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This demands public health policies that both recognize the multiple health benefits that can be obtained order red viagra 200 mg without a prescription, while addressing and minimizing health risks 200mg red viagra mastercard. Management of such risks depends on two principles of radiation protection: justification for prescribing each procedure, and optimization of protection to manage the radiation dose commensurate with the medical purpose. When choosing the best medical imaging procedure for a given clinical condition, doctors have to take appropriate decisions, accounting for both benefits and risks. Primary prevention requires the improvement of radiation safety culture by health care providers. A large number of fatalities (46) and the highest number of cases of acute injuries (623 cases) were due to accidents occurring during the use of radiation in the medical field. It is likely that many more accidents occurred but were either not recognized or not reported. A milestone in the history of radiation protection in medicine was the International Conference on Radiological Protection of Patients in Diagnostic and Interventional Radiology, Nuclear Medicine and Radiotherapy held in Malaga in 2001. However, the engagement of the health sector in the implementation of radiation safety standards in health care is still weak in many countries. Changing the culture of medical practice is crucial to ensure that patients benefit from the use of radiation in medical imaging. This will contribute to health systems strengthening, with a more cost effective allocation of health resources. During the next five days, you will address challenges and opportunities to improve radiation protection in diagnostic radiology, imaging guided interventions, nuclear medicine and radiotherapy in the next decade. You will also have the chance to influence the way these are faced and other emerging challenges. This conference will give you a unique opportunity to enhance regional and international cooperation in this field. Your deliberations and conclusions can substantially contribute to improving the capacity for responding to these public health problems and to ensuring that the available tools are used in the most effective way. Faross Acting Deputy Director General, Directorate-General for Energy, European Commission, Luxembourg It is my pleasure to welcome you, on behalf of the European Commission and of Commissioner Oettinger to the International Conference on Radiation Protection in Medicine: Setting the Scene for the Next Decade. I believe that everyone attending this conference is well aware of today’s status of ionizing radiation as an indispensable tool in medicine — a tool used for diagnosis and treatment of patients suffering from medical conditions ranging from simple dental problems to life threatening cardiac diseases and cancer. The huge advances in medical technology and techniques utilizing ionizing radiation are well known, as are the challenges associated with these rapid developments. I am confident that the following week will help us prepare for the future developments and provide the impetus needed to deal with the associated challenges. In the European Union, we are fortunate to have had a generation of scientists, medical professionals and policy makers who realized the need for radiation protection of patients early. The first European legislation in this area was passed in the 1980s and further elaborated in the 1990s. The European Framework Programme for Research and Innovation supported many projects on medical use of radiation, covering areas such as the transition to digital imaging and the implementation of breast cancer screening. The enlargement of the European Union in 2004 and 2007 helped to spread these achievements to an even larger population, now counting more than 500 million people in 27 countries. Europe, in the past years, experienced several important developments in the wider area of nuclear energy and radiation protection. In 2009, the European Union adopted, for the first time, a legally binding instrument for nuclear safety and, in 2011, for radioactive waste management. In May 2012, the European Commission adopted a proposal for a revised Euratom (European Atomic Energy Community) legal framework for radiation protection of workers, patients and the general public. The proposal is merging five existing legal instruments and bringing some important changes, including on protection of patients and medical workers. These changes will be discussed at a Breakout Session of this conference at lunchtime on Wednesday; I would like to invite everyone to take part in this discussion. In 2010, the European Commission expressed its vision on the challenges and needs of the medical uses of ionizing radiation in a Communication to the European Parliament and the Council of the European Union. In the past years, the Directorate-General for Energy launched several important projects to address those needs. In conclusion, I would like to confirm the standing commitment of the European Commission and the Directorate-General for Energy to a high level of radiation protection for European citizens, as patients, workers or members of the general public.

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These risk factors explain the vast majority of chronic disease deaths at all ages effective 200mg red viagra, in men and women cheap 200 mg red viagra overnight delivery, and in all parts of the world. Furthermore, chronic diseases – the gets and indicators to include chronic diseases major cause of adult illness and death and/or their risk factors; a selection of these in all regions of the world – have not countries is featured in Part Two. Health more broadly, including is addressed within the context of international chronic disease prevention, contributes health and development work even in least to poverty reduction and hence Goal 1 developed countries such as the United Republic 1 (Eradicate extreme poverty and hunger). Ten of the most common Notions that chronic dis- misunderstandings are pre- eases are a distant threat sented below. In reality, low and middle income countries are at the centre of both old and new public health challenges. While they con- tinue to deal with the problems of infectious diseases, they are in many cases experiencing a rapid upsurge in chronic disease risk factors and deaths, especially in urban settings. These risk levels foretell a devastating future burden of chronic diseases in these countries. The truth tion to his high blood pressure, nor to his drinking is that in all but the least and smoking habits. He then lost his ability to speak after two consecutive diseases, and everywhere strokes four years later. Roberto used to work as a public transport are more likely to die as agent, but now depends entirely on his family to survive. Moreover, chronic diseases cause substantial financial burden, and can push individuals and house- holds into poverty. People who are already poor are the most likely to suffer financially from chronic diseases, which often deepen poverty and damage long-term economic prospects. Much of the family’s Roberto is now trapped in his own body and always income is used to buy the special diapers that needs someone to feed him and see to his most basic Roberto needs. Noemia carries him in and out of the house so check-ups are free of charge but sometimes we he can take a breath of air from time to time. Noemia and four of her brothers and sisters also suffer But the burden is even greater: this family not from high blood pressure. We now know that almost half of chronic disease deaths occur prematurely, in people under 70 years of age. In low and middle income countries, middle- aged adults are especially vulnerable to chronic disease. People in these countries tend to develop disease at younger ages, suffer longer – often with preventable 10 years rose from 23% to 28% between 1995 complications – and die sooner than those and 2003. Health workers from a nearby medical centre spotted his weight problem last year during a routine community outreach activity. One year later, Malri’s health condition hasn’t changed for the better and neither has his excessive consumption of porridge and animal fat. His fruit and vegetable intake also remains seriously insufficient – “it is just too hard to find reasonably priced products during the dry season, so I can’t manage his diet,” his mother Fadhila complains. The community health workers who recently visited Malri for a follow-up also noticed that he was holding the same flat football as before – the word “Health” stamped on it couldn’t pass unnoticed. Malri’s neighbourhood is littered with sharp and rusted construction debris and the courtyard is too small for him to be able to play ball games. Fadhila, who is herself obese, believes that there are no risks attached to her son’s obesity and that his weight will naturally go down one day. In fact, Malri and Fadhila are at risk of developing a chronic disease as a result of their obesity. Children like Malri cannot choose the environment in which 13 they live nor what they eat. They also have a limited ability to understand the long-term consequences of their behaviour. The truth is that chronic diseases, including heart disease, affect women and men almost equally.

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