Tag Archives: Nutrition

Animal welfare

Animal welfare

Outline of the Community (European Union) legislation about Animal welfare

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Food safety > Animal welfare

Animal welfare

The European Union recognises animals as sentient beings that deserve protection. Community legislation sets minimum requirements in order to spare animals from any unnecessary suffering in three main areas: farming, transport and slaughter. It also tackles other issues, such as animal experiments and the fur trade. The 2006-2010 action plan sets out the broad outlines for European intervention in this field, both within the EU and beyond its borders.

GENERAL STRATEGY

  • Action plan on animal welfare 2006-2010

LIVESTOCK FARMING

  • European Convention for the Protection of Animals kept for Farming Purposes
  • Protection of farmed animals
  • Protection of chickens kept for meat production
  • Protection of laying hens
  • The protection of pigs
  • Protection of calves intended for slaughter
  • The keeping of wild animals in zoos

TRANSPORT

  • Animal welfare during transport
  • Community standards on staging points

SLAUGHTER

  • European Convention on the protection of animals at the time of slaughter
  • Protection of animals at the time of killing

OTHER

  • Protection of laboratory animals
  • Cosmetic products (from 2013)
  • Cosmetic products (until 2013)
  • Ban on trade in cat and dog fur
  • Trade in seal products

Animal health

Animal health

Outline of the Community (European Union) legislation about Animal health

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Food safety > Animal health

Animal health

In order to prevent and to combat diseases afflicting animals, the European Union has devised measures to limit the risks of outbreaks and the spread of these diseases and to eradicate them once they have been detected. This legislation complements the rules on veterinary checks and food hygiene, and includes general provisions on the surveillance, notification and treatment of infectious diseases and their vectors, and specific provisions for certain diseases such as bovine spongiform encephalopathy (BSE), foot and mouth disease or bird flu. Rules applicable to animal medicines have also been established.

MISCELLANEOUS PROVISIONS

  • European Union Animal Health Strategy (2007-2013)
  • Monitoring of zoonoses and zoonotic agents
  • Control of salmonella and other zoonotic agents
  • Notification of diseases
  • Community strategy against antimicrobial resistance

TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES (TSEs) AND BOVINE SPONGIFORM ENCEPHALOPATHIES (BSEs)

  • Transmissible Spongiform Encephalopathies (TSEs)
  • BSE: state of play in March 2003

FOOT AND MOUTH DISEASE

  • The fight against foot-and-mouth disease

BLUETONGUE

  • Bluetongue

CLASSIC AND AFRICAN SWINE FEVERS

  • Control of classical swine fever
  • African swine fever

OTHER DISEASES

  • African horse sickness
  • Swine vesicular disease and other animal diseases
  • Avian influenza
  • Fight against Newcastle disease
  • Animal health requirements for aquaculture animals and products thereof
  • Control measures: fish diseases

VETERINARY MEDICINE

  • Community code relating to veterinary medicinal products
  • Preparation and marketing of medicated foodstuffs for animals

Veterinary checks, animal health rules, food hygiene

Veterinary checks, animal health rules, food hygiene

Outline of the Community (European Union) legislation about Veterinary checks, animal health rules, food hygiene

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Food safety > Veterinary checks animal health rules food hygiene

Veterinary checks, animal health rules, food hygiene

At the beginning of the 2000s, the European Union introduced an initiative called ‘From the Farm to the Fork’ based on risk analysis and traceability, with the aim of guaranteeing food safety. In line with this approach, foodstuffs are monitored at all susceptible stages of the production chain, in order to make sure that strict hygiene rules are adhered to. The EU also regulates on the trade in animals and animal products between Membe States and with third countries. The EU and its Member States have a number of instruments at their disposal to ensure that these checks are carried out properly, such as the European Food Safety Authority or the TRACES system (TRAde Control and Expert System).

CONTROLS AND FOOD HYGIENE RULES

Hygiene package

  • Food hygiene
  • Hygiene for food of animal origin
  • Official controls on products of animal origin intended for human consumption

Additional acts

  • Food and feed safety
  • Official feed and food controls
  • Animal health rules governing the production, processing, distribution and introduction of products of animal origin for human consumption

INFORMATION EXCHANGES AND VERIFICATION MECHANISMS

  • TRACES system
  • CIS system
  • SHIFT system
  • Mutual assistance between national administrations
  • Training of food safety control authorities

IMPORTS FROM THIRD COUNTRIES AND INTRA-COMMUNITY TRADE

General provisions

  • Imports of products
  • Checks on the imports of live animals
  • Imports of products of animal origin
  • Intra-Community trade and imports of certain animals and their semen, ova and embryos
  • Veterinary and zootechnical checks of animals and products of animal origin for intra-Community trade
  • Animal health and public health: other products of animal origin
  • Marketing of pure-bred animals

Specific provisions – Cattle

  • Intra-Community trade of bovine animals and swine
  • Intra-Community trade in bovine pure-bred breeding animals
  • Intra-Community trade in and imports of bovine embryos
  • Intra-Community trade in and imports of bovine semen
  • Placing on the market and administration of bovine somatotrophin
  • Identification and labelling of beef and veal

Specific provisions – Pigs

  • Identification and registration of pigs
  • Intra-Community trade in and imports of porcine semen
  • Intra-Community trade in breeding pigs

Specific provisions – Ovine and caprine animals

  • Identification and registration of ovines and caprines
  • Intra-Community trade in ovine and caprine animals
  • Intra-Community trade in pure-bred breeding sheep and goats

Specific provisions – Bird species

  • Bird imports
  • Intra-Community trade in poultry and hatching eggs
  • Production and marketing of eggs and chicks

Specific provisions – Equidae

  • Intra-Community movement and importation of equidae
  • Intra-Community trade in equidae and their semen, ova and embryos
  • Competitions and intra-Community trade in equidae

Specific provisions – Meat and meat-based products

  • Prohibition on administering hormones (and other substances) to farm animals
  • Monitoring substances having a hormonal action and other substances in animals and animal products

Other specific provisions

  • Non-commercial movements of pet animals
  • Imports and transit of certain ungulate animals
  • Raw milk and dairy products
  • Untreated and Heat-treated milk
  • Animal health requirements for aquaculture animals and products thereof
  • Placing on the market of aquaculture animals and products

Specific themes

Specific themes

Outline of the Community (European Union) legislation about Specific themes

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Food safety > Specific themes

Specific themes

Certain issues are of particular importance to consumers, especially where they concern their health. The European Union takes action in these areas in order to prevent and curtail the risks associated, for example, with genetically modified organisms, or with certain diseases affecting animals, such as bovine spongiform encephalopathy or foot and mouth disease.

GENETICALLY MODIFIED ORGANISMS (GMOs)

  • Food and Feed (GMO)
  • Traceability and labelling of GMOs
  • Unique identifiers for GMOs
  • Deliberate release of genetically modified organisms (GMOs)
  • Contained use of genetically modified micro-organisms (GMMs)
  • Transboundary movement of genetically modified organisms

TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES (TSEs) AND BOVINE SPONGIFORM ENCEPHALOPATHIES (BSEs)

  • Transmissible Spongiform Encephalopathies (TSEs)
  • BSE: state of play in March 2003

FOOT AND MOUTH DISEASE

  • The fight against foot-and-mouth disease

Plant health checks

Plant health checks

Outline of the Community (European Union) legislation about Plant health checks

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Food safety > Plant health checks

Plant health checks

In order to prevent any risk to human food and animal feed and to guarantee healthy and good quality crops, the EU places great emphasis on plant and crop protection. There are therefore checks on the movement of plants within the EU or from third countries in order to combat the emergence and spread of harmful organisms. The EU also ensures that plant health products are not harmful to health or the environment, specifically through an authorisation system and maximum residue limits in plants.

PHYTOPHARMACEUTICAL PRODUCTS: EVALUATION AND AUTHORISATION

  • Placing of plant protection products on the market
  • The placing of plant protection products on the market (until June 2011)
  • Plant protection products prohibited (until June 2011)
  • Supplementary protection certificate for plant protection products
  • Training of food safety control authorities

PESTICIDE RESIDUES

  • Biocides
  • Pesticides
  • Maximum pesticide limits for food products for human consumption and animal feedingstuffs
  • Towards a thematic strategy on the sustainable use of pesticides

PLANT HEALTH AND PLANT PROTECTION – HARMFUL ORGANISMS

  • Protection against organisms harmful to plants and plant products

Healthy diet for a healthy life

Healthy diet for a healthy life

Outline of the Community (European Union) legislation about Healthy diet for a healthy life

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Public health > Health determinants: lifestyle

Healthy diet for a healthy life

Document or Iniciative

Commission Recommendation No 2010/250/EU of 28 April 2010 on the research joint programming initiative “A healthy diet for a healthy life”.

Summary

Through this Recommendation, the European Commission invites Member States to develop and implement a common strategy for the prevention of diet-related diseases.

What are the risks related to poor diet?

Overweight and obesity may lead to conditions such as:

  • cardiovascular disease;
  • hypertension;
  • type 2 diabetes;
  • strokes;
  • certain cancers;
  • musculo-skeletal disorders;
  • certain mental health conditions.

However, these risks could be reduced if individuals were to adopt healthy behaviour, particularly in terms of diet. If lifestyle risk factors were eliminated, around 80 % of cases of heart disease, strokes and type 2 diabetes, and 40 % of cancers, could be avoided.

Which measures are Member States invited to put in place?

In order for research in the area of diet-related diseases to be more effective, the Commission invites Member States to develop and implement a strategic research agenda based on a common approach to the prevention of diet-related diseases.

The agenda shall contain an implementation plan establishing priorities and timelines and the action, instruments and resources required.

The strategic research agenda and implementation plan shall include the following actions in particular:

  • identifying and exchanging information on relevant national programmes and research activities;
  • identifying areas or research activities that would benefit from coordination or joint calls for proposals or pooling of resources;
  • exchanging information, resources, best practices, methods and guidelines, while establishing clinical studies;
  • exporting and disseminating knowledge, innovation and interdisciplinary approaches;
  • creating a network between existing specialised centres.

Member States shall set up a common management structure to establish common conditions, rules and procedures for cooperation and coordination. They shall also monitor implementation of the strategic research agenda.

Context

Overweight and obesity have increased greatly among European Union citizens over the past three decades. This trend is becoming more pronounced with time. The Competitiveness Council which met on 3 December 2009 recognised the need to launch a joint programming initiative to be led by Member States and facilitated by the Commission.

Obesity, nutrition and physical activity

Obesity, nutrition and physical activity

Outline of the Community (European Union) legislation about Obesity, nutrition and physical activity

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Public health > Health determinants: lifestyle

Obesity, nutrition and physical activity

Document or Iniciative

Conclusions of the Employment, Social Policy, Heath and Consumer Affairs Council of 3 June 2005, “Obesity, nutrition and physical activity ” [Not published in the Official Journal].

Summary

Tackling obesity

Obesity is a multi-causal condition, and tackling it requires a comprehensive preventive approach, including multi-stakeholder efforts at local, regional, national, European and global levels.

Promoting healthy diets and physical activity has potential for reducing not only obesity but also the risks related to hypertension, heart disease, diabetes and certain forms of cancer. More generally, healthy diets and physical activity considerably improve the quality of life.

Physical activity is an integral part of a healthy lifestyle. For this reason, learning to enjoy sport and physical activity at school and during leisure time, as well as starting education about healthy living at an early age, is of the utmost importance.

Recommendations

The Council calls upon the Member States and, where appropriate, the European Commission to conceive and implement initiatives aimed at promoting healthy diets and physical activity, including:

Healthy diets

  • enabling citizens to make healthy dietary choices, and ensuring that healthy dietary options are available, affordable and accessible;
  • fostering citizens’ knowledge on the relationship between diet and health, energy intake and output, on diets that lower the risk of chronic diseases, and on healthy choices of food items;
  • ensuring that consumers are not misled by advertising, marketing and promotion activities, and that especially the credulity of children and their limited experience with the media are not exploited;

Participation of all stakeholders

  • enabling health professionals to give, on a routine basis, practical advice to patients and families on the benefits of optimal diets and increased levels of physical activity;
  • encouraging stakeholders who are in a position to support the promotion of healthy diets (e.g. food producers, food processors, retailers, caterers) to take initiatives to this end;

Mainstreaming

mainstreaming of nutrition and physical activity into all relevant policies at local, regional, national and European levels, such as policies aimed at reducing the harmful effects of excessive alcohol consumption;

Physical activity and education

  • monitoring the trends of healthy nutrition and physical activity in the population and further developing research and the scientific basis for actions in the field;
  • fostering education on, and the supply of, healthy dietary choices at schools, and encouraging children and adolescents to exercise on a daily basis;
  • developing nutrition and physical education activities for children as an integrated part of health education in general, which should also focus on issues such as combating smoking, excessive alcohol consumption and the use of drugs, as well as promoting sexual health and mental health;
  • encouraging employers to offer healthy choices at workplace canteens and to provide facilities which encourage the practice of physical activity;
  • fostering the development of urban environments that are conducive to physical activity.

Background

The rise in obesity prevalence rates throughout the EU has become a very worrying phenomenon. More and more children are now overweight or obese. The figures are alarming and the consequences no less so, as obesity goes hand in hand with an increase in cardiovascular problems and diabetes.

To fight against this danger, the Commission set up an EU Platform on Diet, Physical Activity and Health in March 2005. The objective of this initiative, which involves experts on both nutrition and physical exercise, is to tackle the growing phenomenon of obesity in Europe in order to curb this trend.

 

Green Paper on promoting healthy diets and physical activity

Green Paper on promoting healthy diets and physical activity

Outline of the Community (European Union) legislation about Green Paper on promoting healthy diets and physical activity

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Public health > Health determinants: lifestyle

Green Paper on promoting healthy diets and physical activity

Through this Green paper on promoting healthy diets and physical activity, the Commission intends to trigger debate on initiatives geared towards preventing obesity. The primary objective is to create conditions under which the best practices can be adopted throughout Europe.
At present, in the EU countries, up to 27% of the male population and 38% of females, including more than 3 million children, suffer from obesity.

Document or Iniciative

Green Paper of 8 December 2005 “Promoting healthy diets and physical activity: a European dimension for the prevention of overweight, obesity and chronic diseases” [COM(2005) 637 final – Not published in the Official Journal].

Summary

Unhealthy diets and lack of physical activity are the leading causes of avoidable illness and premature death in Europe, and the rising incidence of obesity is a major public health concern for the countries of the European Union (EU).

In its conclusions of 3 June 2005, the Council called on the Member States and the Commission to devise and implement initiatives aimed at promoting healthy diets and physical activity.

Furthermore, the Council stressed that many factors have to be taken into account when addressing the problem of obesity. It accordingly called for the development of strategies entailing a multi-stakeholder approach with action being taken at local, regional, national and European levels.

Objectives of the Green Paper

The Green Paper invites contributions from interested parties on a wide range of topics relating to nutrition and physical activity. The aim is to gather information with a view to giving a European dimension to the battle against obesity, in terms of support for and coordination of the existing national measures.

COMMUNITY-LEVEL STRUCTURES AND INSTRUMENTS

A number of instruments and structures are geared to combating obesity at European level.

European Platform for Action on Diet, Physical Activity and Health

Launched in March 2005, the Platform is designed to establish a common forum for action in the fight against obesity. It brings together all the relevant players at European level who are willing to enter into binding commitments to tackle overweight and obesity issues.

European Network on Nutrition and Physical Activity

The purpose of the Network set up in 2003 is to advise the Commission on the development of Community activities to improve nutrition, to reduce and prevent diet-related diseases, to promote physical activity and to combat obesity.

Health across EU policies

Preventing overweight and obesity entails an integrated approach to better health through other Community policies (e.g. consumer, social, agriculture, environment, education policies) providing active support.

The Public Health Action Programme

Nutrition-related aspects and the problem of obesity crop up in various strands of the Action Programme, particularly from the point of view of information (collection of data on the epidemiology of obesity and on behavioural issues) and health determinants (support for projects aimed at promoting physical exercise and healthy eating habits).

The Commission’s proposal for a new programme on health and consumer protection also places emphasis on promotion and prevention in the area of nutrition and physical activity.

Questions

On the subject of existing Community-level structures and instruments, the Green Paper invites the interested parties to respond to a series of questions focusing on:

  • the specific contribution which EU policies could make towards the promotion of healthy diets and physical activity;
  • the type of Community or national measures which could help to improve the attractiveness, availability, accessibility and affordability of fruit and vegetables;
  • the way in which the Public Health Action Programme could help to raise awareness of the potential which healthy eating habits and physical activity have for reducing the risk of chronic diseases.

AREAS FOR ACTION

Efforts to promote healthy diets and physical activity and to combat obesity are likely to be spread across many areas. For each area concerned, the Commission is seeking the views of interested parties by asking a number of specific questions.

Consumer information and advertising

Consumer policy aims to empower people to make informed choices about their diet, and clear information about the nutritional content of products is a necessary element of this approach.

The Commission has accordingly presented a proposal for a regulation aimed at harmonising the rules concerning nutritional and health claims. The Commission is also considering amending the current rules on nutrition labelling.

As regards advertising and marketing, steps have to be taken to ensure that consumers are not misled and, in particular, that the credulity and lack of media savvy among vulnerable consumers (especially children) are not exploited.

In this field, self-regulation of the industry may provide a valid solution, as it has a number of advantages over external regulation, mainly in terms of speed and flexibility.

Questions. The questions raised in this Green Paper deal mainly with:

  • the major nutrients and categories of products to be considered when providing nutritional information to consumers;
  • voluntary codes (self-regulation), their effectiveness, and alternatives to be considered if self-regulation fails;
  • the measures to be taken to ensure that that children’s credulity and lack of media savvy are not exploited by advertising and marketing techniques.

Consumer education

People need to be better informed about the factors which play a role in causing obesity, with particular reference to:

  • the relationship between diet and health;
  • energy intake and output;
  • diets which lower the risk of chronic diseases;
  • healthy food choices.

In this connection, simple and clear messages need to be developed and disseminated through various media channels and in forms appropriate to local culture, age and gender.

Questions. With a view to identifying best practices, the participants are invited to respond to questions on the following matters:

  • ways of helping consumers to make fully informed choices;
  • the contribution of public-private partnerships towards consumer education;
  • the key messages which need to be conveyed to consumers in respect of diet and physical activity, how to deliver them and who should be responsible for this.

Focusing on children and young people

The eating habits which are developed during childhood and adolescence are often the precursor of health problems occurring in adulthood.
Schools can provide an environment which helps to steer children towards healthy habits and behavioural patterns. They are particularly well placed to promote health and to encourage healthy eating and physical activity.

Although the measures applied within schools come under the competence of the Member States, the Community can make a contribution by helping to identify and spread best practices.

Questions. The areas concerned are:

  • improvement of the nutritional value of school meals and ways of informing parents about how to improve the nutritional value of meals at home;
  • good practice regarding the provision of regular physical activity in schools;
  • good practice in encouraging school pupils to make healthy dietary choices;
  • the role of the media, health services, civil society and sectors of industry in supporting health education efforts made by schools.

The workplace

Like schools, the workplace can also provide a suitable environment for encouraging healthy eating and physical exercise (meal choices offered by canteens, availability of facilities for participating in physical activity, etc.)

Questions. The questions deal with:

  • the way in which employers can offer balanced meal choices in workplace canteens and improve the nutritional value of canteen meals;
  • measures which would encourage and facilitate the taking of physical activity during breaks and on the way to and from work.

The health professionals’ role

Health professionals have a major role to play in improving patients’ understanding of the relationship between diet, physical activity and health, and in bringing about the necessary lifestyle changes.

Questions. In this area, the Commission is seeking the views of the interested parties on the measures needed to boost the promotion of healthy diets and physical activity in health services.

Linkage with other policies

Transport and urban planning policies have a role to play in encouraging physical activity. They can help to make physical activity a more integral part of people’s daily lives by, for example, ensuring that walking and cycling are easy and safe, or by promoting non-motorised modes of transport.

Questions. The questions have to do with:

  • the way in which public policies can help to ensure that physical activity becomes an integral part of daily life;
  • the measures needed to foster the creation of environments that are conducive to physical activity.

Socio-economic inequalities

Social status, income and level of education are the main determinants as regards the food which people choose to eat and the extent to which they engage in physical activity.

Questions. The questions focus on:

  • the measures which could promote healthy eating and physical activity among population groups and households of certain lower-level socio-economic categories;
  • how to address the “clustering of bad habits” that is frequently seen in certain socio-economic groups?

A comprehensive and integrated approach

A consistent and comprehensive approach towards diet and physical activity involves taking account of these aspects in all relevant policies at local, regional, national and European levels, creating supportive environments, and devising and using appropriate tools for assessing the impact of other policies on nutritional health and physical activity.

Questions. The questions relate to:

  • the identification of the most important elements of an integrated and comprehensive approach towards encouraging physical activity and healthy eating;
  • the input at the national and Community levels.

NEXT STEPS

The organisations concerned are invited to submit their replies by 15 March 2006 at the latest. The Commission departments will then conduct an analysis of the contributions received, which will be summarised in a report due to be published in June 2006.

In the light of the results of the consultation process, the Commission will consider the measures to be proposed and the instruments needed for implementing them.

Related Acts

Conclusions of the Council for Employment, Social Policy, Health and Consumer Affairs of 3 June 2005, “Obesity, nutrition and physical activity” [Not published in the Official Journal].

of 14 December 2000 on health and nutrition [Official Journal C 20 of 23.01.2001].

Health determinants: lifestyle

Health determinants: lifestyle

Outline of the Community (European Union) legislation about Health determinants: lifestyle

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Public health > Health determinants: lifestyle

Health determinants: lifestyle

Tobacco

  • Exposure to environmental tobacco smoke (Proposal)
  • Green Paper on promoting smoke-free areas in the European Union
  • Advertising and sponsorship of tobacco products (print media, radio, information society)
  • Manufacture, presentation and sale of tobacco products
  • Prevention of smoking
  • Ban on smoking in public places
  • Community Tobacco Fund: information programmes

Alcohol

  • European strategy to reduce alcohol-related harm
  • Community strategy to reduce alcohol-related harm (Council conclusions – 2001)
  • Drinking of alcohol by young people
  • Drinking and driving: Maximum authorised level of alcohol in the blood

Nutrition and physical activity

  • Healthy diet for a healthy life
  • Green Paper on promoting healthy diets and physical activity
  • A Strategy for Europe on nutrition, overweight and obesity related health issues
  • Obesity, nutrition and physical activity
  • Nutrition and health

Mental health

  • Alzheimer’s and other dementias: European initiative
  • Green Paper on Mental Health
  • Community action in the field of mental health
  • Combating stigma and discrimination in relation to mental health
  • Combating stress and depression-related problems

Food safety: general provisions

Food safety: general provisions

Outline of the Community (European Union) legislation about Food safety: general provisions

Topics

These categories group together and put in context the legislative and non-legislative initiatives which deal with the same topic.

Food safety > Food safety: general provisions

Food safety: general provisions

The current food safety policy is based on a series of principles established or updated at the beginning of the 2000s. These principles, applied in line with the integrated approach ‘From the Farm to the Fork’ specifically include transparency, risk analysis and prevention, the protection of consumer interests and the free circulation of safe and high-quality products within the internal market and with third countries. A certain number of bodies, in particular, the European Food Safety Authority, are responsible for helping to guarantee food safety. Research is also an important element of the food safety policy.

GENERAL PROVISIONS

  • Food and feed safety
  • The precautionary principle
  • Improving communication on agricultural product quality
  • Ecolabel
  • Production and labelling of organic products
  • Sustainable Consumption, Production and Industry Action Plan
  • Training of food safety control authorities
  • Geographical Indications and Designations of Origin
  • Traditional specialities guaranteed
  • Green Paper on agricultural product quality

INSTITUTIONAL PROVISIONS

  • Veterinary and phytosanitary inspections
  • Standing Committee on the Food Chain and Animal Health
  • Assistance and cooperation with scientific examination
  • Executive Agency for Health and Consumers