efforts to increase both health and digital literacy should take into account people with learning disabilities, as well as ensure that the necessary information is available in common non-EU languages in order to reach migrants, new arrivals and other minority communities; whereas the improvement of levels of digital literacy for both the general population and all actors of the healthcare system is essential to enable the effective implementation of health strategies to combat NCDs; _________________ 7 European Commission, ‘Healthier together – EU non-communicable diseases initiative’, p. 15, June 2022.
Amendment 165 #
Motion for a resolution
Recital G a (new)
Recital G a (new)
Ga. whereas the development and impact of NCDs are also shaped by commercial determinants, including inaccurate health and nutritional claims, aggressive marketing of unhealthy products, and social determinants, such as income disparities or education levels, and play a pivotal role in influencing health behaviours and outcomes;
Amendment 171 #
Motion for a resolution
Recital G b (new)
Recital G b (new)
Gb. whereas health inequalities within Europe are impacting access to care, preventive measures, overall well-being and health outcome of citizens impacted by NCDs.
Amendment 172 #
Motion for a resolution
Recital G c (new)
Recital G c (new)
Gc. whereas refugees and migrants face circumstances that put them at a higher risk of falling ill during transitions or stays in receiving countries; whereas the challenges they encounter, such as poor living conditions and lifestyle adjustments, can contribute to increased susceptibility to non-communicable diseases (NCDs); whereas the prevalence of non-communicable diseases (NCDs) among refugees and migrants in EU is concerning, often diagnosed at advanced stages leading to worse health outcomes than those of the host population; whereas mental health issues such as depression and anxiety tend to impact refugees and migrants more than the host populations;
Amendment 176 #
Motion for a resolution
Recital H
Recital H
H. whereas innovationmproving the quality of life and of environment through measures such as, nature restoration, adoption of climate change mitigation and adaptation measures, and providing support for innovation, accessibility and affordability with regard to development of technologies, medicines and healthcare practises is crucial to ensure the prevention, elimination or reduction of harm caused by preventable risk factors and new andprovide better treatments formedical practices that are accessible and affordable for treating and managing NCDs;
Amendment 190 #
Motion for a resolution
Recital H a (new)
Recital H a (new)
Ha. whereas the EU and its Member States should mobilise their forces and provide adequate incentives and sustainable budgets so as to prevent, treat and reduce the burden of non communicational diseases as well as mitigate and reduce preventable risks;
Amendment 212 #
Motion for a resolution
Paragraph 1
Paragraph 1
1. Highlights that NCDs account for 90 % of all deaths in the EU8 , which leads to high levels of productivity loss and makes NCDs account for the largest share of countries’ healthcare expenditures; stresses that it is important to reduce the prevalence of NCDs and believes that enhanced health promotion and disease prevention can reduce the prevalence of NCDs by 70 %9 in conjunction with investment in health innovation and technologiespreventing, reducing and mitigationg environmental pollution and in health innovation and technologies, as well as their accessibility and affordability; _________________ 8 European Commission, ‘Non- communicable diseases : overview’. 9 European Commission, ‘The EU ‘Healthier Together’ Non-Communicable Diseases Initiative’, 2022
Amendment 223 #
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 EU strategy on NCDs complemented by action plans for specific NCDs; welcomes national plans and actions already taken against NCDs by Member State with clear targets, benchmarks, indicators and mechanisms to monitor the progress in a transparent and accessible way; welcomes national plans and actions already taken against NCDs by Member States; urges Member States to update their national plans in accordance with EU commitments;
Amendment 239 #
Motion for a resolution
Paragraph 2 a (new)
Paragraph 2 a (new)
2a. Considers that the ‘Health in All Policies’ and ‘One Health’ approaches should be promoted further, and efforts to fight NCDs should be integrated into all EU policies;
Amendment 240 #
Motion for a resolution
Paragraph 2 b (new)
Paragraph 2 b (new)
2b. Underlines the critical impact of conflicts of interest between public health objectives and the interests of industries producing alcohol, tobacco, and poorly nutritious and unhealthy foods on the effective prevention and management of NCDs; Stresses the importance of transparency in all stages of policy development, implementation, and evaluation related to NCD prevention, and encourages member states to ensure that all relevant stakeholders, including industry representatives, public health experts, and civil society organizations, are involved in a transparent and inclusive manner; urges Member States to establish mechanisms for regular disclosure of financial relationships between policymakers, public health officials, and representatives of industries, especially the ones producing alcohol and tobacco and calls for the creation of a centralized public database to facilitate access to this information;
Amendment 245 #
Motion for a resolution
Subheading 1
Subheading 1
NCD prevention and EU policy coherence
Amendment 247 #
Motion for a resolution
Paragraph 2 c (new)
Paragraph 2 c (new)
2c. Deplores the significant health inequalities in the EU as regards non communicational diseases prevention and screening; insists on the need to pay special attention to vulnerable and marginalised populations to minimise exposure to risk factors, to ensure their access to NCDs prevention services and involve them in organised screening programmes;
Amendment 251 #
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 pollu, noise pollution, radiation and chemical exposure increase the risk of NCDs10 ; believes, therefore, that NCDs prevention has to be implemented in the context of an integrated chronic disease prevention programme, in close cooperation with the Steering Group on Health Promotion, Disease Prevention and Management of Non-Communicable Diseases; _________________ 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 272 #
Motion for a resolution
Paragraph 4
Paragraph 4
4. Acknowledges that tobacco use 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; Acknowledges that second hand smoke increases the risk of cancer, particularly of the lung, and may increase the overall risk for all cancers by up to 16% in never smokers. Notes that around 31% of the European population on average is exposed to second-hand tobacco smoke at home, at work, during leisure activities, in educational institutions or in public settings. Underlines that children are particularly vulnerable to it both before and after birth and that about 12% of European children are regularly exposed to SHS at home;
Amendment 281 #
Motion for a resolution
Paragraph 5 – introductory part
Paragraph 5 – introductory part
5. Supports 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 ; calls for a full implementation of the WHO Framework Convention on Tobacco ControlEurope’s Beating Cancer Plan to achieve a Tobacco-Free Generation and prevent tobacco use by reducing tobacco consumption to 5% by 2040 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 and urges the Commission to review the Tobacco Products Directive11 and the Tobacco Taxation Directive12, Tobacco Advertising Directive 2003/33/EU; calls for a full, the rapid and complete implementation of the WHO Framework Convention on Tobacco Control and the WHO Protocol to Eliminate Illicit Trade in Tobacco Products (The Protocol) paying specific attention to the WHO FCTC Art. 5.3 and its guidelines on the protection of public health policies from the vested interests of the tobacco industry; 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 298 #
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 307 #
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 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 productsindustry ;
Amendment 314 #
Motion for a resolution
Paragraph 5 – point b a (new)
Paragraph 5 – point b a (new)
ba. Implement the European Ombudsman recommendations to keep and make available minutes on all of the Commission’s meetings with tobacco interest representatives constitutes maladministration; Calls for Member State and European Commision to ensure the 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 321 #
Motion for a resolution
Paragraph 5 – point b b (new)
Paragraph 5 – point b b (new)
Amendment 324 #
Motion for a resolution
Paragraph 5 – point b c (new)
Paragraph 5 – point b c (new)
Amendment 330 #
Motion for a resolution
Paragraph 5 – point b d (new)
Paragraph 5 – point b d (new)
bd. publish annual reports on the progress towards achieving a tobacco-free generation by 2040;
Amendment 332 #
Motion for a resolution
Paragraph 5 – point b e (new)
Paragraph 5 – point b e (new)
be. ensure greater protection of EU citizens from second-hand smoke;
Amendment 341 #
6. Acknowledges that the harmful use 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.Highlights that the WHO has concluded that there is no safe levels on consuming alchool and states that there are 1 million deaths annually in European Region due to alcohol consumption 1g. Recognizes the significant impact of alcohol consumption as a prominent risk factor contributing to the emergence and progression of various non-communicable diseases (NCDs). Is deeply concerned and draws attention to the extensive spectrum of diseases and conditions associated with alcohol consumption, encompassing but not limited to cardiovascular diseases (CVD), various forms of cancer, diabetes, gastrointestinal disorders, and mental health ailments. Reiterates that the risk of cancer and other NCDs due to alcohol consumption escalates even from the initial instance of consumption, with all categories of alcoholic beverages, including beer, wine, and spirits, being implicated in cancer formation. Moreover, notes that the risk of cancer and other NCDs appears at relatively moderate consumption levels, but exponentially amplifies as alcohol intake intensifies; _________________ 1g 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
Amendment 355 #
Motion for a resolution
Paragraph 7 – introductory part
Paragraph 7 – introductory part
7. Welcomes theCalls for a stronger Commission’s objective of achieving a 10 % reduction in harmful alcohol consumption by 2025; calls on the Commission and the Member States to:
Amendment 360 #
Motion for a resolution
Paragraph 7 – point a
Paragraph 7 – point a
a. Enact restrictions on alcohol advertising targeting minorso ensure they are not seen by minors, as evidenced by the impact of alcohol marketing targeting youth on consumption;
Amendment 365 #
Motion for a resolution
Paragraph 7 – point a a (new)
Paragraph 7 – point a a (new)
aa. Enhance public awareness about the established connection between alcohol use and non-communicable diseases, in order to facilitate informed decisions regarding alcohol consumption and its potential health consequences
Amendment 370 #
Motion for a resolution
Paragraph 7 – point b
Paragraph 7 – point b
b. Promote measures aimed at reducing and preventing alcohol-related harm consumption within the revised EU alcohol strategy;
Amendment 377 #
Motion for a resolution
Paragraph 7 – point b a (new)
Paragraph 7 – point b a (new)
ba. implement evidence-based policies, such as increase prices through taxation or price thresholds, to reduce alcohol consumption;
Amendment 380 #
Motion for a resolution
Paragraph 7 – point b b (new)
Paragraph 7 – point b b (new)
bb. elaborate a proposal on the introduction of health warnings to alcohol labelling requirements, as Ireland did in Section 12 of the Public Health (Alcohol) Act 2018;
Amendment 381 #
Motion for a resolution
Paragraph 7 – point b c (new)
Paragraph 7 – point b c (new)
bc. advance 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 Plan1h; _________________ 1h https://health.ec.europa.eu/system/files/20 22-02/eu_cancer-plan_en_0.pdf
Amendment 382 #
7a. Underscores the essential role of a healthy food environment in preventing NCDs and asks the Member State and the Commission to step up their actions to ensure that the most healthy and sustainable food is also the most affordable;
Amendment 387 #
Motion for a resolution
Paragraph 8 – introductory part
Paragraph 8 – introductory part
8. Notes that an unhealthy diet, which may be characterised as being high in sugars, saturated and transfats, low fibre foods and high-sugar drinks and the overconsumption of meat and other animal products, is one of the major risk factors for NCDs, including cardiovascular diseases, cancer, diabetes and other conditions linked to obesity15 ; acknowledges that obesity is considered a risk factor for several NCDs and is itself recognized as an NCD1i ; calls on the Commission and the Member States to: _________________ 1i European Commission classifies obesity as a chronic disease - The Lancet Diabetes & Endocrinology https://www.thelancet.com/journals/landi a/article/PIIS2213-8587(21)00145- 5/fulltext 15 World Health Organization Regional Office for the Eastern Mediterranean, ‘Noncommunicable diseases’.
Amendment 407 #
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 and more plant-based diets;
Amendment 435 #
Motion for a resolution
Paragraph 8 – point b a (new)
Paragraph 8 – point b a (new)
Amendment 439 #
Motion for a resolution
Paragraph 8 – point b b (new)
Paragraph 8 – point b b (new)
bb. adopt an evidence-based, harmonised and mandatory front-of-pack nutrition label to help consumers to make informed and healthier choices about food products;
Amendment 443 #
Motion for a resolution
Paragraph 8 – point b c (new)
Paragraph 8 – point b c (new)
Amendment 447 #
Motion for a resolution
Paragraph 8 – point b d (new)
Paragraph 8 – point b d (new)
bd. implement restrictions on advertising of ultra-processed foods, particularly those aimed at children; 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 450 #
Motion for a resolution
Paragraph 8 a (new)
Paragraph 8 a (new)
8a. Welcomes the recognition in the Farm to Fork Strategy that current consumption patterns in the EU are not sustainable from both health and environmental points of view and moving towards a more plant-based diet with increased intakes of fruit and vegetables as well as less red and processed meats will provide benefits both for the health of consumers and reduced environmental impact of the food system; calls therefore on the Commission to come forward with EU-wide guidelines for healthy and sustainable diets;
Amendment 455 #
Motion for a resolution
Paragraph 8 b (new)
Paragraph 8 b (new)
8b. Regrets the delay of the proposal for a revision of the Food Information to Consumers Regulation (1169/2011) as well-evidenced front-of-pack nutrition labels which are independently developed and implemented and backed by significant amounts of scientific research have already been shown to be effective in helping consumers to opt for healthier food and beverage choices. Calls for the inclusion on food labels of information on the environmental footprint of foods and drinks and on the presence of pesticides in order to empower customers to follow healthier and more sustainable diets; Calls for improvement o the Union’s authorisation procedure for pesticides;
Amendment 457 #
Motion for a resolution
Paragraph 8 c (new)
Paragraph 8 c (new)
8c. Calls for a revision of Food Information to Consumers regulation 1169/2011 to empower the consumer and allow for healthy lifestyle choices such as improving the sugar labelling on the back of pack in order correctly inform consumers of the amount free and added sugars as a proportion of total sugars as well as the use of non-sugar sweeteners;
Amendment 469 #
Motion for a resolution
Paragraph 10
Paragraph 10
10. Acknowledges environmental factors contribute significantly to the burden of death and disease in Europe and, therefore, improving environmental conditions will improve the health and well-being of European citizens; Considers the European Green Deal to be instrumental in preventing NCDs in the EU by reducing air, food, water and soil pollution and chemical exposure; highlights that prevention of chronic respiratory diseases besides tobacco cessation also includes the prevention of exposure to dust and other indoor pollutants; 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 477 #
Motion for a resolution
Paragraph 10 a (new)
Paragraph 10 a (new)
10a. Notes with regret that the revised EU Ambient Air Quality Directive (AAQD) proposals of the Commission failed to include a clear path to reducing annual mean concentrations to below 5 µg/m3 for PM2.5 and 10 µg/m3 for NO2, in line with the latest WHO health-based Air Quality Guidelines and therefore calls for EP and Council to set ambitious targets and to strengthen the proposed limit values to allign to current WHO guidelines; Calls for a continued improvement in air quality down to, or below, the WHO’s air quality guidelines that would maximize health benefits to European citizens;
Amendment 486 #
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, with a greater emphasis on increasing the consumption of plant- based proteins and reducing the over- consumption of animal products;
Amendment 506 #
Motion for a resolution
Paragraph 12 a (new)
Paragraph 12 a (new)
12a. Acknowledges pesticides use can cause neuro--degenerative diseases and cancers, which farmers are the most exposed to, in particular the non- -Hodgkin’s lymphoma, a cancer widespread among regular pesticide users1i; Calls for the adoption of an ambitious proposal on the sustainable use of pesticides with a a high reduction target of the most hazardous pesticides by 2030. Underlines that those pesticides pose a serious threat to health (they are, for example, neurotoxic, carcinogenic, toxic for reproduction or have endocrine disrupting properties) and should have been gradually phased out since 2015. _________________ 1i Zhang et al., Exposure to glyphosate- based herbicides and risk for non- Hodgkin lymphoma: A meta-analysis and supporting evidence, 2019
Amendment 509 #
Motion for a resolution
Paragraph 13
Paragraph 13
13. Regrets the slowCalls for full implementation of the commitments included in the Chemicals Strategy for Sustainability, and, in particular, expecturges theat REACH Regulation18 to beis revised in order to be able to identify all substances of concern manufactured or imported in the EU; calls on the Commission to adopt effective legislation, including on labelling requirements, to reduce citizens’ exposure to carcinogenic, endocrine disruptors and other dangerous substances, in line with the Chemicals Strategy for Sustainability; calls for Commision and Memeber States to ensure that all consumer products should be free from substances of very high concern. _________________ 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 514 #
Motion for a resolution
Paragraph 13 a (new)
Paragraph 13 a (new)
Amendment 522 #
Motion for a resolution
Paragraph 13 b (new)
Paragraph 13 b (new)
13b. Calls on the European Environmental Agency (EEA) to produce a report, together with the European Chemicals Agency (ECHA), on chemicals in the environment in Europe. The report should assess the systemic nature of harmful chemicals to the environment and human health, focusing on carcinogenic and endocrine disrupting chemicals within Europe’s production and consumption systems, their use in products, occurrence in Europe’s environment and the harm caused to human health, especially concerning NCDs;
Amendment 526 #
Motion for a resolution
Paragraph 13 c (new)
Paragraph 13 c (new)
13c. Considers that the next edition of the European Code Against Cancer (ECAC) will have to take into account the latest knowledge on environmental carcinogens; calls on the Commission to propose without delay a revision of REACH Article 68(2), the regulation on food contact materials, the regulation on cosmetic products, the directive on toys safety and other relevant consumer product legislation to ensure that consumer products do not contain chemicals that cause cancer or affect the endocrine system in line with the Chemicals Strategy for Sustainability;
Amendment 529 #
Motion for a resolution
Paragraph 13 d (new)
Paragraph 13 d (new)
Amendment 530 #
Motion for a resolution
Paragraph 13 e (new)
Paragraph 13 e (new)
13e. Reiterates its recommendation to the Commission and the Member States to revise the residential and public exposure limits for the public and the environment in order to reduce RF exposures from cell towers, Small-Area Wireless Access Points (SAWAPs) and Near-Field Communication, i.e. to around 6 V/m globally, which is an exposure level at which no cancer effects in experimental animals have been observed; supports measures to incentivise the reduction of RF-EMF exposures (including fiber-optic cables, Li-Fi, etc.);
Amendment 531 #
Motion for a resolution
Paragraph 13 f (new)
Paragraph 13 f (new)
13f. Calls for the implementation of novel technology for mobile phones that enables RF exposures to be reduced whatever the frequencies, from 1G to 5G and any future standards; calls for multidisciplinary scientific research to assess the long-term health effects of 5G and to find an adequate method of monitoring exposure to 5G; encourages the Commission and the Members States to carry out information campaigns, including at schools, to inform on potential health risks of mobile phone use and safety measures taken by the EU and Member States;
Amendment 539 #
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;cluding the adoption of gender-neutral human papillomavirus (HPV) vaccinations for all adolescents and young adults, in the fight against HPV.
Amendment 577 #
Motion for a resolution
Paragraph 16
Paragraph 16
16. Calls on Member States to improve the access to social and healthcare services for vulnerable population, such as racial or ethnic minorities, children, elderly, socioeconomically disadvantaged, refugees, migrants, underinsured or those with certain medical conditions, that is marked by variability and disparities. Urges Member States to include in their health strategies the needs of vulnerable and high risk populations and tackle the health disparities rooted in legal barriers, economic limitations, language and cultural challenges, and discriminatory practices. Encourages Member States to reduce undiagnosed NCDs by introducing targeted health checks for high-risk individuals addressing the main shared metabolic risk factors, ensuring quality care and support NCD patients’ self- management;
Amendment 600 #
Motion for a resolution
Paragraph 17 a (new)
Paragraph 17 a (new)
17a. Calls on the Member States to pay enhanced attention to addressing the physical and psychological impacts of NCD and its treatment, including pain management, patient and carers access to psychological support, palliative and supportive care in their national health plans;
Amendment 606 #
Motion for a resolution
Paragraph 18 b (new)
Paragraph 18 b (new)
18b. Calls for inclusion of holistic treatment methods for NCD with the combination of conventional and complementary therapies, also known as integrative medicine, including fostering the development of a high quality multidisciplinary workforce to improve patients’ quality of life and well-being, including mental, psychosocial and nutritional support; calls for increased research investment to assess the validity of the integrative approach of NCD care and treatments; emphasises the importance of specific EU recommendations to improve the quality of life of patients, including via supportive care (pain relief, psychological services, adapted physical activity, nutritional support, integrative medicine, social assistance, access to reproductive health and restoration of aesthetic integrity); asks Member States for recognition of sequelae (physical or mental disabilities), as well as social discrimination;
Amendment 628 #
Motion for a resolution
Paragraph 18 a (new)
Paragraph 18 a (new)
18a. Is concerned about the lack of progress to support health and care workers on the ground in response to the unprecedented healthcare staff shortages in the EU.Call to the Commission and Member States to: a) reinforce social dialogue and promote collective bargaining as provided for in Directive (EU) 2022/2041, in particular with a view to improving wage-setting and working conditions for healthcare staff; b) Close the underinvestment gap in public healthcare systems, making full use of all available EU funds, such as EU4Health, Digital Europe Programme, Horizon Europe, the RRF, Cohesion Funds and Regional Development Funds; c) Ensure rural and deprived areas benefit from specific attention when investing EU funds in order to improve access to care for all; d) Take stronger action, including by leveraging the use of digital services, to support work-life balance measures for health and care staff in the EU; e) Define coordinated retention policies for health and care professionals in the EU, also in view of avoiding intra-EU competition; f) Call for and support the proposal of a Directive on psychosocial risk at work by the European Commission to better integrate the health impacts of work for health and care workers and improve prevention throughout Europe; g)Improve access to employment opportunities in the healthcare workforce for Migrants, Refugees and Asylum- Applicants residing in the EU via faster recognition of their degrees in health and care and facilitated access to education and language training; h) Address burn out in European hospitals and beyond;
Amendment 659 #
Motion for a resolution
Paragraph 19
Paragraph 19
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;
Amendment 666 #
Motion for a resolution
Paragraph 19 a (new)
Paragraph 19 a (new)
19a. 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 729 #
Motion for a resolution
Paragraph 22
Paragraph 22
22. Welcomes the pharmaceutical package and calls for the strengthening of the European medicines market to ensure access to medicinesffordability and alleviate medicine shortages, reduce barriers to cross-border business, while strengthening incentives for investment in innovation; underlines that data protection and intellectual property rights are crucial to ensure competitiveness in the EU by incentivising innovators to develop new products and further ongoing research effortsaccess to medicine, underlines that the aim of intellectual property and regulatory incentives to benefit society and promote innovation in areas of public health and unmet medical needs should not be misused/abused nor pose threats to affordability and patient access to pharmaceuticals; whereas awarding such incentives and public funds should be conditioned by transparency of public funding, research data, R&D and other associated costs, and product prices, to ensure affordability and fair return on public investment;
Amendment 738 #
Motion for a resolution
Paragraph 22 a (new)
Paragraph 22 a (new)
22a. Stresses the need for the publication of concrete and legally binding shortage management and prevention plans as part of the medicine supply obligations of marketing authorisation holders based on an analysis of the manufacturing and distribution risks, including minimum stock levels, measures allowing for the diversification of raw materials supply sources, and the development of other manufacturing sites when necessary;
Amendment 743 #
Motion for a resolution
Paragraph 22 b (new)
Paragraph 22 b (new)
22b. Calls on the Commission and Member States to map out and address barriers to both human and analogue insulin, and to ensure affordability for both users and national health systems;
Amendment 757 #
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 only if they have strong leadership of the public health sector ;
Amendment 760 #
Motion for a resolution
Paragraph 23 a (new)
Paragraph 23 a (new)
23a. Calls on the Commission and the Member States to create European Medicine R&D infrastructure Hub that would work based on priorities set by the scientific communities and public health- policy authorities with a focus on improving NCDs treatments and care;
Amendment 763 #
Motion for a resolution
Paragraph 23 b (new)
Paragraph 23 b (new)
23b. Calls on the Commission and the Member States to establish a network of European non-profit pharmaceutical undertakings which operate in the public interest to manufacture priority medicinal products for health care with a focus on improving NCDs treatments accessibility, guarantees supplies and avoid medicine shortages;
Amendment 768 #
Motion for a resolution
Paragraph 24
Paragraph 24
24. Calls on the Commission to strengthen support and investment in unmet medical needs and the development of new innovative medical devices; believes that new technologies can lead to new and better treatments for NCDshealth products and services that lead to better quality, efficiency and accessibility for patients who need them; calls for the development of conditionalities related to affordability and accessibility of products resulting from publicly funded research;
Amendment 793 #
Motion for a resolution
Paragraph 25
Paragraph 25
25. Believes that improving knowledge and sharing of evidence-based best practices among Member States is needed to accelerate effective prevention measures and innovative, cost effective, accesible practices;
Amendment 804 #
Motion for a resolution
Paragraph 26
Paragraph 26
Amendment 819 #
Motion for a resolution
Paragraph 27
Paragraph 27
27. Calls on the Commission to createexpand EC Knowledge Centre on Cancer and transform it into 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;
Amendment 822 #
Motion for a resolution
Paragraph 27 a (new)
Paragraph 27 a (new)
27a. Reminds the Commission of the independent external evaluation of the European centre for disease prevention and control examine the feasibility of extending the mandate of the Centre to address the impact of cross-border threats to health on non-communicable diseases on the Review. Calls on the European Commission to provide the ECDC a sustainable and future-proof mandate that advances health promotion and recognises interconnections between communicable and non-communicable diseases;