FAHRE - Food and Health Research in Europe - Analysis of gaps and overlaps for existing food and health research needs in Europe Thematic Expert Report - Oct 2010 - WORK PACKAGE LEADS AUTHOR WP2. Research needs assessement Mark Mccarthy (UCL) Lilia Ahrné (SIK) Bánáti, Diána Research on food & health policy and regulation Acknowledgement This report forms part of the deliverables from a project called "FAHRE" which has received funding from the European Community's Seventh Framework Programme FP7/2007-2013 under grant agreement n° 244459. The Community is not responsible for any use that might be made of the content of this publication. FAHRE aims to investigate how to improve the coordination of food and health research in Europe. The project runs from January 2010 to December 2011, it involves seven partners and is coordinated by Sociedade Portuguesa de Inovação (SPI). More information on the project can be found at http://www.spi.pt/fahre or by contacting the project manager Rachel Newton (rachelnewton@spi.pt). This document has been developed by the partners for recording expert information only. It is not an official publication from the project. Research on food & health policy and regulation Foreword: some definitions for ‘food and health research’ ‘Food and health research’ for this report refers to research about the production, marketing, choice, regulation and policy for food as it affects health, and the mechanisms and control of diet-related diseases, nutrition and obesity. It covers positive and negative impacts of food on health as well as issues related to under and over consumption of food (undernutrition and obesity). It draws on a wide range of disciplines including psychological, social, management and political sciences, laboratory sciences, clinical medicine, environment and epidemiology, and is undertaken by public, independent and industry organisations. Programmes for food and health may be structured in different ways. In developing the 'thematic experts' side of FAHRE, we have identified 8 areas for experts, four broad 'fields' of research, and compared these with three issues in Joint Programming Initiative 'Healthy Food for a Health Life' Interim Report (March 2010). However, they form a continuum, with overlaps. They are set out in the table below. The analysis of the gaps and overlaps for the research fields in each area should consider all the aspects relevant to supporting research in the area. It should examine how the needs of the field can be met with regard to research commissioning, major equipment or technical facilities, available technology tools, and expertise with particular attention to improving the functioning of the field as a European Research Area. Thus it will analyse organisations undertaking research or commissioning research, networks, training programmes, databases, technical facilities and comment on their effectiveness in moving towards the ERA goals, in particular for greater mobility, joint research infrastructures, knowledge-sharing, Joint Programming and International Science & Technology Cooperation. FAHRE Research FAHRE Country Report thematic areas Programme research fields JPI interim report Food production and products Diet and food production: Establish reliable data on consumer food preferences and acceptance in order to develop new food products and to redesign how foods are produced. Enable redesign and optimisation of food processing and packaging. Foods must always be safe and should be produced in a sustainable way. Food safety Production field: design of food (components…), its preparation (processes…), its manufacturing and also home cooking matters linked to health and disease, interface between industry and the scientific sector. Regulation, claims, and food policy for health Policy field: regulation (labeling, salt, sugar and fat contents, claims…) and consumers, which will have an impact on diet and Consumer therefore on health. It could also behaviour and what focus on programmes more Research on food & health policy and regulation Lifestyle: Consumer behaviour and food choice understanding of consumer behaviour with regard to food and also to raise consumer understanding of healthy foods and food consumption patterns. Measuring food purchase and consumption influences it economically oriented, linked to marketing, participation, public expression and access. behaviour taking into account cultural differences, and subsequently, developing reliable models of consumer choice processes. Effective communication strategies with consumers need to be developed to induce behavioural change directed to improving consumer health and social responsibility. Population surveys causes and control Population field: at human and Horizontal issues population level, epidemiologic approaches (including biological, Health policy for social and psychological food, nutrition, diet determinants) and observational and and obesity interventional research on behaviours that can explain eating disorders leading to chronic diseases. Food causing disease – excess, imbalance, sensitivity Nutrition microelements, malnutrition, gene interactions, Biomedical field: nutrition and dietary research relating to molecular and clinical aspects, in the pathways and causes of disease, and the mechanisms at different periods of the life course. It could also include food safety, both toxicology and biological. Research on food & health policy and regulation Chronic diseases: preventing food-related, chronic diseases and increasing the quality of life: 1) understanding of brain function in relation to diet; 2) the effects of diet-gut interaction on intestinal and immune functions; 3) the link between diet and metabolic function (obesity and associated metabolic disorders). Content Introduction to the Expert´s Area .............................................................................................. 6 1 Research at European level in your area of expertise ............................................................. 7 1.1 Main programmes and projects ...................................................................................... 7 1.2 Infrastructures & equipment ............................................................................................. 7 1.3 Major researcher groups ................................................................................................... 7 1.4 Networks .......................................................................................................................... 7 1.5 Current Training Programmes .......................................................................................... 7 2 Publications & Congresses ..................................................................................................... 8 2.1 Publications ...................................................................................................................... 8 2.2 Congresses ....................................................................................................................... 8 3 Comparison of country reports ................................................................................................ 9 3.1 Countries .......................................................................................................................... 9 3.2 Overview .......................................................................................................................... 9 4 Towards 2020: assessing needs ............................................................................................ 10 4.1 Knowledge needs .......................................................................................................... 10 4.2 Significant research questions ........................................................................................ 10 4.3 Ways to organise research: priorities, developing agendas ............................................ 10 4.4 Interaction between public research and industry ......................................................... 10 5 Gaps and Overlaps for further research ................................................................................. 11 5.1 Structures ....................................................................................................................... 11 5.2 Ways to organise research .............................................................................................. 11 6 Conclusions and Proposals ................................................................................................... 12 6.1 Research fields ............................................................................................................... 12 6.2 Research organisation, structures and infrastructures .................................................... 12 Research on food & health policy and regulation Introduction to the Expert´s Area Research on food and health policy and regulation In Europe, there is public concern about complex issues such as food safety, emerging communicable diseases and the possible health effects of agents in the environment. For this reason, the European Union has developed the concept of the European Research Area (ERA) to improve the coordination of research activities and policies at national and European level, organise international cooperation and network teams, and increase the mobility of professionals and ideas. The EU Framework Programmes (FFP) for Research and Technological Development are the main financial and legal instruments for implementing the ERA, alongside national efforts and other European cooperative research activities. The globalisation of the food chain is continually throwing up new challenges and risks to the health and interests of EU consumers. The central goal of the European Union's food safety policy is to achieve the highest possible levels of protection for human health and consumers' interests in relation to food. Thus it seeks to do by ensuring that food is safe and appropriately labelled - taking into account diversity, including traditional products - while at the same time ensuring the effective functioning of the internal market. To that end, the EU has developed a comprehensive body of food safety legislation, which is being continually monitored and adapted as new developments arise. This legislation is based on risk analysis. The establishment of the European Food Safety Authority (EFSA) was a key step to support the work of the EU institutions in protecting EU consumers in this field, providing independent scientific advice on existing and emerging risks via risk assessment. EFSA has taken over the responsibility of the scientific committees and is primarily committed to the task of providing scientific advice through risk assessments and communicating existing and emerging risks. EFSA has no decision-making powers, but the risk assessments provide risk managers (EU institutions with political accountability, i.e. European Commission, European Parliament and Council) with a sound scientific basis for defining policy driven legislative or regulatory measures required to ensure a high level of consumer protection with regards to food safety. Risk assessment has traditionally been an area of policy in which national sentiments are strong. However, EFSA can be seen as a response to the need for increased excellence, independence and transparency of scientific advice, and to the necessity of separating scientific advice from regulative activity. The setting up of this new institution at the European level with more or less exclusive responsibility for performing risk assessments for EU institutions is thus another factor contributing to food safety policy integration at the EU level. Public health priorities and objectives are taken into account in the drawing-up of research programmes and actions. Scientific support for public health policy is provided in the conception, development, and implementation and monitoring of actions. Current crosssectoral, multidisciplinary research combines the diverse efforts — for example in environment and health, nutrition, biomedicine, genomics and biotechnology — to achieve the overall objective: wellbeing and healthy ageing. Research on food & health policy and regulation It can be said that food and health policy is a term much used but rarely explored. The question is whether over the years the European Union has established programmes, strategies and projects to ensure the safety of food and other products and protect the health of people. The expert theme of „regulatory” research and policy-related research is quite difficult to examine since there is not much actual research in this field. There is a huge gap regarding research on food & health policy and regulation compared to food & health related basic and applied research. However, the structures, policies, impacts and benefits of scientific advice deserve attention and the use of public intruments such as regulation or so-called soft ways – such as training, capacity-building, financial incentives, networks etc. – should be enhanced. Research on food & health policy and regulation Research at European level in your area of expertise Main programmes and projects EU 7th Research Framework Programme (FP7) 2007-2013: for research and technological development coordinated by the DG Reasearch. Its main objective is the construction of the European Research Area (ERA). The scope of food quality and safety research has been extended into the wider framework of the creation of a European Knowledge-Based BioEconomy (KBBE). There are ten research themes which include research needed to underpin the formulation, implementation and assessment of EU policies in the areas of health and safety. One of the ten research themes of FP7 is: „Food, Agriculture and Fisheries, and Biotechnology” (FAFB) research theme: the main objective of FAFB and the primary aim of funding the research theme under the FP7 is to build a European Knowledge Based Bio-Economy (KBBE) by bringing together science, industry and other stakeholders to exploit new and emerging research opportunities that address social, environmental and economic challenges. The theme is built around three major activities: 1.) Sustainable production and management of biological resources from land, forest and aquatic environments; 2.) Fork to farm: food (including seafood), health and well-being; 3.) Life sciences, biotechnology and biochemistry for sustainable nonfood products and processes. Work Programme 2011 (WP2011): supports the development of a sustainable European KBBE and offers a convergent and coordinated approach to address the challenges facing society today as highlighted in Europe 2020 strategy. Joint Programming Initiatives (JPI): WP2011 includes two topics to support the Joint Programming initiatives on „Agriculture, Food Security and Climate Change” and „A Healthy Diet for a Healthy Life”. EU Health Project/Strategy 2008-2013 (Second Programme of Community Action): within the FP7. This follows the first Programme of Community action in the field of public health (2003-2008) which financed over 300 projects and other actions. The main programme objectives are to increase healthy life years and promoting healthy ageing, to improve citizens' health security, to promote health by action on health determinants - such as nutrition, alcohol, tobacco and drug consumption, as well as social and environmental determinants and to generate health information and knowledge. The fundamental principles for EC action on health: Principle 1: „A strategy based on shared health values” Principle 2: „Health is the greatest wealth” Principle 3: „Health in all policies” (HIAP): the intention is for health concerns to be an integral part of all policies at EU, national and regional level, including the use of impact assessments and evaluation tools. Research on food & health policy and regulation ETP (European Technology Platform) « Food for Life » Strategic Research Agenda (SRA) 2007-2020. The SRA has been developed by six different Working Groups focusing on the scientific and technological requirements in Food and Health, Food Quality and Manufacturing, Food and Consumer, Food Safety, Sustainable Food Production and Food Chain Management. SRA represents a unique opportunity for the stakeholders in the European food chain to increase their competitive strength and ensure the continuing wellbeing and welfare of consumers across Europe. The research challenges in six key areas are: 1. Ensuring that the healthy choice is the easy choice for consumers, 2. Delivering a healthier diet, 3. Developing quality food products, 4. Assuring safe foods that consumers can trust, 5. Achieving sustainable food production, and 6. Managing the food chain. DG SANCO, The Health and Consumer Protection Directorate General of the European Commission (DG SANCO) is mandated to „ensure food and consumer goods sold in the European Union (EU) are safe, that the EU's internal market works for the benefit of consumers and that Europe helps protect and improve its citizens' health.” The European Public Health and Agriculture Consortium (EPHAC): is an alliance of health organisations advocating for a healthier, more sustainable Common Agriculture Policy (CAP). ILSI Europe, International Life Sciences Institue : is a nonprofit foundation aiming to advance the understanding of scientific issues relating to nutrition, food safety, toxicology, risk assessment, and the environment. By bringing together scientists from academia, government, industry, and the public sector, ILSI seeks a balanced approach to solving problems of common concern for the well being of the general public. One of the main goals of ILSI Europe is to play a catalytic role in identifying and addressing critical scientific issues related to nutrition, food safety and the environment. A typical exammple of research results provided for policy support is the EU project EURRECA (Network of Excellence) coordinated by ILSI Europe to serve as basis for a systematic and transparent approach to the development and review of micronutrient requirements in Europe. This framework can be used for the decision making of scientific advisory bodies, policy makers and stakeholders involved in this process of assessing, developing and translating these recommendations into public health nutrition policy There are several projects implemented at European level – mainly in the 7th Framework Programme (FP7) – aiming to counteract for example the obesity pandemic and to improve health equity, such as „School Fruit Scheme”, „School Milk Scheme”, „EPODE”, „In Form Project”, „EURO-PREVOB”, „HELENA” and the „IMAGE” projects. Several of these projects are mentioned in the Country Reports as well (see Chapter 3.) However, projects that focus particularly on the research of food and health policy and regulation are not part of the above mentioned programmes and strategies. Research on food & health policy and regulation Infrastructures & equipment This topic and expert theme of „Research on food and health policy and regulation” has little demand for equipment. The subject needs computer-based information systems, particularly software applications, data collection, technical facilities, collection of surveys and the share of knowledge. Major researcher groups The main researchers and research groups of this topic are public/governmennt research institutes, governmental departments and non-govermental organisations (NGOs). There is still a limited number of research organisations fulfilling the needs of interdisciplinary research needed to cover research area on F&H policy and regulations. Networks Collaborating and sharing experiences across borders, whether national, regional or organisational, is an effective way to access new ideas, innovative approaches and new skills. Even though their constituency is questionable several networks exist in the EU in the prevention and reduction of diseases such as European Network of Health Promotion Agencies or the European Food Information Resource Network. However, networks related to the research of food and health policy and regulation are ought to be built up in the EU’s network system. In the context of the Commission's Action Plan to support Transnational Cooperation at EU level, two calls for proposals were launched in June 2008 and June 2009 to fund networking that would facilitate and strengthen transnational exchange. The Network on Transnational Cooperation in ESF builds on the dynamics, tools and learning from a series of working groups and initiatives, such as EQUAL and the European Community of Practice on Transnational Cooperation, aimed at facilitating and improving transnational cooperation. Transnational cooperation involving national, regional and local authorities aims to promote better integration within the Union through the formation of large groups of European regions. Transnational cooperation programmes (Interreg IIIB) encourage a sustainable and balanced development of the European territory. Current Training Programmes The EU’s Better Training for Safer Food is a European Commision initiative aimed at organising programmes on different subjects related to the verification of compliance with food and feed law, animal health and welfare rules and plant health rules. Of these, some are Research on food & health policy and regulation carried out in the EU and others in third countries. They are, in particular, aimed at staff of competent authorities of Member States involved in official controls, and participants from selected third countries. The training aims to keep control staff in Member States up-to-date with all aspects of EU law in the area of food safety and animal health, and help to ensure a uniform understanding of how these rules should be applied and checked. Training is mainly being organised through the launch of calls for tender for the organisation and implementation of ad-hoc training projects. Contracts are awarded to bodies which are responsible for the organisation of the courses. In the UK there is a so called The Good Food Training project that provides training, but it also sought to influence policy and training standards, both in London and in the wider public sector, and to help others learn from the innovative training approach. Good Food Training’s evaluation team is based at the Centre for Food Policy at City University in London. In the City University of London there is an MSc Food Policy Programme which has a key purpose of producing students who have a strong and critical grasp of both the theoretical and empirical aspects of food policy. They gain in depth knowledge and good understanding of the breadth of food policy in the United Kingdom within a European and International context. This Programme is the first in food policy that we know of anywhere. Food policy is a term much used but rarely explored, which is why this Programme has been set up. The European Master in Agricultural, Food and Environmental Policy Analysis in Louvain-la-Neuve (Belgium) aims at providing a high quality education in designing and assessing public policies targeted to the agricultural and food sector as well as the rural environment. This European Master responds to the increasing need to better understand and anticipate the various and often complex socio-economic and environmental effects of these policies either in a functioning market economy as in the European Union or in economies in a development or transition phase. The European Master is jointly organised by five leading European educational and research institutions: the Corvinius University of Budapest (CUB) in Hungary, the Swedish University of Agricultural Sciences (SLU) in Sweden, the Rheinische-Friedrich-Wilhelms Universität Bonn (UBonn) in Germany, the Université catholique de Louvain (UCL) in Belgium and the Universitat Politècnica de Catalunya (UPC) in Spain. Research on food & health policy and regulation Publications & Congresses Publications The number of publications in the last five years that are related to the topic of „Research on food and health policy and regulation” are limited and extremely low which emphasizes the need for research in this thematic area. There are a few good examples of publications beased on the output of EU funded research projects and Networks of Excellence aiming to influence public health and food policies either by providing recommendations for threshold values or maximum limits (e.g. Maximum Residue Limits) or by aiming to harmonise these recommendations based on requirements. (For example the publication of De Backer G and Haustvast J. European Journal of Clinical Nutrition 2010; 64(Suppl. 2): Towards Harmonisation of Nutrient Recommendations in Europe: From Nutritional Requirements to Policy Applications. (In this supplement of the European Journal of Clinical Nutrition, results are presented from the EURRECA (EURopean micronutrient RECommendations Aligned) Network of Excellence funded by the EU 6th Framework Programme, with the alignment of micronutrient reference values across Europe as the main objective. The supplement discusses a general framework developed by EURRECA to serve as basis for a systematic and transparent approach to the development and review of micronutrient requirements in Europe. This framework can also be used for the decision making of scientific advisory bodies, policy makers and stakeholders involved in this process of assessing, developing and translating these recommendations into public health nutrition policy.)) Congresses There are several conferences, seminars and congresses organised in the field of food safety, food & health and nutrition where policy-related issues are discussed or legislation is intorduced as such but there are very few scientific meetings held aiming to promote research on food & health policies. SAFE consortium 2nd International Congress on Food Safety (27–29 April 2009 in Girona, Catalunya, Spain): the Consortium organises an International Congress on food safety sciences once every two years. The SAFE consortium stimulates public debate in Europe on the scientific aspects of food safety, by making available up-to-date knowledge from institutes whose scientific integrity is guaranteed by the unlimited right to publish in the public interest. The SAFE consortium acts as an independent spokesman for food safety research in Europe and worldwide to the benefit of the public. It deals with „food safety” in its broadest terms and its mission is to strengthen food safety related research in Europe and worldwide, a science-based food safety policy setting and regulations, and up-to-date food safety research policies and programming. Research on food & health policy and regulation The Belgian Presidency of the EU has organised a conference entitled « Knowledge Based Bio-Economy towards 2020 » on the 14th of September 2010 addressing the global societal challenges and socio-economic drivers and trying to define present achievements and needs while discussion « Research and Innovations » and « Sustainability and Policies ». There was an agreement that food and nutrition security expected to be global challenges (beyond problems related to food security, access and availablity). It was pointed out by the panelists that consumers create the market of foodstuffs but market conditions are created by relevant policies. There are great inconsistencies of current policies in the EU for historical reasons so alongside the reform of the CAP certain decisions have to be made (e.g. highly innovative bio-based economy creating jobs vs. a bio-based economy with high sustainability standards). Although the report of the discussion (of parallel sessions) is not yet available but that is expected to have an influence on the future priorities of the EU Framework Programme being build on the idea of the « Knowledge-based Bio-economy ». The Belgian Presidency has recently (21st of Oct 2010) organised an « International Round Table on the Role of Science in Food Policy” where risk assessment, risk-benefit assessment, uncertainty in science and new principles of the European food policy, such as the precautionary principle were discussed amongst others. Report is not yet available. Research on food & health policy and regulation Comparison of country reports Countries Country Austria Institutions The national context The Austrian Council for Research and Technology Development Belgium Flanders Region: Flemish Government; Economy, Science and Innovation Department (EWI) Brussels-Capital Region Institute for the encouragement of Scientific Research and Innovation of Brussels Programmes/projects The Austrian Council for Research and Technology Development plays an important role in deciding on research orientations. The Council aims to advise the federal government in strategic decisions on research, technology and innovation policy and presented its Strategy 2020 in 2009 providing suggestions and recommendations for a future development of the Austrian research technology and innovation system. Flanders Region The Economy, Science and Innovation Department of the Flemish Government (EWI) acts as the research policy preparation, monitoring and evaluation body. Brussels-Capital Region Research policy is conducted by the agency IRSIBIWOIB (Institute for the encouragement of Scientific Research and Innovation of Brussels). A regional innovation plan was launched for the period 20072013 (IRSIB-IWOIB 2006). The strategic axes include ITC, Health and Environment. Private organisations implementing food & There are several European organisations being active in the field of food and health, based in the health research Belgian capital, Brussels. CIAA is the European Confederation of Food and European Confederation of Food Drink Industries, based in Brussels. Its mission is to and Drink Industries represent the food and drink industries’ interests, at the level of both European and international (CIAA) institutions. Three themes are part of the priorities: food and consumer policy, competitiveness and environmental sustainability. FEVIA is the spokesman of the food industry in Belgium. The federation, active in environmental, social, food policy issues, is a privileged interlocutor for the public authorities and the European institutions based in Brussels. FEVIA participates in the debates on trends and strategic decisions Research on food & health policy and regulation The national context regarding food and health issues. Belgium develops a complex system as the country The Inter-Ministerial as it has no single national strategy. Belgium has Commission on Science five active levels of competences and thus, there are Policy (IMCSP) five levels of strategies. The Inter-Ministerial Commission on Science Policy (IMCSP) organizes the consultation on research policy between the Federal Authority, the Communities and the Regions (agreements, collaboration and exchange of information). Bulgaria Federal Authority: The Federal Authority: The Federal Science Policy Federal Science Policy Office (BELSPO) is in charge of the Science Policy at the federal and the international levels. Research Office (BELSPO) programmes are launched by BELSPO, which funds the research programmes FEDRA. The online database FEDRA inventories 23 research programmes for food topics and almost 60 for the health area. Federal Public Service The Federal Public Service (FPS) on Health, Food (FPS) on Health, Food Chain Safety and Environment coordinates two Chain Safety research programmes for scientific research in terms of food safety, safety policy and animal welfare. Ministry of Healthcare Bulgaria developed a National Food and Nutrition Action Plan in 2000. The 5-year plan was launched in 2005 by the Ministry of Healthcare. The plan aims at improving the health of the Bulgarian population and reducing the risk of food- and nutrition related diseases. There are specific nutrition-related national programmes developed to change health related problems. Ministry of Healthcare & the Ministry of Agriculture and Forestry The Ministry of Healthcare and the Ministry of Agriculture and Forestry developed the National strategy for food safety, which was approved in 2001. The strategy included coordination of the implementation of the national policy on food safety, and the development of national regulations on food requirements, the obligations of all food producers, processors, merchandisers, as well as the state control of the food chain. At present, there are no specific research programmes in the food and health field, so there is a need for the development and implementation of special national health and food-targeted programmes. Research on food & health policy and regulation Mapping health and food research in Cyprus is a challenging task since the lack of a unified policy in either field. The lack of a National Health Interview Survey (NHIS) coupled with a scattered system of health services means that it is difficult to find a single, unified policy in relation to health. Cyprus Changes in the traditional Mediterranean diet highlight the need for drastic changes at policy level. Medical and Health Services (Ministry of Health) Czech Repub-lic Ministry of Health In relation to national policies regarding food, the Medical and Health Services (under the Ministry of Health) deals with issues of food hygiene, regulations concerning food packaging and food components, prevention and research on infectious disease and many more. Currently, there is an established legal framework which deals with issues of food and health, but not all laws can be translated in national policy or initiatives. In the Czech Republic, the orientation of food and health related research is reflected mainly in the strategic document entitled “Conception of applied health research and development 2010-2015” which defines key research priorities. The policy document serves as a base for formulation of the Research Programme of the Ministry of Health III (20102015). Within this programme 4 public calls for proposals are planned. The current National Policy of Research Development and Innovation (2009-2015) sets up 8 priorities for applied research (e.g. “Molecular biology and biotechnology” and “Biological and ecological aspects of sustainable production”). Denmark Research, Development The Research, Development & Innovation & Innovation Council Council is the body responsible for compilation of a new research, development and innovation policy, preparation of laws and other legal regulations, realization of R&D priorities. A joint National Research, Development and Innovation Policy will be established for the period after 2010. The Danish University There are 4 agencies of which The Danish Agency Research on food & health policy and regulation and Property Agency (DUPA) Estonia Finland for Science, Technology and Innovation (DASTI) and The Danish University and Property Agency (DUPA) are especially involved in research. DUPA is responsible for educational and institutional policies. The Agency's tasks comprise operational, developmental and policy-oriented activities. A substantial part of these activities concern issues relating to institutions, staff, education and buildings, and a current dialogue is maintained with the universities and their stakeholders. Ministry of Economic The two central organisations in Estonian R&D Affairs and policy and financing are the Ministry of Economic Communications Affairs and Communications (MKM), and the (MKM) & Ministry of Ministry of Education and Research (HTM). They Education and Research are responsible for nearly all research funding (HTM) streams and policies. Ministries collaborate with the Research and Development Council, which is an advisory body to Research and Development Council the Government and makes the final expert decisions on all major R&D policy documents. (The R&D system has been evaluated repeatedly. Most of these evaluations cover all fields of research, there was no specific targeted evaluation of the food and health research. Most of the available reports refer to the biotechnology sector and to innovation related strategies according to the Country Report.) The National Nutrition The National Nutrition Council is an expert body under the Ministry of Agriculture and Forestry and a part of Council Evira (Finnish Food Safety Authority). France «Programme National Nutrition Santé » (PNNS) Public organisations implementing food & health research In France, the setting up of a nutritional policy has become a public health priority recently. The role of nutrition as a risk disease reducer is better understood. To address the different public health problems, several programmes have been launched lately. Among them, the most important is the PNNS ‘Programme National Nutrition Santé’. INRA INRA has three scientific boards: 1. Food: behaviours and physiology, 2. Agriculture and 3. Environment. A scientific policy called “the division strategic plan” is designed every 4 years (20062010>2010-2014). CNA = The French National Food Council (Conseil National de The CNA (Conseil National de l’Alimentation);) is an independent advisory body that brings together all the stakeholders in the food production chain (public Research on food & health policy and regulation l’Alimentation) and private), discusses food industry issues and draws up food policy proposals and initiatives. Created in 1985, the French National Food Council, working with the ministries for agriculture, health and consumer affairs, may be consulted on national food policy development. The CNA gives opinions and recommendations on food policy-related issues, particularly with the interest of adapting consumption to nutritional needs, consumer food safety, food quality and consumer information. INRA, universities, private actors, public research centres: The following research programmes are relevant to the “policy field”: ALIA; PNRA; Germany The Max Rubner Institut (MRI); The Federal Research Institute of Nutrition and Food The Federal Institute of Risk Assessment (BfR); (Bundesinstitut für Risikobewertung) The ALIA (2009): promotion of chains enrolling in sustainable development through an aid to decision combining three key elements of fruit and vegetables market: environmental sustainability, nutritional quality, socio-economic aspect. ALIA (2008): Analysis of life cycle of conventional and organic chain, and study the environmental impact of a consumer's average basket of organic food vs. conventional products. The food culture to the test of migration. Implications for Food Policy. PNRA (2005): Nutrition policies, regulation of food chains and consumption. PNRA (2006): Construction of a mediating tool dialogic Citizen Consumers / Actors on sensitive issues in the meat chains: the contamination as a risk and a benchmark for understanding. PNRA (2007): Food and Consumer Nutrition Information Policy: What respective contributions to the control of health risk / benefit? The MRI in its current form was founded in January 2008 with a merger of already existing food research institutes (some of them with a long-standing history in F&H research). Scientists elaborate “a scientific basis for decision making in the field of food, agriculture, forestry and consumer protection policy” The organisation is divided into: crossproducts units and production-chain oriented units plus one common analysis division. Cross-products units include the Department of Nutritional Behaviour. Some F&H research is also conducted within the Federal Institute of Risk Assessment (Bundesinstitut für Risikobewertung, BfR), under the roof of the BMELV. The BfR is the German mirror institution to EFSA. It is specialised on scientific questions Research on food & health policy and regulation Greece regarding consumer health protection. Federal Government The federal government supported health research in Germany since 1978. One of the most important and Federal Ministry of successful national research programmes in the field Education and Research of F&H research was: “Health Research: Scientific (BMBF) & Research for the People” (2002-2009). The Federal Federal Ministry of Ministry of Education and Research (BMBF) Health (BMG) together with the Federal Ministry of Health (BMG) took responsibility for the programme. Within this programme “Health and Research” is characterised by a comprehensive approach that encompass research of the causes of disease, health care needs and structural changes in the research landscape to better cooperation between industry and science. That programme, also terminated last year, was factually prolonged and is still running. Currently a successor programme of the “Health Research Programme” is being designed. The General Secretary The General Secretary for Research and for Research and Technology (GSRT) is the sole component authority Technology (GSRT) for the formulation and implementation of RTD (GSRT is part of the policy in Greece. Ministry of Education So far there is no distinctive agenda on research & Vocational Training) neither for food & health, nor on food related to medicine / public health and safety. In fact these agendas could be part of an overall “food research agenda” which is currently under discussion. Hungary Ministry of Health Ireland Department of Agriculture, Fisheries & Food (DAFF); Department of Health & Children At the national level the policies / programmes / initiatives related to the overall R&D action plan for the period 2007 – 2013 do not include specific action line neither for food nor for food & health research. Food nutrition, diet and health are included in the “Strategic Plan for the Development of R&D and Innovation under the NSRF 2007- 2013 within the action line entitled: Agriculture, Fishery, Livestock Farming, Food and biotechnology. “Johan Bela” National Programme for the Decade of Health; National Public Health Programme: to evolve health impact assessment and to evaluate the effects on population health of various political decisions and socio-economic changes. In Ireland, there are two Government Departments responsible for developing policies for food and health, namely the Department of Agriculture, Fisheries & Food and the Department of Health & Children. In addition, Enterprise Ireland (EI) has an important role Research on food & health policy and regulation Enterprise Ireland (EI) to play in the development of food and health policy. There is no single national food and health strategy although it is expected that this will be a major component of the National Food Research Strategy currently being developed by DAFF. Institute for Food & Health – University College Dublin Italy Ministry of Health Lithuania Government of the Republic of Lithuania Malta Director General for Education Department of Health Promotion and Disease Prevention (Ministry for Health, Elderly and Community Care) The Institute for Food & Health – University College Dublin has organised a “Policy Seminar Series” for “Mapping food and health to the public policy landscape”. The first in Series is entitled “Nutrition and Health in an Ageing Population”. Italy has implemented European programs (like “Gaining Health”, and “Fruit in the School”) to ensure the implementation of relevant policies in the food and health area. The program “Gaining health” promoted by the Ministry of Health (approved by Decree of the Prime Ministry in 2007) stems from the need to disseminate and facilitate the adoption of behaviours that positively affect the health of the population, acting on improper eating habits, physical inactivity, smoking and alcohol abuse, major risk factors for chronic diseases. "Gaining Health" is the first project agreed between government and institutional actors, which aims at implementing measures for the protection and promotion of public health. The State Food and Nutrition Strategy and Action Plan for 2003–2010: to protect health and to reduce the prevalence of diseases related to unhealthy nutrition including the monitoring of nutritional status, changes in dietary habits and nutrition-related health problems in Lithuania. The Healthy Eating Lifestyle Plan (HELP) was published with the objective of helping schools formulate a healthy eating policy in early 2007. A Strategy for the Prevention and Control of Noncommunicable Diseases in Malta was published in April 2010. Amongst other topics, this addresses dietary habits and obesity, and the strategy established a number of specific targets to be achieved by 2020. It also lists a number of specific lines of action towards the achievements of the targets. Department of Health A National Obesity Campaign aimed at raising Research on food & health policy and regulation Promotion and Disease Prevention Romania Ministry of Health & Ministry of Agriculture and Rural development (maintained by the Food and Nutrition Research Institute) Ministry of Health Slovakia Ministry of Health Poland (Government’s approval) Government’s approval awareness about obesity and its adverse effects on health was launched in May 2010. The campaign promotes healthy food and healthy food portions, as well as encouraging individuals to include physical activity in their daily routine. Much of the publicly-funded research currently underway in the food and health sector relates to surveys and studies on consumption patterns. The results of these activities feed into the policydevelopment process and also serve as monitoring tools for assessing the effectiveness of policies developed on the basis of these studies. National Programme “Pol-Heath” related to overweight and obesity is called “National Programme of prevention overweight and obesity and chronic non infectious diseases via improvement of nutrition and physical activity”. The National Health Program (2007; 2008) was aiming to evaluate the healthy status of population. The most important programme related to food and health in Slovakia is the “National Health Promotion Programme” based on the WHO policy "Health for All" included in the policy of "Health 21 - health for European region for the 21 century”. (This programme was approved by the Slovak Government in 2000 and updated in 2005.) Amongst the 11 main objectives two are related to nutrition issues (1.: Healthy lifestyle; 3.: Healthy nutrition). The “State Health Policy”, the “Action Plan for Environment and Health” and especially the “Programme for Nutritional Sanitation” aim to change the population health by influencing its nutritional habits”. The aim of the “Programme for Nutritional Sanitation” (approved by the Slovak Government in 1999 and updated in 2008) is to enhance the nutritional status and based on that the health of the inhabitants and prevent different lifestyle-related diseases. The Slovak Government adopted a “National Programme for Obesity Prevention” in 2007 confirming that the health of the citizens is its priority. Slovenia Ministry of Health There are Recommendations currently being finalized Research on food & health policy and regulation which will focus on practical measures in order to improve the public health emphasis of the CAP policies and funds applied in Slovenia. This will include national and regional recommendations on: fruit and vegetable, wine and diary sectors and on rural development policies. Spain Ministry of Health and Consumption Spanish Agency for Food Safety and Nutrition, AESAN (Agencia Española de Seguridad Alimentaria y Nutrición) Observatory for Industrial Technology Foresight (OPTI) Ministry of Health and Social Policy (MHSP) Genoma España Foundation (GEF) Switzerla nd Federal Office for Agriculture; FOAG Agroscope (Swiss research stations for agriculture, nutrition and environment). Federal Office of Public Health; FOPH in collaboration with the Federal Office of Sports (FOSPO), Health Promotion Switzerland, the cantons The Ministry of Health and Consumption promoted through AESAN the Strategy for Nutrition, Physical Activity, and Obesity Prevention (NAOS), initiated in 2005. The objective of NAOS is raising awareness in the population regarding obesity and related health problems and promoting all initiatives contributing to a healthy lifestyle, especially in children and young people mainly through a healthy diet and regular practise of physical exercise. There are so-called foresight studies referred to in the Country Report such as: Nutrigenomic, Food and Health (carried out by the Observatory for Industrial Technology Foresight (OPTI); Total Diet Project, a national epidemiologic study about food consumption in Spain (promoted by the MHSP); Importance of Biotechnology in Spain 2009 (promoted by the GEF); Food, Consumption and Health. FOAG’s major programme on food and health is NutriScope: a research programme of the research concept 2008 – 2011 of Agroscope. NutriScope = Healthy, safe and high-quality foods of Swiss origin: wants to contribute significantly to the promotion of healthy nutrition and thus to a healthy population in order to reduce health expenditures related to nutrition. It aims at optimizing parameters determining quality, safety and health along the food chain, from “farm to fork”. The National Programme on Diet and Physical Activity 2008-2012 (NPDPA 2008-2012) has been developed on diet and physical activity. The NPDPA lays down the national strategy for encouraging people in Switzerland to eat a balanced diet. It defines long-term goals and national priorities and provides a basis for collaboration between various institutions and organisations. Federal Office of Public Survey, analysis: Secondary analyses of questions on nutrition of the Swiss survey on health 2007 for the Swiss Health (FOPH) Federal Office of Public Health in order to conclude on possible consequences for the federal nutrition policy. Research on food & health policy and regulation Swiss Society for Nutrition on behalf of the FOPH “Healthy Choice Label”: An inventory of labels, feasibility study how to develop, introduce and manage a ‘healthy choice label’ in Switzerland. Federal Office of Public “Background on Food Habits”: Consumer behaviour, decision behaviour, food habits Health (FOPH) The results of this study are of great importance particularly as far as obesity is concerned - in the view of possible consequences for the federal nutrition policy and planning of interventions related to food and consumer behaviour. The Dutch Ministry of The Netherlan Health, Welfare and Sport & ds Ministry of Agriculture, Nature and Food Quality The Nutrition Policy, entitled ‘Healthy Nutrition, from Start to Finish’ was launched in 2008. The policy document aims to enable consumers to achieve healthy dietary patterns, where the approach is twofold: to educate consumers on making healthy food choices and to encourage the commercial sector to supply the public with healthier food options. Overview The conclusions and recommendations based on the overview of « Research on food and health policy and regulation » (including looking towards social and policy sciences to support public policy) are as follows : There were very few projects listed in the Country Reports related to research focusing on food and health policies and regulation. There are countries having no specific strategies and comprehensive national policies for food and health research. On the other hand there are several countries having food & health research strategies but these strategies are not always being build on the results of F&H policy research (at least no evidence is provided for). The national plans are either in line with the relevant EU and/or international policies but there is no proper implementation of these national programmes or they are being very general in their objectives. Policy documents usually serve as a base for the formulation of national research programmes, define key research priorities on which thematic programmes are based. Nevertheless research results do not necessarily lead to the development or revision of such policy documents. So there is a lack of build-in feedback mechanisms. There are certain organisations (mainly governmental or public institutions) having an important role to play in the development of food and health policy. Nevertheless this role is often stated as a general one. (Sometimes specific programmes based on these goals and activities are not even mentioned/listed.) Research on food & health policy and regulation In some countries the national health programmes are aiming to evaluate the health status of a given population but no further information was gained (from the Country Reports) about the outcome of such evaluations on which national health and food & health policies could have been build upon. There are very few foresight studies and programmes mentioned in the Country Reports which would serve as a good basis for policy planning. The establishment of integrated foresight activities to direct policies would enable research to more closely support and be supported by public health issues. There are several national R&D and R&I Programmes having, as one of their main objectives, knowledge transfer between academia and industry. But knowledge transfer and policy making between or based on the cooperation of academia and government or decision makers and scientific organisations in several countries are not frequent and not regular. There is a strong need for cooperation between governmnet-academia-industry in order to develop the research agenda built on the needs of societies as reflected and agreed upon in policy documents. There are several European countries in which cooperation between academia and industry is encouraged in order to raise funds for research and serve the needs of the industry (mainly SMEs) and enhance the competitiveness via innovation. Nevertheless the cooperation between government and academia to monitor the health and nutrition status of given societies and develop policies is often lacking or being formal. The main objective of certain national policies for the promotion of research, technology and innovation, including food and health, in general has been to enhance the competitiveness of enterprises and of the national economy in general and not to promote science of public utility or policy-oriented research based on the surveillance and monitoring of the health and nutrition status of a given population. In those countries having interdisciplinary research promoted the likelihood and frequency of having policy-related research programmes is higher. There are few national public health programmes aiming to evolve health impact assessment and to evaluate the effects of various political decisions and socioeconomic changes on population health. These few programmes are also lacking to demonstrate the results of such and evaluation and the way these results are incorporated into policy making activities. There are only some of the publicly-funded research projects in the food and health sector relate to surveys and studies on consumption patterns. Many European countries lack data on consumption of foodstuffs at population level, although consumption data is needed for the risk assessment of foods whereas hazard exposure could be calculated on the basis of the consumption of the given contaminated foodstuff. EU Member States had to set up an inventory of health claims and nutrition claims but there is a lack of reference to research projects or policy papers in this area (such as the Swiss inventory of labels and related feasibility study performed to introduce a “healthy choice label”). Research on food & health policy and regulation In certain countries there is a high level of decentralization. That is giving rise to a multiplication of technological and industrial policies and inefficiencies in setting up public policies. For this reason it is necessary to set harmonization mechanisms in motion between the central or federal government and the autonomous communities through coordinated R&D and innovation policies. Changes in the traditional Mediterranean diet highlight the need for drastic changes at policy level, in order to achieve a strategic planning which will, in the short-term, assess and attempt to solve important problems in the areas of food and health research, while in the long-run, aim at the integration of a policy culture which will be efficient, effective and contextualized for the local environment. There are some further recommendation in order to strengthen and stimulate the food & health research system in Europe: o The public health sector should discuss more vigorously the meaning and societal implications of the Articles 152 and 153 of the Amsterdam Treaty. In general, there is low awareness among decision-makers and administrators of its implications to non-health sector policies. o Methods of evaluating the health impacts of policies before they are introduced need to be developed and refined. Health impact assessment is one approach, but there are other approaches, such as regular inter-sectoral health forums that could be adapted to the specific policy context. o More funding should be given to stimulate interdisciplinary research into the health impacts of agricultural and other relevant policies in Europe. Research findings need to be fed into the policy process and implemented in an effective way. o Effective public-private partnerships need to be developed including the public health sector, consumer groups, agriculture and the food industry where equal weight is given to public health, environmental concerns, agriculture and rural interests. Research on food & health policy and regulation Towards 2020: assessing needs There is the need to strengthen cooperation and coordination at European, national, regional and local level, supporting the exchange of evidence-based information and knowledge, and assisting national decision-making. Long term public-private partnerships are needed. This section focuses on the knowledge needs, the ways of organising research and the interaction between public research and industry. Knowledge needs The need to investigate and assess current research projects to see the deficiences of these projects has become obvious nowadays. Programmes are needed to harmonize European and national policies in order to progress the thematic area of „Research on food and health policy and regulation”. Policies and regulations should all be scientific evidence-based. Although maximum levels and thresholds set up are mostly science-based the issue of e.g. obesity which contibutes to diet-related diseases (for example diabetes and cardiovascular diseases) effects the health of the whole of society and therefore needs social and regional handling. Long-term strategies are needed for prevention. The need for sharing knowledge between research institutions and industry has also become increasingly evident in recent years. Historically, research institutions were perceived as a source of new ideas and industry offered a natural route to maximising the use of these ideas. However, the past decade has seen a significant change in the roles of both parties. Many companies are developing open innovation approaches to R&D, combining in-house and external resources, and aiming to maximize economic value from their intellectual property, even when it is not directly linked to their core business. In particular, they have begun to treat public research as a strategic resource. In parallel, it has become clear that research institutions need to play a more active role in their relationship with industry in order to maximize the use of the research results. The development of collaborative research is one of the most important knowledge transfer and innovation processes. The Competitiveness and Innovation Programme supports all forms of innovation, public-private partnerships and measures to improve access to finance. It funds novel ways to facilitate knowledge sharing between research institutions and companies, in particular for SMEs. One of the goals of The European Institute of Technology (EIT) is to promote research institutions - industry interactions and knowledge transfers. It focuses on the development and integration of all aspects of the knowledge triangle – innovation, research and education – in areas that present challenges for Europe’s future. It changes and accelerates the processes of knowledge transfer in existing institutions, as well as increase their links with industry. Research on food & health policy and regulation By sharing information and experiences more effective, meaningful guidelines or regulations can be developed. Significant research questions How will regulatory bodies deal with the likely continuing increase in products which have health claims? The evaluation of health claims pointed out the poor quality of information and gaps in evidence for the rejection of many of the generic health claims. Could health claims be scientifically substantiated based on the evidence provided by ongoing research ? Information gaps refer to the : inability ot identify the specific substance on which the claim is based, such as claims on dietary fibre without specifying the particular fibre, lack of evidence that the claimed effect is indeed beneficial to the maintenance or improvement of body functions, such as claims on renal « water elimmination », lack of precision regarding the health claim made, such as claims referring to terms like « energy » and « vitality », and lack of human studies with reliable measures of the claimed benefit. Could regulation help people eat more healthy (consumer behaviour) rather than increasing the production of « enhanced/ enriched » foods ? There is already sufficient « healthy » food available, the issues are of balance and quantity. Is knowledge being effectively transferred between the public and the private sector? Ways to organise research: priorities, developing agendas The organisation of the research on food policy and health regulation includes considering networking, collaborative programmes, knowledge-sharing, setting priorities, developing agendas, international co-operation and the availability of joint infrastructures such as international databases, GRIDs, technical facilities and surveys. Interaction between public research and industry European universities and other research institutions have realised their changing role in the globalized economy and have undertaken interesting initiatives. They have realised that they are no longer simply providing the local area with graduates but that they find themselves competing on a global scale for students, researchers and industrial partners. In turn, they realise that they will have to provide world class research to attract students and researchers in the future. In order to remain attractive, there is the need to open up to business and international collaboration, which may also help make use of new funds. Research on food & health policy and regulation The interactions between the public research base and industry have been gradually increasing over the past decade. These can vary from contractual research to collaborative research or even to structured partnerships. Most of these interactions involve the transfer of knowledge between the stakeholders concerned, and enhance the socio-economic impact of publiclyfunded research, e.g. by creating new useful products, new jobs and sometimes new companies. Sharing knowledge in particular through R&D collaborations with business – while a potential source of income for research institutions (financial benefit for research)– may well give an important boost to both quantity and quality of the research undertaken. Benefits to research institutions resulting from knowledge transfer to industry are not primarily financial. The main benefits are indirect and should be considered in the longer term. The successful implementation of policies to deal with inventions and collaborations with industry can lead to a number of benefits for society at large and, in particular, the local economy. These benefits include new jobs, new products on the market and better education. Benefits to researchers also include for instance: the development of mutual trust between the research institution and industry, beneficial to the establishment of long-term strategic partnerships (as opposed to one-off contracts); the enhancement of research institutions research activities (access to state of the art industrial equipment, improving research institution project management skills, complementing the research institution competence base by new skills and techniques developed in industry, improved understanding of market needs and of industry problems) or the enhancement of research institutions teaching activities (involvement of industrybased lecturers, enrichment of teaching contents and materials with practical examples, learning how to apply skills and knowledge to solve real business problems) Industry stand to gain indirectly as they will be given fresh opportunities to commercialise the most up-to-date and relevant research findings, with the aim of giving Europe first-mover advantage in the latest technological and non-technological fields and in open innovation. Most FP projects involve a mix of participants from the public and private sectors, from several countries. Certain thematic areas, such as the ICT sector, have been particularly successful in this respect: more than 90% of projects involve research institutions - industry collaboration. An open dialogue between science and policy is vital in our age. Policy decisions may have ideology at their heart, but they must be informed by objective, verifiable and repeatable research. Policy must be informed by research, policy decisions need input from what research tells us about the world – research which is of the highest quality, relevance and validity. Research universities and independent research institutes are vital source for unbiased, comprehensive and respected policy research. If politicians and those that serve them are to make the right choices and capitalise on society’s investment in research, they Research on food & health policy and regulation must have effective access to the best relevant scientific understanding and awareness of emerging science issues. There is also the duty of both science and policymaker to engage the public and to show that policy is underpinned by objective research. There is a responsibility on the part of researchers to foster a dialogue about science, to ensure their findings are properly interpreted, and not used inappropriately. Research on food & health policy and regulation Gaps and Overlaps for further research Besides of having the need of development, implementation and evaluation of EU healthrelated policies and actions and there is the need to research food and health policy to empower European citizens in health for life. The following points reflect some of the needs for future research: There is a need to strengthen cooperation and coordination at European, national, regional and local level. Environmental and health policies need to work in tandem to achieve a high level of health protection. Establishment of long-term cooperation between researchers, policymakers, and other stakeholders in the field of environment and health research and assessment. Long-term public private partnerships are needed. Supporting “informed decision-making” for regulation and providing information to regulatory bodies, industries and consumer associations. The area of research in health, food and diet-related diseases is both complex and fragmented. We have to overcome the real or hypothetical boundaries among the multitude of entities and international organisations dealing with food RTD. RTD results need to be integrated in a comprehensive way, allowing their open and shared utilization by the entire scientific community. Research in Europe needs to be better coordinated to prevent duplication. Focus, alignment and collaboration both transnationally and internationally need to be improved. Changes in both population demographics and life span demand that European public health policies focus on healthy ageing. At the same time, there are a number of pressing challenges on a European-scale that can only be tackled through a combination of public policy development, academic research and industry developments. All this needs to be better integrated and streamlined in Europe. Prevention of chronic diseases through promoting collaborative research and sharing data and results on health impacts of nutrition and lifestyle is needed in Europe. The creation of a coherent long term, public health research programme on diet related diseases from molecular to population levels by integrating systems including biology, genetics, nutrition, epidemiology and social sciences is an important area to invest in. In the food sector, health and environmental impacts are uncertain and social impacts are completely unknown. Data related to the agro-food sector such as health, use of resources, social, economic, environmental and policy related issues are still managed in separate blocks. Multidisciplinary approaches need to be encouraged. A holistic view on policy development is crucial. Research on food & health policy and regulation Structures Development of methodologies, databases and models for the research on food and health policy. Survey implementation, data analysis and dissemination, leading to the provision of advice and recommendations to policy makers across Europe and amongst OECD members. Development of survey instruments. To facilitate the dissemination of knowledge to those who could most benefit. Improving human resources through training and knowledge-sharing. Research funding should contribute to the evidence base for health improving policies. In policy, research needs to be expressed correctly. It must be framed to have maximum impact on the policy world: presenting clear and relevant policy options in a lively way that strikes a chord with both decision makers and the public while not ignoring the complexities and uncertainties that characterise the real world of research. Dissemination of results amongst stakeholders across Europe, and using the results to make policy recommendations at the regional level. 5.2 Ways to organise research To develop constructive training strategies appropriate to the specific needs of different countries. Data collection must be done in a compatible way in order to create comparative data and uncover inequalities on the regional, national and inter-country level (reduce health inequalities between and within Member States). Support the exchange of evidence-based information and knowledge. There should be more public-health research to understand how policies and practice at local and national levels affect health determinants. To achieve this, there must be investment in social as well as technological sciences and in university infrastructures as well as research institutes. Research on food & health policy and regulation Conclusions and Proposals One basic objective of food policies is the promotion and protection of public health. Over time, the public health objectives have been put more clearly at the centre of both national and international food policy agendas. Researchers should provide policy makers with specific recommendations for food and health policy. The priority for policy makers is research on effective interventions and policies to reduce the health gap, including critical success factors and economic assessments. The topic of research on food and health policy is still rather vague even though it should be considered to be addressed in the need to better understand where we are at and what should be done regarding food and health policy and regulation. Public health and food policy need long term planning. Long term strategies are required for the health protection of consumers. To set up strategies problems and weaknesses need to be looked at in order to improve general public health, improve the quality of life of the increasing number of people with extended age and to increase the competitiveness of the Member States. National public health programmes and/or food & health research programmes aiming to evolve health impact assessment and evaluating the effects of various political decisions and socio-economic changes on population health should be promoted. Policy documents need to be regularly revised on the basis of research results and results of surveillance and monitoring programmes in order to be able to define key research priorities. Foresight activities ought to be encouraged in order to serve policy building and decision making activities. The establishment of integrated foresight activities to direct policies would enable research to more closely support and be supported by public health issues. Knowledge transfer and policy making between or based on the cooperation of academia and government or decision makers and scientific organisations in several countries should be more frequent and regular. The cooperation between government and academia to monitor the health and nutrition status of given societies and develop policies is often lacking or being formal. There is a strong need for cooperation between governmnet-academia-industry in order to develop the research agenda built on the needs of societies as reflected and agreed upon in policy documents. In order to strengthen and stimulate the food & health research system in Europe the public health sector should discuss more vigorously the meaning and societal implications of the Articles 152 and 153 of the Amsterdam Treaty. In general, there is low awareness among decision-makers and administrators of its implications to non-health sector policies. Research on food & health policy and regulation Methods of evaluating the health impacts of policies before they are introduced need to be developed and refined. Besides health impact assessment other approaches (e.g. regular intersectoral health forums, networks etc.) could be adapted to the specific policy context. Effective public-private partnerships need to be developed (including the public health sector with various stakeholders, including consumer groups, agriculture producers, food processors, the food industry) where equal weight is given to public health, environmental concerns, agriculture and rural interests. More funding should be given to stimulate interdisciplinary research into the health impacts of agricultural and other relevant policies in Europe. Research findings need to be fed into the policy process and implemented in an effective way. Research fields Prevention of chronic diseases through promoting collaborative research and sharing data and results on health impacts of nutrition and lifestyle is needed in Europe. The creation of a coherent long term, public health research programme on diet related diseases from molecular to population levels by integrating systems including biology, genetics, nutrition, epidemiology and social sciences is an important area to invest in. As far as there are limited publicly-funded research projects in the food and health sector relate to surveys and studies on consumption patterns. Many European countries lack data on consumption of foodstuffs at population level, although consumption data is needed for the risk assessment of foods whereas hazard exposure could be calculated on the basis of the consumption of the given contaminated foodstuff. One of the most important public health challenges Europe faces today relates to noncommunicable diseases. With the growing burden of chronic, lifestyle-related diseases, it is important that consumers understand the relationship between diet and health. A central part of food and nutrition policies is ensuring that consumers are provided with science-based information on the relationship between diet and health. So the scientific substantiation of health claims remain to be fulfilled. Research organisation, structures and infrastructures There should be more public-health research to understand how policies and practice at local and national levels affect health determinants. To achieve this, there must be investment in social as well as technological sciences and in university infrastructures as well as research institutes. Research on food & health policy and regulation Changes in both population demographics, lifestyle and nutrition habits demand that European public health policies focus on healthy ageing. There are a number of pressing challenges on a European-scale that can only be tackled through a combination of public policy development, academic research and industry developments. All this needs to be better integrated and streamlined in Europe. Research on food & health policy and regulation