### 69. supports the development of clinical trials on the use of new cancer drugs in adults and children; ### 69. reiterates the importance of generating and reporting strong evidence on the efficacy and safety profiles of medicines , both in clinical trials and in post-market entry follow-up studies; supports the development of clinical trials on the use of new cancer drugs in adults and children; underlines that authorities must ensure transparency , compliance with study conduct requirements and early communication of relevant data to the ema and the general public;


### 69. supports the development of clinical trials on the use of new cancer drugs in adults and children; ### 69. supports the development of clinical trials on the use of new cancer drugs in adults and children; supports the development of clinical trials in surgical oncology as part of loco-regional treatment , and promotes greater investment of eu and national research and innovation funds in surgical oncology research;


### 69. supports the development of clinical trials on the use of new cancer drugs in adults and children; ### 69. supports the development of clinical trials for the development of more effective and safer forms of treatment , therapies and care for cancer patients , including children and the elderly;


### 70. welcomes the commission’s intention to adopt a legislative proposal to establish a health emergency preparedness and response authority (hera) in order to anticipate , incentivise , co-develop and facilitate rapid , equal and sustainable access to cancer innovations for cancer patients; calls for a large consortium of public authorities , private companies and ngos , including patient associations , to work together to guarantee the accessibility and affordability of cancer treatment options requiring complex technologies , for instance , cellular therapy (car t cells) , adoptive immunotherapy through the use of tumour genome extracts (messenger rna) and nanotechnologies; ### 70. welcomes the commission’s intention to adopt a legislative proposal to establish a health emergency preparedness and response authority (hera) in order to anticipate , incentivise , co-develop and facilitate rapid , equal and sustainable access to cancer innovations for cancer patients , including diagnostics procedures as well as companion diagnostic tests; calls for a large consortium of public authorities , private companies and ngos , including academia , patient and survivors associations , to work together to guarantee the accessibility and affordability of cancer treatment options and diagnostics procedures as well as companion diagnostic tests requiring complex technologies , for instance , cellular therapy (car t cells) , adoptive immunotherapy through the use of tumour genome extracts (messenger rna) and nanotechnologies;


### 71. underlines that the covid-19 crisis has had , and is still having , a significant impact on cancer patients’ survival and quality of life at all stages of the disease , due to delays in screening , referral and surgical procedures , treatment postponement , shortages in the supply of medicines and other medical supplies , specialised workforce shortages and reduced communication with health professionals; ### 71. underlines that the covid-19 crisis has led to an increase in undiagnosed cancers and had , and is still having , a significant impact on cancer patients’ survival and quality of life at all stages of the disease , due to delays in screening , referral and surgical procedures , treatment postponement , shortages in the supply of medicines and other medical supplies , specialised workforce shortages and reduced communication with health professionals;


### 71. underlines that the covid-19 crisis has had , and is still having , a significant impact on cancer patients’ survival and quality of life at all stages of the disease , due to delays in screening , referral and surgical procedures , treatment postponement , shortages in the supply of medicines and other medical supplies , specialised workforce shortages and reduced communication with health professionals; ### 71. underlines that the covid-19 crisis has had , and is still having , a significant impact on cancer patients’ survival and quality of life at all stages of the disease , due to delays in screening and prevention activities like hpv vaccination , referral and surgical procedures , treatment postponement , shortages in the supply of medicines and other medical supplies , specialised workforce shortages , reduced communication with health professionals;


### 71. underlines that the covid-19 crisis has had , and is still having , a significant impact on cancer patients’ survival and quality of life at all stages of the disease , due to delays in screening , referral and surgical procedures , treatment postponement , shortages in the supply of medicines and other medical supplies , specialised workforce shortages and reduced communication with health professionals; ### 71. underlines that the covid-19 crisis has had , and is still having , a significant impact on cancer patients’ survival and quality of life at all stages of the disease , due to delays in screening , referral and surgical procedures , treatment postponement , shortages in the supply of medicines and other medical supplies , specialised workforce shortages , reduced communication with health professionals , patients’ fear of infection and impairments in diagnostics and treatment of diseases considered as risk factors for cancer , such as viral infections;


### 72. considers that the covid-19 pandemic was a real stress test for the eu’s health systems; underlines that the main lesson learned should be the need to build an emergency strategy to allow member states to react accordingly in times of any future health crises; stresses that specific measures under this emergency strategy should be aimed at the protection of vulnerable groups , including cancer patients; ### 72. considers that the covid-19 pandemic was a real stress test for the eu’s health systems; underlines that the main lesson learned should be the need to build an emergency strategy to allow member states to react accordingly in times of any future health crises; stresses that specific measures under this emergency strategy should be aimed at the protection of vulnerable groups that cannot wait until the end of the crisis , including cancer patients;


### 73. notes with concern that the covid-19 pandemic has exacerbated pre-existing health workforce shortages; acknowledges the urgency of ensuring a sufficient number of specialised health professionals in cancer care; reiterates that specific measures under the emergency strategy should be aimed at addressing workforce shortages through the recruitment of health professionals; ### 73. notes with concern that the covid-19 pandemic has exacerbated pre-existing health workforce shortages; acknowledges the urgency of ensuring a sufficient number of specialised health professionals in cancer care; reiterates that specific measures under the emergency strategy should be aimed at addressing workforce shortages through the recruitment of health professionals , both in primary and specialized care;


### 73. notes with concern that the covid-19 pandemic has exacerbated pre-existing health workforce shortages; acknowledges the urgency of ensuring a sufficient number of specialised health professionals in cancer care; reiterates that specific measures under the emergency strategy should be aimed at addressing workforce shortages through the recruitment of health professionals; ### 73. notes with concern that the covid-19 pandemic has exacerbated pre-existing health workforce shortages; acknowledges the urgency of ensuring a sufficient number of specialised health professionals in cancer care; reiterates that specific measures under the emergency strategy should be aimed at addressing workforce shortages through the recruitment of health professionals and their retraining should they be specialists in other fields;


### 74. advocates the development of a digital health system to monitor symptoms and ensure cancer treatment and care at home; calls for permanent access to medical consultations and psychosocial services to be guaranteed through the use of telemedicine or in health threat-free environments in hospitals; ### 74. advocates the development of a digital health system to monitor symptoms and ensure cancer treatment and care at home; calls for permanent access to medical consultations and psychosocial services to be guaranteed through the use of telemedicine or in health threat-free environments in hospitals or , when possible and safe , pharmacies;


### 75. asks for enhanced communication between health professionals , patients and public authorities regarding the effectiveness and safety of health interventions , in particular cancer screening , diagnosis and treatment , and for increased awareness campaigns in times of crises; ### 75. asks for enhanced communication between health professionals , patients , survivors and public authorities regarding the effectiveness and safety of health interventions , in particular cancer screening , diagnosis and treatment , and for increased awareness campaigns in times of crises;


### 76. calls on the commission and the member states to adopt european prevention and management plans to address cancer drug shortages in times of health crises; ### 76. calls on the commission and the member states to adopt european prevention and management plans to address shortages of medicines , devices , products and staff in times of health crises; underlines the responsibilities of market authorization holders (mahs) and wholesale distributors with respect to the relevant eu legislation and in particular with regard to directive 2001/83/ec; calls on the commission and member states to ensure that mahs and wholesale distributors comply with the requirements of directive 2001/83/ec in order to ensure appropriate and continued supply of medicines;


### 76. calls on the commission and the member states to adopt european prevention and management plans to address cancer drug shortages in times of health crises; ### 76. calls on the commission and the member states to adopt european prevention and management plans to address cancer drug shortages in times of health crises; underlines the responsibilities of market authorization holders (mahs) and wholesale distributors with respect to the relevant eu legislation and in particular with respect to directive 2001/83/ec; calls on the commission and member states to ensure that mahs and wholesale distributors comply with the requirements of directive 2001/83/ec in order to ensure appropriate and continued supply of medicines;


### 78. emphasises the importance of specific eu recommendations to improve the quality of life of patients , including via supportive care (pain relief , psychological services , adapted physical activity , nutritional support , social assistance , access to reproductive health and restoration of aesthetic integrity); asks member states for recognition of sequelae (physical or mental disabilities) , as well as social discrimination; ### 78. emphasises the importance of specific eu recommendations to improve the quality of life of patients and survivors , including via supportive care (pain relief , psychological services , adapted physical activity , nutritional support , social assistance , access to reproductive health and restoration of aesthetic integrity) from the diagnosis and during the whole treatment; asks member states for recognition of sequelae (physical or mental disabilities) , as well as social discrimination;


### 79. encourages member states to take into account the frequent exhaustion of the families and relatives of cancer patients and to provide them with psychological assistance and rest periods in the workplace; ### 79. encourages member states to take into account the frequent exhaustion of the families and relatives of cancer patients and to provide them with psychological assistance and rest periods in the workplace as well as support after death;


### 80. recalls that patient empowerment is crucial for the european cancer strategy and that patient-centeredness and participatory decision-making must be at the heart of treatment and care development processes; encourages the therapeutic education of caregivers and patients and their empowerment in the care programmes; ### 80. recalls that patient empowerment is crucial for the european cancer strategy and that patient-centeredness and participatory decision-making must be at the heart of treatment and care development processes; encourages the therapeutic education of caregivers and patients and their empowerment in the care programmes; considers that given the specific characteristics and needs of paediatric patients , a specifically tailored methodology should be used for the training and empowerment process of paediatric patients;


### 81. acknowledges the positive role of patients’ associations in relation to patient advocacy and accompaniment; calls on the commission and the member states to take into account their requests and recommendations when formulating cancer-related policies and legislation and to provide them with public support in order to guarantee their independence from private funding; ### 81. acknowledges the positive role of patients’ associations and young patients advisory groups (ypags) in relation to patient advocacy and accompaniment; calls on the commission and the member states to take into account their requests and recommendations when formulating cancer-related policies and legislation and to provide them with public support in order to guarantee their independence from private funding; recalls the need for paediatric patients (individually and collectively) to play a role in improving healthcare and research procedures by contributing with their specific experiences; considers that adequate learning and educational tools should be developed to plan and carry out an appropriately resourced involvement of children;


### 82. calls on the member states to improve the reintegration of cancer survivors into the labour market and to facilitate the return to school of paediatric cancer survivors; advocates specific eu recommendations for measures for cancer survivors to prevent the recurrence of primary cancer and the development of new cancers and for their rehabilitation; ### 82. calls on the member states to improve the reintegration of cancer survivors into the social activities and the labour market , also helping them in the transition to a new professional role in case of sequelae preventing their continuity in the same job , and to facilitate the return to school of paediatric cancer survivors; advocates specific eu recommendations for measures for cancer survivors to prevent the recurrence of primary cancer and the development of new cancers and for their rehabilitation;


### a. whereas europe’s beating cancer plan should effectively respond to the call for progress by the families and doctors of the 1.3 million people who die from cancer each year in europe , including 6 000 children , the crucial needs of patients who are currently in need of efficient and innovative treatments , the rightful expectations of more than 12 million cancer survivors facing the difficult return back to a ‘normal life’ , the clear will of future generations to be protected against health threats , and the concern of governments facing a growing economic burden from cancer and its related treatments; ### a. whereas europe’s beating cancer plan should effectively respond to the call for progress by the families and health professionals of the 1.3 million people who die from cancer each year in europe , including 6 000 children , the crucial needs of patients who are currently in need of effective , innovative , accessible and affordable treatments and care , the rightful expectations of more than 12 million cancer survivors facing the difficult return back to a ‘normal life’ , the clear will of future generations to be protected against health threats and risk factors , and the concern of governments facing a growing economic and social burden from cancer and its related treatments;


### a. whereas europe’s beating cancer plan should effectively respond to the call for progress by the families and doctors of the 1.3 million people who die from cancer each year in europe , including 6 000 children , the crucial needs of patients who are currently in need of efficient and innovative treatments , the rightful expectations of more than 12 million cancer survivors facing the difficult return back to a ‘normal life’ , the clear will of future generations to be protected against health threats , and the concern of governments facing a growing economic burden from cancer and its related treatments; ### a. whereas europe’s beating cancer plan should effectively respond to the call for progress by the families and doctors of the 1.3 million people who die from cancer each year in europe , including 6 000 children , the crucial needs of patients who are currently in need of efficient and innovative treatments , the rightful expectations of more than 12 million cancer survivors facing the difficult return back to a ‘normal life’ , the clear will of future generations to be protected against health threats and risk factors , and the concern of governments facing a growing economic burden from cancer and its related treatments;


### c. whereas cancer illustrates social injustice in healthcare , as differences in cancer survival rates across the eu member states exceed 25 %; whereas eu citizens are unequal in terms of prevention , unequally protected against risk factors , unequally educated in terms of healthy behaviours and unequally equipped against misinformation; whereas eu citizens are unequal in terms of timely access to quality care from member state to member state and from region to region in any given country; whereas after recovery or when in remission , eu citizens are unequal in their ability to return to work , to be financially independent and to return to a harmonious familial , social and emotional life; ### c. whereas cancer illustrates social injustice and inequity in healthcare , as differences in cancer survival rates across the eu member states exceed 25 %; whereas eu citizens are facing inequities in terms of prevention , unequally protected against risk factors , unequally educated in terms of healthy behaviours and unequally equipped against misinformation; whereas eu citizens are unequal in terms of timely access to quality care from member state to member state and from region to region in any given country; whereas after recovery or when in remission , eu citizens are unequal in their ability to return to work , to be financially independent and to return to a harmonious familial , social and emotional life; whereas class and gender are important measures and drivers of inequalities and inequities at all stages of the disease;


### f. whereas health literacy includes the acquisition of knowledge and skills , awareness of rights and the confidence to take action to improve personal and community health; whereas actions to promote health literacy under the plan should focus on empowering patients and citizens; whereas all efforts to increase health literacy should take into account people with learning disabilities , as well as ensure that the necessary information is available in common non-eu languages in order to reach migrants and new arrivals; ### f. whereas health literacy includes the acquisition of knowledge and skills , awareness of rights and the confidence to take action to improve personal and community health; whereas actions to promote health literacy under the plan should focus on empowering patients and citizens , including paediatric patients; whereas all efforts to increase health literacy should take into account people with learning disabilities and children and adolescents who need to be informed according to their age and degree of maturity , as well as ensure that the necessary information is available in common non-eu languages in order to reach migrants , new arrivals and other vulnerable groups; whereas efforts to improve health literacy should also include an onus on assisting citizens to identify misinformation , noting the harmful impacts this can have across all areas of cancer care including prevention , vaccination and treatment; whereas the increase in level of digital literacy among general population and healthcare professionals is also key to achieving all the objectives set in the plan;


### f. whereas health literacy includes the acquisition of knowledge and skills , awareness of rights and the confidence to take action to improve personal and community health; whereas actions to promote health literacy under the plan should focus on empowering patients and citizens; whereas all efforts to increase health literacy should take into account people with learning disabilities , as well as ensure that the necessary information is available in common non-eu languages in order to reach migrants and new arrivals; ### f. whereas health literacy includes the acquisition of knowledge and skills , awareness of rights and the confidence to take action to improve personal and community health; whereas actions to promote health literacy under the plan should focus on empowering patients and citizens; whereas all efforts to increase health literacy should take into account people with learning disabilities , as well as ensure that the necessary information is available in common non-eu languages in order to reach migrants and new arrivals; whereas efforts to improve health literacy should also include an onus on assisting citizens to identify misinformation , noting the harmful impacts this can have across all areas of cancer care including prevention , vaccination and treatment;


### g. whereas the plan should be implemented in close association with the recommendations and actions of the international agency for research on cancer (iarc) , the un sdgs for global health , and the recommendations and guidelines of the world health organization (who) , and should acknowledge as a priority the eu’s solidarity and partnership with low- and middle-income countries; ### g. whereas the plan should be implemented in close association with the recommendations and actions of the international agency for research on cancer (iarc) , the un sdgs for global health , including the objective of achieving universal health coverage , and the recommendations and guidelines of the world health organization (who) , and should acknowledge as a priority the eu’s solidarity and partnership with low- and middle-income countries;


### g. whereas the plan should be implemented in close association with the recommendations and actions of the international agency for research on cancer (iarc) , the un sdgs for global health , and the recommendations and guidelines of the world health organization (who) , and should acknowledge as a priority the eu’s solidarity and partnership with low- and middle-income countries; ### g. whereas the plan should be implemented in close association with the recommendations and actions of the international agency for research on cancer (iarc) , the un sdgs for global health , the recommendations and guidelines of the world health organization (who) , international health agreements including the who framework convention on tobacco control , experts and patient's associations and should acknowledge as a priority the eu’s solidarity and partnership with low- and middle-income countries;


### g. whereas the plan should be implemented in close association with the recommendations and actions of the international agency for research on cancer (iarc) , the un sdgs for global health , and the recommendations and guidelines of the world health organization (who) , and should acknowledge as a priority the eu’s solidarity and partnership with low- and middle-income countries; ### g. whereas the plan should be implemented in close association with the recommendations and actions of the international agency for research on cancer (iarc) , the un sdgs for global health , the recommendations and guidelines of the world health organization (who) , and international health agreements including the who framework convention on tobacco control and should acknowledge as a priority the eu’s solidarity and partnership with low- and middle-income countries;


### i. whereas a common policy driven at european level is absolutely essential for progress in the area of cancer; whereas the primary responsibility for health protection and healthcare systems lies with the member states; ### i. whereas a common policy driven at european level is absolutely essential for progress in the area of cancer; whereas the primary responsibility for health protection and healthcare systems lies with the member states; whereas a common policy driven at european level is absolutely crucial to enabling better understanding , observation and monitoring of cancer due to working conditions and exposure to harmful carcinogenic substances;


### i. whereas a common policy driven at european level is absolutely essential for progress in the area of cancer; whereas the primary responsibility for health protection and healthcare systems lies with the member states; ### i. whereas coordination between european countries , a common policy driven at european level and cross-border data-sharing is absolutely essential for progress in the area of cancer; whereas the primary responsibility for health protection and healthcare systems lies with the member states;


### j. whereas a comprehensive , multidisciplinary and coordinated approach to addressing social , individual , environmental and commercial health determinants is needed at regional , national and european level in order to support actions targeting all aspects of cancer (prevention , detection , treatment , palliative care and reintegration) through the effective mobilisation of key tools such as research and knowledge sharing; whereas new technologies and artificial intelligence have high potential for improvements in the field of cancer research; ### j. whereas a comprehensive , multidisciplinary and coordinated approach to addressing social , individual , environmental and economic health determinants is needed at regional , national and european level in order to support actions targeting all aspects of cancer (prevention , detection , treatment , palliative care , follow-up care for survivors and reintegration) through the effective mobilisation of key tools such as adequate resources and funding , legislation , research and knowledge sharing; whereas new technologies and artificial intelligence have high potential for improvements in the field of cancer research;


### k. whereas the ‘health in all policies’ and ‘one health’ approaches should be promoted further , and efforts to fight cancer should be integrated into all eu policies; ### k. whereas the ‘health in all policies’ and ‘one health’ approaches should be promoted further , and efforts to fight cancer should be integrated into all eu policies , notably to address commercial determinants of health;


### 1. strongly believes that preventive actions against cancer should be implemented in all european policies and funding programmes; ### 1. strongly believes that preventive actions against cancer should be implemented across all european policies and funding programmes; calls on the commission to streamline the objectives of europe's beating cancer plan into all relevant sectoral policies notably by striving to reduce the exposure to all environmental risk factors;


### 2. calls on the commission and member states to design and implement effective prevention measures at national and eu level , based on best practices , independent expertise and guidance; ### 2. calls on the commission and member states to design and implement effective prevention measures at national and eu level , based on the latest scientific evidence on cancer prevention , lessons learnt , best practices , independent expertise , and guidance;


### 2. calls on the commission and member states to design and implement effective prevention measures at national and eu level , based on best practices , independent expertise and guidance; ### 2. calls on the commission and member states to design and implement effective prevention measures at national and eu level , based on best practices , independent expertise and guidance and the latest scientific knowledge;


### 3. acknowledges that more than 40 % of all cancers are preventable through coordinated actions on social , individual , environmental and commercial health determinants; ### 3. acknowledges that more than 40% of all cancers are preventable or subsequently curable through coordinated actions on social , individual , environmental and commercial health determinants and through the provision of better patient information on the risk of these diseases;


### 3. acknowledges that more than 40 % of all cancers are preventable through coordinated actions on social , individual , environmental and commercial health determinants; ### 3. acknowledges that more than 40 % of all cancers are preventable through coordinated actions on social , individual , environmental and economic health determinants;


### 4. supports the aim of the horizon europe cancer mission to avert more than 3 million additional premature deaths over the 2021-2030 period , by accelerating progress in cancer prevention and control programmes and creating more equal access to these programmes; ### 4. supports the aim of the horizon europe's mission on cancer to avert more than 3 million additional premature deaths over the 2021-2030 period , by accelerating progress in cancer prevention , organised screenings and early diagnosis programmes and creating more equal access to these programmes; calls on the commission to allocate adequate funding to the horizon europe cancer mission and other relevant programmes (such as 'science and policy for a healthy future' - hbm4eu) in order to achieve this objective;


### 5. deplores the significant health inequalities in the eu as regards cancer prevention; insists on the need to pay special attention to vulnerable and marginalised populations in order to ensure their access to cancer prevention services; ### 5. deplores the significant health inequalities in the eu as regards cancer prevention and screening; insists on the need to pay special attention to vulnerable and marginalised populations in order to ensure that their exposure to risk factors from food and products in their daily environment is minimised , and to ensure their access to cancer prevention services and to adequate information; considers in this regard that cancer prevention also needs to be framed in the context of social justice entailing the need for systemic changes though population-wide public policies beyond changes in individual behaviour;


### 5. deplores the significant health inequalities in the eu as regards cancer prevention; insists on the need to pay special attention to vulnerable and marginalised populations in order to ensure their access to cancer prevention services; ### 5. deplores the significant health inequalities and inequities in the eu as regards cancer prevention; insists on the need to pay special attention to vulnerable and marginalised populations , people with disabilities , and people living in remote areas , such as rural or outermost regions , in order to ensure their access to cancer prevention services , including smoking cessation services , obesity treatment and hpv vaccination; considers in this regard that cancer prevention also needs to be framed in the context of social justice , which implies the need for systemic changes through public policies beyond changes in individual behaviour;


### 5. deplores the significant health inequalities in the eu as regards cancer prevention; insists on the need to pay special attention to vulnerable and marginalised populations in order to ensure their access to cancer prevention services; ### 5. deplores the significant health inequalities in the eu as regards cancer prevention; insists on the need to pay special attention to vulnerable and marginalised populations and people living in rural and isolated areas far from traditional medical centres , in order to ensure their access to cancer prevention services;


### 6. acknowledges that tobacco use , in particular cigarette smoking , is by far the largest preventable cause of cancer in the eu , as the cause of 15-20 % of european cancer cases and the main risk factor for cancer death in europe (27 % of cancer fatalities equalling 700 000 cancer deaths annually in the eu); recalls that major differences exist across the eu since the proportion of smokers varies more than fivefold from one country to another; ### 6. acknowledges that tobacco use is by far the largest preventable cause of cancer in the eu , as the cause of 15-20 % of european cancer cases and the main risk factor for cancer death in europe (27 % of cancer fatalities equalling 700 000 cancer deaths annually in the eu); recalls that major differences exist across the eu since the proportion of smokers varies more than fivefold from one country to another;


### 7. strongly supports the goal of a ‘tobacco-free generation’ , as set out in europe’s beating cancer plan , where less than 5 % of the population uses tobacco by 2040 , compared to around 25 % today; ### 7. strongly supports the goal of a ‘tobacco-free generation’ , as set out in europe’s beating cancer plan , where less than 5 % of the population uses tobacco by 2040 , compared to around 25 % today; urges the commission to establish interim goals to be constantly monitored and promoted also at national level and to be reported within the cancer inequalities registry in order to best direct efforts to achieve the overall target;


### 7. strongly supports the goal of a ‘tobacco-free generation’ , as set out in europe’s beating cancer plan , where less than 5 % of the population uses tobacco by 2040 , compared to around 25 % today; ### 7. strongly supports the goal of a ‘tobacco-free generation’ , as set out in europe’s beating cancer plan , where less than 5 % of the population uses tobacco by 2040 , compared to around 25 % today; urges the commission to establish interim goals to be constantly monitored and promoted also at national level and to be reported within the cancer inequalities registry in order to better target efforts to achieve the overall goal;


### 8. welcomes the commission’s intention to review the tobacco products directive10 , the tobacco products tax directive11 and the legal framework on cross-border purchases of tobacco by private individuals in order to introduce the following: ### 8. welcomes the commission’s intention to review the tobacco products directive10 , the tobacco products tax directive11 and the legal framework on cross-border purchases of tobacco by private individuals and urges the commission to bring forward legislative proposals , in order to introduce the following:


### an increase in minimum excise duties for all tobacco products , which could result in a reduction in tobacco use , notably among young people; ### an increase in minimum excise duties for all tobacco products and their final market price , which would improve prevention by reducing tobacco use and uptake , notably among young people;


### an increase in minimum excise duties for all tobacco products , which could result in a reduction in tobacco use , notably among young people; ### an increase and convergence in minimum excise duties for all tobacco products , which could result in a reduction in tobacco use and uptake , notably among young people;


### a requirement for plain packaging and the obligation to include health warnings on 80 % of the front and back of cigarette packaging; ### a requirement for standardised plain packaging and the obligation to include pictorial health warnings on 80 % of the front and back of the packaging of all tobacco and smoking products;


### a ban on flavourings in all tobacco products to reduce the appeal of these products to non-smokers and young people; ### a ban on flavourings in all tobacco products to reduce the appeal of these products to non-smokers and young people , as well as a ban on flavours in new and emerging nicotine containing products , especially electronic nicotine delivery systems (ends);


### the continuation of evaluations of the health risks related to electronic cigarettes and the establishment of a list of substances contained and emitted by these products at european level , based on the model published by the french agency for health security; ### the addition of electronic cigarettes and novel tobacco products as health risk-related products , in accordance with the latest scientific knowledge , and the establishment of a list of substances contained and emitted by these products at european level;


### the continuation of evaluations of the health risks related to electronic cigarettes and the establishment of a list of substances contained and emitted by these products at european level , based on the model published by the french agency for health security; ### the update of the legislation with regard to health risks related to electronic cigarettes and novel tobacco products and the establishment of a list of substances contained and emitted by these products at european level , based on the model published by the french agency for health security;


### 9. calls for the rapid implementation of the who framework convention on tobacco control , paying specific attention to the protection of public health policies from the vested interests of the tobacco industry. ### 9. calls for the rapid implementation of the who framework convention on tobacco control (fctc) and the who protocol to eliminate illicit trade in tobacco products , paying specific attention to the fctc art. 5.3 and its guidelines on protection of public health policies from the vested interests of the tobacco industry; calls on the commission to strengthen its internal processes seeking to protect all public health policy-making from vested interests; urges the commission , in particular , to implement specific rules of conduct for all officials and other servants when interacting with the tobacco industry in line with the european ombudsman’s decision in case 852/2014/lp;


### 9. calls for the rapid implementation of the who framework convention on tobacco control , paying specific attention to the protection of public health policies from the vested interests of the tobacco industry. ### 9. calls for the rapid implementation of the who framework convention on tobacco control (who fctc) and the who protocol to eliminate illicit trade in tobacco products (the protocol) , paying specific attention to the who fctc art. 5.3 and its guidelines on protection of public health policies from the vested interests of the tobacco industry; urges the commission , in particular , to implement specific rules of conduct for all officials and other servants when interacting with the tobacco industry in line with the european ombudsman’s decision in case 852/2014/lp;


### 11. recalls that ethanol and acetaldehyde in alcoholic beverages are classified as carcinogenic to humans by the iarc , and that in europe an estimated 10 % of all cancer cases in men and 3 % of all cancer cases in women are attributable to alcohol consumption; ### 11. recalls that ethanol in alcoholic beverages and its metabolite acetaldehyde are classified as carcinogenic to humans by the iarc , and that in europe an estimated 10 % of all cancer cases in men and 3 % of all cancer cases in women are attributable to alcohol consumption; recalls that alcohol consumption is a risk factor for many different cancers , such as mouth , oesophagus , stomach , liver and intestine; highlights that there is no safe level of alcohol consumption when it comes to cancer prevention and stresses the need to take this into account when designing and implementing policy;


### 11. recalls that ethanol and acetaldehyde in alcoholic beverages are classified as carcinogenic to humans by the iarc , and that in europe an estimated 10 % of all cancer cases in men and 3 % of all cancer cases in women are attributable to alcohol consumption; ### 11. recalls that acetaldehyde from ethanol metabolism is classified as carcinogenic to humans by the iarc , and that in europe an estimated 4.3% of all cancer cases are attributable to harmful alcohol consumption;


### 11. recalls that ethanol and acetaldehyde in alcoholic beverages are classified as carcinogenic to humans by the iarc , and that in europe an estimated 10 % of all cancer cases in men and 3 % of all cancer cases in women are attributable to alcohol consumption; ### 11. recalls that ethanol and acetaldehyde in alcoholic beverages are classified as carcinogenic to humans by the iarc , and that in europe an estimated 10 % of all cancer cases in men and 3 % of all cancer cases in women are attributable to harmful alcohol consumption;


### 86. calls on the commission to support the european code of cancer care launched by the european cancer organisation (eco) , which is an empowering and informative tool to ensure that the best available care is provided to european citizens and patients; ### 86. calls on the commission to support the european code of cancer practice launched by the european cancer organisation (eco) , which is an empowering and informative tool to ensure that the best available care is provided to european citizens and patients;


### v. challenges in cancer among children , adolescents and young adults ### v. challenges in cancer among children , adolescents and young adults and other specific population groups


### 88. calls for clear policy requirements on paediatric cancer research needs; calls on member states and the commission to redress the unequal allocation of investment to paediatric cancers; considers that a clear and specific eu funding stream should be dedicated to paediatric cancer research and budget allocations earmarked across all relevant eu programmes; ### 88. reiterates the need for dedicated policies and programmes in the field of paediatric cancers; welcomes the childhood cancer spotlight initiatives announced by the commission; calls for clear policy requirements on paediatric cancer research needs; calls on member states and the commission to redress the unequal allocation of investment to paediatric cancers; considers that a clear and specific eu funding stream should be dedicated to paediatric cancer research and budget allocations earmarked across all relevant eu programmes;


### 88. calls for clear policy requirements on paediatric cancer research needs; calls on member states and the commission to redress the unequal allocation of investment to paediatric cancers; considers that a clear and specific eu funding stream should be dedicated to paediatric cancer research and budget allocations earmarked across all relevant eu programmes; ### 88. calls for clear policy requirements on paediatric cancer research needs; calls on member states and the commission to prioritise programmes dedicated to research in this field and to redress the unequal allocation of investment to paediatric cancers; considers that a clear and specific eu funding stream should be dedicated to paediatric cancer research and budget allocations earmarked across all relevant eu programmes;


### 89. calls on the commission and the member states to focus on ensuring equal access to the best specialist diagnostics and multi-disciplinary treatment for children with cancer , and to improve cancer treatment outcomes in all member states; considers that the professional figure of the paediatric oncologist should be recognised in all member states; ### 89. calls on the commission and the member states to focus on ensuring equal access to the best specialist diagnostics and multi-disciplinary treatment for children with cancer , and to improve cancer treatment outcomes in all member states; considers that the academic specialty and the professional figure of the paediatric oncologist should be recognised in all member states;


### 90. calls for adolescents and young adults (ayas) with cancer to be recognised at eu level as a particular group with specific medical and psychosocial needs; ### 90. calls for adolescents and young adults (ayas) with cancer to be recognised at eu level as a particular group with specific medical and psychosocial needs , and for the creation of schools programmes dedicated to them;


### 92. calls for an ambitious revision of the regulations on paediatric33 and orphan34 medicinal products in order to ensure access to innovative cancer drugs , identify the most important drugs to meet the needs of children with poor prognostic cancers , reduce delays so that children can have faster access to paediatric drugs , and address limited access to certain essential medicines due to drug shortages and the high price of innovative medicines; recommends an increase of 20 % in the available new paediatric cancer drugs by 2027; ### 92. notes with satisfaction that both regulations on paediatric and orphan medicinal products have fostered the development and availability of medicines for patients with rare diseases and for children , redirecting private and public investments towards previously neglected areas; calls for an ambitious revision of the regulations on paediatric33 and orphan34 medicinal products in order to ensure the development of and access to innovative cancer drugs , identify the most important drugs to meet the needs of children with poor prognostic cancers , as well as incentivise the first-in-child development of new paediatric anticancer medicines , reduce delays so that children can have faster access to paediatric drugs , and address limited access to certain essential medicines due to drug shortages and the high price of innovative medicines; recommends an increase of 20 % in the available new paediatric cancer drugs by 2027; recalls the need for the ad hoc funding for paediatric research to be included in the horizon europe call for grants;


### 97. stresses that europe’s beating cancer plan should be implemented in close cooperation with the cancer mission under horizon europe and its objectives of promoting eu investment in cancer research and innovation; ### 97. stresses that europe’s beating cancer plan should be implemented in close cooperation with the cancer mission under horizon europe and its objectives of promoting eu investment in cancer research and innovation; welcomes that horizon europe will fund research infrastructures , cloud computing and european innovation council actions; recalls the need to address the existing gap with regard to paediatric cancers and recommends to dedicate not less than 20% of cancer research funds in horizon europe to new paediatric cancer drugs;


### 99. reiterates its call for sustainable and adequate funding for competitive european research on cancer; calls for at least a 20 % increase in the mobilisation of public and private research on therapeutic and diagnostic cancer innovations; ### 99. reiterates its call for sustainable and adequate funding for competitive european research on cancer; stresses that such research should aim to address areas of high unmet need , neglected tumour types including those with poor prognosis , and be conducted across all parts of the cancer care continuum , including for all treatment modalities; calls for at least a 20 % increase in the mobilisation of public and private research on therapeutic and diagnostic cancer innovations;


### 99. reiterates its call for sustainable and adequate funding for competitive european research on cancer; calls for at least a 20 % increase in the mobilisation of public and private research on therapeutic and diagnostic cancer innovations; ### 99. reiterates its call for sustainable and adequate funding for competitive european research on cancer; calls for at least a 20 % increase in the mobilisation of public and private research on therapeutic and diagnostic cancer innovations; considers that conditions for access to public funding should be revised , ensuring an adequate reflection of that funding with conditionalities as regards the accessibility and affordability of new innovations when projects are successful;


### 100. stresses the need for independent and multidisciplinary research on cancer ‘from bench to bedside’ , that is from the laboratory to applied studies in patients; urges the establishment of measures to limit misinformation , especially on social media; ### 100. stresses the need for independent and multidisciplinary research on cancer ‘from bench to bedside’ , that is from the laboratory to applied studies in patients , but also for the rapid and regular reevaluation of the efficacy of medicines already on the market and their adaptation to fresh innovations that occur after their market authorisation; urges the establishment of measures to limit misinformation , especially on social media;


### 100. stresses the need for independent and multidisciplinary research on cancer ‘from bench to bedside’ , that is from the laboratory to applied studies in patients; urges the establishment of measures to limit misinformation , especially on social media; ### 100. stresses the need for independent and multidisciplinary research on cancer ‘from bench to bedside’ , that is from the laboratory to applied studies in patients; urges the establishment of measures to limit misinformation , especially on social media , with special attention to measures protecting children and young people , and to support science dissemination initiatives;


### 102. considers the significant potential impact of the use of artificial intelligence and modern technologies in diagnosis and decision-making for cancers in the coming years; encourages the commission and the member states to promote the knowledge of cancer biology through the implementation of genomics and informatics infrastructures; ### 102. considers the significant potential impact of the use of artificial intelligence and modern technologies in diagnosis and decision-making for cancers in the coming years; underlines that the combination of real-world data , mathematical modelling , artificial intelligence and digital tools will significantly help to develop innovative treatments in a more cost-efficient way , and reduce the use of animals in research and the need for patients involved in clinical trials; encourages the commission and the member states to promote the knowledge of cancer biology through the implementation of genomics and informatics infrastructures;


### 106. welcomes the planned partnership for personalised medicine , announced in europe’s beating cancer plan and to be funded under horizon europe , which will identify priorities for research and education in personalised medicine , support research projects on cancer prevention , diagnosis and treatment , and make recommendations for the roll-out of personalised medicine approaches in daily medical practice; supports the establishment of a roadmap for personalised prevention allowing for the identification of gaps in research and innovation and for the mapping of all known biological anomalies leading to cancer susceptibility , including hereditary factors; ### 106. welcomes the planned partnership for personalised medicine , announced in europe’s beating cancer plan and to be funded under horizon europe , which will identify priorities for research and education in personalised medicine , support research projects on cancer prevention , diagnosis and treatment , also in paediatrics , and make recommendations for the roll-out of personalised medicine approaches in daily medical practice; supports the establishment of a roadmap for personalised prevention allowing for the identification of gaps in research and innovation and for the mapping of all known biological anomalies leading to cancer susceptibility , including hereditary and environmental factors;


### 108. calls on the commission and the member states to promote studies dedicated to human and social sciences , in particular those addressing health inequalities at the different stages of cancer diseases; ### 108. calls on the commission and the member states to promote studies dedicated to human and social sciences , in particular those addressing health inequalities at the different stages of cancer diseases , including attention to inequalities in cancer care related to such factors as gender , age and socio-economic status , including marginalised groups in society , as well as studies related to supportive care , including cancer nutrition , psychological services and social assistance;


### 109. considers that the commission and the member states should support the development of european multicentre clinical trials; ### 109. considers that the commission and the member states should support the development of european multicentre clinical trials , especially in the case of low incidence cancers and/or cancers with reduced treatment options;


### 111. strongly believes that patient associations should be involved in defining research endpoints for clinical trials , in order to ensure that the trials address the unmet needs of european patients; considers that the final results of the trials should be communicated to the participating patients and to the public; ### 111. strongly believes that patient associations should be involved in defining research endpoints for clinical trials , in order to ensure that the trials address the unmet needs of european patients; considers that the final results of the trials should be communicated to the participating patients and to the public; calls for paediatric patients to be involved in the definition of unmet needs to provide input in the design of the clinical trials protocol and to improve communication with the target population;


### 113. considers that the sharing of expertise , data , training programmes and communication tools is needed to improve the knowledge of cancer among both health professionals and patients; stresses the sensitive nature of health data and calls for full compliance with regulation (eu) 2016/679 of 27 april 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data (general data protection regulation)36 ; ### 113. considers that the sharing of expertise , data , training programmes and communication tools is needed to improve the knowledge of cancer among health professionals , researchers and patients; stresses the sensitive nature of health data and calls for full compliance with regulation (eu) 2016/679 of 27 april 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data (general data protection regulation)36 ;


### 115. emphasises the need to secure sustained long-term funding for the erns; supports the expansion of the erns to specific types of cancer (rare , complex , poorly curable) and paediatric cancers; ### 115. calls on the commission and the member states to secure appropriate and sustained long-term funding for the erns; supports the expansion of the erns to specific types of cancer (rare , complex , poorly curable) and paediatric cancers;


### 115. emphasises the need to secure sustained long-term funding for the erns; supports the expansion of the erns to specific types of cancer (rare , complex , poorly curable) and paediatric cancers; ### 115. emphasises the need to secure sustained long-term funding for the erns; supports the expansion of the erns to specific types of cancer (rare , complex , endocrine , poorly curable) and paediatric cancers to improve their functionality and to improve health outcomes in rare disease patient populations; calls on the commission to expand funding for erns through horizon europe to allow erns to expand their activities and create a pan-eu data acquisition strategy to improve current rare disease registries in a common and uniform data space , better coordinate the projects and their infrastructure , and compensate patients and the medical/academic communities for giving their valuable time to the study of these diseases;


### 116. believes that the revamping of erns will necessarily involve the participation of all member states in existing erns , with each member state having at least one ‘full’ or ‘affiliate’ member in each ern , the facilitation of the individual patient journey through the effective collaboration of national contact points with erns , the evaluation of the functioning of the erns by sharing data on their performance and networking in the field of rare cancers , the deployment of telemedicine tools allowing for the sharing of case records and imaging results , and the allocation of adequate and long-term funding , both at union (eu4health) and national level; ### 116. believes that further development and optimisation of the erns will necessarily involve the participation of all member states in existing erns , with each member state having at least one ‘full’ or ‘affiliate’ member in each ern , the facilitation of the individual patient journey through the effective collaboration of national contact points with erns , the evaluation of the functioning of the erns by sharing data on their performance and networking in the field of rare cancers , the deployment of telemedicine tools allowing for the sharing of case records and imaging results , and the allocation of adequate and long-term funding , both at union (eu4health) and national level;


### 120. recommends the creation of at least one cancer registry in each eu region , including remote and outermost regions; supports the strengthening of the capacity of national cancer registries to collect data (including lifestyle and socio-economic information) to better identify the causes of inequalities in cancer incidence , prevalence and survival; asks member states to ensure the comparability of data sources and the interoperability of regional and national cancer registries; ### 120. recommends the creation of at least one cancer registry in each eu region , including remote and outermost regions; supports the strengthening of the capacity of national cancer registries to collect data (including lifestyle , occupation and socio-economic information) to better identify the causes of inequalities in cancer incidence , prevalence and survival; asks member states to ensure the comparability of data sources and the interoperability of regional and national cancer registries;


### 120. recommends the creation of at least one cancer registry in each eu region , including remote and outermost regions; supports the strengthening of the capacity of national cancer registries to collect data (including lifestyle and socio-economic information) to better identify the causes of inequalities in cancer incidence , prevalence and survival; asks member states to ensure the comparability of data sources and the interoperability of regional and national cancer registries; ### 120. recommends the creation of at least one cancer registry in each eu region , including remote and outermost regions; supports the strengthening of the capacity of national cancer registries to collect data (including lifestyle and socio-economic information) to better identify the causes of inequalities in cancer incidence , mortality , prevalence and survival; asks member states to ensure the comparability of data sources and the interoperability of regional and national cancer registries;


### 121. strongly supports the creation of a cancer inequalities registry at european level , announced in europe’s beating cancer plan , in order to identify trends , disparities , inequalities and inequities between and within member states; believes that this registry will help to identify challenges and specific areas of action so as to guide investment and intervention at eu , national and regional level; ### 121. strongly supports the creation of a cancer inequalities registry at european level , announced in europe’s beating cancer plan , in order to identify trends , disparities , inequalities and inequities between and within member states; believes that this registry will help to identify challenges and specific areas of action so as to guide investment and intervention at eu , national and regional level; calls for the access to nuclear medicine services to be included as a key parameter into this diagnostic and treatment capacity mapping exercise;


### 121. strongly supports the creation of a cancer inequalities registry at european level , announced in europe’s beating cancer plan , in order to identify trends , disparities , inequalities and inequities between and within member states; believes that this registry will help to identify challenges and specific areas of action so as to guide investment and intervention at eu , national and regional level; ### 121. strongly supports the creation of a cancer inequalities registry at european level , announced in europe’s beating cancer plan , in order to identify trends , disparities , inequalities and inequities between and within member states; believes that this registry will help to identify challenges and specific areas of action so as to guide investment and intervention at eu , national and regional level; stresses the need for the cancer inequalities registry to also cover social inequalities such as those related to socio-economic status , occupation and gender;


### 121. strongly supports the creation of a cancer inequalities registry at european level , announced in europe’s beating cancer plan , in order to identify trends , disparities , inequalities and inequities between and within member states; believes that this registry will help to identify challenges and specific areas of action so as to guide investment and intervention at eu , national and regional level; ### 121. strongly supports the creation of a cancer inequalities registry at european level , announced in europe’s beating cancer plan , in order to identify trends , disparities , inequalities and inequities between and within member states; believes that this registry will help to identify challenges and specific areas of action so as to guide investment and intervention facilitate research into inequalities at eu , national and regional level;


### 122. supports the commission’s intention to enable cancer patients to securely access and share electronic health records across borders; considers that the commission could lay the foundation for the european health data space , in association with digital health europe , by collecting and analysing anonymised medical data (from cancer registries , hospitals , academic clinical trials and cohorts) and biological data (from blood and tumour samples) in a european cancer cloud hosted by a european cancer institute; encourages the use of health data for non-commercial purposes (‘data altruism’); welcomes the planned creation of a virtual european cancer patient digital centre under horizon europe’s mission on cancer in order to support a standardised approach to the participation of willing patients in the deposit and exchange of their health data; recommends the inclusion of patients in any actions related to the storage and use of health data for policy-making and research purposes; welcomes the planned expansion of the european cancer information system before 2022; ### 122. supports the commission’s intention to enable cancer patients to securely access and share electronic health records across borders; considers that the commission could lay the foundation for the european health data space , in association with digital health europe , by collecting and analysing anonymised medical data (from cancer registries , hospitals , academic clinical trials and cohorts) and biological data (from blood and tumour samples) in a european cancer cloud hosted by a european cancer institute; underlines that an harmonised interpretation of the general data protection regulation (gdpr) in all eu member states is the foundation for new data-sharing initiatives such as the european health data space; encourages the use of health data for non-commercial purposes (‘data altruism’); welcomes the planned creation of a virtual european cancer patient digital centre under horizon europe’s mission on cancer in order to support a standardised approach to the participation of willing patients in the deposit and exchange of their health data; recommends the inclusion of patients in any actions related to the storage and use of health data for policy-making and research purposes; welcomes the planned expansion of the european cancer information system before 2022;


### 122. supports the commission’s intention to enable cancer patients to securely access and share electronic health records across borders; considers that the commission could lay the foundation for the european health data space , in association with digital health europe , by collecting and analysing anonymised medical data (from cancer registries , hospitals , academic clinical trials and cohorts) and biological data (from blood and tumour samples) in a european cancer cloud hosted by a european cancer institute; encourages the use of health data for non-commercial purposes (‘data altruism’); welcomes the planned creation of a virtual european cancer patient digital centre under horizon europe’s mission on cancer in order to support a standardised approach to the participation of willing patients in the deposit and exchange of their health data; recommends the inclusion of patients in any actions related to the storage and use of health data for policy-making and research purposes; welcomes the planned expansion of the european cancer information system before 2022; ### 122. supports the commission’s intention to enable cancer patients to securely access and share electronic health records across borders; considers that the commission could lay the foundation for the european health data space , in association with digital health europe , by collecting and analysing anonymised medical data (from cancer registries , hospitals , academic clinical trials and cohorts) and biological data (from blood and tumour samples) in a european cancer cloud hosted by a european cancer institute; underlines that a harmonised interpretation of the general data protection regulation (gdpr) in all eu member states is the foundation for new data-sharing initiatives such as the european health data space; encourages the use of health data for non-commercial purposes (‘data altruism’); welcomes the planned creation of a virtual european cancer patient digital centre under horizon europe’s mission on cancer in order to support a standardised approach to the participation of willing patients in the deposit and exchange of their health data; recommends the inclusion of patients in any actions related to the storage and use of health data for policy-making and research purposes; welcomes the planned expansion of the european cancer information system before 2022;


### 123. calls for improved standards in the education and training of health professionals; encourages common and multidisciplinary training programmes for health professionals in close collaboration with european learned societies; welcomes the launch of an inter-specialty cancer training programme , which will involve cooperation between member states via a european cancer institute; ### 123. calls for improved standards in the education and training of health professionals; encourages common and multidisciplinary training programmes for health professionals in close collaboration with european learned societies; welcomes the launch of an inter-specialty cancer training programme , which will involve cooperation between member states via a european cancer institute; urges for nuclear medicine should be included into the interspecialty training programme , alongside other independent medical specialties involved in cancer diagnosis and treatment.


### 123. calls for improved standards in the education and training of health professionals; encourages common and multidisciplinary training programmes for health professionals in close collaboration with european learned societies; welcomes the launch of an inter-specialty cancer training programme , which will involve cooperation between member states via a european cancer institute; ### 123. calls for improved standards in the education and training of health professionals at every stage of the treatment and care pathway; encourages common and multidisciplinary training programmes for health professionals in close collaboration with european learned societies; welcomes the launch of an inter-specialty cancer training programme , which will involve cooperation between member states via a european cancer institute;


### 124. calls for the creation of a virtual european cancer institute , involving all stakeholders (representatives of each nccp , patients’ and caregivers’ associations , learned societies etc.) , in charge of the following missions: ### 124. calls for the creation of a virtual european cancer institute , involving all stakeholders (representatives of each nccp , patients’ and caregivers’ associations , learned societies etc.) , as well as economic operators , in charge of the following missions:


### 125. emphasises that europe’s beating cancer plan should not only be seen as a political commitment to driving change but as a set of concrete and ambitious initiatives that will support , coordinate and complement member states’ efforts to reduce the suffering caused by cancer; stresses that , in order for the initiatives outlined in the plan to be translated into concrete actions , these initiatives have to be adequately funded; underlines , however , the differing capacity of member states to absorb the funds dedicated to healthcare programmes thus far; ### 125. emphasises that europe’s beating cancer plan should not only be seen as a political commitment to driving change but as a set of concrete and ambitious initiatives that will support , coordinate and complement member states’ efforts to reduce the suffering caused by cancer; stresses that , in order for the initiatives outlined in the plan to be translated into concrete actions , these initiatives have to be adequately guided and funded , especially in order to address unequal access to cancer diagnosis and treatment across the eu; underlines , however , the differing capacity of member states to absorb the funds dedicated to healthcare programmes thus far; calls on the commission to provide the member states with a clear overview of the dedicated eu resources and possible synergies and complementarities between the main available mechanisms , such as eu4health , digital europe , horizon europe or nextgenerationeu;


### 127. welcomes the funding plan of eur 4 billion and notes the complementarity of the sources of funding as set out in the plan itself; recalls that the plan will benefit from different sources of funding , such as the eu4health , horizon europe and digital europe programmes , cohesion policy funds , and the recovery and resilience facility; highlights the need to include the fight against cancer across all funding sources in a coherent and transparent manner; stresses , in particular , the importance of enhancing cancer research and cancer prevention and the need to dedicate more funds to them; ### 127. welcomes the funding plan of eur 4 billion and notes the complementarity of the sources of funding as set out in the plan itself; recalls that the plan will benefit from different sources of funding , such as the eu4health , horizon europe and digital europe programmes , cohesion policy funds , and the recovery and resilience facility; highlights the need to include the fight against cancer across all funding sources in a coherent and transparent manner; stresses , in particular , the importance of enhancing cancer research and innovation and cancer prevention and the need to dedicate more funds to them;


### b. whereas albania is a reliable foreign policy partner , including through its engagement in the un security council; ### b. whereas albania is a reliable foreign policy partner , including through its engagement in the un security council , while maintaining its focus on the eu reform agenda;


### 1. welcomes albania’s steadfast commitment to eu integration , reflecting the consensus among political parties and overwhelming support among citizens; commends its solidarity and consistent , full alignment with the eu’s foreign and security policy , including its clear-cut response to the russian war of aggression against ukraine; ### 1. welcomes albania’s steadfast and unwavering commitment to eu integration , reflecting the consensus among political parties and overwhelming support among citizens; commends its solidarity and consistent , full alignment with the eu’s foreign and security policy and promotion of the rules-based international order , including its clear-cut response to the russian war of aggression against ukraine; commends its supportive commitment to multilateralism under its role as a non-permanent member of the un security council;


### 2. encourages its policymakers to accelerate the reforms that enabled the first long overdue intergovernmental conference and a successful start to the screening process , and to demonstrate steady progress in guaranteeing democracy , the rule of law and fundamental rights; urges decision-makers to work jointly towards meeting the membership criteria by 2030; stresses the need to strengthen the transparency , accountability and inclusiveness of the accession process , including its parliamentary dimension; ### 2. encourages its policymakers to accelerate the reforms that enabled the first long overdue intergovernmental conference and a successful start to the screening process , and to demonstrate steady progress in guaranteeing democracy , the rule of law and fundamental rights , while ensuring a coherent alignment with the eu’s policies; urges decision-makers to work jointly towards meeting the membership criteria by 2030;


### 4. commends albania’s commitment to completing its comprehensive justice reform; encourages the country to intensify steps aimed at finalising the vetting process and ensuring universal justice through cross-cutting measures; ### 4. commends albania’s commitment to completing its comprehensive justice reform , strengthening the independence , transparency , efficiency , accountability and public trust in the albanian justice system; encourages the country to intensify steps aimed at finalising the vetting process , prosecute any criminal conduct in judiciary , fill in vacancies , reduce backlog of court cases and improve the country’s court efficiency under the new judicial map and ensuring universal access to justice through cross-cutting measures; recalls the need for effective mechanisms that enable the prevention and persecution of corruption through accountable , independent and fully functional judicial and governance institutions;


### 5. deplores political confrontation and disruptive actions and underlines a joint political and social responsibility for reforms; invites political actors to step up their commitment to dialogue and to strengthen democratic institutions and procedures through constructive engagement , inclusive consultations and transparent decision-making; recalls the need to strengthen parliamentary oversight; ### 5. deplores political confrontation and disruptive actions and underlines a joint political and social responsibility for reforms; invites political actors to step up their commitment to dialogue and to strengthen democratic institutions and procedures through constructive interparty and intraparty engagement , mutual respect , inclusive consultations and transparent decision-making; recalls the need to strengthen parliamentary oversight capacities; stresses the need to improve governance and pluralism through increased digitalisation , transparency and equitable access to media;


### 6. calls on the albanian authorities to address the outstanding electoral and party financing recommendations well ahead of the 2025 parliamentary elections; ### 6. calls on the albanian authorities to address the outstanding electoral and party financing recommendations well ahead of the 2025 parliamentary elections , in line with the osce/odihr and venice commission recommendations , by further improving the accessibility and integrity of elections and preventing vote-buying and the misuse of administrative resources , including through digitalisation , transparency , data protection and equitable access to media;


### 7. insists on adequate funding for and the effective and impartial functioning of independent bodies and agencies; recognises the contribution of independent civil society and the media in the fight against corruption; ### 7. insists on adequate funding for and the effective and impartial functioning of independent bodies and agencies;


### 8. notes the ongoing progress and looks forward to systematic improvements in the prevention , proactive investigation and prosecution of and non-selective final convictions for cases involving corruption and organised crime; calls for further progress in establishing a comprehensive , efficient , soundly coordinated and accountable public administration; ### 8. notes the ongoing progress and looks forward to systematic improvements in the prevention , proactive investigation and prosecution of and non-selective final convictions for cases involving corruption and organised crime , including environmental , cyber and trafficking crimes; welcomes tangible results delivered by the strengthened specialised structure for anti-corruption and organised crime (spak); urges to improve cooperation with the national bureau of investigation (nbi) and collaboration with eu and its member states’ agencies in the fight against organized crime and elimination of impunity; recognises the contribution of independent civil society and the media in the fight against corruption;


### 9. expresses its concern with the aspects of the draft law on fiscal amnesty and the proposed citizenship by investment scheme that are incompatible with eu norms and its visa policy; ### 9. underlines that aspects of the initiative on fiscal and criminal amnesty and the proposed plan citizenship by investment scheme are incompatible with eu norms and its visa policy; welcomes the declared suspension of the citizenship by investment scheme; notes the expressed intention to request eu expertise for the drafting of the fiscal amnesty law;


### 10. calls for continued action to reduce unfounded asylum claims by albanian nationals , while tackling criminal trafficking networks and increasing cooperation with the eu’s justice and home affairs agencies; welcomes successful international investigations and police operations to combat the trafficking of people , narcotics and firearms , and online fraud; ### 10. encourages albania to further align its visa policy with the eu’s list of visa-required third countries; calls for continued action to reduce unfounded asylum claims by albanian nationals , while tackling criminal trafficking networks and increasing cooperation with the eu’s justice and home affairs agencies; welcomes successful international investigations and police operations to combat the trafficking of people , narcotics and firearms , and online fraud; urges authorities to strengthen domestic operational and asset recovery capacities;


### 11. stresses the authorities’ obligation to ensure transparency and competition in public procurement , government contracts , privatisation , state aid and concession procedures; highlights the need to strengthen safeguards , transparency and conditionality under a strategic foreign investment screening process , and to prosecute incidents of fraud , abuse of office and money laundering , while simultaneously countering tax evasion and the circumvention of sanctions; ### 11. stresses the authorities’ obligation to ensure transparency and competition in public procurement , government contracts , privatisation , state aid and concession procedures; highlights the need to strengthen safeguards , transparency and conditionality under a strategic foreign investment screening process , and to prosecute incidents of fraud , abuse of office and money laundering , while simultaneously countering tax evasion , illegal construction and the circumvention of sanctions;


### 12. condemns malign foreign interference and hybrid attacks , including disinformation , espionage , incitement to all forms of radicalisation and cyberattacks against albanian citizens and critical infrastructure; invites the authorities to prevent data leaks by considerably strengthening cybersecurity; ### 12. condemns malign foreign interference and hybrid attacks , including disinformation , espionage , incitement to all forms of radicalisation and cyberattacks against albanian citizens and critical infrastructure; invites the authorities to prevent data leaks by considerably strengthening cybersecurity and to accelerate efforts to align its legislation with the eu acquis on personal data protection; stresses the need for an effective implementation and enforcement of the national cyber security strategy;


### 13. notes the legal steps taken to eliminate discrimination against minorities , and calls for practical steps in order to ensure their inclusion , namely the inclusion of lgbti+ , roma and egyptian minorities; recalls the need to combat gender-based violence , step up child protection , adopt and implement legislation on minority rights , strengthen property rights and conduct a population census; underlines the importance of removing barriers to the socioeconomic inclusion of persons with disabilities; ### 13. notes the legal steps taken to eliminate discrimination against minorities , and calls for practical steps in order to ensure their inclusion , namely the inclusion of lgbti+ , roma and egyptian minorities; urges the authorities to tackle the discrimination that these groups face through an effective and comprehensive institutional approach in all spheres of social , economic and political life;


### 14. expresses its concern with the lack of progress on achieving institutional transparency , freedom of expression and media freedom and stresses the role of political leaders in creating an enabling environment for the pursuit of these freedoms; condemns attempts to discredit reporters and arbitrarily withhold public information , as well as the failure to ensure the safety of journalists; urges the authorities to take immediate action against political and economic interference in the media and intimidation against reporters; welcomes the withdrawal of the draft anti-defamation legislation; urges the government to ensure the independence of the public broadcaster and media regulator and the transparency of media ownership , financing and public advertising; ### 14. expresses its concern with the lack of progress on achieving institutional transparency , freedom of expression and media freedom and stresses the role of political leaders in creating an enabling environment for the pursuit of these freedoms; condemns attempts to discredit reporters and arbitrarily withhold public information , as well as the failure to ensure the safety of journalists; condemns all violence against journalists and media organisations; urges the authorities to take immediate action against political and economic interference in the media and intimidation against reporters , undermining media independence and media freedom , its ability to cover issues of public interest and the quality of journalism; welcomes the withdrawal of the draft anti-defamation legislation; urges the government to ensure the independence of the public broadcaster and media regulator and the transparency of media ownership , financing and public advertising;


### 15. urges the authorities to counter disinformation and manipulative narratives by promoting media literacy and improving the working conditions of journalists; ### 15. urges the authorities and the civil society to work together in order to counter disinformation and manipulative narratives by promoting media literacy , creating an enabling environment for independent media and improving the working conditions of journalists;


### 16. underlines the importance of an inclusive framework for meaningful civil society engagement in decision-making processes; ### 16. underlines the importance of an inclusive framework for meaningful civil society engagement in decision-making processes , at national and local governmental level;


### 18. recalls the need to complete the process of declassifying communist-era files and making them accessible to researchers and the wider public in order to advance justice and reconciliation; ### 18. recalls the need to complete the process of declassifying communist-era files and making them accessible to researchers and the wider public in order to advance justice and reconciliation and bringing justice to victims , and providing reparations to survivors and their families;


### 19. urges the authorities to continue structural reforms that enable sustainable recovery and inclusive growth through improved governance , rule of law , digitalisation and accessibility , reduced social exclusion , formalisation of the economy , education , upskilling , improved labour conditions and social dialogue; ### 19. urges the authorities to continue structural reforms in line with the economic reform program 2023-2025 and that enable sustainable recovery and inclusive growth through improved public finance management and governance , rule of law , digitalisation and accessibility , reduced social exclusion , formalisation of the economy , improved education and health services; calls for further efforts regarding upskilling , improved labour conditions and social dialogue through meaning dialogue and collective bargaining;


### 20. underlines the transformative nature of the substantial eu assistance provided under the ipa iii and the western balkans investment framework , including the youth guarantee in the western balkans; recalls that , in line with ipa iii conditionality , funding must be reduced or suspended in cases of backtracking or unjustified delays in the reform process; ### 20. underlines the transformative nature of the substantial eu assistance provided under the ipa iii and the western balkans investment framework; recalls that , in line with ipa iii conditionality , funding must be reduced or suspended in cases of backtracking or unjustified delays in the reform process , particularly in the fields of democracy , fundamental rights and the rule of law;


### 21. welcomes steps in accelerating the energy transition and energy diversification towards wind and solar power; applauds , in this regard , the eu energy support package for the western balkans and calls on the authorities to make the best use of this assistance in order to build a resilient and environmentally friendly energy market; ### 21. welcomes steps in accelerating the energy transition and energy diversification towards wind and solar power; applauds , in this regard , the speedy deployment of the eu energy support package for the western balkans and calls on the authorities to make the best use of this assistance in order to build a resilient and environmentally friendly energy market in line with the green agenda for the western balkans; recalls the importance of the eu investments into the vau i dejes solar power plant , the modernization of the fierza hydropower plant , the renovation of the campus of tirana university and the new tirana-durres railway; urges the authorities to step up efforts in mainstreaming environmental and climate action across the agriculture , energy , transport , and industry sectors; expresses support to albania’s presidency in the office of the energy community in advancing region’s integration into the eu energy market , along with the diversification under the repowereu and joint energy purchases under the eu energy platform; calls for further progress in the electricity reform;


### 22. calls for thoroughly planned measures on biodiversity , water , air , climate , regional waste management and industrial pollution; stresses the need to strengthen the country’s resilience to the impacts of climate change; notes the initial steps taken to establish a vjosa national park; ### 22. calls for thoroughly planned measures on biodiversity , water , air , climate , regional waste management and industrial pollution; stresses the need to strengthen the country’s resilience to the impacts of climate change; commends the establishment of the vjosa wild river national park ; urges the government to complete and adopt the river basin management plans as soon as possible; calls for a swift alignment with the eu water acquis and reduction of wastewater pollution;


### 23. calls for improved transparency , conduct , enforcement and monitoring of environmental and strategic environmental impact assessments , especially on projects with large environmental and socioeconomic repercussions; expresses concern with the economic and environmental impact of non-competitive foreign-funded development projects; calls on the authorities to take urgent action to fight environmental crime; ### 23. calls for improved transparency , conduct , enforcement and monitoring of environmental and strategic environmental impact assessments , especially on projects with large environmental and socioeconomic repercussions such as the skavica hydropower plant project; expresses concern with the economic and environmental impact of non-competitive foreign-funded development projects; urges the albanian government to halt any construction work and project that risk violating national and international biodiversity protection norms; calls on the authorities to take urgent action to fight environmental crime , improve and expedite policy and law enforcement for nature and biodiversity protection , particularly in the protected areas;


### 24. welcomes albania’s full adherence to the eu civil protection mechanism; ### 24. welcomes albania’s full adherence to the eu civil protection mechanism and , as a result , stepping up eu’s significant support to civil emergency preparedness and a coordinated crisis response following earthquakes , floods and wildfires; encourages the country to further modernise its crisis management capacities;


### 25. calls for the swift adoption of the national transport strategy , including its action plan; ### 25. calls for the swift adoption of the national transport strategy , including its action plan for 2021-2025; reiterates that significant efforts are needed for a structural transformation of digital , energy and transport connectivity;


### — having regard to the council conclusions of 18 june 2019 , 25 march 2020 , 14 december 2021 and 13 december 2022 on enlargement and the stabilisation and association process , ### — having regard to the council conclusions of 18 june 2019 , 25 march 2020 , 14 december 2021 , 18 july 2022 and 13 december 2022 on enlargement and the stabilisation and association process ,


### — having regard to the outcomes of the first intergovernmental conference with north macedonia of 19 july 2022 , ### — having regard to the first intergovernmental conference with north macedonia of 19 july 2022 and eu's negotiating framework ,


### c. whereas democratic transformation , the rule of law and reconciliation play a central role in eu accession; ### c. whereas democratic transformation , the rule of law and socio-economic reforms , as well as the adherence to eu values , rules and standards , play a central role in the eu accession process;


### 1. welcomes north macedonia’s consistent commitment to eu integration , which has been underpinned by steady progress on guaranteeing democracy , the rule of law and fundamental rights , while moving towards cross-cutting policy alignment; ### 1. welcomes the start of the accession negotiations process and the holding of the first intergovernmental conference , which is a clear recognition of north macedonia’s commitment to eu integration , underpinned by steady progress on guaranteeing democracy , the rule of law and fundamental rights , while moving towards cross-cutting policy alignment;


### 2. commends north macedonia’s full alignment with the eu’s foreign and security policy , including its clear-cut response to the aggression against ukraine by aligning with the eu’s restrictive measures against russia and belarus; ### 2. commends north macedonia’s full and consistent alignment with the eu’s foreign and security policy , including its clear-cut response to the aggression against ukraine by aligning with the eu’s restrictive measures against russia and belarus , which clearly demonstrates strong expression of north macedonia’s strategic choice and place in a community of common eu values; underlines the importance of further deepening the cooperation on foreign policy issues;


### 3. urges decision-makers to foster a national consensus on eu integration , building upon a successful start to the screening process , to work towards the ambitious goal of meeting the criteria for eu membership by 2030; ### 3. welcomes the ambition of north macedonia to move forward in the accession negotiation process based on continuing the reform progress; urges all parties in the national assembly to continue to work together constructively and to build cross-party consensus , focusing on making concrete steps in the negotiations and maintaining the current reform momentum , as well as building upon a successful start of analytical examination of the eu acquis (screening); welcomes the country's ambitious goal of meeting the criteria for eu membership by 2030;


### 4. expresses concern about the unjustified delays in the accession process; stresses the need to strengthen the process’s transparency , accountability and inclusiveness , including its parliamentary dimension; ### 4. expresses concern about the delays of the start of the negotiation process; stresses the need to strengthen the process’s transparency , accountability and inclusiveness , including its parliamentary dimension;


### 12. stresses the authorities’ obligation to improve the management of public finances and public investment and ensure integrity , transparency and competition in state aid and public tenders , while strengthening safeguards and conditionality using a strategic foreign investment screening process and prosecuting fraud , abuse of office , tax evasion and the circumvention of sanctions; ### 12. calls on the authorities to improve the management of public finances and public investment and ensure integrity , transparency and competition in state aid and public tenders , while strengthening safeguards and conditionality using a strategic foreign investment screening process and prosecuting fraud , abuse of office , tax evasion and the circumvention of sanctions;


### 13. invites north macedonia to fully align with eu visa policy and to limit security risks related to its citizenship-by-investment scheme; urges the authorities to take further action against criminal trafficking networks and to step up cooperation with the eu’s justice and home affairs agencies; ### 13. while acknowledging progress made , invites north macedonia to fully align with eu visa policy and to limit security risks related to its citizenship-by-investment scheme; urges the authorities to take further action against criminal trafficking networks and to continue cooperation with the eu’s justice and home affairs agencies;


### 15. notes north macedonia’s commitment to upholding civil liberties and fundamental rights; welcomes its progress towards eliminating all types of discrimination and ensuring equality; ### 15. notes north macedonia’s commitment to upholding civil liberties and fundamental rights; welcomes all efforts towards eliminating all types of discrimination and ensuring equality; regrets the increasing number of instances of hate speech , hate crimes and intimidation towards minorities and other vulnerable groups on ethnic and political grounds;


### 16. urges the authorities to step up protection of vulnerable groups and the prosecution of domestic and online abuse and to improve services for the victims of violence; welcomes changes to the criminal code of north macedonia , covering crimes related to violence against women and the safety of journalists and insists on the need to strengthen north macedonia’s anti-discrimination commission and ombudsman’s office; ### 16. urges the authorities to step up the protection of minorities and other vulnerable groups and the prevention , identification , investigation and prosecution of perpetrators of hate speech , hate crimes , as well as domestic and online abuse and to improve services for the victims of violence; welcomes changes to the criminal code of north macedonia , covering crimes related to violence against women and the safety of journalists and insists on the need to strengthen north macedonia’s anti-discrimination commission and ombudsman’s office;


### 17. underlines the importance of removing barriers to the socioeconomic inclusion of persons with disabilities; ### 17. underlines the importance of removing barriers to the socioeconomic inclusion of persons with disabilities; welcomes the progress made in the de-institutionalisation process , including in the resettlement of persons with disabilities to community-based care;


### 18. commends north macedonia’s well-established inter-community harmony and urges the country to sustain its long-standing commitment to multiculturalism and inclusion; ### 18. commends north macedonia’s well-established inter-community harmony and encourages the country to sustain its long-standing commitment to a functioning multi-ethnic democracy;


### reconciliation and good neighbourly relations ### regional cooperation and good neighbourly relations


### 22. commends the country’s constructive engagement as part of inclusive regional cooperation initiatives and welcomes the tangible progress reached under the berlin process and the eu-western balkans summit in tirana; ### 22. commends the continued constructive engagement of north macedonia as part of inclusive regional cooperation initiatives and welcomes its proactive role in the tangible progress reached under the berlin process and the eu-western balkans summit in tirana;