ACTION PLAN Adoption Annual Activity & Financial Report 2018 Adoption Work Programme: Action Plan & Budget 2019

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ACTION PLAN 2019 1. STRENGTHEN RDI AS A WELL-GOVERNED AND SUSTAINABLE ORGANISATION Governance Legal incorporation in France, as Association Loi 1901, as an NGO, official publication based on Statutes Council to adjust and adapt By-Laws Council to meet via teleconference every other month Officers to meet via teleconference every other month Two Face-to-Face Meetings of Council Online Council Elections: 7 members renewed by third every year Policy of Relations with Commercial Companies Annual General Assembly 20 Feb 2019: Adoption Annual Activity & Financial Report 2018 Adoption Work Programme: Action Plan & Budget 2019 RDI Open Meeting (open to non-members and other stakeholders to attract new members and develop synergies with other actors in the RD ecosystem) Secretariat 1 FTE Director Paloma Tejada, based in Geneva 1 FTE Manager (to be recruited 1S2019) 1 Part-time Public Affairs Manager, Clara Hervas, based in Brussels office 1 Part-time Consultant Corporate Relations Advisor, Jill Bonjean, based in Paris RDI offices established in Brussels on 11 rue D Egmont Brussels 1050 (in-kind EURORDIS, addendum MoU) and in New York on 521 5th Avenue New York NY 10175 (in-kind corporate VOZ) Communications Website updates Communication material 1

Pending recruitment of Programme Manager : New visual identity New Brochure New PPT Presentation Template New Kakemonos Active Social Media on Twitter and Instagram Financial sustainability: EURORDIS EURORDIS Support: MoU signed for 5 years (2019-2023) EURORDIS will continue to provide professional services: a) employ 1 FTE staff (RDI Director) b) provide 0.5 FTE public affairs staff for advocacy dedicated to RDI and related international activities c) provide financial & administrative services for management of accounts d) provide hosting, maintenance and update of website e) Provide official Office in Brussels Financial Sustainability: Resource Development RDI secures revenue to: cover its own external expenses hire the Programme Manager (1 FT) hire the Consultant in Resource Development (90 days) RDI to raise unrestricted funds by setting up a Corporate Group: RDI Alliance of Companies for Patient-Centred Action RDI to raise restricted targeted funds for Specific Programmes: Conferences, Fellowships In-kind corporate contributions Set up the Alliance of Companies for Patient-centred Action Made of commercial companies Includes different industry sectors from the beginning: pharma, biotech, diagnostic, devices, digital, CRO, distribution, PR & Law firms, other 2

Membership Fees: 20 000 EUR /year, looking for a long term commitment Provides unrestricted resources for core activities Commitments : a) invited to the Annual RDI Open Meeting, b) invited to RDI Policy events, c) invited to all Level-3 RDI Conferences; d) invited to attend 2 dedicated Webinars per year Code of Conduct to be signed by all members Policy on Relations with Commercial Companies 2. BUILDING A LEGITIMATE RARE DISEASE PATIENT GLOBAL ALLIANCE Membership 56 Members as end 2018: 33 National Alliance and 14 International Federations and 4 Regional Networks Expand membership base > +10, toward 70 members as end 2019 Actively recruit more International Federations PHA International, Tuberous Sclerosis, CF Worldwide, Duchenne World, Dravet Foundation, Rett Syndrome International, FOP, IPWSO, OIFE Target US based international federations at NY events Recruit National Alliances in following countries: Peru, Brazil, Chile, Philippines, Turkey, Algeria Maintain informal relations with TFRD, KORD Bring in regional networks: APARDO, Africa-Rare.org Call for Membership Fees Strategic Partnerships NGO Committee for Rare Diseases Executive Board International Rare Diseases Research Consortium (IRDiRC) - Patient Advocates Constituency Committee (PACC) Orphanet Global figures on RDs+ ICD-11 and OrphaCode + promote Orphanet in new languages eg Arabic, Persian 3

International Federation of Pharmaceutical Manufacturers & Associations (IFPMA) Working Group on RD Asia Pacific Economic Cooperation (APEC) LSIF Rare Disease Network patient input in APEC Rare Disease Action Plan 21 countries Global Commission on Ending the Odyssey for the Diagnosis of Children with Rare Diseases patient input in the recommendations and support in promotion of recommendations and implementation of 2 out of 4 pilot projects 3.ADOCATE FOR RARE DISEASES TO BE AN INTERNATIONAL PUBLIC HEALTH PRIORITY & RAISE AWARENESS Building up our capacities in Advocacy actions Reach out to a critical mass of countries Permanent Missions (20) in Geneva and New York, select future country champions in each region of the G77 in close collaboration with RDI Member National Alliances Establish an informal network Friends of Rare Diseases in Geneva and New York; organise briefings, breakfast meetings and small awareness or education conferences Invite TIF and FADEPOF to join the RDI Advocacy Committee Ad hoc Drafting Groups on UHC and UN Resolution Add part time Staff : Clara Hervas, International Public Affairs, EURORDIS Promoting RDs as a priority within UN Sustainable Development 2030 Agenda and towards a UN Resolution on RDs Co-organise with NGO Committee for Rare Diseases Second High Level Policy Event in New York on February 21 st Develop a first draft of UN Resolution on RDs with Ad Hoc Drafting Group, Advocacy Committee, Permanent Missions from 3 to 5 countries, consult UN experts Possible High Level Conference of Perm Reps from G77+ China on RDs sponsored and organised by one Member State (tbc) Placing RDs in the Universal Health Coverage Agenda RDI Contribution to UN Political Declaration on UHC WHO 72nd World Health Assembly Informal Side Event on RD & UHC (May) 4

Outreach and briefings to co-facilitator countries (Hungary and Thailand) and to drafting countries (France, Japan) and champion countries (EU Delegation, Philippines, Kuweit) High Level Meeting on UN Political Declaration on UHC in New York & UN Plenary General Assembly (Sept) Possible side meetings with Perm Reps, small briefing meetings before the HLM RDI Members to advocate to their MoH and MoFA and Perm Reps to attend the WHO WHA Side event in May and support inclusion of RDs in the Declaration Establishing WHO-RDI Collaborative Framework Draft and sign Memorandum of Understanding WHO-RDI Collaborative Framework 2019-2021 on 5 ambitions WHO 72 nd WHA informal side event and secure MS and NSA support Mobilise Perm Reps in Geneva with Friends of RDs, small meetings, breakfast briefings Explore the feasibility of a light Resolution on RDs at WHO Executive Board of January 2020 Towards an evidence-based Advocacy Advocacy Fact Sheet on rare disease global figures Advocacy Fact Sheets on surveys on social impact of rare diseases Explore partnership to perform the International State of the Art of RDs in a standard, progressive and sustainable way 4.ADVOCATE FOR PEOPLE LIVING WITH RARE DISEASES IN KEY AREAS Engagement in Research: IRDiRC and ReACT RDI is a member of the International Rare Disease Research Consortium (IRDiRC) represented by Ritu Jain Take part in IRDIRC s Consortium Assembly Contribute to IRDIRC s goals and mission Promote membership amongst new countries RDI supports all patient representatives members of RDI in IRDIRC PACC (11 out of 13) Contribute to PACC s policy work and contribute to design and dissemination to RDI members of survey on patient engagement in research Partner with ReACT Conference, Toronto, Canada (May 5-8) 5

Access to Diagnosis: Global Commission to end the diagnosis Odyssey of Children with a Rare Disease The Global Commission initiated and co-chaired by EURORDIS, Microsoft and Shire. Members of the Global Commission include patient reps from RDI members: CORD Canada, NORD, CORD China and EURORDIS. Support and involve all RDI members in Launch events on 20 February at Microsoft Global Headquarters, simultaneous 2nd launch in Brussels at Friends of Europe and 3rd launch event in Beijing on Feb 28 by CORD China RDI will take part in 2 out of 4 pilots Use the Recommendations as basis to develop RDI position on diagnosis Bring the recommendations from Global Commission experts into Collaborative Framework with WHO Access to Medicines: World Health Organization (WHO) and the International Federation of Pharmaceutical Manufacturers Associations (IFPMA) Propose a Collaborative Framework with WHO that includes actions to improve access to medicines in LMIC Mobilise political support of Member States through Perm Reps in Geneva to include access to medicines for rare diseases in WHO Fair Pricing agenda Organise a Roundtable on barriers to Expanded Access Programmes in Lower and Middle Income Countries with IFMPA Rare Disease Working Group in Geneva 5. BUILD CAPACITIES OF MEMBERS & PATIENT ADVOCATES RDI 5 th Annual Meeting, Feb 20, New York Annual General Assembly (Members only) RDI Global Meeting (open to non-members, partners and stakeholders) Placing RDs in Sustainable Development 2030 Agenda leave no one behind Rare Disease Day at the United Nations, New York 2 nd High level event of NGO Committee for Rare Diseases Towards a UN Resolution for Rare Diseases UN Political Declaration on Universal Health Coverage Human Rights & Disability 6

Regional mobilisation Asia Pacific Alliance of Rare Disease Organizations (APARDO) Rare Disease African Alliance (Africa-Rare.org) Iberoamerican Rare Disease Alliance (ALIBER) RDI Conference Programme Level 3 - "Conference co-organised with RDI Level 1 support + RDI in Programme Committee; RDI covers RDI speakers, Fellowships Content aligned with RDI s overall strategy + advocacy topics Ex. Canadian Organization for Rare Disorders / ReACT Conference, Toronto, May 8-11, 2019 Level 2 - "Conference in Partnership with RDI Level 1 support + RDI in Programme Committee; RDI sometimes covers some RDI speakers, No Fellowships RDI objective: to build capacities on specific topics of need (national plans, registries, etc.) Ex. ECRD, NORD Summit, WODC, IRDiRC, ISPOR, APARDO, ALIBER Level 1 - "Conference supported by RDI RDI logo, communication and promotion, link in RDI website Ex. Conferences organised by Member National Alliances or International Federations RDI Fellowship Programme Objectives: To build capacities of patient advocates and organisations To support networking, exchange of experience, dissemination of patient advocacy knowledge and best practices To identify and train leader patient advocates To enable RDI members and other patient advocates who cannot afford to take part into RDI events Available for: Annual RDI Membership Meeting NY Feb 20 7

NGO CfRD High Level Policy Event at UN NY Feb 21 all RDI Level 3 Conferences WHO WHA side event Training seminars RDI Experts Faculty Individuals acting in their own capacity Leaders from different horizons: patient advocates, academics, reps of learned societies, reps of industry, experts by themselves (retired or active) Appointed by RDI Council Fixed 3-year terms Signed Declaration of Conflict of Interest To provide RDI with a pool of quality speakers for all conferences, workshops, meetings, to serve as speakers customized to local or regional event specific needs Expert resource to RDI Advocacy Committee and members at large, for specific activities Cultivate committed individuals to link back to their organisations and foster international collaborations and partnerships and multi-stakeholder engagement To produce scientific or opinion papers for publication RDI Peer to Peer Exchange & Networking Virtual Platform Pending recruitment of Programme Manager: Create an RDI community, as a virtual forum for members eg. Facebook Workplace Create a profile of basic information about each member and its activities of potential interest to other members Organise one Webinar each month to present one member, or two members on same topic and discuss their activities and interests in common Advocacy & Educational training tool kits Generate Advocacy training tool kits to support patient advocates on international and national policy-making Generate Educational Tool kit on complex research topic 8