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Maurizio Italiano Dulcamara International School of Classical Homeopathy CSOA School of Homeopathy

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

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Maurizio Italiano Dulcamara International School of Classical Homeopathy CSOA School of Homeopathy

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

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

  4. The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan UniversityWHO 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. M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan

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

  6. The Centre for Research in Medical Bioclimatology, Biotechnologies, and Natural Medicines of Milan UniversityWHO 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.) M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan

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

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

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

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

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

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

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

  14. Main principles outlined in the WHO Traditional Medicine Strategy • Quality • Efficacy • Safety • Rational use by Consumers and Providers M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan

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

  16. The Memorandum of Understanding between WHO and the Regional Government of Lombardy was signed on 15 July 2003 TARGETS: • The 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 • To 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 M. Italiano - WHO Collaborating Centre for Traditional Medicine - Milan

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

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

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

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

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