COMING TOGETHER: A GLOBAL RARE DISEASE PATIENT COMMUNITY

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COMING TOGETHER: A GLOBAL RARE DISEASE PATIENT COMMUNITY Durhane Wong-Rieger International Conference on Rare Diseases and Orphan Drugs 21 October 2016 Cape Town, South Africa

WHAT IS RDI? A EURORDIS Initiative aimed at building the first Global Alliance of People Living with Rare Diseases of all Nationalities across all Rare Diseases For the time being RDI has no legal incorporation and is embedded in EURORDIS. It is expected to be registered as a separate entity in a few years according to the decision of its members Initial focus is on taking action and gaining experience of working together.

WHY IS RDI NEEDED? To unite, expand and reinforce the RD movement of patient organisations and patient advocates Most international initiatives are ad hoc and linked to a particular diseases. RDI is an opportunity to work globally and to create a global RD community To enable the emergence of a strong common voice on behalf of the estimated 500 million people living with rare diseases (PLWRDs) around the world To influence international organisations (UN, WHO) To enable the emergence of RD as a public health & research priority internationally To enable the local rare disease patient groups to act at national, regional, international levels through advocacy and exchange of experience.

MISSION STATEMENT To be a strong common voice on behalf of people living with rare diseases around the world

BENEFITS FOR PATIENT GROUPS IN DEVELOPING WORLD RDI presents opportunity for patient groups to leverage international voice to raise awareness, support, and action locally RDI provides opportunity for patient networks to collaborate on regional issues and insure RDs included in health and economic polices, e.g., UHC RDI can highlight RD challenges endemic to LMIC s and encourage international attention to address them RDI provides opportunity for RD patients in countries emerging to rare diseases to get support from countries that are further down the line RDI provides opportunity for RD patients in regions where RD not yet meaningfully recognised to feel empowered and connected

GENERAL OBJECTIVES To represent members and people living with rare diseases at large, in international institutions and forums To enhance the capacities of members through information, exchange, networking, mutual support and potentially joint actions To promote rare diseases as an international public health and research priority through public awareness and policy-making

ADVOCACY Joint Declaration Rare Diseases: an International Public Health Priority Recommendations: 1. Enhanced Visibility of RDs 2. Patient Empowerment 3. Creation and Dissemination of Information 4. International cooperation in services to patients 5. Improve prevention, screening and timely diagnosis 6. The right to Universal Access to Healthcare 7. National and international networking of specialised expertise 8. Promotion of mobility of experts and patients to access adequate care 9. International coordination of Research 10. Shaping Policy at international level based on common values

BUILDING BLOCKS TO FORM AN INTERNATIONAL PATIENT MOVEMENT Since 2009, EURORDIS has signed agreements, with national rare disease alliances around the world that included common objective to create an international movement of rare disease patients, with: Ø National Organisation for Rare Disorders (NORD, USA) in 2009 Ø Canadian Organisation for Rare Disorders (CORD, Canada) in 2012 Ø Japanese Patient Association (JPA, Japan) in 2013 Ø Russian Patients Union (RPU, Russia) in 2015 Ø Rare Voices Australia (RVA, Australia) in 2015

HISTORY EURORDIS adopt international orientation in EURORDIS Strategy 2010-2015 EURORDIS Partnerships with NORD, CORD, JPA, RVA, RPU included the creation of RDI RDI preliminary at ICORD Tokyo 2012 EURORDIS with IAPO Survey carried out in Sept 2013 to evaluate level of interest = 64 respondents from 37 countries = 98% replied that they would be interested in joining RDI RDI concept presented and tested at conferences in 2014 including NORD Regional Meeting in Alexandria VA in Nov 2014 RDI Pre-Formation Group & 1 st Business Meeting at IRDiRC Conference in Shenzhen China in Oct 2014 EURORDIS Round Table of Companies in Brussels in Feb 2015 Official Launch & Inaugural Meeting in Madrid in May 2015

RDI LAUNCH EVENT MAY 28, 2015 MADRID, SPAIN

WHO CAN BE A FULL MEMBER? Patient Umbrella organisations representing several rare diseases in one country National Alliances Patient Umbrella organisations representing the same disease or family of diseases in several countries International Federations Patient Umbrella organisations representing national alliances or other patient groups in several countries across a geographical region Pan regional Networks

MEMBERSHIP CRITERIA Rare disease organisation, according to US or EU definition or the definition of the country Non-profit status Patient-driven Legal incorporation Must demonstrate political independence and minimize the risk of conflict of interest through transparency of financial information and diversified funding RDI recognises organisational set-ups may vary from country to country. Waivers possible

ASSOCIATE MEMBERSHIP Non patient-driven organisations or professional organizations or other type of entity active in the rare disease field and contributing to the objectives of RDI by their mission and work Very young patient organisations Certain patient groups that do not meet the criteria i.e. single-disease group in countries where there is no National Alliance yet Pharmaceutical or biotech companies cannot be Associate members but other for-profit organisations might be eligible Associate members cannot be elected to the Council of RDI

38 MEMBERS TO DATE 1. Alliance Maladies Rares 2. ALIBER-Alianza Iberoamericana de Enfermedades Raras 3. Arabic Organisation for Rare Diseases (Associate) 4. Associacao Brasileira de Enfermedades Raras 5. Botswana Organisation for Rare Diseases 6. Canadian Organization for Rare Disorders 7. Chinese Organization for Rare Disorders 8. Croatian Alliance for Rare Diseases 9. Cyprus Alliance for Rare Disorders 10. Debra International 11. EAT - Federation of Esophageal Atresia and Tracheo-Esophageal Fistula 12. EURORDIS

MEMBERS 13. Federación Argentina de Enfermedades Poco Frecuentes 14. Federación Colombiana de Enfermedades Raras 15. Federación Española de Enfermedades Raras 16. Federacion Mexicana de Enfermedades Raras 17. Findacure (Associate) 18. German Rare Disease Alliance (ACHSE) 19. Greek Alliance for Rare Diseases 20. Indian Organization for Rare Diseases 21. International Federation for Spina Bifida & Hydrocephalus 22. International Patient Organization for Primary Immunodeficiencies (IPOPI) 23. Japan Patients Association (JPA/ ASRID) 24. Malaysian Rare Disorders Society

MEMBERS 25. Naevus Global 26. New Zealand Organization for Rare Disorders (NZORD) 27. National Organization for Rare Disorders (NORD) 28. Pro Rare Austria 29. Rare Diseases South Africa (RVA) 30. Rare Voices Australia 31. Retina International 32. Romanian National Alliance for Rare Diseases (RONARD) 33. Hongkong Alliance for Rare Disorders (KHARD) 34. Genetic Alliance Australia 35. Pulmonary Hypertension Latin Society 36. Blackswan Foundation (Associate) 37. International Niemann Pick Disease Association 38. World Federation of Hemophilia

MEMBERSHIP BREAKDOWN 15 Non European National Alliances 8 European National Alliances 8 International Federations 3 Regional Networks 4 Associate Members

RARE DISEASE NATIONAL ALLIANCES OF 23 COUNTRIES

MEMBERS OF MEMBERS IN 67 COUNTRIES Argentina, Australia, Belarus, Belgium, Bosnia & Herzegovina, Bulgaria, Brazil, Canada, Chile, Columbia, Costa Rica, Cyprus, Denmark, Dominican Republic, Egypt, El Salvador, Estonia, Finland, France, Germany, Greece, Guatemala, Hong Kong, Hungary, Iceland, India, Indonesia, Iran, Ireland, Italy, Japan, Malaysia, Mexico, Moldova, Morocco, Netherlands, New-Zeland, Norwary, Pakistan, Panama, Paraguay, Peru, Poland, Portugal, Puerto Rico, Romania, Russia, Senegal, Serbia, Singapore, Slovakia, Slovenia, South Africa, Sweden, South Korea, Spain, Switzerland, Taiwan, Thailand, Turkey, Uganda, Ukraine, UK, U.S, Uraguay, Venezuela, Vietnam

FUNDING EURORDIS, AFM Telethon, EC DG SANCO Members Voluntary Contributions Alliance Maladies Rares Australian Genetic Alliance Blackswan Foundation Debra International IPOPI Hong Kong Alliance for Rare Diseases Malaysian Rare Diseases Society Pro Rare Austria Retina International Corporate Donors Biogen Genzyme Novartis Pfizer Shire Vertex

GOVERNANCE The preliminary phase of the initiative (until March 2016) has been steered by a Pre-Formation Group 1. Ibero-American pan-regional alliance (ALIBER) 2. France (AMR) 3. Canada (CORD) 4. China (CORD) 5. International Fed.Epidermolysis Bullosa (DEBRA) 6. Europe (EURORDIS) 7. India (I-ORD) 8. International Fed. Primary Immunodeficiencies (IPOPI) 9. Japan (JPA) 10. USA (NORD)

NEW COUNCIL OF RDI John Dart DEBRA INTERNATIONAL Ramaiah Muthyala, I-ORD INDIA Durhane Wong- Rieger CORD CANADA Megan Fookes RVA AUSTRALIA Lisa Phelps NORD USA Alfredo Toledo ALIBER IBEROAMERICA Yann Le Cam EURORDIS EUROPE

WOD Congress Geneva, November OUTREACH & CONFERENCES In 2014 IRDiRC Shenzhen NORD Regional Meeting Alexandria VA In 2015 ALIBER Guadalajara, June ERTC Brussels, February EURORDIS Membership Meeting RDI first Annual Meeting Madrid May ICORD Mexico, October 4th Latin American Patient Summit Mexico, October In 2016 ReACT Barcelona, March IAPO Patient Congress London, April WB and IMF Civil Society Policy Forum, Lima Peru April BIO Conferences San Francisco, June (booth in Patient Pavilion) ALIBER Montevideo, September ICORD Cape Town, October NORD Summit, October UN Committee for Rare Diseases NY Launch, November EURORDIS Council of European Federations, October

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WEBSITE www.rarediseasesinternational.org

TWITTER Follow us @rarediseaseint #RareDiseasesInternational

RDI ONLINE DISCUSSION GROUP www.rareconnect.org/ rdi

RARE DISEASES IN THE UN AGENDA The ambition is to: Introduce concept and foster understanding of rare diseases in international institutions (UN, ECOSOC, WHO, PAHO, OECD) Rare Disease Day recognised by the WHO Eg. World Hepatitis Day, World Day AIDS Day A Report on RD presented to the WHO World Health Assembly A Position Paper on RD presented at the UN General Assembly Why not a UN Resolution on Rare Diseases!

GAINING RECOGNITION AT THE UNITED NATIONS The NGO Committee for Rare Diseases at United Nations, New York through the Conference of NGOs in Consultative Relationship with the United Nations Economic and Social Council (CoNGO) In line with RDI objective: Turning RD into an International public health priority Introduce concept, foster understanding of rare diseases in UN system Put rare diseases on the global health & development agenda Multi-stakeholder Committee RDI will represent patients Official launch November 11, 2016 New York www.ngocommitteerarediseases.org

BUILDING BRIDGES WITH OTHER STAKEHOLDERS: SHAPING RD ECO-SYSTEM International Alliance of Patients' Organizations supporting RD patient groups and guide to WHO International Federation of Pharmaceutical Manufacturers & Associations exploiting synergies with industry International Rare Diseases Research Consortium - fostering patient involvement Blackswan Foundation/ ReACT Congress Advocacy and Awareness to support RD research International Conference on Rare Diseases & Orphan Drugs strengthening collaboration, steamlining conferences and reinforcing patient dimension South Africa 2016, China 2017, India 2018?

THANK YOU!