ABSTRACT
In 2016, the Hepatitis B and C Public Policy Association (HepBCPPA), gathered all the main stakeholders in the field of hepatitis C virus (HCV) to launch the now landmark HCV Elimination Manifesto, calling for the elimination of HCV in the EU by 2030. Since then, many European countries have made progress towards HCV elimination. Multiple programs - from the municipality level to the EU level - were launched, resulting in an overall decrease of viremic HCV infections and liver-related mortality. However, as of 2021, most countries are not on track to reach the 2030 HCV elimination targets set by the WHO. Moreover, the COVID-19 pandemic has resulted in a decrease in HCV diagnoses and fewer direct acting antiviral treatment initiations in 2020. Diagnostic and therapeutic tools to easily diagnose and treat chronic HCV infection are now well established. Treating all patients with chronic HCV infection is more cost-saving than treating and caring for patients with liver-related complications, decompensated cirrhosis or hepatocellular carcinoma. It is more important than ever to reinforce and scale-up action towards HCV elimination. Yet, efforts urgently need the dedicated commitment of policymakers at all governmental and policy levels. Therefore, the 3rd EU Policy Summit, held in March 2021, featured EU parliamentarians and other key decision makers to promote dialogue and take strides towards securing wider EU commitment to advance and achieve HCV elimination by 2030. We have summarized the key action points and report the 'Call-to-Action' statement supported by all the major relevant European associations in the field.
ABSTRACT
Although actions promoting sustainable energy production and consumption have been widely approached in the literature, the management of the big scientific projects devoted to these actions have not been considered as a matter of study from the perspective of sustainable development, but almost exclusively from the scientific or technical ones. Experiences all over the world are increasingly demonstrating that the impact of the project phase is more critical than expected. In this sense, the joint international research on clean and more efficient nuclear power, especially fusion, is currently focused on two large projects: ITER and IFMIF-DONES. Although ITER is step by step advancing, IFMIF-DONES still has a long way before it is actually implemented and its main target (the evaluation of the materials to build the future nuclear fusion reactors) is achieved. In this work, the different steps focused on IFMIF-DONES funding and management planning up to date are analysed and, departing from them, some key points on the future development of the project are proposed.