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Our annual conference, this year with the theme ‘Equality in Health for People with Allergy, Asthma and COPD in Europe – Through prevention and self management to better quality of life’ was held 30 May – 2 June, kindly hosted by the Bulgarians with Bronchial Asthma. The purpose was to update on the very latest research, share best practices on national activities by patient organisations and update on the EU policies having impact on patients with allergy, asthma and COPD. The conference ended by presenting the points of action that urgently need to be taken on European and national level to answer the needs of our patients across Europe, prioritised and agreed by EFA members during the Conference. These will be summarised in the Forthcoming EFA Sofia Declaration and communicated to decision makers and stakeholders concerned, and input to EFA priorities.