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Maintaining Public Trust in use of Digital Health for Health Science in a COVID 19 and Post COVID 19 world

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Executive Summary: The battle is far from won to defeat the coronavirus pandemic as it kills hundreds of thousands, infects millions, and constrains so many in lockdowns and social distancing. The challenge can induce dismay, discouragement, even despondency – but the webinar that EAPM held on 30 June offered a very different perspective, visionary, exciting and encouraging. It certainly did not duck the difficult issues, but in facing them head-on, it also highlighted the dynamism and momentum of the science and technology that offers the best hope of vanquishing the immediate enemy, and of constructing a vastly more sophisticated approach to tackling disease and ensuring healthcare. Participants from the EU institutions, patient organisations, academia and industry and from across a wide range of disciplines and experience recounted not only their current endeavours to provide better protection against disease, but also how they could see a move – with the right degree of trust - towards radical solutions that can improve health for the future. As with all EAPM meetings, the participation – both among panellists and those who tuned in to the webinar – reflected the diversity of the challenges of personalised medicine and of the multi-stakeholder involvement in meeting those challenges. And the degree of consensus evident on many of the issues discussed will be reflected in other EAPM publications currently in preparation. The webinar demonstrated the scope and intensity of the work underway – often in the public gaze, but also behind the scenes – in devising and deploying new digital techniques for deepening understanding of human biology. It illustrated how science is exploring new realms of molecular diagnostics, how clinical researchers are designing more effective ways of treating – and preventing – disease, and how patient organisations, academics, authorities and policymakers are rethinking the approaches to healthcare to ensure its efficiency and sustainability in increasingly challenging times. The webinar also demonstrated the strength of desire for – and commitment to – closer cooperation among all stakeholders. The solidarity championed by the Croatia Presidency in these challenging times, and the intentions expressed by Germany for its Presidency, of deploying innovation for the common good, were echoed and applauded by the participants at the meeting. There is a sense of the opportunity for collaboration as we find our feet in the COVID 19 era. Germany will steer the EU through a challenging phase of evolution, with decisions awaited on issues as weighty as major shifts in EU spending patterns, managing the COVID 19 recovery, tackling climate change, and the nature of the EU’s future relationship with the UK. There are important health issues to be dealt with too – from the new multi-billion health programme, the cancer mission and beating cancer plan, the continued fight against anti-microbial resistance, and drug-related challenges like the new pharmaceutical strategy, overcoming shortages, and coordinating health technology assessment. But on these, as on the specific issues tackled by the webinar, it is crucial that the EU as a collection of Member States needs to find a common voice consistent with EU values, and to ensure that actions taken are complementary and reinforcing, with the left hand and the right hand working together. That way the chances are maximised, in the health field and more broadly, of promoting what EAPM calls the 3is: innovation, investment, incentive. Without this, healthcare advances will not be translated into use in healthcare systems, leaving Europe trailing other regions of the world as a fully integrated healthcare centre of excellence and innovation. The clear message shared among all was that securing and maintaining trust is an essential condition to take advantage of the opportunities in the face of increasingly rapid development and change. And the webinar itself, in terms both of its multi-stakeholder participation and of the broad consensus that developed around the importance of cooperation, was an example of exactly that necessary integration of advanced science with human systems.

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Astrid Vicente, Coordinator of the Department of Health Promotion and Prevention of Non- communicable Diseases, and a Principal Investigator at Portugal’s Instituto Nacional de Saude Doutor Ricardo Jorge, who is also the Vice-chair of ICPerMed.

Keywords

Personalised Medicine International Consortium for Personalised Medicine ICPerMed Digital Health Health Science Public Trust COVID-19

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