Sundheds- og Forebyggelsesudvalget 2014-15 (1. samling)
SUU Alm.del Bilag 103
Offentligt
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Nordic Council of
Ministers
14 tangible
proposals for
future co-operation
on health in the
Nordic region
Bo Könberg
BSPC
Copenhagen
1
14.November 2014
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Increase in longevity
o
During the last century Nordic longevity has increased
with more than 25 Years
o
And those years are healthy years!
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Lungcancer
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1. Vigorous measures against
growing antibiotic resistance
2. Strong co-operation on
highly-specialised treatment
3. Set up network on rare
diagnoses
4. Set up a virtual centre for
register-based research
5. Greater co-operation on
initiatives to improve public
health
6. Public health policy
platform to reduce inequality
in health
7. Patient mobility in the
Nordic region
Nordisk samarbejde
8. Greater co-operation on
welfare technology
9. Greater co-operation on e-
Health
10. Greater co-operation in
the psychiatric field
11. Greater mandate for co-
operation in health
preparedness
12. Greater pharmaceutical
co-operation to increase
cost-effectiveness and safety
13. New exchange of officials
14. Co-operation on national
experts in the EU Commission
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Proposal 2: Highly-specialised treatment
o
Set up a Nordic review group at high level for highly-
specialised treatments, with the aim of holding regular
dialogue between the countries on the needs and
opportunities for co-operation initiatives.
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Proposal 3: Rare diagnoses
o
Set up a Nordic network for co-operation on rare
diagnoses to strengthen existing and new joint initiatives,
and to improve coordination of these.
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Proposal 4: Register-based research
o
Strengthen research co-operation regarding data
registers, biobanks and clinical intervention studies.
o
Introduce a model for mutual recognition of ethical
reviews of Nordic research projects.
o
Set up a Nordic virtual centre for register-based research.
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Proposals 5 and 6: Public health
o
Increased co-operation on public health
o
Increase the exchange of information on public health
o
Set up a public health policy platform for developing
proposals
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Proposal 7: Patient mobility
within the Nordic region.
o
Evaluate the effects, on patients, of the Nordic countries’
recently-adopted implementation of the EU patient
mobility directive.
o
Try to extend the right to care in another Nordic country.
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Proposal 8: Welfare technology
o
Strenghtened Co-operation on Welfare Technology
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Proposal 9: E-health
o
Extended co-operation on e-health
o
Co-operation on e-prescriptions
o
Create a Nordic health library online
o
Develop a Nordic search tool "My patient"
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Proposal 12:
Extended Nordic pharmaceutical co-operation
o
Greater exchange of experiences on the conditions and
prices with purchases
o
Extend the exchange of experiences on implementation of
new drugs
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Proposal 12:
Extended Nordic pharmaceutical co-operation
o
Greater exchange of experiences on the conditions and
prices with purchases
o
Extend the exchange of experiences on implementation of
new drugs
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Proposal 1: The decrease in antibiotic
resistance
o
The first invention was in 1930
o
Up to 1970, twenty new antibiotics were developed
o
Between 1970 and 1987, two new antibiotics were
developed
o
Since then no new ones!
o
This year some 50 000 persons in Europe and North
America will die due to the increased reistance
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Use of antibiotics outside hospitals, 2012
(ATC J01, DDD per 1 000 inhabitants per day)
25
22,3
20
20,1
18,7
18,5
17,4
17,1
15,9
15
14,2
10
5
0
Island
Finland
Grönland
Danmark
Norge
Färöarna
Åland
Sverige
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Concerted Nordic action against
antibiotic resistance
o
Reduce consumption of antibiotics in the Nordic region to the
lowest European level within five years.
o
All countries in the world to adopt plans to reduce use of
antibiotics.
o
Prescription requirement in countries with developed health
systems.
o
Abolish bonus payments to doctors and veterinary surgeons.
o
Major initiative (SEK 75 billion from rich countries for five
years, of which 2.5 billion from the Nordic region) to
strengthen systems and rewards for developing new
antibiotics.
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Longitude, by Dava Sobel
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Actions since this spring
o
April:
WHO warns of "the risks for a world without antibiotics"
o
May:
WHO:s General Assembly orders the development of an
action plan for next spring
o
June:
A British commitee proposes a Longitude Prize of 10
million pounds for the development of a new antiobiotic
o
September:
President Obama orders an action plan for next spring
and
EU’s Veterinary Committee proposes a ban for veterinary
bonuses on prescriptions of antibiotics
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“The next supermodel”
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The report is part of the
Nordic Council of Ministers
programme, Sustainable
Nordic Welfare
www.norden.org/welfare
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Nordic Council of
Ministers
The report can be
downloaded from
www.norden.org/en/publications/p
ublikationer/2014-731
(Language versions: Swedish, Finnish,
Icelandic and English)
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