Mexico City

Been to Mexico City twice this year, staying by co-incidence both times at Westin Santa Fe. Lovely hotel with excellent staff but a bit disappointing breakfast. Didn't really matter though as just outside is several amazing places for both breakfast, lunch and dinner with Jin San Shabu Shabu as my favourite (but only when seated outside). It worked well both for lunch/dinners with clients and for dinners with only work as company.


Well worth the trip, through town in heavy congestion, was also the floating gardens of Xochimilco. Would recommend them anytime over the Teotihuacan pyramids. When you only have a couple of hours to see a city the experience of doing something you never done before always beats ruins no matter how old and big.


Also made sure to experience Pujol. I can understand why it managed to take a place on the World´s 50 Best Restaurants list but also why it falls as it didn't feel really ambitious. It felt, I´m no expert, as a novel take without loosing the connection to tradition on Mexican food. Some dishes was excellent, some actually quite bland. The sommelier was a joke and the discussion around which wine to choose felt like a Fawlty Towers scene. He refused to even give advise but merely wanted to know if we liked red or white and when we gave up trying to explain that it doesn't matter as long as it goes well with the food and said white he simply said that a lot of people likes Chablis. Well I don't drink Chablis. In short I was glad to have been there but will not go back.


A general rec based on the experience from these trips is also to always travel on Friday the 13th. For some reason substantially less people on the airport, in the planes etc:)

World Health Care Congress Europe 2011

Spending today and tomorrow at the World Health Care Congress Europe 2011 to chair a session on Personalised Medicine and to lead a networking luncheon on Patient Centric Care - Placing Patient at the Core Centre First. It is a bit sad that patient centric care is still something so rare that its the theme of a networking luncheon instead of the very basis of all care.

Central- and Eastern Europe HC

A new site that cover the hospital- as well as the pharmaceutical market in Central- and Eastern Europe can be found at:

http://europe-health-care.eu/

Easier to get ones medicines in Sweden.

The annual figures from the Pharmacy trade association are out. Since the deregulation 202 new pharmacies have opened all across Sweden. One per 8300 citizens instead of one per 10000. Also the opening hours have increased to an average of 53 hours per week.

Stockholm Info days - will the EU take over Europes HC?

Had today the pleasure of presenting on the topic of how the EU increases its power over the European healthcare step by step to the Stockholm Regions info days in Brussels. The audiance comments where quite spot on: focusing on the problems with HAIs, expensive investments in radio therapies and the workforce. Non seems to be objecting to my thesis that the EU will take over the organisation of our healthcare in 10 years time.

An active glas of water

An article well worth noticing: "Rising tide of drugs, medicines polluting EU waters" published today in EurActiv. EFPIA there says that: “it is certainly appropriate to evaluate the potential environmental risks posed by medicinal products prior to their authorization".

Personally I´m no chemist so I’m not sure how the lifecycle of a drug looks like but it seems like a given one that we look into how active ingredients are being transmitted into our water.

Vote on rheumatic and musculoskeletal diseases recommendations

At EU Presidency Conference on Rheumatic and Musculoskeletal Diseases the representative from the Belgian presidency Olivier Belle, Member of the Cabinet of Laurette Onkelinx, Belgian Deputy Prime Minister and Minister for Social Affairs and Health, declared that their aim had been to organize a conference where the patient can make their voices heard. They seem to have managed, the patient representatives there was given quite a lot of voice by being presenters as well as workshop leaders. And I think they were heard, the conference ended on a vote on if the conference recommendations to the EU should be on rheumatic and musculoskeletal diseases or only musculoskeletal diseases. The patients mostly from rheumatic disease groups who felt a little bit left out by the original proposal won after a tight vote. Find the final press release on the conference and its recommendations here.

Morbidity figures vs. societal costs

Opening the EU Presidency Conference on Rheumatic and Musculoskeletal Diseases the European League Against Rheumatism EULAR President Prof. Paul Emery remarked that the reason the EU institutions focus so little on chronic diseases might be that they in their work mainly focuses on morbidity instead of societal costs. An important point. Its something well worth reflecting upon as well as trying to change.

Rare Diseases

One more that should take Michael Hubels advice....

From Script:

"First, while by definition they tend to be very rare – affecting fewer than 5 in 10,000 people in the EU and less than 200,000 people in the US – the 7,000 known orphan diseases affect up to 8% of the world's population which includes some 25 million US citizens and 30 million Europeans. This is more than the numbers suffering from cancer or cardiovascular disease," added Dr Wilson. .... According to Dr Wilson, the chance of successfully developing a drug for a rare disease is twice as high as for one targeting a common disease. "

Dr Shelagh Wilson is vice-president of business development, GSK Rare Diseases

European Mental Health

Most Europeans experience positive feelings more often than negative says a Eurobarometer report released to mark World Mental Health Day. It reveals that during the 12 months preceding the survey on self perceived Mental Health of European citizens, 15% of respondents across EU Member States sought professional help for psychological or emotional problems and 7% took antidepressants, mostly for depression or anxiety.

Surveyed was beside the consumption of anti-depressants and mental well-being, things like stigma attached to mental disorders, absence from work as well as perception of job security.

Link to the Eurobarometer report here.

New Bulgarian Health Minister

New Minister of Health in Bulgaria is Stefan Konstantinov who replaces Anna-Maria Borisova, who quit last week over a funding row.

Gastein 4 - Health Literacy

John Bowis former health minister in the UK and former MEP just explained that his diabetes actually wasn’t detected by his doctor until his second hand car dealer pointed that he might have diabetes something that convinced Mr Bowis to go and test himself underlining the need for the individual to be health literate...

Gastein 3 - is really all diseases the most deadly one

European Commissions Head of Unit Health Determinants at DG Sanco Michael Hübel just made a statement I longed for long at the forum session called Chronic Respiratory Disease: A Neglected Epidemic. By now we already had several hours of statements from various KOLs of what COPD is and the need for increased awareness of the importance of COPD among policy makers and others. Hubel took a slightly different approach by stating that he actually think that there is a quite high awareness about respiratory disease and that this fight already is won. He underlined that every day he and his colleagues all disease groups claims that they are the most important (cancer, CVD, diabetes, COPD etc) and then asked the groups to not play each other offs like this not the least due to the co-morbidity issues. He also pointed out that if all claims would be true and added up it would show that we all quite soon will be dead.

Gastein 2: Transparency workshop

There is no money coming without strings attached underlined Alistair Kent from the Genetic Alliance UK in the Elli Lilly workshop on Transparency at the Gastein Health Forum 2010. He points out that this also goes for governmental money and that whoever gives them money they have to look at what these strings are and if they are acceptable. A very wise position.

When I have done interviews on the subject of patient representation in the HTA process the main issue raised was actually not their links to pharma but that after a while they become too much part of the institutions and the boards where they are supposed to be a different voice compared to the civil servants and scientists.

Sadly no governmental represent was on the panel. The commission declined. Given that their agency EMA will revise its current Policy and Procedure, at their Management Board meeting tomorrow aiming at increasing transparency it would have been interesting to have them there to answer a question or two.

I have not seen the formal proposal only the presentation held for their Scientific Committees in June/July under the headline: Key Principles of a Revised EMA Policy and Procedure on the Handling of Conflicts of Interests of EMA Scientific Committees’ Members and Experts. The new ethical guidelines are said to be so strict that any financial support from pharma industry will disqualify participation as expert in EMAs various committees. And if they are transparent with their funding this would not enough since EMA also are looking at the possibility of a “More proactive approach, e.g. in terms of the search for alternative expertise”. It sounds to me like if they don´t like the funding of specific experts EMA aim to be able to go and try finding some else. It doesn’t seem like a good method to ensure independent voices.

I think industry should give money to good causes and if it is part of their marketing strategy: fine. Funding comes and should come from different sources. Also industry. I think patient organisations with varied funding have a better chance of being independent compared to those that have only money from the government.

As Anders Olausson Chairman of EPF pointed out – in Sweden a lot of patient organizations are fully funded by the government and he didn’t want to say that they are not doing their job but underlined that it is very quiet. He then concluded that diversity is very important.

Gastein 1

This year’s Gastein Health Forum gathers 550 participants according to the participant list. It’s mostly the usual suspects like Antonyia Parvanova, Hans Stein, Helmut Brand, Tamsin Rose – although someone pointed out that it seems to be a younger generation representing the pharmaceuticals industry this year. Noticed on the way here that the only one of all the HC people travelling in business class on my plane was the new Director General for DG Sanco Testori-Coggi.

A new start

Updates have been a bit few lately – this is because I joined Edelman as Director Health Public Affairs Europe. As Edelman is a consultancy I just wasn’t sure how to continue. Now 6 month later I feel I´m learned enough about my role, its opportunities and limitations to be able to start again. I will continue to try to highlight interesting healthcare policy developments across Europe. Naturally I´m influenced by the fact that I work on a daily basis trying to help various clients but by the end of the day my views and opinions expressed here are mine and mine alone. What I write will not be due to any assignment nor will the posts be approved by anyone meaning that nor Edelman nor my client should be blamed for my mistakes or statements :)