EMPOWERING CIVIL SOCIETY AND PUBLIC HEALTH SYSTEM TO FIGHT TUBERCULOSIS EPIDEMIC AMONG VULNERABLE GROUPS

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1 EMPOWERING CIVIL SOCIETY AND PUBLIC HEALTH SYSTEM TO FIGHT TUBERCULOSIS EPIDEMIC AMONG VULNERABLE GROUPS Cinthia Menel Lemos Project Officer Executive Agency for Health and Consumers

2 Executive Agency Health Consumer (EAHC - Decision 2008/544/EC ) Implements the EU Health Programme ( ) - completion of the first programme ( ) Management of the Programme, in particular those linked to the award of contracts and grants, and management of projects Disseminates knowledge and best practices, feeding back projects results to DG SANCO for policymaking and providing logistical, scientific and technical support by organising technical meetings preparatory studies, seminars or conferences Fosters exchange and co-ordination of the European communities of public health professionals The lifetime of the Agency until 31/12/2015

3 DG SANCO? Directorate General for Health & Consumers Prevention Surveillance Response to Public health threats related to Communicable Diseases CBRN

4 DG SANCO? Directorate General for Health & Consumers Communication on combating HIV/AIDS in the EU and the neighbourhood - strategy and second action plan ( ), Com (2001) 569, adopted on 26 October 2009 Priorities - Most affected groups Priorities Most affected regions

5 Injecting drug users Harm reduction Unprejudiced treatment of drug users Non criminalisation Needle and syringe exchange in adequate settings including in prisons Access and quality to HIV/AIDS care and co-infections (viral hepatitis and tuberculosis)

6 Priority regions Eastern Europe (1) and neighbourhood-high prevalence and incidences address HIV/AIDS in future negotiations on bi- and multilateral agreements with third countries where necessary conferences invite ENP countries to EU meetings in order to facilitate transnational cooperation on all levels (Think tank and Civil Society Forum) development of specific programmes to improve the control of HIV/AIDS particularly in Eastern Europe use financial EU instruments to support health systems and to finance specific measures against the spread of HIV and associated infections

7 TB in the EU 2009 ~ new cases Decrease of vs 2008 Sustained decline in the epidemic Levelling off of the epidemic in the low incidence countries Countries achieving the 85% treatment success = x2

8 However ECDC/WHO EURO Surveillance report 2009

9 TB in the EU 2009 Childhood TB (3 300 cases) All MS report MDR cases Proportion of cases with combined MDR Baltic States: % Romania: 11.2% Overall treatment success rate in the EU remains suboptimal 78.1%

10 TB in the EU Key challenges Multi-drug and Extremely drug resistant TB Lack of new diagnostic tools and medicines Budgetary constraints Steep rise in TB/HIV co-infection Vulnerable groups - hard to reach, IDUs, migrants and ethnic minorities, socially excluded groups

11 TB in the EU Vulnerable groups IDU-s associated with increased TB incidence TB a leading cause of death among IDU-s challenges» timely diagnosis» TB prevention intervention» treatment & care

12 EU initiatives Research, 125M on development of new treatments and diagnostic tools International cooperation Health Programme - Development and cooperation DEVCO Aidco Surveillance and scientific guidance 872 M since 2002

13 Prevention & control of TB Prevention 4 Principles Prompt & quality care for all Strengthen health systems Develop and assess new tools International cooperation

14 Prevention & control of TB Prevention Prompt & quality care for all Focus on vulnerable population Ensure equal prompt & adequate diagnosis & care Address M/XDR TB and TB-HIV co-infection Patient centered support Address health determinants

15 Health Programme Prompt & quality TB care for all WHO 2008 HR - Scaling-up access to high-quality harm reduction, treatment and care for injecting drug, WHO Europe Copenhagen (DK) Imp.Ac.T - Improving Access to HIV/TB testing for marginalised groups, Fondazione Villa Mariani onlus (IT), TUBIDU - Empower civil society and public health system to fight TB epidemic among vulnerable groups, NIHD (EE)

16 WHO 2008, Scaling-up access to high-quality harm reduction, treatment and care for injecting drug, Martin Christopher Donoghoe, WHO Europe Copenhagen Report on the rapid assessment of the quality and accessibility of integrated TB, HIV and harm reduction services for people who inject drugs in Portugal, Pippa Grenfell, Ana Cláudia Carvalho, Dina Cosme, Ana Martins, Henrique Barros, Tim Rhodes

17 Imp.Ac.T - Improving Access to HIV/TB testing for marginalised groups, Fondazione Villa Mariani onlus (IT), EC co-funding ,00 Methodology The project consists of three phases: 1) Development of common tools and methodology for HIV and TB testing among PDUs and migrant DUs; 2) Implementation of HIV and TB tests in low-threshold services for the target population; 3) Comparative analysis and assessment of the effectiveness of such intervention. Results so far: Training manual on HIV/TB rapid testing of DUs/migrants in low-threshold services Implementation of HIV and TB testing in outreach low threshold services

18 What are the news? Proposal on establishing a Health for Growth Programme, the third multi-annual programme of EU action in the field of health for the period SO3: Identify, disseminate and promote up-take of validated best practices for cost-effective prevention measure by addressing key risk factors, namely smoking, abuse of alcohol and obesity, as well as HIV/AIDS, with a focus on the cross border dimension in order to prevent diseases and promote good health.

19 What are the news? High Level Conference on EU Health Programmes: results and future perspectives, 3, May 2012, Brussels Evaluation of the Public Health Programme (PHP) and Interim evaluation of Presentation Third multi-annual programme of EU action in the field of health for the period Health for Growth Programme. Stellar projects Projects brochures _en.htm

20 Thank you for your attention

21 Further Information Health Portal EU SANCO Web Site EAHC Website EMCDDA website ECDC website