{"id":470,"date":"2026-03-02T10:55:10","date_gmt":"2026-03-02T10:55:10","guid":{"rendered":"https:\/\/efanet.org\/annual-report\/?page_id=470"},"modified":"2026-03-04T09:52:35","modified_gmt":"2026-03-04T09:52:35","slug":"efa-care-advocacy","status":"publish","type":"page","link":"https:\/\/efanet.org\/annual-report\/2023\/care\/efa-care-advocacy\/","title":{"rendered":"EFA Care Advocacy"},"content":{"rendered":"\n<p>The year 2023 was very intense for the development of legislation to address unmet medical needs, ensure better patient access to treatment, to reduce medicines shortages in the EU and be prepared with medical countermeasures against treats to health. EFA collaborated with the EMA and brought the allergy, atopic eczema, asthma and COPD patient perspective and agenda to several European Commission fora.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Shaping a future EU pharmaceutical legislation that works for patients<\/h2>\n\n\n\n<p>In 2023, EFA developed our allergy, atopic eczema and respiratory patients asks on the EU proposals to revise the current pharmaceutical framework, one of the most impactful legislations in health at the EU level.<\/p>\n\n\n\n<p>Following one EFA community strategic discussion on the proposals, and after the publication in late April of the European Commission proposals to review the pharmaceutical legislation EFA responded to the two <strong>EC final consultations<\/strong><strong> on the Directive on medicines<\/strong>, which emphasises driving innovation and access towards medicines for children and rare disease patients, <strong>and the proposal for a Regulation<\/strong> on how medicines are incentivised, authorised, and supervised in the EU.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"642\" height=\"542\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2025\/04\/EPF-european-patients-forum.jpg\" alt=\"\" class=\"wp-image-205\" style=\"width:150px\"\/><\/figure>\n<\/div>\n\n\n<p>As the legislation to be reviewed affects all patients and disease areas in Europe, EFA <strong>worked very closely with the European Patients\u2019 Forum<\/strong> (EPF). We contributed to EPF\u2019s \u2018paediatric task force\u2019 and the \u2018unmet medical needs task force\u2019, sharing in five dedicated meetings the needs and concerns from EFA communities as well as with written contributions which were then published in three EPF\u2019s papers.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">EFA\u2019s advocacy on the EU Pharmaceutical legislation in 2023<\/h4>\n\n\n\n<div class=\"wp-block-custom-timeline-block timeline-block\"><div class=\"timeline-event\"><div class=\"timeline-date\">May<\/div><div class=\"timeline-description\">EFA &#8211; EFA statement at EC Stakeholder dialogue on the revision of the EU Pharmaceutical legislation<\/div><\/div><div class=\"timeline-event\"><div class=\"timeline-date\">June<\/div><div class=\"timeline-description\">EFA &#8211; EFA questions to European Commission during a closed EMA\/PCWP special webinar on the revision of the pharmaceutical legislation<\/div><\/div><div class=\"timeline-event\"><div class=\"timeline-date\">July<\/div><div class=\"timeline-description\">EPF &#8211; A patient-centred revision of the EU pharmaceutical legislation\u2019,<\/div><\/div><div class=\"timeline-event\"><div class=\"timeline-date\">September<\/div><div class=\"timeline-description\">EPF &#8211; Ensuring access to paediatric medicines\u2019<\/div><\/div><div class=\"timeline-event\"><div class=\"timeline-date\">October<\/div><div class=\"timeline-description\">EPF &#8211; A patient-centred vision for unmet medical needs\u2019<\/div><\/div><div class=\"timeline-event\"><div class=\"timeline-date\">November<\/div><div class=\"timeline-description\">EFA &#8211; Response to final consultation on the proposal for a Directive on the Union code relating to medicinal products for human use (2023\/0132)<\/div><\/div><div class=\"timeline-event\"><div class=\"timeline-date\">November<\/div><div class=\"timeline-description\">EFA &#8211; Response to final consultation on the proposal for a Regulation on laying down procedures for the authorisation and supervision of medicinal products for human use and establishing rules for governing the European Medicines Agency (2023\/0131)<\/div><\/div><\/div>\n\n\n\n<ul class=\"wp-block-list\"><\/ul>\n\n\n\n<p>EFA coordinated the work of the European Lung Health Group (ELHG) on the revision of the EU pharmaceutical framework, and proposed recommendations to make the proposal more reflective of lung health needs to the European Parliament, that we shared with 13 Members of the European Parliament (MEPs) across all political groups acting as Rapporteurs and Shadow Rapporteurs on the two proposals.&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"752\" height=\"414\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/EC-stakeholder-workshop.png\" alt=\"\" class=\"wp-image-966\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/EC-stakeholder-workshop.png 752w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/EC-stakeholder-workshop-300x165.png 300w\" sizes=\"auto, (max-width: 752px) 100vw, 752px\" \/><\/figure>\n<\/div>\n\n\n<p><em>During the EC stakeholder dialogue on the legislative proposals, EFA Director of Policy and Communications Isabel Proa\u00f1o encouraged the Commission to reinforce the definition of unmet medical needs to reflect disease severity, to maintain the printed package leaflet in medicines, and to cascade information of the novel Environmental Risk Assessment (ERA) to the patient to inform their choices regarding sustainability.&nbsp;&nbsp;<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Improving patient-centric authorisation of medicines<\/h2>\n\n\n\n<h4 class=\"wp-block-heading\">Medicines in the EU<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"144\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/27.-EMA_logo-300x144.jpg\" alt=\"\" class=\"wp-image-761\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/27.-EMA_logo-300x144.jpg 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/27.-EMA_logo.jpg 500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>The European Medicines Agency (EMA) is requesting more often and deeper collaboration with European level patient organisations, through more opportunities to engage in expert workshops and new tools.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In 2023, EFA participated in the four EMA Patients\u2019 and Consumers\u2019 Working Party meetings, organised jointly with the <strong>Healthcare Professionals Working Party<\/strong> (HPWP).<\/li>\n\n\n\n<li>Importantly, in 2023, EFA was invited to provide with the community feedback through \u201cearly contacts\u201d at the very start of two authorisation application procedures by the <strong>Committee on Human Medicinal Products <\/strong>(CHMP): on <strong>Ebglyss<\/strong> (lebrikizumab) intended for the treatment of moderate-to-severe atopic dermatitis in adults and adolescents, and on <strong>Delgocitinib<\/strong> intended for the treatment of moderate to severe chronic hand eczema.<\/li>\n\n\n\n<li>A patient from our community participated in November on a Scientific Advisory (SA) procedure evaluation of the benefits and risks on the extension of indication of the <strong>pneumococcal vaccine <\/strong>to include infants, children, and adolescents from 6 weeks to less than 18 years of age for the prevention of invasive disease, pneumonia and acute otitis media caused by Streptococcus pneumoniae.<\/li>\n\n\n\n<li>As a community, EFA ensured the medicine overview reviews by patients for three newly authorised medicines: vaccines to treat Respiratory syncytial virus (RSV) &#8211;<strong>Abrysvo<\/strong> and <strong>Arexvy<\/strong>-, and a medicine treating people against chronic cough (Lyfnua).<\/li>\n\n\n\n<li>EFA also supported EMA in preparing their communication about a key deliverable of the year: the <strong>first Union list of priority medicines<\/strong>, published in December.<\/li>\n\n\n\n<li>To inform <strong>the Pharmacovigilance Risk Assessment Committee<\/strong> (PRAC), we gathered EFA community experience with <strong>pholcodine-containing medicines<\/strong> that are indicated in the treatment of non-productive cough to inform EMA\u2019s ongoing safety review for severe allergic reactions and we consulted throughout the year our communities on their awareness of ischaemic cerebrovascular adverse drug reactions with <strong>pseudoephedrine-containing medicines<\/strong>.<\/li>\n\n\n\n<li>We also engaged in regulatory discussions through written consultations to the \u201c<strong>EMA Guideline on registry-based studies<\/strong>\u201d and the \u201cConcept paper on revision of the Guideline on clinical investigation of medicinal products in the treatment of patients with <strong>acute respiratory distress syndrome<\/strong>\u201d.<\/li>\n\n\n\n<li>We also brought EFA community experience and views to the high-level discussions around shortages (workshop in March), on the novel qualification methodologies (workshop in April), on access of paediatric patients to clinical trials across borders (workshop from Enpr-EMA project in May), and on the use of big data the value of Real-World Evidence (RWE), novel technologies and methods driving changes in evidence generation (December).<\/li>\n<\/ul>\n\n\n\n<p><em>EFA is eligible member organisation to the EMA since 2013, represented by EFA Director of Policy and Communications, Isabel Proa\u00f1o, and EFA past Vice-President and President of EFA Dutch Member the Stichting Voedselallergie, Erna Botjes.<\/em><\/p>\n\n\n\n<div class=\"wp-block-custom-key-figures key-figures-block\"><div class=\"key-figures-title\">EFA\u2019s collaboration with EMA in 2023<\/div><div class=\"key-figures-list\"><div class=\"key-figure\"><div class=\"key-number\">4<\/div><div class=\"figure-description\">PCWP\/HPWP meetings<\/div><\/div><div class=\"key-figure\"><div class=\"key-number\">2<\/div><div class=\"figure-description\">Early contacts forms submitted to CHMP<\/div><\/div><div class=\"key-figure\"><div class=\"key-number\">2<\/div><div class=\"figure-description\">Medicine safety review information to PRAC<\/div><\/div><div class=\"key-figure\"><div class=\"key-number\">3<\/div><div class=\"figure-description\">Medicine overviews reviews<\/div><\/div><div class=\"key-figure\"><div class=\"key-number\">2<\/div><div class=\"figure-description\">Written consultations on draft guidelines<\/div><\/div><div class=\"key-figure\"><div class=\"key-number\">3<\/div><div class=\"figure-description\">Expert workshops<\/div><\/div><\/div><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">Reducing inequalities by informing EU joint Health Technology Assessment (HTA)<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"233\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/Directorate-General_for_Health_and_Food_Safety-300x233.png\" alt=\"\" class=\"wp-image-973\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/Directorate-General_for_Health_and_Food_Safety-300x233.png 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/Directorate-General_for_Health_and_Food_Safety.png 340w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>In 2023, the EU continued preparing the field for the implementation of the EU regulation on <strong>Health Technology Assessment (HTAR) adopted end 2021. <\/strong>HTA is the crucial step to assess if and how a medicine will access a market; the assessment informs governments and healthcare systems\u2019 decisions on the eligible patients for a given medicine, the pricing and reimbursement.<\/p>\n\n\n\n<p>As part of the preparatory work, the European Commission launched the<strong> HTA Stakeholder Network and EFA was elected to be a member.<\/strong> The HTA Stakeholder Network is composed of European level patients and healthcare professionals\u2019 associations, research and industry organisations and it will be the central consultative body involved in the upcoming joint work on HTA at EU.<\/p>\n\n\n\n<p><strong>As a vibrant community, in 2023 EFA voiced our community\u2019s expectations for change and evolution in the approach to HTA practices in Europe<\/strong>. We participated in three meetings of the network and expressed the need to increase coherence between clinical trials data, medicines authorization and HTA procedures. We highlighted the absolute need for a shift towards meaningful patient involvement on HTA and to avoid the current tokenism. We also encouraged the Commission to develop future-proof procedures that embrace upcoming medicinal technologies, especially combination products (medicine with a medical device) and e-products.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HTA-launch-1024x768.jpeg\" alt=\"\" class=\"wp-image-967\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HTA-launch-1024x768.jpeg 1024w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HTA-launch-300x225.jpeg 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HTA-launch-768x576.jpeg 768w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HTA-launch-1536x1152.jpeg 1536w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HTA-launch.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p><em>From left to right, Isabel Proa\u00f1o (Director of Policy and Communications at EFA), Maya Mathews (European Commission Head of Unit of Unit in charge of HTA at DG SANTE), Julie Spony (Policy Officer at European Patients\u2019 Forum) and Rosa Castro (Senior Policy Manager at European Public Health Alliance) during the first meeting of the HTA Stakeholder network in June.<\/em><\/p>\n\n\n\n<p><strong>EFA\u2019s perspective will guide the Commission proposals for adjacent legislation on the HTAR foreseen to be adopted in 2024. EFA will continue bringing these issues up towards 2030, the moment when joint EU HTA will also be applicable to technologies for allergy and airways diseases.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Advocating for safer and cleaner medicines<\/h2>\n\n\n\n<p>As for the sustainable transition of the pharmaceutical sector, in September EFA participated in the European Chemicals Agency (ECHA) consultation on the proposal for the restriction of certain per- and polyfluoroalkyl substances (PFASs). Currently, there are several PFAS for medical use which are used as excipients in rescue inhalers for asthma and COPD. The ECHA restriction proposal has been brought up by several Member States and it is grounded on concerns over the persistence of PFASs on the environment after being used and released, and the subsequent risks for public health.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/PFAS-ECHA-Restriction-proposals.png\" alt=\"\" class=\"wp-image-968\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/PFAS-ECHA-Restriction-proposals.png 1024w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/PFAS-ECHA-Restriction-proposals-300x150.png 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/PFAS-ECHA-Restriction-proposals-768x384.png 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>As representatives of people who depend on PFAS containing medicines, and at the same time are impacted by their use, EFA put forward recommendations for more scientifically valid information and foresight on how an EU restriction would affect access to basic medication for asthma and COPD patients. EFA also recommended to consider investing in patient education, to optimise the use of PFAS containing medicines, and providing more information about the medicines\u2019 composition, environmental footprint, its presentation, and disposal options.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Health Data, breaking digital barriers for patients<\/h2>\n\n\n\n<p>Following the launch of a proposal for a <strong>Regulation on a European Health Data Space (EHDS) <\/strong>in 2022, EFA continued its work and reach out to the Members of the European Parliament in 2023 to put forward <strong>patients\u2019 views to the sharing of digital health data<\/strong>.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"642\" height=\"542\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2025\/04\/EPF-european-patients-forum.jpg\" alt=\"\" class=\"wp-image-205\" style=\"width:150px\"\/><\/figure>\n<\/div>\n\n\n<p>We held two meetings with key Members of the European Parliament (MEPs) from S&amp;D, MEP Petar Vitanov (Bulgaria), Shadow Rapporteur on EHDS at the LIBE Committee, and from Renew, MEP Andreas Gluck (Germany), Shadow Rapporteur on EHDS Opinion at the ITRE Committee. Moreover, EFA has contributed to and taken part in the European Patients\u2019 Forum (EPF) Digital Health working group who met three times in 2023. Together and supporting EPF, we have shown strong alignment on important patient considerations arising from the EHDS proposal, such as the need to have and \u2018opt-out mechanism\u2019 when collecting individual data and sharing it, and the premises for patients and organisations to have \u2018access to justice\u2019 in case of data use misconduct.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"400\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/TEHDAS.png\" alt=\"\" class=\"wp-image-976\" style=\"width:150px\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/TEHDAS.png 800w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/TEHDAS-300x150.png 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/TEHDAS-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>In 2023, as the Joint Action Towards a European Health Data Space (TEHDAS) wrapped up its work, EFA attended the final Stakeholder Forum in June, which served to present the final recommendations on data governance, infrastructure, and citizens\u2019 views on data use. <strong>EFA contributed to TEHDAS with input to the recommendations, reinforcing patients\u2019 involvement in data governance.<\/strong> Specifically, EFA together with the European Lung Health Group highlighted that in the <strong>future European Health Data Space (EHDS),<\/strong> patients should not become health data subjects, <strong>but rather be at the centre of the digital health ecosystem.<\/strong> With strengthened and clear communication, transparency, and accountability in data sharing, there will also be strengthened <strong>trust and value<\/strong>.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"98\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/OIP-4-300x98.jpg\" alt=\"\" class=\"wp-image-977\" style=\"width:150px\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/OIP-4-300x98.jpg 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/OIP-4.jpg 458w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>EFA also continued its partnership with the Healthcare and Information Management System Society (HIMSS), being one of the few organizations representing patients\u2019 views on health data. In 2023, EFA was selected as speaker in one of the main sessions of the <strong>HIMSS European Health Conference &amp; Exhibition in Lisbon, discussing patients and data<\/strong>. With this occasion, EFA Vice-President, Armando Ruiz brought forward \u2018Patients &amp; health data: Insights from respiratory diseases patients\u2019, on key trust issues for patients when accessing health data across borders and within regional healthcare systems.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/CARE-Policy-Digital-Health-Armando-HIMSS-1024x768.jpg\" alt=\"\" class=\"wp-image-969\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/CARE-Policy-Digital-Health-Armando-HIMSS-1024x768.jpg 1024w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/CARE-Policy-Digital-Health-Armando-HIMSS-300x225.jpg 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/CARE-Policy-Digital-Health-Armando-HIMSS-768x576.jpg 768w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/CARE-Policy-Digital-Health-Armando-HIMSS-1536x1152.jpg 1536w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/CARE-Policy-Digital-Health-Armando-HIMSS.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p><em>EFA Vice-President, Armando Ruiz, brought the patient respiratory perspective to health data and digitalisation to the HIMSS 2023 European conference.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Disease prevention<\/h2>\n\n\n\n<p>Following EFA\u2019s election to the Civil Society Forum (CSF) of the European Commission Health Emergency Preparedness and Response Authority (HERA) in 2022, EFA actively participated informing the work of HERA in 2023, attending all meetings and contributing to the consultations and participating the three ad hoc working groups (future of HERA, health threats, and training). EFA actively contributed to the CSF discussion <a href=\"https:\/\/health.ec.europa.eu\/system\/files\/2023-11\/hera_csf-wg1_discussion-paper_en_2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">paper<\/a> on the strategy and future role of HERA, strongly defending the role of civil society in emergency response as well as the need to broaden the scope of HERA to also consider non-communicable diseases such as allergy and respiratory diseases on preparedness and response, and not just infectious threats.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/hera_health-union_highlight-300x200.jpg\" alt=\"\" class=\"wp-image-970\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/hera_health-union_highlight-300x200.jpg 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/hera_health-union_highlight.jpg 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>In 2023, EFA participated in three different workstreams of HERA bringing EFA\u2019s community perspective: the<strong> prioritisation exercise of medical countermeasures against health threats<\/strong> (i.e., medicines, vaccines, medical devices), the<strong> optimal requirements for pandemic-proof respiratory protection technologies<\/strong>, and the <strong>horizon scanning of technologies to address pathogens in indoor air<\/strong>.<\/p>\n\n\n\n<p>As member of the CSF, EFA brought the patient perspective hand in hand with the European Patients Forum (EPF) to the annual HERA 2023 conference as the one of the two civil society representatives in the panels. Our intervention on addressing medicines shortages, which included an example or a shortage affecting basic and critical asthma treatment, was appreciated by the co-panellists and audience.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"545\" src=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HERA-picture.jpeg\" alt=\"\" class=\"wp-image-971\" srcset=\"https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HERA-picture.jpeg 900w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HERA-picture-300x182.jpeg 300w, https:\/\/efanet.org\/annual-report\/wp-content\/uploads\/2026\/03\/HERA-picture-768x465.jpeg 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n<\/div>\n\n\n<p><em>EFA\u2019s Director of Policy and Communications Isabel Proa\u00f1o (on the left) brought the patient to the HERA Conference session on \u2018Ensuring the availability of critical medical countermeasures in Europe\u2019 with EMA Executive Director Emer Cooke, Portuguese Minister of Health Manuel Pizarro, MEP Sara Cerdas (Portugal\/S&amp;D) and HERA Director General Laurent Muschel.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The year 2023 was very intense for the development of legislation to address unmet medical needs, ensure better patient access to treatment, to reduce medicines shortages in the EU and be prepared with medical countermeasures against treats to health. EFA collaborated with the EMA and brought the allergy, atopic eczema, asthma and COPD patient perspective [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":442,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page_2023.php","meta":{"_acf_changed":false,"inline_featured_image":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":""},"class_list":["post-470","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>EFA Care Advocacy - EFA - Annual Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/efanet.org\/annual-report\/2023\/care\/efa-care-advocacy\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EFA Care Advocacy - EFA - Annual Report\" \/>\n<meta property=\"og:description\" content=\"The year 2023 was very intense for the development of legislation to address unmet medical needs, ensure better patient access to treatment, to reduce medicines shortages in the EU and be prepared with medical countermeasures against treats to health. 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