Presentation meeting 4 Könberg

Nordic Council ofMinisters14 tangibleproposals forfuture co‐operationon health in theNordic regionBo KönbergBSPCCopenhagen114.November 2014Increase in longevityDuring the last century Nordic longevity has increasedowith more than 25 YearsAnd those years are healthy years!oLungcancer1. Vigorous measures against 8. Greater co-operation ongrowing antibiotic resistance welfare technology2. Strong co-operation on 9. Greater co-operation on e-highly-specialised treatment Health3. Set up network on rare 10. Greater co-operation indiagnoses the psychiatric field4. Set up a virtual centre for 11. Greater mandate for co-register-based research operation in healthpreparedness5. Greater co-operation oninitiatives to improve public 12. Greater pharmaceuticalhealth co-operation to increasecost-effectiveness and safety6. Public health policyplatform to reduce inequality 13. New exchange of officialsin health14. Co-operation on national7. Patient mobility in the experts in the EU CommissionNordic regionNordisk samarbejde 5Proposal 2: Highly-specialised treatmentSet up a Nordic review group at high level for highly-ospecialised treatments, with the aim of holding regulardialogue between the countries on the needs andopportunities for co-operation initiatives.Proposal 3: Rare diagnosesSet up a Nordic network for co-operation on rareodiagnoses to strengthen existing and new joint initiatives,and to improve coordination of these.Proposal 4: Register-based researchStrengthen research co-operation regarding dataoregisters, biobanks and clinical intervention studies.Introduce a model for mutual recognition of ethicaloreviews of Nordic research projects.Set up a Nordic virtual centre for register-based research.oProposals 5 and 6: Public healthIncreased co-operation on public healthoIncrease the exchange of information on public healthoSet up a public health policy platform for developingoproposalsProposal 7: Patient mobilitywithin the Nordic region.Evaluate the effects, on patients, of the Nordic countries’orecently-adopted implementation of the EU patientmobility directive.Try to extend the right to care in another Nordic country.oProposal 8: Welfare technologyStrenghtened Co-operation on Welfare TechnologyoProposal 9: E-healthExtended co-operation on e-healthoCo-operation on e-prescriptionsoCreate a Nordic health library onlineoDevelop a Nordic search tool "My patient"oProposal 12:Extended Nordic pharmaceutical co-operationGreater exchange of experiences on the conditions andoprices with purchasesExtend the exchange of experiences on implementation ofonew drugsProposal 12:Extended Nordic pharmaceutical co-operationGreater exchange of experiences on the conditions andoprices with purchasesExtend the exchange of experiences on implementation ofonew drugsProposal 1: The decrease in antibioticresistanceThe first invention was in 1930oUp to 1970, twenty new antibiotics were developedoBetween 1970 and 1987, two new antibiotics wereodevelopedSince then no new ones!oThis year some 50 000 persons in Europe and NorthoAmerica will die due to the increased reistanceUse of antibiotics outside hospitals, 2012(ATC J01, DDD per 1 000 inhabitants per day)2522,320,12018,7 18,517,417,115,915 14,21050Island Finland Grönland Danmark Norge Färöarna Åland SverigeConcerted Nordic action againstantibiotic resistanceReduce consumption of antibiotics in the Nordic region to theolowest European level within five years.All countries in the world to adopt plans to reduce use ofoantibiotics.Prescription requirement in countries with developed healthosystems.Abolish bonus payments to doctors and veterinary surgeons.oMajor initiative (SEK 75 billion from rich countries for fiveoyears, of which 2.5 billion from the Nordic region) tostrengthen systems and rewards for developing newantibiotics.Longitude, by Dava SobelActions since this springApril:oWHO warns of "the risks for a world without antibiotics"May:oWHO:s General Assembly orders the development of anaction plan for next springJune:oA British commitee proposes a Longitude Prize of 10million pounds for the development of a new antiobioticSeptember:oPresident Obama orders an action plan for next springandEU’s Veterinary Committee proposes a ban for veterinarybonuses on prescriptions of antibiotics“The next supermodel”The report is part of theNordic Council of Ministersprogramme, SustainableNordic Welfarewww.norden.org/welfareNordic Council ofMinistersThe report can bedownloaded fromwww.norden.org/en/publications/publikationer/2014‐731(Language versions: Swedish, Finnish,Icelandic and English)23