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Workshop European Union European Public Health Alliance Directive on services Agnese Knabe Project coordinator European Public Health Alliance Civic Alliance – Latvia The Citizen in the centre in EU, Bratislava 25-26 November,2005. European Public Health Alliance. Presentation outline.

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European Union

European Public Health Alliance

Directive on services

Agnese Knabe

Project coordinator

European Public Health Alliance

Civic Alliance – Latvia

The Citizen in the centre in EU, Bratislava 25-26 November,2005

European Public Health Alliance

presentation outline
Presentation outline

European Union

  • History
  • Treaties
  • Institutions

Public health and the EU

european union
European Union

4 freedoms

  • free movement of goods
  • free movement of persons
  • free movement of capitals
  • free movement of services


    • Information distribution
    • Advocacy
    • Capacity building
    • Expertise on public health


European Coal and Steal Community

In 1951 in Paris 6 countries- Benelux, France, Germany, Italy signed Treaty European Coal and Steal Community with aim to establish Common Coal and Steal market within the Community member states

eu principles
EU Principles

The main principle of European Integration

  • National interests
  • Trans-national interests
  • Balance between both interests

EU enlargement


1973. Denmark, Ireland, UK

1981. Greece

1986 Portugal, Spain

1995. Finland, Austria, Sweden,

2004. 10 countries – Estonia, Latvia, Lithuania, Poland, Czech Republic, Slovakia, Slovenia, Hungary, Malta,Cyprus

The biggest enlargement on EU history. The common territory enlarged for 34% and population 105 milj.

2007. Bulgaria and Rumania

The preconditions for integration – continent of Europe, juridical, free market, democratic governing principles

eu treaties
EU Treaties

The legal base for EU

  • regulates the aim and establishment of institutions to reach theaims (like national constitutions)
  • regulates the policies of EU
  • regulates the legislation process
  • amendments
  • enlargement
eu treaties1
EU Treaties

Treaties in forcetoday

Treaty on European (Economic) Community

  • Common market establishment
  • Harmonization of common economic policies
  • Promotion of mutual economic co-operation between the member states

(trade barriers, Common customs rules, Coordination of monetary policy, Control of honest competition)

Treaty onEuropean Atomic EnergyCommunity

Development of Atomic energy under trans- national control of institutions

Treaty on European Union

The base for common foreign and security policy and for strengthening common co-operation on internal and judicial affairs between the member states.


Amsterdam (1997)

Nice (2000)


EU Institutions

  • EU Institutions
  • 4 main governing bodies
    • Parliament of EU
    • Council of Ministers
    • European Commission
    • European Court
  • 2 Consultative bodies
    • Economic and Social Committee (ECOSOC)
    • Committee of Regions
eu institutions
EU Institutions

Parliament of EU


Election procedure

Direct elections once 5 years

(since 1979 before the nationalparliamentarians directly involved in EU)

732 MEP

eu institutions1
EU Institutions

Parliament works

Plenary sessions

7 political groups

17 committees


The seats of the Parliamentarians

Population – big states

More then population – small states

eu institutions2
EU Institutions

The Competences

  • Legislation
  • Budget
  • Approval of international treaties
  • Approves the Commission
  • Monitors the Commission work
eu institutions3
EU Institutions

Council of Ministers

Ministers of member states



together with Parliament

Till 90s Council was the only institution with legislation rights but the role of Parliament has increased since that time


EU Institutions

Work of the Council

  • Approves the legislation acts initiated by The Commission.
  • The decisions is made by the permanent missions of member states (COREPERS)
    • Prepares the meetings of the ministers
    • Regulates the relations between the member states
eu institutions4
EU Institutions


To ensure the efficiency of the work of The Council of Ministers

Each country for 6 months is a Presidential role

The Competencies

  • To prepare and to lead the meetings of the Council
  • To ensure the coherence and continuity of the decisions
  • To find out the practical solutions


2006 Austria/Finland

eu institutions5
EU Institutions

European Commission

  • The executive body
  • 25 Commissionaires (one per country) (27 – rotation procedure)
  • Each country nominates the candidature
  • Parliament adopts the Commission
  • Common interests of the EU
eu institutions6
EU Institutions


  • Legislation initiation
  • Monitoring
  • Executive
  • Prepare the Budget
  • monitors the financial recourses of Structural funds
eu institutions7
EU Institutions

Directorates General

Each Commissionaire has its Directorate General

30 DG

20 000 Bureaucrats

Weekly meetings on EU policies and accepts the legal acts and political documents

eu institutions8
EU Institutions

Consultative bodies

  • ECOSOC (Economic and Social Committee)
  • Committee of Regions

(The interests of society, voice of society)


  • Gives expertise (suggestions) regarding the legal acts of the Commission, but it is just Consultative

3 groups

    • employees
    • employers
    • other

317 members elected Council for 4 years

eu institutions9
EU Institutions

Committee of Regions

To represent the regions and its people and advocate their interests

Represents the interests of local and regional authorities

(health, education, social cohesion)


What EU rights to health exist?

Article 152 of the Amsterdam Treaty states:

  • “A high level of health protection shall be ensured in the definition and implementation of all Community policies and activities”
  • But the EU must respect Member State responsibilities for organisation and delivery of health care

What EU rights to health exist?

  • “Everyone has the right of access to preventive healthcare and the right to benefit from medical treatment under the conditions established by national law and practices”

Charter of Fundamental Rights of the EU, Adopted in Nice, 12/2000


Health in the European Commission

  • DG Health and Consumer Protection (public health, food safety, animal health, monitoring of health, tobacco and alcohol policies)
  • DG Environment (chemicals, pesticides, soil, air and water pollution, bio-diversity, nature reserves)
  • DG Employment and Social Affairs (health and safety at work, combating discrimination and poverty, maternity and parental leave).
  • DG Internal Market (Recognition of professional qualifications)
  • DG Competition (approving mergers eg; Pharma companies)
  • DG Agriculture (Common Agriculture Policy)
  • DG Development (EU is the world largest source of overseas aid)
  • DG Education and Culture (sport, youth policies)

Health in the European Commission

  • DG Trade (TRIPS, GATS, access to medicines)
  • DG Research (scientific research on genomics, food safety, causes of diseases, environmental health)
  • DG Information Society (e-health applications)
  • DG Transport and Energy (energy generation, rail transport, road safety)
  • DG Enterprise (pharmaceuticals and medical devices)
  • DG Tax and Customs (excise duties on tobacco/alcohol)
  • European Medicines Evaluation Agency (EMEA) authorisation of drugs, pharmacovigilance

Health in the European Parliament


  • Environment, Public Health and Food Safety (ENVI)
  • Industry, Research and Energy (ITRE)
  • Internal Market and Consumer Protection (IMCO)
  • Employment and Social Affairs (EMPL)

Inter-group on health


The role of NGOs on health

  • Advocacy of health rights for all
  • Representation of citizen and public interest
  • Awareness raising on health and human rights issues
  • Monitoring of implementation of health rights
  • Challenging violations of health rights

The New Public Health Programme 2007- 2013

The Health part of the programme would have five key objectives

  • to protect citizens against health threats
  • to promote policies that lead to a healthier way of life;
  • to contribute to reducing the incidence of major diseases in the EU;
  • to contribute to the development of more effective and efficient health systems;
  • to support the objectives above by providing health information and analysis

Why health needs to be addressed at EU level

  • Many EU policies have an impact – direct or indirect – on the health of EU citizens
  • Implementation of internal market legislation is de-facto creating policy on health related issues
  • The European Commissioner has greater powers to promote animal welfare than to protect human health
european public health alliance
European Public Health Alliance

39-41 Rue d’Arlon

B-1000 Brussels


Tel: +32 2 230 30 56

Fax: +32 2 233 38 80