Review Veterinary Medicines European Legislation State of play

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Review Veterinary Medicines European Legislation State of play Rens van Dobbenburgh / Nancy de Briyne FEEVA GA, Berlin 27 October 2016 Federation of Veterinarians of Europe

VMP Regulation Proposal for a Regulation on Veterinary Medicinal Products EU/2014/0257 10 september 2014

Legislation before and today Before we made our own rules. Today, that s Europe (which also is us) Principle of Proportionality EU should only act according to Treate + procedure of implementation is as much as possible up to the MSs Principle of Subsidiarity decision is made as low as possible. Brussels only decides on topics which can t be decided on, on a national level Where it comes to agriculture / farmers / veterinarians / animals / medicines / animal diseases, Brussels decides (to allow trade)!

Europa: 47 landen & 820 X 10 6 inwoners EU: 28 landen & 508 X 10 6 inwoners

TREATY on the EUROPEAN UNION Lays down the mandate Member States have given to EU It describes: EU goals, its competences and the areas wherein it can be active, role of the institutions, procedures, etc. Everything EU does, is based on a provision in the Treaty

What instrument to use? PRIMARY LEGISLATION Regulations binding legislative act. It must be applied in its entirety across the EU. Directives sets out a goal that all EU countries must achieve. However, it is up to the individual countries to decide how. Decisions binding on those to whom it is addressed (e.g. an EU country or an individual company) and is directly applicable. Recommendations not binding.

And than refining! Delegated acts EC allowed unilaterally to add / fill in / change as long as it does not touch the essence of the legislation EP and Council have the authority to block E.g. Adaptation to technical development (Rabies vaccination and crossing borders) Implementing acts EC allowed to issue rules in order to standardise implementation of legislation in the MSs MSs need to approve

How Brussels decides Commission Proposal First Reading (no time limits) Parliament Position Amended Proposal? Council Council approves EP Position Council Position Commission Communication EP rejects CP Parliament 3(4) months EP approves Council Position amends Second Reading Commission Opinion Council 3(4) months Council approves all EP amendments Third Reading No Act no Joint Text Act not adopted 6(8) weeks Conciliation Committee 6(8) weeks Joint Text Act adopted EP & Council 6(8) weeks Act of EP & Council

How is the vet profession organised on a European level? Med WG FVE FEEVA Practitioners (UEVP) State (EASVO) Hygienists (UEVH) Education Research Industry (EVERI)

Three levels of approach European Commission Specialists/technocrats European Parliament Politicians Council of EU Experts from different countries / Politicians

How to start? Lobby! Lobby. Choose your topics (interest / opportunities for success) Which moment of the decision process to interfere? Which institutions to lobby? Which persons to approach? Also in the MS? When? Who to act? How to deal with other stakeholders? Can we do ourselves or do we need external, professional support? Can we make alliances? Did we make friends during peace time which can support us now?

The Commission. Berlaymont building

The Commission High ranking persons you shake hands with for the picture opportunity. But.. even today, the power is in the hand of the writer!

European Parliament Brussels

European Parliament

Europe is transparant. Enough information! Committee on the Environment, Public Health and Food Safety 21-01-2015 09:00 Brussels : JAN - 2Q2 /21-01-2015 15:00 Brussels : JAN - 2Q2 22-01-2015 09:00 Brussels : JAN - 2Q2 29-01-2015 09:00 Brussels : JAN - 2Q2/29-01-2015 15:00 Brussels : JAN - 2Q2 Extraordinary meeting 09-02-2015 19:00 Strasbourg : LOW - N1.3 23-02-2015 15:00 Brussels : JAN - 4Q2 24-02-2015 09:00 Brussels : JAN - 4Q2/ 24-02-2015 15:00 Brussels : JAN - 4Q2 18-03-2015 09:00 Brussels : JAN - 4Q2/ 18-03-2015 15:00 Brussels : JAN - 4Q2 19-03-2015 09:00 Brussels : JAN - 4Q2 26-03-2015 09:00 Brussels : JAN - 2Q2/ 26-03-2015 15:00 Brussels : JAN - 2Q2 30-03-2015 15:00 Brussels : JAN - 4Q2 31-03-2015 09:00 Brussels : JAN - 4Q2/ 31-03-2015 15:00 Brussels : JAN - 4Q2 13-04-2015 15:00 Brussels : JAN - 4Q2 14-04-2015 09:00 Brussels : JAN - 4Q2/ 14-04-2015 15:00 Brussels : JAN - 4Q2 Committee on Agriculture and Rural Development 21-01-2015 09:00 Brussels : JAN - 4Q1/ 21-01-2015 15:00 Brussels : JAN - 4Q1 22-01-2015 09:00 Brussels : JAN - 4Q1 Extraordinary meeting + PUBLIC HEARING: 27-01-2015 15:00 Brussels : ASP - A5G-3 23-02-2015 15:00 Brussels : ASP - A5G-3 24-02-2015 09:00 Brussels : ASP - A5G-3/ 24-02-2015 15:00 Brussels : ASP - A5G-3 23-03-2015 15:00 Brussels : ASP - A5G-3 24-03-2015 09:00 Brussels : ASP - A5G-3/ 24-03-2015 15:00 Brussels : ASP - A5G-3 16-04-2015 09:00 Brussels : JAN - 6Q2/ 16-04-2015 15:00 Brussels : JAN - 6Q2

European Parliament Responsible Committee Advice Committee VMP - Responsible C - ENVI - Advice C AGRI MF - Responsible C AGRI - Advice C - ENVI

Focus points in the VMP Regulation 1 Economic incentives prescriber antibiotics forbidden!!! Single market: availability Cascade allowed when veterinary need, instead of emergency Cascade human antibiotics only after approval competent authority! Off-label possibility should continue Definition veterinary prescription? Language confusion. Only the vet to prescribe (veterinary act) How to define under his care? Prescription valid European wide

.and in VMP Regulation 2 Strict rules/ban Internet trade vmp Pharmacovigilance Promoting use of veterinary diagnostics lacking Ban/restriction prophylactic use antibiotics Definitions meta/prophylactic Antimicrobials antibiotics Lots of MEPs have a blind focus on antibiotic resistance (25.000 deaths annually in EU)

Regarding horses????

VMP regulation European Parliament: Responsible Committee: ENVI Rapporteur: Francoise Grossetête (EPP/FR) Opinion Marit Paulsen (ALDE, SE) Shadows: TĂNĂSESCU Claudiu Ciprian (S&D, RO), PIECHA Bolesław G. (ECR, PL), KYLLÖNEN Merja (GUE/NGL, FI), HÄUSLING Martin (Verts/ALE, DE), PEDICINI Piernicola (EFD, IT) 1117 AMENDMENTS -) Voted & adopted in Plenary Feb 2016 Council of the European Union: Technical discussions First reading has not been completed yet Discussions go very slow

Council of the EU Consists of Ministers and highest civil servants. In this case: Ministers of Agriculture / Public Health Chief Veterinary Officers Other experts Closer to home. This is a national lobby! Action of national veterinary bodies with some help of the FVE from Brussels

Actions against decoupling Prepared special paper Against decoupling Promoting farm visitation Systems & monitoring (based on article E. Vandaële and K.de Lange) Talked to many MEPs and other decision makers

European Parliament vote No decoupling! All antibiotics under vet prescription following clinical examination and diagnosis Preventative use of antimicrobials only in individual animals with exceptional indications, metaphylactic use following requirements Possibility to ban/restrict use of certain highly critical antibiotics for human health (FVE raised concern) Internet trade ban for antimicrobials, psychotropic, biological or immunological medicines + MS can go further prohibits veterinarians to have any interest in companies retailing veterinary medicines. Increased importance of diagnostic testing FVE s raised concerns that limited availability will remain

FVE Medicines legislation review State of play: European Parliament vote done 10 March 2016 Council discussions moving very slowly The first 67 articles have been discussed, most of them being on the basis of a second draft. SK Presidency makes effort to find agreement. However still very slow progress, very little sense of political urgency After Council manages to get an agreement, institutional agreement between Council and Parliament and Commission needs to be reached. Adoption 2017? FVE remains in regular contacts with all European Institutions

FVE Report finalised Feb 2016 Input for EFSA/EMA opinion Thank you for FEEVA to coordination all horse input