No C 160/8 Official Journal of the European Communities 20. 6. 91 
II 
(Preparatory Acts) 
COMMISSION 
Amendment to the proposal for a Decision of the Council and the Ministers for Health of the 
Member States meeting within the Council adopting a plan of action in the framework of the 
1991 to 1993 'Europe against AIDS' programme (*) 
(91/C 160/06) 
COM(91) 207 final 
(Submitted by the Commission on 30 May 1991) 
(') OJ No C 13, 19. 1. 1991, p. 6. 
ORIGINAL PROPOSAL AMENDED PROPOSAL 
Recital 1 Recital 1 
Whereas the increase in the AIDS epidemic is of major Whereas the increase in the AIDS epidemic is of major 
concern to Member States and the Community; concern to Member States and the Community; whereas 
this epidemic calls for an approach involving cultural, 
medical and social aspects; 
Recital la 
(new) 
Whereas the effectiveness of information and educational 
measures depends on tailoring them to the various target 
groups; 
(Recitals 2 to 10 unchanged) 
Recital 10a 
(new) 
Whereas the biomedical and health research programme, 
the science and technology for development programmes 
and the anti-drugs programme all embrace measures to 
combat AIDS; 
Recital 10b 
(new) 
Whereas the role played by the World Health Organ­
ization is of paramount importance; 
20. 6.91 Official Journal of the European Communities No C 160/9 
ORIGINAL PROPOSAL 
Article 1 AMENDED PROPOSAL 
Article 1 
Paragraphs 1 and 2 unchanged 
3. The Commission will regularly publish technical 
information on the progress of the action plan. 3. The Commission will regularly publish technical 
information on the progress of the action plan and 
inform the European Parliament thereof. 
Article 2 unchanged 
Article 3 Article 3 
Paragraph 1 unchanged 
2. The Council and the Ministers for Health of the 
Member States meeting within the Council will carry out 
an evaluation of the effectiveness of the actions 
undertaken. To this end the Commission will submit a 
report on the subject during the second half of 1992. 2. The Council and the Ministers for Health of the 
Member States meeting within the Council will carry out 
an evaluation of the effectiveness of the actions taken. 
To this end the Commission will submit a report on the 
subject during the second half of 1992, which it will 
forward to the European Parliament. 
ANNEX ANNEX 
CHAPTER 1 CHAPTER 1 
Introduction, paragraphs 1 and 2 unchanged 
Paragraph 3 
A key role at Community level is to facilitate exchanges 
of experience, to evaluate results and to promote new 
approaches, so that the most effective approaches can be 
promoted taking into account local needs and charac­
teristics. Paragraph 3 
A key role at Community level is to facilitate exchanges 
of experience, to evaluate results and to promote new 
approaches or those whose effectiveness has already been 
proven, so that the most effective approaches can be 
promoted taking into account local needs and charac­
teristics. 
Paragraph 4 
Health education in schools is an essential part of health 
promotion, and within the limits of specific national 
educational policies and structures, appropriate 
arrangements should be made for coordinating health-
promotion measures, so that health education can be 
seen by children as a practical part of their lives. Paragraph 4 
Health education in schools is an essential part of health 
promotion, and within the limits of specific national and 
regional educational policies and structures, appropriate 
arrangements should be made for coordinating health-
promotion measures, so that health education can be 
seen by children as a practical part of their lives. Infor­
mation should also be directed at young persons' organ­
izations and families. 
NoC 160/10 Official Journal of the European Communities 20. 6. 91 
ORIGINAL PROPOSAL AMENDED PROPOSAL 
Objectives, first indent 
to prevent the spread of the epidemic by providing 
information on HIV risk factors, and therefore to 
avoid discrimination and stigmatization of HIV sero­
positive persons, Objectives, first indent 
to prevent the spread of the epidemic by providing 
information on HIV risk factors, and therefore to 
avoid discrimination and stigmatization of persons 
carrying the virus (HIV seropositive persons), 
Objectives, second indent unchanged 
Action 1 unchanged 
Action 2 Action 2 
Paragraph 1 
Exchanges of information will be encouraged and 
supported within the framework of health education in 
schools. Specific seminars for teachers from the Member 
States will provide not only an opportunity for 
exchanging experiences and knowledge but also lay 
down the foundations for broader cooperation. Paragraph 1 
Exchanges of information will be encouraged and 
supported within the framework of health education in 
schools: no problems will be ignored (sex education, 
sexually transmissible diseases, drug addiction, etc.). 
Seminars and other specific information schemes will be 
tailored to the needs identified in the various Member 
States; they will be devised for teachers and pupils and 
will provide not only an opportunity for exchanging 
experiences and knowledge but also lay down the foun­
dations for broader cooperation. 
Paragraph 2 unchanged 
Paragraph 2a 
(new) 
The Commission will organize a European AIDS 'Infor­
mation and Prevention Day', in which the Member 
States' television networks will cooperate, and with the 
participation of the other mass media. 
Action 3 
Paragraph 1 
Repeated monitoring of public opinion and attitudes is 
necessary in order to assess the effectiveness of 
prevention efforts. Action 3 
Paragraph 1 
Repeated monitoring of public opinion and attitudes is 
necessary in order to assess the effectiveness of 
prevention efforts; in this connection, the European code 
against AIDS will be particularly useful. 
Paragraph 2 unchanged 
20. 6. 91 Official Journal of the European Communities NoC 160/11 
ORIGINAL PROPOSAL AMENDED PROPOSAL 
CHAPTER 2 CHAPTER 2 
Introduction, paragraphs 1 and 2 unchanged 
Objectives, first indent unchanged 
Objectives, second indent 
to make counselling more accessible to all 
HIV-positive people, Objectives, second indent 
to make counselling and health advice more 
accessible to all HIV-positive people, 
Indent 2a 
(new) 
to respect the private life and confidentiality of all 
individuals, whether AIDS sufferers and HIV sero­
positive persons or those who undergo an AIDS test, 
Indent 2b 
(new) 
to ensure the complete confidentiality of AIDS test 
findings, 
Objectives, third and fourth indents unchanged 
Indent 4a 
(new) 
to prevent all social discrimination, i.e. guarantee the 
right to work, housing and insurance cover, 
Indent 4b 
(new) 
to prevent any discrimination against HIV-positive 
children, by guaranteeing their right to receive 
compulsory education, to live near their parents and 
to receive child welfare services. 
NoC 160/12 Official Journal of the European Communities 20. 6. 91 
ORIGINAL PROPOSAL AMENDED PROPOSAL 
Action 4 Action 4 
Paragraphs 1 and 2 unchanged 
Paragraph 2a 
(new) 
Paragraph 3 Paragraph 3 
This could lead to the establishment of a 
Community-wide directory of helplines. This should be 
done in close coordination with drug helplines, since 
HIV-seropositive and AIDS symptomatic drug users may 
have recourse to both systems. The Commission will make provision, in conjunction 
with the anti-drugs programme, for the establishment of 
a prevention programme directed at drug users; 
provision of throwaway needles. 
A Community-wide directory of helplines will be estab­
lished. This should be done in close coordination with 
drug helplines, since HIV-seropositive and AIDS symp­
tomatic drug users may have recourse to both systems. 
This directory should be advertised free of charge at 
stations and airports and in the press and electronic 
media. 
Action 5a 
(new) 
Action 5a: Reduction of HIV transmission through sexual inter­
course 
As individuals of both sexes may be infected as a result 
of sexual intercourse, the use of condoms is the only 
effective preventive measure. Measures must be taken to 
complete the harmonization of quality standards for 
condoms at Community level. 
Every packet of condoms should contain an information 
sheet incorporating a public health message and 
instructions for use. 
Action 6a unchanged 
(new) 
Action 6a: Rapid individual detection of HIV seropositiveness 
'Instant' HIV self-testing kits may be made available to 
the public. It will be essential to coordinate arrangements 
for access to such kits at Community level. Paragraphs 4, 5 and 6 unchanged 
Action 5 unchanged 
Action 6 unchanged 
20. 6. 91 Official Journal of the European Communities No C 160/13 
ORIGINAL PROPOSAL AMENDED PROPOSAL 
CHAPTER 3 CHAPTER 3 
Introduction and objectives unchanged 
Action 7 Action 7 
Paragraph 1 unchanged 
Paragraph 2 
In order to improve the quality of the data, support will 
be given to national monitoring systems; to the accessi­
bility of the Paris Centre's data base; and to improving 
epidemiological information on the disease. Paragraph 2 
In order to improve the quality of the data, support will 
be given to national and regional monitoring systems; to 
the accessibility of the Paris Centre's data base, and to 
improving epidemiological information on the disease. 
Paragraph 3 unchanged 
Action 8 unchanged 
Chapter 4 unchanged