CELEX: 51998PC0229
Language: en
Date: 1998-04-15
Title: Amended proposal for a European Parliament and Council Decision adopting a programme of Community action from 1999 to 2003 on injury prevention in the framework for action in the field of public health

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                                                                     Brussels, 15.04.1998
                                                                    COM(1998) 229 final
                                                                    97/0132 (COD)
                                              AMENDED PROPOSAL
                                 for a European Parliament and Council Decision
                          adopting a programme of Community action from 1999 to 2003
                                 on injury prevention in 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---  ---pagebreak--- Explanatory memorandum :
In its communication1 on the framework for Community action in the field of public
health, the Commission described the principles and strategy to be pursued in
undertaking Community activities with a view to achieving the health protection
objectives set out in Articles 3(o) and 129 of the Treaty establishing the European
Community. The Community's role is defined therein as underpinning the efforts of the
Member States in the public health field, assisting in the formulation and
implementation of objectives and strategies, and contributing to the provision of a high
level of health protection across the Community, setting as a target the best results
already obtained in a given area anywhere in the Community.
In accordance with Article 129, the Commission is putting forward proposals for
adoption by the European Parliament and the Council for supporting action contributing
to the provision of a high level of health protection. The above-mentioned Commission
communication sets out criteria with a view to determining- the priority fields for
Community action programmes. By reference to these criteria, injury prevention has
been pinpointed as one of the priority fields. The present Commission proposal is based
on Article 129; advance notice of it was given in the Commission's annual programme
of work. It accords with the principle of shared responsibility between the Community
and the Member States, and seeks to promote public health by contributing to measures
seeking to reduce the scale of the injury problem.
The Commission adopted its decision and forwarded the proposal for a decision to the
European Parliament and the Council on 14 May 19972.
- The Economic and Social Committee adopted its opinion on 30 October 19973,
   welcoming the action programme and the approach proposed by the Commission in
    its communication and its proposal for a decision. The Committee recommended that
    sufficient financial resources be allocated up to 2003, having regard to the
   programme's excellent value for money. It called for the various socio-economic
   partners and interest groups to be involved in the implementation of the programme,
   and underlined the need for consistency and complementarity with other Community
   programmes and action, more especially:
- extension and improvement of the old "Ehlass"' system;
- the need for linkage between the programme and Directive 92/5 9/EC on general
   product safety;
- the question of home accidents, this being one of the fields within which health
   indicators are to be established pursuant to European Parliament and Council
   Decision 1400/97/EC adopting a Community action programme on health
   monitoring within the framework for action in the field of public health.
1
     COM(93) 559, 24.11.1993
-> OJC 202, 2.7.1997
     OJC 19,21.1.1998
                                                2-3
 ---pagebreak--- The Committee of the Regions adopted its opinion on 18 September 19974, endorsing the
Commission's proposal and stressing the importance of involving the inter-sectoral group
of experts and of cooperating with local and regional authorities. It recommended a
number of measures concerning the maximum level of alcohol in the blood, designer drugs
and road accidents in association with drug-taking. In its reply to the Committee's
opinion, the Commission pointed out that all these recommendations were already
covered by ongoing measures. The Committee also stressed the need for an independent
secretariat ("health observatory"). The Commission will not be following up this
recommendation because of the danger of duplication of effort with work in progress at
the WHO, the OECD and within the Commission itself under the Community action
programme on health monitoring.
The European Parliament adopted its opinion at first reading on 11 March 1998, setting
out 28 amendments to the Commission's proposal. These amendments seek to add further
detail to, and extend the scope of, the proposal for a decision, with special reference to:
- self-inflicted injuries other than attempted suicides;
- intentional injuries resulting from violence to children and women and in sporting
    contexts (e.g. hooliganism) and their impact on public health;
- development of two Community systems for collecting information on injuries within a
    broader definition of what is meant by an injury. Work undertaken under the old Ehlass
    system will have to be incorporated into the Commission proposal and improved,
    making use of modern information technologies.
The Commission has accepted 23 of the amendments, either in whole (12) or in part (11).
Because of this acceptance, it is necessary to submit an amended proposal, with the
necessary changes being made to the Commission's proposal in terms of the recitals, the
articles and the annex. The recent report on the operation of, and data collected by, the
old Ehlass system over the period 1986-97," as presented to the "consumer" Council on 3
November 1997, showed how useful the system was and highlighted the scale of the
problem of unintentional injuries and their socio-economic impact. The Member States
took a positive view of the old system and wanted to see it continued and, if possible,
improved. The merits of the Commission's amended proposal lie in the fact that:
- it brings in, through this programme, all the tools and measures needed to strengthen,
    extend to a broader concept of injury (i.e. intentional and unintentional injury, suicide
    and self-inflicted injury), use and exploit data from the previous system, more
    especially by using the existing data processing architecture of the EUPHIN network
    (European Union Public Health Information Network) developed as part of common-
    interest projects under the computerised interchange of data between administrations
    (IDA)5
4
     OJC 379, 15.12.1997
5
     OJC 54, 21.2.1998, p. 3
                                               4:
 ---pagebreak---  - it provides input for health indicators in fields relating to home and leisure accidents,
    mental health and product safety, as provided for in the Community action programme
    on health monitoring6;
 - it presents, having regard to the scale of the problem of intentional and unintentional
    injuries and their socio-economic impact in the European Union7, an exceptionally
    favourable cost-benefit ratio thanks to the collection and rapid exploitation of
    information on injuries, selection of the best ways of preventing such injuries at
    Community level, and epidemiological follow-up to such injuries.
 The Commission's opinion on each of the amendments adopted by the European
 Parliament is set out in the Annex.
6
    OJL 193, 22.7.1997; Decision No 1400/97/EC, 30.6.1997
7
     83 000 deaths a year due to home and leisure accidents: 43 000 deaths per year by suicide. 700 000
    attempted suicides: ECU 7.7 billion per year in terms of hospital expenditure and ECU 23 billion
    relating to the overall cost of unintentional injuries alone.
 ---pagebreak---                                            ANNEX
Amendment No 1         Commission opinion: accepted in part
Experience acquired under the old EHLASS system will be taken into account and used to
 strengthen the Community added value of the Commission's proposal.
Amendment.No 2         Commission opinion: accepted
The report on the old EHLASSf system provided an estimated overall cost figure for home
and leisure accidents which confirms this socio-economic impact.
Amendment No 3         Commission opinion: accepted
Bearing in mind the estimated total cost of home and leisure accidents set out in the
above-mentioned report, even a minimal reduction in accidents will have a favourable
cost-benefit impact.
Amendment No 4         Commission opinion: accepted
This amendment defines the new concept of injury and the target group (with the inclusion
of "women").
                                                             o
Amendment No 5         Commission opinion: accepted in part
The collection and rapid exploitation of data will greatly enhance the programme's
Community added value. The amended proposal will propose a different form of words to
the old EHLASS system.
Amendment No 6         Commission opinion: accepted
This amendment adds a reference to collection systems and data protection.
Amendment No 7         Commission opinion: accepted
This amendment highlights the consistency and complementarity of Community action.
Amendment No 8         Commission opinion: accepted
The Commission can accept the idea of the definition of injury in its proposal being
extended to intentional injury, and specifying particular target groups. The amendment is
in line with WHO resolutions.
Amendment No 9         Commission opinion: accepted
Sporting activity forms part of the concept of unintentional injury as mentioned in the
Commission's original proposal. The Commission can go along with the idea of the
definition being extended to unintentional injury.
Amendment No 10        Commission opinion: refused
 ---pagebreak--- The Commission cannot accept this recital as it explains the reasons for each Community
measure, and is too general.
Amendment No 11 Commission opinion: accepted
This amendment highlights the consistency and complementarity of Community action.
Amendment No 12 Commission opinion: accepted in part
This amendment highlights the consistency and complementarity of Community action,
but needs to be reworded.
Amendment No 13 Commission opinion: accepted in part                             .»#
This amendment highlights the consistency and complementarity of Community action,
but needs to be reworded and contain a reference to "common-interest projects" under the
EDA programme
Amendment No 14         Commission opinion: refused
The Commission cannot enter into any such commitment, as this has to be left to the
Commission's discretion during the life of the programme.
Amendment No 15: Commission opinion: accepted in part
This amendment needs rewording.
Amendment No 16         Commission opinion: accepted
This amendment redefines and clarifies the new concept of injuries and related action and
systems, and makes clear reference to the epidemiological monitoring of injuries, as
mentioned in the explanatory memorandum accompanying the Commission's original
proposal.
Amendment No 17         Commission opinion: accepted in part
The Commission has to reword this amendment, which would include accidents arising
from natural disasters. These are clearly excluded from the Commission's original
proposal (footnote 45) and are covered by Community action in the field of civil
protection.
Amendment No 18         Commission opinion: accepted in part
The Commission has to reword the text in terms of point (b) "information on injuries
resulting from suicide and on self-inflicted injury" and with regard to the old EHLASS
system.
Amendment No 19         Commission opinion: accepted
The ECU 14 million are the sum of the ECU 6.5 million proposed by the European
Parliament's Budgetary Control Committee and the ECU 7.5 million from the transfer of
 ---pagebreak--- the old EHLASS system from consumer policy to the programme. The total amount
accords with the financial perspectives.
Amendment No 20         Commission opinion: refused
The Commission cannot accept this amendment because of the need for consistency with
other Parliament and Council decisions on public health action programmes.
Amendment No 21         Commission opinion: refused.
The Commission's original proposal is in line with the decision on committee procedures.
Amendment No 22         Commission opinion: accepted
The rewording of the annex is in line with the amendments accepted by the Commission.
Amendment No 23         Commission opinion: accepted in part
The Commission has to reword the title of the chapter to read "suicide or self-inflicted
injury".
Amendment No 24         Commission opinion: accepted
Amendment No 25         Commission opinion: accepted in part
This amendment underlines what action has to be taken in the wake of the amendments
proposed by Parliament and accepted by the Commission; nonetheless, the wording
concerning EHLASS needs to be changed.
Amendment No 26         Commission opinion: accepted in part
The phrase "in conjunction with EHLASS" does not need to be mentioned as EHLASS is,
as a system, an integral part of the programme.
The idea of "notification to enforcement authorities" is covered by the rapid alert system
for products under Directive 92/59/EC concerning general product safety.
Amendment No 27         Commission opinion: refused
The substance of this amendment is outside the scope of Article 129.
Amendment No 28         Commission opinion: accepted in part
The great majority of this amendment can be accepted; only the part "for example.... older
                        people" is outside the scope of the measure.
                                              %
 ---pagebreak---                                            AMENDED PROPOSAL
                            for a European Parliament and Council Decision
                  adopting a programme of Community action from 1999 to 2003
                            on injury prevention in the framework for action
                                          in the field of public health
                          in accordance with Article 189a(2) of the EC Treaty
  [                 ORIGINAL PROPOSAL                        I                             AMENDED = = = =                 I
                   OJ No C 202 of 02.07.1997                                              PROPOSAL
     Having regard to the proposal from the Commission,        Having regard to the proposal from the Commission1,
     Having regard to the opinion of the Economic and Having regard to the opinion of the Economic and Social
     Social Committee,                                         Committee2,
     Having regard to the opinion of the Committee of the Having regard to the opinion of the Committee of the
     Regions,                                                  Regions3,
     Acting in accordance with the procedure referred to in    Acting in accordance with the      procedure referred to in
     Article 189b of the Treaty,                               A r t i d e 1 8 % of ^ TreQty 4
     1.       Whereas injuries should be considered as one
    of the major health scourges referred to in Article 129
    throughout the European Community and a cause of
    substantial public concern;
    2.        Whereas, in accordance with Article 3(o) of
    the Treaty, Community action shall include a
    contribution to the attainment of a high level of health
    protection;
    3.        Whereas Article 129 expressly provides for
    Community competence in this field, by encouraging
    cooperation between the Member States and, if
    necessary, lending support to their action by
    promoting coordination of their policies and
    programmes, and by fostering cooperation with third
    countries and international organisations competent in
    the field of public health; whereas Community action
    should be directed towards the prevention of diseases,
   and the promotion of health education and
    information;
I                                        ;                                             :
                                                                       1 COM(97) 178 final OJ No C 202 of
                                                                       02.07.1997
                                                                       I OJ No C 19 of 21.01.1998
                                                                       3
                                                                         -QJNoC379 of 15.12.1997
                                                                       i Opinion of the European Parliament of 11
                                                                       March 1998
                                                                                  OJNoC
 ---pagebreak--- 4. Whereas the Resolution of the Council and the         4. Whereas the Resolution of the Council and the
Ministers of Health meeting within the Council on 27     Ministers of Health meeting within the Council on 27
May 1993 on future action in the field of public         May 1993 on future action in the field of public health^.
health1 affirmed the need for Community action           affirmed the need for Community action aiming at adding
aiming at adding life to years and years to life and     life to years and years to life and selection of areas for
selection of areas for such action with regard to their  such action with regard to their amenability to preventive
amenability to preventive action;                        action;
5. Whereas the European Parliament, in its Resolution    5. Whereas the European Parliament, in its Resolution on
on public health policy after Maastricht of 19           public health policy after Maastricht of 19 November
November 19932 called on the Commission to develop        1993^ called on the Commission to develop and
and implement activities in the field of accident        implement activities in the field of accident prevention;
prevention;
6. Whereas the Commission, in its Communication of       6. Whereas the Commission, in its Communication of 24
24 November 1993 on the Framework for Action in          November 1993 on the Framework for Action in the Field
the Field of Public Health3, identified intentional and  of Public Health!, identified intentional and unintentional
unintentional injuries and accidents as a priority area  injuries and accidents as a priority area for action in the
for action in the public health field;                   public health field; whereas the Commission in its
                                                         Communication7 of 28 January 1998 establislung a general
                                                         framework tor Community activities in favour of consumers
                                                         identified home and leisure accidents as a priority area for
                                                         action;
^ J N o C 174 of 25.06.1993, p. 1
                                                               t OJNoC 174 of 25.6.1993
2
  OJ No C 329 of 06.12.1993. p.375
                                                               $ OJ No C 329 of 6.12.1993
3
   COM(93)559 final of 24.11.1993
                                                               7
                                                                 COM(93)559 final of 24.11.1993 and
                                                               COM(97)684 final of 28.01.1998
                                                        10
 ---pagebreak---  7. Whereas the European Parliament and the Council,       7. Whereas the European Parliament and the Council, in
 in their Decision No 3092/94/EC4, introduced a            their Decision No 3092/94/EC|1 introduced a Community
 Community system of information on home and               system of information on home and leisure accidents
 leisure accidents with which this Decision should be      which was discontinued at the end of 1997; whereas the
 closely coordinated;                                      Council of 3 November 1997 gave a favourable
                                                           assessment of the svstem and wished it to be continued.
                                                          with improvements, where necessary; whereas this
                                                          Decision must accordingly strengthen, improve and
                                                          extend the old svstem: whereas the objective of the
                                                          collection of data and the methodology used for the new
                                                          svstem must be to produce Community statistics.
                                                          7a. (new). Whereas the large number of injuries caused
                                                          each year in Europe represents a major loss of human
                                                          potential with huge economic and social repercussions
                                                          both at national and Community level;
                                                          7b. (new). Whereas prevention and the consequent
                                                          reduction of injuries should be a priority in the context of
                                                          Community action in the field of public health,
                                                          particularly in view of the great economic and social
                                                          benefit to be derived from this programme, the cost-
                                                          benefit ratio of which is also exceptionally favourable:
8. Whereas, in accordance with the principle of
subsidiarity and the principle of proportionality
established in Article 3b of the Treaty, action must be
undertaken by the Community only if and in so far as,
by reason of its scale or effects, it may be better
achieved at Community level; whereas the present
programme will yield a Community-added value by
bringing together activities already undertaken in
relative isolation at national level and by
complementing one another with significant results
for the Community as a whole, by contributing to the
strengthening of solidarity and cohesion in the
Community and by leading, where the need is
recognised, to the establishment of best practice norms
and standards.
   OJNoL331 of 21.12.1994. p.l
                                                               8. OJ No L33 lof 21.12.1994. p.l
                                                        11
 ---pagebreak---  8a (new). Whereas measures to reduce injury should
 include measures to prevent and reduce injuries
 particularly to children, voung adults, women and older
 people, whether caused intentionally or unintentionally, or
 through suicide or self-infliction;
 8b (new). Whereas it is essential for the implementation
 of the programme that there is a Community information
 collection svstem based, both for intentional and
 unintentional injuries, on strengthening, improving and
 extending the old Community system of information on
 home and leisure accidents (EHLASS) and, for suicides
 and/or self-inflicted injuries, on the setting up and
 development of an information collection svstem founded
 on the experience gained from the operation of
 Community networks;
 8c. (new). Whereas the operation and development of
 information collection systems and networks for injury
 prevention does not affect compliance with data protection
 legislation,     including     mechanisms     to     ensure
 confidentiality and security in accordance with the
 Directive^ adopted on 24 October 1995 bv the European
 Parliament and the Council on the protection of
 individuals with regard to the processing of personal data
 and on the free movement of such data;
 8d. (new). Whereas it is of paramount importance for the
 study of injuries and for determining Community health
 indicators relating to domestic activities, recreation and
 mental health, as referred to in European Parliament and
 Council Decision 1400/97/EClO of 30 June 1997 adopting
 a programme of Community action on health monitoring
 within the framework for action in the field of public
 health (1997-2001). that information is collected and
 exchanged on the basis of comparable and consistent data
 on intentional and unintentional injuries, suicides or self-
 inflicted injury;
       2 Directive 95/46/EC of 24.10.1995, OJ No
       L 281 of 23.11.1995. p.31
       12 OJ No L 193 of 22.07.1997, p. 1
12
 ---pagebreak---                                                           8e. (new). Whereas the groups most susceptible to injury
                                                          resulting from violence are children and women;
                                                          8f. (new). Whereas violence in sporting contexts causes a
                                                          great many injuries:
9. Whereas cooperation with the international
organisations competent in the field of public health
and with third countries should be fostered;
10. Whereas, by providing support for acquiring better
knowledge and understanding of, and wider
dissemination of information about, injury prevention,
ensuring improved comparability of information in
this field and by developing actions complementary to
existing Community programmes and actions, while
avoiding unnecessary duplication, the programme will
contribute to the achievement of the Community
objectives set out in Article 129;
                                                          10a. (new). Whereas implementation of Community-
                                                         measures to prevent and reduce injuries should take
                                                         account of related research carried out under the
                                                         Community research and technological development
                                                         framework programme and, in particular, the information
                                                         technology programme in the field of public health
                                                         concerning the dissemination of information and methods
                                                         of training;
                                                          10b. (new). Whereas Community action on injury
                                                         prevention should take into account in general the
                                                         applications of telematics in the health sector:
                                                         10c. (new). Whereas implementation of measures to
                                                         prevent injuries should be closely coordinated with
                                                         measures under the Community framework programme
                                                         on statistical!! information and projects of common
                                                         interest under the programme for the computerised
                                                         interchange of data between administrations (IDA):
                                                               H OJ No C54/3 of 21.02.1998
                                                       13
 ---pagebreak---                                                             lOd. (new). Whereas Council Regulation No 322/97
                                                            which establishes the framework for the production of
                                                            Community statistics and the responsibility of national
                                                            and Community authorities for the production of
                                                            Community statistics, describes methods for the collection
                                                            and production of Community statistics; whereas statistics
                                                            on the causes of death, including home and leisure
                                                            accidents, suicides and statistics on industrial accidents
                                                            and road accidents are included in the framework
                                                            programme from 1998 to 2002 concerning Community
                                                            statistics:
                                                            10e. (new). Whereas the collection of information and the
                                                            implementation of measures to prevent intentional injuries
                                                            should be closely coordinated with measures taken under
                                                            the DAPHNEll initiative to combat violence against
                                                            children, voung people and women;
 11. Whereas, in order to increase the value and impact of
the programme, a continuous assessment of the actions
undertaken should be carried out with particular regard
to their effectiveness and the achievement of the
objectives set, with a view, where appropriate, to making
the necessary adjustments;
                                                            11a. (new). Whereas agreement on a modus Vivendi
                                                            between the European Parliament, the Council and the
                                                            Commission concerning the implementing measures for
                                                            acts adopted in accordance with the procedure laid down
                                                            in Article 189b of the Treaty was reached on 20 December
                                                             1994;
 12. Whereas this Decision lays down a financial             12. Whereas this Decision lays down a financial
framework constituting the principal point of               framework constituting the principal point of reference.
reference, within the meaning of point 1 of the             within the meaning of point 1 of the Declaration of the
Declaration of the European Parliament, the Council         European Parliament, the Council and Commission of 6
and Commission of 6 March 19955, for the budgetary          March 199513-, for the budgetary authority during the
authority during the annual budgetary procedure;            annual budgetary procedure;
 13. Whereas the Community's financial perspective is
valid up until 1999 and will have to be revised for the
period beyond that date;
                                                                  llQJNoC 136 of 01.05.1997
5
  OJNoC 102 of 4.4.1996, p. 4
                                                                  iiQJNoC 102 of 4.4 1996. p. 4
                                                           14
 ---pagebreak---  14. Whereas this programme should be of five-year
duration in order to allow sufficient time for actions to
be implemented to achieve the objectives set;
                ORIGINAL PROPOSAL                                                   AMENDED
               OJ No C 202 of 02.07.1997                                            PROPOSAL
                        Article 1                                                     Article 1
            Establishment of the programme
 1. A programme of Community action on injury
prevention, hereinafter referred to as "this
programme", is hereby adopted for the period 1
January 1999 to 31 December 2003 in the context of
the framework for action in thefieldof public health.
2. The aim of this programme is to contribute to 2. The aim of the programme is to contribute to public
public health activities which seek to reduce the health activities which seek to reduce the incidence of
incidence of injury, by promoting the more effective injury, particularly to children, voung adults, women and
dissemination and application of prevention older people, caused intentionally or unintentionally, or
techniques whose worth is widely accepted by experts, through suicide or self-infliction, bv promoting:
and by helping to strengthen public health bodies'
general capacity to mount effective injury prevention a)              the epidemiological monitoring of injuries;
activities.
                                                            b)        the development, strengthening, improvement
                                                            and extension of systems and networks for collecting and
                                                            exchanging information on injury prevention;
                                                            ç)        the more effective dissemination and application
                                                            of prevention techniques whose worth is widely accepted
                                                            by experts;
                                                            d)        the strengthening of the public health bodies
                                                            responsible for mounting effective injury prevention
                                                            activities.
                                                          15
 ---pagebreak---                                                            3. For the purposes of this Decision:
                                                           "injury" means intentional or unintentional injury, suicide
                                                           and/or self-inflicted injury, excluding injury resulting
                                                           from industrial and road accidents and injury resulting
                                                           from natural disasters falling within the scope of civil
                                                           protection:
                                                           "epidemiological monitoring": means the continuous and
                                                           systematic collection, analysis, interpretation and
                                                           dissemination of medical data, including epidemiological
                                                           studies concerning the categories of injury and, in
                                                           particular, their incidence and geographical distribution
                                                           and the analysis of the risk factors with a view to taking
                                                           appropriate measures to prevent and reduce them.
3. The actions to be implemented under this 4. The actions to be implemented under this programme
programme and their specific objectives are set out in and their specific objectives are set out in Annexes I and
the Annex.                                                 II.
                       Article 2                                                      Article 2
                    Implementation                                                 Implementation
1. The Commission shall ensure implementation, in close 1. The Commission shall ensure implementation, in close
cooperation with the Member States, of the actions set out cooperation with the Member States, of the actions set out in
in the Annex.                                              Annex I.
                                                           2. In particular, the Commission, in close cooperation
                                                           with the Member States, shall be responsible for:
                                                           a) the development and operation of a Community
                                                           information system on intentional and unintentional
                                                           injuries based on the strengthening, improvement and
                                                           extension of the old Community information system on
                                                           home and leisure accidents, for which Member States will
                                                           collect and transmit information and will be responsible
                                                           for the reliability of such information;
                                                           b) the development and operation of a Community
                                                           information collection svstem on suicides and injuries
                                                           resulting from self-inflicted injury;
                                                           c) the cohesion and administration of the two above-
                                                           mentioned systems of information as defined in Annex II.
                                                          16
 ---pagebreak---  2. The Commission shall cooperate with institutions         3. The Commission shall cooperate with institutions and
 and organisations active in the field of injury             organisations active in the field of injury prevention.
 prevention.
                         Article 3                                                     Article 3
                          Budget                                                        Budget
  1. The financial framework for the implementation of        1. The total appropriation for the implementation of the
 the programme for the year 1999 shall be ECU 1.3            Programme for the period 1999-2003 is estimated at ECU
 million, in keeping with current financial                   14 million. This total breaks down into appropriations to
 perspectives. The financial framework for the final         be authorised in adopting the budget for 1999 and those to
 four years of the programme (2000-2003) shall be            be covered bv the future financial perspectives-
 determined in detail after the establishment of the
 future financial perspectives.
 2 The annual appropriations shall be established by
 the Budgetary Authority in accordance with the
 current financial perspectives.
                         Article 4
           Consistency and complementarity
The Commission shall ensure that there is consistency
and complementarity between the Community actions to
be implemented under this programme and those
implemented under other relevant Community
programmes and actions.
                         Article 5
                       Committee
 1.       The Commission shall be assisted by an
advisory committee, hereinafter referred to as "the
Committee'', consisting of representatives of the Member
States and chaired by the Commission representative.
          The representative of the Commission 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 chairperson 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
position recorded in the minutes.
The Commission shall take the utmost account of the
opinion delivered by the Committee. It shall inform the
Committee on the manner in which its opinion lias been
taken into account.
                                                           17
 ---pagebreak---  2. The Committee shall be consulted in particular on:
 a) the criteria and procedures for selecting and financing
 projects under this programme;
 b) the evaluation procedure.
 3.        The Commission's representative shall keep the
 Committee regularly informed about: Commission
 proposals or Community initiatives and the
 implementation of programmes in other policy areas
 which are relevant to the achievement of the objectives of
 this programme.
_^___^_______^_^__^_^__________^___^^___                       '
                          Article 6
                 International cooperation
  1.        In the course of implementing this
 programme, cooperation with third countries and with
 international organisations competent in the field of
 public health shall be fostered.
 2.         This programme shall be open to
 participation by the associated countries of Central
 and Eastern Europe, in accordance with the conditions
 laid down in the Association Agreements or
 Additional Protocols related thereto concerning
 participation in Community programmes. This
 programme shall be open to participation by Cyprus
 and Malta on the basis of additional appropriations in
 accordance with the same rules as those applied to the
 countries belonging to the European Free Trade
 Association (EFTA), in accordance with procedures to
 be agreed with those countries.
                                                            18
 ---pagebreak---                         Article 7                                                  Article 7
              Monitoring and evaluation                                  Monitoring and evaluation
 1.      In the implementation of this Decision, the     1.       In the implementation of this Decision, the
Commission shall take the necessary measures to          Commission shall take the necessary measures to ensure
ensure the monitoring and continuous evaluation of       the monitoring and continuous evaluation of the
the programme, taking account of the general and         programme, taking account of the general and specific
specific objectives referred to in Article 1 and in the  objectives referred to in Article 1 and annexes I and II.
Annex.
2.       During the third year of this programme, the
Commission shall present an evaluation report to the
European Parliament and to the Council.
3.       The Commission shall submit to the
European Parliament and the Council a final report on
completion of this programme.
4.       The Commission shall incorporate into these
two reports information on Community financing in
the various fields of action and on complementarity
with the other actions referred to in Article 4, as well
as the results of the evaluations. It shall also send
them to the Economic and Social Committee and the
Committee of the Regions.
                                                     19
 ---pagebreak---                       ANNEX                                                ANNEXl
        SPECIFIC OBJECTIVES AND                           SPECIFIC OBJECTIVES AND ACTIONS
                     ACTIONS
                                                  L         INTENTIONAL          OR       UNINTENTIONAL
  I.        ACCIDENTS TO CHILDREN,                INJURIES, PARTICULARLY                  TO CHILDREN,
  YOUNG ADULTS AND ELDERLY                        YOUNG ADULTS, WOMEN                      AND ELDERLY
  PEOPLE 1                                        PEOPLE 1
  Objective:          to contribute to public     Objective:        to contribute to public health activities
  health activities which aim at reducing the     which aim at reducing the incidence of intentional or
  incidence of injury from home, leisure and      unintentional injuries, particularly to children, voung
  school accidents, by promoting the more         adults, women and elderly people, by promoting the more
  effective dissemination and application of      effective dissemination and application of prevention
  prevention techniques whose worth is            techniques whose worth is widely accepted by experts
  widely accepted by experts
                                                  Actions to be undertaken in support of Objective I
                                                  (Projects may relate to more than one action: for example
                                                  a project on safety in sport might affect children, young
                                                  adults and older people.)
                                                  1.        Networks:
                                                  - encouraging, strengthening and assisting the creation of
                                                  networks for the prevention of injuries under Objective I.
                                                  dedicated in particular to:
                                                  - the collection,     processing    and   dissemination  of
                                                  information:
                                                  - the provision and transmission of comparable and
                                                  consistent data to the Community information system
                                                  which shall be based on extending and improving
                                                  EHLASS;
                                                  - the development of new approaches or innovative
                                                  methods of tackling common problems:
                                                  - exchanges of materials, guidelines and handbooks:
                                                  - the organization of training activities
1
     The Community action in the field of civil protection is excluded from this programme (cf. in
     particular the proposal for a Council Decision establishing a Community action programme in the
     field of civil protection COM(95) 155 final)
                                                      20
 ---pagebreak---   2.        Campaigns: supporting the dissemination of
  information about campaigns, including the development
 of a data bank on the campaigns that have been carried
 out, with, if possible assessments of their value, effects
 and transferability, and organisation of competitions to
 identify the best injury prevention campaigns; promoting
 where appropriate the organisation of parallel campaigns
 in a number of Member States; assisting the development
 of basic materials and publicity
 3.        Data about injuries:
           collection of data and information on injuries
 caused bv badlv designed products and data and
 information to improve passive prevention and safety bv
 improving the design of products responsible for injuries:
           promoting agreed approaches to coding, data
 definitions, better recording of place of occurrence, as
 well as of behavioural aspects and chain of events, more
 precision in cause of death certification, the grading of the
 severity of the injury and the establishment of a minimum
 set of data:
           the use of relevant results of the International
 Collaborative Effort on Injury Statistics;
           examination of the coverage of existing data
collection systems and where necessary development of
measures to improve such coverage;
           inclusion of additional questions or modules in
existing Community-wide surveys;
          assistance in identifying the need for surveys:
          promoting the creation of a database of known
surveys;
          facilitating   the identification    of hazardous
products
4.        Technical investigations of injury risk factors:
promoting collaboration between institutions with
specialized knowledge and facilities able to undertake
such activities: supporting the development of an
inventor) of institutions and their projects, and
evaluations of prevention projects and campaigns.
5.        Consultation and cooperation: support for formal
and informal meetings at different levels of government,
for conferences and seminars, and for working groups and
advisory groups.
     21
 ---pagebreak---  II. SUICIDE                                     IL SUICIDES AND SELF-INFLICTED INJURIES
Objective:         to contribute to public       Objective:         to contribute to public health activities
health activities which aim at reducing the      which aim at reducing the incidence of injury- from
incidence of injury- from deliberate self-harm,  deliberate self-harm and of suicides, by promoting the
by     promoting       the   more      effective more effective dissemination and application of
dissemination and application of prevention      prevention techniques whose worth is widely accepted by
techniques whose worth is widely accepted by     experts
experts
                                                 (new)
                                                 Actions to be undertaken in support of Objective II
                                                 (Projects mav relate to more than one action)
                                                 6.      Support, encouragement and provision of assistance
                                                 to set up networks for the prevention of injuries under
                                                 Objective II. dedicated in particular to:
                                                 :         the collection, processing and dissemination of
                                                 information and experience, prevention measures, use of
                                                 assessment methods and determination of the
                                                 effectiveness of preventive measures and information
                                                 activities;
                                                 -         the provision and transmission of comparable
                                                  and consistent data to the Community information
                                                  system, and research into means of improving the quality.
                                                  compatibility and availability of data;
                                                 -         the exchange of information concerning the
                                                  effectiveness of messages and campaigns aimed at the
                                                  public at large and at target groups;
                                                 -         training, through the exchange of information
                                                 and expert reports, of health sector personnel and all those
                                                 whose work brings them into constant contact with
                                                 individuals and groups of people who have attempted to
                                                 commit suicide;
                                                 7.      Exchange of experience, information, appraisal of
                                                 access to information services concerning the problems
                                                 and situations of people, particularly voung people,
                                                 exhibiting suicidal behaviour, and studies of methods for
                                                 supporting voung people who have attempted to commit
                                                 suicide.
                                                 8.      Development and exchange of experience to
                                                 identify individuals who arc under mental stress (pain,
                                                 depression, anxiety), including the use of psychological
                                                 help networks.
                                                 9.      Exchange of materials and educational methods
                                                 through support for pilot schemes, principally for groups
                                                 of voung people with special needs.
                                                      22
 ---pagebreak--- I IH. INJURY PREVENTION CAPACITY                I ITL INJURY PREVENTION CAPACITY
  Objective:        to contribute to the Objective:                 to contribute to the strengthening of
  strengthening of public health bodies' public health bodies' capacity to mount effective injury
 capacity to mount effective injury prevention prevention activities
 activities
                                                  The following action will support objective III:
                                                  10.      Activities to increase the use which public health
                                                 bodies can make of other Community policies for injury
                                                 prevention: raising awareness of Community programmes
                                                 and the conditions for participation in them, helping to set
                                                 up consortia across national boundaries and helping
                                                 groups with a particular interest to discover the most
                                                 useful interlocutors in Community institutions
 Actions to be undertaken in support of          Amended and moved to point I
 these Objectives
           (Actions may relate to more than one
 Objective: for example a project on safety in
 sport might affect children, young adults and
 older people.)
 1.        Networks: encouraging and assisting   Amended and moved to point I
 the creation of networks, dedicated in
 particular to: development of new approaches
 or innovative methods of tackling common
 problems, exchanges of materials, guidelines
 and handbooks, organisation of training
 activities.
                                                    23
 ---pagebreak--- 2.        Campaigns: supporting the dissemination of   Moved to point I
information about campaigns, including the
development of a data bank on the campaigns that
have been carried out, with, if possible assessments
of their value, effects and transferability, and
organisation of competitions to identify the best
injury prevention campaigns; promoting where
appropriate the organisation of parallel campaigns in
a number of Member States; assisting the
development of basic materials and publicity.
3.         Data about injuries: in conjunction with    Amended and moved to point I
EHLASS promoting agreed approaches to coding,
data definitions, better recording of place of
occurrence, as well as of behavioural aspects and
chain of events, more precision in cause of death
certification, the use of relevant severity scales and
minimum data sets; supporting the application of
relevant results of the International Collaborative
Effort on Injury Statistics; examination of the
coverage of existing data collection system and
where necessary development of measures to
improve such coverage inclusion of additional
questions or modules in existing Community-wide
surveys; assistance in identifying the need for
surveys; promoting the creation of a database of
known surveys.
4.         Technical investigations of injury risk     Moved to point I
factors: promoting collaboration between institutions
with specialized knowledge and facilities able to
undertake such activities; supporting the
development of an inventory of institutions and their
projects, and evaluations of prevention projects and
campaigns..
5.         Consultation and cooperation: support for   Moved to point I
formal and informal meetings at different levels of
government, for conferences and seminars, and for
working groups and advisory groups.
in addition, the following actions will support        Amended and moved to point III
objective III:
6.         Activities to increase the use which public
health bodies can make of other Community policies
for injury prevention: raising awareness of
Community programmes and the conditions for
participation in them, helping to set up consortia
across national boundaries and helping groups with a
particular interest to discover the most useful
interlocutors in Community institutions.
                                                        24
 ---pagebreak---                               ANNEX II
    (New)
    A-     CHARACTERISTICS OF THE INFORMATION COLLECTION
           SYSTEMS REFERRED TO IN ARTICLE 2(2) OF THE
           DECISION
    1.         INTENTIONAL OR UNINTENTIONAL
    INJURIES
    1-1       The objective of the Community information
    system on intentional and unintentional injuries,
    hereinafter referred to as "the system", shall be to collect
    information on unintentional injuries, particularly those
    resulting from home and leisure accidents, and intentional
    injuries, with a view to:
    - promoting the prevention of such injuries.
   - promoting improvements in the safety of consumer
   products and informing and educating consumers so as to
   ensure safer use of products, both at national and
   Community level.
   - helping to establish health indicators, as mentioned in
   the programme of Community action on health
   monitoring within the framework for action in the field of
   public health.
      promoting exchanges of experience and expertise on
   intentional injuries resulting from violence to children.
   adolescents and women.
   1-2        The system shall not apply to industrial accidents
   and occupational diseases, nor to road, rail, sea or air
   traffic accidents, nor to injuries resulting from natural
   disasters covered bv activities in the field of civil
   protection.
25
 ---pagebreak---    1-3       The telematic network EUPHIN (European
   Union Public Health Information Network), developed
   under the projects of common interest within the
   programme for the interchange of data between
   administrations (IDA) will provide the technological
   support for the system.
   1-4       The data shall be collected in particular from
   hospitals.
   1-5       Particular attention will be paid to the following
   criteria: representativeness of hospitals, anv surveys that
   mav have been carried out, and size of samples.
   The data must contain at least the following information:
   - the place where the injury occurred.
   - the date of the injury.
   - the place of treatment.
   - the activity of the victim at the time of the injury.
   - the type of injury.
   - the type of product involved in the accident,
   - the age of the victim.
   - the sex of the victim.
   - the type of lesion.
   - the parts of the bodv injured.
   - the duration and type of treatment.
   - a brief description of the occurrence of the injury and its
   causes.
   In addition, the other variables recorded during special
   examinations in relation to unintentional and intentional
   injuries will be examined.
   The information must be codified, using an approach
   based on the common criteria of the coding manual of the
   earlier Community system of information on home and
   leisure accidents (EHLASS);
26
 ---pagebreak---      1-6      The distribution of hospitals among the Member
    States shall be as follows
   Member States                         Numb er of hospitals
    Belgium                                      4
    Denmark                                       5
    Greece                                        4
   France                                         8
    Ireland                                       2
    Italy                                         7
   Netherlands                                    7
    Austria                                       4
   Portugal                                       6
   Finland                                        3
    Sweden                                        4
   United Kingdom                                11
    Germany                                      12
    Spain                                         7
   Luxembourg                                     2
                               TOTAL             86
   As far as possible, the hospitals selected must be
   representative in terms of geographlical and demographic
   distribution and of urban and rural areas.
   1-7       A survev shall be carried out in the third year of
   the programme to make the data more representative in
   the Member States.
   1-8       In the course of collecting and forwarding
   information, all details which would enable the identity of
   the victim to be deduced must be removed so that the
   identity of the victim remains confidential. This does not
   preclude the existence of means for identifying certain
   types of injuries in order to seek additional information
   from the victims, on condition that thev have voluntarily
   given their agreement through their hospital or doctor.
   1-9       The arrangements for access to the system bv the
    /arious European organisations and associations shall be
   examined.
27
 ---pagebreak---    2-        SELF-INFLICTED INJURIES AND
   SUICIDES
   2-1       The objective of the Community svstem for the
   collection of information on self-inflicted injuries and
   suicides, hereinafter referred to as "the system", shall be
   to collect information on such injuries, with a view to:
   - promoting their prevention.
   - helping to establish health indicators relating to mental
   health, as mentioned in the programme of Community
   action on health monitoring within the framework for
   action in thefieldof public health.
   - promoting exchanges of experience and expertise on
   suicides, suicidal behaviour and self-inflicted injuries,
   particularly among young persons and the elderly.
   2-2       The system's technology shall be based on the
   telematic architecture of the telematic network EUPHIN
   developed under the projects of common interest within
   the programme for the interchange of data between
   administrations (IDA).
   2-3       The collection and forwarding of information
   and the arrangements for access to the svstem will be
   examined taking into account the results of activities
   carried out in this field in other national and Community
   programmes and actions.
   2-4       In the course of collecting and forwarding
   information, all details which would enable the identity of
   the victim to be deduced must be removed so that the
   identity of the victim remains confidential. This does not
   preclude the existence of means for identifying injuries in
   order to seek additional information from the victims, on
   condition that thev have voluntarily given their agreement
   through their hospital or doctor.
28
 ---pagebreak---    2-5      The arrangements for access to the svstem bv the
   various European organisations and associations shall be
   examined.
   B - FINANCIAL SUPPORT
   I - UNINTENTIONAL AND INTENTIONAL
   INJURIES
   II       Community financial support for the hospitals
   participating in the collection of data will be allocated at a
   standard rate representing 50% of the actual costs, up to a
   ceiling of ECU 14 000 per hospital.
   2 - SELF-INFLICTED INJURIES AND SUICIDES
   2-1 Community financial support shall be fixed at a
   maximum amount of ECU 500 000 per year.
29
 ---pagebreak---            FINANCIAL STA TEMENT                                  FINANCIAL ST A TEMENT
              FINANCIAL STATEMENT
  1        TITLE OF OPERATION
         Proposal for a European Parliament and
         Council Decision adopting a programme of
         Community action on injury prevention in
         the context of the framework for action in the
         field of public health
 2         BUDGET HEADING INVOLVED
           B3-                                           B3-4304
 3         LEGAL BASIS
         Article 3(o) and Article 129 of the Treaty
         establishing the European Community.
1          DESCRIPTION OF OPERATION
 4.1       General objective
           To contribute to achieving the objectives
 laid down by the Treaty:
           under Article 3 (0), the Community is
 required to make a contribution to the attainment of
 a high level of health protection:
           Article 129 requires the Community to
 contribute towards ensuring a high-level of human
 health protection, in particular by encouraging
 cooperation between the Member States, and if
 necessary lending support to their action, promoting
 coordination of their policies and programmes, and
 fostering cooperation with third countries and the
 competent international organisations in the sphere
 of public health. Community action is directed
 towards the prevention of diseases, in particular
 major health scourges, by promoting research into
 their causes and their transmission, as well as health
 information and education.
                                                      30
 ---pagebreak--- The general objective of the action programme is to   The general objective of the action programme is
contribute to public health activities which aim at    -        to ensure the collection of data on
 reducing the incidence of injury from home, leisure   occurrences of intentional and unintentional injuries.
and school accidents and from deliberate self-harm,    suicides and self-inflicted injuries using two
by promoting the more effective dissemination and     established Community networks for the collection of
application of prevention techniques whose worth is   information on. firstly, the acquis communautaire
widely accepted by experts, and by contributing to    under the previous Community svstem for monitoring
the strengthening of public health bodies' general    injuries from home and leisure accidents and,
capacity to mount effective injury prevention         secondly, on the use of information-highway
activities.                                           technology
                                                       - to contribute to public health activities which aim
                                                      to reduce the incidence of intentional and
                                                      unintentional injuries, self-inflicted injuries and
                                                      suicides bv promoting
                                                      a)        the development, consolidation, improvement
                                                      and extension of networks and systems for the
                                                      collection and exchange of information on injury-
                                                      prevention
                                                      b) more effective dissemination and application of
                                                      prevention techniques whose worth is widely accepted
                                                      bv experts
                                                      c) bv contributing to the strengthening of public
                                                      health bodies' general capacity to mount effective
                                                      injury prevention activities
The method for achieving this objective consists of   The method for achieving this objective consists of
undertaking actions which:                            undertaking actions which:
                                                            strengthen and develop two Community systems
                                                      for the collection of information on intentional and
                                                      unintentional injuries, suicides and self-inflicted
                                                      injuries using modem information technology;
- encourage and assist the creation of networks of    - encourage and assist the creation of networks of
   those active in injury- prevention:                those active in injury- prevention;
- disseminate information about injury prevention     - disseminate information about injury- prevention
  campaigns;                                          campaigns;
- improve the available data about accidents by - improve the available data about accidents by means
  means of surveys and otherwise;                     of surveys and otherwise:
- promote better technical investigations of injury - promote better technical investigations of injury- risk
  risk factors through greater collaboration between factors through greater collaboration between expert
  expert centres;                                     centres:
- foster consultation and cooperation where - foster consultation and cooperation                      where
appropriate between Member States, and                appropriate between Member States, and
                                                   31
 ---pagebreak--- - help public health bodies to make better use of - help public health bodies to make better use of other
other Community policies to assist with injury Community policies to assist with injury prevention.
prevention.
4.2 Period covered and            arrangements for
     renewal or extension
     5 years: 01.01.1999 to 31.12.2003
     Report on implementation to be transmitted to
     the Council and European Parliament during
     the third year of the programme
     Report to the Council and European
     Parliament after completion of the programme
     together with the results of evaluations.
5         CLASSIFICATION OF EXPENDITURE
OR REVENUE
     Non-compulsory expenditure
     Differentiated appropriations
6         TYPE       OF     EXPENDITURE          OR
REVENUE
       Subsidy for joint financing with other sources
       in the public and/or private sector (not
       exceeding a certain percentage of the total
       cost of the proposed projects).
       The level of funding granted depends on the
       scope of the measure to be financed and on
       the extent to which the action programme is
       reflected in the various activities planned.
       Such funding will not exceed 70% of the total
       budget earmarked for the proposed projects
       except in the case of networks and work
       ordered and of direct use to the Commission,
       where the subsidy mav amount to 100%.
                                                    32
 ---pagebreak--- 7         FINANCIAL IMPACT                              7         FINANCIAL IMPACT
7.1       Method of calculating the total cost of       7.1       Method of calculating the total cost of
operation (definition of unit costs)                    operation (definition of unit costs)
          The method of calculation is the result of              The method of calculation is the result of
experience acquired in previous activities related to   experience acquired in previous activities related to
public health activities. This encompasses the          public health activities. This encompasses the various
various types of Community action listed in Table 4     types of Community action listed in Table 4 of
of Commission Communication (93) 559 final of           Commission Communication (93) 559 final of
24 November 1994, and represents 10 years of            24 November 1994, and represents 10 years of know-
know-how in financing cooperative efforts with the      how in financing cooperative efforts with the Member
Member States and NGO's of collection, analysis         States and NGO's of collection, analysis and
and dissemination of information, setting up of         dissemination of information, setting up of networks,
networks, survey of the quality of campaigns such as    survey of the quality of campaigns such as European
European weeks, establishment of mechanisms and         weeks, establishment of mechanisms and procedures
procedures of consultation and cooperation for          of consultation and cooperation for setting common
setting common objectives and for policy                objectives and for policy coordination and for the
coordination and for the formulation and                formulation and development of strategies at the
development of strategies at the Community level.       Community level. The specific cost estimates are
The specific cost estimates are based on the            based on the assumption that half of the activities to be
assumption that half of the activities to be            undertaken under this programme will require 100
undertaken under this programme will require 100        percent funding while the other half will require 50
percent funding while the other half will require 50    percent funding and that the activities to be
percent funding and that the activities to be           undertaken will involve most or all of the Member
undertaken will involve most or all of the Member       States. An amount of ECU 14 million is deemed
States. An amount of ECU 1.3 million is deemed          neccssan- for the implementation of these activities on
necessary for the implementation of these activities    the basis of five-vearlv funding of ECU 6.5 million for
for the year 1999. The new budget framework for         injury prevention and ECU 7.5 million for data
the final four years will be established in the year    collection. This latter amount comes from the transfer
2000 taking into account the future Community's         of funding allocated to the EHLASS within the
financial perspectives. The annual allocations will     general framework for Community activities in favour
be decided in accordance with the normal budgetary      of consumers (COM(97) 684 final of 28.01.98).
procedures.
7.1.1 Reduction in accidents                            7.1.1 Community data          collection   systems     as
                                                        referred to in Annex II
           Networks
                                                         • intentional and unintentional injuries
In 1999 the running of three networks per year has
been scheduled at an average cost of ECU 200 000        - Funding allocated to Member States for the
per year.                                               collection, processing and use of data, with a ceiling of
                                                        ECU 14 000 per hospital. The cost is based on a
           Dissemination of information                 uniform rate for the 86 hospitals accounting for 50%
                                                        of actual costs.
Being a new action estimated cost has been
calculated from the experience of other already               i.e. an estimated annual cost of ECU 1 200 000
existing programmes in public health (cancer. Aids for the years n to n+4.
and communicable diseases, drugs, health
promotion) and its cost (ECU 100 000 per year).         :          The survey of the representativeness of data
                                                        provided for in the third year of the programme (year
                                                        n+2) will require estimated total funding of not more
                                                        than ECU 500 000 and will be the subject of a call for
                                                        tenders.
                                                     33
 ---pagebreak---                                                       • suicide and self-inflicted injuries
                                                      z        Being a new action, the annual cost of this
                                                      Community data collection system has been estimated
                                                      on the basis of experience gained in other Community
                                                      programmes. Cost: ECU 500 000 per vear for the
                                                      years n to n+4.
                                                      (new)
7.1.2.   Suicide                                      7.1.2 Specific operations as referred to in Annex I
                  Networks                            Total cost for this Chapter 7.1.2: ECU 1 050 000 per
                                                      year for the years n. n+1. n+3 and n+4. and ECU
         In 1999, the running of one network per 550 000 for the vear n+2.
year has been scheduled at an average cost of ECU
200 000 per year.
                  Dissemination of network
         Being a new action estimated cost has been
calculated from the experience of other already-
existing programmes in public health (cancer. Aids
and communicable diseases, drugs, health
promotion) and its cost (100 000 per year).
                  Improving data about suicide
         Being a new action, the estimated cost of
ECU 200 000 has been calculated from the
experiences of EUROSTAT and, the EHLASS
svstem on home and leisure accidents.
                                                      7.1.2.1 Intentional and unintentional injuries
                                                      Total cost of ECU 600 000 per vear for the years n.
                                                      n+1..n+3 and n+4. and ECU 300 000 for the vear n+2.
                                                      a) Unintentional injuries: (networks, dissemination of
                                                      information and data methodology): ECU 400 000 per
                                                      vear for the vears n. n+1, n+3 and n+4
                                                      Estimated cost based on experience of other
                                                      programmes in the field of public health, and the
                                                      experience of Eurostat. particularly as regards
                                                      Community networks (ECU 80 000 to 200 000 per
                                                      vear) and dissemination of information (ECU 40 000
                                                      to 100 000 per vear)
                                                      b) Intentional injuries (networks and dissemination
                                                      of information): ECU 200 000 per vear for the vears n.
                                                      n+1, n+3 and n+4
                                                   34
 ---pagebreak---                                                     Being a new action, estimated cost has been calculated
                                                    on the basis of that of unintentional injuries
                                                    c) Community funding for the survey of
                                                    representativeness of data for the year n+2 indicates
                                                    that the sum allocated under point 7.1.2.1 for the vear
                                                    n+2 will be ECU 300 000. to be shared out as actions
                                                    develop.
                                                    7.1.2.2. Suicide and self-inflicted injuries
                                                    Maximum costs of ECU 450 000 per vear for the years
                                                    n. n+1. n+3 et n+4 and ECU 250 000 for the vear n+2.
                                                    a) (networks and dissemination of information): this
                                                    estimated cost is based on experience gained from
                                                    various public-health programmes, and on the number
                                                    of Member States involved (ECU 80 to 200 000 per
                                                    vear per network).
                                                    b) Community funding for the survey of
                                                    representativeness of data for the vear n+2 indicates
                                                    that the sum allocated under point 7.1.2.2 for the vear
                                                    n+2 will be ECU 250 000. to be shared out as actions
                                                    develop.
7.1.3. Prevention capacity                          7.1.2.3 Prevention capacity
Support to at least two country events per year at  (ECU 50 000 per vear) funding for at least one
ECU 50 000 (with special relevance in 1999) when    national event per vear for the vears n to n+4
launching the programme.
                                                 35
 ---pagebreak---                                                                           ORIGINAL PROPOSAL
                                                                           OJC 202 of 02.07.1997
                                                         7.2      Itemised breakdown of cost (in ECU million)
OBJECTIVE            ACTION AREA                                                                                        YEAR
                                                                                          1999 2000  2001     2002       2003         Total
Contribute to reduc- encouraging and assisting the creation of networks;                                       Indicative programming
tion in accidents to disseminating information about campaigns; improving data
children, young      about accidents; technical investigations of injury risk factors;
adults and elderly   consultation and cooperation;
people
                                                                                           0.7   -     -         -         -           0.7
Contribute to        encouraging and assisting the creation of networks;                   0.4                                         0.4
reduction in the     disseminating information about campaigns; improving data
incidence of suicide about accidents; technical investigations of injury risk factors;
                     consultation and cooperation;
Contribute to        encouraging and assisting the creation of networks;                   0.1                                         0.1
strengthening injury disseminating information about campaigns; improving data
prevention capacity  about accidents; technical investigations of injury risk factors;
                     consultation and cooperation;
                     activities to increase the use which public health bodies make of     0.1   -     -         -         -           0.1
                     other Community policies to assist with injury prevention
                     Total                                                                 1.3 j)in   pm       pin        pm           1.3
                                                                                       36
 ---pagebreak---                                                    AMENDED PROPOSAL
                                    7.2     Itemised breakdown of cost (in ECU million)
OBJECTIVE                                                                                          YEAR
                                                                   n     n+l      n+2    n+3         n+4         Total
                                                                 1999    2000    2001    2002       2003
A) Annex 1                                                                                Indicative programming
Reducing the incidence of
• intentional and unintentional injuries       actions 1 to 5     0.6      0.6      0.3    0.6       0.6           2.7
Reducing the incidence of
• suicides and self-inflicted injuries         actions 6 to 9
   strengthening injury prevention capacity    action 10          0.45     0.45     0.25   0.45     0.45          2.05
                                                                  0.05     0.05     0.05   0.05     0.05          0.25
B) Annex 11
•  Community system for the collection of data on intentional      1.2     1.2      1.2     1.2      1.2          6.0
   and unintentional injuries
• survey of representativeness of data                                          0.5                                0.5
• Community system for the collection of data on suicides and     0.5      0.5      0.,5    0.5       0.5          2.5
   sjglf:inflicted injuries
Total                                                             2.8     2.8     2.8      2.8        2.8         14
                                                              37
 ---pagebreak---                                                   ORIGINAL PROPOSAL
                                                    O J C 202 of 02.07.1997
                                   7.3 Indicative schedule of appropriations (in ECU million)
                          1999 2000               2001                  2002              2003 TOTAL
Commitment appropriations 1.3  -                  -                     -                 -    1.3
Payment appropriations    -    -                  -                     -                 -    -
1999                      0.78 -                  -                     -                 -    0.78
2000                      0.52 -                  -                     -                 -    0.52
2001                      -    -                  -                     -                 -    -
2002                      -    -                  -                     -                 -
2003                      -    -                  -                     -                 -
Subsequent years          -    -                  -                     -                 -    -
TOTAL                     1.3  pin                pm                    pin               pm   1.3
                                                            38
 ---pagebreak---                                                    AMENDED PROPOSAL
                                 7.3    Indicative schedule of appropriations (in ECU million)
                           1999   2000                      2001                  2002         2003  TOTAL
Commitment approporiations 2J3    2.8-                      2.8-                  2.8-         2J    li
Payment appropriations     -      z                         -                     z            -     -
1999                       1.96   z                         z                     z            -     1.96
2000                       0.,84   1.96                     z                     z            z     M
2001                       ;      0.84-                     1.96-                 z            z     M
2002                       -      z                         0.84-                  1.6-        -     2.8-
2003                       -      z                         -                     0.4-         1.96- 2.8-
Subsequent years           -      z                         z                     z            0.84- 0.84-
TOTAL                      M      IA                        2J                     2M          M     H
                                                            39
 ---pagebreak--- 8     FRAUD PREVENTION MEASURES:
      RESULTS OF MEASURES TAKEN
The grant application forms will require information
on the identity and nature of potential beneficiaries so
that their reliability can be assessed in advance.
Fraud prevention measures (checks, intermediate
reports, final report) are included in the agreements or
contracts between the Commission and beneficiaries.
The Commission will check reports and ensure that
work has been properly carried out before
intermediate and final payments are made.
In addition, spot checks are carried out by the
Commission to verify how funds have been used.
Checks have already been carried out in other public
health budget lines in relation to the financial years
 1991 to 1995 and have shown their effectiveness.
9      ELEMENTS OF COST-EFFECTIVENESS
      ANALYSIS
9.1 Specific and quantifiable objectives                 9.1       Specific and quantifiable objectives
The general objective of the action programme is to      The general objective of the action programme is to:
contribute towards ensuring a high level of health
protection against injury by promoting the more          - collect information on the incidence and
effective dissemination and application of prevention       occurrence of intentional and unintentional
techniques whose worth is widely accepted by experts,       injuries, suicides and self-inflicted injuries through
and by helping to strengthen public health bodies'          two Community information collection systems
general capacity to mount effective injury7 prevention     based on (i) Communitv-level data collected under
activities.                                                 the old Community system of information on
                                                           home and leisure accidents and (ii) use of
                                                            information superhighway technologies;
                                                         - contribute to public health activities aimed at
                                                            reducing the frequency of intentional and
                                                           unintentional injuries, self-inflicted injuries and
                                                            suicides, bv promoting:
                                                         a) the development, strengthening, improvement
                                                         and extension of the networks and systems for
                                                         collecting and exchanging information on injury
                                                         prevention:
                                                         b) more effective dissemination and application of
                                                         prevention techniques whose worth is widely
                                                         accepted bv experts.
                                                         c) bv helping to strengthen public health bodies'
                                                         general capacity to mount effective injury prevention
                                                         activities.
                                                    40
 ---pagebreak--- The indicators showing whether or not targets are        The indicators showing whether or not targets are
achieved in this field will include measures of the      achieved in this field will include measures of the
following kinds. These will be refined further in        following kinds. These will be refined further in
collaboration with the new programme on health           collaboration with the new programme on health
monitoring, whose tasks include the development of       monitoring, whose tasks include the development of
indicators for Community public health policies. The     health indicators particularly for mental health,
method for achieving this objective consists of          home accidents, leisure and product safety in order
undertaking actions which:                               to evaluate national and Community policies. The
                                                         Community system for collecting information
                                                         including home and leisure accidents shall serve as a
                                                         key indicator for consumer protection policy-
                                                         covering products and services. The method for
                                                         achieving this objective consists of undertaking
                                                         actions which:
  encourage and assist the creation of networks of       - encourage and assist the creation of networks of
  those active in injury prevention;                       those active in injury prevention;
  measure how active the networks are (membership,       - measure how active the networks are
  production of e.g. information bulletins,                (membership, production of e.g. information
  conferences, WWW discussion groups...);                  bulletins, conferences, WWW discussion groups,
                                                           etc.);
  disseminate information about injury prevention        - disseminate information about injury prevention
  campaigns (e.g. surveys of number and quality of         campaigns (e.g. surveys of number and quality of
  publications assisted by the programme);                 publications assisted by the programme);
  improve the available data about accidents by means    - improve the available data about intentional and
  of surveys and otherwise (e.g. what new measures         unintentional injuries, suicide and self-inflicted
  are brought into use and in what countries);             injuries, by means of surveys and otherwise (e.g.
                                                           what new measures are brought into use and in
                                                           what countries);
  promote better technical investigations of injury risk - promote better technical investigations of injury
  factors through greater collaboration between expert     risk factors through greater collaboration between
  centres (number and quality of such reports assisted     expert centres (number and quality of such reports
  by the programme);                                       assisted by the programme);
  foster consultation and cooperation where              - foster consultation and cooperation where
  appropriate between Member States, (description of       appropriate between Member States (description of
  cases of such consultation etc.) and                     cases of such consultation etc.) and
  help public health bodies to make better use of other  - help public health bodies to make better use of
  Community policies to assist with injury prevention      other Community policies to assist with injury
  (numbers and description).                               prevention (numbers and description).
                                                      41
 ---pagebreak---                                                           (new)
                                                          The estimate of the socio-economic cost of home and
                                                          leisure accidents in the evaluation report of the
                                                          previous EHLASS system for '86-'97 shall serve as a
                                                          reference in quantifying the impact of the
                                                          Community action programme.
Target Population                                         Target Population
 1. Competent public authorities of the Member            1. Competent public authorities of the Member
     States, at national, regional and local level and        States, at national, regional and local level and
    competent international organisations in the              competent international organisations in the
    spheres of public health and injury prevention;           spheres of public health, injury prevention and
                                                              consumer policy.
2. Health professionals, health epidemiological          2. Health professionals, health epidemiological
    services, health and medical associations,                services, health and medical associations,
    specialists in the prevention of different kinds of       specialists in the prevention of different kinds of
    injury, academic institutions etc.:                       injury,    academic      institutions,    European
                                                              associations for consumer protection, etc.;
3. NGO's and other bodies interested in health           3. NGO's and other bodies interested in health
    matters and injury prevention, and the public in          matters and injury- prevention, and the public in
    general.                                                  general.
9.2.      Grounds for the operation                      9.2.      Grounds for the operation
In initiating action under Article 129, the Community    In initiating action under Article 129, the
has to address itself to preventing diseases and         Community has to address itself to preventing
protecting health. The Commission's communication        diseases and protecting health. The Commission's
on the framework for action in the field of public       communication on the framework for action in the
health (COM(93) 559 final of 23.11.93) sets out          field of public health (COM(93) 559 final of
criteria on which to determine priority areas for        24.11.93) sets out criteria on which to determine
Community programmes. In accordance with these           priority areas for Community programmes. In
criteria, the 1993"framework" Communication              accordance with these criteria, the 1993"framework"
evaluated the different options for addressing diseases, Communication evaluated the different options for
in particular major scourges and their underlying        addressing diseases, in particular major scourges and
causes, by various types of community actions and        their underlying causes, by various types of
retained on the basis of criteria listed in that         community actions and retained on the basis of
communication, eight priority areas of which accident    criteria listed in that communication, eight priority
prevention was one.                                      areas of which injury prevention was one.
                                                     42
 ---pagebreak---    (new)
   In its Communication COM(97) 684 final of 28 January
    1998 establishing a general framework for
   Community activities in favour of consumers from
    1999 to 2003. the Commission identified in particular
   consumer safety and health as an area for undertaking
   Community actions aimed at achieving the objectives of
   Article 129a of the Treaty establishing the European
   Community. In this context measures in respect of
   consumer products entailing risks for consumers
   constitute a basic activity requiring prolongation of the
   "EHLASS" system in the coming years, taking into
   account the assessment of its operation.
   Decision No 3092/94/EC of the European Parliament
   and of the Council introduced the Community
   system of information on home and leisure accidents
   for '94-'97. The recent report evaluating the operation
   of and data collected bv the EHLASS system from 1986
   to 1997 presented to the "consumers" Council of
   3 November 1997 showed the system's usefulness but
   also its weak points. The Member States evaluated the
   system positively and wished to see it continued, with
   improvements where appropriate. The merit of the
   Commission's proposal is that bv means of this
   programme it merges all the tools and actions necessary
   for strengthening, extending, utilising and harnessing
   the data from the previous system, in particular bv using
   the telematic network technology provided for under die
   IDA programme, and that it also furnishes the elements
   necessary to establish health indicators for home
   accidents, leisure, mental health and product safety as
   provided for in Decision N° 1400/97 of the European
   Parliament and of the Council of 30 June 1997
   adopting a programme of Community action on
   health monitoring within the framework for action in
   the field of public health.
43
 ---pagebreak---                                                         This proposal supports, brings together and
                                                        complements the existing national measures, mainly bv
                                                        ensuring that data will be collected in all Member
                                                        States. The systems also involve coordination of
                                                        activities and ensure that the results are in the same
                                                        format so that one Member State's results can be used
                                                        by other Community members and bv the Community
                                                        itself. Collection of data, especiallv from the casualty
                                                        departments of selected hospitals in Member States.
                                                        should provide direct information on the main
                                                        intentional and unintentional injuries, on the basis of the
                                                        methods approved in Member States. What is more,
                                                        such data will be collected on an on-going basis.
                                                        It is crucial to have good knowledge of data on such
                                                        injuries so as to formulate prevention actions and
                                                        policies. In addition, the aim of this measure relating to
                                                        the Community information collection system ties in
                                                        with Directive 92/59/EEC on general product safety.
                                                        for which such collection of data should provide
                                                        valuable indicators on product safety problems.
The present proposal targets a small number of key
areas within this broad field, selected on the basis of
ex ante evaluation that they are an important cause of
avoidable injury and death, are not already addressed
by action at Community level, present opportunities
for cost-effective intervention, and would deliver
Community added value by bringing together and
complementing work done at national and sub-
national level. This would be substantially more
effective than leaving such questions to inter-
governmental cooperation without a Community
contribution: in this field the input envisaged for the
Community and the Commission by Article 129
provides a clear common framework of rules, avoiding
open-ended and time-consuming negotiation, allowing
more rapid progress on a firmer footing.
                                                     44
 ---pagebreak--- The target areas selected are home and leisure          The target areas selected are home and leisure
accidents to children, young adults and elderly people, accidents to children, young adults and elderly
and accidents to children while at school, and also the people, and accidents to children while at school,
topic of suicide and lesser forms of deliberate self-   intentional injuries, suicide and self-inflicted
harm (sometimes called parasiticide). This selection of injuries. This selection of fields has been amply
fields has been amply justified by ex ante evaluation   justified by ex ante evaluation using the criteria just
using the criteria just mentioned and tackles all the   mentioned and tackles all the classes of injury which
classes of injury which are the most substantial        are the most substantial sources of death, disability
sources of death, disability and ill-health, apart from and ill-health, apart from occupational injury and
occupational injury and road traffic accidents, which   road traffic accidents, which are already addressed
are already addressed by other Community activities.    by other Community activities.
As regards the intervention methods and the As regards the intervention methods and the
allocation of funds, the following will apply:          allocation of funds, the following will apply:
- specific application of the principle of subsidiarity - specific application of the principle of
    when identifying measures to be undertaken and          subsidiarity when identifying measures to be
    co-financed;                                            undertaken and co-financed;
-   identification and selection of projects for co- -       identification and selection of projects for co-
    financing in the fields of injury prevention;           financing in the fields of injury prevention;
- the concept of added Community value, which will -         the concept of added Community value which
    continue to be realised in particular through the       will be realised in particular through the
    coordination of national measures, the                   collection of information on intentional and
    dissemination of information and experiences, the       unintentional injuries, suicides and self-inflicted
    establishment of priorities, the development of          injuries bv means of two Community systems for
    networking as appropriate, selection of European        collecting information using the information
    projects and the motivation and mobilisation of all      superhighway technology, the coordination of
    involved.                                               national measures, the dissemination of
                                                             information and experiences, the establishment
                                                            of priorities, the development of networking as
                                                            appropriate, selection of European projects and
                                                            the motivation and mobilisation of all involved..
                                                     45
 ---pagebreak--- Two methods will be employed to implement the            Three methods will be employed to implement the
programme. One is to support projects carried out in      programme.
Member States and at the Community level. The
selection of priority projects is based largely on       The first is to collect data in particular (i) from the
general      and     intermediate      objectives,   and casualty departments of selected hospitals in Member
implementation of the measures themselves depends        States, making sure that the hospitals are
on the quality and effectiveness of projects submitted   representative in terms of geographical distribution
to the competent department during the course of the     and taking account of urban and rural areas, and (ii)
year. The other is to undertake specific activities      from a survey so as to fine-tune the representative
necessary to achieve the objectives of the programme,    nature of the data. The second is to support projects
which will be fully financed by the programme..          carried out in Member States and at the Community
                                                         level. The selection of priority projects is based
                                                         largely on general and intermediate objectives, and
                                                         implementation of the measures themselves depends
                                                         on the quality and effectiveness of projects submitted
                                                         to the competent department during the course of the
                                                         year. The third is to undertake specific activities
                                                         necessary to achieve the objectives of the
                                                         programme, which will be fully financed by the
                                                         programme.
The selection criteria for projects are as follows:
- Compatibility with the objectives and conformity
    with at least one of the established objectives:
- Examination of the "added Community value" of the
  projects (transnational participation, development of
  a model applicable in other Member States,
  information usable in other Member States, etc.);
- Presumed effectiveness and value;
- Clarity and justification of requirements;
- Relevance of selected methodology;
- Organizational competence and experience;
- Suitability of budget for objectives;
- Support for projects from national partners;
- Objective assessment;
- Opinion of the advisory committee involved.
                                                      46
 ---pagebreak--- The budget proposed of 1.3 mecu for the first year of   The budget proposed of ECU 14 million for the five
this programme, matches that proposed at the same       years corresponds to the absolute minimum required
time for the programmes on rare diseases and on         to run the Community information collection
pollution-related diseases. This reflects the equal     systems referred to in Annex II and the specific
priority attached to each field in the Commission's     actions mentioned in Annex I.
 1993 Communication, an evaluation which remains
valid today. The amount proposed represents the bare
minimum required to start the programme.
9.3       Monitoring and evaluation of the operation
9.3.1     Monitoring of the operation
        Monitoring at the Community level is to be
carried out by the Commission, which will submit a
report half-way through the implementation of the
programme, and a final report after its completion to
the Council, the European Parliament, the Economic
and Social Committee, and the Committee of the
Regions, drawing from national reports as well as
evaluations of the actions under the programme and of
individuals projects.
9.3.2     Evaluation
Evaluation will be by means of:
-   An evaluation of the main measures and of
    subsidised projects involving, where necessary, the
    participation of independent experts;
-   An evaluation report during the third year;
- An overall report on the quality and effectiveness
of projects implemented under the action plan, to be
submitted by the Commission to the other Community
institutions after completion of the programme.
Performance indicators selected for this evaluation:
- Evaluation of projects by Commission officials
and/or those cooperating with them
                                                     47
 ---pagebreak---       Analysis of intermediate reports on measures
      scheduled and financed, allowing a shifting of
      emphasis where possible;        .
      Impact studies by external bodies;
      Relevance     of    the  methodology      used by
organizers;
      Suitability of the budget for the objectives;
      Skills and experience of bodies:
      Dissemination of results.
Evaluation procedures and intervals:
      Drawing up of intermediate and final reports on
      the various measures undertaken in the field;
        Development of a "standard" evaluation form
for the measure, to be forwarded by the beneficiaries
with their final reports, and checking of these
documents by officials either at the Commission or in
the field.
10        ADMINISTRATIVE                EXPENDITURE
          (PART A OF THE BUDGET)
Actual mobilisation of the necessary administrative
resources will be conditioned by the Commission's
annual decision on the allocation of resources, having
regard in particular to additional staff and funds
provided by the budgetary authority.
                                                     48
 ---pagebreak---                                                        ORIGINAL PROPOSAL
                                                        OJC202 of 02.07.1997
                                               10.1   Impact on the number of employees
Types of employees   Staff carrying out action                          Source of employee                            Duration
                     Permanent employees        Temporary employees     from within DG or service Supplementary staff
Officials or       A 1                          0                       1                         0
temporary agents
                   B 1                          0                        1                        0
                   C 1                          0                       1                         0
Other resources
   Total             3                          0                       3                         0
                                                                     49
 ---pagebreak---                                                        AMENDED PROPOSAL
                                               10.1   Impact on the number of employees
Types of employees   Staff carrying out action                          Source of employee                            Duration
                     Permanent employees        Temporary employees     from within DG or service Supplementary staff
Officials      or  A                            0                       1                         0
temporary agents
                   B 2J>                        0                       2                         0
                   C 1                          0                        1                        0
Other resources
   Total             4                          0                       4                         0
                                                                     50
 ---pagebreak---   10.2 Financial impact of supplementary staff          10.2     Financial impact of supplementary staff
                                                        Calculation of costs for staff
  No supplementary staff are envisaged.                 4 x ECU 108 000 = ECU 432 000
                                                        Through using the existing resources earmarked for
                                                        managing the action (calculation based on Titles Al,
                                                        A2. A4. A5 and A7).
I                                           ORIGINAL PROPOSAL                                            "   ]
         ,                                   OJC202 of 02.07.1997
                        10.3     Increase in other running costs arising from the action
  Budget line              Amounts            Method of calculation
  Meetings A2510           ECU 104 250        2 meetings of advisory- committee/year,
                                              1 representative per Member State =
                                              2 meetings/year x 15 reps, x ECU 695/rep. x 5 years =
                                                ECU 104 250
                                                    51
 ---pagebreak--- The resources necessary to cover the expenditure      The resources necessary- to cover the expenditure below
below for the 5-year period will be obtained by       for the 5-year period will be obtained by redeployment
redeployment of existing financial resources and the  of existing financial resources and the use of
use of supplementary resources will not be required.  supplementary resources will not be required.
a) Personnel expenses (Title Al, A2 and A5)           A-7031                    ECU 146 250
    3 x 100 000 ecus x 5 years = 1 500 000 ecus       Obligatory committee meetings 3 meetings x 15
b) Operational expenses                               Member State representatives x ECU 650 x 5 years =
                                                      ECU 146 250
                                                      A-703Ô
Expenses for meetings (A-250)                         Expenses for meetings ECU 169 425
2 meetings/year x 15 experts x 825 ecus/expert x 3 meetings x 15 experts x ECU 753 x 5 vears
5 years = 123 750 ecus
                                                      A-701
Expenses for travel (A-130)                           Expenses for travel ECU 436 000
24 missions/year Brussels-Luxembourg x                36 missions/vear Brussels-Luxembourg x
200 ecus/mission x 5 years = 24 000 ecus              ECU 200/mission x 5 vears = ECU 36.000
60 missions/year to Member States x 1 000             80 missions/vear to Member States x
ecus/mission x 5 years = 300 000 ecus                 ECU 1 000/mission x 5 years = ECU 400 000
c) Total:         1 947 750 ecus                      Total of item 10.3 = ECU 751.657.
                                                   52
 ---pagebreak---  ---pagebreak---  ---pagebreak---  ---pagebreak---                                                                    ISSN 0254-1475
                                                            COM(98) 229 final
                                              DOCUMENTS
EN                                                             05 15 16 01
                                    Catalogue number : CB-CO-98-243-EN-C
                                                             ISBN 92-78-33197-X
Office for Official Publications of the European Communities
L-2985 Luxembourgo  L
                                                 53