Legal provisions of SWD(2013)154 - Implementation of the Health Programme in 2011

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dossier SWD(2013)154 - Implementation of the Health Programme in 2011.
document SWD(2013)154
date May  7, 2013
EUROPEAN COMMISSION

Brussels, 7.5.2013 SWD(2013) 154 final

COMMISSION STAFF WORKING DOCUMENT

Implementation of the second Programme of Community action in the field of health in

2011

EN

EN

COMMISSION STAFF WORKING DOCUMENT

Implementation of the second Programme of Community action in the field of health in 2011

This document is a European Commission staff working document for information purposes. It does not represent an official position of the Commission on this issue, nor does it anticipate such a position.

1. Introduction

Article 13(1) of Decision No 1350/2007/EC of the European Parliament and of the Council of 23 October 2007 establishing a second programme of Community action in the field of health (2008-13)1 requires the Commission to report annually to the Health Programme Committee on all actions and projects funded through the Programme and keep the European Parliament and the Council informed. The purpose of this working document is to meet this requirement.

This working document provides detailed information on all actions and projects funded in 2011, the relevant budget and its execution. Moreover, examples of key results achieved in 2011 of actions funded through the Programme are provided in an appendix to this report.

2. Budget

The budget for the second Health Programme for the period 2008-2013 is EUR 321.5 million. The budget set out in the work plan for 2011 was EUR 48.5 million. This was broken down as follows:

• operational expenditure: EUR 47.1 million corresponding to budget line 17 03 06 — EU action in the field of health;

• administrative expenditure: EUR 1.4 million corresponding to budget line 17 01 04 02 — Expenditure on administrative management.

With the inclusion of EFTA/EEA and Croatia credits and recovery credits from previous budgetary years, the total operational budget amounted to EUR 48421723 and the total administrative budget to EUR 1.4 million.

The Executive Agency for Health and Consumers (EAHC) has been providing the Commission with technical, scientific and administrative assistance in implementing the Health Programme since 20052. The EAHC organises annual calls for proposals, coordinates the evaluation of submissions, and negotiates, signs and manages related contracts. The EAHC is also responsible for most procurement procedures. In 2011, the EAHC managed EUR 36146178, and the Commission managed the remaining EUR 12275 545.

OJL 301, 20.11.2007, p. 3.

Decision 2004/858/EC of 15 December 2004 (OJ L 369, 16.12.2005, p. 73) amended by Decision 2008/544/EC of 20 June 2008 (OJL 173, 3.7.2008, p. 27).

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3. Priorities for 2011 and financing mechanisms

The priorities for 2011 were set out in Commission Decision 2011/C 69/01 of 22 February 2011 adopting the 2011 work plan and related criteria3. Commission Implementing Decision 2011/C 353/08 of 2 December 20114 amended that Decision. The amendment was introduced as a result of changes in the implementation of the work plan which modified the budget distribution among the various financing mechanisms. The modifications exceeded the 20% margin set out in Article 5 of Commission Decision 2011/C 69/01, making it necessary to amend the Decision.

The following financing mechanisms were used to implement the work plan for 2011:

• Project grants: these are awarded to projects involving several partners, usually public health bodies and non-governmental organisations (NGOs). The maximum EU contribution is 60 % of eligible costs.

• Conference grants: these go towards conferences on public health issues, organised by public bodies or non-profit organisations and the EU Council Presidencies. The maximum EU contribution is 50% of eligible costs.

• Operating grants: these are awarded to non-profit organisations or specialised networks in the field of health. Such bodies must be non-governmental, non-profit, independent of industry or other conflicting interests and have as their primary objectives one or more goals of the programme. The maximum EU contribution is 60% of their annual operating costs.

• Grants for joint actions: these are awarded to Member States' authorities or bodies designated by them. The maximum EU contribution is 50%.

• Direct grant agreements with international organisations — awarded to international organisations active in the area of public health. The maximum EU contribution is 60%.

• Procurement (service contracts): these are used to purchase services, such as evaluations, studies, data procurement and IT applications. The Health Programme fully covers the cost of procurement actions.

Competitive selection and award procedures are used to select actions for funding, with the exception of direct grant agreements and conferences organised by Council Presidencies, which represent de facto and de jure monopolies.

Administrative credits cover expenditure such as studies, meetings of experts, information and publication costs, and technical and administrative assistance for IT systems.

OJC69, 3.3.2011, p. 1. OJC358, 3.12.2011, p. 8.

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4. Implementation of the operational budget by financing mechanism

Number of grants / contracts signedType of financing mechanismImplementation €Share of mechanism in total executed budget
50Calls for proposals:2823818759.6 %
20Project grants698211614.7%
11Conference grants7007571.5%
9Operating grants40089808.5%
10Grants for joint actions1654633434.9%
10Direct grant agreements31999876.8 %
Procurement (service contracts)1513942232.0%
Other actions7700001.6%
Executed budget in 201147347596
Total available budget48421723
Credits not used (pre-accession credits not yet used, differences between amounts in the award decision and amounts actually contracted)1074127
Level of budget execution97.8 %

4.1. Calls for proposals

Four calls for proposals — for projects, conferences, operating grants and joint actions —were launched on 3 March 2011 on the Public Health Europa website5 and the EAHC website6. The calls were also published in the Official Journal of the European Union7. The calls closed on 27 May 2011.

The EAHC organised a joint action workshop in January 2011 and a joint action quality assurance workshop in April 2011. Croatia organised a national information day. Guidelines for applicants were made available on the EAHC website. The EAHC helpdesk also provided assistance and practical help.

In all, 113 applications were submitted for an amount totalling EUR 49,472,501. Applications were evaluated in accordance with the rules and criteria set out in Commission Decision 2011/C 69/01 and the calls for proposals. Applications were evaluated by 21 external experts drawn from a list that was

http://ec.europa.eu/health/programme/policy/index_en.htm.

http://ec.europa.eu/eahc/health/health.html.

OJC69, 3.3.2011, p. 1.

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established following a call for expressions of interest: Experts for the second programme of Community action in the field of health in various evaluation activities8.

The evaluation process took place in two stages.

In the first stage, three external evaluators reviewed each proposal. A consolidated evaluation report for each proposal was drawn up at a meeting organised by the EAHC.

In the second stage, an evaluation committee checked that the evaluators had adhered to the relevant rules and criteria. It then drew up final lists of proposals recommended for funding together with reserve lists. The evaluation committee comprised representatives from the Directorate-General for Health and Consumers, the Directorate-General for Research and Innovation and the EAHC.

The committee of the second programme of Community action in the field of health (2008-13) issued a favourable opinion on the actions proposed for funding at its meeting on 27 September 2011. The related awarding Commission Decision was adopted on 4 October 20119.

The amendment of the 2011 work plan on 2 December 2011 enabled additional projects to be funded from the reserve list.

4.1.1. Project grants

In all, 38 proposals were submitted in response to the call for proposals for projects. Seven proposals were recommended for funding and 8 were placed on a reserve list. In the end, 10 projects were funded for a total of EUR 6 982 116. Their distribution among the programme strands was as follows:

- Health security: EUR 797732 (2 projects)

- Health promotion: EUR 5 654 504 (7 projects)

- Health information: EUR 529 880 (1 project).

Annex 1 contains a table of the projects funded. The EAHC database10 provides abstracts of these.

4.1.2. Conference grants

A total of 35 proposals were submitted in response to the call for proposals for conferences. Seven proposals were recommended for funding and 4 were put on the reserve list. In the end, 7 conferences under the call for proposals and 2 conferences organised by the Presidencies of the European Council were funded for a total budget of EUR 700 757. Their distribution among the programme strands was as follows:

- Health promotion: EUR 242 975 (3 conferences)

- Health information: EUR 457 782 (6 conferences).

The conferences which were funded addressed: cancer, HIV, public health in general, Alzheimer's, rare diseases and orphan products, active ageing and health services research. The Polish Presidency conference focused on brain ageing, and the Danish Presidency conference on eHealth.

Annex 2 contains a table of the conferences funded. The EAHC database provides abstracts of these.

OJ s 65, 2.4. 2011 and http://ec.europa.eu/eahc/phea_ami/. htrp://ec.europa.eu/health/programme/docs/award_decisiori2011 .pdf. http://ec.europa.eu/eahc/projects/database.html.

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4.1.3. Operating grants

A total of 35 proposals were submitted in response to the call for proposals for operating grants. Of these, 16 were proposed for funding and 3 were placed on a reserve list. In the end, 16 proposals — 7 new proposals and 9 renewal proposals — were funded for a total of EUR 4008980. The distribution of operating grants among the programme strands was as follows:

- Health promotion: EUR 2 687 734 (12 operating grants)

- Health information: EUR 1 321246 (4 operating grants).

New operating grants were awarded to: EUROPA DONNA — the European Breast Cancer Coalition; European Federation of the Associations of Dieticians; the European Health Management Association Limited; the European Multiple Sclerosis Platform; the European Patients' Forum; the European Network for Smoking and Tobacco Prevention; and PREVENT.

Renewals were awarded to: Alzheimer Europe; Assistance publique des höpitaux de Paris (rare diseases networks: porphyria); Assistance publique des höpitaux de Paris (rare diseases networks: Wilson's disease); the Association of Schools of Public Health in the European Region; the European Alcohol Policy Alliance; the European Organisation for Rare Diseases; the European Public Health Alliance; Stichting Aids Fonds — Soa Aids Nederland; and Stichting Health Action International.

Annex 3 contains a table of the operating grants funded. The EAHC database provides abstracts of these.

4.1.4. Joint actions

Five proposals for joint actions were submitted and funded for a total of EUR 16546334. They were distributed among the programme strands as follows:

- Health security: EUR 4 936 164 (2 joint actions)

- Health promotion: EUR 2 994 162 (1 joint action)

- Health information: EUR 8 616 008 (2 j oint actions).

These joint actions, involving a large number of Member States and third countries taking part in the programme, focused on: organ donation; patient safety and quality of care; rare diseases; health technology assessment; and eHealth.

Annex 4 contains a table of the joint actions funded. The EAHC database provides abstracts of these.

4.2. Direct grant agreements with international organisations

In all, 7 direct grant agreements were signed for a total of EUR 3 199 987 with the following:

- Council of Europe concerning cooperation on substances of human origin;

- International Agency for Research on Cancer (IARC) concerning cooperation on cancer (2 grant agreements);

- Organisation for Economic Cooperation and Development (OECD) concerning cooperation on health information;

- World Health Organisation (WHO) concerning cooperation on: health inequalities; nutrition and physical activity; and health economic evaluations (3 grant agreements).

Annex 5 contains a table of the direct grant agreements that were funded.

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4.3. Procurements (service contracts)

Altogether, 91 service contracts were signed for a total of EUR 15 139422. They were distributed among the programme strands as follows:

Programme objectiveTenders /

contracts

SANCO
Tenders / contracts EAHCTotal tenders / contracts
Health Security16991314281971598 110
Health Promotion9463 387912549554641
Health Information172871522579563986671
Total11362015377740715139422

These contracts covered needs as specified in the work plan for 2011: evaluation and monitoring; studies; provision of advice, data and information on health; scientific and technical assistance; communication and awareness-raising activities; and IT applications in support of policy design and programme implementation.

Annex 6 contains a table of the service contracts which were funded. 4.4. Other actions

A sum of EUR 870000 was earmarked for other actions in 2011. These covered: special indemnities to experts for their participation in and work for the EU Scientific Committees in line with Commission Decision 2008/721/EC11 for a total of EUR 270000; Commission membership of the European Observatory on Health Policies for a sum of EUR 500000; and an administrative agreement with the Joint Research Centre (JRC) on scientific policy support on tobacco for a total of EUR 100 000.The administrative arrangement was not implemented.

OJL241, 10.9.2008, p. 21.

5. Implementation of the operational budget by programme objectives 5.1. Global budget consumption in 2011

The graph below illustrates the consumption of the budget in 2011 according to the three programme strands.

In the following sections the graphs and tables give details of budget consumption for the three programme strands.

Implementation of 2011 Health Programme budget per main objective

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5.2. Health security

EUR 7702006 - 16% of the operational budget in 2011

Health security: distribution of committed amounts per priority

Protect citizens

HEALTH SECURITY
Protect citizens against health threats1377532
Scientific advice439913
Safety of blood, tissues, cells and organs2388397
Patient safety3 496164
TOTAL7702006
Health programme budget in 2011 (all strands)47347596

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5.3. Health promotion

EUR 23 534 003 - 50 % of the operational budget in 2011

Health promotion: distribution of committed amounts per priority

sexual health 3% 1%

HEALTH PROMOTION
Health inequalities2967920
Health determinants: nutrition896522
Health determinants: tobacco9397663
Health determinants: alcohol613 057
Health determinants: sexual health350000
Health determinants: other81065
Major diseases2633 593
Rare diseases5 573 457
Health promotion: other1020726
TOTAL23534003
Health programme budget in 2011 (all strands)47347596

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5.4. Health Information

EUR 16 111 587 - 34 % of the operational budget in 2011

HEALTH INFORMATION
European Health information system10610267
Dissemination and application of health information, incl. IT1728 715
Analysis and reporting1993 577
Exchange of knowledge and best practice1779028
TOTAL16111587
Health programme budget in 2011 (all strands)47347596

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ANNEX 1 -Project grants (signed and committed)

HEALTH SECURITY
3.1.1. Protect citizens against health threats
NumberAcronymTitleAmount
3.1.1.1ASHT phase IIIProject on multi-sectoral preparedness and health security497760
3.1.1.2CriCoRMProject on crisis communication in the area of risk management299 972
Total797732
HEALTH PROMOTION
3.2.1. Identifying the causes of, addressing and reducing health inequalities and promoting investment in health in cooperation with other EU policies and funds
3.2.1.1HEALTHEQUITYReducing health inequalities: preparation for action plans and structural funds projects1 145 040
3.2.1.1EPHEReducing health inequalities: preparation for action plans and structural funds projects834017
3.2.1.1ACTION FOR HEALTHReducing health inequalities: preparation for action plans and structural funds projects588 863
3.2.2. Addressing health determinants to promote and improve physical and mental health
3.2.2.5BISTAIRSGood practice on brief interventions to address alcohol use disorders in primary health care, workplace health services, emergency care and social services340095
3.2.3 Prevention of major and rare diseases
3.2.3.0SHARESingle Hub and Access point for paediatric Rheumatology in Europe860244
3.2.3.1RARECARENetInformation network on rare cancers1000631
3.2.3.3EUHANETEuropean Haemophilia Network EUHANET885614
Total5654504
HEALTH INFORMATION
3.3.1. European Health Information System
3.3.1.1HoNCABSupport creation of pilot network of hospitals related to payment of care for cross-border patients529880
Total529880
TOTAL PROJECTS6982116

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ANNEX 2 — Conference grants (signed and committed)

HEALTH PROMOTION
3.2.2. Addressing health determinants to promote and improve physical and mental health
TitleAmount
HIV in Europe 2012, Optimal testing and Earlier Care100000
3.2.3. Prevention of major and rare diseases
1st European Day of the Brain. Ageing, Stroke, and Alzheimer's Disease — Finding Innovative Solutions (CFR 2011) — PL Presidency Conference49475
Quality of Life and Symptom Research in Cancer Clinical Trials93 500
Total242975
HEALTH INFORMATION
Exchange knowledge and best practise
Fifth European Public Health Conference100000
22nd Alzheimer Europe Conference: Changing Perceptions, Practice and Policy60000
European Conference on Rare Diseases and Orphan Products 2012 Brussels100000
"Active Ageing citizens at the centre of EU health policy". 6th European Patients' Rights Day68376
Strengthening the European Dimension in Health Services Research29406
High Level eHealth Conference 2012, Copenhagen, 7-9 May 2012 — DK Presidency Conference100000
Total457782
TOTAL CONFERENCES700757

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ANNEX 3 -Operating grants (signed and committed)

HEALTH PROMOTION
3.2.2. Addressing health determinants to promote and improve physical and mental health
AcronymTitleAmount
SANL_FY2012Stichting Aids Fonds — Soa Aids Nederland250000
ENSP_FY2012European Network for smoking and tobacco Prevention201473
EFADFY2012European Federation of the Associations of Dieticians172694
EUROCAREFY2012European Alcohol Policy Alliance99000
3.2.3. Prevention of major and rare diseases
AE_FY2012Alzheimer Europe190000
EURORDISFY2012European Organisation for Rare Diseases580000
AP-HP-WILSFY2012Assistance publique des höpitaux de Paris159150
APHP-EPNETFY2012Assistance publique des höpitaux de Paris94287
Other
EPHAFY2012European Public Health Alliance549232
HAIFY2012Stichting Health Action International218000
ASPHERFY2012The Association of Schools of Public Health80000
PREVENTFY2012PREVENT93 898
Total2687734
HEALTH INFORMATION
Exchange knowledge and best practise
EDFY2012EUROPA DONNA — The European Breast Cancer Coalition273415
EMSPFY2012European Multiple Sclerosis Platform294588
EPFFY2012European Patients' Forum568488
EHMAFY2012European Health Management Association Limited184755
Total1321246
TOTAL OPERATING GRANTS4008980

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ANNEX 4 -Joint actions (signed and committed)

HEALTH SECURITY
3.1.3. Improve citizens' safety — Safety of blood, tissues, cells and organs
PointAcronymTitleAmount
3.1.3.3ACCORDAchieving Comprehensive Coordination in Organ Donation throughout the European Union1440000
3.1.4. Improve citizens' safety — Improving patient safety through high-quality and safe healthcare
3.1.4.1PaSQEuropean Union Network for Patient safety and Quality of Care3496164
Total4936164
HEALTH PROMOTION
3.2.3. Prevention of major and rare diseases
3.2.3.4ESAJoint Action: working for rare diseases2994162
Total2994162
HEALTH INFORMATION
3.3.1. European health information system
3.3.1.3EUNETHTA2European network for HTA Joint Action 26599777
3.3.1.4ParentCross-border Patient Registries Initiative2016231
Total8616008
TOTAL JOINT ACTIONS16546334

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ANNEX 5 -Direct grant agreements with international organisations (signed and committed)

HEALTH SECURITY
3.1.3. Improve citizens' safety —Safety of blood, tissues, cells and organs
PointOrganisationTitleAmount
3.1.3.1Council of EuropeAd-hoc cooperation with the Council of Europe on specific matters relating to substances of human origin100000
Total100000
HEALTH PROMOTION
3.2.1. Identifying the causes of, addressing and reducing health inequalities and promoting investment in health in cooperation with other EU policies and funds
3.2.1.2WHOEuropean Review of Social Determinants and the Health Divide: collaboration with WHO to produce policy guidelines and tools for addressing health inequalities400000
>sing health determinants to promote and improve physical and mental health
3.2.2.1WHOMonitoring the implementation of the European Strategy for Nutrition and Physical Activity jointly with WHO700000
3.2.3. Prevention of major and rare diseases
3.2.3.2IARCScientific and technical support to the European Partnership for action against Cancer and follow-up of the implementation of the Council Recommendation on Cancer Screening (ECAC)524451
3.2.3.3IARCScientific and technical support to the European Partnership for Action against Cancer and follow-up of the implementation of the Council Recommendation on Cancer Screening (SCR)775 536
Total2399987
HEALTH INFORMATION
3.3.1. European Health Information System
3.3.1.5OECDCollaboration with OECD on health information500000
3.3.3. Analysis and reporting
3.3.3.1WHOResearch agenda for the EU on health economic evaluations200000
Total700000
TOTAL DIRECT GRANTS3199987

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ANNEX 6 — List of service contracts — procurement (signed and committed)

HEALTH SECURITY
3.1.1. Protect citizens against health threats
PointTitleAmount
3.1.1.3Study on the environmental risks of medicinal products180800
3.1.1.4HIV and co-infections, prevention strategies — concepts for the future399000
3.1.2. Improve citizens' safety — Scientific advice
3.1.2.2Technical assistance PR COMITÉS SCIENTIFIQUES — MARTIN CENTRAL17931
Technical support for application to fluoridation opinion11796
Response to comments on fluoridation opinion3 732
Response to comments on fluoridation opinion — additional tasks1866
Conference on electromagnetic fields34238
Preparation of web-based texts on selected opinions — COGENERIS70686
Comments to opinion on toxicity — OF 403265
Editorial support committee opinion on allergens OF N°364308
Editorial support committee opinion on body scanners OF N°352154
Editorial support committee opinion improvement on risk assessment OF N°374308
Editorial support committee opinion on chemical mixtures OF N°384308
Editorial support COMM opinion on nitrosamines OF N°392154
Health effects of laser printers on indoor air quality — OF 419167
3.1.3. Improve citizens' safety — Safety of blood, tissues, cells and organs
3.1.3.2Organisation of training sessions for inspectors in the field of blood and blood components398927
3.1.3.4Supporting registers for the European single coding system for human tissues and cells449470
Total1598110
HEALTH PROMOTION

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3.2.2. Addressing health determinants to promote and improve physical and mental health
3.2.2.2Communication campaign on smoking cessation Ex-smokers are unstoppable — part 2 — SAATCHI&SAATCHI9104936
3.2.2.3Study on the tobacco industry's new marketing, sales and product strategies91254
3.2.2.6Provide material for the EAHF science group — C43 000
European Alcohol Forum 2011 scientific work30575
Assessment added value EU alcohol strategy — COWI116800
Asses quality of 2011 monitoring activities by EAHF members23 587
3.2.2.7EU Health Forum 03-12/201181065
Best class in food products3 864
Best class in food products19964
Prep, work evaluation report on prevention of injury and promotion of safety — IBF19596
Prep, work evaluation report on prevention of injury and promotion of safety — IBF60000
Total9554641
HEALTH INFORMATION
3.3.1. European Health Information System
3.3.1.6Setting up guidelines in support of ePrescription interoperability464379
3.3.2. Dissemination and application of health information
3.3.2.1Journalism Prize 2012133 524
GASTEIN 201160000
GASTEIN 201198215
Promotion portail agenda journalistes1250
Promotion portail agenda journalistes francais1250
3.3.2.2Contrat spécifique webmaster portail CI — EUROPEAN SERVICE NETWORK88000
Contrat spécifique SENIOR PROJECT MANAGER portail CI — EUROPEAN SERVICE NETWORK119680
CS 003818 FC DI6775 LOT 4 for portal Cl ONE4EU2 — IRIS — DEG264000
3.3.2.3 11" Master Plan
CS N°003036 - 4 Developers for public health systems — DEG50000
CS N°003036 - 4 Developers for public health systems — DEG50000
CS N°003036 - 4 Developers for public health systems — DEG50000
CS N°003036 - 4 Developers for public health systems — DEG50000

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CS N°003036 - 4 Developers for public health systems — DEG18947
CS N°003199 - 2 Senior consultant for public health6000
CS N°003199 - 2 Senior consultant for public health10000
CS N°003199 - 2 Senior consultant for public health94600
CS N°003119 — J2EE WEBLOGIC & ORACLE APPLICATIONS — CD21281
SC N°004094 — INTERFACE DESIGNER — CD9000
SC N°004094 — INTERFACE DESIGNER — CD1000
SC N°004094 — INTERFACE DESIGNER — CD6500
Order form N°2961 — maintenance & support RNW — CD1616
CS N°000279 — Local application administrator for EUROPHYT39501
CS N°004558 - 3 architects or for J2EE&XML — CD12950
CS N°004558 - 3 architects or for J2EE&XML — CD50000
CS N°004558 - 3 architects or for J2EE&XML — CD25 000
CS N°004558 - 3 architects or for J2EE&XML — CD5400
CS N°004558 - 3 architects or for J2EE&XML — CD22000
CS N°004558 - 3 architects or for J2EE&XML — CD29600
CS N°004598 - 3 analysts for content & document management9000
Order form N°517 — licences natural reader225
Order form N° 552 — licences REDHAT ENTERPRISE SERVER5 000
Order form N° 3062 — licences ADOBE FLASH BUILDER135
Purchase order N°20110831 — purchase of 2 MAC BOOK — DEG1797
CS N°004815 - 2 consultants for public health in Lux20000
CS N°004815 - 2 consultants for public health in Lux20000
CS N°004815 - 2 consultants for public health in Lux1253
CS N°004815 - 2 consultants for public health in Lux18719
CS N°004815 - 2 consultants for public health in Lux50499
CS N°004815 - 2 consultants for public health in Lux129
CS N°638 — purchase of net advantage software782
CS N°004772 — Public health IT TEAM — CD10271
CS N°004772 — Public health IT TEAM — CD59767
CS N°3093 — Licence acceleration782

18

CS N°670 — Licences divers — CD — MOD MT

1161

Order form N°8 — maintenance Business Object — CD -DEG

298

CS N°150 — Local operation services in BRX — 01/01/2012 - 30/06/2012 — CD

3 733

CS N°004772 — Public health IT TEAM — CD

95 060

Best practice-based approach to national contact websites

110790

3.3.3. Analysis and reporting

3.3.3.2

Health and Economics analysis for an EU drug budget forecast: 2012-2015 impact from medicinal products going off patent and new medicinal patent products drawing reimbursement on EU Member State public drug budgets

57950

Assessment of young exposure to alcohol marketing in audiovisual and online media

149709

Economic analysis of the EU market of tobacco, nicotine and related products

104400

A study on the availability of medicinal products for human use

166750

Economics of blood and plasma markets in the EU

97250

Set-up of organ donation and transplantation in the EU Member States, uptake and impact of the Commission's Action Plan

139359

Study on the current state of play of the 2003 Council Recommendation on the prevention and reduction of health-related harm associated with drug dependence.

99900

Chronic diseases (with a focused report on the health of 55-plus people and a technical support component to the chronic disease reflection process)

174234

Economic analysis of workplace mental health promotion and mental disorder prevention programmes and of their potential contribution to EU health, social and economic policy objectives

49800

Health and Economics analysis for an evaluation of Public-Private Partnerships in health care delivery across EU

90949

Economic and governance analysis of the establishment of a permanent secretariat for European cooperation on Health Technology Assessment

83200

3.3.3.3

Feasibility study on health workforce

405 500

3.3.3.4

Study on the package leaflets and the summaries of product characteristics of medicinal products for human use

174576

Total

3986671

TOTAL PROCUREMENT (SERVICE CONTRACTS)

19

Annual Report 2011

Key results of actions funded under the second Health

Programme

20

TABLE OF CONTENTS

1. Health Security...........................................................................................................22

1.1. Testing the limits of specialised laboratories..............................................................22

EQADeBa project: Establishment of Quality Assurances for Detection of highly pathogenic bacteria of potential Bioterrorism risk.....................................................22

1.2. A helpful toolkit for all kind of tissue establishments................................................23

EURO GTP project: European Good Tissue Practices...............................................23

1.3. Quick and effective mass decontamination................................................................23

ORCHIDS project: Evaluation, optimisation, trialling and modelling procedures for mass casualty decontamination...................................................................................23

1.4. Operating Grant: Stichting Aids Fonds - Soa Aids Nederland..................................24

2. Health Promotion........................................................................................................25

2.1. FOOD project: Fighting Obesity through Offer and Demand....................................25

2.2. Smoking in movies project: impact on European youth and policy options..............26

2.3. PROMO project: Best practice in promoting mental health in socially marginalized people in Europe.........................................................................................................27

2.4. HEPS School kit project: Development and implementation of a national policy for promoting Healthy Eating and Physical activity for Schools in Europe....................28

2.5. Injury Conference 2011 - Tackling the challenges of implementing good practices in safety promotion.........................................................................................................29

3. Health information......................................................................................................30

3.1. HLS-EU: European Health Literacy Survey..............................................................30

3.2. SWEET project: Better control in paediatric and adolescent diabetes in the EU: working to create centres of reference........................................................................31

3.3. CRCS: Better quality screening for colorectal cancer................................................31

3.4. EHES Joint Action: European Health Examination Survey Pilot Joint Action..........32

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In the following pages are presented actions having finished in 2011 or having delivered substantial results in 2011.

1. Health Security

1.1. Testing the limits of specialised laboratories

EQADeBa project: Establishment of Quality Assurances for Detection of highly pathogenic bacteria of potential Bioterrorism risk

1.1.1. Background information

The project was funded under the 2007 work plan of the first EU Health Programme 2003-2008, with co-funding from the EU totalling € 1.127.863.12. It started in May 2008 and ended in luly 2011.

1.1.2. Brief description

The project was created to provide a suitable infrastructure and to design, organise and manage practical external quality assurance exercises for bacteria of potential bioterrorism risk. External quality assurance exercise analyses have helped the EU laboratories to validate and improve their diagnostic capacities by sharing best practices. The long-term objective was achieved by establishing a supportive European high threat pathogen laboratory network, which is continued through the QUANDHIP loint action, funded in 2010.

1.1.3. Concrete outcomes

The main outcome of the EQADeBa project was the creation of a network of 23 bio safety level national laboratories. Participation in 3 external quality assurance exercises has increased the capacity of the national laboratories to diagnose anthrax, tularemia, plague, glanders, melioidosis, brucellosis and Q-fever.

Biosafety and biosecurity checklists were developed for assessing the laboratories' capacity to analyse biosafety-level pathogen samples.

Training activities were organised by 6 partners; 17 partners have sent staff to be trained. The training covered biosafety and biosecurity issues, and detection methods for highly pathogenic bacteria. The EQADeBa network has become a recognised actor in the international health security sphere.

More information: http://ec.europa.eu/eahc/projects/database.html?prjno=2007204

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1.2. A helpful toolkit for all kinds of tissue establishments

EURO GTP project: European Good Tissue Practices

1.2.1. Background information

The project was co-funded under the 2007 work plan of the first EU Health Programme, with co-funding totalling €491.824. The project started in September 2008 and finished in October 2011.

1.2.2. Brief description

The European Good Tissue Practice Guidance provides detailed guidelines for tissue bankers and tissue establishment inspectors in Europe. These guidelines describe the current minimum regulatory requirements of the European tissue and cells directives and go one step further by providing a set of practical recommendations for good practices in European tissue establishments. The guidelines were developed as a helpful tool for all kinds of tissue establishments in different phases of development and evolution, as well as for competent authorities when inspecting tissue establishments.

1.2.3. Concrete outcomes

The European Good Tissue Practice Guidance encompassed procedural recommendations on: donor screening and selection for each tissue type; tissue procurement, processing, preservation and storage; and how to validate these processes. The guide is structured in two main parts: generic good tissue practices and tissue-specific good tissue practices. The Euro-GTP project contributed to greater confidence in the exchange of tissues for transplant among the Member States by bringing added value to current European legislation on tissue and cells.

More information: http://ec.europa.eu/eahc/proiects/database.html?prino=2007207

1.3. Quick and effective mass decontamination

ORCHIDS project: Evaluation, optimisation, trialling and modelling procedures for mass casualty decontamination

1.3.1. Background information

The project was funded under the 2007 work plan of the first EU Health Programme, with co-funding from the EU totalling € 1.549.388. It started in June 2008 and ended in May 2011.

1.3.2. Brief description

The ORCHIDS project developed recommendations, protocols and procedures for conducting decontamination on a large scale and in less time, through laboratory studies and field trials that evaluated the capacity of emergency services to react to incidents. It improved the preparedness of EU countries in reacting to incidents involving the deliberate release of potentially hazardous substances. Response capabilities can be enhanced by identifying ways of optimising decontamination processes

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for emergencies involving large numbers of casualties. This project not only looked at incidents involving mass casualties but also at incidents, such as chemical spills or accidents, that happen fairly regularly on a small scale across Europe every day. ORCHIDS paid particular attention to vulnerable populations with respect to decontamination.

1.3.3. Concrete outcomes Recommendations were formulated on, for example, how to approach pregnant women, children and minority or religious groups caught up in such situations, taking into account that decontamination processes can involve public disrobing, showering and dressing, in accordance with instructions. Decontamination carried out in line with ORCHIDS procedures takes less time and is as effective as national standards. It is hoped it will be used as a benchmark both nationally and internationally.

More information: http://ec.europa.eu/eahc/proiects/database.html?prino=2007203

1.4. Operating Grant: Stichting Aids Fonds — Soa Aids Nederland

1.4.1. Background information

The 'Stichting Aids Fonds — Soa Aids Nederland' was funded under the 2010 work plan of the second Health Programme. Support to the EU umbrella organisations, totalling €323.587, started in January 2011 and ended on 31 December 2011.

1.4.2. Brief description

The aim of the action was to strengthen civil society's contribution to responding more effectively to the HIV epidemic by:

- making an effective contribution to regional and national policies relating to HIV and AIDS;

- facilitating continuous exchange among NGOs on good practices relating to HIV and AIDS;

- developing a stronger, more effective organisation and network.

The operating grant enabled AIDS Action Europe to carry out its core functions in 2011 in relation to advocacy and public policy dialogue, linking and learning and management of the network. In 2011, social media tools such as the Action Europe Facebook account (http://www.facebook.com/aidsactioneurope) and the Twitter account (@aidsactioneurop) were included in the communication strategy.

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1.4.3. Concrete outcomes

The final questionnaire on civil society's contribution to implementing the HIV/AIDS action plan, prepared in collaboration with the European Centre for Disease Prevention and Control, was disseminated among HIV/ AIDS Civil Society Forum members and a report of the responses was compiled as well as an analysis from the regional perspective.

Two meetings were organised: the Civil Society Forum XIII in Brussels on 27-28 June 2011 and the Civil Society Forum XIV in Luxembourg on 6-7 December 2011.

Leaflets and flyers were updated, printed and widely disseminated.

The AIDS Action Europe e-news informs its 650 readers of relevant developments relating to HIV and AIDS in Europe. All e-newsletters can be downloaded from: http://www.aidsactioneurope.org/news/e-news

More information: http://ec.europa.eu/eahc/projects/database.html?prjno=20113210

2. Health Promotion

2.1. FOOD project: Fighting Obesity through Offer and Demand

2.1.1. Background information

The project was funded under the 2008 work plan of the second EU Health Programme with co-funding from the EU totalling €499.642.47. The project started in January 2009 and ended in April 2011.

2.1.2. Brief description

The FOOD programme addresses the rising level of obesity in adults by targeting both the demand and offer sides of balanced nutrition in the workplace. Its main objectives are the improvement of the nutritional habits of employees during the working day by raising their awareness of health issues and improving the nutritional quality of the food in restaurants. The FOOD programme has created essential channels of communication between companies and restaurants using its unique network of contacts.

2.1.3. Concrete outcomes

The balanced eating campaigns were run in parallel in six countries on a common basis but messages were adapted to the lifestyle and cultural habits of each of them. In total, 102 communication initiatives evolved from the project. Tools ranged from classical ones such as guides, leaflets, posters,

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videos and websites to more innovative tools such as animated explanations, e-learning DVD for chefs, tray mats, certificates and window stickers for restaurants, meal vouchers inserts, smart phone applications and training.

The communication campaign reached 352000 restaurants, 4.2 million employees and 185 000 companies. Separate effort was put into creating a network of dedicated restaurants adhering to national FOOD recommendations. There is now an online geolocalisation tool (http://www.food-programme.eu) enabling employees to find a FOOD restaurant near their office or home. FOOD was so successful that even when the project officially ended in April 2011, 23 partners signed a new consortium agreement, taking Slovakia on board in February 2011 and Portugal in 2012, and launching a set of tools adapted to the specific features of these two additional countries.

More information: http://ec.europa.eu/eahc/proiects/database.html?prino=20081223

2.2. Smoking in movies project: impact on European youth and policy options

2.2.1. Background information

The project was funded under the 2008 work plan of the second EU Health Programme, with co-funding from the EU totalling €521.207. It started in January 2009 and ended in December 2011.

2.2.2. Brief description

The aim of the project was to analyse current policies on smoking in movies in EU Member States to measure the amount of youth exposure and to investigate the effect of the exposure to smoking in films on smoking initiation in young Europeans. Information on policies was collated by a systematic internet search and a survey of experts from 29 European countries. The amount of smoking in films released in European cinemas was assessed by analysing the content of the 250 commercially most successful movies in 2004 and 2009 in six European countries (Germany, Iceland, Italy, the Netherlands, Poland and the UK). In addition, a population estimate of movie smoking exposure in European adolescents was carried out, based on the results of a survey of 16 551 European students.

2.2.3. Concrete outcomes

The surveys revealed considerable variations in the movie rating systems of the 29 European countries included. There was no evidence that smoking in movies was considered in any of the movie rating systems.

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There was a robust dose-response relationship between the amount of exposure and the likelihood of starting to smoke, classifying exposure to movie smoking as an independent risk factor for smoking initiation amongst European youth.

The results were considered in the 2011 resolution of the fifth European conference on tobacco or health, the most important conference on tobacco control in Europe, which now explicitly recommends the implementation of an adult content rating for movies that contain smoking in all European countries until the end of 2014.

More information: http://ec.europa.eu/eahc/proiects/database.html?prino=20081202

2.3. PROMO project: Best practice in promoting mental health in socially marginalised people in Europe

2.3.1. Background information

The project was funded under the 2006 work plan of the first EU Health Programme, with co-funding from the EU totalling €889.561. It started in September 2007 and ended on the 31 December 2010, and resulted in the publication in 2011 of a policy paper for the Mental Health Platform and other EU publications outlining the problem, factors for good practice and recommendations.

2.3.2. Brief description

The general objectives of the project are threefold.

The first objective is to improve mental health and prevent the mental ill-health of citizens in Member States, especially among individuals experiencing social marginalisation due to one or more of the following six factors: long-term unemployment, homelessness, prostitution, having a refugee or asylum/seeking status, being an illegal immigrant or being a member of the travelling population.

The second objective aims to contribute to the development of evidence-based policies promoting mental health and preventing the mental ill-health of socially marginalised people.

The final objective aims to develop implementation guidelines and best practice recommendations on promoting mental health and preventing mental illness among socially marginalised people across the EU.

2.3.3. Concrete outcomes

The PROMO project assessed 617 services providing mental health and social care to people from the target groups in 14 EU countries. In addition, a total of 153 health and social care experts were interviewed using case vignettes with specific questions on pathways into mental health care, typical

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barriers encountered and ways to overcome them. A critical review of existing policies and legislation regarding mental health care for these groups was carried out. PROMO also identified components of good practice, based on what was already in place or had been suggested as improvements. The project addressed public health issues that had not yet been investigated in a comprehensive manner and on a similar methodological level.

More information: http://ec.europa.eu/eahc/proiects/database.html?prino=2006328

2.4. HEPS schoolkit project: Development and implementation of a national policy for promoting healthy Eating and physical activity for schools in Europe

2.4.1. Background information

The project was funded under the 2007 work plan of the first EU Health Programme, with co-funding from the EU totalling € 650 000. It started in May 2008 and ended in August 2011.

2.4.2. Brief description

The main action was the development of the HEPS school kit, to support EU countries in developing and implementing national policies to prevent children becoming overweight in schools. The HEPS school kit was used as an effective tool for a national policy on healthy eating and physical activity. The HEPS school kit, including teacher training activities, was introduced in each Member State. The kit also involved students in the process, empowering them and encouraging their participation. The approach serves to strengthen links between the school, school staff, parents and the community, using a broad and positive concept of health. The outcome was an evidence-based comprehensive school policy on promoting healthy eating and physical activity in each Member State.

2.4.3. Concrete outcomes

The full HEPS toolkit, consisting of the guidelines, an inventory tool, an advocacy brochure, teacher training services, an implementation tool for schools and research was made available across 24 EU Member States and associated countries. Partners were encouraged to further disseminate the tool kit at sub-national, regional, local and school level and this was done in 12 EU Member States and associated countries. The HEPS project was presented at the international symposium Linking health, sustainability and equity in schools, held in Geneva on the 9 and 10 July 2010. A poster presentation was held at the 20th World Conference of the International Union for Health Promotion and Education, also held in Geneva, from 11 to 15 July 2010. During both conferences, the HEPS publications were widely distributed to an international audience.

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More information: http://ec.europa.eu/eahc/proiects/database.html?prino=2007310

2.5. Injury Conference 2011 — Tackling the challenges of implementing good practices in safety promotion

2.5.1. Background information

The Injury Conference 2011 was funded under the 2010 work plan of the second EU Health Programme 2008-2013, with co-funding from the EU totalling €85.000.

2.5.2. Brief description

The Injury Conference 2011 aimed to encourage and support Member States in implementing their injury prevention actions at national, regional and local level, in line with the Council recommendation. It also encouraged actions for integrating injury prevention into existing policy programmes, such as those on health promotion, youth and health, health of older people, alcohol control and safe urban environments.

The conference was held on 16 and 17 June 2011 in Budapest/Godollo. A total of 193 delegates from 39 countries attended. The conference reported on evidence based good practices in injury surveillance and in addressing injury prevention priorities.

2.5.3. Concrete outcomes

The major outcome of the conference was the call for health sector leadership in establishing national strategies for preventing injuries and violence. A post-conference report was produced, presenting the main conclusions of the conference as well as the conclusions and recommendations of the sessions. This report was offered to the Hungarian Ministry of Health for dissemination during one of the Council meetings. It was also sent to 1800 addresses. Particular strengths of the conference were the focus on the breadth of injury issues, the opportunities for networking and the strong plenary speakers. It provided a forum of exchange on national programmes and was successful in highlighting examples of evidence-based good practices and the multi-sectorial approach.

More information: http://ec.europa.eu/eahc/projects/database.html?prjno=20104202

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3. Health information

3.1. HLS-EU: European Health Literacy Survey

3.1.1. Background information

The project was funded under the 2007 work plan of the EU Health Programme, with co-funding from the EU totalling €706.550.88. It started in January 2009 and ended in February 2012.The main event of this project, the European Health Literacy Conference, took place in November 2011.

3.1.2. Brief description

Health literacy is identified as a critical empowerment strategy that involves the ability to make sound health decisions in the context of everyday life. Whilst the health literacy field was emerging at global level, it became clear that Europe was lacking an evidence base in health literacy. The general objective of the project was to establish health literacy in Europe by demonstrating its presence in various European regions and cultures, and discussing its overall societal and political impact. The specific objectives were: to establish a network as an entry point in Europe; develop a model instrument for measuring health literacy in Europe, and thereby generate data on health literacy in European countries for comparative assessment and national and EU monitoring; and create national advisory boards in countries participating in the survey.

The European Health Literacy Survey was conducted in eight European countries (Austria, Bulgaria, Germany, Greece, Ireland, the Netherlands, Poland and Spain). In each country, a random sample of approximately 1 000 EU citizens — 15 years and older — was interviewed yielding a total sample of approximately 8 000 respondents.

3.1.3. Concrete outcomes The concrete outcomes were:

- a European network on health literacy;

- comparable datasets on health literacy from 8 European countries;

- insight on how well health literacy can be measured by a survey instrument in different countries;

- results highlighting differences and similarities in health literacy in Europe;

- national or regional advisory boards.

This project received the European Health Award 2012, a prize organised by the Health Forum Gastein.

More information: http://ec.europa.eu/eahc/proiects/database.html?prino=2007113

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3.2. SWEET project: Better control in paediatric and adolescent diabetes in the EU:

working to create centres of reference

3.2.1. Background information

The project was funded under the 2007 work plan of the EU Health Programme, with co-funding from the EU totalling approximately €600.000. It started in April 2008 and ended in March 2011.

3.2.2. Brief description

The action sought to enhance the health and quality of life of children and young people affected by diabetes (type 1 and 2) by working on concrete improvements in the current status of secondary prevention, diagnosis and control. This was achieved by supporting the development of centres of reference for paediatric and adolescent diabetes services across the EU. SWEET brought together European and national diabetes organisations to support knowledge transfer and implementation. It involved key diabetes stakeholders from various member states: patients, specialists, GPs, educators, nurses, dieticians, psychologists and policymakers. Moreover, it was structured in a way that ensured sustainability beyond the 3-year project term — the network is not only still active, but has also expanded.

3.2.3. Concrete outcomes

The main result of the SWEET action was the creation of an EU network of multidisciplinary centres of reference to define, create and sustain innovative paediatric diabetes care in a coherent and consistent way across Member States.

The action further developed recommendations for minimum treatment and care standards, for patient education programmes and for paediatric training programmes for healthcare professionals, creating a unified minimum standard across the EU.

The project also built a sophisticated eHealth platform, where patients and their carers can log onto a secure portal to complete assessment outcomes, receive educational material and relevant reminders, as well as communicate with their local diabetes centre. The project has also generated new data, insights and tools for improving paediatric and adolescent diabetes care across Europe. In addition, the project can serve as an example for the treatment and care of patients with other chronic diseases.

More information: http://ec.europa.eu/eahc/projects/database.html?prjno=2007104

3.3. CRCS: Better quality screening for colorectal cancer

3.3.1. Background information The project was funded under the 2005 work plan of the first EU Health Programme, with co-funding from the EU totalling € 1.241.776. It started in July 2006 and ended in February 2010. The first edition

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of the European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis was launched on the 3 February 2011.

3.3.2. Brief description

The colorectal cancer screening project was launched following a recommendation from EU health ministers to all Member States to introduce a full cancer screening programme. The project developed guidelines for implementing this programme based on the successful developmentpf previous editions of other EU screening guidelines.

3.3.3. Concrete outcomes

At the start of the project, no European country had a fully implemented screening programme in place as recommended by the EU, i.e. population-based. By 2007, 12 EU countries had population-based screening programmes, 7 had non-population based programmes and 8 had no screening programme at all. By 2011, based on the guidelines produced by the project, 17 countries were running nationwide population-based screening programmes. For example, the United Kingdom and the Netherlands now have official screening programmes.

The comprehensive guidelines cover the entire screening process from invitation to be screened to the management of screen-detected lesions, and include recommendations for standardised procedures, monitoring and evaluation. The guidelines are available on the web and in printed format. It is envisaged that the availability of the new European guidelines for quality assurance in colorectal cancer screening and diagnosis will create a standard across Europe.

More information: http://ec.europa.eu/eahc/proiects/database,html?prino=2005317

3.4. EHES Joint Action: European Health Examination Survey Pilot Joint Action

3.4.1. Background information

The Joint Action 'European Health Examination Survey Pilot Joint Action' (EHES) is funded under the 2009 work plan of the second Health Programme with an EC contribution of €841 837. It started in January 2010 and ended in December 2011.

3.4.2. Brief description

The EHES joint action is an important step in paving the way for a sustainable system of national health examination surveys, covering all EU and EFTA/EEA countries. Full-size health examination surveys could provide nationally representative, high quality and comparable information to support the planning and evaluation of health policies and

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preventive activities. They would provide information on major chronic disease risk factors and disease prevalence.

3.4.3. Concrete outcomes

The EHES joint action planned, piloted and prepared health examination surveys in twelve countries. The project piloted the fieldwork, data collection, assessment and reporting, thereby setting up the structure for a possible full-size European health examination survey in the pilot countries. The 12 countries prepared and planned all aspects of national surveys, including:

• preparation of pilot manuals and their English translations;

• planning and conducting pilot fieldwork. This also included obtaining ethical approvals, pilot sampling, media campaigns to promote the survey to achieve high response rates, organising laboratory facilities and storage of blood samples, organising survey logistics and data management, training of personnel and quality control;

• processing and assessing the data and preparing pilot reports of the results;

• transferring the pilot data and details of the survey procedures to the EHES reference centre for survey assessment and testing the EHES procedures and European level reporting.

• Updating the pilot manuals to national health examination survey manuals based on the pilot experiences.

More information: http://ec.europa.eu/eahc/projects/database.html?prjno=20092301

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