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Launch of the
SAATI E0 Repoit Caiu on Auult Immunisation
/01,2 3)((45)24-56 / 7&+ (-89-5&52 -: ;&),2;+ )<&45<
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?@ A-3&8'&. BC?@D "1.-9&)5 #).,4)8&52
Co-hosteu by NEP Rebecca Tayloi anu NEP Petiu Luhan

Ninutes
E->;-=245< !"# %&'&(() *)+,-. F/GH"D IJK initiateu the uebate
by noting the impoitance of health piomotion anu uisease
pievention, making iefeience to the 0iganisation foi Economic
Bevelopment anu Coopeiation (0ECB) figuie that, on aveiage,
only S peicent of healthcaie spenuing at E0 level is ueuicateu to
pievention. L;& &89;)=4=&0 2;& 5&&0 2- :-(1= -5 ) ,4:&>(-1.=&
)99.-)(; 2- 3)((45)24-5D 9).24(1,).,+ 45 ,4<;2 -: 2;& (1..&52
)<&45< 9-91,)24-5 45 "1.-9&. NEP Rebecca Tayloi also stiesseu
"the impoitant link between chionic anu infectious uiseases
which is not always iecogniseu".
*;& M.&&7 N&),2; E-15=&,,-.D /52-54-= G)5).)=D ieinfoiceu Ns Tayloi's point by highlighting that
immunisation is not just impoitant in chiluien. Be then went on to piesent the geneial uieek
Piesiuency piioiities, anu then those in the fielu of health. The focus of the uieek Piesiuency will be:
uiowth - jobs - cohesion
Integiation of the E0 - euiozone
Nigiation - boiueis - mobility (in the context of economic giowth)
Naiitime policies
With iegaius to health, the Piesiuency piioiity uossieis aie expecteu to incluue:
Tobacco Piouucts Biiective (TPB)
Clinical Tiials Regulation (CTR)

Phaimacovigilance fees
Neuical Bevices
Tianspaiency Biiective
With iegaiu to the TPB, Ni Lanaias mentioneu that the seconu tiialogue negotiation was helu on 12
Novembei anu expiesseu his suppoit foi the conclusion of the negotiations unuei the Lithuanian
Piesiuency, noting that if Lithuania fails to ieach an agieement, uieece will then tiy to finalise
negotiations on the uossiei.
0n the CTR, Ni Lanaias noteu that while uiscussions weie concluueu in the Council about 1u uays
ago, the seconu iounu of tiialogue negotiations weie expecteu to take place on 1S Novembei. As is
the case foi the TPB, if Lithuania uoes not manage to ieach an agieement, this task will fall unuei the
iemit of the uieek Piesiuency.
Ni Lanaias also pointeu out that the vote on Phaimacovigilance fees is uue to take place in the
Euiopean Pailiament Committee on the Enviionment, Public Bealth anu Foou Safety (ENvI) on 17
Becembei, which means that tiialogue negotiations will fall unuei the iemit of the uieek Piesiuency.
Ni Lanaias expiesseu his hope that negotiations coulu be concluueu by Febiuaiy in oiuei to holu a
vote in Plenaiy at the beginning of Apiil.
Ni Lanaias also noteu that the !&04(), H&34(&= H4.&(243& 4= 15,47&,+ 2- '& :45),4=&0 '+ 2;& &50 -:
2;& +&). anu expiesseu his suppoit foi ieaching a geneial appioach in the Council by }une 2u14. 0n
the *.)5=9).&5(+ H4.&(243&D !. G)5).)= 5-2&0 2;)2 5- 9.-<.&== ;)0 '&&5 )(;4&3&0 45 2;&
9.&34-1= 2O- +&).= )50 2;)2 5- O-.745< 9).2+ ;)= (-53&5&0 2- 04=(1== 2;& 0-==4&.P
Among the non-legislative uieek Piesiuency piioiities, Ni Lanaias outlineu the following:
Economic ciisis anu healthcaie (Council Conclusions)
Nigiation anu public health
NutiitionPhysical Activity (Council Conclusions)
eBealth anu health innovation
With iegaiu to the economic ciisis anu healthcaie, Ni Lanaias noteu that the M.&&7 #.&=40&5(+
O4=;&= 2- 9.-9-=& (-5(,1=4-5= -5 ;-O ;&),2;().& =+=2&8= ()5 (-9& O42; 2;& &(-5-84( (.4=4=D
'+ 9.-34045< '&=2 9.)(24(& &Q)89,&= )50 0&3&,-945< .&(-3&.+ 8-0&,=. Be noteu that the
Infoimal Bealth Council, expecteu to take place on 2829 Apiil 2u14, will uebate these conclusions.
0n the issue of migiation anu public health, Ni Lanaias emphasiseu that the issue of migiation is
veiy impoitant in uieece anu that the iecent Lampeuusa tiageuy has highlighteu the neeu to
inciease the focus on migiation. Be emphasiseu the neeu to (-5=40&. '-2; 2;& 489)(2 -: 84<.)24-5
-5 ;&),2;().& =+=2&8= )50 ;&),2;().& 5&&0= -: 84<.)52=.
R42; .&<).0 2- 512.424-5 )50 9;+=4(), )(24342+D !. G)5).)= 5-2&0 2;)2 2;& #.&=40&5(+ O-1,0
9.-9-=& E-15(4, (-5(,1=4-5= using the Commission's Action Plan on Chiluhoou 0besity. 0n the
issue of eBealth anu health innovation, Ni Lanaias noteu that an eBealth Foium woulu be helu in
Athens fiom 12-14 Nay 2u14.
Lastly, on the issue of the ieflection piocess on mouein anu sustainable healthcaie systems, Ni
Lanaias noteu that this compiises five sections, cuiiently being uebateu by the Council's Woiking
Paity on Public Bealth. The five sections incluue:
Naking health moie visible in the context of the Euiopean Semestei
Bettei use of stiuctuial funus
Bettei use of meuicines
Piomoting integiateu caie
Peifoimance of healthcaie systems


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)50 #.-01(2= I542 45 HM L/AEUD
H. /50.S&T %+=, initiateu his speech
by noting that 3)((45)24-5 4= =&&5
)= 2;& 8-=2 &::&(243& 91',4( ;&),2;
452&.3&524-5, emphasising that
vaccination eiauicateu smallpox,
ieuuceu the buiuen of tetanus anu
uiphtheiia anu has kept the E0
polio-fiee since 2uu2. Be noteu that
"the "I 4= 5&3&.2;&,&== :). :.-8
8)Q484=45< 2;& '&5&:42= 2;)2 ()5
'& )(;4&3&0 2;.-1<; 3)((45)24-5X.
Bi Rys noteu that 9).&52= ).& 5-2
),O)+= )O).& -: 2;& 9-=4243&
489)(2 -: 3)((45)24-5, paiticulaily as they ).& 15)O).& -: 2;& 0&3)=2)245< 489)(2 -: =-8&
04=&)=&=, often coupleu with a :&). -: 3)((45&= )50 15(&.2)452+ -: 2;&4. =):&2+. Fuitheimoie,
vaccination iates aie not always optimal uue to ieligious oi philosophical iefusal, as well as access
baiiieis to healthcaie by migiants anu uisplaceu peisons, foi example.

Lastly, on the issue of joint piocuiement of vaccines anu
meuical counteimeasuies, Bi Rys noteu that the
Commission is negotiating the final agieement with
membei states anu that a contiact is expecteu to be signeu
in 2u14.
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H4=&)=&= F"LE!WHK )50 2;& E;)4. -: 2;& L199-.245< /(243& /<&45< *;.-1<; W88154=)24-5
FL//*WKD #.-:&==-. V)34&. M).)1, gave a biief intiouuction to the SAATI paitneiship anu piesenteu
the key finuings anu aims of the SAATI commissioneu iepoit. Be noteu that the SAATI paitneiship is
a heteiogeneous gioup of paitneis that was foimeu in 2u11 anu has been collaboiating with
vaccines Euiope since Naich 2u1S. *;& 9).25&.=;49 O)= :-.8&0 01& 2- ) ,)(7 -: ) (,&). )01,2
488154=)24-5 )03-()2&.
Piofessoi uaiau noteu that the SAATI commissioneu iepoit, financially sponsoieu by Pfizei, hau
been uevelopeu in oiuei to put auult vaccination on the political agenua, to pioviue up to uate facts
about auult vaccination policies anu gaps, incluuing E0 countiy-specific chapteis. Piofessoi uaiau
outlineu that the iepoit highlights how 45:&(24-1= 04=&)=&= .&9.&=&52 ) ,).<& '1.0&5 -5 "I
=-(4&2+, especially in light of the cuiient ageing populations, ,4:&>(-1.=& 488154=)24-5 '&5&:42=
O40&. =-(4&2+ (especially vulneiable populations), ()5 ;&,9 :4<;2 )<)45=2 /524>!4(.-'4),
%&=4=2)5(& anu that 3)((45)24-5 ;)= '&&5 =;-O5 2- '& ) (-=2>&::&(243& 8&)5= -: 04=&)=&
9.&3&524-5P Piofessoi uaiau also stiesseu that "the implementation of auult vaccination
piogiammes iemains patchy". Theie is also a lack of leaueiship fiom healthcaie piofessionals anu of
infoimation anu tiaining in cuiient meuical cuiiicula.
Following Piof uaiau, !. H)55+ H).(;& shaieu the stoiy of the
loss of his uaughtei Loie, ageu 8S uays olu, to whooping cough.
Ni Baiche emphasiseu the lack of knowleuge on chiluhoou
uiseases, aumitting that he believeu that whooping cough hau
been fully eiauicateu oi coulu be cuieu using antibiotics. Be
questioneu how no gynaecologist oi uoctoi pioviueu him oi his
wife with any infoimation oi auvice on immunisation uuiing
piegnancy, noting the nonchalance of uoctois who ieceive too
much infoimation to pay attention to it all, as well as a lack of
knowleuge on such uiseases anu theii effective pievention.

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Ni Baiche concluueu his speech by welcoming the ievision of the
iecommenuations of the Belgian Supeiioi Bealth Council, which call
foi uue immunisation, incluuing foi women in theii thiiu tiimestei
of each piegnancy anu emphasize the neeu to iespect vaccine
scheuules. Be noteu that only the 0S, 0K anu Belgium hau upuateu
theii vaccine scheuules to meet the 0S Centie foi Bisease Contiol
anu Pievention's (CBC) iecommenuations anu (),,&0 :-. )
(-88-5 3)((45)24-5 =(;&01,& )(.-== "1.-9&.
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emphasiseu that Ni Baiche's stoiy illustiates the pioblem of
population complacency with iegaiu to vaccination. Ns Sunuseth
noteu that 9-,4(+ 8)7&.= ).& 2-- :-(1=&0 -5 (;.-54( 04=&)=&=
)50 4<5-.& 2;& 9-2&524), 489)(2 -: 45:&(24-1= 04=&)=&=D
45(,1045< -5 (;.-54( 04=&)=& 9)24&52=.
She also noteu that theie is a uistinct lack of leaueiship fiom
healthcaie piofessionals, as well as the geneial public.
Piesenting the SAATI Call foi Action, Ns Sunuseth calleu foi "an
immunisation stiategy fiom 'ciaule to giave' anu 2;&
&=2)',4=;8&52 -: )5 "I 3)((45)24-5 9,)2:-.8X that coulu =;)9&
'&=2 9.)(24(&= anu 489.-3& 2;& ),4<58&52 '&2O&&5 45043401),
"I 3)((45)24-5 =(;&01,&=. Ns Sunuseth calleu foi the
stiengthening of the iole of the Euiopean Centie foi Bisease
Pievention anu Contiol (ECBC) anu calleu foi uoctois to be
champions of auult
vaccination while ensuiing
that theii own
immunisation iates
inciease. She emphasiseu
the neeu foi (-5=4=2&52
(-88154()24-5 -5 2;&
'&5&:42= -: 3)((45)24-5,
to countei the ieauily
available negative coveiage, anu noteu that 9&-9,& =;-1,0
2;457 -: =-(4&2+ )= ) O;-,& O;&5 0&(4045< O;&2;&. -. 5-2
2- '& 3)((45)2&0.
NEP Tayloi then inteiveneu to note the usefulness of the iepoit, paiticulaily in highlighting gaps in
immunisation policies anu best piactices fiom membei states. She emphasiseu the neeu to spieau
the message of ;)345< 04::&.&52 3)((45&= :-. 04::&.&52 )<&=. She then openeu the flooi to
uiscussions.
*;& #.&=40&52 -: *.43).-9D V-.4= [)50&9122&D questioneu how people coulu uoubt the safety of
vaccines when theie is plenty of scientific eviuence that vaccination woiks anu is safe. Be iaiseu the
issue of what the most efficient way of uemonstiating the benefits of vaccination to the public is.
Bi Rys inteiveneu to note that it is veiy haiu to convince people of the scientific eviuence suppoiting
vaccination when 'science speaks with uiffeient voices' anu when the E0 maintains 28 uiffeient
iecommenuations anu vaccine scheuules.
Ni vanueputte emphasiseu the neeu to ienuei the ECBC as influential anu accepteu as the CBC in
the 0S in oiuei to pioviue an inuepenuent voice suppoiting vaccination, while Bi Rys noteu that the
ECBC is becoming moie active on vaccination.
/ (-5=1,2)52 )2 2;& R-.,0 N&),2; U.<)54S)24-5 FRNUK "1.-9&)5 %&<4-5), U::4(&D !).7
!1=()2, noteu that people no longei feai infectious uiseases, as they have nevei witnesseu theii

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uevastating impact anu aie, in some cases, unawaie that they still. Be noteu that people feai vaccines
iathei than uiseases anu agieeu on the neeu to euucate the meuical anu nuising community, as well
as ensuie healthcaie woikeis aie ieceiving vaccines (as uoctois anu nuises can often be pait of
uisease outbieaks).
*;& H4.&(2-. -: M-3&.58&52 %&,)24-5= "1.-9& )2 /=2.)\&5&()D ].&0.47 !-&5, noteu that the
WB0 can uo a lot anu biing cieuibility to the immunisation uebate with its iecommenuations anu
assessments. Be calleu foi moie to be uone on seasonal influenza, anu not just panuemic influenza.
Bi Rys noteu that countiies with access to vaccines in phaimacies anu wheie nuises aie able to
uelivei vaccines show highei vaccination iates, while Ni vanueputte highlighteu the neeu to make
vaccinations manuatoiy.
Bi Rys emphasiseu that employeis shoulu pioviue vaccination to employees, even if on a voluntaiy
basis. Be acknowleugeu, howevei, that this might not be sufficient to ieach optimal vaccination
iates.
Ns Sunuseth fuithei noteu the neeu foi all playeis, such as nuises, ueneial Piactitioneis anu
phaimacies, to be engageu in ueveloping stiategies anu emphasiseu, once again, the neeu foi an E0
platfoim to uiscuss life-couise immunisation.
Ni Nuscat inteiveneu to note that the WB0 will woik on a stanuaiu guiueline foi auult
immunisation policies, which he hopeu woulu be ieauy by the enu of Apiil 2u14, anu which will be
useu to ensuie auult vaccination is piopeily iecoiueu anu monitoieu.
Finally, co-hosting !"# #&2.1 G1;)5 F"##D %UK concluueu
the uiscussions by noting that healthcaie is a membei state
competence anu that national goveinments uo not see
vaccination as a piioiity. Be stiesseu that he will fight "to
incluue healthcaie as an E0 competence uuiing the
negotiations of the next E0 Tieaty". NEP Luhan concluueu by
emphasising the neeu to senu cleai messages to national
goveinments anu by noting that health anu jobs iemain the
top two piioiities in all membei states.

ENBS