Towards a European Cancer Information System: Status October 2016

Cancer is the second most common cause of death in the European Union. In 2009, the European Commission adopted the Communication on Action Against Cancer: European Partnership which defines several objectives for reducing the burden of cancer in Europe. Evaluation of measures to implement this goal is critically dependent on accurate and comparable European cancer data available for derivation of incidence, prevalence, survival and mortality statistics. For this purpose, the Joint Research Centre (JRC), in its role as a scientific service to the European Commission, and in close collaboration with the Directorate-General for Health and Food Safety (DG SANTE), is supporting the creation of a cancer-information system for Europe to be built upon existing experience, competence and cooperation of national and regional cancer registries.JRC.F.1-Health in Societ

Investing in the Next Generation: Growing Tall and Smart With Toilets

This brief shows that the level of open defecation in a community is associated with children of shorter stature in Cambodia. By looking at the change in defecation levels and average child height between 2005 and 2010 in Cambodian provinces, the study is able to show that improvements in sanitation access played a substantial role in increasing average child height over the same five years

Labour repression and social justice in Franco’s Spain: the political objectives of compulsory sickness insurance, 1942-1957

[Abstract:]This article analyzes the basic characteristics of the labor and social policies of the Franco dictatorship established in Spain after the Civil War (1936-1939), and the links which existed between them. The offer of support to working families was presented through a paternalistic discourse of ‘social justice’ which was combined with tough repressive measures in the labor market. Within this context, compulsory social insurances pursued a political end, as they served to mitigate social tensions in a context of worker repression and harsh living conditions. Sickness insurance was a key element in this strategy, and it turned out to be very economical for the dictatorship, as the burden of financing the system was placed on employers and, above all, the workers themselves. This led to financial and management problems within a system providing imperfect coverage, with low benefits and serious inequalities in protection. Consequently, Spain moved away from other advanced countries which, at this time, were establishing their welfare states on the basis of two pillars: the universalization of benefits and the redistributive character of the system from a social point of view

One HACCP, two approaches: experiences with and perceptions of the Hazard Analysis and Critical Control Points (HACCP) food safety management systems in the US and the EU

This paper explores the differences in the use of the Hazard Analysis Critical Control Point (HACCP) system to manage food safety risks in the food chain from farm to fork in the EU and the US. In particular, this paper investigates the current uses and potential expansion of HACCP as a mechanism for the delivery of safe agricultural products, particularly safe produce. It considers not only whether HACCP systems are the best mode of governance for delivering safe food, and describes why HACCP has achieved an important role in the regulatory framework that governs food safety, but asks why this role is different in the EU and US. Within the EU, HACCP is compulsory at all stages of the food chain other than primary production, whereas the mandatory use of HACCP in the US is less widespread. However, the empirical work found that HACCP is being used by businesses in both the EU and US as a basis for organizing their business, even when not required by regulation. Using data derived from semi-structured interviews with regulatory actors in the EU and US, this paper argues that the different approach to HACCP is a result of differing ideas about the role that it plays in the governance of food safety, and the different concepts of the role of regulation in securing safe food. Finally, the paper explores the difficulties of utilizing HACCP to manage produce safety risks, and raises further challenges that must be met in order to ensure that HACCP can successfully fulfill its potential as a governance mechanism

GRADE workshop: grading the quality of evidence and strength of recommendations

In December 2013, the Public Health Policy Support Unit at the European Commission's Joint Research Centre organised a two-day workshop on developing evidence-based guidelines and healthcare recommendations using GRADE. GRADE stands for Grading of Recommendations Assessment, Development and Evaluation. It is a method for grading the quality of evidence and going from this evidence to the corresponding healthcare recommendation. The aims of the workshop were: 1) To explain how to develop evidence-based guidelines and health recommendations using the GRADE approach. 2) To build a template for future trainings organised by the JRC on the guideline development process. Twenty participants, without experience using GRADE, attended the workshop—including 14 JRC staff, as well as representatives from the Directorate General for Health and Consumers (DG SANCO), the European Centre for Disease Prevention and Control (ECDC) and various external institutions. The workshop consisted of lectures on the theory behind guidelines development, group work and computer-based exercises. Organisers and participants deemed the training a success and the Public Health Policy Support Unit is planning additional GRADE-oriented workshops in the future.JRC.I.2-Public Health Policy Suppor

The future of public health practice in Europe

The European Public Health Association (EUPHA) identifies research, training, policy and practice as the four pillars for all its work. At a conference organised by the Association of School of Public Health in the European Region (ASPHER) in May 2016, an interesting session setting out a vision for these four areas for the coming years was organised. Josep Figueras and John Middelton outlined the challenges facing training and policy respectively in this session. They invited us to think outside the box and in a sense to reinvent public health in the 21st century. In this contribution, I focus on public health practice. Public health practitioners, who constitute an important part of EUPHA’s membership, are persons who typically work at the front line to translate research and policy into meaningful initiatives at local level.peer-reviewe

European Collaborative Action - Urban Air, Indoor Environment and Human Exposure, Report No 30, Framework for health-based ventilation guidelines in Europe

The present report describes the findings and recommendations of the HealthVent (Health-based ventilation guidelines for Europe) project that funded by the European Commission’s Directorate General for Health and Consumers in the framework of the Second Programme of Community Action in the Field of Health (2008-2013). HealthVent developed a framework for health-based ventilation guidelines for public and residential buildings in Europe and assessed the consequences of implementing these guidelines, bearing in mind future trends in the built environment, including energy efficiency and environmental sustainability issues.JRC.F.2-Consumer Products Safet

COMPARATIVE ASPECTS REGARDING CONSUMPTION AND CONSUMERS IN EUROPEAN COUNTRIES

Consumers are considered, within the European vision, the “life force” of the economy. Although the technological means are increasingly available, both European SMEs and consumers are still suspicious of conducting cross-border trade. Single European market has the potential to become the largest market in the world. Currently, it remains largely fragmented along national borders, forming 27 mini-markets. The European Commission’s aim is to achieve a more integrated internal market such that consumers from each Member State have an equally high level of confidence in products, traders, selling methods, as well as consumer protection – no matter where they decide to make their purchases within the EU. The paper presents a secondary analysis of data regarding the many differences in terms of Europeans’ consumption patterns for different product categories (as a percentage of total expenditures). For example, the share of household budget used to purchase food is highest in our country and lowest in Luxembourg.. Also, the largest proportion of family budget allocated for utilities (water, electricity, gas) we find in Bulgaria, and for cultural activities – in Austria.consumption, consumers, European Union, Single Market, consumer policy

Can mothers judge the size of their newborn? Assessing the determinants of a mother's perception of a baby's size at birth

Birth weight is known to be closely related to child health, although as many infants in developing countries are not weighed at birth and thus will not have a recorded birth weight it is difficult to use birth weight when analysing child illness. It is common to use a proxy for birth weight instead, namely the mother’s perception of the baby’s size at birth. Using DHS surveys in Cambodia, Kazakhstan and Malawi the responses to this question were assessed to indicate the relationship between birth weight and mother’s perception. The determinants of perception were investigated using multilevel ordinal regression to gauge if they are different for infants with and without a recorded birth weight, and to consider if there are societal or community influences on perception of size. The results indicate that mother’s perception is closely linked to birth weight, although there are other influences on the classification of infants into size groups. On average, a girl of the same birth weight as a boy will be classified into a smaller size category. Likewise, infants who died by the time of the survey will be classified as smaller than similarly heavy infants who are still alive. There are significant variations in size perception between sampling districts and clusters, indicating that mothers mainly judge their child for size against a national norm. However, there is also evidence that the size of infants in the community around the newborn also has an effect on the final size perception classification. Overall the results indicate that mother’s perception of size is a good proxy for birth weight in large nationally representative surveys, although care should be taken to control for societal influences on perception

Impact of European Water Framework Directive Article 7 on Drinking Water Directive compliance for pesticides: challenges of a prevention-led approach

Article 7 of the European Water Framework Directive (WFD) promotes a prevention-led approach to European Drinking Water Directive (DWD) compliance for those parameters that derive from anthropogenic influences on raw water quality. However, the efficacy of pollution prevention interventions is currently uncertain and likely to be variable, which makes absolute compliance with the drinking water standard a significant challenge. Member State governments, the WFD competent authority, the DWD competent authority, water suppliers and agriculture are all affected by and have a different perspective on the nature of this challenge. This paper presents a discussion of these perspectives applicable to stakeholders in all European Member States; the analysis is supported with examples from England and Wales. Improved understanding of the challenges faced by each group is needed if these groups are to achieve the shared goals of WFD Article 7 compliance and DWD compliance without a disproportionately negative impact on agricultural productivity. In addition, the European Commission needs to be aware of and address a potential incompatibility between WFD Article 7 and the DWD. With this in mind, targeted recommendations for action are presented for each stakeholder group