Amen­de­menten Hazekamp over niet-over­draagbare ziekten

Motion for a resolution on non-communicable diseases of the Committee on the Environment, Public Health and Food Safety.

Amendment 1
Anja Hazekamp

Motion for a resolution
Citation 12 a (new)

Amendment

– having regard to the Commission communication of 20 May 2020 on the Farm to Fork Strategy for a fair, healthy and environmentally-friendly food system (COM(2020)0381);

Amendment 2
Anja Hazekamp

Motion for a resolution
Citation 12 b (new)

Amendment

– having regard to its resolution of 20 October 2021 on the Farm to Fork Strategy for a fair, healthy and environmentally-friendly food system (2010/2260(INI));

Amendment 3
Anja Hazekamp

Motion for a resolution
Citation 12 c (new)

Amendment

– having regard to the WHO report "A Health Perspective on the role of the environment in One Health";

Amendment 4
Anja Hazekamp

Motion for a resolution
Citation 12 d (new)

Amendment

– having regard to the conclusions and recommendations of the study prepared for its Panel for the Future of Science and Technology (STOA) in December 2021 entitled "European pharmaceutical research and development - Could public infrastructure overcome market failures?";

Amendment 5
Anja Hazekamp

Motion for a resolution
Citation 12 e (new)

Amendment

– having regard to the European Parliament resolution of 12 July 2023 on the COVID-19 pandemic: lessons learned and recommendations for the future (2022/2076(INI));

Amendment 6
Anja Hazekamp

Motion for a resolution
Recital B

Motion for a resolution

B. whereas premature deaths as a result of cardiovascular diseases (CVDs), cancers, diabetes and chronic respiratory diseases account for 68 % of all premature deaths in Europe; whereas other NCDs include mental and neurological disorders, kidney diseases, oral diseases, osteoporosis, osteoarthritis and endometriosis among other conditions;

Amendment

B. whereas premature deaths as a result of cardiovascular diseases (CVDs), cancers, diabetes and chronic respiratory diseases account for 68 % of all premature deaths in Europe; whereas other NCDs include mental and neurological disorders, kidney diseases, liver diseases, oral diseases, osteoporosis, osteoarthritis and endometriosis among other conditions;

Amendment 7
Anja Hazekamp

Motion for a resolution
Recital D a (new)

Amendment

D a. whereas a much stronger focus on prevention is needed, which requires a holistic approach based on the One Health approach;

Amendment 8
Anja Hazekamp

Motion for a resolution
Recital E

Motion for a resolution

E. whereas most NCDs are impacted by four preventable risk factors: tobacco use, unhealthy diet, lack of physical activity and harmful use of alcohol; whereas behavioural risk factors lead to biological risk factors, the most common being overweight and obesity, high blood pressure, high blood glucose and high blood cholesterol⁶ ;

⁶ World Health Organization, ‘Monitoring noncommunicable disease commitments in Europe 2021’, p. 13, 8 December 2021.

Amendment

E. whereas most NCDs are impacted by four preventable risk factors: tobacco use, unhealthy diet, lack of physical activity and alcohol consumption; whereas behavioural risk factors lead to biological risk factors, the most common being overweight and obesity, high blood pressure, high blood glucose and high blood cholesterol⁶ ;

⁶ World Health Organization, ‘Monitoring noncommunicable disease commitments in Europe 2021’, p. 13, 8 December 2021.

Amendment 9
Anja Hazekamp

Motion for a resolution
Recital E a (new)

Amendment

E a. whereas unhealthy diets, high in salt, sugar, fat and animal protein are a leading risk factor for disease and mortality in Europe;

Amendment 10
Anja Hazekamp

Motion for a resolution
Recital E b (new)

Amendment

E b. whereas a diet rich in plant-based foods and with fewer animal source foods confers both to improved health and environmental benefits, and transformation to healthy diets by 2050 will require substantial dietary shifts; whereas global consumption of fruits, vegetables, nuts and legumes will have to double, and consumption of foods such as red meat and sugar will have to be reduced by more than 50% in order to achieve dietary shifts;

Amendment 11
Anja Hazekamp

Motion for a resolution
Recital E c (new)

Amendment

E c. whereas front-of-pack nutritional labeling supports citizens in making healthier food choices and thereby preventing unhealthy consumption of food high in salt, fat and sugar;

Amendment 12
Anja Hazekamp

Motion for a resolution
Recital F

Motion for a resolution

F. whereas most NCDs are impacted by environmental risk factors such as air pollution;

Amendment

F. whereas most NCDs are impacted by environmental risk factors such as soil, water and both outdoor and indoor air pollution; and whereas NCDs are also impacted by multiple global environmental changes, such as biodiversity loss and climate change, including extreme weather events, such as heat waves, droughts and wildfires on the one hand, and floods, hurricanes and typhoons on the other, as these are growing in intensity and frequency, having an impact on the incidence, morbidity and mortality of NCDs;

Amendment 13
Anja Hazekamp

Motion for a resolution
Recital F a (new)

Amendment

F a. whereas the development of NCDs and resulting health outcomes are linked to commercial and social determinants of health, which underlying factors correspond to substantial health inequities within and across EU countries;

Amendment 14
Anja Hazekamp

Motion for a resolution
Recital F b (new)

Amendment

F b. whereas air pollution is a main driver of morbidity and mortality of NCDs, from a wide range of sources including energy, transport, agriculture and industry, contributing to 400.000 premature deaths annualy, including from lung cancer, heart disease and strokes;

Amendment 15
Anja Hazekamp

Motion for a resolution
Recital F c (new)

Amendment

F c. whereas NCDs are impacted by pervasive chemical exposure from endocrine disruptors which are abundantly present in packaging materials, foods, clothing, cosmetics and other consumer products, and are linked to a myriad of NCDs such as obesity, type 2 diabetes, thyroid disorders, neurodevelopmental disease, hormone-dependant carcinoma and reproductive disorders;

Amendment 16
Anja Hazekamp

Motion for a resolution
Recital G a (new)

Amendment

G a. whereas people with one or more NCDs were one of the most severly affected population groups during the COVID-19 pandemic; whereas investment in NCD prevention and management remains limited, despite disrupted access to care, essential complication-screening and diagnosis during the COVID-19 pandemic, potentially leading to severe complications over the long term;

Amendment 17
Anja Hazekamp

Motion for a resolution
Recital H

Motion for a resolution

H. whereas innovation with regard to development of technologies, medicines and healthcare practises is crucial to ensure the elimination or reduction of harm caused by preventable risk factors and new and better treatments for NCDs;

Amendment

H. whereas the development of technologies, medicines and healthcare practises can help the elimination or reduction of harm caused by preventable risk factors and new and better treatments for NCDs;

Amendment 18
Anja Hazekamp

Motion for a resolution
Paragraph 1

Motion for a resolution

1. Highlights that NCDs account for 90 % of all deaths in the EU⁸ , which leads to high levels of productivity loss and makes NCDs account for the largest share of countries’ healthcare expenditures; stresses that it is important to reduce the prevalence of NCDs and believes that enhanced health promotion and disease prevention can reduce the prevalence of NCDs by 70 %⁹ in conjunction with investment in health innovation and technologies;

⁸ European Commission, ‘Non-communicable diseases : overview’.

⁹ European Commission, ‘The EU ‘Healthier Together’ Non-Communicable Diseases Initiative’, 2022

Amendment

1. Highlights that NCDs account for 90 % of all deaths in the EU⁸; stresses that it is important to reduce the prevalence of NCDs and believes that enhanced health promotion and disease prevention can reduce the prevalence of NCDs by 70 %⁹

⁸ European Commission, ‘Non-communicable diseases : overview’.

⁹ European Commission, ‘The EU ‘Healthier Together’ Non-Communicable Diseases Initiative’, 2022

Amendment 19
Anja Hazekamp

Motion for a resolution
Paragraph 2 a (new)

Amendment

2 a. Recognises the adverse impact of conflict of interest between public health objectives and the interests of industries producing alcohol, tobacco, poorly nutritious and ultra-processed foods, and meat from animals treated with antibiotics and/or fungicides; emphasises the undue influence of these industries on health policies and strategies which hinder effective NCD prevention efforts, and underlines that transparancy is vital in maintaining the integrity of public health and that it is essential to implement stringent measures to mitigate conflicts of interest;

Amendment 20
Anja Hazekamp

Motion for a resolution
Paragraph 2 b (new)

Amendment

2 b. Stresses that antimicrobial resistance (AMR) significantly disrupts medical treatments and procedures such as surgeries, organ transplants and cancer treatment, and that AMR also complicates the management of prevalent NCDs, including cardiovascular diseases, dementia and tumours; emphasises that AMR has far-reaching repercussions on disease incidence, mortality rates, hospital stays and healthcare expenses;

Amendment 21
Anja Hazekamp

Motion for a resolution
Paragraph 3

Motion for a resolution

3. Acknowledges that tobacco use, physical inactivity, the harmful use of
alcohol, unhealthy diets and environmental factors such as air, food, water and soil pollution and chemical exposure increase the risk of NCDs¹⁰ ;

¹⁰ https://www.paho.org/en/topics... - :~:text=These%204%20groups%20of%20diseases,of%20the%20response%20to%20NCDs The Pan American Health Organization, ‘Noncommunicable Diseases’.

Amendment

3. Acknowledges that tobacco use, alcohol consumption , unhealthy diets and environmental factors such as air, food, water and soil pollution and chemical exposure increase the risk of NCDs¹⁰ ;

¹⁰ https://www.paho.org/en/topics... - :~:text=These%204%20groups%20of%20diseases,of%20the%20response%20to%20NCDs The Pan American Health Organization, ‘Noncommunicable Diseases’.

Amendment 22
Anja Hazekamp

Motion for a resolution
Paragraph 3 a (new)

Amendment

3 a. Stresses that prevention is key in combating NCDs and urges the Commission and Member States to step up their efforts in this regard;

Amendment 23
Anja Hazekamp

Motion for a resolution
Paragraph 5 - introductory part

Motion for a resolution

5. Supports the Commission’s proposals to review the Tobacco Products Directive¹¹ and the Tobacco Taxation Directive¹² and the proposal to update the Council recommendation of 30 November 2009 on smoke-free environments¹³
; calls for a full implementation of the WHO Framework Convention on Tobacco Control; calls on the Commission and the Member States to:

¹¹ Directive 2014/40/EU of the European Parliament and of the Council of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products, OJ L 127, 29.4.2014, p. 1.

¹² Council Directive 2011/64/EU of 21 June 2011 on the structure and rates of excise duty applied to manufactured tobacco, OJ L 176, 5.7.2011, p. 24.

¹³ OJ C 296, 5.12.2009, p. 4.

Amendment

5. Supports the Europe Beating Cancer Plan to achieve a tobacco free generation and to prevent tobacco use and urges the Commission to review the Tobacco Products Directive¹¹ and the Tobacco Taxation Directive¹² and the proposal to update the Council recommendation of 30 November 2009 on smoke-free environments¹³; calls for a full implementation of the WHO Framework Convention on Tobacco Control; calls on the Commission and the Member States to:

¹¹ Directive 2014/40/EU of the European Parliament and of the Council of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products, OJ L 127, 29.4.2014, p. 1.

¹² Council Directive 2011/64/EU of 21 June 2011 on the structure and rates of excise duty applied to manufactured tobacco, OJ L 176, 5.7.2011, p. 24.

¹³ OJ C 296, 5.12.2009, p. 4.

Amendment 24
Anja Hazekamp

Motion for a resolution
Paragraph 5 a (new)

Amendment

5 a. Urges the Commission to implement the European Ombudsman recommendations to comply with the obligations stemming from the FCTC, to keep and make available minutes on all of the Commission's meetings with tobacco interest representatives, ensuring the implementation of the guidelines for Article 5.3 of the FCTC that state 'parties should interact with the tobacco industry only when and to the extent strictly necessary to enable them to effectively regulate the tobacco industry and tobacco products';

Amendment 25
Anja Hazekamp

Motion for a resolution
Paragraph 6

Motion for a resolution

6. Acknowledges that the harmful use of alcohol is a risk factor for multiple NCDs and underlines that the lower the amount of alcohol consumed, the lower the risk is of developing NCDs¹⁴;

¹⁴ Global burden of disease 2016 Alcohol Collaborators, ‘Alcohol use and burden for 195 countries and territories,1990–2016: a systematic analysis for the Global Burden of Disease Study 2016’, 23 August 2018.

Amendment

6. Highlights that in the European Region, around 1 million deaths annually are attributable to alcohol consumption and acknowledges that alcohol consumption is a risk factor for multiple NCDs and therefore underlines that the lower the amount of alcohol consumed, the lower the risk is of developing NCDs¹⁴ ;

¹⁴ Global burden of disease 2016 Alcohol Collaborators, ‘Alcohol use and burden for 195 countries and territories,1990–2016: a systematic analysis for the Global Burden of Disease Study 2016’, 23 August 2018.

Amendment 26
Anja Hazekamp

Motion for a resolution
Paragraph 7 - point a

Motion for a resolution

a. Enact restrictions on alcohol advertising targeting minors;

Amendment

a. Enact restrictions on alcohol advertising to ensure they are not seen by any minors;

Amendment 27
Anja Hazekamp

Motion for a resolution
Paragraph 7 - point b a (new)

Amendment

b a. Recommends the Commission to submit a proposal to introduce health warnings and strict alcohol labeling requirements, as well as a nutritional declaration on all alcoholic products, as announced in 2021 with the adoption of the Europe Beating Cancer Plan;

Amendment 28
Anja Hazekamp

Motion for a resolution
Paragraph 8 - introductory part

Motion for a resolution

8. Notes that an unhealthy diet is one of the major risk factors for NCDs, including cardiovascular diseases, cancer, diabetes and other conditions linked to obesity¹⁵ ; acknowledges that obesity is considered a risk factor for several NCDs; calls on the Commission and the Member States to:

¹⁵ World Health Organization Regional Office for the Eastern Mediterranean, ‘Noncommunicable diseases’.

Amendment

8. Notes that an unhealthy diet is one of the major risk factors for NCDs, including cardiovascular diseases, cancer, diabetes and other conditions linked to obesity¹⁵ ; acknowledges that obesity is considered a risk factor for several NCDs and that obesity is in itself recognised as a NCD; calls on the Commission and the Member States to:

¹⁵ World Health Organization Regional Office for the Eastern Mediterranean, ‘Noncommunicable diseases’.

Amendment 29
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a

Motion for a resolution

a. encourage and help consumers to make informed and healthy choices about food products; promote behavioural changes via communication and mass media campaigns for healthy diets; encourage public food procurement and service policies for healthy and sustainable diets;

Amendment

a. encourage and help consumers to make informed and healthy choices about food products; promote behavioural changes via communication and mass media campaigns for healthy diets; encourage public food procurement and service policies for healthy and sustainable diets; prohibit advertising of ultra-processed food, particularly those aimed at children, and encourage obligatory front-of-pack food labeling;

Amendment 30
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a

Motion for a resolution

a. encourage and help consumers to make informed and healthy choices about food products; promote behavioural changes via communication and mass media campaigns for healthy diets; encourage public food procurement and service policies for healthy and sustainable diets;

Amendment

a. encourage and help consumers to make informed and healthy choices about food products; promote behavioural changes via communication and mass media campaigns for healthy diets; encourage public food procurement and service policies for healthy and sustainable diets;

Amendment 31
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a a (new)

Amendment

a a. Reiterates its strong support for the ambitions and goals of the EU Farm to Fork Strategy, in particular for policies stimulating healthy eating and a population-wide shift in consumption patterns towards more healthy foods, diets and lifestyles, including increased consumption of sustainably and regionally produced plants and plant-based foods, such as fresh fruits and vegetables, whole grains and legumes, and to address the overconsumption of meat and ultra-processed products, as well as products high in sugars, salt and fats, which will also benefit the environment and animal welfare and secure a more resilient economy;

Amendment 32
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a b (new)

Amendment

a b. Stresses that self-regulation is not effective enough and should be accompanied by binding targets and measures to discourage non-compliance, such as administrative or economic sanctions, as the only means to ensure business operators to improve the formulation of processed food and levels of nutrients;

Amendment 33
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a c (new)

Amendment

a c. Urges the overhaul of the EU promotion programme for agricultural and food products, including the EU school scheme, to align it fully with the European Green Deal and the Sustainable Development Goals, with view to bringing it into coherence with the objectives of the Green Deal and the Farm to Fork Strategy and to enhancing its contribution to sustainable production and consumption, notably by promoting organic produce, focusing on educational messages about the importance of healthy and sustainable nutrition and promoting greater consumption of fruit and vegetables with the aim of reducing obesity rates, increasing environmental awareness and encouraging a shift towards a more sustainable plant-based diet;

Amendment 34
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a d (new)

Amendment

a d. Calls for regulatory measures to reduce the burden that highly processed foods with high salt, sugar and fat content place on public health; recalls that nutrient profiles which are long overdue remain pertinent and necessary to meet the objectives of the Regulation (EC)No 1924/2006 on Nutrition and Health Claims; welcomes the announcement of a legislative proposal to establish nutrient profiles; points out that many food products, including some marketed towards children, continue to use health and nutrition claims despite of containing high levels of nutrients of concern; stresses that a robust set of nutrient profiles must be developed to prohibit the use of claims on foods high in fats, sugars and salt;

Amendment 35
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a e (new)

Amendment

a e. Calls for binding targets for major food producers and retailers to reformulate processed foods; recognises that front-of-pack labels have been identified by international public health bodies such as the World Health Organisation as a key tool to help consumers make more informed and healthier food choices; deeply deplores the delays on the side of the Commission to ensure that the EU mandatory front-of-pack nutritional label is developed based on robust, independent scientific evidence and demonstrated consumer understanding; stresses that a legislative proposal to ensure mandatory harmonised front-of-pack labeling needs to be adopted during the current mandate of the European Parliament;

Amendment 36
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a f (new)

Amendment

a f. Calls for renewed attention to achieve an effective and EU-wide approach to tackle the exposure of children and adolescents to the advertising and marketing of processed foods high in fat, sugar and salt on broadcast and digital media; calls on the Commission to consider taking legislative action to protect the health of this vulnerable group of consumers;

Amendment 37
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a g (new)

Amendment

a g. Calls on the Member States and Regional Authorities to ban commercial communications in public spaces for unhealthy foods and to take a stand against the promotion of unhealthy choices due to the rapid release of new establishments of fast-food claims;

Amendment 38
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a h (new)

Amendment

a h. Encourages the Commission to set measurable targets to reduce the consumption of meat in the EU, more in line with dietary guidelines and the sustainability challenges; suggests the inclusion of the targets as established in the Netherlands to ensure a level-playing field in the EU, of a reversal of the ratio of animal protein to plant protein consumption from 60/40 to 40/60, and a 10 to 15% reduction in the total protein intake;

Amendment 39
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a i (new)

Amendment

a i. Reiterates the importance of recognising the role and influence of the food environment in shaping consumption patterns and the need to make it easier for consumers to choose healthy and sustainable diets; regrets the lack of a systematic and evidence-based approach to creating healthy food environments and the continued reliance on self-regulation; calls on the Commission and the Member States to actively participate in creating a healthy food environment that sends the right signals to citizens and in particular to children, instead of seducing them to buy sweet, salty and fatty foods;

Amendment 40
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point a j (new)

Amendment

a j. Reiterates the importance of promoting sustainable diets by changing the food environment, raising consumer awareness of the impact of consumption patterns, and by providing information on diets that are better for human health and have a lower environmental footprint;

Amendment 41
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point b

Motion for a resolution

b. propose a New Action Plan for child obesity;

Amendment

b. propose a comprehensive and integrated New Action Plan for child obesity with clear and binding targets, benchmarks, indicators and mechanisms to monitor and guarantee results;

Amendment 42
Anja Hazekamp

Motion for a resolution
Paragraph 8 - point b a (new)

Amendment

b a. counter the availability of nutritionally poor foods by limiting fast-food establishments in proximity of schools, taking into account that encouraging behavioural change is intrinsically linked to an individual's socio-economic status, geographical location and available and affordable opportunities;

Amendment 43
Anja Hazekamp

Motion for a resolution
Paragraph 10

Motion for a resolution

10. Considers the European Green Deal to be instrumental in preventing NCDs in the EU by reducing air, food, water and soil pollution and chemical exposure; highlights that prevention of chronic respiratory diseases besides tobacco cessation also includes the prevention of exposure to dust and other indoor pollutants;

Amendment

10. Considers the European Green Deal to be instrumental in preventing NCDs in the EU by reducing air, food, water and soil pollution and chemical exposure; highlights that prevention of chronic respiratory diseases besides tobacco cessation also includes the prevention of exposure to dust and other indoor pollutants; stresses that alignment of the EU quality standards to the WHO guidelines is essential;

Amendment 44
Anja Hazekamp

Motion for a resolution
Paragraph 10 a (new)

Amendment

10 a. Reiterates the importance of the European Green Deal as a significant contributing factor to disease prevention in Europe, by means of reducing air, soil, water and food pollution and chemical exposure, and by ensuring access to and information about healthy foods; calls for an evaluation of the impact of policies on NCD incidence to be integrated into the Farm to Fork Strategy, the Chemicals Strategy for Sustainability, the Zero Pollution and Non-Toxic Environment Strategies;

Amendment 45
Anja Hazekamp

Motion for a resolution
Paragraph 10 b (new)

Amendment

10 b. Underlines that the work of the Green Deal is not done and calls on the Commission to step up its efforts to adopt the legislative proposals which were announced in the various elements of the Green Deal;

Amendment 46
Anja Hazekamp

Motion for a resolution
Paragraph 10 c (new)

Amendment

10 c. Stresses that the WHO report "Health perspective on the role of the environment in One Health" highlights that anthropogenic stressors - including land use change, biodiversity loss, climate change and pollution - afflict the role played by the environment in the human-animal health interface;

Amendment 47
Anja Hazekamp

Motion for a resolution
Paragraph 10 d (new)

Amendment

10 d. Calls for the EU to integrate One Health, as defined by the WHO, in its public health policies; emphasises that transformative changes are urgently needed; highlights also the need to further expand knowledge in this field and promote public scientific research in order to better understand and reflect the interdependencies between human, animal, plant and environmental health, using a multisectoral, transdisciplinary and integrated approach; is concerned by the threat of increasing antimicrobial resistance (AMR) and highlights that AMR is one of the leading causes of death worldwide; recalls the importance of acting both at EU and national level to address this challenge with concrete measures, including legilsative and regulatory measures as well as public health policies;

Amendment 48
Anja Hazekamp

Motion for a resolution
Paragraph 10 e (new)

Amendment

10 e. Underlines that AMR may be the next global health crisis and that there is consequently a need for accelerated action by implementating the required action plans, specific global mechanisms for AMR surveillance, research, and antimicrobial stewardship to ensure their availability and affordability;

Amendment 49
Anja Hazekamp

Motion for a resolution
Paragraph 11

Motion for a resolution

11. Calls on the Commission and the Member States to accelerate the transition to sustainable energy and transport sectors and to ensure a shift towards sustainable food systems;

Amendment

11. Calls on the Commission and the Member States to accelerate the transition to sustainable energy and transport sectors and to ensure a shift towards sustainable food systems through an ambitious proposal for the Framework for Sustainable Food Systems;

Amendment 50
Anja Hazekamp

Motion for a resolution
Paragraph 12

Motion for a resolution

12. Stresses that per- and polyfluorinated alkyl substances (PFAS) can lead to health problems such as obesity and cancer¹⁶ ; calls on the Commission to implement the PFAS restriction proposal submitted to European Chemicals Agency on 13 January 2023¹⁷ ;

¹⁶ European Environment Agency, ‘What are PFAS and how are they dangerous for my health?’.

¹⁷ European Chemicals Agency, ‘ECHA publishes PFAS restriction proposal’, 2023.

Amendment

12. Stresses that per- and polyfluorinated alkyl substances (PFAS) can lead to health problems such as obesity and cancer¹⁶ ; calls on the Commission to swiftly
implement the PFAS restriction proposal submitted to European Chemicals Agency on 13 January 2023¹⁷ but urges that less derogations and shorter terms are essential to protect public health and the environment; calls for the need for more comprehensive identification and strict regulation of substances that can interfere with the hormonal system and that have been associated with adverse health effects;

¹⁶ European Environment Agency, ‘What are PFAS and how are they dangerous for my health?’.

¹⁷ European Chemicals Agency, ‘ECHA publishes PFAS restriction proposal’, 2023.

Amendment 51
Anja Hazekamp

Motion for a resolution
Paragraph 13

Motion for a resolution

13. Regrets the slow implementation of the Chemicals Strategy for Sustainability, and, in particular, expects the REACH Regulation¹⁸ to be revised in order to be able to identify all substances of concern manufactured or imported in the EU;

¹⁸ Regulation (EC) No 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), Regulation (EC) No 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), OJ L 396, 30.12.2006, p. 1.

Amendment

13. Deeply regrets the slow implementation of the Chemicals Strategy for Sustainability, and, in particular, expects the REACH Regulation¹⁸ to be swiftly
revised in order to be able to identify all substances of concern manufactured or imported in the EU;

¹⁸ Regulation (EC) No 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), Regulation (EC) No 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), OJ L 396, 30.12.2006, p. 1.

Amendment 52
Anja Hazekamp

Motion for a resolution
Paragraph 13 a (new)

Amendment

13 a. Reminds the Commission of its promise to ensure that endocrine disruptors will be banned in consumer products as soon as they have been identified; calls on the Commission to urgently live up to the promise;

Amendment 53
Anja Hazekamp

Motion for a resolution
Paragraph 13 b (new)

Amendment

13 b. Deeply regrets the slow implementation of the Farm to Fork Strategy, and expect particularly an ambitious legislative framework for sustainable food systems, a proposal for harmonised front-of-pack labeling and nutrient profiles, and stresses that the delay of the revision of the Food Contact Materlials legislation until 2025 is unacceptable;

Amendment 54
Anja Hazekamp

Motion for a resolution
Paragraph 13 c (new)

Amendment

13 c. Acknowledges the efforts of the European Commission to support Member States in reducing the burden of NCDs with the launch of the "Healthier Together - EU non-communicable diseases initiative (NCD)" in December 2021; calls nevertheless for more ambitious action to revert the rising number of people afflicted with NCDs but also to improve the quality of life and mental wellbeing of those suffering from NCDs;

Amendment 55
Anja Hazekamp

Motion for a resolution
Paragraph 14

Motion for a resolution

14. Encourages the Commission and the Member States to achieve the UN Sustainable Development Goals that target communicable diseases in order to promote the prevention of NCDs such as cancer related to infectious diseases; welcomes vaccination programmes in this regard such as in the fight against human papillomavirus transmission;

Amendment

14. Encourages the Commission and the Member States to achieve the UN Sustainable Development Goals that target communicable diseases in order to promote the prevention of NCDs such as cancer related to infectious diseases; welcomes vaccination programmes in this regard such as in the fight against human papillomavirus transmission, including the adoption of gender-neutral HPV vaccinations for adolescents;

Amendment 56
Anja Hazekamp

Motion for a resolution
Paragraph 14 a (new)

Amendment

14 a. Highlights the importance of NCD prevention and early intervention; acknowledges that many NCDs have their origins in early childhood and stresses the importance of investing in strategies and programmes that promote children's healthy growth and development from infancy onwards;

Amendment 57
Anja Hazekamp

Motion for a resolution
Paragraph 14 b (new)

Amendment

14 b. Regrets the delay in the publication of the revision of the Food Information to Consumers Regulation (1169/2011) as foreseen under the Farm to Fork Strategy for the fourth quarter of 2022;

Amendment 58
Anja Hazekamp

Motion for a resolution
Paragraph 15 a (new)

Amendment

15 a. Calls for a holistic and systemic perspective on NCDs that acknowledges the interconnected challenges faced by high-risk populations, such as limited access to education, green spaces, healthy foods, physical activity opportunities, healthcare facilities, proper air quality, and suitable housing;

Amendment 59
Anja Hazekamp

Motion for a resolution
Paragraph 18

Motion for a resolution

18. Stresses that nurses, doctors, general practitioners and other primary care professionals have a significant role in referring patients for diagnostic tests and treating NCDs; encourages the Member States to offer training to healthcare professionals to better identify high-risk individuals and treat NCDs;

Amendment

18. Stresses that nurses, doctors, general practitioners and other primary care professionals have a significant role in referring patients for diagnostic tests and treating NCDs; encourages the Member States to offer training to healthcare professionals to better identify high-risk individuals and prevent and treat NCDs;

Amendment 60
Anja Hazekamp

Motion for a resolution
Paragraph 19

Motion for a resolution

19. Believes that every patient is different and no NCD is the same; calls for NCDs to be prevented and treated as effectively as possible, with a personalised approach tailored to the patient and the disease;

Amendment

19. Believes that every patient is different and no NCD is the same; calls for NCDs to be prevented and treated as effectively as possible, with a personalised approach tailored to the patient and the disease, and in compliance with human rights obligations;

Amendment 61
Anja Hazekamp

Motion for a resolution
Paragraph 19 a (new)

Amendment

19 a. Urges the Member States to provide training to healthcare professionals on the social and environmental determinants of health, including racism and mental health, as well as on intersectoral collaboration, integrated service provision and human rights;

Amendment 62
Anja Hazekamp

Motion for a resolution
Paragraph 22

Motion for a resolution

22. Welcomes the pharmaceutical package and calls for the strengthening of the European medicines market to ensure access to medicines and alleviate medicine shortages, reduce barriers to cross-border business, while strengthening incentives for investment in innovation; underlines that data protection and intellectual property rights are crucial to ensure competitiveness in the EU by incentivising innovators to develop new products and further ongoing research efforts;

Amendment

22. Welcomes the pharmaceutical package and calls for the strengthening of the European medicines market to ensure access to medicines and alleviate medicine shortages and to ensure a substansive public return on public support for R&D, notably through public ownership of intelectual property;

Amendment 63
Anja Hazekamp

Motion for a resolution
Paragraph 24

Motion for a resolution

24. Calls on the Commission to strengthen support and investment in the development of new innovative medical devices; believes that new technologies can lead to new and better treatments for NCDs;

Amendment

deleted

Amendment 64
Anja Hazekamp

Motion for a resolution
Paragraph 24 a (new)

Amendment

24 a. Stresses that its resolution on the shortage of medicines (2020/2071(INI)) calls on the Commission and the Member States to assess the possibility of creating one or more European non-profit pharmaceutical undertakings which operate in the public interest to manufacture medicinal products in order to guarantee security of supply and to prevent possible shortages of medicines in cases of emergency;

Amendment 65
Anja Hazekamp

Motion for a resolution
Paragraph 25

Motion for a resolution

25. Believes that improving knowledge and sharing of evidence-based best practices among Member States is needed to accelerate effective prevention measures and innovative practices;

Amendment

25. Believes that improving knowledge and sharing of evidence-based best practices among Member States is needed to accelerate effective prevention measures and innovative practices; underlines the crucial importance of protecting the privacy of the public and underlines that data protection and informed and active consent before their data is shared is essential;

Amendment 66
Anja Hazekamp

Motion for a resolution
Paragraph 26

Motion for a resolution

26. Calls on the Commission to establish five EU NCD partnerships: ‘beating NCDs – children’, ‘beating NCDs – young people, ‘beating NCDs – adults’, ‘beating NCDs – elderly people’ and ‘beating NCDs – vulnerable groups’; believes that such partnerships should bring together Member States and national authorities to draft roadmaps and innovative proposals to ensure effective and targeted actions against NCDs;

Amendment

deleted

Amendment 67
Anja Hazekamp

Motion for a resolution
Paragraph 27

Motion for a resolution

27. Calls on the Commission to create a European NCD Health Knowledge Centre to improve data collection and research on NCDs; stresses the need for further research in NCD co-morbidities and management;

Amendment

27. Calls on the Commission to improve data collection and research on NCDs; stresses the need for further research in NCD co-morbidities and management as well as the need for open and FAIR (findable, accessible, interoperable and reusable) data, including the promotion of a European Open Science Cloud; ;

Amendment 68
Anja Hazekamp

Motion for a resolution
Paragraph 27 a (new)

Amendment

27 a. Believes that good quality data and evidence are important and that correlating health data with social and environmental data will support the development of evidence-based and targeted policies improving health equity;

Amendment 69
Anja Hazekamp

Motion for a resolution
Paragraph 28

Motion for a resolution

28. Welcomes the Commission Expert Group on Public Health and the sub-group on NCDs; calls on the Commission to establish a European expert network for prevention and control of NCD co-morbidities and complications;

Amendment

28. Welcomes the Commission Expert Group on Public Health and the sub-group on NCDs, provided that they include patient experts in equal measures; calls on the Commission to establish a European expert network for prevention and control of NCD co-morbidities and complications, provided that they include patient experts;