CELEX: 51995PC0131
Language: en
Date: 1995-04-21
Title: Amended proposal for a EUROPEAN PARLIAMENT AND COUNCIL DECISION adopting an action plan 1995-1999 to combat cancer within the framework for action in the field of public health

COMMISSION OF THE EUROPEAN COMMUNITIES
                                   Brussels, 21 04.1995
                                   COM(95) 131 final
                                    94/0105 (COD)
                 Amended proposal for a
EUROPEAN PARLIAMENT AND COUNCIL DECISION
         adopting an action plan 1995-1999
                   to combat cancer
          within the framework for action
             in the field of public health
(presented by the Commission pursuant to Article 189 a (2)
                    of the EC-Treaty)
 ---pagebreak---                           Explanatory Memorandum
 1.     The original Commission Proposal for a European Parliament and Council
        Decision adopting an action plan 1995-1994 to combat Cancer was adopted by the
        Coramiision on 29 March 1994.
2.      The original Commission Proposal received favourable opinions of the Economic
        *a4 Social Committee1 and aie Committee of the Regioâs^.
X.      Following the opinion of the European Parliament delivered at first reading on 1
        March 1995, the Commission is presenting an amended proposal for a Decision,
        pursuant to Article 189a of the Treaty. The text contains two main types of
        amendment:
        those adding useful details and clarifications to the initial proposal;
        a second group of amendments slightly strengthening the proposal in the sense of
        greater emphasis of Community action On the areas of prevention identified as
        having priority by the European Parliament.
4.      The European Parliament adopted 36 amendments at its vote on 1 March 1995,
        26 of which are fully or partly acceptable to the Commission (1, 2, 6, 7, 8, 10, 12,
        13, 14, 15, 16, 18, 20, 21, 22, 23, 25, 26, 28, 30, 31, 32, 33, 34, 35 and 42).
5.      The remaining ten amendments are not acceptable to the Commission.
Amendment 3 has not been accepted because the formulation put forward by the
Commission is more faithful to the text of Article 3b of the Treaty.
Acceptance of amendment 4 on the distribution of budget resources within the programme
would have distorted the management of the programme by allocating funds in advance
to certain areas without knowing the quality of the projects to be financed.
Amendment 9 envisages the participation of non-governmental organisations in the
Advisory Committee on the plan. This would be contrary to the current comitology rules.
Amendment 17 refers to a ban on advertising for tobacco products. The Commission
completely shares the concerns expressed in the amendment, but has already proposed a
Council Directive on this subject.
Amendment 19 envisages project arrangements which would not suit every case.
        Plenary Session on 14.09.1994
        Plenary Session on 27/28.09.1994
                                             •2
 ---pagebreak--- Amended 27 proposes a pilot scheme to involve political leaders and others in anti-
smoking activities. This type of action does not fall within the scope of the proposed
action plan.
Amendment 29 limits the action proposed by the Commission to therisksassociated with
excessive exposure of the skin to the rays of the sun, rather than ultraviolet radiation.
This limitation makes it unacceptable.
As far as amendments 36 and 43 are concerned, it should be noted that the role and
existence of the Committee of Cancer Experts are not directly linked to the adoption of
the proposal for a third action plan, as this Committee has existed since the creation of
the programme in 1986. In addition, cooperation and research activities are regarded as
satisfactory. These two amendments have been rejected.
Amendment 46 concerns the creation of no-smoking areas in the buildings of the
European Parliament. Such action is outside the scope of the proposed plan, although the
Commission supports the initiative.
 ---pagebreak---         Proposal for a European Parliament and Council Decision
           adopting an Action Plan 1995-1999 to combat cancer
within the framework for action in the Field of Public Health
                    COM (94) 83 final                                    Modified proposal
       The European Parliament and the
       Council of the European Union,
       Having regard to the Treaty establishing
       the European Community, and m
      particular Article 129 thereof,
      Having regard to the proposal by the
      Commission,
      Having regard to the opinion of the
       Economic and Social Committee,
      Having regard to the opinion of the
      Committee of the Regions,
      1. Whereas, at its meetings in June                     1. Whereas measures to reduce tne risk
      1985 in Milan and in December 1985 in                   of cancer from exposure to carcinogens
      Luxembourg, the European Council                        are included in a number of existing
      underlined the advantages of launching                  programmes in particular, in the
      a European programme against cancer;                    programmes on the environment,
                                                              worker protection, consumer protection,
                                                              nutrition, agriculture and the internal
                                                              market:
      2. Whereas the Council and the
      representatives of the Governments of
      the Member States meeting within the
      Council adopted a resolution on 7 July
      1986 on a first programme of action of
      the European Communities against
      cancer and on 17 May 1990 a decision
      establishing a second action plan under
     the "Europe             against       Cancer"
     programme for the period 1990-1994;
      3. Whereas the European Parliament,
      in its resolution of 15 December 1993,
      asked that activities against cancer be
      intensified;
                                                            «V
 ---pagebreak---               COM (94183 final                       Modified proposal
  4. Whereas in the Resolution of 13       4a (new) whereas cancer research is
  December 1993 the Council invited the    covered in the "Biomedicine and
  Commission to submit in due course a     Health" (1994-1995) specific research
 draft third action plan, taking into      and technological development
 account the Council resolution of 27      programme.
 May 1993 on future action in the field of
 public health as well as the objectives
 and improvements set out in the Annex.
5. Whereas the prevention of cancer
 is a priority for Community action within
the framework for action in the field of
public health set out by the Commission
while remaining compatible with other
measures already undertaken by the
Community in this field;
6. Whereas, in accordance with the
principle of subsidiarity, actions on
matters not under the exclusive
competence of the Community, such as
those on cancer prevention, must only
be undertaken by the Community when,
bv -eason of their scale or effects, they
msv be better carried out at Community
level;
7. Whereas cooperation with the
competent international organisations
and with third countries should be
strengthened;
8. Whereas cancer is a major disease
associated with lifestyle, and the
inherent risk factors need to be
overcome,          especially    tobacco
consumption, which also has an effect
on combating other diseases, in
particular cardiovascular diseases;
 ---pagebreak---             COM (94) 83 final                        Modified proposal
 9. Whereas by ensuring wider              9a.(new) whereas action must be taken
 dissemination of knowledge of causes      to combat media advertising promoting
 of cancer and of its prevention,          habits conducive to cancer, including
 ensuring improved comparability of        wrong dietary habits.
 actions especially in health education,
 the programme will contribute to
 achievement of the Community
 objectives set out in Article 129;
 10.Whereas an important role is played
in the implementation of the Programme
by the Advisory Committee and the
National Coordinating Committees;
11. Whereas, from the operational point
of view, the investment made during the
preceding action plans in terms of both
the European pilot networks and of the
mobilisation of all those involved in
combating cancer should be
safeguarded and developed;
12. Whereas, however, possible            12. Whereas, nowever, possioie
duplication of effort should be avoided   duplication of effort should be avoided
by the promotion of exchanges of          by the promotion of exchanges of
experience and by the joint               experience and by the joint
development of basic information          development of basic information
modules for the public, for health        modules for the public, for health
education and for training members of     education and for training members of
the health professions;                   the health professions, which mav be
                                          targeted on specific groups.
                                          12a.(new) Whereas the principles of
                                          sound financial management must be
                                          observed if this action plan is to be fully
                                          effective.
                                       4>
 ---pagebreak---            COM (94) W final                           Modified proposal
 13. Whereas, in order to increase the
value and impact of the action plan, a
continuous assessment of the
measures undertaken should be carried
out, with particular regard to their
effectiveness and the achievement of
objectives both at national and
Community level and, where
appropriate, to make the necessary
amendments;
14. Whereas this action plan should be    14a.(new) Whereas a systematic policy
of five-year duration in order to allow   for combatting cancer includes all
sufficient time for actions to be         aspects of primary, secondary and
implemented to achieve the objectives     tertiary prevention, including exchange
set;                                      of experience on quality control of
                                          diagnosis and treatment, and taking into
                                          account psycho-social aspects with
                                          particular emphasis on quality of life.
Article 1 : A Community plan of action
against cancer is adopted for the j .
1 January 1995 to 31 December i »»3.
                                        }
 ---pagebreak---            COM (94) 83 final                              Modified proposal
Article 2 : The Commission shall            Article 2 : The Commission, in close
ensure implementation of the actions         cooperation with the Member States,
set out in Annex in accordance with         the national coordination committees
article 5 of this decision and in close     and with institutions and organisations
cooperation with the Member States          active in the prevention of cancer, shall
and with institutions and organisations     ensure implementation of the action
active in the prevention of cancer.         plan in the following fields :
                                                  I. development and strengthening
                                                  of a European network of Cancer
                                                  registers and support to
                                                 epidemiological studies focused on
                                                 prevention.
                                                  II. public information and health
                                                 education
                                                  III. training of health workers on
                                                 cancer prevention.
                                                 IV. early detection and systematic
                                                 screening.
                                                 V. exchanges of experience on
                                                 quality control of diagnosis and
                                                 treatment, including palliative care
                                                 and supporting contributions for
                                                 selecting priorities in cancer
                                                 research and transfer of results of
                                                 b r r ? rrsear^h into clinical trials
                                            specific actions in tnese fields are set
                                            out in the annex.
Article 3 : The budgetary authority will
determine the financial resources
available for each exercise.
                                         ST
 ---pagebreak---              COM (94) 83 final                       Modified proposal
 Article 4 : The Commission shall        Article 4 : The Commission shall
 ensure that there is consistency and    ensure that there is consistency and
 complementarity between the             complementarity between the
 Community actions to be implemented     Community actions to be implemented
 under this action plan and the other    under this action plan and the other
relevant Community programmes and        relevant Community programmes and
initiatives including the Biomedical and initiatives including the Biomedical and
Health Research Programme under the      Health Research Programme under the
Community's framework programmes         Community's framework programmes
for research.                            for research and the programmes
                                         establishing an integrated information
                                         network (information technology in
                                         areas of general interest).
Article 5 : In implementing this action
plan, the Commission shall be assisted
by an advisory committee consisting of
representatives of each Member State,
and chaired by the Commission
representative.
                                         5b The Commission shall make every
                                         effort to simplify and improve the
                                         Programme's ^ s i r        administrative
                                         procedures: these procedures shall be
                                         properly publicised.
The Commission representative shall
submit to the committee a draft of the
measures to be taken. The committee
shall deliver its opinion on the draft,
within a time limit which the chairman
may lay down according to the urgency
of the matter, if necessary by taking a
vote.
The opinion shall be recorded in the
minutes; in addition each Member State
shall have the right to ask to have its
opinion recorded in the minutes.
 ---pagebreak---             COM (94V 83 final                           Modified proposal
 The Commission shall take the utmost
 account of the opinion delivered by the
 committee, it shall inform the committee
 of the manner in which its opinion has
 been taken into account.
Article 6 :
 1. In the course of implementing this
action plan, cooperation with third
countries and with international
organisations competent in the field of
public health, including the World
 Health Organisation and the
 International Agency for Research on
 Cancer, will be encouraged.
2. The EFTA countries and the
countries of Central and Eastern
 Europe may be associated with the
activities described in the Annex under
the conditions set out in the agreements
concluded with the European
Community.
Article 7 :
1. The Commission will regularly             Article 7/1 : The Commission will
publish information on the progress of       regularly publish information on the
the action plan and on potential             progress of the action plan and on
Community financing in the various           potential Community financing in the
fields of action; this shall be forwarded    various fields of action. The report shall
to the European Parliament, the              pav particular attention to the
Council, the Economic and Social             complementary between this action and
Committee and the Committee of the           those mentioned in Article 4. It shall be
Regions in the form of an annual report,     forwarded to the European Parliament,
with account being taken of reports to       the Council, the Economic and Social
be drawn up by each of the Member            Committee and the Committee of the
States.                                      Regions in the form of an annual report,
                                             with account being taken of reports to
                                             be drawn up by each of the Member
                                             States.
                                          CO
 ---pagebreak---             COM (94) 83 final                              Modified proposal
 2. On the basis of an interim report to
 be submitted by the Commission before
 the end of 1997, the Council and the
 European Parliament will evaluate the
 actions undertaken. An overall report
 will be submitted at the end of the
 action plan.
Annex
Measures to be implemented in the
period 1995-1999
I. C a n c e r    registers        and
epidemiological studies
1. Support for exchanges of                1. Support for exchanges of
information and experience relating to     information and experience relating to
the collection and dissemination of        the collection and dissemination of
reliable and comparable data for cancer    reliable and comparable data for cancer
registers (incidence, mortality and        registers (prevalence, incidence,
survival rate). Development and            mortality and survival rate and age
strengthening of a European network in     groups). Development                   and
cooperation with the International         sire. .^u'li,. .<ng of a European network in
Agency tor Research on Cancer              cooperation with the International
(IARC).                                    Agency for Research on Cancer
                                           (IARC).
                                         U
 ---pagebreak---             COM {94) 83 final                             Modified proposal
2. Support for the carrying out of            2. Support for the carrying out of
epidemiological studies at European           epidemiological studies at European
level and for the dissemination of their      level and for the dissemination of their
conclusions with regard to the                conclusions with regard to the
identification of carcinogens (physical,      identification of carcinogens (physical,
chemical and biological), the risks           chemical and biological), the risks
arising from exposure to them, methods        arising from exposure to them (types of
of prevention and for estimating survival     exposure and the population subgroups
rates and sources of disparities in those     affected), methods of prevention and
rates. On the basis of these                  the introduction of programmes for the
conclusions, support for the drawing up       objective estimation of survival rates on
and dissemination of recommendations.         the basis of certain criteria (age, sex,
Cohort studies on cancer, diet and            location of the tumour, evolutionary
health (EPIC network), support for            staoe. histological type, etc.). and for
epidemiological studies based on              estimating sources of disparities in
research into nutrition as a potential        those rates. On the basis of these
preventive factor (identification of          conclusions, support for the drawing up
protective agents, modification of            and dissemination of recommendations.
specific dietary factors) and, where          Cohort studies on cancer, diet and
appropriate, preventive chemical              health (EPIC network), support for
agents.                                       epidemiological studies based on
                                              research into nutrition as a potential
                                              preventive factor (identification of
                                              protective agents, modification of
                                              specific d:3tar* factors) and, where
                                              appropriate, preventive chemical
                                              agents.
II.  Prevention
     A.      Public information
3. Establishment of an annual "Europe
against Cancer" week.
                                          12-
 ---pagebreak---             COM (94) 83 final                           Modified proposal
 4. Improving the effectiveness of            4. Improving the frequency and the
 cancer prevention messages, in               effectiveness of cancer prevention
 particular the recommendations of the        messages, in particular the
 European Code against Cancer, by             recommendations of the European
 supporting targeted measures (for            Code Against Cancer, by supporting
 teachers, general practitioners, etc.)       targeted measures (for educators,
 and pilot projects, studies and analyses     oncologists, general practitioners,
 of health promotion techniques and           pharmacists, journalists and other
 assessments of action in this field.         media persons) and pilot projects,
                                              studies and analyses of health
                                              promotion techniques and assessments
                                             of action in this field.
5. Supporting pilot action networks for      5. Supporting and expanding pilot
providing information and exchanges          action networks for providing
with regard to cancer prevention, taking     information and exchanges with regard
into account the recommendations of          to cancer prevention, taking into
the European Code against cancer and         account the recommendations of the
those of the committees of experts           European Code against cancer and
meeting for this purpose in order to         those of the committees of experts
contribute to the highlighting and           meeting for this purpose in order to
dissemination of best practice.              contribute to the highlighting and
                                             dissemination of best practice.
6. Promoting information ano
awareness-raising campaigns for
specific population groups on health
promotion and cancer prevention,
particularly in public places and at work.
                                           &
 ---pagebreak---                  COM (94) 83             final     Modified proposal
  7. Encouraging projects with a
  European dimension relating to the
  prevention of tobacco consumption;
 assessment of the implementation of
 recommendations on the use of tobacco
 in public places, particularly on public
 t r a n s p o r t and in e d u c a t i o n
 establishments. Promotion of a policy
 aimed at protecting the most vulnerable
 groups from the risk of passive
 smoking, in particular pregnant women
and children. Assessment of the effect
of measures taken in the Member
States to reduce tobacco consumption,
for example by the banning and control
of direct or indirect advertising,
exclusion of tobacco from the price
 index and dissemination of knowledge
acquired from such assessments.
Support and assessment of pilot
measures for preventing tobacco
consumption as part of the exchange
networks between Member States, for
example networks of no-smoking towns,
no-smoking hospitals and youth c'.,
cooperation with health-care workers
and teachers.
8. Selection, dissemination and
evaluation of the impact of the best
methods of reducing tobacco
consumption in the Member States as
part of pilot measures to implement
these methods in liaison with health-
care workers. Continuing classification
of dangerous substances and
preparations with the aim of improving
packaging and labelling.
                                               '4-
 ---pagebreak---             COM (941 83 final                             Modjffed proposal
      B.     Health education
 9. Contributing to the formulation and        9. Contributing to the formulation and
  implementation of integrated health          implementation of integrated health
 education programmes in different             education programmes in different
 contexts, with cancer prevention given        contexts, with cancer prevention given
 a particularly important role. Definition     a particularly important role. Definition
 and implementation of supplementary           and implementation of supplementary
 cancer prevention projects for specific       cancer prevention projects for specific
groups in different contexts. Evaluation      groups (town planners, environmental
of health education initiatives with           specialists, architects, radiologists) in
priority being given to making                different contexts. Evaluation of health
 individuals more aware of their              education initiatives with priority being
responsibility for their own health,          given to making individuals more aware
preventing tobacco consumption,               of their responsibility for their own
promoting a healthy diet and making           health,       preventing         tobacco
 people aware of the risks associated         consumption, promoting a healthy diet
with excessive exposure of the skin to        including an increased consumption of
ultraviolet radiation, targeted at young      fruit and vegetables and appropriate
people.                                       media campaigns on healthy diets and
                                              making people aware of the risks
                                              associated with excessive exposure of
                                              the skin to ultraviolet radiation, targeted
                                              at young people.
10. Support       for exchanges         of
experience under the integrated health
education programmes with the aim of
improving initial and continuing training
for teachers and project supervisors in
the field of cancer prevention, taking
account in this context of the
experience gained in the framework of
programmes such as Erasmus and the
supporting actions of the Commission in
the education field.
                                           f^
 ---pagebreak---              COM (941 83 final                              Modified proposal
 11. Support for the production,
 dissemination and evaluation of the
 impact of Community teaching materials
 relating to cancer prevention,
 particularly those tested in the pilot
networks.
 12. Implementation of studies and
dissemination of their conclusions,
making it possible to improve the level
of knowledge on the perceptions of
young people with regard to cancer,
tobacco, diet and the risks associated
with excessive exposure of the skin to
ultraviolet radiation. Carry out analyses
with the aim of increasing the
effectiveness of preventive programmes
among children and young people.
     C.     Training for       health-care
            workers
13. Purouin. u.w irr.^a: . j n t a t i n of the  13. Pursuing the implementation of the
Commission recommendation of 8                   Commission recommendation of 8
November 1989 concerning the training            November 1989 concerning the training
of health personnel in the matter of             of health personnel in the matter of
cancer; assistance with the introduction         cancer; assistance with the introduction
and periodic assessment of the impact            and periodic assessment of the impact
of the European pilot networks on initial        of the European pilot networks on initial
and continuing training in cancer for the        and continuing training in cancer for the
medical, nursing and dentistry                   medical, nursing and dentistry
professions                                      professions with particular attention to
                                                 personnel working in paediatric
                                                 oncology.
                                                IC
 ---pagebreak---             COM (941 83 final
  14. Support the mobility of the health        14. Support the mobility of the health
 professions (particularly trainers) in         professions (particularly trainers) in
 order to improve theoretical and               order to improve theoretical and
 practical knowledge of cancer (primary         practical knowledge of cancer (primary
 prevention, mass screening, particularly       prevention, early diagnosis, mass
 for cervical and breast cancer, early          screening, particularly for cervical and
 diagnosis and quality of care) between         breast cancer, therapeutic principles,
 those centres of excellence in Member          health-care conventions, individualized
 States offering training of a high quality,   treatment) between those centres of
where such mobility is not ensured              excellence in Member States offering
under existing Community programmes            training of a high quality, where such
such as COMETT II or FORCE.                    mobility is not ensured under existing
                                               Community programmes such as
                                               COMETT II or FORCE.
 15. Support exchanges of experience
and the drawing up and dissemination
of conference recommendations for a
consensus on good medical practice
and of recommendations by groups of
experts in order to speed up the
dissemination and implementation of
the results of controlled studies.
Preparation of teaching ~nterials of
European interest aimed ^ improving
training in cancer for health-care
workers, particularly through the use of
interactive computer programmes;
assessment of the impact of these
materials in the pilot networks. In
particular, support for the development,
implementation and evaluation of
prevention modules intended for the
health professions and of models to
assist in diagnosis and in making
decisions with regard to treatment.
                                             »>
 ---pagebreak---            COM (941 83 final                          Modified proposal
III. Prevention by means of early
     detection and systematic
     screening
 16. Support the introduction and
evaluation of European pilot project
networks in the field of mass screening
for breast and cervical cancer, on the
basis of recommendations established
at European level with regard to
ensuring the quality of screening, and
support for the organisation of meetings
to examine the feasibility of extending
pilot projects to national and regional
levels.
17. Support the preparation at
European level and dissemination of a
common terminology and classification
in order to improve the quality of
anatomical and cytopathological
interpretation, particularly of suspect
growths in the breast and uterus, in
particular for anatomists ano
cytopathologists in the European
Community.
18. Support European feasibility studies   18a. In order to improve earlv detection
for early mass screening for other         techniques and systematic screening,
cancers (of the ovary, prostate, skin,     promotion of pilot action involving the
colon/rectum and mouth), taking            collaboration of interdisciplinary teams
particular account of the medical,         specialized in a broad spectrum of
psychological, social and economic         fields such as immunology, genetics,
aspects.                                   anatomy, cvtopatholoov and molecular
                                           biology, with a view to increasing
                                           biomedical and clinical cooperation.
                                         vr
 ---pagebreak---              COM (941 83 final                             Modified proposaj
 IV. Studies and measures relating to
      the quality of care for cancer
      patients
 19. Support European studies and               19. Promote initiatives and support
 dissemination of their conclusions,            European studies and dissemination of
 particularly in the context of European-       their conclusions, particularly in the
 level meetings and exchanges of                context of European-level meetings and
 experience, in order to gain a better          exchanges of experience, in order to.
 understanding and improve the                  identify shortcomings and to gain a
effectiveness of quality control methods        better understanding and improve the
both in diagnosis (radiological and             effectiveness of quality control methods
anatomo-cytopathological exam ination)          both in diagnosis (radiological and
and in treatment (radiation therapy and         anatomo-cytopathological exam ination)
chemotherapy), including palliative care,       and in treatment (radiation therapy and
taking into account the psychological           chemotherapy), including palliative care,
and social aspects, with particular             correctly administrated at a sufficiently
regard to the quality of life of patients.      early stage, taking into account the
Dissemination and evaluation of best           psychological and social aspects, with
practice in quality assurance in the pilot     particular regard to the quality of life of
project networks.                              patients. Dissemination and evaluation
                                               of best practice in quality assurance in
                                               the pilot project networks, including that
                                               related to checks on radiotherapy
                                               installations and to trie it amine ~t
                                               healthcare personnel.
                                               Support for European studies on the
                                               introduction of a common terminology
                                               for the classification and evaluation of
                                               complications arisingfromthe treatment
                                               of patients affected bv various forms of
                                               cancers,
                                           «°l
 ---pagebreak---             COM (941 83 final                                Modified proposal
V.    Research
20. Make a supporting contribution to             20. Make a supporting contribution to
selecting priorities for cancer research          selecting priorities for cancer research
to be carried out under the                      to be carried out under the
Community's framework programmes                  Community's framework programmes
for research and specifically the                for research and specifically the
Biomedical and Health Research                    Biomedical and Health Research
Programme which includes basic and                Programme which includes basic and
clinical cancer research. Support for the        clinical cancer research, and promote
establishment of an inventory of                 liQSS of investigation aimed at
European basic and clinical cancer               establishing accurate and reliable earlv
research measures; help with the                 diagnosis through laboratory diagnostic
transfer to clinical trials of the results of    technioues based in particular on
basic research; information exchange             immunology and genetics. Support for
networks for clinical trials in progress,        the establishment of an inventory of
and help with the launching of multiple-         European basic and clinical cancer
centre and multinational clinical trials in      research measures; help with the
order to speed up the assessment of              transfer of the results of basic research
new methods of care.                             to clinical trials and from there to
                                                 standard therapeutic practice. Help with
                                                 the setting UP and establishment of
                                                 information exchange networks for
                                                 clinical trials in progress and access
                                                 systems for involvement in such trials
                                                 and help with the launching of multiple-
                                                 centre and multinational clinical trials in
                                                 order to speed up the assessment of
                                                 new methods of care.
                                              lo
 ---pagebreak---                                                                   ISSN 0254-1475
                                                           COM(95) 131 final
EN                                                                           OS
                                     Catalogue number : CB-CO-95-138-EN-C
                                                             ISBN 92-77-87634-4
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