european public health alliance annual report 2010 the thalassaemia international federation (tif)...

european public health alliance

Annual Report 2010

european public health alliance AnnualReport2010

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EPHA leadership 2010 ................................................3

Message from the President ...................................4

Introduction ..................................................................5

Healthy public policy .................................................6

Keeping people healthy ...............................................6

Managing the patient journey ................................10

Creating a healthy EU environment .....................11

Global health .....................................................................13

Capacity building across Europe ........................ 14

Training events in Brussels .........................................16

Membership and governance ..............................17

Report from the Treasurer .................................... 18

List of members 2010 ............................................. 21

EPHA Secretariat ....................................................... 25

Table of Contents

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Ivana SilvaPharmaceutical Group of the European Union – PGEU (until May 2010)

Radu SilveanuRomtens Foundation (Romania) (until January 2010)

Wim VandeveldeEuropean AIDS Treatment Group – EATG

Stefania Del ZottoThe European Federation of National Organisations working with the Homeless – FEANTSA (until October 2010)

EPHA leadership 2010

Welcome to EPHA’s 2010 annual report, an overview of what EPHA has accomplished during the year and, once again, it is an impressive list of achievements.

Internally, the major activity was the development of EPHA’s five-year strategy, which was developed in the Secretariat and the Executive Committee, circulated and dis-cussed with the members in PCMs and the Annual General Assembly (AGA) in June, updated following these discussions, and finally adopted by an electronic vote in De-cember, along with the 2011 budget and business plan. The strategy should have been finally discussed and approved in the extraordinary GA in December but the plan to hold this in conjunction with the EUPHA Public Health Conference in Amsterdam had to be abandoned due to lack of participants. These events gave rise to two discussions that will take place in 2011; EPHA’s role in and interaction with the public health com-munity, and the increased use of electronic decision-making: is this compatible with EPHA’s governing style of membership involvement in decision-making.

The membership is the foundation of EPHA’s activities; everything that is done is done for, with or on behalf of the membership (full list of members on pages 20-21). In 2010, we gained 5 new members. There is a constant turnover of members as priorities change and the pressures of the financial crisis have continued to be felt by many NGOs, but the value of membership of EPHA is recognized and there was again a net gain in membership in 2010. One member who left for financial reasons applied to re-join. EPHA continues to be the largest, broadest and fastest growing network of NGOs working in the field of public health in a European context, an area of increasing impor-tance to all sectors of society.

Amongst its many policy priorities in 2010, EPHA continued to focus on health inequali-ties, the only achievable way of advancing public health for all EU citizens. The Euro-pean Charter for Health Equity was officially launched on 9 December 2010 in the European Parliament and was opened for signature until the end of March 2011.

The Treasurer’s report on page 18 outlines EPHA a more stable financial situation and the steps EPHA continues to take, to try to break the cycle of plenty and penury that has been our history. The continuation of the EU operating grant in 2010 permitted EPHA to work on a more secure base. We are very grateful to DG SANCO for this support and their recognition of the value of the work that EPHA is doing.

The report sets out the remarkable range of activities undertaken to achieve this recog-nition, under the leadership of the Secretary General, Monika Kosińska and the strong staff team she has built up. I wish to thank them for their work and dedication, as well as the members of the Executive Committee for their devoted work during the year. Unfortunately we lost three members during year Stephania Del Zotto, Ivana Silva and Radu Silvaneau for reasons related to their professional activities but welcomed in their place Snjezana Ivčić of the Croatian Coalition of Associations of Healthcare, Paul Belcher of the Royal College of Physicians of London (RCP London) and Androulla Eleftheriou, from the Thalassaemia International Federation (TIF) Cyprus.

EPHA Executive Committee 2010

President

Archie TurnbullAction on Smoking and Health (UK)

Treasurer

Günther SchulzInternational Federation of Anthroposophic Medical Associations - IVAA

Members

Message from the President

Archie TurnbullEPHA President

Paul BelcherRoyal College of Physicians (from December 2010)

Christopher BirtAssociation of Public Health Schools in Europe (ASPHER)

Androulla EleftheriouThalassaemia International Federation (TIF) (from June 2010)

Snjezana IvčićCoalition of Associations of Healthcare (KUZ-CAH)

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Keeping people healthy

EPHA identified a number of priority areas for work in 2010 under its ‘keeping people healthy’ strand of the Work Pro-gramme 2006-2010. The Secretariat continued its close monitoring of EU developments on health determinants with work focussing on health inequalities, particularly with the launch of the European Charter for Health Equity.

Health equityThere are dramatic and growing differences in the health status of people living in Europe, between and within coun-tries – differences closely linked to socio-economic status. Poverty, social exclusion and discrimination are key factors in explaining poorer levels of health between groups and countries in Europe. What people eat, whether they drink or smoke is determined by their social condition. In other words, being healthy (or not) is not an individual choice but primarily a result of the conditions in which people are born, grow up, live, work and age. It is not an exaggeration to state that the epidemic of non-communicable diseases now emerging will primarily affect people with a more de-prived socio-economic background.

EPHA increased and strengthened its work on health in-equalities in 2010, under the auspice of the European Year for Combating Poverty and Social Exclusion. EPHA joined forces with other social policy organisations in the EY2010 NGO Coalition in work towards the EU flagship ini-tiative ‘EU Platform against Poverty and Social Exclusion’ by bringing in public health and health inequalities. EPHA was also present at the EP and EESC 3rd Agora on Crises and Poverty and at the high level events organised on health inequalities under the Belgian Presidency of the EU.

In close collaboration with its membership, EPHA contrib-uted to the EP own-initiative report ‘Reducing health in-equalities in the EU’, the European consultations and discus-sions on equity, press activity as well as organising a parallel workshop during the Annual European Public Health Conference held in the Netherlands in November 2010, on the topic of ‘Reducing health inequalities for children living in Europe’.

EPHA contributed to the European Social Watch Report 2010 ‘Time for action: responding to poverty, social exclusion and inequality in Europe and beyond’ on the topic of ‘Access to healthcare services in the EU’.

In preparation for the Second European Summit on Roma Inclusion, EPHA prepared a briefing paper and policy recommendations aimed at stimulating action to improve Roma health. EPHA’s presence at the summit ena-bled it to build relationships with other organisations work-ing on Roma health, work on which will continue in the coming years.

The highlight of the year in 2010 in EPHA’s work on health equity was a launch of the European Charter for Health Equity in December during a special event in collaboration with Members of the European Parliament organized in the European Parliament.

The Charter was created with a purpose to call for action from civil society to all relevant stakeholders and in particu-lar decision makers, relevant governmental and civil soci-ety partner organisations to protect and promote people’s health by acting on health inequalities between and with-in countries in Europe. The Charter has twin objectives: first of all to increase awareness and stimulate actions that con-tribute to the improvement of health and well-being for all, and secondly to reduce unfair and avoidable inequalities in health.

Through the Charter, the commitment to the values of well-being, solidarity, social justice, promotion of fundamental human rights and gender equity are reaffirmed. Once more, the principle of the enjoyment of the highest attainable standard of health as one of the fundamental rights of every human being is highlighted here.

Healthy public policyIntroduction

2010 was an unusual year for Brussels and for EPHA. The delay in the start of the College of Commissioners led to an overall delay to the policy year – and a subsequent attempt to undertake 12 months of policy in 7 months. Not only did health policy acquire a new Commissioner with Maltese John Dalli, but the health Directorate also changed leader-ship with a new Director General in Paola Testori-Coggi. The political and personnel changes impacted on the priorities and ways of working for the Commission, which had a subsequent impact on EPHA’s own work. We have been fortunate to have a long history of a good working relationship with the European Commission and we hope to continue this good relationship into the new administration.

EPHA itself was able to significantly consolidate and increase the impact of its work in 2010, as you can see in the detailed sections of our activities during the year through-out this report. The operating grant from the European Commission increased from the previous years – more details are available in the financial report on page 18 – and the effects were visible in the increase in activities both in advocacy and capacity building. A highlight of the year was progress on agricultural policy – a culmination of decades of work amongst public health partners – and this was in no small part to the strong and sustained work of the European Public Health and Agriculture Consortium, of which EPHA is a member. The launch of the Charter for Health Equity in December 2010 was another high point, and this work will continue in earnest in 2011 and the year ahead to tackle health inequalities effectively both within and between European countries.

The stability and low staff turnover this year allowed us to strengthen our work par-ticularly in health inequalities and health in all policies. We were able to build stronger relationships with our members and external partners, both in Brussels and at national level, and our presence in the European Parliament was highly visible with a number of high profile events. None of this work would have been possible without the continued support and input from our members and I would like to especially thank the regular participants in our Policy Coordination Meetings and thematic Working Groups for their expertise and considerable contributions to the development of EPHA policy positions.

As in 2009 I am particularly pleased with the work and successes EPHA has been able to achieve in its capacity building activities in 2010. In order to achieve effective policy changes, and strengthen public health in Europe, we need to mobilise partners from across the health community both sectorally and geographically. We continued the Pro-fessional Development Programme started in 2008, with 13 participants in the full pro-gramme and an additional 5 participants on an ad-hoc basis throughout the year from our members. In 2010 we continued our work in Central and Eastern Europe – more information is available on page 11 – with successes being recorded particularly in Po-land where we are implementing our capacity building recommendations from 2008.

Finally I would like to thank EPHA’s staff for all their hard work and success in 2010. Their continued commitment to achieve our organizational priorities and goals, as well as to support our members and increase our impact was crucial to our achievements.

Monika KosińskaSecretary General

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Obesity needs to be tackled across various policy areas and demands a cross-cutting policy development approach – both of which have been missing. Following the outcomes of the evaluation, the mandate of the platform was contin-ued and EPHA participated in the establishment of its re-newed objectives.

Finally, EPHA actively participated in the EFSA Stakehold-ers’ Consultative Platform as well as in the Commission High Level Group meetings on the Better Functioning of the Food Supply Chain during the year.

Agriculture EPHA increased its work on the Common Agricultural Policy (CAP) as a driver of good and sustainable food and good health, by continued joint activities with the European Public Health and Agriculture Consortium (EPHAC).

Diet, food and nutrition2010 was a crucial year for food and nutrition policy. After a delay in 2009, the European Parliament and the Council issued their opinions on the Food Information to Con-sumers proposal for a Regulation. Despite the activities of EPHA and its members and partners, the European Parlia-ment plenary failed to protect the health of Europe’s most vulnerable through clear food labelling, although by a small margin. The text will now go back to the European Parlia-ment for its second reading in July 2011.

The debate in the European Parliament on food labelling was also linked to the question of nutrient profiles– a file that EPHA continued to monitor closely, given that the es-tablishment of nutrient profiles is an essential step for the responsible marketing of food products. EPHA advocated in the European Parliament for the maintenance of nutri-ent profiles in the framework of the Health and Nutrition Claims regulation and applauded the MEPs that secured the vote on this element. EPHA continued to be very active in the EU Platform for Action on Diet, Physical Activity and Health. EPHA or-ganised meetings prior to each plenary to allow for a strong, coordinated NGO voice. Several EPHA members such as the European Heart Network, the European Federation of the Associations of Dieticians and the European Region of the International Diabetes Federation participated. EPHA participated in the platform evaluation during the year, and in particular evaluating whether it was a sufficient tool to reduce obesity in Europe or whether it has prevent-ed stronger legislative action in the area.

AlcoholIn 2010, EPHA raised its work on alcohol-related issues. EPHA contributed to an article published in the Royal Col-lege of Physician’s journal Clinical Medicine (which can be viewed online here) as well as sending an open letter to the UK Government in support of the Scottish govern-ment intention to introduce minimum pricing.

EPHA was an active participant during the European Alco-hol and Health Forum as well as other alcohol-related fora. Prior to each Platform meeting, EPHA co-chaired together with its member Eurocare – the European network leading on alcohol policy - the alcohol policy coordination meet-ings of participating non-governmental organisations from across the spectrum of those working on alcohol issues.

EPHA also worked with Eurocare on the Philippe Juvin MEP’s own initiative report on the impact of advertising on consumer behaviour. The Report aimed to protect con-sumers from intrusive online advertising, including alcohol advertising. Despite support from NGOs and public health actors, as well as concerted joint efforts from EPHA and Eu-rocare, the references on alcohol were not included in the final draft.

EPHA sent an open letter to the President of the Europe-an Council, Mr Herman Van Rompuy, following an article that was published online in theparliament.com in October, as a follow-up to his comments promoting beer consump-tion. Following the Open Letter, Monika Kosińska, EPHA Secretary General, contributed an article for the Parliament Magazine’s special edition on alcohol, where Eurocare’s Mariann Skar was also a contributor. Mental healthIn 2010 EPHA continued to monitor the European Pact for Mental Health and Well-being and provide information on the main issues and developments. In close collabora-tion with its members, EPHA contributed to the EP own initiative report on ‘Alzheimer disease and other dementias’. One of the capacity building training seminars in Hungary was dedicated to mental health issues. More work and an increase in positioning and advocacy on mental health is-sues are foreseen in 2011 with the evaluation of the Euro-pean Pact for Mental Health as one of the main activities.

The Charter calls relevant stakeholders to act, promote, pre-vent and prioritise:

• Early Child Development as the best start in life through buildup of health gains, resilience and optimal develop-ment;

• Continuous investment in all children, young people and adults to make the most of their potential, control their present and future lives, and to maintain early life health gains;

• Fair and Full Employment and good working conditions for all as a protection for people’s health and well-being;

• A Healthy Standard of daily living for all as health ine-qualities arise when opportunities for a healthy life are missed due to insufficient means to do so;

• Healthy, cohesive and sustainable places and communi-ties as an environmental and social determinant of peo-ple’s health and well-being;

• Full recognition of the added-value of cost-effective ill-health prevention and health promotion. This being performed in active and conscious involvement and collaboration between health and non-health sectors.

The European Charter for Health Equity gives several areas for action – actions that will be transformed into policy rec-ommendations for decision makers in 2011 when this work will be taken further.

The Dahlgren and Whitehead modelof the social determinants of health

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EPHA continued, throughout 2010, to advocate for the pro-vision of information to be regulated to ensure its accuracy, quality and appropriateness. After close collaboration with members the EPHA consolidated position on Information to Patients was finalised in September 2010.

Health LiteracyThe issue of health literacy is of growing importance at European level. EPHA followed the topic throughout 2010. In June EPHA’s Director for Policy and Strategy Luiza Bara spoke at an event organised on the topic in the European Parliament by Antoniya Parvanova MEP and Pat the Cope Gallagher MEP.

She presented EPHA’s position on the matter, emphasising that health literacy is a valid public health goal, and an ob-jective of health promotion activities which may empower individuals and contribute to improved lifestyle choices, but emphasised that this cannot be seen as independent from the need to provide health-supporting environments, which tackle the social determinants of health.

Managing the patient journey

Patient RightsIn 2010 EPHA continued its work from previous years, ad-vocating for the provision of safe and effective health care and medicines for European patients, which included fol-lowing the Patient Rights Directive in the legislative proc-ess. EPHA also supported a written declaration in the European Parliament supporting the establishment of a Patient Rights Day.

Patient Safety (Pharmacovigilance, Falsified Medicines)2010 saw the approval of the proposal for a directive and a regulation on pharmacovigilance (part of the ‘Pharma-ceutical Package’) by the Council of the EU and the Euro-pean Parliament. The directive and regulation aimed to im-prove the safety of medicines for the European population. EPHA consistently advocated for stringent reporting and a user-friendly system.

Another part of the Pharmaceutical Package, the ‘Falsified medicines directive’, was discussed in the Committees of the European Parliament, where EPHA followed the discus-sions closely as the dossier moved towards being voted upon in the Plenary in 2011. Following the development of the EPHA position on this file in 2009, EPHA continued to advocate for its key messages in 2010, including patient safety and fight against health inequalities in terms of ac-cess to, safety of and price of medicines.

Information to Patients on Prescription Only Medicines2010 saw a number of debates on the draft proposal for a directive on Information to Patients on prescription only medicines. Building on its position developed in the previ-ous years, EPHA continued opposing the proposed wording of the legislative proposal and focused on the possibility to achieve a reassessment of this directive. EPHA monitored the developments in the European Parliament on the file, but focused on the preparation of a consolidated text, that could constitute a constructive basis for renewed work in this area. The EP report released in 2010 was more positive for public health than the original Commission proposal, however concerns remain about it.

In June, EPHA and its member, the Royal College of Phy-sicians (RCP) joined forces to co-organise a policy debate in the European Parliament. Marking the European launch of RCP’s report, “Passive Smoking and Children”, the event was hosted by Marina Yannakoudakis MEP (UK, ECR) and Theodoros Skylakakis MEP (Greece, EPP).

EPHA responded, under the leadership of its tobacco ex-pert members, to the Products Directive Consultation and supported all members to respond, based on a tem-plate developed by the Smoke Free Partnership and the European Network of Smoking Prevention.

EnvironmentEPHA continued to support the work of the Health and En-vironmental Alliance (HEAL) in 2010, with Secretary General, Monika Kosińska, being re-elected to the HEAL Executive Committee in September.

Chronic diseasesChronic non-communicable diseases are increasingly present on top of the EU agenda and were also a prior-ity for EPHA in 2010. EPHA closely follows the Institutions’ communication on the issue and regularly attends related meetings. Amongst others, EPHA attended the European Partnership for Action against Cancer meetings and all meetings organised by the MEPs Against Cancer Group. EPHA also closely followed the European Parliament re-port on European Action Against Cancer, lead by Alojz Pe-terle MEP, and provided input from a public health per-spective, which was fully taken into account by the MEPs during the adoption of the report.

Finally, EPHA participated in the Belgian Presidency event on chronic disease in October, on the panel during the pre-conference organised by EPHA member the European Respiratory Society as well as during the Ministerial con-ference itself.

EPHAC continued to work on the implementation of School Fruit Scheme (EU SFS) in its first full year, focusing on working with the Commission to ensure that an expert group was established to guide the monitoring and evalua-tion of the EU SFS. In addition EPHA and EPHAC contributed to the recent commission proposal for the Most Deprived Persons Scheme (MDP), which includes developing nutri-tional criteria for foods sourced and allows fruit and vegeta-bles into the scheme for the first time.

Considerable progress was made by EPHAC during 2010 in bringing public health into the debate on the future of the Common Agriculture Policy. EPHAC focussed on the reform of the post- 2013 CAP. In April, Commissioner Cio-los launched a public debate on the future of the CAP to involve European citizens and stakeholders in identifying priorities for a new CAP. The public debate was followed by a summing up conference “The CAP post 2013” where EPHAC spoke on quality, diversity and health. The outcome was an inclusion of the burden of chronic disease and inequalities in diet in the conclusions of the conference.

EPHA and its members played a greater role in EPHAC events this year. EPHA participated in meetings with the Commis-sion and the European Parliament, highlighting the impor-tance of the Common Agriculture Policy in improving Eu-ropeans diet and increased coherence with public health policy. EPHA organised the seminar “Towards a healthier, more sustainable CAP – challenges and opportunities in Poland” in cooperation with EPHAC and Warsaw University of Life Sci-ences. The seminar brought together stakeholders from a variety of sectors to discuss how European and in particular Polish agriculture can contribute to public health outcomes.

TobaccoEPHA closely followed national developments on smoke free policies and environments in 2010. Open letters sup-porting proposed smoke free initiatives were sent to the Polish and Spanish governments.

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Health workforceRapid changes in demographics in Europe bring challeng-es for a sustainable EU health workforce, while responses to changing disease patterns need to be planned and in-tegrated without resulting in any long-term shortages in workforce whether in the EU or developing countries. Cur-rent EU practices of recruiting health professionals from some European countries and the developing world to fill gaps in the workforce in other areas of Europe is unsustain-able. The key EU solutions are therefore to plan the work-force, implement recruitment and retention strategies and develop a well-educated and motivated workforce.

EPHA member EFN (the European Federation of Nurses Associations) collaborated with EPHA in order to contrib-ute to a continued debate on health professionals’ chal-lenges in the EU. Building on the conclusions of the EU green paper on EU Workforce for Health, EPHA and EFN provided input to the Belgian Presidency of the Council on their Conclusions on the health workforce, as well as supporting a Written Declaration in the European Par-liament on the matter, which gathered signatures from almost 200 MEPs.

EFN and EPHA also organized an event in the European Parliament, hosted by Oana Elena Antonescu MEP, Jean Lambert MEP, Antonyia Parvanova MEP and Marc Tarabella MEP. The event examined the extent of the chal-lenge common for all European countries by bringing in personal testimonies of health professionals and patients from several European Member States. The personal testi-monies were followed by a discussion with EU representa-tives and civil society organisations.

Creating a healthy EU environment

After the election of the new Parliament in June 2009, EPHA monitored the selection and the appointment of the new College of Commissioners. EPHA worked to support the European Parliament in its public health questioning of the new Commissioners and particularly Commissioners Dalli, Ciolos, and Peilsbag.

EU 2020 StrategyEPHA led the work of the EU Health Policy Forum on the “Europe 2020 Strategy,” including a presentation of this work by Monika Kosińska to the Council High Level Working Party on Health and closely followed the its adoption and negotiations between the Council and the Parliament. The overarching strategy for the Union for the next ten years will have a big impact on health. As the seven flagship initia-tives were unveiled, EPHA analysed what the impact would be for health and social policy including developing brief-ings for the “Digital Agenda,” the “Innovation Union,” “New Skills for New Jobs,” and the “Poverty Platform.” These pro-posals will have an impact on eHealth, health research, the health workforce, and health inequalities as well as overall population health.

EPHA as the Secretariat for the EU Health Policy Forum led the initiative to adopt the Open Health Forum 2010 Call to Action. For all of the flagship initiatives of the Europe 2020 Strategy proposals, health has a significant role to play. The EU 2020 headline targets and objectives will not be achieved without healthier Europeans, which means improved health outcomes and reduction in health inequalities. This is par-ticularly important in time of economic recession, to ensure the recovery is sustainable, inclusive and meaningful for all citizens. The participants of the 2010 Open Health Forum noted the importance of each of these developments for the future of health development in and beyond the EU, including the Together for Health strategy.

Stakeholder engagementIn order to deliver ‘Health in All Policies’, there is a need for the commitment and engagement of a broad range of stakeholders both within and outside of the healthcare sec-tor. Health is complex, and we need complex solutions to today’s health challenges, involving the full range of actors from governments, to businesses, to grassroots organisa-tions and representatives. Schools, employers, businesses, youth clubs, and citizens themselves need to take owner-ship of delivering good health outcomes in order to deliver a holistic approach and achieve better results. For this rea-son EPHA organised a workshop during the Open Health Forum in order to explore the involvement of non-health stakeholders in delivering public health.

In 2010, EPHA also continued its active involvement in the meetings of the Steering Group of the Civil Society Con-tact Group (CSCG) and addressed in this framework the is-sues of the European Citizen’s Initiative, as well as that of civil dialogue versus stakeholder engagement.

Economic policyEPHA continued its work on the economic structures that influence health, in particular better regulation. EPHA sub-mitted a response to the European Commission consulta-tion on smart regulation and disseminated its position to relevant institutional and civil society partners.

As part of the work of the Civil Society Contact Group, EPHA sent a letter on better regulation to President Barroso. The Smoke Free Partnership and EPHA organised an event in the European Parliament entitled ‘EU Better Regula-tion: from economic to citizen-centric?’ hosted by Arlene Mc-Carthy MEP.

EPHA continued its work on monitoring the economic crisis and recovery plans and developed a policy dossier on the social impact of the financial crisis.

Health and the EU financial frameworkIn 2010 EPHA increased its work on supporting the Pub-lic Health Programme in the future Multi-annual Financial Framework. As a beneficiary of the programme, EPHA and many of its members are aware first hand of the impor-tant role this places in ensuring a continued public health voice and presence, as well as fostering initiatives and ideas from across the EU. In addition to this, the public health programme and its very small budget within the total EU expenditure is an important political recognition of health and public health at European level. Despite the consist-ent reports that health is a central concern to EU citizens, European political leaders fail to show their understand-ing of this through support to the health policies and pro-grammes at EU level.

EPHA developed a briefing on the Public Health Programme and hosted a working group with its members on the topic. EPHA took part in the Civil Society Contact Group working group on the budget and met with a representative from the Secretariat-General of the Commission on the budget review, and it also provided input into the CSCG statement on the same issue. EPHA also worked through the Social Platform`s Social Policy Working Group on the Multi-annual Financial Framework.

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Capacity building across Europe

Global health

The year saw Global Health assume a higher profile on the EU policy Agenda. The Spanish Presidency of the EU showed its support to global health, culminating in the ‘Communication on the EU’s role in Global Health’. This led to conclusions on the topic from both the Council of Ministers and the European Council, as well as a resolution of the Eu-ropean Parliament.

The year also saw continued progress in the Action for Global Health (AfGH) Project, both in terms of delivery of the project milestones and in terms of the input given to the European policy process on global health. The year began for AfGH with the organisation of a cross-Europe conference where Andris Piebalgs gave his first speech as Development Commissioner to the European Parliament, using the opportunity to strongly support the universal right to health.

AFGH also produced a policy report – 2010 Reality Check that outlined how time is running out to achieve the health mil-lennium development goals. The publication was part of the contributions the network made to preparations for the UN summit on the MDGs on their tenth anniversary in New York in September.

The EU position defined for this summit was based on the Conclusions adopted by the Foreign Affairs formation of the Council of Ministers and the European Council in response to the Commission Communication on the EU Role in Global Health. Input to this process saw both EPHA and AfGH ac-tive, with position papers and presentations to the Council.

Following these developments the Commission organised a high level meeting on Global Health with a focus on how the agreed principles on the EU’s role in Global Health may be advanced in practice.

EPHA and AfGH have supported the Commission through-out the year with contributions to the monthly Global Health Policy Forum, including co-chairing sessions and providing speakers and other contributions to this lively monthly gathering.

EPHA oversaw the production for AfGH of a tool tracking EU Member State support for Global Health and an online guide for Global Health.

In addition to the contributions to AfGH, EPHA’s work on Global Health continued to include activities on TRIPs provisions in trade negotiations and access to medicines. Other policy coherence work included bringing the health dimension to the Concord Working Group on Policy Coher-ence for Development.

Global health and climate changeEPHA produced a briefing on the link between Global Health and Climate Change and monitored work being done on the European and International level on this issue in the lead up to the COP 16 summit on Climate Change held in Cancun at the end of 2010.

Global health and tradeEPHA submitted a response to the European Commis-sion’s consultation on Global Health and Trade and dissemi-nated the paper and response. EPHA also followed develop-ments on the impact of trade on access to medicines, as well as the impact of the illicit trade in tobacco on public health.

EPHA also facilitated the session on agriculture and health and Monika Kosińska participated as a speaker during the session ‘Researchers are from Mars, policy-makers are from Ve-nus’, organised by EUPHA.

Advocacy and communicationThe objective of the first workshop was to explore the role, importance and methods for advocacy and communication in delivering good public health. It included case studies and recommendations for researchers, practitioners and ad-vocates. Led by EPHA Secretary General Monika Kosińska – who drew on her extensive advocacy and public affairs experience gained in Brussels and the UK - the workshop stressed the importance of developing and ‘personalising’ professional advocacy and communication skills in order to bring about change in the politically sensitive European policy-making environment. Many public health and NGO professionals know their organisational messages and stra-tegic aims, however they fail to seize the ‘right’ opportuni-ties for communicating these or deliver them ineptly.

Reducing health inequalities for children living in EuropeThe objective of the second workshop was to identify the main health challenges faced by children and adolescents – a population group which is particularly affected by health inequalities given that virtually aspect of human develop-ment is defined very early in life – and to determine the best way forward for promoting child-friendly policies and strategies at EU and national levels. The focus was on the in-terrelationships between the social determinants of health, especially poverty, and health inequalities. The seminar was designed for public health practitioners, educators, scien-tists, policy-makers and all others interested in children’s health issues and the impact of EU policies. The example of Roma children in Macedonia stimulated a discussion about how multiple discrimination and social exclusion have a profound negative impact on children’s physical and men-tal health, and cognitive development.

In 2010, EPHA reinforced and diversified its capacity build-ing work both in Brussels and in Central and Eastern Euro-pean (CEE) countries. An internal ‘capacity building task-force’ was created which allowed EPHA to strategically plan, organise and implement tailored events for the benefit of its members and other target groups. This aspect of EPHA’s work comprises a number of different activities, including training workshops, seminars and conferences combined with field visits, but also member-specific outreach activi-ties and the Professional Development Programme. The lat-ter is now in its third year and offers newcomers to Brussels the opportunity to acquire ‘hands-on’ know-how of pub-lic health advocacy and communication skills relevant to working with the European institutions.

European public health communityOnce again EPHA organised two workshops during the 3rd European Public Health Conference in Amsterdam, co-organised by EPHA member the Association of Schools of Public Health in the European Region (ASPHER) and the European Public Health Association (EUPHA), which took place on 10-13 November. This year’s theme was ‘Integrated health’ and EPHA organised the following workshops:

• Advocacy and communication (pre-Conference work-shop)

• Reducing health inequalities of children living in Europe

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Central and Eastern EuropeThroughout 2010, EPHA intensified its advocacy effort in Central and Eastern Europe by refining its tried and tested country-by-country approach.

In Poland EPHA carried on its work by co-organising a semi-nar and field visit on 18-19 November in Warsaw. The semi-nar entitled ‘Towards a healthier, more sustainable Common Agricultural Policy (CAP) – challenges and opportunities in Po-land’ was offered in conjunction with the European Public Health and Agriculture Consortium (EPHAC) and hosted by the Warsaw University of Life Sciences. It addressed one of the largest EU challenges to health, namely the cur-rent “detached” approach towards agriculture.

As one of the larger Member States whose economy re-mains strongly dependent on agriculture, Poland has the potential to shape the future CAP, ensure sustainable rural development, healthy agriculture outcomes and a good level of engagement between consumers and producers. The seminar brought together academic, NGO and public sector representatives to debate the contribution of Euro-pean - and especially Polish - agriculture to public health outcomes, as well as to highlight the importance of build-ing coalitions. The field visit presented the work of one of the Warsaw schools participating in the EC-supported School Fruit Programme. The event coincided with the European Commission Communication, ‘The CAP to-wards 2020: Meeting the food, natural resources and territorial challenges of the future’.

Moreover, on 23 February EPHA organised a Roundtable on the engagement of Polish civil society in public health advoca-cy. The purpose of this event was to discuss the level, struc-ture, challenges and opportunities of this engagement.

EPHA joined forces with ASPHER in Hungary, the second focal point of EPHA’s activity. On 18-19 May, they co-organ-ised a two-day event hosted by the University of Debrecen’s Faculty of Public Health. Day 1 focused on structural and economic issues impacting on health, civil engagement and social cohesion whereas day 2 focused on Hungarian public health education and the value of introducing a Eu-ropean system of competencies promoted by ASPHER.

In September, EPHA also took part in a networking visit or-ganised by our partner the Social Platform to glean addi-tional knowledge about the state of Hungarian civil society. A field visit took EPHA to a support centre for Budapest’s LGBT community. This was followed by a conference in the Council of Europe’s ’European Youth Centre Budapest’ where discussions centred on the impact of European poli-cies (e.g., EU2020) on Hungary, and how social policy can be influenced by civil society.

EPHA attended the European Patients’ Forum Autumn Regional Advocacy Seminar for Patient Leaders in Budapest (25-26 October) where it contributed to discussions on pa-tient involvement in health-related policies at EU level, as well as on the benefits of putting in place intergenerational networks.

EPHA was also active in Slovenia, where it co-organised an international conference, ‘Building Public Health Dialogue and the Role of Health NGOs in the Republic of Slovenia and the EU’ on 26-27 March, together with EPHA member the Slov-enian Coalition for Tobacco Control (SCTC). This event helped support the thematic ‘NGOs Protect Our Health’ net-work coordinated by the SCTC, which highlights the most common risk factors of morbidity and mortality and strives to foster public health dialogue between NGOs, govern-ment officials, academics and other stakeholders.

At the end of the year, on 25-26 November 2010, EPHA took part in another Social Platform networking visit, this time to Latvia, which focused on the social impact of the ongo-ing economic and financial crisis on people and civil society organisations. EPHA chaired a workshop on the effects of the crisis on fundamental rights which stimulated a number of policy recommendations that were brought to Latvian government officials.

Training events in Brussels

‘’A Taste of Europe’’On 22-23 February 2010 a group of health professionals from 6 different EU member states joined EPHA for a two-day training session on European health policy. The content of the workshops was wide-ranging. EPHA’s Secretary Gen-eral Monika Kosińska introduced the group to the signifi-cance of health in the EU and the importance of advocating at European level. She also explained the EU2020 strategy and the framework and context this provides for decision-making. In a number of additional workshops led by EPHA team members participants received practical advice on advocating to MEPs and representatives of the European Institutions. The event also allowed participants to network with other civil society representatives in Brussels and learn more about how EPHA works as an organisation.

Campaigning Methods and ToolsA “Master Class on Campaigning Methods and Tools” was of-fered as part of the EPHA Annual General Assembly on 18 June. The Master Class included a presentation from Dr. Paulo Moreira of the European Centre for Diseases Control (ECDC) on ’’Communicating Health’’ and four case studies by EPHA member organisations to demonstrate how they led their advocacy campaigns. The presentations allowed the participants to identify common challenges, common solutions and effective tools.

The following EPHA members participated:

• The European Federation of Nurses Association (EFN) demonstrated its campaign on needlestick and other sharp injuries;

• The Federation of Associations working with the Homeless (FEANTSA) presented the ‘’End Homeless-ness’’ campaign;

• The European Heart Network explained the approach to the European Heart Health Charter; and

• Health Action International Europe reported on the Lat-in American and Caribbean Global Alliance on Access to Medicines.

Professional Development ProgrammeEPHA continued its first comprehensive Professional De-velopment Programme (PDP) launched in October 2009. Five interactive Master Classes were offered before the first cohort successfully ‘graduated’ in the summer. This was

followed by another intake of 13 talented young health professionals based in Brussels and in other EU countries. Advocacy and communication is the overarching theme that ties together the induction week (composed of a se-ries of introductory presentations, role plays, visits to the EU institutions, etc.) and the ongoing (until June 2011) Master Classes, provided by internal and external experts, each touching on a different piece of the EU puzzle. EPHA de-signed the PDP as an opportunity for newcomers to Brus-sels to obtain an introduction to the workings of the Eu-ropean Union and to develop their professional networks.

Among other benefits, the PDP allows participants to:

• Engage with key actors in public health policy making at the EU level;

• Learn about advocacy, communication and the Euro-pean Union;

• Visit the European institutions; • Develop social and professional networking skills; • Practice presentation and public speaking skills; • Improve communication skills; • Meet their peers; • Build a social network.

The Secretariat would like to thank all Spring Programme, PDP and Master Class students for their active participation and views on the public health and NGO sectors. EPHA will closely follow the progress of all participants in the hope that they have acquired the necessary skills to pursue long-term careers in their chosen fields, and that the programme has contributed to the sustainability of the sector. The third PDP intake will take place in October 2011.

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Governance reviewSubsequent to the internal governance work undertaken in 2009, which resulted in a report adopted by the AGA, EPHA President Archie Turnbull chaired the newly created Governance Working Group (GWG), which was formed in response to the report’s recommendations and met for the first time in February. In 2010 the GWG convened 6 times by teleconference in order to embark on a thorough and comprehensive review of EPHA’s internal procedures and documents, including the Statutes and Internal Rules (by-laws). Its recommendations and revisions will be presented to the membership at the AGA in April 2011, and a Govern-ance Handbook will be published in the summer of 2011 that assembles all of EPHA’s governance-related documents and procedures pertaining to organisational structure, membership benefits and obligations, policy development, conflict of interest, etc. The GWG is composed of the follow-ing EPHA members:

• Archie Turnbull, EPHA President • Joanne Vincenten, former EPHA President • Mariann Skar, Secretary General,

European Alcohol Policy Alliance • Stephen Gordon, General Secretary,

European Central Council of Homeopaths • Susanne Logstrup, Director, European Heart Network • Catherine Hartmann, former Executive Director,

European Association of Hospital Pharmacists (until June) • Stefania Del Zotto, Policy Officer, European Federation

of National Organisations Working with the Homeless (until September)

New membersFollowing approval from the General Assembly, EPHA is delighted to announce the following members who joined EPHA in 2010:

• Association Net+/Udruga Pet+ • Dachverband Komplementärmedizin • European Association of Senior Hospital Physicians • European Hematology Association • Polish Society for Health Programs

On behalf of its membership, Executive Committee and Secretariat, EPHA warmly welcomes its new members and looks forward to a mutually beneficial and successful col-laboration in 2011.

EPHA is the largest network of European NGOs working in the field of public health. Our membership combines health professionals, patients, disease-specific groups, re-gional authorities and many more to provide the broadest possible level of knowledge and experience. EPHA’s mem-bership goes beyond the borders of the European Union, with members in Russia and neighbouring countries, Israel and the Balkans.

Annual General Assembly Following the model used in the previous year, EPHA’s 2010 Annual General Assembly (AGA) was held over two days on 17-18 June at the Hotel Martin’s Central Park in Brussels. The event was divided into four parts – the internal busi-ness part including elections, the Annual Policy Coordi-nation Meeting (ACPM), a Masterclass, and a public event open to non-EPHA members. As usual, the meetings were attended by about one third of EPHA members, as well as by external partners and stakeholders including MEPs, Eu-ropean Commission representatives, journalists and health and non-health non-governmental organisations.

A symposium entitled ‘What is Public Health?’ explored the status quo of public health in Europe and constituted the public part of the AGA. The symposium featured a panel discussion with high level speakers such as Joseph Rowntree Visionary Geoff Tansey, Jim Murray (former Director, European Consumers Federation), Anne-So-phie Parent (Director, AGE), and European Commission representatives from DG SANCO, DG INFSO, and DG RE-SEARCH. The aim was to provide the AGA with a multifac-eted overview of the main challenges facing Europe today and the responses to these by stakeholders representing different sectors. Issues such as climate change, food se-curity, demographic changes and new technologies exert a major impact on health systems and health outcomes. The debate was split into two sessions, the first to highlight some major challenges and the second to show how EU policies attempt to address these. This generated a lively debate moderated by EPHA Secretary General, Monika Kosińska.

The Masterclass on ‘Campaigning Methods and Tools’ pro-vided EPHA members with a chance to present examples of successful past and ongoing advocacy campaigns by way of an interactive peer learning session. The ACPM was a rewarding discussion forum for the joint setting of EPHA’s priorities for the 2011-2015 Strategic Aims.

Membership and governance Report from the Treasurer

With the year 2010, EPHA’s financial situation strengthened and consolidated primarily due to a larger operating grant from the European Commission, at the rate of ‘excep-tional utility’ or 73 % co-financing. EPHA was awarded the grant for the second year in a row, which has allowed us to increase our activities of contributing to and supporting good public health and policies across the European Union, as well as strengthening and improving our internal processes and external impact.

The total EPHA operating income for 2010 amounted to € 1 117 667, EPHA’s most sub-stantial operating budget since the organisation’s inception. This sum included the op-erating grant received from the European Commission, the co-financing from addition-al EPHA income and other project income. The Commission’s contribution equalled € 681 536, just over 60 % of EPHA’s total income in the year.

EPHA’s additional income for 2010 included membership fees (approximately € 70 000), EPHA’s support from Action Aid under the Action for Global Health project (approxi-mately € 100 000), an additional grant for a two year period under the Action for Global Health project (€ 77 000 in 2010), income relating to the operation of the European Pub-lic Health and Agriculture Consortium (€ 48 000), income relating to the management of the Secretariat of the EU Health Policy Forum (€ 140 000) and other small income streams for speaker fees, training and other member services (€ 2 000).

In terms of costs and expenditure, EPHAs budget for 2010 followed previous budg-ets with 6 blocks of expenditure including staff, travel expenditure, equipment, costs relating to activities such as room hire and workshop costs, consumables and sup-plies, subcontracts and other costs which amounted to a total annual expenditure of € 1 076 325 and a positive annual result of € 41 342.

EPHA’s income was 96 % of the expected annual income and the expenditure 92 %. The reduction in costs was achieved by reducing the subcontracting costs and through small cost reductions across other categories. Overall, despite the increased budget from 2009 to 2010, EPHA remained “good value for money” with only 15 % being spent on administration and overheads. The bulk of expenditure was staff costs and the sub-stantial increase in activities which can be seen in the results of the year is a result of EPHA’s investment in human capital in 2010.

To support the Executive Committee and the Secretary General in managing EPHA’s financial outlook, governance and future sustainability, a “Finance Subcommittee” was created in 2009 to support fundraising and to consider options to ensure the future financial health of EPHA. This Subcommittee met 9 times during the year. Proposals to ensure financial stability for EPHA continued in 2010 with an aim to implementation in 2011. Please see pages 19 and 20 for EPHA’s income and expenditure for the year.

Günther SchulzEPHA Treasurer

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EPHA Expenses 2010

EPHA income and expenditures 2010

EPHA Income 2010

INCOME: TOTAL REALISED END 2010 (1 117 667 €) EXPENSES: TOTAL REALISED END 2010 (1 076 325 €)

INCOMEREVISED BUDGET

2010 (€)TOTAL REALISED

END 2010 (€) (%)

FEES 87 804 € 69 217 € 6 %

FUNDING DG SANCO (OPG) 700 000 € 681 536 € 61 %

GLOBAL HEALTH (AFGH) 210 000 € 175 152 € 16 %

AGRICULTURE & HEALTH 60 000 € 47 666 € 4 %

SERVICES/PROJECTS/TENDERS 110 000 € 140 266 € 13 %

OTHER INCOME 2 000 € 3 830 € 0 %

FUNDRAISING 0 € 0 €

TOTAL 1 169 804 € 1 117 667 € 100 %

EXPENSESREVISED BUDGET

2010 (€)TOTAL REALISED

END 2010 (€) (%)

CONSULTANTS/SUBCONTRACTORS 110 000 € 77 352 € 7 %

STAFF COSTS 582 290 € 610 952 € 57 %

TRAVEL COSTS 30 740 € 73 943 € 7 %

RENT & OFFICE COSTS 143 000 € 162 991 € 15 %

DEPRECIATION 10 000 € 10 812 € 1 %

ACTIVITY COSTS 290 274 € 135 582 € 13 %

FINANCIAL EXPENSES 3 500 € 4 708 € 0 %

TOTAL 1 169 804 € 1 076 325 € 100 %

FEES 69 217 € 6 % CONSULTANTS/ SUBCONTRACTORS 77 352 € 7 %

FUNDRAISING 0 € 0 %0 % 3 830 € OTHER INCOME

13 % 135 582 € ACTIVITY COSTS

0 % 4 708 € FINANCIAL EXPENSES

13 % 140 266 € SERVICES/PROJECTS/TENDERS

1 % 10 812 € DEPRECIATION4 % 47 666 €

AGRICULTURE& HEALTH

15 % 162 991 €RENT & OFFICE COSTS

16 % 175 152 €GLOBAL HEALTH (AFGH)

7 % 73 943 € TRAVEL COSTS

FUNDING DG SANCO (OPG) 681 536 € 61 %

STAFF COSTS 610 952 € 57 %

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International networks

1. Global Alliance for TB Drug Development-TB Alliance (USA)

2. International Council of Medical Acupuncture and Related Techniques – ICMART (Belgium)

3. International Federation of Anthroposophical Medical Associations-IVAA (Finland/Belgium)

4. Thalassaemia International Federation-TIF (Cyprus)

5. Universal Education Foundation-UEF (France)

6. World Cancer Research Fund International-WCRF (United Kingdom)

European networks

7. AGE - The European Older People’s Platform-AGE (Belgium)

8. Association of European Cancer Leagues-ECL (Belgium)

9. Association of Natural Medicine in Europe-ANME (Germany)

10. Europa Donna - The European Breast Cancer Coalition (Italy)

11. European AIDS Treatment Group-EATG (Belgium)

12. European Alcohol Policy Alliance-Eurocare (Belgium)

13. European Association of Hospital Managers-EAHM (France/Belgium)

14. European Association of Hospital Pharmacists-EAHP (The Netherlands)

15. European Association of Senior Hospital Physicians-AEMH (Belgium) *NEW in 2010*

16. European Association for Injury Prevention and Safety Promotion-Eurosafe/Ecosa (The Netherlands)

17. European CanCer Organisation-ECCO (Belgium)

18. European Central Council of Homeopaths -ECCH (United Kingdom)

19. European Chiropractors’ Union-ECU (Spain/United Kingdom)

20. European Committee for Homeopathy-ECH (Belgium)

21. European Council of Doctors for Plurality in Medicine ECPM (France)

22. European Federation of Homeopathic Patients’ Associations-EFHPA (Belgium)

23. European Federation of National Organisations working with the Homeless-FEANTSA (Belgium)

24. European Federation of Nurses Associations-EFN (Belgium)

25. European Federation of Patients’ Associations for Anthroposophic Medicine-EFPAM (France)

26. European Federation of the Associations of Dietitians – EFAD (Germany)

27. European Heart Network-EHN (Belgium)

28. European Hematology Association-EHA (The Netherlands) *NEW in 2010*

29. European Institute of Women’s Health – EIWH (Ireland)

30. European Network for Smoking Prevention-ENSP (Belgium)

31. European Region of the World Confederation for Physical Therapy-ER WCPT (Belgium)

32. European Respiratory Society-ERS (Switzerland)

33. European Shiatsu Federation-ESF (Spain)

34. European Society of Intensive Care Medicine - ESICM (Belgium)

35. Health Action International – Europe-HAI (Netherlands)

36. International Diabetes Federation - European Region-IDF (Belgium)

37. International Planned Parenthood Federation - European Network-IPPF EN (Belgium)

38. Mental Health Europe – Santé Mentale Europe-MHE SME (Belgium)

39. Pharmaceutical Group of the European Union-PGEU (Belgium)

40. The Association of Schools in Public Health in the European Region-ASPHER (France)

41. The European Men’s Health Forum-EMHF (Belgium)

List of members 201089 Members

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66. INDEX Foundation (Bulgaria)

67. International Centre of Health Protection-HERA (Russia)

68. Italian Institute For Quality of Life-IVQ (Italy)

69. Life Quality Improvement Organisation-LET/FLIGHT (Croatia)

70. Malta Health Network-MHN (Malta)

71. National Health Alliance of Serbia & National Association of Emergency Medical Staff of Serbia-NAZS & NAZHMP (Serbia)

72. North West of England Region (United Kingdom)

73. Patient Fertility Association-CHEN (Israel)

74. PIN for Health (Croatia)

75. Polish Society for Health Programs (Poland) *NEW in 2010*

76. Romtens Foundation (Romania)

77. Royal College of Nursing-RCN (United Kingdom)

78. Royal College of Physicians London-RCP (United Kingdom)

79. SALUS Charitable Foundation (Ukraine)

80. Slovene Coalition for Health (Slovenia)

81. Slovenian Coalition for Tobacco Control (Slovenia)

82. SOS Health Association (Bulgaria)

83. Sustainable World Foundation (Bulgaria)

84. The Genesis Association-GENESIS (Georgia)

85. The Health and Europe Centre (United Kingdom)

86. The Institute of Public Health in Ireland (Ireland)

87. The Union of Lithuanian Health Psychologists-ULHP (Lithuania)

88. Turkish Pharmacists’ Association-TEB (Turkey)

89. Wiener Internationale Akademie für Ganzheitsmedizin-GAMED (Austria)

National networks

42. Action on Smoking and Health-ASH (United Kingdom)

43. Actis - Norwegian Policy Network on Alcohol and Drugs (Norway)

44. Albanian Association for Prevention and Rehabilitation from AIDS and Drugs-APRAD (Albania)

45. Alcohol Focus Scotland-AFS (United Kingdom)

46. Armenian Public Health Union-APHU (Armenia)

47. Associação De Defesa Dos Utentes Do Sangue-ADUS (Portugal)

48. Association Nationale de Prévention en Alcoologie et Addictologie-ANPA (France)

49. Association Net+/Udruga Pet+ (Croatia) *NEW in 2010*

50. British Heart Foundation - Health Promotion Research Group-BHF HPRG (United Kingdom)

51. Bulgarian Association for Patients’ Rights Defence (BAZP)

52. Center for Regional Policy Research and Cooperation-Studiorum (Macedonia)

53. Centre Women and Modern World - CWMW (Azerbaijan)

54. Chartered Institute of Environmental Health-CIEH (United Kingdom)

55. Coalition of Associations in Healthcare-KUZ-CAH (Croatia)

56. Comité Scientifique Pro Anima (France)

57. Croatian Association for Sanitary Engineering-HUSI (Croatia)

58. Cyprus Turkish Medical Association-CTMA (North Cyprus)

59. Dachverband Komplementärmedizin (Switzerland) *NEW in 2010*

60. Diabetes UK (United Kingdom)

61. Faculty of Public Health of the Royal Colleges of Physicians of the UK-FPH (United Kingdom)

62. Finnish Diabetes Association-FDF (Finland)

63. Fundación de Ciencias del Medicamento y Productos Sanitarios-FUNDAMED (Spain)

64. General Osteopathic Council-GOsC (United Kingdom)

65. Hygiène Publique en Hainaut / Institut d’Hygiène et de Bactériologie du Hainaut-HPH/IPHP (Belgium)

89 Members

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Secretary General

Monika Kosińska

Policy Team

Luiza Bara Anne Hoel (from April)Doriane Fuchs (from April)Jo Jewell (until July)Leonardo Palumbo (from April)Nina Prunier (January)Dorota Sienkiewicz

Project Managers

Frazer Goodwin Robert Pederson

Finance and Operations Officer

Murielle Chiltz (until July)Gaetana Orobello (from July)

Governance and Membership Coordinator

Sascha Marschang

Communications Officer

Alison Abrahams (from February)

EPHA Secretariat

Thank you to the following for their hard work as interns and volunteers within EPHA in 2009: Leonardo Palumbo, Doriane Fuchs, Lindy Hilgerdenaar, Eleanor Brooks, Shana Dörr

In 2010 EPHA was supported by Xavier Dutoit, Tamsin Rose, Iva Misigova and Catherine Hartmann through various projects and activities.

European Public Health AllianceRue de Trèves 49-51B-1040 BrusselsBelgium

Tel: +32 2 230 3056Fax: +32 2 233 3880Email: [email protected] visit us online @ www.epha.org

This report arises from the European Public Health Alliance (EPHA) which has received funding from the European Un-ion, in the framework of the Health Programme. Sole re-sponsibility for this email lies with EPHA and the Executive Agency is not responsible for any use that may be made of the information contained therein.

European Public Health AllianceRue de Trèves 49-51B-1040 BrusselsBelgium

Tel: +32 2 230 3056Fax: +32 2 233 3880Email: [email protected] visit us online @ www.epha.org

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