### 2. welcomes the commitment by the commission in the action plan on the european pillar of social rights to present at digital essp; calls on the commission to move forward the launch of the essp from 2023 to 2022; ### 2. welcomes the commitment of the commission in the action plan on the european pillar of social rights to present a digital essp; calls on the commission to initiate a legislative proposal on an essp before the end of 2022;


### 3. calls on the commission to ensure that any initiative on a digital essp or a essn includes a legislative proposal for a european personal labour card (eplc) with a view to provide national authorities and trade unions with an instrument to effectively enforce union law; recalls that a essn initiative must be without prejudice to national social security systems , national labour market models and the autonomy of social partners; ### 3. recalls that a proposal for a european social security pass to access portable documents or information on individual portable rights must be without prejudice to national social security systems , national labour market models and the autonomy of social partners;


### 4. believes that the essn initiative with a eplc must cover all european citizens including self-employed , as well as third country nationals , working in the eu; ### 4. believes that a european social security pass must cover all european citizens including self-employed , as well as third country nationals enjoying the freedom of movement across the eu;


### 5. considers that a essn initiative with a eplc should aim to: ensure effective identification , traceability , aggregation and portability of rights; improve enforcement of eu rules on decent working conditions , labour mobility and social security coordination in the labour market in a fair and effective way to ensure a level playing field for eu companies; enable quick verification of insurance status and contributions; combat exploitation , wage dumping , fraud and abuse of social security benefits; enable labour inspectorates and social partners , where they are carrying out or are involved in labour inspections , to verify compliance , via cross-referencing between databases , and better prevent social fraud in relation to issues such as abusive subcontracting , false self-employment , bogus posting , letterbox companies , undeclared work and non-payment of social security contributions; enable immediate checks of workers’ place of work , place of employment , identity , working time , education and training , social security , insurance and payment of taxes; ### 5. considers that the commission’s proposal needs to bring about clear benefits for all stakeholders involved in the process of mobility. mobile workers and citizens need to clearly see the advantages of such tool , whose main objective is to better protect them , provide them with more comprehensive , transparent and easily accessible information , and help them better understand their rights and entitlements , while being able to check them when needed. the pass also needs to create an easy interaction between citizens and social security institutions;


### 6. believes that workers , their trade union representatives and national labour inspectorates should have up-to-date access to information about their employment relation , their wage entitlements and labour and social rights , in accordance with the applicable collective agreement or national legislation where applicable; considers that a essn initiative with a eplc with real time data-access would allow for national competent authorities to verify social security coverage for workers at any given point in time and thereby strengthen labour inspections; underlines that a essn would also make it easier for workers to track their social security contributions and entitlements , such as pension rights; ### deleted


### 7. stresses that the union’s data protection rules must be strictly applied and that the social security data is only made available to the worker and the competent national authorities concerned; considers that in member states where social partners are carrying out or are involved in labour inspections , the access to social security data of workers from other member states must be ensured for social partners without jeopardizing the data protection provisions; ### 7. stresses that the union’s data protection rules must be strictly applied and that the social security and personal data included in the pass is only made available to the worker and the competent national authorities concerned;


### 8. underlines that a proposal for a essn initiative with a eplc should be complementary to existing practices in those member states where social id card schemes are operated by the social partners at national level; stresses that a legislative act at eu level should not replace national practices but should be built on , and be complementary to , such existing practices; ### 8. underlines that a proposal for a european social security pass should build upon existing national and europeans laws and not create additional rights or entitlements , while , at the same time , bring all portable documents and personal social security information into one single instrument;


### 9. notes that there is currently no alternative to pd a1 forms as regards the verification of social security coverage of posted workers; acknowledges the limitations and challenges related to the pd a1 procedure in particular with regard to the application of pd a1 forms by companies as well as their verification by the competent national authorities in the context of the provision of services in another member state; ### deleted


### 10. considers that the essn should complement the electronic exchange of social security information , which must become fully functional as soon as possible , to facilitate exchanges between social security institutions , speed up the handling of individual cases and improve the enforcement capacity of ela; ### 10. considers that the pass should complement the electronic exchange of social security information , which must become fully functional as soon as possible , to facilitate exchanges between social security institutions and speed up the handling of individual cases; complementary and integration with other digitalisation processes such as the e-id and the single digital gateway need to be ensured in order to create one single access to information;


### 11. calls on the commission to closely cooperate with social partners when it comes to the development and introduction of a essn; ### 11. calls on the commission to closely cooperate with social partners when it comes to the development and introduction of a european social security pass;


### 11. notes that the 32 decentralised agencies employed a total of 7 880 members of staff , comprising officials , temporary agents , contract agents and seconded national experts , in 2019 (compared to 7 626 in 2018) , representing an increase of 3 ,33 % compared with the previous year; ### 11. notes that the 32 decentralised agencies employed a total of 7 880 members of staff , comprising officials , temporary agents , contract agents and seconded national experts , in 2019 (compared to 7 626 in 2018) , representing an important increase of 3 ,33 % compared with the previous year;


### 6. notes that the foundation has several anti-harassment measures in place and that the foundation adopted new a policy on protecting staff dignity in 2019; ### 6. welcomes that the foundation has several anti-harassment measures in place and that the foundation adopted new a policy on protecting staff dignity in 2019;


### 261. looks forward to working with the commission on the revision of the eu general pharmaceuticals legislation; ### 261. looks forward to working with the commission on the revision of the eu general pharmaceuticals legislation which should continue to adequately protect ip in order to create an innovation-friendly and competitive environment in the union;


### 264. recommends that the ecdc be given more independence in terms of information gathering and that a systematic obligation for member states be put in place to send it comprehensible data , notably on equipment stocks , bed capacities and icu admissions; ### 264. recommends that the ecdc be given more independence in terms of information gathering and that a systematic obligation for member states be put in place to send it comprehensible and comparative data , notably on equipment stocks , bed capacities and icu admissions;


### strategic autonomy ### open strategic autonomy


### 270. calls for strategic autonomy at eu level to be ensured to avoid dependency on third countries for medicines , in particular active ingredients and medical devices , including raw materials; ### 270. calls for strategic autonomy at eu level to be ensured to avoid dependency on third countries for medicines , in particular active ingredients and medical devices , including raw materials; reaffirm that the eu need to improve the resilience of the pharmaceutical supply chains and build the eu’s open strategic autonomy in the pharmaceutical sector by diversifying production and supply chains , promoting strategic stockpiling , and increasing production and investment in europe;


### 270. calls for strategic autonomy at eu level to be ensured to avoid dependency on third countries for medicines , in particular active ingredients and medical devices , including raw materials; ### 270. calls for strategic autonomy at eu level to be ensured to avoid dependency on third countries for medicines , in particular active ingredients and medical devices , including raw materials; stresses the importance of investing in and supporting local capacities of production;


### 270. calls for strategic autonomy at eu level to be ensured to avoid dependency on third countries for medicines , in particular active ingredients and medical devices , including raw materials; ### 270. calls for open strategic autonomy at eu level to be ensured to avoid dependency on third countries for medicines , in particular active ingredients and medical devices , including raw materials;


### 271. calls for a list of essential , priority and innovative medicines and treatments (such as biotechnology solutions) relying on existing european agencies and hera to be established at eu level to guarantee their availability for citizens; ### 271. calls for a list of essential , priority and innovative medicines and treatments (such as biotechnology solutions) of critical medicinal products relying on existing european agencies and hera to be established at eu level to guarantee their availability for citizens;


### 272. notes the during the pandemic the eu mobilised emergency funding under horizon 2020 and horizon europe to speed up research for a cure for covid-19. stresses that for europe to secure strategic autonomy , the eu and member states need to invest in research and innovation; ### 272. notes the during the pandemic the eu mobilised emergency funding under horizon 2020 and horizon europe to speed up research for a cure for covid-19. stresses that for europe to secure open strategic autonomy , the eu and member states need to invest in research and innovation;


### 273. consider organising coordinated eu-wide strategic stockpiling in order to achieve the necessary coordinated , long-term action at eu level , and include health and healthcare among the shared competencies between the eu and the eu member states; ### 273. consider organising coordinated eu-wide strategic stockpiling in order to achieve the necessary coordinated , long-term action at eu level , and include health and healthcare among the shared competencies between the eu and the eu member states by amending article 4 tfue. ; therefore , calls on the council to launch a convention for modifying the treaties , based on the conclusions of the conference on the future of europe and the resolution of the european parliament that activated article 48 of the treaty on european union (teu);


### 218. considers that sustainable vaccine development , production and delivery rely on robust and transparent supply chains and not only on patents; underlines in this regard the need for a better distribution of manufacturing capacities throughout the world; ### 218. considers that sustainable vaccine development , production and delivery rely on robust and transparent supply chains and not only on patents; underlines in this regard the need for a better distribution of manufacturing capacities throughout the world; calls on the commission and member states to financially support increasing local and regional production of vaccines , and other essential health products , in low- and middle-income countries;


### 225. considers that europe needs to find a constructive solution on ip protection; underlines that free ip alone will not solve the problem of access , that patents are useless without technology transfer and proper industrial know-how and that export restrictions and access to raw materials were obstacles to vaccine production; ### 225. considers that europe needs to find constructive solution on ip protection which could include licensing agreements in order to scale-up production while guaranteeing ip; underlines that free ip alone will not solve the problem of access , that patents are useless without technology transfer and proper industrial know-how and that export restrictions and access to raw materials were obstacles to vaccine production;


### 227. stresses that strong ip protection was part of the solution to create a strong and resilient eu pharmaceuticals ecosystem , because it gives the private sector incentives; underlines that ip protection helps incentivise pharmaceutical companies to develop the necessary vaccines , and that misuse of waivers may undermine long-term healthcare solutions; ### 227. stresses that strong ip protection , including for diagnostics and therapeutics , was part of the solution to create a strong and resilient eu pharmaceuticals ecosystem , because it gives the private sector incentives; underlines that ip protection helps incentivise pharmaceutical companies to develop the necessary vaccines , and that misuse of waivers may undermine long-term healthcare solutions;


### eu preparedness and prevention in response to cross-border health threats ### eu prevention , preparedness and response to serious cross-border health threats;


### vaccine production , storage and distribution , including supply chain resilience , eu strategic autonomy and availability of critical pharma and medical products ### vaccine production , storage and distribution , including supply chain resilience , eu open strategic autonomy and availability of critical pharma and medical products;


### 239. highlights that many eu member states would have been willing to share doses and donate surpluses to the global south but that sometimes there was no demand from global south countries and that the interest in vaccine doses was diminishing; ### 239. highlights that many eu member states would have been willing to share doses and donate surpluses to the global south but that sometimes there was no demand from global south countries and that the interest in vaccine doses was diminishing; notes that better communication between the union and the governments concerned on this subject is necessary;


### 242. highlights the need to focus particularly on funding the development of vaccines and treatments to cope with the competition with the united states; points out in this regard the role of public-private partnerships; ### 242. highlights the need to focus particularly on funding the development of vaccines and treatments to cope with the competition with the united states; points out in this regard the role of public-private partnerships; at the same time acknowledges the successful cooperation between european and us companies and laboratories in the development of mrna vaccines;


### 242. highlights the need to focus particularly on funding the development of vaccines and treatments to cope with the competition with the united states; points out in this regard the role of public-private partnerships; ### 242. highlights the need to focus particularly on funding the development of medical countermeasures and treatments to cope with the competition with the united states; points out in this regard the role of public-private partnerships;


### 243. underlines that strategic autonomy is a potential tool to enhance the eu’s pharmaceutical ecosystem , and that regulatory harmonisation could improve the fluidity of global supply chains; ### 243. underlines that strategic autonomy is a potential tool to enhance the eu’s pharmaceutical ecosystem , and that regulatory harmonisation could improve the fluidity of global supply chains; notes the need to support local eu production and development of other eu production capacities;


### 243. underlines that strategic autonomy is a potential tool to enhance the eu’s pharmaceutical ecosystem , and that regulatory harmonisation could improve the fluidity of global supply chains; ### 243. underlines that open strategic autonomy is a potential tool to enhance the eu’s pharmaceutical ecosystem , and that regulatory harmonisation could improve the fluidity of global supply chains;


### 247. recommends the establishment of innovative cross-sectoral primary prevention programmes to reduce risk factors and promote healthy lifestyles , and european cross-sectoral preventive-health policies integrating agriculture and food production , transport , the energy sector , industrial development , education and social services , so as to enable greater exchange of knowledge and information , promote best practices , facilitate sustainable economies of scale and unlock innovation potential to be better prepared for and respond to any threat to european citizens’ health; ### 247. recommends the establishment of innovative cross-sectoral primary prevention programmes to reduce risk factors and promote healthy lifestyles , and european cross-sectoral preventive-health in all policies integrating agriculture and food production , environment , transport , the energy sector , industrial development , education and social services , so as to enable greater exchange of knowledge and information , promote best practices , facilitate sustainable economies of scale and unlock innovation potential to be better prepared for and respond to any threat to european citizens’ health;


### 249. recommends the setting up of instruments and funding programmes to fight cyber threats , terrorism and external state-sponsored propaganda; ### 249. recommends the setting up of instruments and funding programmes to fight cyber threats , terrorism and external state-sponsored propaganda , and foreign interference;


### 257. calls on the commission and the member states to provide support for media literacy training among the eu population , as a counter measure against disinformation; ### 257. calls on the commission and the member states to provide support for media literacy training among the eu population , as a counter measure against disinformation; notes that support of media pluralism is also important and highlights the need to further build on the legal initiatives that exist; stresses the need to invest in training journalists and public scientists with knowledge of crisis communication;


### 259. is of the opinion that a european union of health is needed , that nextgenerationeu should be built on and that parliament should get a role in decision-making for these programmes; believes furthermore that the necessary instruments should be deployed to enable the triple transition (climate , digital , health); recommends that the triple transition be promoted by accelerating the shift to a climate-neutral economy while mitigating the transition risks , by reskilling and upskilling the european labour force , by introducing the sustainability and growth pact (sgp 2.0) while pursuing ngeu 2.0 , and by enhancing finance to innovative , green and digital technology firms; ### 259. is of the opinion that a european union of health is needed , that nextgenerationeu should be built on and that parliament should get a role in decision-making for these programmes; believes furthermore that the necessary instruments should be deployed to enable the triple transition (climate , digital , health); recommends that the triple transition be promoted by accelerating the shift to a climate-neutral economy while mitigating the transition risks , by reskilling and upskilling the european labour force;


### 259. is of the opinion that a european union of health is needed , that nextgenerationeu should be built on and that parliament should get a role in decision-making for these programmes; believes furthermore that the necessary instruments should be deployed to enable the triple transition (climate , digital , health); recommends that the triple transition be promoted by accelerating the shift to a climate-neutral economy while mitigating the transition risks , by reskilling and upskilling the european labour force , by introducing the sustainability and growth pact (sgp 2.0) while pursuing ngeu 2.0 , and by enhancing finance to innovative , green and digital technology firms; ### 259. is of the opinion that a european union of health is needed , that nextgenerationeu should be built on and that parliament should get a role in decision-making for these programmes; believes furthermore that the necessary instruments should be deployed to enable the triple transition (climate , digital , health); recommends that the triple transition be promoted by accelerating the shift to a climate-neutral economy while mitigating the transition risks , by reskilling and upskilling the european labour force , by introducing the sustainability and growth pact (sgp 2.0) while pursuing ngeu 2.0 , and by enhancing access to finance to innovative , green and digital technology businesses , especially smes;


### 16. notes that the law-making and scrutiny role of national parliaments did initially suffer , including facing the delegation of legislative powers to the executive and the implementation of emergency and fast-track legislative procedures , as governments had to respond quickly under evolving circumstances; ### 16. notes that the law-making and scrutiny role of national parliaments were undermined in some member states , including facing the delegation of legislative powers to the executive and the implementation of emergency and fast-track legislative procedures , as governments had to respond quickly under evolving circumstances; calls on member states to adopt a specific legislative framework on the state of emergency regime to ensure the respect of the law-making and scrutiny role of national parliaments in times of crisis; underlines that this legislative framework should guarantee the introduction of a sunset clause and an evaluation clause in the state of emergency decree , the respect of a budgetary control by parliaments in association , if possible , with independent audits and the involvement of parliaments in the creation of scientific committees;


### 17. welcomes eu efforts to step up solutions for global access to vaccines and medicines during the pandemic through collaborative initiatives such as the access to covid-19 tools accelerator and covax , but recognises that the eu needs to be much more of a global leader to ensure that it plays a central role in future pandemic preparedness , prevention and response. ### 17. welcomes eu efforts to step up solutions for global access to vaccines and medicines during the pandemic through collaborative initiatives such as the access to covid-19 tools accelerator and covax , but recognises that the eu needs to be much more of a global leader to ensure that it plays a central role in future health threats prevention , preparedness , prevention and response;


### building the european union of health prevention , preparedness and response to cross-border health threats ### building the european union of health prevention , preparedness and response to serious cross-border health threats;


### 18. believes that health promotion and disease prevention , preparedness and response to cross-border health threats must constitute the foundations of a future european health union with a view to reinforcing the resilience and quality of the healthcare systems in the member states and tackling health inequalities in the eu , by providing adequate investments in health systems at the national and regional levels; ### 18. believes that health promotion and disease prevention , preparedness and response to cross-border health threats must constitute the foundations of the european health union with a view to reinforcing the resilience and quality of the healthcare systems in the member states and tackling health inequalities in the eu , by providing adequate investments in public health systems at the national and regional levels;


### 21. acknowledges the adoption of regulation (eu) 2022/123 on the ema’s extended mandate , regulation (eu) 2022/2371 on serious cross-border threats to health , the reinforcement of the ecdc’s mandate , and the creation of the emergency preparedness and response authority hera as examples of eu instruments that will enable the eu to become more resilient and effective , as we move towards a more sustainable approach to preventing , preparing for and managing pandemics; ### 21. acknowledges the adoption of regulation (eu) 2022/123 on the ema’s extended mandate , regulation (eu) 2022/2371 on serious cross-border threats to health , the reinforcement of the ecdc’s mandate , and the creation of the health emergency preparedness and response authority hera as examples of important eu instruments that will enable the eu to become more resilient and effective , as we move towards a more sustainable approach to preventing , preparing for and managing any kind of future health threats;


### 22. urges stock to be taken of the coordination among relevant agencies , and of their beefed-up mandates and calls for the eu to be given an enhanced ability to coordinate these matters; ### 22. urges stock to be taken of the coordination among relevant agencies , and of their beefed-up mandates and calls for the eu to be given an enhanced ability to coordinate these matters; recognizes the need to support public health policies aimed at setting homogeneous strategies across the european union taking into account the circumstances and characteristics of each member state;


### 22. urges stock to be taken of the coordination among relevant agencies , and of their beefed-up mandates and calls for the eu to be given an enhanced ability to coordinate these matters; ### 22. looks forward for the relevant agencies to implement their beefed-up mandates and calls for the eu to be given an enhanced ability to coordinate these matters;


### 24. stresses that parliament should have been involved in the creation of hera’s mandate and that it should have scrutiny powers over and the ability to monitor hera; ### 24. stresses that parliament should have been involved in the creation of hera’s mandate from the outset and that it should have scrutiny powers over and the ability to monitor hera; deeply regrets the use of article 122 for the establishment of this important part of the european health union; welcomes that the parliament should be invited as an observer to the health crisis board to be established under council regulation (eu) 2022/2372 of 24 october 2022 on a framework of measures for ensuring the supply of crisis-relevant medical countermeasures in the event of a public health emergency at union level;


### 24. stresses that parliament should have been involved in the creation of hera’s mandate and that it should have scrutiny powers over and the ability to monitor hera; ### 24. stresses that parliament should have been involved in the creation of hera’s mandate and that it should have scrutiny powers over and the ability to monitor hera; looks forward to the foreseen evaluation of hera;


### 24. stresses that parliament should have been involved in the creation of hera’s mandate and that it should have scrutiny powers over and the ability to monitor hera; ### 24. deeply regrets that parliament was not involved in the creation of hera’s mandate and that it should have scrutiny powers over and the ability to monitor hera;


### 25. congratulates the commission on proposing the eu fab project , a network of ‘ever-warm’ production capacities for vaccine and medicine manufacturing that can be activated in the event of future crises , as a response to the need for the eu to strengthen its industrial upstream and downstream production activities concerning vaccines and medical equipment; ### 25. congratulates the commission on proposing the eu fab project , a network of ‘ever-warm’ production capacities for vaccine and medicine manufacturing that can be activated in the event of future health crises , as a response to the need for the eu to strengthen its industrial upstream and downstream production activities concerning vaccines and medical products;


### 26. expresses its hope that the commission can play a focal role in the cooperation between academia , industry , research institutes and governments , as these partnerships are instrumental in accelerating responses to pandemics , while maintaining a secure capacity; ### 26. expresses its hope that the commission can play a focal role in the cooperation between academia , industry , research institutes , civil societies and governments , as these partnerships are instrumental in accelerating responses to health threats , while maintaining a secure capacity;


### 28. recognises the pivotal role that the ema plays in implementing measures to enable flexible regulatory processes , while ensuring the safety and efficacy of the authorised vaccines and therapeutics , notably through the ema’s covid-19 pandemic task force , its rapid delivery of scientific advice , its rolling review and conditional marketing authorisation; ### 28. recognises the pivotal role that the ema plays in implementing measures to enable flexible regulatory processes , while ensuring the safety and efficacy of the authorised vaccines and therapeutics , notably through the ema’s covid-19 pandemic task force , its rapid delivery of scientific advice , its rolling review and conditional marketing authorisation; recommends that , in the event of a crisis , the ema's decisions on the approval of vaccines at european level should be directly applicable in the member states of the union;


### 29. notes with appreciation that , under the ema’s new mandate , its emergency task force took over the activities of its covid-19 pandemic task force and became a permanent body of the ema , improving interactions with the commission , vaccine developers and academics , and coordination with other eu agencies; ### 29. notes with appreciation that , under the ema’s new mandate , its emergency task force took over the activities of its covid-19 pandemic task force and became a permanent body of the ema , improving interactions with the commission , medicinal products and medical devices developers and academics , and coordination with other eu agencies;


### 32. notes that the ecdc did not detect the seriousness of the threat in a timely manner , as a result of a lack of preparedness within the member states at the beginning of the pandemic; acknowledges that this delayed action was due to the lack of timely data sharing by the member states , and a lack of adequate funding and resources for monitoring and data surveillance management; ### 32. notes that the ecdc did not detect the seriousness of the threat in a timely manner , as a result of a lack of preparedness within the member states at the beginning of the pandemic; acknowledges that this delayed action was due to the lack of timely data sharing by the member states , and a lack of adequate funding and resources for monitoring and data surveillance management; regrets that the ecdc did not consult specialists of the ors , which are subject to different climatic conditions from most of the member states , sufficiently in advance , even though their knowledge would have made it possible to further enlighten the research concerning the development of covid-19 in tropical climate;


### 32. notes that the ecdc did not detect the seriousness of the threat in a timely manner , as a result of a lack of preparedness within the member states at the beginning of the pandemic; acknowledges that this delayed action was due to the lack of timely data sharing by the member states , and a lack of adequate funding and resources for monitoring and data surveillance management; ### 32. deplores that , at the beginning of the health crisis , the ecdc was not able to properly monitor and evaluate epidemiological surveillance due to the lack of timely data sharing by the member states , and a lack of adequate funding and resources for monitoring and data surveillance management; considers the ecdc should support member states with scientific and technical advice to improve the timeliness , completeness and quality of the surveillance data reported;


### 33. supports the ecdc’s extended mandate , which provides for greater resources and additional areas of competence , which will allow it to play a bigger role in improving european preparedness and response; ### 33. supports the ecdc’s extended mandate , which provides for greater resources and additional areas of competence , which will allow it to play a bigger role in improving european preparedness and response , adds the need for ecdc to set up a network of experts in the ors and octs in order to better anticipate and improve medical knowledge in all environments;


### 33. supports the ecdc’s extended mandate , which provides for greater resources and additional areas of competence , which will allow it to play a bigger role in improving european preparedness and response; ### 33. supports the ecdc’s extended mandate , which provides for greater resources and additional areas of competence , which will allow it to play a bigger role in improving european preparedness and response and enable monitoring of the impact of communicable diseases on major non-communicable diseases;


### 33. supports the ecdc’s extended mandate , which provides for greater resources and additional areas of competence , which will allow it to play a bigger role in improving european preparedness and response; ### 33. supports the ecdc’s extended mandate , which provides for greater resources and additional areas of competence , which will allow it to play a bigger role in improving european prevention , preparedness and response;


### 34. reaffirms its belief that the primary goal of vaccination is to avoid serious disease and death , towards which vaccines are effective , as shown by the outcomes of the covid-19 vaccination process , which saved more than 250 000 lives in the eu; ### 34. reaffirms its belief that the primary goal of vaccination is to avoid serious morbidity and mortality towards which vaccines are effective , as shown by the outcomes of the covid-19 vaccination process , which saved more than 250 000 lives in the eu;


### 35. emphasises that the development and deployment of covid-19 vaccines constituted a game-changer in the pandemic and underpinned the important role of vaccine research and development; considers that the speed at which researchers developed effective vaccine protection was unprecedented and that the eu demonstrated leadership in the global response to the covid-19 pandemic; ### 35. emphasises that the development and deployment of covid-19 vaccines constituted a game-changer in the pandemic and underpinned the important role of vaccine research and development; considers that the speed at which researchers developed effective vaccine protection was unprecedented and that the eu demonstrated leadership in the global response to the covid-19 pandemic; highlights the usefulness of the covid 19 vaccine tracker developed by the ecdc and calls for extending this concept to other vaccination campaigns , such as the hpv vaccine campaign;


### 35. emphasises that the development and deployment of covid-19 vaccines constituted a game-changer in the pandemic and underpinned the important role of vaccine research and development; considers that the speed at which researchers developed effective vaccine protection was unprecedented and that the eu demonstrated leadership in the global response to the covid-19 pandemic; ### 35. emphasises that the development and deployment of covid-19 vaccines constituted a game-changer in the pandemic and underpinned the important role of vaccine research and development; considers that the speed at which researchers developed effective vaccine protection was unprecedented and that the eu demonstrated leadership in the global response to the covid-19 pandemic , reaffirms its conviction that this efficiency could have been improved if the union were less dependent on certain essential pharmaceutical and medical products;


### 36. notes that vaccination strategy , not only for covid-19 , remains a national competence , and calls for a stronger coordination role for the eu to harmonise the timeline , scope and outcomes of vaccines administration in all the member states; ### 36. notes that vaccination strategy , not only for covid-19 , remains a national competence , and calls for a stronger coordination role for the eu to harmonise the timeline , scope and outcomes of vaccines administration in all the member states , to overcome the major disparities in vaccination coverage between and within member states and to reduce vaccination hesitancy;


### 115. strongly supports the proposed european media freedom act , which is designed to preserve freedom and diversity of media in the face of anti-misinformation tools; ### 115. strongly supports the proposed european media freedom act , which is designed to preserve freedom and diversity of media in the face of anti-misinformation tools; welcomes the fact-checking work of journalists to counter misinformation and disinformation; calls for more resources to facilitate training on anti-misinformation tools and advocates for a stronger collaboration between the media to avoid the spread of fake news;


### 115. strongly supports the proposed european media freedom act , which is designed to preserve freedom and diversity of media in the face of anti-misinformation tools; ### 115. strongly supports the proposed european media freedom act , which is designed to preserve freedom and diversity of media in the face of anti-misinformation tools; stresses the promotion of information quality certification measures related to health for different media or sources of truthful information , which are easily identifiable by the public;


### 119. notes the establishment of a permanent taskforce on misinformation to monitor the scale of misinformation in the eu and notes the proposed european democracy action plan to establish a common european strategy to tackle misinformation; ### 119. notes the establishment of a permanent taskforce on misinformation to monitor the scale of misinformation in the eu; underlines that there is currently no eu definition of misinformation and disinformation; calls for a new legislative proposal on disinformation to fill this gap; urges the union to rapidly adopt a common strategy to fight misinformation and disinformation;


### 123. notes that the eu has a strong data protection system with consistent data privacy provisions; highlights that the eu covid digital certificate and its tracing apps respected this system , while allowing the free movement of eu citizens under the sanitary rules applied during the crisis; ### 123. notes that the eu has a strong data protection system with consistent data privacy provisions; highlights that the eu covid digital certificate and its tracing apps respected this system , while allowing the free movement of eu citizens under the sanitary rules applied during the crisis; recalls that the eu covid digital certificate has enabled a european coordination by putting in place single rules at european level , avoiding divergent systems between each member states and disorganisation;


### 128. regrets that the crisis has exacerbated pre-existing challenges to democracy and the rule of law in some member states; ### 128. regrets that the crisis has exacerbated pre-existing challenges to democracy and the rule of law in some member states; regrets that some of the instruments used by member states to adopt extraordinary measures were deemed unconstitutional;


### 130. calls for more coordination among institutions on adopting extraordinary measures and stresses the need to address digitalisation challenges and ensure that institutions can fulfil their mandates and responsibilities in person , such as at plenary sittings and interinstitutional negotiations (trilogues); ### 130. calls for more coordination among institutions on adopting extraordinary measures and stresses the need to address digitalisation challenges to ensure that institutions can fulfil their mandates and responsibilities like in person , such as at plenary sittings and interinstitutional negotiations (trilogues);


### 131. considers that the procurement mechanisms , notably the advanced purchase agreements used for vaccine contracting , could have improved transparency; recommends finding a way to publish vaccine contracts sooner and in less redacted versions; ### 131. considers that the procurement mechanisms , notably the advanced purchase agreements used for vaccine contracting , could have improved transparency; recommends finding a way to publish vaccine contracts sooner and in less redacted versions and completely after a cooling-off period of for example 6 months;


### 134. notes that diverging approaches among the member states on the use of the eu digital covid certificate undermined public trust in the tool; ### 134. regrets , however , that diverging approaches among the member states and the adoption of national measures on the use of the eu digital covid certificate that went beyond the objective of restoring the free movement of persons and mobility undermined public trust in the tool;


### 137. notes that the shock of the pandemic to labour markets in 2020 was short and sharp , and that the recovery has been swift , aided by policy interventions and significant public support at national and eu level; underlines that overall , eu employment recovered to pre-crisis levels within two years , compared to nearly eight years following the global financial crisis; ### 137. notes that the shock of the pandemic to labour markets in 2020 was short and sharp , and that the recovery has been swift but unequal between member states , aided by policy interventions and significant public support at national and eu level; underlines that overall , eu employment recovered to pre-crisis levels within two years , compared to nearly eight years following the global financial crisis; regrets that economic divergence inside the eu still exists as a result of the pandemic;


### 138. notes that job losses during the pandemic were concentrated in low-paid jobs but that the recovery in employment during 2021 was driven by growth in well-paid jobs and occupations; underlines that the pandemic had a disproportionate impact on certain categories of workers , including self-employed workers and contractual workers , such as seasonal and temporary workers , who were strongly affected; ### 138. notes that job losses during the pandemic were concentrated in low-paid jobs but that the recovery in employment during 2021 was driven by growth in well-paid jobs and occupations; underlines that the pandemic had a disproportionate impact on certain categories of workers , including self-employed workers and contractual workers , such as seasonal and temporary workers , who were strongly affected; highlights that young people have been strongly impacted , with a crisis affecting their employment prospects but also disrupting their education and training;


### 138. notes that job losses during the pandemic were concentrated in low-paid jobs but that the recovery in employment during 2021 was driven by growth in well-paid jobs and occupations; underlines that the pandemic had a disproportionate impact on certain categories of workers , including self-employed workers and contractual workers , such as seasonal and temporary workers , who were strongly affected; ### 138. notes that job losses during the pandemic were concentrated in low-paid jobs but that the recovery in employment during 2021 was driven by growth in well-paid jobs and occupations; underlines that the pandemic had a disproportionate impact on certain categories of workers , including self-employed workers and contractual workers , such as seasonal and temporary workers , who were strongly affected; notes that as a result of the pandemic , the income gap in the eu has widened;


### 138. notes that job losses during the pandemic were concentrated in low-paid jobs but that the recovery in employment during 2021 was driven by growth in well-paid jobs and occupations; underlines that the pandemic had a disproportionate impact on certain categories of workers , including self-employed workers and contractual workers , such as seasonal and temporary workers , who were strongly affected; ### 138. notes that job losses during the pandemic were concentrated in low-paid jobs but that the recovery in employment during 2021 was driven by growth in well-paid jobs and occupations; underlines that the pandemic had a disproportionate impact on certain categories of workers , including self-employed workers , workers in cultural and creative sectors and contractual workers , such as seasonal and temporary workers , who were strongly affected;


### 140. welcomes member states’ efforts to help smes with schemes such as loan guarantees or subsidies; notes that smes in all european countries used the short-term unemployment scheme to protect their workers and businesses and that member states also implemented income subsidies to cover self-employed workers’ loss of income; ### 140. welcomes member states’ efforts to help smes with schemes such as loan guarantees or subsidies; regrets however the disparities in the national economic responses to the pandemic in terms of the size and form of aid provided , particularly for small and medium-sized enterprises; notes that smes in all european countries used the short-term unemployment scheme to protect their workers and businesses and that member states also implemented income subsidies to cover self-employed workers’ loss of income;


### 37. notes that , at the beginning of the pandemic , many member states’ health systems were unprepared to cope with the magnitude of such a crisis; ### 37. notes that , at the beginning of the pandemic , member states’ health systems were unprepared to cope with the magnitude of such a crisis;


### 40. believes that the eu needs further regulatory simplification , the coordination and acceleration of clinical trials at eu level and the digitalisation of health systems; underlines the importance of data in medical research and highlights the european health data space as a key initiative in this field; ### 40. believes that the eu needs further regulatory simplification , the coordination and acceleration of clinical trials at eu level and the digitalisation and coordination of health systems and medical records at regional , national and european level; underlines the importance of data in medical research and highlights the european health data space as a key initiative in this field; highlights the importance of creating and sharing interoperable information systems that guarantee information security and protect the rights of citizens and healthcare professionals;


### 40. believes that the eu needs further regulatory simplification , the coordination and acceleration of clinical trials at eu level and the digitalisation of health systems; underlines the importance of data in medical research and highlights the european health data space as a key initiative in this field; ### 40. believes that the eu needs further regulatory simplification , the coordination and acceleration of clinical trials at eu level and the digitalisation of health systems; underlines the importance of data in medical research and highlights the european health data space as a key initiative in this field; stresses the necessity to take into account the knowledges coming from the experience of the ors in terms of infectious diseases and zoonosis , more specifically in a context of climate change and global warming;


### 42. calls on the member states to introduce measures that enhance the security of digital networks in order to protect health institutions and patients from cyberattacks; ### 42. calls on the member states to introduce measures that enhance the security of digital networks in order to protect health institutions and patients from cyberattacks , while respecting union legislation on data protection such as regulation (eu) 2016/679 of the european parliament and of the council;


### 43. reaffirms the need to improve the security of critical infrastructure , such as power grids and financial systems , as well as measures to increase awareness of cybersecurity risks and to provide training to individuals and organisations on how to protect themselves , as these cyberattacks may also have an impact on patients and hospitals; ### 43. reaffirms the need to improve the security of critical infrastructure , such as power grids and financial systems , as well as measures to increase awareness of cybersecurity risks and to provide training to individuals and organisations on how to protect themselves , as these cyberattacks may also have an impact on patients and health systems;


### 45. calls for investments in healthcare personnel to enhance their skills , and support member states in improving their working conditions , in order to attract the next generation of healthcare workers and address the lack of medical professionals and brain drain within the union; ### 45. calls for investments in healthcare personnel to enhance their skills , and support member states in improving their working conditions , in order to attract the next generation of healthcare workers and address the lack of medical professionals and brain drain within the union; to this end , calls on the member states to make the most of existing eu funds to foster eu-wide mobility of healthcare professionals , during both their education and in their professional careers through erasmus +;


### 45. calls for investments in healthcare personnel to enhance their skills , and support member states in improving their working conditions , in order to attract the next generation of healthcare workers and address the lack of medical professionals and brain drain within the union; ### 45. calls for investments in healthcare personnel to enhance their skills , and support member states in improving their working conditions , in order to attract the next generation of healthcare workers and address the lack of medical professionals and brain drain within the union; stresses the need to include in the training programs of professionals , mandatory modules dedicated to crisis management at the european level;


### 45. calls for investments in healthcare personnel to enhance their skills , and support member states in improving their working conditions , in order to attract the next generation of healthcare workers and address the lack of medical professionals and brain drain within the union; ### 45. calls for investments in healthcare systems and personnel to enhance their skills , and support member states in improving their working conditions , in order to attract the next generation of healthcare workers and address the lack of medical professionals and brain drain within the union;


### 49. calls for the eu and the member states to rethink the role of primary care , focusing on its potential to relate to families on a day-to-day basis , to improve prevention and promote a greater community capacity to respond to health threats , in close coordination with hospital care; ### 49. calls for the eu and the member states to rethink the role of primary care , focusing on its potential to relate to families on a day-to-day basis , to improve prevention and promote a greater community capacity to respond to health threats , in close coordination with healthcare systems;


### 50. highlights the divergences in healthcare systems among member states and among regions within member states , in particular remote rural areas , the outermost regions and peripheral islands; calls for the use of cohesion policy to even out these divergences; ### 50. highlights the divergences in healthcare systems among member states and among regions within member states; notes that accessing healthcare services remains a challenge in the eu’s rural and remote areas , notably outermost regions and peripheral islands , in a context of a declining and ageing population , and a lack of connectivity and infrastructure; whereas rural areas face shortages of general practitioners and of specialised and emergency care leading to the emergence of the so-called “medical deserts"; calls for the use of cohesion policy to even out these divergences;


### 50. highlights the divergences in healthcare systems among member states and among regions within member states , in particular remote rural areas , the outermost regions and peripheral islands; calls for the use of cohesion policy to even out these divergences; ### 50. highlights the divergences in healthcare systems among member states and among regions within member states , in particular remote rural areas , the outermost regions , the peripheral islands and the overseas countries and territories; calls for the use of cohesion policy to even out these divergences;


### 50. highlights the divergences in healthcare systems among member states and among regions within member states , in particular remote rural areas , the outermost regions and peripheral islands; calls for the use of cohesion policy to even out these divergences; ### 50. highlights the divergences in healthcare systems and access to health care services among member states and among regions within member states , in particular remote rural areas , the outermost regions and peripheral islands; calls for the use of cohesion policy to even out these divergences;


### 51. notes that economic support , the government response and stringency indices differed depending on each member state’s income support , fiscal measures and restriction measures; highlights that different demographics and cultural specificities , such as the large population of older people in italy and tourism as an active business sector in southern countries , led to different pandemic socio-economic impacts; ### 51. notes that economic support , the government response and stringency indices differed depending on each member state’s income support , fiscal measures and restriction measures; highlights that different demographics and cultural specificities , such as the large population of older people in italy and tourism as an active business sector in southern countries and outermost regions , led to different pandemic socio-economic impacts;


### 51. notes that economic support , the government response and stringency indices differed depending on each member state’s income support , fiscal measures and restriction measures; highlights that different demographics and cultural specificities , such as the large population of older people in italy and tourism as an active business sector in southern countries , led to different pandemic socio-economic impacts; ### 51. notes that economic support , the government response and stringency indices differed depending on each member state’s income support , fiscal measures and restriction measures; highlights that different demographics and cultural specificities , such as the large population of older people in some countries and tourism as an active business sector in others , led to different pandemic socio-economic impacts;


### 54. calls for better coordination to enable the timely stockpiling and joint procurement of medical countermeasures in line with the eu’s civil protection mechanism and the resceu stockpile; ### 54. calls for better coordination to enable the timely stockpiling and joint procurement of medical countermeasures in line with the eu’s civil protection mechanism and the resceu stockpile; notes the proposal of the conference on the future of europe to establish a list of medicines of major therapeutic interest , including medical countermeasures and essential medicines that can be stockpiled and jointly procured in order to assure their availability;


### 54. calls for better coordination to enable the timely stockpiling and joint procurement of medical countermeasures in line with the eu’s civil protection mechanism and the resceu stockpile; ### 54. calls for better coordination to enable the timely stockpiling and joint procurement of medical countermeasures in line with the eu’s civil protection mechanism and the resceu stockpile; emphasises the need for the union to guarantee the proximity of resceu reserves in order to ensure access to medical countermeasures for rural , remote or outermost regions;


### eu health strategic autonomy: strengthening research and innovation investments through public-private partnerships , supported by a globally competitive , effective and sustainable intellectual property (ip) rights protection and incentives system ### eu health open strategic autonomy: strengthening research and innovation investments through public-private partnerships , supported by a globally competitive , effective and sustainable intellectual property (ip) rights protection and incentives system


### 56. underlines the importance of robust ip protection in offering incentives in medicinal research and development , and in making europe the leading place for pharmaceutical r&d ### 56. underlines the importance of robust ip protection in offering incentives in medicinal research and development , and in making europe the leading place for pharmaceutical r&d , as long as the ip protection does not put serious barriers to access and affordability; highlights the need to ensure the right balance between incentivising innovation and providing access to affordable medicine products in all member states:


### 144. welcomes the measures and instruments that followed , with the development of the sure , the recovery and resilience facility (rrf) and nextgenerationeu , to which the eu committed eur 800 billion for grants and loans; ### 144. welcomes the measures and instruments that followed , with the development of the sure , the recovery and resilience facility (rrf) and nextgenerationeu , to which the eu committed eur 800 billion for grants and loans; stresses that the rrf is an unprecedented instrument of solidarity and a cornerstone of the next generation eu instrument , which ends in 2026 , and constitutes the main instrument of the union's response to the pandemic to prepare the union's economies for the new challenges; encourages member states to use the full potential of the rrf , including loans , to counter the effects of the pandemic and the challenges ahead;


### 144. welcomes the measures and instruments that followed , with the development of the sure , the recovery and resilience facility (rrf) and nextgenerationeu , to which the eu committed eur 800 billion for grants and loans; ### 144. notes the measures and instruments that followed , with the development of the sure , the recovery and resilience facility (rrf) and nextgenerationeu , to which the eu committed eur 800 billion for grants and loans;


### 149. highlights that during lockdowns resulting from the pandemic , male violence towards women increased significantly as the restrictive measures fostered a particularly enabling environment for abusers; notes , moreover that digitalisation drove an observable rise in online abuse particularly affecting vulnerable populations; ### 149. highlights that during lockdowns resulting from the pandemic , violence against women and girls increased significantly , which was considered to be a ‘shadow pandemic’ , as the restrictive measures fostered a particularly enabling environment for abusers; acknowledges that world health organization's european countries reported a 60 % increase in emergency calls from women subjected to violence by their intimate partner; notes , moreover that the greater use of the internet during the covid-19 pandemic increased online and ict-facilitated gender-based violence , since abusive partners and ex-partners also monitor , track and threaten their victims and perpetrate violence with digital tools;


### 149. highlights that during lockdowns resulting from the pandemic , male violence towards women increased significantly as the restrictive measures fostered a particularly enabling environment for abusers; notes , moreover that digitalisation drove an observable rise in online abuse particularly affecting vulnerable populations; ### 149. highlights that during lockdowns resulting from the pandemic , male violence towards women increased significantly as the restrictive measures fostered a particularly enabling environment for abusers , and led to a major setback in women's rights; notes , moreover that digitalisation drove an observable rise in online abuse particularly affecting vulnerable populations;


### 150. confirms that the restrictive measures in member states affected the mental health of teenagers and young adults; notes that there is evidence of a rise in mental health problems , anxiety , depression-related symptoms and suicidal behaviours; notes that lockdowns and the consequent lack of physical exercise also increased the prevalence of eating disorders and that all these issues were particularly manifest in vulnerable at-risk groups; ### 150. confirms that the restrictive measures in member states affected the mental health of teenagers and young adults; notes that there is evidence of a rise in mental health problems , anxiety , depression-related symptoms and suicidal behaviours; notes that lockdowns and the consequent lack of physical exercise also increased the prevalence of eating disorders and that all these issues were particularly manifest in vulnerable at-risk groups; highlights the facts that special attention should be paid to the mental health of vulnerable young people suffering , for example , from poverty , certain addictions , difficult family environment and integration difficulties , which can have serious repercussions on their mental health;


### 153. is concerned that during the pandemic children and young people suffering from mental health issues received much less mental health support compared to older adults and this could remain an ongoing issue; ### 153. is concerned that , in particular during the pandemic , children and young people suffering from mental health issues received much less mental health support compared to older adults and this could remain an ongoing issue;


### 155. states that the pandemic had a major impact on the elderly and people with dementia due to their isolation and reduced opportunities for social interaction , as well as the suspension of their daily activities; notes that it also increased signs of depression and anxiety among the elderly and their caregivers as well as increased financial difficulties for the caregivers; points out that this contributed to the progression of the dementia-related symptoms , and adults with dementia and covid-19 experienced serious difficulties in receiving appropriate medical care and assistance; ### 155. states that the pandemic had a major impact on the elderly and people with dementia due to their isolation and reduced opportunities for social interaction , as well as the suspension of their daily activities; notes that it also increased signs of depression and anxiety among the elderly and their caregivers as well as increased financial difficulties for the caregivers; points out that this contributed to the progression of the dementia-related symptoms , and adults with dementia and covid-19 experienced serious difficulties in receiving appropriate medical care and assistance; stresses that nursing homes and long-term care facilities have been particularly affected by the covid-19 pandemic , resulting in a significant number of deaths and illnesses among residents and staff; notes that the pandemic has exposed weaknesses in the preparedness of nursing homes and long-term care facilities for public health emergencies; points out that many nursing homes and long-term care facilities have faced shortages of personal protective equipment , testing supplies , and staffing resources during the pandemic;


### 156. highlights that the pandemic and the restrictive measures have aggravated pre-existing disparities in obesity and metabolic health , with an overall rise in excess body weight , especially among women , lower educated and lower paid people , and psychiatric patients; notes that the quality of people’s diets often worsened , and physical activity declined due to the closure of sport facilities and play areas , leading to a rise in sedentary behaviour; ### 156. highlights that the pandemic and the restrictive measures have aggravated pre-existing disparities in obesity and metabolic health , with an overall rise in excess body weight , especially among women , lower educated and lower paid people , the inhabitants of the ors , and psychiatric patients; notes that the quality of people’s diets often worsened , and physical activity declined due to the closure of sport facilities and play areas , leading to a rise in sedentary behaviour;


### 158. notes that during the pandemic the eu moved towards new forms of digitalisation and flexible working; highlights that the appropriate use of digital tools can be an asset to employers and workers in terms of allowing greater freedom , independence and flexibility to better organise working time and working tasks , reduce time spent travelling to work , and make it easier to manage personal and family obligations , thus enabling a better work-life balance; notes that workers’ needs vary widely and therefore emphasises the importance of developing a clear framework that simultaneously promotes personal flexibility and protects workers’ rights; ### 158. notes that during the pandemic the eu moved towards new forms of digitalisation and flexible working; highlights that the appropriate use of digital tools can be an asset to employers and workers in terms of allowing greater freedom , independence and flexibility to better organise working time and working tasks , reduce time spent travelling to work , and make it easier to manage personal and family obligations , thus enabling a better work-life balance; notes that workers’ needs vary widely and therefore emphasises the importance of developing a clear framework that simultaneously promotes personal flexibility and protects workers’ rights; urges the commission to put forward proposals that set standards for teleworking conditions throughout the european union , with the aim of guaranteeing fair and appropriate working and employment conditions within the digital economy;


### 159. calls on the commission and member states to take the necessary steps to make europe a truly business-friendly environment , with increased access to capital , more flexibility and less red tape for european companies so as to enable them to react quickly , continue business innovation and encourage entrepreneurship , while at the same time protecting and enforcing workers’ rights within the eu’s borders; ### 159. calls on the commission and member states to take the necessary steps to make europe a truly business-friendly environment , with increased access to capital , more flexibility , increased simplification and less red tape for european companies , especially smes , so as to enable them to react quickly , continue business innovation and encourage entrepreneurship , while at the same time protecting and enforcing workers’ rights within the eu’s borders;


### 161. calls on the commission and member states to support , strengthen and safeguard freedom of movement (of people , goods and services) in future pandemics and minimise the burden of documentation and legislation; emphasises the need for rules and guidelines on travelling and disease detection to be harmonised between the member states to simplify procedures for smes; ### 161. calls on the commission and member states to support , strengthen and safeguard freedom of movement (of people , goods and services) in future pandemics and minimise the burden of documentation and legislation and therefore preserve the integrity of the single market; emphasises the need for rules and guidelines on travelling and disease detection to be harmonised between the member states to simplify procedures for smes;


### 161. calls on the commission and member states to support , strengthen and safeguard freedom of movement (of people , goods and services) in future pandemics and minimise the burden of documentation and legislation; emphasises the need for rules and guidelines on travelling and disease detection to be harmonised between the member states to simplify procedures for smes; ### 161. calls on the commission and member states to support , strengthen and safeguard the single market , especially the freedom of movement (of people , goods and services) in future pandemics and minimise the burden of documentation and legislation; emphasises the need for rules and guidelines on travelling and disease detection to be harmonised between the member states to simplify procedures for smes;


### 162. emphasises that the support to mitigate unemployment risks in an emergency (sure) instrument helps safeguard jobs , as do other similar programmes in the form of one-off economic and social solidarity measures in europe , while emphasising that such programmes should be based on loans , and only activated in the event of severe external financial or economic shocks; ### 162. emphasises that the support to mitigate unemployment risks in an emergency (sure) instrument helps safeguard jobs , while emphasising that such programmes should be based on loans , and only activated in the event of severe external financial or economic shocks;


### 167. calls on the member states to take full advantage of rrf funding , which is built on the notion of ‘build back better’ , with a view to reinforcing research and innovation and kick-starting the economy through ambitious proposals and policies , focusing particularly on the green and digital transition , in order to make the eu stronger; ### 167. calls on the member states to take full advantage of rrf funding , which is built on the notion of ‘build back better’ , through a timely and effective implementation of the funds , with a view to reinforcing research and innovation and kick-starting the economy through ambitious reforms and investments , focusing particularly on the green and digital transition , in order to make the eu stronger;


### 173. calls for the eu and member states to step up their efforts to mainstream the gender perspective in eu policy and national recovery plans; ### 173. calls for the eu and member states to step up their efforts to fight against gender inequalities and to tackle gender pay gap , as well as mainstream the gender perspective in all eu policy and national recovery plans; is concerned about the high share of minimum wage and sub-minimum earners among the care professionals , majority of whom are women , and the subsequently persistent gender pay gap and discrepancies in the pay levels of specific care professions; stresses that all eu measures in the field of care , the labour market and social services should aim to promote gender equality;


### 175. calls on the commission to gather more information about the impact of the pandemic on children’s rights and psycho-social development , the empowerment of children regarding their rights , the inclusion of emergency measures concerning children in policy and legislation; ### 175. calls on the commission to gather more information about the impact of the pandemic on children’s rights and psycho-social development , the empowerment of children regarding their rights , the inclusion of emergency measures concerning children in policy and legislation; calls , in this regard , for the eu and member states to allocate appropriate resources to obtain and analyse such data;


### 60. notes that the pandemic put pressure on global supply chains , including the pharmaceutical sector , resulting in disruptions and unpredictability in the supply of vaccines and other countermeasures; ### 60. notes that the pandemic put pressure on global supply chains , including the pharmaceutical sector , resulting in disruptions and unpredictability in the supply of vaccines and other countermeasures; recall the need to assess the vulnerabilities of the global value chain and explore options for improving supply security;


### 63. recalls the critical need for global health and for global supply chains to develop local production and distribution capacities in the eu and in developing countries , notably in terms of pharmaceutical research , development and production and always according to social standards and industry due diligence; calls on the commission to use the industrial , ip and pharmaceutical strategies to bridge the persistent gap in research and medicine production through product-development partnerships and the creation of open centres for research and production; ### 63. recalls the critical need for global health and for global supply chains to develop local production and distribution capacities in the eu and in developing countries , notably in terms of pharmaceutical research , development and production and always according to social standards and industry due diligence; calls on the commission to use the industrial , ip and pharmaceutical strategies to bridge the persistent gap in research and medicine production through product-development partnerships and the creation of open centres for research and production; stresses the need to support eu capacities of production of essential , priority and innovative medicines and treatments;


### 63. recalls the critical need for global health and for global supply chains to develop local production and distribution capacities in the eu and in developing countries , notably in terms of pharmaceutical research , development and production and always according to social standards and industry due diligence; calls on the commission to use the industrial , ip and pharmaceutical strategies to bridge the persistent gap in research and medicine production through product-development partnerships and the creation of open centres for research and production; ### 63. recalls the critical need for global health and for global supply chains to develop local production and distribution capacities in the eu , including in the most remote regions , such as the ors and octs , and in developing countries , notably in terms of pharmaceutical research , development and production and always according to social standards and industry due diligence; calls on the commission to use the industrial , ip and pharmaceutical strategies to bridge the persistent gap in research and medicine production through product-development partnerships and the creation of open centres for research and production;


### 65. notes that sustainable vaccine development , production and delivery rely on robust and transparent supply chains; calls on the wto to take action to ensure the fluidity of supply chains and vaccine deliveries; ### 65. notes that sustainable vaccine development , production and delivery rely on robust and transparent supply chains; calls on the wto to take action to ensure the fluidity of supply chains and medical products deliveries;


### 69. takes the view that joint procurement procedures could provide the eu and its member states with more flexibility according to their needs , whereas negotiations for the advanced purchase agreements were beneficial at a time when the development of vaccines was risky and production lines were prepared without knowing which vaccine would actually succeed or whether the vaccines would actually be approved; ### 69. takes the view that joint procurement procedures could provide the eu and its member states with more flexibility according to their needs , whereas negotiations for the advanced purchase agreements were beneficial at a time when the development of vaccines was risky and production lines were prepared without knowing which vaccine would actually succeed or whether the vaccines would actually be approved; stresses the need for more transparency in the procurement practices of the member states in order to be better able to coordinate on this matter;


### 70. stresses the importance of new joint eu voluntary public-procurement contracts by the commission and the member states , especially for , but not limited to , emergency medicines and unmet therapeutic needs , to improve their affordability and access to them at eu level; calls for such practices to be explored in areas such as rare diseases and cancer through clearly outlined milestones , objectives and commitments agreed on by all parties involved; highlights the need to ensure high levels of transparency in these initiatives and to apply lessons learned from the joint procurement of covid-19 products; stresses that joint procurement must not risk having a negative impact on supply flows by increasing the risk of shortages in the eu; ### 70. stresses the importance of new joint eu voluntary public-procurement contracts by the commission and the member states , especially for , but not limited to , emergency medicines and unmet therapeutic needs , to improve their affordability and access to them at eu level; calls for such practices to be explored in areas such as rare diseases and cancer through clearly outlined milestones , objectives and commitments agreed on by all parties involved; highlights the need to ensure high levels of transparency in these initiatives and to apply lessons learned from the joint procurement of covid-19 products; stresses that joint procurement must not risk having a negative impact on supply flows by increasing the risk of shortages in the eu; strongly encourages the formation of regional clusters of member states that can act together to set up common procurement with the help of the european commission;


### 70. stresses the importance of new joint eu voluntary public-procurement contracts by the commission and the member states , especially for , but not limited to , emergency medicines and unmet therapeutic needs , to improve their affordability and access to them at eu level; calls for such practices to be explored in areas such as rare diseases and cancer through clearly outlined milestones , objectives and commitments agreed on by all parties involved; highlights the need to ensure high levels of transparency in these initiatives and to apply lessons learned from the joint procurement of covid-19 products; stresses that joint procurement must not risk having a negative impact on supply flows by increasing the risk of shortages in the eu; ### 70. stresses the importance of new joint eu voluntary public-procurement contracts by the commission and the member states , especially for , but not limited to , emergency medicines and unmet therapeutic needs , to improve their affordability and access to them at eu level; calls for such practices to be explored in areas such as rare diseases and cancer through clearly outlined milestones , objectives and commitments agreed on by all parties involved; highlights the need to ensure high levels of transparency in these initiatives and to apply lessons learned from the joint procurement of covid-19 products such as the need for clear definitions of the demanded product , i.e. doses vs. ampullas; stresses that joint procurement must not risk having a negative impact on supply flows by increasing the risk of shortages in the eu;


### 72. highlights the lack of transparency in the joint procurement agreements negotiated with companies , which was justified by respect for the right to confidentiality; stresses that transparency in the work of the eu institutions is of the utmost importance , especially under the conditions of the unprecedented pandemic crisis; ### 72. highlights the lack of transparency in the joint procurement agreements negotiated with companies , which was only partly justified by respect for the right to confidentiality; notes the conclusions of the european court of auditors and european ombudsman regarding transparency of communication between european commission officials and third parties and calls on the european commission to fully take them into account; stresses that transparency in the work of the eu institutions is of the utmost importance , especially under the conditions of the unprecedented pandemic crisis;


### 72. highlights the lack of transparency in the joint procurement agreements negotiated with companies , which was justified by respect for the right to confidentiality; stresses that transparency in the work of the eu institutions is of the utmost importance , especially under the conditions of the unprecedented pandemic crisis; ### 72. highlights the lack of transparency in the joint procurement agreements negotiated with companies , which was justified by respect for the right to confidentiality; stresses that transparency in the work of the eu institutions is of the utmost importance and that parliament should be able to scrutinize; suggests therefore to include a sunset rule for the confidentiality clauses in future joint procurement agreements which would result in a publication of contracts after a reasonable time of for example 6 months;


### 73. observes that the causes of long covid are still scientifically uncertain , as are the specifics of what it includes and its long-term impact; highlights that the eu needs a strategic approach in order to address long covid , focusing on increasing research , training and primary care awareness; ### 73. observes that the causes of long covid are still scientifically uncertain , as are the specifics of what it includes and its long-term impact; highlights that the eu needs a strategic approach in order to address long covid , focusing on increasing research , training and primary care awareness; recommends enhanced coordination at european level for research on long covid; calls for adequate funding for basic research and clinical trials on already approved medicines and interventions with meaningful and high-quality involvement of long covid patients to align the research priorities with the patients' needs at all stages of the long covid research; encourages targeted educational programmes in the medical sector; recognizes the importance of large-scale public awareness campaigns on the existence of long covid as a serious disease to reduce the stigma of patients;


### 76. takes note that cd and ncd services were disrupted due to cancellations of elective care , the closure of screening programmes , government or public transport lockdowns which hindered access to the health facilities and lack of staff , and notes that rehabilitation was the most commonly disrupted service; ### 76. takes note that cd and ncd services were disrupted due to cancellations of elective care , the closure of screening programmes , government or public transport lockdowns which hindered access to the health facilities and lack of staff , and notes that rehabilitation was the most commonly disrupted service; calls for the adoption of an eu strategy to anticipate and monitor the impacts of serious health threats on people affected by communicable and non-communicable diseases/other diseases or conditions;


### 77. observes that most countries that have included ncd services in national covid-19 plans have prioritised services for the four major ncds: cardiovascular disease services , cancer services , diabetes services and chronic respiratory disease services; highlights that some countries , like spain , have recognised mental health as an area to prioritise; ### 77. observes that most countries that have included ncd services in national covid-19 plans have prioritised services for the four major ncds: cardiovascular disease services , cancer services , diabetes services and chronic respiratory disease services; highlights that some countries , like spain , have recognised mental health as an area to prioritise; stresses the need to monitor and research the effects of the disruption of medical services for cds and ncds and gather best practices identified to ensure the continuation of services for cds and ncds during a public health emergency;


### 77. observes that most countries that have included ncd services in national covid-19 plans have prioritised services for the four major ncds: cardiovascular disease services , cancer services , diabetes services and chronic respiratory disease services; highlights that some countries , like spain , have recognised mental health as an area to prioritise; ### 77. observes that most countries that have included ncd services in national covid-19 plans have prioritised services for the four major ncds: cardiovascular disease services , cancer services , diabetes services and chronic respiratory disease services; highlights that some countries , like spain , have recognised mental health as an area to prioritise; regrets the divergences in the provision of mental health services in eu national health systems;


### 77. observes that most countries that have included ncd services in national covid-19 plans have prioritised services for the four major ncds: cardiovascular disease services , cancer services , diabetes services and chronic respiratory disease services; highlights that some countries , like spain , have recognised mental health as an area to prioritise; ### 77. observes that most countries that have included ncd services in national covid-19 plans have prioritised services for the four major ncds: cardiovascular disease services , cancer services , diabetes services and chronic respiratory disease services; highlights that some countries have recognised mental health as an area to prioritise;


### 79. recognises that restrictions and lockdowns led to a rise in mental health issues , particularly for youth; underlines , therefore , the importance of introducing such limiting measures as a last resort; calls for support for eu governments’ actions on mental health with a focus on youth and children , while taking into account the limitations of eu competence in this area; ### 79. recognises that restrictions and lockdowns led to a rise in mental health issues , particularly for youth; underlines , therefore , the importance of introducing such limiting measures as a last resort; calls for support for eu governments’ actions on mental health with a focus on youth and children , while taking into account the limitations of eu competence in this area; stresses the need for a mental health strategy at the eu level that will serve as support for member states;


### 79. recognises that restrictions and lockdowns led to a rise in mental health issues , particularly for youth; underlines , therefore , the importance of introducing such limiting measures as a last resort; calls for support for eu governments’ actions on mental health with a focus on youth and children , while taking into account the limitations of eu competence in this area; ### 79. recognises that restrictions and lockdowns led to a rise in mental health issues , particularly for youth; underlines , therefore , the importance of introducing such limiting measures as a last resort; calls for support for the union and the eu governments’ actions on mental health with a focus on youth and children , while taking into account the limitations of eu competence in this area;


### 83. encourages the eu and member states to implement the european health union package , developing a permanent agenda for health and looking at healthcare as an investment; calls for basic health services to be strengthened , as a way of improving the general state of health of the population; ### 83. encourages the eu and member states to implement the european health union package , developing a permanent agenda for health and looking at healthcare as an investment; calls for basic health services , specially primary care , to be strengthened , as a way of improving the general state of health of the population;


### 84. highlights the need to ensure the performance of epidemiological surveillance at eu level and the availability and interoperability of information systems , new tools and research to strengthen interdisciplinary research and human and social sciences as regards the impact of pandemics and non-pharmaceutical measures; ### 84. highlights the need to ensure the performance of epidemiological surveillance at eu level and the availability and interoperability of information systems , new tools and research to strengthen interdisciplinary research and human and social sciences as regards the impact of pandemics and non-pharmaceutical measures , particularly in the ors and octs;


### 176. calls , in this regard , for the eu and member states to boost funding for eu research on children in general and children’s data; ### deleted


### 176. calls , in this regard , for the eu and member states to boost funding for eu research on children in general and children’s data; ### 176. calls , in this regard , for the eu and member states to boost funding for eu research on children in general and children’s data; highlights the need to focus on improving the mental health of young people and children in the wake of the pandemic including through measures taken at the eu level by adopting a eu strategy on mental health;


### 177. recommends that , in future pandemics , schools and other education facilities should remain open , and education policy should be part of an emergency response strategy; ### 177. recommends that , in future health crises , schools and other education facilities should remain open , while respecting the health and safety of students , and education policy should be part of an emergency response strategy;


### 179. calls on the commission to carry out a ‘youth and elderly proof check’ for all the eu’s legislative proposals; ### 179. calls on the european institutions to carry out a ‘youth check’ for all the eu’s legislative proposals; in line with the recommendations from the conference on the future of europe;


### 182. calls for the eu and member states to invest and develop online tools and digitally empower older people , support online healthcare services and institutions financially and to develop support measures for caregivers; ### 182. calls for the eu and member states to invest and develop online tools and digitally empower older people , support online healthcare services and institutions financially and to develop support measures for caregivers; stresses the importance of implementing measures to ensure equal access to digital technology in all member states and for all sectors of the population;


### 186. calls for the eu and member states to invest in a disability-inclusive process of preparedness , to prevent the devastating impacts of future crises; ### 186. calls for the eu and member states to invest in a disability-inclusive process of preparedness , to prevent the devastating impacts of future crises on disabled people;


### 186. calls for the eu and member states to invest in a disability-inclusive process of preparedness , to prevent the devastating impacts of future crises; ### 186. calls for the eu and member states to invest in a disability-inclusive process of prevention , preparedness , to anticipate the devastating impacts of future crises;


### 190. highlights that tariff and non-tariff barriers have limited access to vaccines , and considers that the wto should take action to ensure the free flow of supply chains and vaccine deliveries , notably as regards export restrictions; ### 190. highlights that tariff and non-tariff barriers have limited access to vaccines , and considers that the wto should take action to ensure the free flow of supply chains and vaccine deliveries , notably as regards export restrictions; regrets that many countries , including some eu partners , resorted to protectionist measures in the form of export restrictions;


### 194. welcomes the fact that the eu and who have been and remain in close cooperation on every aspect of responses to the pandemic; calls for stronger , more coordinated , international cooperation taking a long-term view and with a stronger who at the centre; ### 194. welcomes the fact that the eu and who have been and remain in close cooperation on every aspect of responses to the pandemic; calls for stronger , more coordinated , international cooperation taking a long-term view and with a stronger who at the centre; calls for a more strategic , assertive and effective role for the union in global health; stresses the need for the eu to have a role of a formal observer at the who;


### 202. underlines that public-private cooperation during a pandemic emergency is structurally different from cooperation under ‘normal’ circumstances , where the public side provides long-term investment , additional grants or loans and the private side delivers the product; emphasises that in a pandemic situation , where much more risk is involved , public funding plays an even bigger role in the development cycle of the product (vaccine) , in conjunction with advance purchase agreements before regulatory approval; notes that this can work only if global frameworks are well crafted and if there is close coordination between all the actors involved; ### 202. underlines that public-private cooperation during a health emergency is structurally different from cooperation under ‘normal’ circumstances , where the public side provides long-term investment , additional grants or loans and the private side delivers the product; emphasises that in a health crisis , where much more risk is involved , public funding plays an even bigger role in the development cycle of the product (vaccine) , in conjunction with advance purchase agreements before regulatory approval; notes that this can work only if global frameworks are well crafted and if there is close coordination between all the actors involved;


### 208. considers it essential to ensure the openness of global supply chains to eu manufacturers , by maintaining close cooperation with the eu’s international partners and counterparts and by responsibly responding to protectionist reflexes from said counterparts , such as the america first principle; ### 208. considers it essential to ensure the openness of global supply chains to eu manufacturers , by maintaining close cooperation with the eu’s international partners and counterparts;


### 211. underlines that the world is likely to face new epidemics and pandemics in the future and that the eu’s one health approach entails being active in global preparedness , notably regarding the loss of biodiversity that is driving pandemics; ### 211. underlines that the world is likely to face new epidemics and pandemics or any kind of health crisis in the future and that the eu’s one health approach entails being active in global preparedness , notably regarding the loss of biodiversity that is driving pandemics;


### 217. considers that while donation of doses is good , these donations have to be thoroughly planned to ensure they make an optimal contribution to the recipients’ vaccination strategies; ### 217. considers that while donation of doses is good , these donations have to be thoroughly planned to ensure they make an optimal contribution to the recipients’ vaccination strategies; underlines that the union should also take measures to ensure that vaccines remain effective , to support the capacity of national public health systems to deliver doses , to increase uptake of vaccines and of course to counter the misinformation that fuels vaccine hesitancy in low- and middle-income countries;


### 87. calls for the continuous professional development of healthcare workers and for protective measures for their physical and mental health , as well as vaccinations for them , to be ensured; ### 87. calls for the continuous professional development of healthcare workers , and recognition of their skills as well as for the improvement of their working conditions , including adequate remuneration , and for preventive and protective measures for their physical and mental health , as well as vaccinations for them , to be ensured , taking into account all existing inequalities in the care sector; calls on member states to rapidly propose measures in this direction , in collaboration with all relevant stakeholders and taking into account the measures proposed by the parliament in its resolution of 5 july 2022 towards a common european action on care (2021/2253(ini));


### 87. calls for the continuous professional development of healthcare workers and for protective measures for their physical and mental health , as well as vaccinations for them , to be ensured; ### 87. calls for the continuous professional development of healthcare workers , including crisis management , and for protective measures for their physical and mental health , as well as vaccinations for them , to be ensured;


### 88. looks forwards to the inclusion of mental health in the eu health union; ### 88. looks forwards to the inclusion of mental health in the eu health union; calls for a eu strategy on mental health; highlights the need to put a focus on youth mental health as young people were most affected by mental health issues during the pandemic;


### 88. looks forwards to the inclusion of mental health in the eu health union; ### 88. looks forwards to the inclusion of the upcoming mental health strategy of the eu health union; underlines that this strategy will have to integrate actions relating to all social groups , in particular the most vulnerable;


### 88. looks forwards to the inclusion of mental health in the eu health union; ### 88. looks forwards to the inclusion of mental health in the eu health union; and calls for the improvement of the access to mental health in national health systems;