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European Public Health Research & Lifelong Physical Activity –
Increased Happiness For All?
Kevin McCarthyHead of Sector Public Health
Directorate Health for Research & InnovationEuropean Commission
Seminar Lifelong Physical Activity – Increases Happiness for All?South Finland EU Office 22 February 2011
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EU Research Policy -Competitiveness, Quality of Life
and Support to EU policiesThe key objective of EU Research policy (Art. 173 of Lisbon Treaty): “strengthening its (Union) scientific and technological bases by achieving a European research area in which researchers, scientific knowledge and technology circulate freely, and encouraging it to become more competitive, including its industry“ and “while promoting all research activities deemed necessary by virtue of other chapters of the Treaties” (Art. 168 – public health)
The core objectives for Health research in FP7 are “improving the health of the European citizens and increasing the competitiveness of the European health related industries and businesses…” with emphasis on “translational research”.N.B.:
The European Commission currently manages about 5% of total public spending in R&D in the European Union.The EU currently invests about 1.9% of GDP in research
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Role of EC in Research
European Commission programmes bring down barriers :
• between countries:– multinational consortia (EU-27 + associated countries)
– researchers from any country in the world can participate;
and promotes coordination of national funding programmes (ERA)
• between different types of organizations: universities, research centres, SMEs, large companies, etc.
• between disciplines: focus on translational research
and encourages mobility: Marie Curie fellowships for researchers and for host institutes, including ingoing & outgoing grants
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Demand-driven
Responsive to policy requirements:
European Social Agenda - ageing, combating discrimination, barrier-free Europe
EU Public Health Programme – monitoring, information, threats, determinants
Clients:
DG SANCO, DG EMPL, DG ENV,DG ECFIN, DG ENTR
Budget: +/- 50 million €
FP6 – SCIENTIFIC SUPPORT TO POLICIES (SSP)
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“Health, Security and Opportunities for the People of Europe”
- Health determinants,sustainable health care services and pension systems (in particular in the context of ageing and demographic change) Area 2.1
- Public health issues • epidemiology, disease prevention, rare and communicable diseases, allergies, secure blood and organ donations, non-animal testing methods Area 2.2
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• EUROCADET Impact of key determinants on the current and future burden of caner in Europe
• EURO-PREVOB Tackling the social & economic determinants of nutrition
and physical activity for the prevention of obesity in Europe
• HOPE Health-promotion through obesity prevention across Europe –
An integrated analysis to support european health policy
• AHEAD Ageing, health status and determinants of health expenditures
• SPHERE Strengthening public health research in Europe
• MHADIE Measuring health and disability in Europe: supporting policy development
• EPIC European prospective investigation into cancer, chronic diseases, nutrition and lifestyle
FP6 SSP PROJECTS
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EURO-PREVOBEURO-PREVOB
Review the determinants of, and inequalities in, obesity in Europe and policy initiatives to tackle obesity
Develop and pilot a tool to examine policies related to obesity in Europe and to assess the food and built environments that rich and poor people live in
Make recommendations to prevent obesity, especially among those disadvantaged, and develop means to evaluate the economics of policy options
Promote networking among different stakeholders involved in nutrition, physical activity, obesity and inequalities in obesity
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EURO-PREVOBEURO-PREVOB conceptual conceptual frameworkframework
Individuals: Energy
balance and inequalities in obesity
Foodenvironment
Natural andbuilt environment
Socioeconomicenvironmentand inequalities
Psychosocial andcultural determinants
Civil society
Economic operators
Government
Individuals: Energy
balance and inequalities in obesity
Foodenvironment
Natural andbuilt environment
Socioeconomicenvironmentand inequalities
Psychosocial andcultural determinants
Civil society
Economic operators
Government
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The built environment i.e. the ‘walkability’ and ‘bikability’ of affluent vs. deprived neighbourhoods in terms of:
- the availability and quality of:• cycle lanes• public open spaces (including parks and
playgrounds)• public transport stops• marked road crossings• sidewalks or pavements
- traffic volume
- evidence of ‘attractiveness / unattractiveness’
EURO-PREVOB
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• Government policies and initiatives should support a health promoting natural and built environment, taking into account the needs of low income and other vulnerable groups.
• to support active transport such as walking and cycling.
• access to local food markets can simultaneously increase opportunities for healthy affordable food options while supporting the local economy.
EURO-PREVOBEURO-PREVOB recommendation: a health-promoting built environment
should be created
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- Multi-component interventions (e.g. when targeting children)
- Potential differential intervention effect on PA level and relative body weight by socio-demographic characteristics
- Impact of policy interventions on environmental changes
EURO-PREVOBEURO-PREVOB research recommendations - How to create a health promoting
natural and built environment
Best approaches to improve behavioural outcomes related to Physical Activity:
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2nd Programme of Community Action in the field of Health
• DG SANCO – Operational Policy DG• One of our clients – close collaboration• Own programme to support public health projects• Information, Threats, Health Systems, Determinants, Ageing • EAHC - An Executive Agency for the public health programme• Does not support ‘research’• Share many of the same ‘customers’ with research
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EU 7th Framework Programmefor Research (FP7) 2007-2013
The Health Theme in theCooperation Programme
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Cooperation: Collaborative research in FP7
Thematic Priorities1. Health 6.1 2. Food, agriculture, fisheries and biotechnology 1.9
3. Information and communication technologies 9.1 4. Nanosciences, nanotechnologies, materials
and new production technologies 3.5 5. Energy 2.3 6. Environment (including climate change) 1.97. Transport (including aeronautics) 4.28. Socio-economic sciences and the humanities 0.69. Security & 10. Space 2.8
Total for collaborative research €32.4 billion
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Health theme structure
Pillar 1:Biotechnolog
y, generic tools
& technologies for health
Pillar 2:Translating research for
human health
Pillar 3:Optimising the delivery
of health care
Cross-cutting issues: child health, the health of ageing population gender-related health issues
Activity (Pillar) 4: Specific International CooperationActions (SICAs) and other actionsacross the theme – EU policy
needs
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The Health ThemeActivity 3
3. Optimising the delivery of health care to citizens
… performing health policy-driven research at the European level enables comparisons to be made of the models, systems, data, and patient material held in national databases and biobanks.
This activity aims at providing the necessary basis both for informed policy decisions on health systems and for more effective and efficient evidence-based strategies of health promotion, disease prevention, diagnosis and therapy.
Translating clinical research into clinical practice
Health care systems research
Health promotion and disease prevention
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The Health themestructure and content
3. Optimising the delivery of health care to citizens
Translating clinical research into clinical practice - behavioural and organisational interventions, patient safety, better use of medicines, decision-making in clinical settings
Quality, efficiency,solidarity of health care systems, organisational, financial, regulatory aspects, best-good practice, workforce
Enhanced health promotion and disease prevention, wider determinants of health, providing evidence of best public health measures – life styles, interventions, mental health in a life course perspective
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The Third Pillar:
a completely new activity – health policy driven, informing policy
aims at developing new research methods
• to generate a sound scientific basis
• to underpin informed policy decisions on health systems
• to achieve more effective and efficient evidence-based strategies of health promotion, disease prevention, diagnosis and therapy
in a context set by the overarching values of universality, access to good health care, equity and solidarity aiming to make provision that is patient-centred and responsive to individual need
Users: EC, MS, WHO, OECD, clinicians, professionals, patients, other stakeholders
Collaborative research
in the Health Theme
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109 EU FP7 Public Health Research Projects - some 275+ million € in support
• Quality and safety of hospital care
• Healthy behaviour
• Child health research
• Child & adolescent mental health
• Long term care
• Primary care quality linkage to costs
• Health workforce – mobility & planning
• Health inequalities
• Urban health
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Activity 3Optimising the delivery of healthcare
to European citizens + SICAs
Support to Activity 3 after 4 Calls:
109 Projects 275 M€*
2007 – 2010 Budgets, 4th Calls to-date:
637.5M, 578.3M, 624.6M, 657,4M
Total of 2,497.8M€
5th Call – current one
Indicative budget of 662,5MActivity 3 (+ SICAs) : 42M
* includes EU policy support projects
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Activity 3Optimising the delivery of healthcare
to European citizens + SICAs
Support to Activity 3 Calls 1-4*
109 Projects - 275 M€
3.1: Translating clinical research outcome into clinical practice - 28 projects 67.5 million €
3.2: Health systems research - 26 projects 63.5 million €
3.3: Health promotion & disease prevention - 20 projects 47 million €
3.4: International public health & health systems research - 35 projects 97 million €
* includes EU policy support projects
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Activity 3Optimising the delivery of healthcare
to European citizens SP Mandate 3.3:
Enhanced health promotion and disease prevention: to provide evidence for the best public health measures in terms of life styles, work and living circumstances and interventions at different levels and in different contexts.
Focus will be on the wider determinants of health and how they interact at both the individual and community level (e.g. diet, stress, tobacco, alcohol and other substances, physical activity, cultural context, socio-economic and environmental factors). In particular, mental health will be addressed in a life-course perspective.
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Activity 3Optimising the delivery of healthcare
to European citizens
http://ec.europa.eu/research/health/public-health/index_en.html
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Building Bridges …..
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• Building Bridges – what kind• The Research – Policy Gap• Knowledge transfer-
brokering• Understanding the
translation – ‘translational research’ …
• Fit for purpose ?
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5th Call Topic on translating
researchinto policy
HEALTH.2011.3.3-3*
Developing & implementing methods for the transfer of research into policy in the fields of health promotion and disease prevention
* Closed 10 November 2010
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Increased focus on limited number of strategic areas, innovation, SMEs, EU2020, ERA,
Innovation Partnerships – Health, Ageing
Joint programming – Alzheimer, ageing, diet
Specific programme coverage & cross-thematic approaches
Socio-economic dimension
EC policy services, FP projects …
Dissemination actions, brokerage
Post FP7 – programming …
Influencing factors …
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Commission RecommendationCommission Recommendationon Joint Programming for on Joint Programming for
""A Healthy Diet for a Healthy A Healthy Diet for a Healthy LifeLife ""
Adopted on 28/04 2010 C(2010)2587 final Approved at Competitiveness Council of 26/05/2010
StrategicStrategic ResearchResearch Agenda in formation Agenda in formation throughthrough a Management a Management BoardBoard (national (national representativesrepresentatives))
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JPI ProposalGrand challenge
The grand challenge for Europe is to reverse this situation; to shift from a defensive policy combatting illness to an offensive and preventing approach promoting health
Societal / Medical / Economic challenge
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JPI ProposalResearch questions
Three Programme Lines:
1) Lifestyle and social determinantsConsumer behaviour, determinants of food choice and life styles, social and economic effects of public health interventions, programmes, policies
2) Prevention of chronic diseases and health maintenance : Improve detection of common and distinct pathways (mechanisms of inflammation, genetics susceptibility, biomarkers etc.). Databases, registers, cohorts
3) Diet and food production – Comprehensive approachNew and advanced technologies for a comprehensive approach- Targeted development of products and processes
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Current scientific issues- Need for coordination
• Food and health research is a very complex field• Need for advancing the understanding of the
interaction between food, nutrition, genetics, lifestyles and health
• Need to develop advanced methods based on new and cross-cutting technologies
• Need to develop advanced approaches and methods in social sciences
• Information on the state of research in food and health in Member States is fragmented and non-homogeneous
• Very few EU countries have developed an ‘integrated’ food and health programme
• Joint research programmes on food and health at national level are more common
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Influencing factors …
EU – Member States (n = 27)
Candidate/Accession countries• Croatia• Turkey
Countries associated with the FP• Iceland• Israel• Norway• Switzerland
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• Working with other themes, actions within FP7 to identify potential contributions – SSH, Env, Food, ERA-Nets, JP, Marie Curie …
• Working with operational services of the Commission to share/identify that potential – SANCO, EMPL, ENV, TRNSPORT, MARKT, DEV, AIDCO also ECDC, EUROSTAT …
• Reaching out to stakeholders/communities to inform them of such potential – MS, professionals, patients, policy-makers, academia … through various fora
• Communicating/sharing project developments and results – but more than dissemination
• Interacting at the international level – WHO, OECD …
Realising the Potential ofEU Public Health Research
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5th Call Topic on translating
researchinto policy
HEALTH.2011.3.3-3*
Developing & implementing methods for the transfer of research into policy in the fields of health promotion and disease prevention
Will focus on physical activity* Closed 10 November 2010
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Contacts:
Director – Ruxandra Draghia-Akli:Scientific Adviser: Alain Vanvossel ([email protected])
Medical Research unit (F2)Acting & Deputy Head of unit: Maria Vidal ([email protected])
Infectious Diseases and Public Health Research unit (F3) Head of unit: Line Matthiessen-Guyader ([email protected])Deputy Head of Unit Anna Lönnroth ([email protected]) Head of Sector Public Health: Kevin McCarthy ([email protected])
Genomics and Systems Biology unit (F4)Head of unit: Patrik Kolar ([email protected])Deputy Head of unit: Bernard Mulligan ([email protected])Head of Sector Medicines for the Future: Irene Norstedt [email protected])
Health Biotechnology unit (F5) Head of unit: Arnd Hoeveler ([email protected])
Admin. & Finance unit (F6)Head of unit: Georgios Zisimatos([email protected])
Coordination unit (F1) Head of unit: Stéphane Hogan ([email protected])
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Contacts & Information
SME participation Dr. Ludovica SerafiniTel. +32 2 295 6759 – Email: [email protected]
International Cooperation Dr. Indridi BenediktssonTel. +32 2 299 3137 – Email: [email protected]
Framework Programme 7: http://cordis.europa.eu/fp7
Experts: http://cordis.europa.eu/research_openings/
NCP: http://cordis.europa.eu/fp7/get-support_en.html
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Thank you !
EU – Member States (n = 27)
12 Countries associated with FP7
• Albania• Bosnia Herzegovina• Croatia• FYR of Macedonia• Iceland• Israel• Liechtenstein• Montenegro• Norway• Serbia• Switzerland• Turkey
