2010 ilerleme raporu - Avrupa Birliği Bakanlığı

and responding to health needs on the basis of equity and accessibility through a humancentred
service approach. The introduction of a family medicine system aims to better
respond to health needs and monitoring the population's health status, which currently is
constrained by the limited number of family physician specialists and the absence of a well
designed reporting system.
As regards tobacco, Turkey largely fulfils the acquis requirements. Only final verifications of
provisions on export of tobacco products and implementing measures remain outstanding.
The Turkish authorities have identified 14 pictorial warnings which must be used for all
tobacco products produced. Efforts have been made to raise the awareness in the fight against
smoking. As a result of relatively successful implementation of the smoking ban in all public
places since 2009, Turkey observed the lowest cigarette consumption level in five years
during the first quarter of 2010. However, the smoking ban was challenged with reference to
personal freedoms and business interests, and a Constitutional Court procedure was launched.
In the field of communicable diseases little progress was made. Acquis alignment is
moderately advanced, and harmonisation regarding notifiable diseases and case definitions to
ensure compatibility and comparability of data at EU level continued. However law
enforcement is insufficient, and no progress was reported on strengthening the administrative
structures for systematic monitoring, follow-up and implementation of control and
surveillance measures, or on the establishment of the national institute of public health. The
trial to establish an early warning and response system for intestinal diseases was expanded to
another 10 provinces.
There has been some progress in the area of blood and blood components. Legislative
harmonisation is well advanced. Further alignment efforts concerning definitions and
standards are ongoing. It still remains to be verified whether the enforcement capacity to carry
out monitoring, surveillance and inspection tasks is sufficient and competent authorities are
fully defined. Preparations in this area are ongoing.
There has been some progress in the area of tissues and cells. An implementing regulation
was adopted but it remains to be verified whether this legislation fully responds to EU acquis.
The national cell coordination centre (Türkök) has not become operational yet and
administrative capacity for surveillance activities in this area needs to be reinforced.
Preparations for alignment with the EU acquis for all types of tissues and cells
(musculoskeletal, cardio-vascular, cornea, ART, etc.) are still ongoing.
No progress can be reported in the field of mental health. The mental health action plan is
finalised but has yet to be adopted. Overall, preparations in this area are at an early stage.
Little progress can be reported in the field of cancer. The physical infrastructure to conduct
community-based screening programmes is in place. The screening of target groups for breast
and cervical cancers has reached 12% and 18% respectively (target 70% by 2015). Drafting of
the regulation on electromagnetic fields is in progress. The national cancer institute has yet to
be established. Preparations in this area are on track.
Conclusion
Some progress can be reported on consumer and health protection. In the area of consumer
protection, more efforts are still necessary, in particular on non-safety related issues, to
strengthen the consumer movement and to ensure proper enforcement of consumer protection
in general. Coordination and cooperation between stakeholders remain weak. In the area of
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