Unmet medical needs in public health – goals of Polish Presidency

CHMP/PDCO/CMDh Presidency meeting

Jacek St. Graliński, MD, Clinical Executive

The Children’s Memorial Health InstituteWarszawa, Poland

Warszawa, September 29th, 2011

Priorities for public health in Poland Regulation of MoH of health priorities (Journal of Laws No. 137, pos. 1126, of 21/08/2009)

1. Reduction of morbidity and premature mortality due to:a. Cardiovascular diseases, including heart attacks and strokesb. Cancerc. Chronic respiratory diseases

2. Limitation of the effects of injuries resulting from accidents, in particular through the effective rehabilitation of injured

3. Prevention, treatment and rehabilitation of mental disorders4. Reducing premature morbidity and reduce the negative effects of chronic osteoarticular diseases5. Increasing the effectiveness of prevention of infectious diseases and infections6. Reducing harm caused by:

a. Alcoholb. Use psychoactive substancec. Smoking

7. Preventing the occurrence of obesity and diabetes8. Reducing the health effects caused by harmful factors in the workplace and home9. Improving the quality and effectiveness of health care for mothers, newborns and children under 3 years

of age10. Preventing the most common health problems and disorders of physical and psychosocial development

of children and young people covered by compulsory education and obligation of teaching and studying in secondary schools for their completion

11. Developing long-term care, with particular emphasis on efficiency to compensate the lost efficiency12. Improving the quality and effectiveness of geriatric care of the elderly patient

National Health Program 2007-2015

• STRATEGIC OBJECTIVES OF HEALTH– Reduction of morbidity and premature mortality due to cardiovascular diseases, including stroke– Reduction of morbidity and premature mortality due to cancer– Reducing the incidence of injuries resulting from accidents and limiting their consequences– Prevention of mental disorders through prevention and promotion activities– Reducing premature morbidity and reduce the negative effects of chronic osteoarticular diseases– Reduction of morbidity and premature mortality from chronic respiratory diseases– Increasing the effectiveness of prevention of infectious diseases and infections– Reducing social and territorial disparities in health status of population

• RISK FACTORS FOR GOALS AND ACTIVITIES OF HEALTH PROMOTION– Reducing the prevalence of smoking– The reduction and change in the structure of alcohol consumption and reducing harm caused by

alcohol– Improving diet and health quality of food and reducing obesity– Increasing population physical activity– Reducing psychoactive substances use and related harm– Reduce exposure to harmful factors in living and working environment and their health effects,

improve the sanitary condition of the country

National Health Program 2007-2015

• OPERATIONAL OBJECTIVES FOR SELECTED POPULATIONS– Improving health care for mother, infant and young child– Supporting the development of physical and psychosocial health and preventing the most common

health problems for children and youth– Creating conditions for healthy and active life for older people– Creating the conditions for active life of people with disabilities– Intensifying the prevention of dental caries in children and adolescents

• ACTION REQUIRED BY THE HEALTH AND LOCAL GOVERNMENT– Activation of local government units and non-governmental organizations for public health– Improving the quality of health services in terms of effectiveness, safety and social acceptability,

including respect for patient rights– Improving early diagnosis and active care at risk for cardiovascular diseases, cerebral strokes, cancer,

complications of diabetes, respiratory and rheumatic diseases, especially by the operation of primary health care• A. Cardiovascular disease• B. Cerebral ischemia• C. Cancer• D. Respiratory Diseases• E. Rheumatic diseases

– Increase and the optimal use of the health system and infrastructure for the needs of local health promotion and health education

Polish Presidency - Public Health Priorities

• Reducing health disparities in communities of Europe and the prevention of diseases of the brain, neurodegenerative diseases, including Alzheimer's disease– Reducing disparities in health between the countries of the European Union. Adopting a

coordinated and joint actions to reduce premature mortality by reducing the health consequences of smoking, hazardous alcohol consumption, unhealthy diet and physical inactivity

– Prevention and control of respiratory disease in children– Prevention and treatment of communication disorders in children, including the use of

e-health, and innovative solutions

Consistent with the strategic directions of EU: II Community Public Health Programe for 2008-2013 and the strategy of "Europe 2020"

GoalPolish Presidency

• The need for simultaneous pursuit of actions aimed at improving and protecting the health of both children and the elderly. Equal opportunities is the foundation of children's health to reduce health disparities, social and economic occurring later in human development. A healthy childhood is the first step to a healthy and active aging

• Persistent differences in the health of societies in Europe and the need to reduce them. Good health condition and normal human development during early development affects the social and economic situation at a later stage of development. Therefore, for reducing disparities in health must reach out for various activities in the area of promotion, prevention and education as instruments for shaping health related behavior from the earliest period of human development

• Particular attention will be devoted to discussion and respiratory diseases and disorders of communication in children. To build a healthy society in Europe, it is necessary to develop instruments to reduce and combat the incidence of these disorders by the introduction of screening programs, establishment of networks of institutions involved in monitoring the health effects and better use of e-health, and innovative solutions

• In the prevention of brain diseases and neurodegenerative diseases, especially in the elderly is the need for constant interest in issues related to the aging of European society, prioritization typical diseases for old age and related financial sustainability of health systems, including increased spending on research undertaken on the brain, diagnostic innovation and treatment of the elderly

Reducing differences in health between EU countries Adopting a coordinated and joint actions to reduce premature mortality by reducing the health consequences of smoking,

hazardous alcohol consumption, unhealthy diet and physical inactivity

• The main cause of death in all EU countries are chronic non-communicable diseases, with the most significant and increasing burden for health budgets. The occurrence of cardiovascular disease, diabetes and many cancers, is closely associated with recognized risk factors such as smoking, poor diet, insufficient physical activity, and risky alcohol consumption. Indirectly, their prevalence is also affected by environmental factors, such as clean air and water, working and living conditions, psycho-social stress, access to proper medical care. The combination of all these variables, resulting from differences in both lifestyle and socio-economic situation, is responsible for the significant differences in health between the countries of the EU-15 and EU-12

• What is needed is the creation of appropriate strategies and action programs in favor of a joint, international cooperation and scientific research on the factors causing differences in health. Need to develop instruments to reduce and combat the occurrence of chronic non-communicable diseases through the exchange of experiences and implementation of effective strategies, programs and actions in public health, establish a network of institutions involved in monitoring health events, and pay special attention to health promotion

Prevention and control of respiratory disease in children

• The issue of allergies and asthma, as the most common diseases of developmental age have a significant impact on health in later periods of life. The aim is to prepare conclusions on early detection, prevention and monitoring of non-infectious respiratory disease (CRD), with particular emphasis on the pediatric population, to reduce the development and effects of socio-economic and social conditions of the group, impacting the long term to improve the quality of life, and life in the health of elderly citizens

• To draw attention to the EU Member States of the importance of respiratory diseases in children and persistent in this regard the differences in the health of European societies. Aiming to build a healthy society, Europe needs to develop instruments to reduce and combat the occurrence of non-inflammatory respiratory diseases. It is advisable to establish a network of institutions involved in monitoring the CRD and its prevention

• Poland has carried out epidemiological studies pointing to the growing problem of allergies and asthma, diseases that are the most common during childhood, affecting about 25% of our society, of which about 12% have active asthma symptoms. Comparative analysis of data from EU countries shows that Poland is one of the regions most affected aside of Great Britain, Finland, Sweden and Germany. Poland has implemented a program PolAstma, one of the unique among the EU countries monitoring system. Poland wants to point out that the model of Finland by such a program can achieve significant success, reducing the social, health and financial implications of the CRD

Prevention and treatment of communication disorders in children, including the use of e-health, and

innovative solutions• Initiation of action to detect and prevent the occurrence of communication disorders in children,

eg. disorders of hearing, sight and speech, which - if untreated - can interfere with normal intellectual and emotional development of children. Early detection of communication disorders and appropriate intervention can ensure proper development of children, which affects their quality of life, and in the future social and economic situation

• Call to initiate a universal hearing screening programs, vision and speech in children starting school education in the EU and to create a network of cooperating institutions, in particular the exchange of experiences and best practices taking into account the use of e-health tools and any innovative solutions in telemedicine and the exchange of epidemiological data and statistics

• Example of the Institute of Physiology and Pathology of Hearing (Warsaw), not only draw the attention of Member States on the need to equality for persons suffering from communication disorders, but also allow for the promotion of Polish achievements in the field of communication disorders in the screening and the use of e-health solutions and will be set in the currently ongoing European discussion on the creation of centers of reference, without limiting them to an area of rare diseases

• Polish Presidency addresses the problem of communication disorders in children, as a contribution and continue the activities previously conducted in the EU in the field leveling inequalities in health and use of e-health as a tool to improve the quality of health services and patient safety, modernization of national health systems

Public health programs Funding from the budget of the Ministry of Health in Poland

• National Program Leveling up Access to Prevention and Treatment of Cardiovascular Diseases for the years 2010 and 2012 POLKARD

• National Program of Anti-Cancer Diseases• Antiretroviral therapy for people living with the virus HIV in Poland in the years 2007-2009,

2010-2011 edition• Newborns screening program in Poland for 2009-2014• The program to eliminate iodine deficiency in Poland for the years 2009-2011• National Program of counteracting the lifestyle diseases, module I, Mon.: Overweight and

obesity prevention program, favouring nutrition improvement and physical activity POL-HEALTH for the years 2007-2011

• National Program of counteracting the lifestyle diseases, module II, Mon.: The Prevention and Treatment of Diabetes in Poland for the years 2010-2011

• National Program for the protection of antibiotics for 2006-2010, including modules: „Monitoring of nosocomial infections, and invasive bacterial infections for epidemiological purposes, therapeutic and prophylactic for the years 2009-2013” 2009-2013