2010 ilerleme raporu - Avrupa Birliği Bakanlığı

and responding to health needs on the basis of equity and accessibility through a humancentredservice approach. The introduction of a family medicine system aims to betterrespond to health needs and monitoring the population's health status, which currently isconstrained by the limited number of family physician specialists and the absence of a welldesigned reporting system.As regards tobacco, Turkey largely fulfils the acquis requirements. Only final verifications ofprovisions on export of tobacco products and implementing measures remain outstanding.The Turkish authorities have identified 14 pictorial warnings which must be used for alltobacco products produced. Efforts have been made to raise the awareness in the fight againstsmoking. As a result of relatively successful implementation of the smoking ban in all publicplaces since 2009, Turkey observed the lowest cigarette consumption level in five yearsduring the first quarter of 2010. However, the smoking ban was challenged with reference topersonal freedoms and business interests, and a Constitutional Court procedure was launched.In the field of communicable diseases little progress was made. Acquis alignment ismoderately advanced, and harmonisation regarding notifiable diseases and case definitions toensure compatibility and comparability of data at EU level continued. However lawenforcement is insufficient, and no progress was reported on strengthening the administrativestructures for systematic monitoring, follow-up and implementation of control andsurveillance measures, or on the establishment of the national institute of public health. Thetrial to establish an early warning and response system for intestinal diseases was expanded toanother 10 provinces.There has been some progress in the area of blood and blood components. Legislativeharmonisation is well advanced. Further alignment efforts concerning definitions andstandards are ongoing. It still remains to be verified whether the enforcement capacity to carryout monitoring, surveillance and inspection tasks is sufficient and competent authorities arefully defined. Preparations in this area are ongoing.There has been some progress in the area of tissues and cells. An implementing regulationwas 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 andadministrative 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 isfinalised 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 conductcommunity-based screening programmes is in place. The screening of target groups for breastand cervical cancers has reached 12% and 18% respectively (target 70% by 2015). Drafting ofthe regulation on electromagnetic fields is in progress. The national cancer institute has yet tobe established. Preparations in this area are on track.ConclusionSome progress can be reported on consumer and health protection. In the area of consumerprotection, more efforts are still necessary, in particular on non-safety related issues, tostrengthen the consumer movement and to ensure proper enforcement of consumer protectionin general. Coordination and cooperation between stakeholders remain weak. In the area ofEN 92 EN