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Remarks by Vice-President Schinas at the press conference on Europe’s Beating Cancer Plan

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European Commission Speech Brussels, 03 Feb 2021 Remarks by Vice-President Schinas at the press conference on Europe’s Beating Cancer Plan

Ladies and gentlemen,

At the start of the Commission’s mandate, we committed to propose a European Beating Cancer Plan. Today, we are honouring this commitment, which is needed more than ever.

2020 will be remembered primarily for COVID-19 patients and victims. But, the pandemic has also had a severe impact on cancer prevention and care across the EU; it has disrupted diagnosis and treatment, which foreshadows a worrying increase of cancer cases in the future.

One year ago, on 4 February 2020, the President, Stella and I participated in an event marking World Cancer Day in the European Parliament. At that moment, we launched a broad consultation on the Plan, to reach all those who have something to say. This process was abruptly impacted by the outbreak of the pandemic, but our political will to deliver was not. During this challenging period, the Commission engaged actively with stakeholders in the cancer field. We have received around 2,400 written contributions.

One year later, the Plan has shaped up. It is the first time, since the 90s, that Europe comes with a framework for cancer and this time we do it in an inclusive and overarching way, addressing cancer from all its angles, giving everyone concerned a stake in its success and, focusing on patients’ needs. 

Ιt is an anthropocentric Plan, above all. And it is definitely not a reheated soup.

The European Beating Cancer Plan has four pillars, each one looking at every key stage of the disease: prevention, diagnosis, treatment and survivorship.

Moreover, we have built the Plan on a number of premises, which shall ensure its success:

First, is that everybody matters. This means that the chances of surviving cancer should be the same regardless of which corner of Europe we are and which age we have. There should be no first and second class cancer patients. This explains the focus on inequalities and children, both placed under the spotlight.

Second, is that innovation will drive change. We will maximise research, data and new technologies to improve diagnosis, find promising therapies, and foster the potential of personalised medicine through tailor made strategies.

Third, is the focus on delivery. The Plan sets concrete targets that we want to achieve, such as the reduction of tobacco and harmful alcohol consumption, or an exponential increase of screening and vaccination. It also identifies 10 flagship initiatives focusing on added-value and an impressive number of accompanying actions to underpin its objectives. And, we will set up an Implementation group with stakeholders to overview and secure progress. All this is new.

Let me give you a few examples.

Still this year we will create a Knowledge Centre on Cancer to facilitate the coordination of scientific and technical cancer-related initiatives at EU level.

In 2022, we will launch a European Cancer Imaging Initiative to support the development of new computer-aided tools to improve personalised medicine and innovative solutions.

By 2025, we will develop a new EU Cancer Screening Scheme to ensure that 90% of the target population is offered breast, cervical and colorectal cancer screening.

This is just to name a few. Stella will go into more detail on the various actions.

Fourth, we are committing funding. As we know, policies can only be effective if appropriate funding is attached to them. We are announcing an ambitious amount of 4 billion EUR to support the implementation of the Plan, which is an unprecedented amount to support action on cancer.

Fifth, this Plan is about health but beyond health policy. To beat cancer, we need to tackle cancer drivers in employment, energy, education, marketing, agriculture, environment, climate, transport, social policy, equality, taxation; in our towns, cities but also rural communities.

The Plan is based on a “health in all policies” approach, pooling all strings together under a common goal, beating cancer.

The initiative we are adopting today will open a new era in cancer prevention and care. The political momentum to build a strong European Health Union is there; and the cancer plan is part of these efforts. The pandemic has put the protection of health on the stage; and the experience in vaccines has clearly shown us that it is possible to make unprecedented progress: it requires the unique convening power of the EU, fixing goals, setting deadlines, committing the necessary funding and connecting the main actors through effective partnerships. Applying this approach to cancer, as the Plan suggests, will deliver effective results too.

The COVID-19 pandemic has clearly shown us that working as a team and combining efforts at national and EU level is key to deliver a more effective and more equal response to cancer.

Most importantly of all, Europe’s Beating Cancer Plan focuses on the interests and well-being of patients, their families and the wider population.

We believe that Europe can collectively do more to fight cancer. In a strong European Health Union, cancer needs to become a shared political, operational and scientific priority.

Cancer care is no longer the responsibility of the health sector alone. The success of Europe’s Beating Cancer Plan requires engagement and buy-in from a wide range of sectors and stakeholders, a whole-of-society effort.

Our unity will be our strength, as the past year has very clearly shown.

Thank you.

EU-UK deal: next steps in Parliament’s scrutiny

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MEPs call on UK not to adopt new bill

The Foreign Affairs and International Trade committees will be assessing the EU-UK Trade and Cooperation Agreement on Thursday.

The two lead committees, responsible for recommending consent (or not) to the European Parliament on the new EU-UK trade and cooperation agreement, will assess each sector of the deal with the specialised committees providing opinions.

Watch the meeting live here (4 February, 13:45-15:45)

Next steps

Once the Foreign Affairs and International Trade committees have approved their recommendation, the full House is set to vote before its provisional application lapses.

Separately, Parliament will also vote on an accompanying resolution, outlining its political position, prepared by the political groups in the UK Coordination Group and the Conference of Presidents.

Background

The new Trade and Cooperation Agreement has provisionally applied since 1 January 2021. For it to enter into force permanently, it requires Parliament’s consent. Parliament has repeatedly stated that it considers the current provisional application to be the result of a unique set of circumstances and an exercise not to be repeated.

One year on: European Programme of Work forms vital part of COVID-19 response

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WHO Executive Board: 146th session. Photo WHO/Pierre Albouy Photos from the appointment of new Regional-Director for EURO, 146th session of Executive Board

A year since being confirmed as WHO Regional Director for Europe, Dr Hans Henri P. Kluge has overseen the endorsement by Member States of the European Programme of Work, 2020–2025 – “United Action for Better Health in Europe” (EPW), which has already had an impact on WHO/Europe’s response to the pandemic.

The EPW includes 4 flagship initiatives: behavioural and cultural insights, mental health, immunization, and digital health. Throughout the COVID-19 pandemic, WHO/Europe has been leading the way, showing how these initiatives provide support and guidance during health emergencies, and can act as a catalyst for the work of the Regional Office and health authorities in the coming years.

With strong links to WHO’s General Programme of Work and the triple billion goals – more people benefitting from universal health coverage, enjoying better health and well-being, and better protected from health emergencies – the EPW translates these aims into initiatives that matter for citizens in the European Region.

Behavioural and cultural insights

A relatively new field in health, behavioural and cultural insights seeks to better understand the drivers and barriers to health. In April 2020, as the COVID-19 pandemic was challenging health systems, the value of understanding levels of public trust, perceptions of risk and barriers that may be faced in adhering to recommended measures – such as self-isolating and quarantining – was vital.

With this in mind, WHO/Europe launched a behavioural insights tool, providing vital insights to authorities seeking to guide their pandemic response, since implemented in more than 30 countries in the Region.

In addition, WHO/Europe held an online meeting for stakeholders to share experiences and best practices for countering pandemic fatigue that led to the establishment of an online Policy Forum for regular country exchange. The Forum facilitates discussion about the COVID-19 pandemic response through the lens of behavioural and cultural insights.

“The COVID-19 pandemic has accentuated the value of and need for behavioural and cultural insights in the area of health. We have worked closely together with WHO in leveraging the value of this approach and adopted the Behavioural Insights survey tool to our local context. The results were integrated in the process of adjustment of pandemic response measures in Moscow,” said Ignat Bogdan, Head of the Medical and Sociological Research Division, Research Institute for Health Care and Medical Management, Moscow Health Care Department.

Mental health

In 2020, WHO/Europe announced plans to establish a mental health coalition. Mental health already represented a large and growing challenge to public health and sustainable development in the European Region. COVID-19 has had the effect of exacerbating the pre-existing level of psychiatric morbidity and psychosocial disability in the population, and compounding inequalities with respect to appropriate, accessible and affordable care.

It is estimated that in the European Region alone, over 110 million people are living with some form of mental health condition. However, it is feared that the COVID-19 pandemic and associated lockdowns, including in some cases severe restrictions on people’s everyday lives, is having an impact on people’s mental health.

Focusing on the pandemic, WHO/Europe produced a report on how long-stay mental health care institutions have also felt the impact of COVID-19. This was based on a survey with 169 long-stay institutions to assess the impact of the COVID-19 pandemic on services, staff, service users, and residents with psychosocial and intellectual disabilities.

In addition, WHO/Europe plans to launch a technical advisory group focusing on the mental health impacts of COVID-19.

Immunization

As the COVID-19 pandemic has continued, vaccines have been identified as an important addition to the available tools to contain the pandemic and protect stretched health systems.

As part of the EPW, the European Immunization Agenda 2030 seeks to ensure that everyone enjoys the full benefits of vaccines throughout their lives no matter who they are, where they live or when they were born.

Building on routine immunization programmes in countries, WHO/Europe has provided specific support to Member States on strategic programmatic areas for effective deployment of COVID-19 vaccines and vaccination. The major programmatic areas of support include: national vaccination strategy, data and information management, vaccine regulation and safety, demand and acceptance of vaccines.

In addition, WHO/Europe has been finding ways to support countries in maintaining dual-track health systems, with immunization service delivery as an integral part of essential health services. This is vital to ensure that children receive their recommended, routine vaccines. Countries should organize “catch-up” vaccination to make up for any missed as a result of COVID-19 response measures to avoid potentially deadly outbreaks of vaccine-preventable diseases, such as measles. In April, WHO/Europe and the United Nations Children’s Fund (UNICEF) released a joint statement marking European Immunization Week, warning of the dangers of missed vaccination schedules. This included guidance from WHO/Europe on maintaining routine immunization services during the pandemic.

Digital health

Digital health influences nearly all areas of health. Throughout the pandemic, delivery of primary health care through e-consultations has become an essential way to provide health services to populations; for example, when travel and in-person consultations were discouraged or if patients were required to self-isolate or quarantine.

Early in the pandemic, WHO/Europe provided financial support to Romania’s Tel Verde (Green Line), a national hotline answering calls from the general public seeking the latest information and advice on COVID-19.

In October last year, WHO and the Government of Estonia agreed to collaborate on developing a digitally enhanced International Certificate of Vaccination. Envisioned to strengthen the COVAX initiative, the Certificate would act as a “smart vaccination certificate” to allow people to show they have been vaccinated against COVID-19.

In addition, WHO/Europe has provided support to Member States on awareness, prevention and contact tracing, for example with the use of chatbots and websites for risk communication. Digital health has also aided in surge management for hospitals and health centres to manage demand, as well as supporting testing and research.

Country offices

Countries are central to the EPW, and WHO’s country offices have played a vital role in providing support throughout the COVID-19 pandemic. This has included helping ensure the delivery of much-needed supplies, such as personal protective equipment to health-care workers.

In addition, country offices have liaised closely with national authorities, providing the latest WHO guidance, as well as answering calls from the media in local languages, to ensure that evidence-based guidance has reached the general public in local languages.

This is further evidence of the EPW in action, ensuring better health and well-being, more people benefitting from universal health coverage and more people better protected from health emergencies.

Beating cancer: MEPs react to the EU Plan for joint action

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Europe's Beating cancer - Diagnosis and treatment - Visit of ICANS, the Cancer Institute of Strasbourg Europe

On the eve of World Cancer Day, Parliament’s Special Committee on Beating Cancer (BECA) backs EU wide effort to beat cancer.

BECA Chair Bartosz Arłukowicz (EPP, PL) said: “Over the last few years, fighting cancer has been high on the Parliament’s agenda, culminating in setting up our Special Committee on Beating Cancer. In the midst of the COVID-19 pandemic, we cannot forget about the disease that kills 1.3 million Europeans every year, and for which there is no vaccination that can eliminate it altogether.”

Responding to the Plan unveiled today by the European Commission: “We want to undertake the enormous task of beating cancer together, as a Union. Shared knowledge and databases, support for screening programmes, co-financing of HPV vaccinations, are among the many steps we will not hesitate to take on our path to finally beating cancer. We must embark on this ambitious project together. Our Union can beat cancer!” concluded Arłukowicz.

BECA Rapporteur Véronique Trillet-Lenoir (Renew Europe, FR) said: “Cancer is a disease underpinned by social injustice. We are unequal in terms of prevention, unequally protected against environmental carcinogens, unequally educated in what constitutes risky behaviour, unequally armed against disinformation. EU countries have unequal access to quality care. Finally, once we have recovered from illness, we are not all able to return to work, to be financially independent and to lead a harmonious social and private life. For all these reasons, I fully support the establishment of a Cancer Inequalities Registry to identify challenges and specific areas of action at EU and national levels”.

“More than 40% of all cancers are preventable if individual, social, environmental and commercial health risk factors are addressed. Ambitious legislative proposals to reduce tobacco and alcohol consumption, to promote a healthy diet and physical activity are steps in the right direction. We should propose stronger measures and clear targets to fight against environmental pollution, to ensure health and safety at work, to limit the exposure to carcinogens and mutagens and to take into account the cumulative effect of hazardous chemicals, Trillet-Lenoir added.

First debate on the Plan

On World Cancer Day, 4 February, the Special Committee on Beating Cancer will discuss the plan with Health Commissioner Kyriakides from 16.45 to 18.45 (live streaming).

How the EU wants to achieve a circular economy by 2050

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How the EU wants to achieve a circular economy by 2050  | News | European Parliament

Find out about the EU’s circular economy action plan and what additional measures MEPs want to reduce waste and make products more sustainable.

If we keep on exploiting resources as we do now, by 2050 we would need the resources of three Earths. Finite resources and climate issues require moving from a ‘take-make-dispose’ society to a carbon-neutral, environmentally sustainable, toxic-free and fully circular economy by 2050.

The current crisis highlighted weaknesses in resource and value chains, hitting SMEs and industry. A circular economy will cut CO2-emissions, whilst stimulating economic growth and creating job opportunities.

Read more about the definition and benefits of the circular economy

The EU circular economy action plan

In line with EU’s 2050 climate neutrality goal under the Green Deal, the European Commission proposed a new Circular Economy Action Plan in March 2020, focusing on waste prevention and management and aimed at boosting growth, competitiveness and EU global leadership in the field.

On 27 January, Parliament’s environment committee backed the plan and called for binding 2030 targets for materials use and consumption. MEPs will vote on the report during the February plenary session.

Moving to sustainable products

To achieve an EU market of sustainable, climate-neutral and resource-efficient products, the Commission proposes extending the Ecodesign Directive to non-energy-related products. MEPs want the new rules to be in place in 2021.

MEPs also back initiatives to fight planned obsolescence, improve the durability and reparability of products and to strengthen consumer rights with the right to repair. They insist consumers have the right to be properly informed about the environmental impact of the products and services they buy and asked the Commission to make proposals to fight so-called greenwashing, when companies present themselves as being more environmentally-friendly than they really are.

Making crucial sectors circular

Circularity and sustainability must be incorporated in all stages of a value chain to achieve a fully circular economy: from design to production and all the way to the consumer. The Commission action plan sets down seven key areas essential to achieving a circular economy: plastics; textiles; e-waste; food, water and nutrients; packaging; batteries and vehicles; buildings and construction.

Plastics

MEPs back the European Strategy for Plastics in a Circular Economy, which would phase out the use of microplastics.

Read more about the EU strategy to reduce plastic waste.

Textiles

Textiles use a lot of raw materials and water, with less than 1% recycled. MEPs want new measures against microfiber loss and stricter standards on water use.

Discover how the textile production and waste affects the environment.

Electronics and ICT

Electronic and electrical waste, or e-waste, is the fastest growing waste stream in the EU and less than 40% is recycled. MEPs want the EU to promote longer product life through reusability and reparability.

Learn some E-waste facts and figures.

Food, water and nutrients

An estimated 20% of food is lost or wasted in the EU. MEPs urge the halving of food waste by 2030 under the Farm to Fork Strategy.

Packaging

Packaging waste in Europe reached a record high in 2017. New rules aim to ensure that all packaging on the EU market is economically reusable or recyclable by 2030.

Batteries and vehicles

MEPs are looking at proposals requiring the production and materials of albatteries on the EU market to have a low carbon footprint and respect human rights, social and ecological standards.

Construction and buildings

Construction accounts for more than 35% of total EU waste. MEPs want to increase the lifespan of buildings, set reduction targets for the carbon footprint of materials and establish minimum requirements on resource and energy efficiency.

Waste management and shipment

The EU generates more than 2.5 billion tonnes of waste a year, mainly from households. MEPs urge EU countries to increase high-quality recycling, move away from landfilling and minimise incineration.

Find out about landfilling and recycling statistics in the EU.

EU shellfish import ban indefinite, UK fishing industry told

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The EU has told British fishermen they are indefinitely banned from selling live mussels, oysters, clams, cockles and scallops to its member states.

As the UK is now a separate country, it is not allowed to transport the animals to the EU unless they have already been treated in purification plants.

But the industry says it does not have enough tanks ready and the process can slow exports, making them less viable.

The government promised to continue to “raise the issue” with the EU.

Since 1 January, UK firms have been able to send only pre-purified, ready-to-eat shellfish – accompanied by an export health certificate – to buyers in the EU’s 27 member states.

Until this year, they could be purified – with contaminants removed in clean seawater tanks – after they reached their destination.

UK shellfish catches were valued at £393m in 2019.

Only those landed in “class A” waters – the very cleanest – can currently be transported from the UK to the EU without the need for purification beforehand. But most UK waters are not in that category.

The UK government previously said it thought the restrictions on exports of bivalve molluscs – such as mussels, clams, cockles, scallops and oysters – would end on 21 April.

This was because Brussels was “expected” to change its rules on that date to allow unpurified shellfish in from non-member states.

But it has emerged – as first reported by Politics Home – that the European Commission wrote to leading UK companies on 13 and 19 January to tell them the current arrangement would be in place indefinitely.

‘Very frustrated’

This has increased fears for the future of businesses and staff, amid concerns that purified shellfish go off quicker than unpurified ones, making them harder to transport.

“The issue with shellfish is that they’re are highly perishable, so there are many risks associated with delays,” Barrie Deas, chief executive of the National Federation of Fishermen’s Organisations, told the BBC.

“We are really in a high-risk category compared with other kinds of exports.”

He added that “nothing” had changed, in terms of the EU’s rules, but firms who had thought they were going to were feeling “very frustrated”.

A Department for Environment, Food and Rural Affairs spokesperson said: “We will continue to raise the issue of live bivalve molluscs not ready for human consumption with the EU, to ensure the trade can continue securely.”

Ministers would work to reach an “appropriate solution”, they added.

Welsh shellfish producers concern over block on EU exports

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Welsh shellfish producers concern over block on EU exports

A Defra spokesman said: “Live bivalve molluscs such as oysters, mussels, clams, cockles and scallops can continue to be exported to the EU if they’re harvested from Class A waters or cleaned, or have cleared end product testing in the UK.

PM urges EU action to ease Brexit tensions in NI

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Prime Minister Boris Johnson has called for “urgent action” from the EU amid rising tensions over post-Brexit checks at Northern Ireland ports.

UK and EU leaders are to hold talks to try to resolve the trade issues between Great Britain and Northern Ireland.

Checks on goods were suspended on Tuesday after threats to staff.

The UK government wrote to the European Commission overnight, calling for temporary lighter enforcement of the rules to be extended until early 2023.

But Northern Ireland’s First Minister, Arlene Foster, issued a warning against “just kicking things down the road”, telling BBC Radio Ulster: “We need to find solutions that are sustainable, that are workable and long lasting.”

On Tuesday, Mr Johnson said the EU had “undermined” the Brexit deal by threatening emergency controls of Covid vaccine exports across the Irish border.

Irish Foreign Minister Simon Coveney said the threat had been a “mistake that shouldn’t have happened”.

But he told BBC Radio 4’s Today programme there was a separate issue to address over trade rules, and it was Brexit “causing all of this tension” – not the measures being put in place.

Cabinet Office Minister Michael Gove, who will be representing the UK government in talks with the EU Commission’s Maros Sefcovic and Northern Ireland’s devolved administration, said a three-month grace period with lighter enforcement of EU rules should be extended beyond March.

The UK government wrote to the European Commission on Tuesday night to outline the changes it wanted made, which would continue temporary exemptions for supermarket goods, pharmaceuticals, chilled meats and parcels crossing from GB to Northern Ireland.

According to a copy of a letter seen by the BBC, the UK would want these exemptions to stay in place until 1 January 2023.

It comes after hauliers experienced problems transporting goods from Great Britain.

Some parcel deliveries were stopped and supermarkets struggled to restock some products last month, although some of these problems have since been resolved.

“Trust has been eroded, damage has been done and urgent action is therefore needed,” Mr Gove told the House of Commons on Tuesday, adding that supermarkets and other businesses needed to be sure they could continue to supply consumers.

Mr Gove has also asked the EU to examine its decision to ban the import into Northern Ireland of some items like seed potatoes, and the UK wants the Irish government to be able to negotiate a deal with the UK to remove barriers to pets being taken across the Irish Sea.

Ahead of the meeting, Mr Sefcovic tweeted that the protocol was “a cornerstone” of the agreement between the UK and EU, and “the only way to protect Good Friday Agreement”.

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Analysis box by Laura Kuenssberg, political editor

What happens to parcels or dogs moving between Great Britain and Northern Ireland might sound like small issues.

But they are huge, because they threaten to break one of the things that was part of the promise in the post-Brexit protocol – that what happened would not disrupt the daily lives of people living in Northern Ireland.

And, as we have seen in the past few days, this combination of all of these small changes could destabilise the very sensitive balance in Northern Ireland between the two different communities.

The government has no intention of ditching this protocol. That is not going to happen, even though the past few days have given the DUP and some Eurosceptics reason to call again for it to be abandoned.

But the government is really clear that they want to very quickly persuade the EU, as one minister put it to me, to start being pragmatic about this, rather than being purist.

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When the Brexit transition period ended in January, Northern Ireland remained in the EU single market while the rest of the UK left, meaning that checks had to be carried out on goods arriving from Great Britain.

Unionists have criticised these rules, known as the Northern Ireland protocol, as damaging to trade and posing a risk to UK unity. In recent days, graffiti opposing the Irish Sea border has been painted in some loyalist areas, referring to staff carrying out checks on goods at ports as “targets”.

Stormont suspended physical checks on food consignments at two ports on Tuesday amid the security concerns, although police said paramilitary groups are not involved.

Mr Johnson said on Twitter that his commitment to people of Northern Ireland and the union was “unshakeable”.

He called for “urgent action from the EU to resolve outstanding problems” with the way the protocol was implemented, to preserve the Good Friday Agreement and ensure “Northern Ireland benefits from Brexit just like every other part of our United Kingdom”.

Recent moves by the EU had “undermined the protocol and understandably provoked concern”, he said.

Ireland’s Mr Coveney said “elements of protocol are causing problems” and the two sides “need to focus on improving” it, but he said Brexit was to blame for growing tensions in Northern Ireland, rather than the protocol itself.

He told Today: “Senior political figures need to talk seriously now about trying to diffuse tension which is clearly there and need to talk about how we can make protocol work effectively.

“[The protocol] is an Irish and British and EU negotiated solution, an agreed solution to try to limit the disruptive impact of Brexit on Ireland and Northern Ireland.

“What is causing all of this tension is Brexit, not the protocol. The protocol is an attempt to try and reduce tension and solve problems linked to Brexit.”

‘Calling for calm’

Amid a dispute with manufacturers over supplies, the EU on Friday briefly threatened to use an emergency measure to override part of the deal and restrict the export of vaccines.

It was concerned that Northern Ireland could be used as a way to bypass export controls, using its place in the single market as a backdoor to the rest of the UK.

The dispute has intensified pressure among some unionist politicians to end the checks on goods from Great Britain to Northern Ireland, with the DUP saying it intends to work with other unionist parties to send a message that Northern Ireland must be “freed from the protocol”.

Ms Foster, the party’s leader, is due to meet Mr Johnson on Wednesday morning, to discuss her concerns before attending the talks with the EU Commission in the afternoon.

Also at the talks will be Michelle O’Neill, Sinn Fein’s vice-president and Northern Ireland’s deputy first minister, who said the DUP was “whipping up hysteria” while others were “calling for calm and resolution”.

Mr Coveney said the move by the Commission on Friday had been “a mistake”, adding: “It should not have happened and would not have happened if there had been the appropriate consultation.”

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What is the NI protocol?

Part of the Brexit Withdrawal Agreement, the NI protocol guarantees an open border between the EU and Northern Ireland, with no controls on exported products.

It was introduced to avoid creating a hard border on the island of Ireland.

Instead there are checks on some products travelling from Great Britain to Northern Ireland.

This is because Northern Ireland in effect remains part of the EU single market for goods while the rest of the UK has left.

However, Article 16 of the protocol part of the deal allows the EU and UK to choose to suspend any aspects they consider are causing “economic, societal or environmental difficulties”.

The EU announced it would trigger the clause to control exports of vaccines to Northern Ireland, but later reversed the decision.

Unionist parties in NI have been pressing the UK government to use Article 16 to reduce checks on goods entering Northern Ireland from Great Britain.

Forum for tackling misinformation on health and NCDs

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Forum for tackling misinformation on health and NCDs

WHO has created a forum for tackling misinformation on health and noncommunicable diseases (NCDs).

The WHO European Office for the Prevention and Control of Noncommunicable Diseases is bringing together a broad range of stakeholders in a series of meetings to gather the necessary expertise to tackle health disinformation and help build a toolkit of policy initiatives for the future.

Misinformation and disinformation on NCDs

Every day we are exposed to a huge amount of information and more and more people are looking for advice on health issues digitally via search engines and social media. While wider access to health information can be positive, the rapid spread of inaccurate facts on health topics can lead to serious consequences.

The abundance of information – some accurate and some not – that has come with the COVID-19 pandemic has made it difficult to find trustworthy sources and reliable guidance on health issues. Misinformation, which is the unintentional spreading of false information, as well as disinformation, created with the intention of spreading false information for profit or causing harm, have proven to be very dangerous to public health.

It is clear that misinformation can influence people’s decisions on health. However, although NCDs are an area where behaviour and its determinants play a crucial role, the impact specifically related to NCDs has not yet been taken up. To address this issue, WHO/Europe is launching a project to bring together different parts of society to share innovative practices and work together on policy initiatives to tackle misinformation on NCDs and associated risk factors.

Even though misinformation and disinformation on risk factors associated with NCDs existed before the pandemic, with false announcements of the alleged beneficial characteristics of alcohol consumption, unhealthy diets or the use of tobacco reappearing in the media at alarming rates, the amount of misinformation surrounding NCDs has increased substantially during the COVID-19 pandemic.

“False and inaccurate information related to the risk factors for noncommunicable diseases is a huge challenge,” says Dr Nino Berdzuli, Director of the Division of Country Health Programmes at the WHO Regional Office for Europe. “And with people seeking dietary advice, lifestyle counselling, and even treatment online, this can lead to serious consequences. It reveals the importance of having trustworthy, evidence-based sources for information on health which the public can trust and that will allow informed and sound decisions.”

However, the experience gained in tackling the so-called infodemic related to COVID-19 has given valuable insights to address the spread of false information on risk factors connected to NCDs. Existing innovative practices can serve as a model to contribute to digital literacy around NCDs and help citizens to critically analyse health information online.

Bringing stakeholders together to tackle misinformation

In order to conduct further research into the key actions that can help individuals, community leaders, governments and the private sector to manage misinformation related to NCDs and associated risk factors, the WHO European Office for the Prevention and Control of Noncommunicable Diseases is hosting a series of meetings aimed at discussing the topic with a broad range of stakeholders, collecting inputs from Member States, the media and social media sectors as well as civil society. The outcomes of the 3 meetings will contribute to create a joint triple entente of stakeholders, which will provide valuable inputs and help build a toolkit of policy initiatives for the future.

Debating robust policy and regulatory changes at the level of sources of health information, as well as a commitment for a strong investment in e-health literacy among the general population, can contribute to safer physical and digital spaces. This is in line with the core priorities of the WHO European Programme of Work 2020–2025, promoting health and well-being for all.

Mrs. Keckley’s Book and Mrs. Lincoln’s Reaction

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It wasn’t enough that she was an ex-slave and a woman. It wasn’t enough that she was just a seamstress for Mary Todd Lincoln and became her confidant and best friend. It wasn’t enough when she wrote a book, she said, to support Mrs. Lincoln in her efforts to sell her old dresses.


But it was way too much when her 1868 book, Behind the Scenes, Or, Thirty Years a Slave, and Four Years in the White House became an expose of her “friendship” with Mrs. Lincoln.


The book had two major parts.


First, it was one of many slave narratives, tracing the injustices that Mrs. Elizabeth Keckley had suffered as a slave, including her rape and subsequent life as a “sex slave.” She records, to a degree, her indignant and harrowing experiences, including the terrible treatment by her masters and mistresses, and even her half-brother. While readers are told of her difficult fight to buy herself and her son, the book is a bit sketchy and limits her readers’ responses. Absent, for example, are the names of her owners. Mrs. Keckley excuses her “owners’ names” because it would be embarrassing to her perpetrators.


As a slave narrative, then, the book is only ordinary, with so many competing books on the market, such as Uncle Tom’s Cabin, far surpassing Mrs. Keckley’s in even the basics of sentimental and alarming detail. Although most slave narratives are quite sentimental, describing the many whippings, in great detail, and highlighting the harsh treatment slaves received, Mrs. Keckley’s book suffers from a lack of details about these actions.


Second, the other part of the book records her friendship and support of Mrs. Lincoln’s emotional state, her time with the Lincoln family, and reflections of the bond she had with Mrs. Lincoln. Mrs. Keckley soon earned the trust of Mrs. Lincoln, who called Mrs. Keckley “my best living friend.” Mrs. Keckley, for example, was there the night the Lincolns’ young son, Willie, died, watching over him as the President and First Lady were hosting a reception at the White House. The Lincolns periodically checked in on Willie who steadily got worse before succumbing to typhoid fever.


Mrs. Lincoln also requested that Mrs. Keckley be at her side while President Abraham Lincoln slowly succumbed to an assassin’s bullet. Realizing how much Mrs. Keckley meant to Mrs. Lincoln, one group frantically went to find Mrs. Keckley, only to get lost in the process.


Yet Mrs. Keckley was there for the First Lady’s grieving process, Mrs. Lincoln telling someone that Mrs. Keckley “watched faithfully by her side.”


But Mary Todd Lincoln was practically inconsolable. She once summarized her state of mind: “I had an ambition to be Mrs. President; that ambition has been gratified, and now I must step down from my pedestal.”


To Mrs. Keckley’s credit, she didn’t give up on the grieving widow while others criticized the First Lady for her months of grieving. In fact, Mrs. Lincoln extended the whole grieving process by wearing a widow’s habit for the rest of her life.


At the time, it seemed that nothing could break the bond between Mrs. Lincoln and Mrs. Keckley. But the publication of her book in 1868 did lasting damage to the relationship with Mrs. Lincoln. Particularly, the book’s publication so marred and so angered the First Lady that the friendship they once knew was no longer a bond that would not break. What Mrs. Keckley’s book said then created so deep a wound that it never healed.


One of Mrs. Lincoln’s contentions was the publication of the intimate letters between Mrs. Lincoln and Mrs. Keckley. Mrs. Keckley claimed that the publishers felt that the letters were “sensational” enough to “spice up” an otherwise dull tome. But Mrs. Keckley, in truth, had secured the letters from Mrs. Lincoln, creating lasting doubt on Mrs. Keckley’s story and purpose. But Mrs. Keckley’s retort was that she only wanted the public to know about Mrs. Lincoln’s financial problems.


Mary Todd Lincoln’s Many Debts Unknown to the President


Lincoln’s assassination had another effect that Mary Todd Lincoln hadn’t planned on. Prior to the awful night at Ford’s Theatre, Mrs. Lincoln had incurred a number of outstanding debts that she hadn’t told her husband about, hiding the costs in the gardener’s account and budget. Lincoln was not in favor of the many projects that Mrs. Lincoln had for the White House.


In fact, Lincoln pooh-poohed Mrs. Lincoln’s attempt to re-do the White House, labeling her efforts a “bunch of flubadubs,” using good money, he reasoned, that could better go to the troops. But she paid little attention and routinely exceeded the amount of money in charges at elite stores in New York and Boston. While Congress had allotted certain monies for the “freshening” of the people’s house, she continued to spend extravagantly and thoughtlessly, despite Congress and her husband’s efforts to stop her.


Now those bills had come due and she was without enough money to pay them.


The Old Clothes Scandal


But now, Congress balked at paying the bills. Realizing her fate, Mrs. Lincoln had to come up with some money-making method of paying all the bills. She hit upon the idea of selling the old dresses she had worn during her term as First Lady. She imagined that many of Lincoln’s admirers would jump at the chance of buying them. To assist her, she and Mrs. Keckley again went to New York to find someone to mastermind the sale.


Yet, the whole scheme soon leaked to the press, whose relationship with Mrs. Lincoln was tenuous at best. The press often called her the “rebel in the White House.” There were even hints in the press that she also was a “spy,” who had leaked information that would be helpful to the Confederacy.


But the sales of the used dresses went nowhere, a ploy in the end that cost money instead of earning any.


She again asked Congress for more and more money, funds that Congress soon found to be unnecessary and ultimately denied the requests. Part of their reaction could be traced to her attitude. She boasted that President Lincoln, the dead martyred President, “saw my rich dresses and [was] happy to believe that the few hundred dollars that I obtain[ed] from him supply all my wants.”


At the same time, Mrs. Lincoln received some good news about her finances when she found a friend in Judge Dan Davis, who arranged for her to receive an inheritance that made the former First Lady financially comfortable. In spite of the money given to Mrs. Lincoln, she designated none for Mrs. Keckley to help deal with Mrs. Keckley’s indebtedness for material that Mrs. Keckley herself had charged, expecting to be paid back. Mrs. Lincoln seemed to have forgotten her “best friend” amid her financial recovery and would not deign to give her seamstress any of the money.


But money wasn’t the only slight Mrs. Keckley suffered.


When Mrs. Keckley’s book was published, the public began to view Mrs. Lincoln in a more focused light. It quickly became a kind of guidebook for Mrs. Lincoln’s uncontrolled disposition. In Mrs. Keckley’s book, Mrs. Lincoln was often portrayed as a petulant, self-centered, narcissistic person—traits that Mrs. Lincoln did not display openly to the entire world. But Mrs. Keckley’s book revealed many particular instances; for example, the publication of intimate letters between Mrs. Lincoln and Mrs. Keckley provided the specific examples that the press only knew in part. In fact, the letters verified to the press that some of their own misgivings about the First Lady were true.


Mrs. Lincoln sought answers about her suspicions of Mrs. Keckley, convincing herself that she was the object of terrible cruelty. Mrs. Lincoln then saw a sinister side to the publication of the Mrs. Keckley-Lincoln letters and quickly reached conclusions about Mrs. Keckley’s reasons for including the letters. In fact, Mrs. Lincoln remarked that she now “understood” what “evil” use the letters served.


Now, Mrs. Lincoln felt “betrayed,” likening it to the gross insult she had received from Lincoln’s law partner, William Herndon, who told Mary Todd about the Abe Lincoln-Ann Rutledge romance in New Salem, Illinois, when Lincoln was a resident there.


Feeling deeply hurt, Mrs. Lincoln then called Mrs. Keckley “that colored historian.” The former First Lady maintained that Mrs. Keckley had no right whatsoever to relate the events that transpired at the White House. Others said Mrs. Keckley was nothing but a “gossip monger.” One critic accused Mrs. Keckley of imposing herself in the everyday life of the Lincoln family, using that as a “cover” for the close friendship between the First Lady and Mrs. Keckley merely to gain information about the Lincolns. A reviewer even called Mrs. Keckley a ‘treacherous creature,” while another said that the lesson of the experience was that educating blacks was “a dangerous act.”


To many, then, Mrs. Keckley—an ex-slave at that—had described to the world what went on in the White House in her “tell-all” book. It was way beyond good taste in their view.


Robert Lincoln, Mrs. Lincoln’s son, convinced the publisher to halt production of the embarrassing work, but it was again published to low sales in the early 1900s.


Ardently arguing her case, Mrs. Keckley tried to explain that she, too, had been duped by her publisher, but to no avail. She again tried to defend the book as a way to spur sales and alert the public of Mrs. Lincoln’s financial condition. Mrs. Keckley put it more gently and thought that Mrs. Lincoln “labored under pecuniary embarrassment.”


Apparently, Mrs. Lincoln remained cautious of Mrs. Keckley’s intentions and continued to believe that Mrs. Keckley had “betrayed” her.


The deep and abiding friendship and trust they once enjoyed had been destroyed.


And Mrs. Lincoln’s response to the entire relationship, whether intended or not, followed the script that Mary Todd Lincoln seems to have written for herself.



Dr. Marshall Myers, 313 Dylan Court, Richmond, KY 40475