1. Welcome in Tallinn ! 2nd CEEAM Board meeting CEEAM Board meeting

2.  CEEAM board, May 30  Migraine School, May 31 Tallinn meeting

3.  meet again and discuss common problems  welcome new colleagues  check tasks agreed in Istanbul  revise „raison d´etre“ of CEEAM  analyze expectations and outputs  launch and monitor the 1st CEEAM Migraine School  think next educational events The purpose of today

4. The program

5. …since September 2007 (Istanbul) Tallinn, May 30, 2008 CEEAM Board meeting

6. Istanbul meeting output: CEEAM projects 1.Guidelines – transfer + sharing 2.Exchange of contacts, sharing ideas online 3. Education: 1.for neurologists 2.For primary care 4.PR: Days of migraine 5.Epidemiology of migraine 6.Pharmacoeconomy

7. CEEAM projects status 1. Migraine Guidelines : In Istanbul, the Headache guidelines were reported to exist in CZ, PL, TR Czech guidelines were translated in English and are available for your inspiration on www.ceeam.info

8. Why Guidelines ? Their existence and usage break the barrier to primary care Increased patients awareness doesn´t fall on rock Family doctors may (and should) cover ca. 70% of patients „by guidelines“ Family doctors get a cookbook with defined „escape route“ (red flags, referral to specialist) Neurologists keep control of lege artis treatment (periodic guideline update)

9. The guidelines What are the obstacles? GP motivation? No need preceived? No interest in problem at all? Missing system or capacity to create + implement guidelines ? Can we (Zentiva) help ? How ?

10. CEEAM projects status 2. Communication and contact platform: www.ceeam.info active since October 2007 Logins available to all of you Login: namesurname Password: Cinie Who visited ? How many times ? Did you find what you sought for?

12. www.ceeam.info What is missing ? (e.g. case studies ?) Does the web duplicate something more popular? May reminders (e-mail) about news help ? Online services in local launguage used more ? www.migrenik.cz

13. 3. Education: local vs. international 1.for neurologists: best way = support (stipends) for exisiting EHF and IHS events – e.g. Summer schools + congress workshops. Role of industry 2.For primary care: done locally, CEEAM may build an international curriculum for such course. Priority for 2008 Result: CEEAM Migraine School CEEAM projects status

14. 4. AWARENESS  MOST SERIOUS OBSTACLE PERCEIVED  Cannot be imported  Designed and executed locally  For patients and professionals  Industry vs. Independent (Headache society?) CEEAM projects status

15. Building awareness: PR  International  Sharing of experience  Studies + data  Local execution  Face and voice of migraine  Specialists: the publicity may not be always welcome, but it is for good  Celebrities ?  Form of event / delivery MIGRAINE AWARENESS

16. 5. Epidemiology of migraine  International Non-interventional clinical study in 5 CEEAM countries  (Not really epidemiologic study)  First results ready now  Very similar results across the region  Confirms the miraculous effect of causal treatment on QoL of patients, despite who is actually providing the medication CEEAM projects status

17. 5. Pharmacoeconomy  in 2007 put on hold (low priority)  model have been developed with Czech Pharmacoeconomic Society  Model applicable across the region  Chance of misuse by our competitors or ourselves…. CEEAM projects status

18. Migraine market in Czechia

19. Pharmacoeconomy  still low priority  despite all past success, we focus on incresing % patients treated by state-of the-art methods  We shall not fight against others – we shall only fight pain Pharmacoeconomy

20. The future of CEEAM 2008 - ?

21. Purpose of existence BACKROUND GP PHARMACY PATIENTS SP CEEAM INTERNATIONAL PLATFORM

22. AIM OF CEEAM  Increase awareness among patients The disease and its management  Improve management of migraine Especially on the first-line level

23. AIM OF CEEAM  Create a basis of regional cooperation, information sharing and common learning  Enhance cooperation of first-line and specialists

24. Its purpose has not been achieved !  It may help to sell Cinie but we are sure it helps patients  despite all success, we focus on incraesing % patients treated by state-of the-art methods  We continue activities on field fo migraine and we beg you to stay with us ! CEEAM GOES ON !