Health
Concerns Emerge Over Potential Merger of EU Health Funding Into Competitiveness Fund
Leaked documents outlining possible changes to the European Union’s next seven-year budget have sparked concerns within the health sector, with fears that health funding could be absorbed into a broader European Competitiveness Fund. The early blueprints, seen by Euronews, suggest that this restructuring could compromise long-term health initiatives and shift resources away from vital public health programs.
The draft proposal, which is not expected to be officially presented until June 2024, suggests consolidating health funding—currently allocated under the EU4Health program—into a single fund aimed at enhancing the bloc’s strategic autonomy and competitiveness. EU4Health, established in response to the COVID-19 pandemic, provided €5.3 billion, a notable increase compared to previous health budgets, reflecting the growing recognition of health as a priority beyond national borders.
However, merging health funding with other programs such as Horizon Europe, which supports research and innovation, and other sectors like space and digital, has raised alarms. Green MEP Tilly Metz voiced concerns that the merger could result in health funding being “shifted away for other purposes,” a risk the sector has faced in the past. Earlier this year, for example, approximately €1 billion was reallocated from EU4Health to help fund Ukraine’s aid package.
Metz also emphasized that health funding is not solely about developing new treatments but encompasses public health initiatives, prevention, and awareness programs. She warned that these critical areas could be overlooked in favor of economic priorities if health is bundled into a broader competitiveness-focused fund.
Before the introduction of EU4Health, health funding under the EU’s budget was minimal, with just €450 million allocated for health between 2014 and 2020. In contrast, EU4Health has supported several key initiatives, including a €1.3 million project addressing Europe’s nursing shortage by promoting the profession in member states facing the most severe shortfalls.
While the restructuring is still under internal consultation, it has raised concerns that EU4Health could be at risk of being dissolved altogether. Sandra Gallina, the European Commission’s director-general for health, recently hinted that the program might have been a one-time initiative.
An anonymous EU official suggested that merging health funding with other programs could be the only way to ensure a substantial health budget, fearing that without it, health funding may be scrapped entirely.
Former EU Health Commissioner Vytenis Andriukaitis echoed these concerns, stating that the current budget is insufficient and that the situation could worsen with the expected enlargement of the EU. He advocated for generating new resources specifically for health to address the funding shortfall.
The ongoing debate over the EU’s Multiannual Financial Framework (MFF) is critical for regions, which play a significant role in health policy and innovation. Michele Calabrò from Euregha, a network of regional health authorities, warned that the restructuring must not weaken or dilute health-dedicated funding or undermine the role of regional actors in health governance.
Health
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Health
Obesity Linked to Poorer Outcomes in Childhood Cancer Patients, Study Finds
Children with obesity diagnosed with cancer face significantly worse health outcomes, including a heightened risk of relapse and death, according to a new Canadian study.
The research, published in the journal Cancer, analyzed data from over 11,000 cancer patients aged 2 to 19, of whom 10.5% were obese at diagnosis. The study examined various cancers, including leukemia, lymphoma, and other tumors, and found that obesity negatively impacted outcomes across the entire cohort.
Increased Risk of Relapse and Mortality
The findings revealed that obese children had a 16% higher risk of cancer relapse and a 29% increased risk of death within five years of diagnosis, even after accounting for factors such as age, sex, and ethnicity.
“Our study highlights the negative impact of obesity among all types of childhood cancers,” said Dr. Thai Hoa Tran, a pediatric hematologist and oncologist at the University Hospital Centre Sainte-Justine in Montreal, Canada, and one of the study’s authors.
Dr. Tran emphasized the need for strategies to address obesity’s impact on cancer outcomes in future clinical trials and highlighted the importance of combating the childhood obesity epidemic to prevent severe health consequences.
Acute Lymphoblastic Leukemia and Brain Tumors Most Affected
The study found the impact of obesity was particularly pronounced in children with acute lymphoblastic leukemia (ALL)—a cancer of the blood and bone marrow—and brain tumors. Researchers suggested that fat tissue may play an active role in tumor progression, metastasis, and resistance to treatment.
Previous research has indicated that adipose (fat) tissue cells can promote tumor development and hinder the effectiveness of therapies. Additionally, the study noted concerns about potential undertreatment and inappropriate dosing of chemotherapy in obese patients, which could further compromise outcomes.
Limitations and Calls for Improved Measures
The researchers acknowledged limitations in their study, including reliance on body mass index (BMI) to define obesity. They pointed out that BMI is an imprecise measure that does not fully capture body composition or nutritional status.
“BMI remains a crude and imperfect measure,” the authors wrote, echoing recent calls from experts to adopt more accurate diagnostic tools for obesity. Critics argue that BMI may lead to overdiagnosis or fail to reflect the nuanced impact of weight on health outcomes.
Implications and Urgency
The findings underscore the urgent need for interventions targeting childhood obesity and call for more precise research to better understand the interplay between obesity and cancer treatment. As childhood obesity rates continue to rise globally, addressing this epidemic could have far-reaching implications for improving survival rates and health outcomes for young cancer patients.
Health
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