1. Complementary Medicine integrated in Healthcare. The WHO Collaborating Centre and the Lombardy Region case. Maurizio Italiano Dulcamara International School of Classical Homeopathy CSOA School of Homeopathy The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan University WHO Collaborating Centre for Traditional Medicine EHFG Workshop - October 5, 2005

2. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan University WHO Collaborating Centre for Traditional Medicine Founded on 31 March 1969 (Rector’s Decree No. 37683)Founded on 31 March 1969 (Rector’s Decree No. 37683) Directed by Prof. Umberto Solimene - Chair of Medical Therapy and Thermal MedicineDirected by Prof. Umberto Solimene - Chair of Medical Therapy and Thermal Medicine

3. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan University WHO Collaborating Centre for Traditional Medicine Aims: Promoting development of experimental studies and research in Bioclimatology, Biomedical technologies and CAMPromoting development of experimental studies and research in Bioclimatology, Biomedical technologies and CAM Promoting the knowledge and diffusion of advanced trends in BioclimatologyPromoting the knowledge and diffusion of advanced trends in Bioclimatology Encourage studies and research in CAM areas respecting their methodology and patternsEncourage studies and research in CAM areas respecting their methodology and patterns

4. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan University WHO Collaborating Centre for Traditional Medicine Staff notes: The Centre takes also advantage of help and support from the scientific and technical staff at the Human Anatomy Dept. of Milan University. One of the most advanced in Europe.The Centre takes also advantage of help and support from the scientific and technical staff at the Human Anatomy Dept. of Milan University. One of the most advanced in Europe.

5. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan University WHO Collaborating Centre for Traditional Medicine Activities: ScientificScientific –National and International Research protocols in the mentioned areas EducationalEducational –Training and Specialization graduate Courses for medical practicioners OrganizationalOrganizational –Workshops, Symposia, and Conventions

6. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan University WHO Collaborating Centre for Traditional Medicine WHO: The World Health Organization based in Geneva, has acknowledged the Centre as unique Collaborating Facility in Europe in the area of Traditional Medicine (Thermal medicine, Acupuncture, Phytotherapy, Homeopathy, Ayurvedic medicine, etc.)The World Health Organization based in Geneva, has acknowledged the Centre as unique Collaborating Facility in Europe in the area of Traditional Medicine (Thermal medicine, Acupuncture, Phytotherapy, Homeopathy, Ayurvedic medicine, etc.)

7. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan ISTAT Survey on the use of CAM by the Italian population

8. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Three Important Steps First StepFirst Step –Years 2000-2002 Second StepSecond Step –Years 2002-2004 Third StepThird Step –Years 2003-2006

9. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan First Step Years 2000-2002 D.G.R n. VI/48041 - 4 February 2000: “Observation and evaluation of therapeutic procedures of CAM”TARGETS: TO MONITORTO MONITOR the existing services and providers of CAM TO VERIFYTO VERIFY therapeutic potential through observational studies, in order to achieve a preliminary evaluation of the efficacy of CAM in certain areas of pathology

10. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan OUTCOME 134presentedreviewed134 projects presented and reviewed 99approvedsubmitted99 projects approved and submitted to experimental evaluation 42completed42 projects completed

11. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Second Step Years 2002-2004 CAM included in the Regional Community Health Plan amongst the innovative projectsTARGET: TO MANAGETO MANAGE the integration process between conventional and non conventional medicine

12. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Informational leaflet

13. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan WHY? principles Main principles outlined in the Plan applicable to CAM: Freedom of ChoiceFreedom of Choice Safety of care and consumer protectionSafety of care and consumer protection Developing and monitoring the expertise and skills of providersDeveloping and monitoring the expertise and skills of providers Proper use of medicineProper use of medicine

14. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Main principles outlined in the WHO Traditional Medicine Strategy QualityQuality EfficacyEfficacy SafetySafety Rational use by Consumers and ProvidersRational use by Consumers and Providers

15. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Third Step Years 2003-2006 D.G.R n. VII/13235 - 9 June 2003: “Quadriennal Cooperation Plan with WHO on evaluation and use of CAM”TARGET: TO CONTINUETO CONTINUE observational studies in the field of CAM TO PROMOTE clinical trialsTO PROMOTE clinical trials in the field of CAM TO COLLABORATETO COLLABORATE with WHO to implement the Memorandum of Understanding that provides a quadrennial cooperation plan relating to CAM

16. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Memorandum of Understanding between WHO and the Regional Government of Lombardy was signed on 15 July 2003 TARGETS: safety qualityefficacyrational useThe Regional Government of Lombardy collaborates with WHO to promote safety, quality, efficacy and rational use of CAM by Consumers and Providers in order to protect citizens’ health guidelines safetyqualityefficacy standards of trainingTo develop a set of guidelines addressed both to providers and consumers in order to assure safety, quality and efficacy of CAM therapies and products and to outline minimal standards of training for providers

17. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan The Memorandum of Understanding is based on 3 main Projects: rational use 1.Promotion of rational use of CAM by consumers correct practice 2.Promotion of correct practice of CAM therapies by providers quality and safety 3.Promotion of the quality and safety of herbal medicines, including homeopathic products

18. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Excerption of Activities in Collaboration with WHO: 1-3 December 2003: WHO Consultation on Proper Use of TRM/CAM by ConsumersWHO Consultation on Proper Use of TRM/CAM by Consumers 5-7 December 2003: 1st Working Group on the Efficacy of Homeopathy1st Working Group on the Efficacy of Homeopathy 19-21 March 2004: 2nd Working Group on the Efficacy of Homeopathy2nd Working Group on the Efficacy of Homeopathy 12-14 July 2004: WHO Consultation on Contaminants and Residues in Herbal MedicinesWHO Consultation on Contaminants and Residues in Herbal Medicines 2-4 December 2004: WHO Consultation on ChiropracticWHO Consultation on Chiropractic

19. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Lombardy Region Activities: 4 December 2003: Roundtable about CAM and consumer protectionRoundtable about CAM and consumer protection 14 May 2004: International Congress about CAM researches in Lombardy RegionInternational Congress about CAM researches in Lombardy Region 29 June 2004: Roundtable about the WHO guidelines on the development of information about CAMRoundtable about the WHO guidelines on the development of information about CAM 26 November 2004: Workshop for the media about Consumer informationWorkshop for the media about Consumer information 20 January 2005: Training course for medical doctors about the proper use of CAM by ConsumersTraining course for medical doctors about the proper use of CAM by Consumers

20. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan Suggested areas to increase stability of CAM Stronger design of Epistemological basisStronger design of Epistemological basis Development of Basic and Clinical ResearchDevelopment of Basic and Clinical Research CUSTOMER SATISFACTIONCUSTOMER SATISFACTION