P5_TA(2003)0501
Securityofsupplyforpetroleumproducts***I
EuropeanParliamentlegislativeresolutionontheproposalforaEuropeanParliamentandCouncil
directiveconcerningthealignmentofmeasureswithregardtosecurityofsupplyforpetroleum
products(COM(2002)488/dashC5-0448/2002/dash2002/0219(COD))
(Codecisionprocedure:firstreading)
TheEuropeanParliament ,
/dash having regard to the Commission proposal to the European Parliament and the Council
(COM(2002)488)(1),
/dash havingregardtoArticles251(2)and95oftheECTreaty,pursuanttowhichtheCommissionsub-
mittedtheproposaltoParliament(C5-0448/2002),
/dash havingregardtoRule67ofitsRulesofProcedure,
/dash havingregardtothereportoftheCommitteeonIndustry,ExternalTrade,ResearchandEnergyand
theopinionsoftheCommitteeonEconomicandMonetaryAffairsandtheCommitteeonEnviron-ment,PublicHealthandConsumerPolicy(A5-0297/2003),
1. RejectstheCommissionproposal;
2. CallsontheCommissiontowithdrawitsproposal;3. InstructsitsPresidenttoforwarditspositiontotheCouncilandtheCommission.
(1) OJC331E,31.12.2002,p.249.
P5_TA(2003)0502
Cancerscreening*
European Parliament legislative resolution on the proposal for a Council recommendation on
cancerscreening(COM(2003)230/dashC5-0322/2003/dash2003/0093(CNS))
(Consultationprocedure)
TheEuropeanParliament ,
/dash havingregardtotheCommissionproposaltotheCouncil(COM(2003)230)(1),
/dash havingregardtoArticle152(4)oftheECTreaty,pursuanttowhichtheCouncilconsultedParliament
(C5-0322/2003),
/dash havingregardtoRule67ofitsRulesofProcedure,
/dash havingregardtothereportoftheCommitteeontheEnvironment,PublicHealthandConsumerPolicy
andtheopinionoftheCommitteeonWomen’sRightsandEqualOpportunities(A5-0381/2003),
(1) NotyetpublishedintheOJ.7.4.2004EN C87E/263 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
1. ApprovestheCommissionproposalasamended;
2. Callsonthe Commissiontoalter itsproposalaccordingly, pursuanttoArticle250(2)ofthe EC
Treaty;
3. CallsontheCounciltonotifyParliamentifitintendstodepartfromthetextapprovedbyParliament;
4. AskstheCounciltoconsultParliamentagainifitintendstoamendtheCommissionproposalsub-
stantially;
5. InstructsitsPresidenttoforwarditspositiontotheCouncilandtheCommission.
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Amendment1
Recital1
(1) Article152oftheTreatyprovidesthatCommunityaction
is to complement national policies and be directed towardsimproving public health, preventing human illness and dis-eases,andobviatingsourcesofdangertohumanhealth.(1) Article152oftheTreatyprovidesthatCommunityaction
is to complement national policies and be directed towardsimproving public health, preventing human illness and dis-eases,andobviatingsourcesofdangertohumanhealth. Fur-
thermore, Article152provides that such action shall coverthe fight against the major health scourges, by promotingresearchintotheircauses,theirtransmissionandtheirpre-
vention,aswellashealthinformationandeducation.
Amendment4
Recital4
(4) Screeningallowsdetectionofcancersatanearlystageof
invasivenessorevenbeforetheybecomeinvasive.Somelesions
can then be treated more effectively and the patients canexpecttobecured.Thekeyindicatorfortheeffectivenessofscreeningisadecreaseindisease-specificmortalityorintheoccurrenceofadvanceddisease.(4) Screeningallowsdetectionofcancersatanearlystageof
invasiveness orpossiblybefore they become invasive. Some
lesionscanthenbetreatedmoreeffectivelyandthepatientscanexpecttobecured.Thekeyindicatorfortheeffectivenessofscreeningisadecreaseindisease-specificmortalityorintheoccurrenceofadvanceddisease.
Amendment5
Recital5a(new)
(5a) Potentially promising screening tests currently being
evaluatedincludetheprostate-specificantigen(PSA)testforprostate cancer, mammography screening for breast cancerfor women in the 40-49 age range, immunological Faecal
Occult BloodTesting (FOBT) for colorectal (bowel) cancer
andflexiblecolonoscopyforcolorectalcancer.
Amendment7
Recital9
(9) Thisrequiresanorganisationwithacall-recallsystem and
withqualityassuranceatalllevels,andaneffectiveandappro-priatediagnosticandtreatmentservice.(9) This requires an organisation with a call-recall system,
withqualityassuranceatalllevels,andaneffectiveandappro-priate diagnostic,treatmentand after-careservicefollowing
evidence-basedguidelines.C87E/264 EN7.4.2004 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
Amendment8
Recital10a(new)
(10a) Cancernetworksplayacrucialroleintheexchange
ofinformationandknowledge.
Amendment9
Recital13
(13) This analysis is facilitated if the screening database is
linkedtocancerregistrydata.(13) This analysis is facilitated if the screening database is
linked to cancer registry data. Cancer registries play an
importantroleinmonitoringtheimpactofscreeningonthepopulation. Changes in incidence, survival and mortalityshouldbeconstantlymonitored.
Amendment10
Recital16
(16) Ethical, legal, social, medical, organisational and econ-
omic aspectshave to beconsideredbefore decisions can be
madeontheimplementationof cancerscreeningprogrammes.(16) Ethical,cultural,legal,social,medical,organisationaland
economic aspects shouldbe considered, in particular with
regardtotheaccessioncountries,inordertoencouragethemtoimplementcancerscreeningprogrammes.
Amendment11
Recital17
(17) Adequatehumanandfinancialresourcesshouldbeavail-
ableinordertoassuretheappropriateorganisationandqualitycontrol.(17) Adequatehumanandfinancialresourcesshouldbeavail-
ableinordertoassuretheappropriateorganisationandqualitycontrolforallMemberStates .
Amendment12
Recital18
(18) Differentsocio-economicgroupsoftendonothaveequal
access to screening. Therefore, action should be taken toensureequalaccess.(18) Differentsocio-economicgroupsoftendonothaveequal
accesstoscreening.Actionshouldthereforebetakento guar-
anteeequalaccess.Inlinewiththisobjective,moremobile
screeningcampaignsshouldbecarriedout.
Amendment13
Recital18a(new)
(18a) Screening policy must be conscious of men and
women’sdifferenthealthchallengesandneeds;asscreening
for colorectal cancer is the first cancer screen available tomen,informationonmen’stake-upandoutcomesisthereforeespeciallyimportanttomonitor;inaddition,giventhatpros-tate cancer is becoming more common than lung canceramongmen,itisimportanttocontinuetoraiseawarenessof symptoms and to keep under continuous review anyresearchandtechnologicaldevelopmentsinthefieldofpros-tatecancerscreening.7.4.2004EN C87E/265 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
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Amendment14
Recital19
(19) Itisanethical,legalandsocialprerequisitethatcancer
screening should only be offered to fully-informed healthy
peopleifthescreening isprovedtodecrease disease-specificmortalityortheincidenceofadvanceddisease,ifthebenefitsandrisksarewellknown,andifthecost-effectivenessofthescreeningisacceptable.(19) Itisanethical,legalandsocialprerequisitethatcancer
screening shouldonlybeofferedtofully-informed asympto-
maticpeopleifthescreeningisprovedtodecreasedisease-spe-
cificmortalityortheincidenceofadvanceddisease,ifthebene-fitsandrisksarewellknown,andifthecost-effectivenessofthescreeningisacceptable.
Amendment16
Recital24a(new)
(24a) Europeancollaborationinnetworksfacilitateshigh-
qualitycancerscreeninginprovidingEuropeanguidelinesofbestpracticeandspecificrecommendationsfortheimplemen-tationofnationalcancerscreeningprogrammes.
RECOMMENDATIONSTOTHEMEMBERSTATES
Amendment17
Paragraph1,point(a)
(a) offerevidence-basedcancerscreeningthroughasystematic
population-based approach with quality assurance at alllevels.ThecancerscreeningtestslistedintheAnnexfulfiltheserequirements;(a) offerevidence-basedcancerscreeningthroughasystematic
population-based approach with quality assurance and
equalaccessatalllevels.Thecancerscreeningtestslisted
intheAnnexcurrentlyfulfiltheserequirements;
Amendment18
Paragraph1,point(b)
(b) implement screening programmes in accordance with
Europeanguidelinesonbestpracticeandshouldfacilitatethefurtherdevelopmentofbestpracticeforhigh-qualitycancerscreeningprogrammesonanationallevel;(b) implement screening programmes in accordance with
Europeanguidelinesonbestpracticeandshouldfacilitatethefurtherdevelopmentofbestpracticeforhigh-qualitycancerscreeningprogrammesonanationallevel ,includ-
ingassistanceintheintroductionofnewtechnologies ;
Amendment19
Paragraph1,point(d)
(d) ensurethatadequatecomplementarydiagnosticprocedures
andtreatmentofthosewithapositivescreeningtestare
providedfor;(d) ensure that adequate complementary diagnostic pro-
cedures,treatment,psychologicalsupportandaftercare
followingevidence-basedguidelines ofthosewithaposi-
tivescreeningtestareprovidedfor;
Amendment20
Paragraph1,point(da)(new)
(da) ensure that appropriate tests are available to all
workers exposed to mutagenic and carcinogenic sub-stances;C87E/266 EN7.4.2004 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
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Amendment21
Paragraph1,point(fa)(new)
(fa) facilitate the exchange of experience among Member
StatesthroughEuropeannetworks;
Amendment22
Paragraph1,point(g)
(g) setupasystematicinvitationandfollow-upsystemand
quality assurance atalllevels,together withaneffectiveandappropriatediagnostic andtreatmentservice;(g) setupasystematicinvitationandfollow-upsystemand
qualityassuranceatalllevels,togetherwithandeffectiveandappropriatediagnostic ,treatmentandaftercareser-
vicefollowingevidence-basedguidelines ;
Amendment23
Paragraph1,point(ga)(new)
(ga) introduceasystemforinvitingpeopleintheagerange
laiddowninthisRecommendationtoasinglesessionofmultiphasescreening;
Amendment24
Paragraph2,point(aa)(new)
(aa) encourage and support European research on new
methodsofscreeningandfollow-upinordertodevelopnew,orimproveexisting,evidence-basedguidelines;
Amendment25
Paragraph2,point(da)(new)
(da) providealegalframeworkinordertomakenecessary
linkages between possible databases on screening-,cancer-andmortality-registersincompliancewithDirec-tive95/46/ECandnationalprivacylegislation.
Amendment26
Paragraph3,point(ca)(new)
(ca) regularly monitor incidence, survival, mortality and
morbidity indicators in the various Member States,accordingtothestandardsoftheEuropeanNetworkofCancerRegistries,inordertoestablishtheprioritiesforspecifictestscomparedwithothers;
Amendment27
Paragraph5,point(aa)(new)
(aa) ensuretherighttoleaveforthosewhoneedtotake
timeoffworkinordertoundergothescreeningtests;7.4.2004EN C87E/267 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
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Amendment28
Paragraph6,point(b)
(b)runtrials,inadditiontothoseonscreening-specificpara-
meters and mortality, on subsequent treatment pro-
cedures,clinical outcome, side effects, morbidity and
qualityoflife;(b)carry out investigations , in addition to those basedon
screening-specific parameters and on mortality, into the
clinicaloutcome,thesideeffects,themorbidityandthequalityoflife;
Amendment29
Paragraph6,point(da)(new)
(da) invest more resources in research into new tests,
including genomic tests and into the validation ofadvancedtechnologyinstruments;
RECOMMENDATIONSTOTHECOMMISSION
Amendment30
Paragraph2
2. ToencouragecooperationbetweenMSandexchangeof
bestpracticesasregardscancerscreeningwithaviewtodeveloping new screening methods or improveexisting
ones.2. Toencouragecooperationbetween MemberStatesandthe
exchange of best practices as regards cancer screening ,
wherebycancernetworksplayacrucialrole, withaview
todevelopingnewscreeningmethodsor improvingexisting
ones.
Amendment31
Paragraph2a(new)
(2a) To promote information campaigns designed to help
raise awareness and public understanding about thebenefitsandrisksthatcancerscreeningoffersinrelationtotheearlydetectionofcancer.
Amendment32
Paragraph2b(new)
(2b) To encourage Member States to support European
researchoncancerscreeningincludingthedevelopment
ofnewguidelinesupdatingexistingguidelinesoncancer
screening.
Amendment33
AnnexIa(new)
AnnexIaPromisingnewscreeningtests,currentlybeingevaluatedin
randomisedcontrolledtrials,couldpotentiallyreducemortal-ityfromcancer.ThestateoftheartshouldbeassessedandcontinuouslyupdatedbyEuropeanexpertsinordertopro-poseevidence-basedapplications,adaptguidelinesandinformC87E/268 EN7.4.2004 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
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citizens,healthauthoritiesandstakeholdersontheadvan-
tages,risksandcosts.Suchtestsshallinclude:
/dash mammography screening for women aged 40-49 for
breastcancer,
/dash improvedFaecalOccultBloodTesting(FOBT)forcolo-
rectalcancer,
/dash flexiblerecto-sigmoïdoscopyorcolonoscopyforcolorectal
cancer,
/dash testingforhighriskhumanpapillomavirus(HPV)infec-
tionforcervicalcancer,
/dash improved methods for the preparation (liquid based
cytology)orinterpretationofcervicalspecimens,
/dash prostate-specific antigen (PSA) testing for prostate
cancer.
Once the efficacy of screening methods has been demon-
strated,theevaluationoftheeffectivenessofmodifiedtestsoralternativeapplicationsmaybebasedonotherepidemi-ologically validated surrogate endpoints if their predictivevalueisestablished.
P5_TA(2003)0503
Identificationandregistrationofsheepandgoats*
EuropeanParliamentlegislativeresolutionontheproposalforaCouncilregulationonestablishingasystemfortheidentificationandregistrationofovineandcaprineanimalsandamendingRegu-
lation(EEC)No3508/92(COM(2002)729/dashC5-0027/2003/dash2002/0297(CNS))
(Consultationprocedure)
TheEuropeanParliament ,
/dash havingregardtotheCommissionproposaltotheCouncil(COM(2002)729)(
1),
/dash havingregardtoArticle37oftheECTreaty,pursuanttowhichtheCouncilconsultedParliament
(C5-0027/2003),
/dash havingregardtoRule67ofitsRulesofProcedure,
/dash having regard tothe report ofthe CommitteeonAgriculture andRural Development(A5-0386/
2003),
1. ApprovestheCommissionproposalasamended;
2. Callsonthe Commissiontoalter itsproposalaccordingly, pursuanttoArticle250(2)ofthe EC
Treaty;
(1) NotyetpublishedintheOJ.7.4.2004EN C87E/269 OfficialJournaloftheEuropeanUnion
Wednesday19November2003
TEXTPROPOSED
BYTHECOMMISSIONAMENDMENTS
BYPARLIAMENT