1. Health and Food Safety Marco Valletta – member of Cabinet of Commissioner Vytenis Andriukaitis Alpeuregio 2017

2. Who ~ 900 people on three sites 3 agencies for risk assessment
Bruxelles
Luxembourg
Grange, Dublin (controls);
3 agencies for risk assessment
EFSA (Parma) – food safety
EMA (London!)- pharmaceuticals
ECDC (Stockholm) – diseases control

3. Our mission
Our citizens expect to live safe, healthy and full lives. They expect their health to be protected throughout the EU at the same high level:
Two pillars:
- Ensure food is safe and wholesome all along the food chain (also protecting the health of animals and plants and the humane treatment of animals)
- Protect and improve human health 3

4. Safe and healthy food along the food chain
Food safety
Safe and healthy food along the food chain

5. Food chain: Economic dimension
The food chain generates added value of more than 800 billion € = 6% of the EU GDP;
More than 20% of EU workforce (including Agriculture);
The largest manufacturing sector by turnover, added-value and employment;
More than 17 million different holdings/enterprises in the food chain (Agriculture, Food industries, catering and distribution); 14
Source: Eurostat 2010

6. EU is the world's largest importer and 2nd largest exporter of food and drink after the US:
important trade surplus: in the last 10 years, EU food and drink exports have doubled, reaching over EUR 90 Billion and contributing to a positive balance of almost EUR 30 Billion.
EU specializes in the export of final high-value products accounting for two thirds of total (spirits&liqueurs, wines&vermouth, cereal preparations) and imports fish products, commodities (coffee, soya bean, palm oil), feeding stuffs and fruits and vegetables

7. Food chain: integrated approach
After the "mad cow", new EU approach to food safety:
Ensuring the safety of food
Protecting our agricultural, zoo-technic and forestry patrimony
Ensuring animal health and welfare
 From farm to fork
Food chain: integrated approach 7 7

8. Legislative dimension
The food sector is one of the most regulated and harmonised at EU level
(almost 98%)
THE ENTIRE FOOD CHAIN "FROM FARM TO FORK"
FARMERS
Animal Health
Animal Welfare
Seed (GMO)
Plant Health
Pesticides
Feed
CONSUMERS
Labeling
Claims
Transparency
Confidence
INDUSTRY
Hygiene
Contaminants
Additives
Packaging
Dietetic Food

9. Separation of the two phases Risk assessment: EFSA
Risk management: European Commission in comitology
- Open transparent process: 28 MS and half a billion EU citizens
- Authorisation process for:
GMOs
Pesticides
Additives
Novel food
Feed products
Food chain: solid scientific basis 9 9

10. Controls on imported products
- Member States are responsible for controls
Commission Grange office responsible for auditing MS and for inspecting Third Countries:
212 audits for 2017 in Member States, candidate countries and non-EU countries
- Controls on imports: 310 Border Inspection Posts
Products of animal origin and animals (controls on all consignments):
>500,000 controls on average
Food of non-animal origin: targeted controls once a risk has been identified (>10,000)
More than 100,000 staff working in the EU on inspections along the agrifood chain

11. Economic impact of food crises
BSE (Mad Cow Disease)
, 10 billion € EU Budget, 70 billion € losses (Industry and Member States)
UK Foot and Mouth disease (cows, sheep, pigs)
2001, 3% of British GDP
Avian Flu H5N1
2003, drop of 80% of poultry meat consumption
E.coli (not Spanish cucumber, but fenugreek from Egypt)
2012, DE, 55 deaths, 6000 hospitalised, 250 million € Commission subsidies, 1,5 billion € economic losses
Resource efficiency
Halving the amount of edible food waste by 2020
Employment function of the Food sector
Rise share of industry from
16% to 20%

12. Examples of our ongoing priorities in the Food Area
Food waste in circular economy
Animal Health
Plant Health
Animal Welfare
Resource efficiency
Halving the amount of edible food waste by 2020
Employment function of the Food sector
Rise share of industry from
16% to 20%

13. Food waste prevention: integral part of Circular Economy Package
What we need is a more circular economy.  This means re-using, repairing, refurbishing and recycling existing materials and products. What used to be regarded as ‘waste’ can be turned into a resource. The aim is to look beyond waste and to close the loop of the circular economy. All resources need to be managed more efficiently throughout their life cycle.
Action at all stages of value chain: From raw materials, through material and product design; production, distribution and consumption of goods; repair, remanufacturing and re-use schemes; waste prevention management and recycling.
Benefits of Circular Economy
The value of products, materials and resources is maintained in the economy for as long as possible
Waste generation is minimised
Boost to the economy and competitiveness by creating new business opportunities, and introducing innovative products and services
Brings economic, social and environmental gains

14. 5 Actions to Fight Food Waste:
Measure and monitor food waste
EU guidelines to facilitate food donation
Optimise safe use of food in feed
Promote better understanding
and use of date marking
EU Platform on Food Losses and Food Waste

15. Prevention is better than cure
Animal health law
Prevention is better than cure

16. Single Market Plant Health stable + pasture plants field + water
Inspect + assess
sample + analyse
monitor + certify
stable + pasture MS
0000 EC
Import
plants
catch + harvest
Single Market
Border Control
field + water

17. Xylella fastidiosa
Before…
One year later…

18. Animal welfare Completion of the existing strategy
New focus on stakeholders' commitment
Animal Welfare Platform
Resource efficiency
Halving the amount of edible food waste by 2020
Employment function of the Food sector
Rise share of industry from
16% to 20%

19. EU Health Policy - 19

20. EU Health Policy - Treaty Art. 168 on Public Health
"A high level of human health protection shall be ensured in the definition and implementation of all Union policies and activities."
Mainly Member States' responsibility to define health policies and manage health systems;
The EU complements national policies by providing a legal and political framework and encouraging cooperation
Innovation is an essential component of the health sector (research, technology, social innovation).
The health sector is essential to people's health, which influences economic outcomes in terms of productivity, labour supply, human capital and public spending
Treaty provisions on public health (Art. 168 TFEU)
The EU shall:
Ensure a high level of human health protection (Health in All Policies)
Complement national policies towards: improving public health, preventing physical and mental diseases, promoting research as well as information and education, and monitoring and combating serious cross-border health threats
Encourage cooperation between Member States; the Commission may, in contact with Member States, take any useful initiative to promote coordination
Foster cooperation with third countries
Adopt legislation to meet common safety concerns related to human components, the veterinary and phytosanitary fields, medical products and devices
The EU may adopt measures:
designed to protect and improve public health (incentive measures)
concerning monitoring, early warning of and combating serious cross-border threats to health
with the direct objective to protect public health regarding tobacco and the abuse of alcohol (excluding harmonisation of laws of Member States)
end

21. Health is Wealth
Spending on health as % of EU GDP (OECD health data 2012, weighted for 2010) EU: 10.3%; Italy 9.3%; Malta 8.6%; Germany 11.6%; Czech Republic 7,5%
Health expenditure per capita: (OECD health data 2012, weighted for 2010) EU: 2470 EUR; Italy: 2282 EUR; Malta: 1758 EUR; Germany: 3337 EUR; Czech Republic : 1450 EUR
Total pharmaceutical expenditure as % of total health expenditure
(WHO data 2010)
Italy 17.23%; Malta %; Germany 14.75%; Czech Republic 19.9%
NOTES on share of expenditure on prevention:
some countries may classify part of the prevention activities in the 'curative care' category
in 2010 the budgets allocated to prevention decreased markedly in some countries, reflecting cuts due to budgetary consolidation and due to the fall in expenditure after the spike recorded in vaccine purchases for the swine flu in 2009, as vaccines are often included in prevention budgets.
NOTE: the new edition of Health at a Glance – Europe will be available in November 2014.

22. Age, sex and genetic factors Environment and socio-economic factors
Health determinants
Health is a result of a number of factors, individual and social
Importance of prevention and health promotion
Need for action at many levels
Advocate "health in other policies"
Age, sex and genetic factors
Healthcare system
in the centre of the figure, individuals possess age, sex and constitutional factors that influence their health and are largely fixed
however, sourrounding them are influences theoretically modifiable by policies
firstly, individual lifestyle factors: smoking, drinking alcohol, nutrition, physical activity
second, individuals interact with peers and immediate community, and are influenced by them
next, a person’s health is influenced by living and working conditions, food supply and access to food and services
finally, health is influenced by general socio-economic, cultural and environmental conditions
Health
Environment and socio-economic factors
Lifestyle 22

23. Health Policy: Products
Guarantee the highest possible level of public health
Secure the availability of health products to citizens in the EU market
Foster innovation
Medicinal Products: 160 bn € in annual turnover and 660,000 employees of whom 110,000 are researchers. 300,000 medicines authorised at national level and medicines at EU level.
Medical devices: (GROW) 95 bn € and 500,000 employees; high reinvestment rate in R&D (average 6-8% of sales).
Substances of Human Origin Blood: 3,6 million patients; Organs (e.g. kidneys, livers, hearts,etc.): 30,300 patients; Tissues and cells (e.g. bone, skin, cornea, etc.):77,000 patients;
Figures:
Medicinal Products: (IA Innovative medicines initiative 2)
Medical Devices: (SANCO Press material)
Cosmetics: (Cosmetics Europe)
SOHO:

24. Health Policy: Services
Improve citizens' health
Increase healthcare quality and access
Improve value
Directive on patients' rights in cross-border healthcare: clear rules and reliable information to enable free movement of Patients
Quality and safety of care: up to % of patients suffer from adverse events whilst receiving healthcare;
Health workforce planning: healthcare employs 8% the total European workforce and has a high growth potential, but faces the challenge of budget constraints, workforce shortages and skill mismatches.
eHealth: use eHealth tools to share information and increase healthcare quality, make eHealth tools more effective and involve stakeholders.
Health Technology Assessment (HTA): support decision makers on the formulation of safe and effective health policies that are patient focused and aim at achieving the best value.

25. Health Policy: Disease Prevention
Improve public health
Prevent physical and mental illness and diseases
Remove sources of danger
Health Security: promote coordination of Preparedness, Risk assessment, Risk management, Risk communication and International cooperation (Decision of on serious cross-border threats to health).
Disease prevention and work on health determinants (tobacco, alcohol, nutrition and physical activity): can reduce high long-term treatment costs and improve health outcomes by avoiding premature deaths and delay the onset of chronic diseases.
Early detection of diseases: EU guidelines on screening : breast cancer, colorectal cancer, cervical cancer.
Tobacco: Health risks related to smoking cost more than 25 billion € per year in treatment. Tobacco causes almost 700,000 premature deaths every year.

26. The three "Ps" of public health
Promotion
Prevention
Protection
Encouraging instruments on healthy lifestyle: sports, activity, and healthy nutrition
Encouraging and adopting measures that act on risk factors such as alcohol and tobacco
Protecting our lives collectively: gradual recognition that measures that save lives are important
Parameters: income, housing
quality of food, employment,
quality of working conditions
Instruments (pricing, availibility, marketing, product regulation)
Tools: helmets, sound walls
belts in cars, etc.

27. Tobacco consumption in the EU

28. Drunkenness among 15-years-old (Drunk at least twice in life)

29. Overweight and obesity in children (%)

30. Examples of our ongoing priorities in the Health Area
Health Technology Assessment
European Reference Networks
Antimicrobial Resistance
Resource efficiency
Halving the amount of edible food waste by 2020
Employment function of the Food sector
Rise share of industry from
16% to 20%

31. Health Technology Assessment (HTA)
Definition: HTA assesses the added value (relative effectiveness) of a given health technology over and above existing ones.
Clinical domains
so called REA
(rapid effectiveness assessment)
Non-clinical domains (e.g. economics)
so called Full HTA together with REA

32. Current EU cooperation on HTA
Cooperation beyond 2020
Inception Impact Assessment
Description of the status quo
Options for the future
New HTA Initiative
Policy and strategic cooperation
Art 15 Directive 2011/24
Set up October 2013
Multiannual work programme
Permanent
HTA Network
Scientific and technical cooperation
Started in the 1990's, later EUnetHTA
Now Joint Action 3 – 2016 – 2020
EUnetHTA Joint Action
Synergy and
complementarity

33. 24 Networks (in 26 countries)

34. AMR is the quintessential One Health issue

35. 3 key priorities for tackling AMR
Making the EU a best practice region
Stimulating research & innovation
Shaping global action outside the EU

36. Thank you!!!