Key stakeholders from the cancer research continuum met in May 2021 at the European Cancer Research Summit in Porto to discuss priorities and specific action points required for the successful implementation of the European Cancer Mission and Europe's Beating Cancer Plan (EBCP). Speakers presented a unified view about the need to establish high‐quality, networked infrastructures to decrease cancer incidence, increase the cure rate, improve patient's survival and quality of life, and deal with research and care inequalities across the European Union (EU). These infrastructures, featuring Comprehensive Cancer Centres (CCCs) as key components, will integrate care, prevention and research across the entire cancer continuum to support the development of personalized/precision cancer medicine in Europe. The three pillars of the recommended European infrastructures – namely translational research, clinical/prevention trials and outcomes research – were pondered at length. Speakers addressing the future needs of translational research focused on the prospects of multiomics assisted preclinical research, progress in Molecular and Digital Pathology, immunotherapy, liquid biopsy and science data. The clinical/prevention trial session presented the requirements for next‐generation, multicentric trials entailing unified strategies for patient stratification, imaging, and biospecimen acquisition and storage. The third session highlighted the need for establishing outcomes research infrastructures to cover primary prevention, early detection, clinical effectiveness of innovations, health‐related quality‐of‐life assessment, survivorship research and health economics. An important outcome of the Summit was the presentation of the Porto Declaration, which called for a collective and committed action throughout Europe to develop the cancer research infrastructures indispensable for fostering innovation and decreasing inequalities within and between member states. Moreover, the Summit guidelines will assist decision making in the context of a unique EU‐wide cancer initiative that, if expertly implemented, will decrease the cancer death toll and improve the quality of life of those confronted with cancer, and this is carried out at an affordable cost.
We have reached a watershed moment in Europe in our efforts to ensure increased survival and better outcomes for cancer patients. The EU Cancer Mission and the European Beating Cancer Plan together, provide an unrivalled opportunity to make significant inroads into a disease that kills over 1.7 million European citizens annually.Harnessing these twin pillars of cancer research and cancer control can be transformative for the European cancer community, and in particular for the European cancer patient. However, from a research perspective, in order to fully realise these benefits, we need to ensure that all aspects of the cancer continuum are addressed.Previous research efforts have focussed more on the diagnosis and treatment of cancer, whereas cancer survivorship, to date, has been overlooked. Here, we aim to redress this balance, by identifying the key challenges in cancer survivorship research that need to be addressed and proposing a series of recommended solutions, which, if acted upon, would deliver significant benefits for the nearly 14 million cancer survivors in Europe. To achieve this, we propose the development of a clearly articulated and sustainably funded European Cancer Survivorship Research and Innovation Plan. Embedding this plan within the framework of the EU Cancer Mission would be transformative for cancer survivors and society.
The UN World Health Organization reports that 80% of diseases are waterborne. Bacterial, viral, and parasitic diseases like typhoid, cholera, amebiasis, poliomyelitis, hepatitis A, skin infection, and gastrointestinal are spread through polluted water. In 2013, the UN Water defined water security as “The capacity of a population to safeguard sustainable access to adequate quantities of acceptable quality water for sustaining livelihoods, human well‐being, and socio‐economic development, for ensuring protection against water‐borne pollution and water‐related disasters, and for preserving ecosystems in a climate of peace and political stability”. The notion is quite new, but it does not mean that international law does not include rules and principles relevant to water security. Compared to some other regions in the world, most people living in Europe already enjoy very good access to high‐quality drinking water, in part thanks to over 30 years of European Union legislation for ensuring drinking water quality. On February 2018, pressed by the successful result of the first European Citizens' Initiative “Right2Water,” the European Commission proposed to revise the European Union legislation for improving access to higher quality of drinking water and provide better information to citizens. Considering the latest scientific knowledge and recommendations of the World Health Organization, the proposal made by the Commission suggests improving water quality by adding new and emerging substances (such as legionella and chlorate) to the list of criteria for determining water safety. The new provisions require the member states to improve access for all people, especially for vulnerable and marginalized groups who currently have difficult access to drinking water, set up equipment for access to drinking water in public spaces, launch campaigns to inform citizens about the quality of their water, and encourage administrations and public buildings to provide access to drinking water. According to the European Union Commission, the new measures would reduce potential health risks associated with drinking water from 4% to below 1%. Based on the presumption that the right to safe water, and the related concept of water security, emerges as a prerequisite for the realization of other human rights, the purpose of this paper is to analyze the approach conducted by the European Commission and, compared it with a fragmented panorama in the International regulation. In this sense, it will be necessary to refer to the United Nations Economic Commission for Europe Convention on the Protection and Use of Transboundary Watercourses and International Lakes, its Protocol on Water and Health, the General Comment No. 15 of the Committee on Economic, Social and Cultural Rights on the right to water, and the World Health Organization’s Water safety plan to identify and manage the risks that climate change poses to water security (quality and quantity) in the framework of international law obligations. Finally, in order to consider future scenarios and promote possible implementation, the new European Union approach is fully consistent with the 2030 Agenda for Sustainable Development. In particular, the initiatives will make a meaningful contribution to reaching the Sustainable Development Goal 6 to “achieve universal and equitable access to safe and affordable drinking water for all,” along with the Paris Agreement objectives on climate change, thanks to safer, more efficient, and sustainable management of drinking water, reducing the CO2 footprint and unnecessary water loss.
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