한.일, (가칭) 의약품 스와프 성사되나?... 감염병 유행 등 보건위기상황시 대응 주목

  • 등록 2017.11.13 07:55:52
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박능후 보건복지부장관, 제10차 한·중·일 보건장관회의 참석 한·중·일 보건협력 강화 논의 후 日측과 현안논의

비상대비 부족할 수 있는 필수의약품에 대한 국가 간 교환 약속, 이른바 (가칭)의약품 스와프 필요성이 제기돼 관심을 모으고 있다.


박능후 보건복지부 장관은 11.11(토)〜12(일) 2일 간 중국 지난에서 개최된 ‘제10차 한·중·일 보건장관회의’에 참석, 일본측 수석대표와의 면담에서 이같은 방안을 제안했다. .


박능후 보건복지부 장관은 예측할 수 없는 재난, 해당 감염병의 유행 등 보건위기상황시 양국 간 백신을 포함한 필수 의약품의 수급 불안정에 대비하기 위한 (가칭) 의약품  스와프 추가 논의를 제안하였고 일본 카토 카스노부 후생노동성대신(장관)도 양국 전문가 간의 논의를 시작해보자며 적극 공감하였다.

 

한·중·일 보건장관회의는 ’07년 신종인플루엔자 대응을 위하여 우리나라의 제안으로 시작된 이래 매년 한국과 중국, 일본이 순환하여 개최하고 있다. 지난해 12월 우리나라 부산에서 제9차 회의가 열렸다.

 

그간 한·중·일 3국은 보건장관회의를 통하여 검역협의체를 설립하고 감염병 발생 등 공중보건위기상황 발생시 긴급하게 협력할 수 있도록 핫라인을 구축하였다. 최근에는 감염병 외에도 보편적 의료보장, 만성질환 등 보건의료 전반으로 논의를 확장하여 전문가 포럼 등 하위 단위의 교류*를 활성화 하는 등 성과를 거두었다.

   

-.제10차 한·중·일 보건장관회의 공동선언문

 Joint Statement of
The Tenth China-Japan-Korea
Tripartite Health Ministers' Meeting (THMM)
November 11-12, 2017
Ji'nan, China

We, the Health Ministers of China, Japan and Korea met in Ji'nan, China, on November 12th, 2017, reviewed the achievements made since the first Tripartite Health Ministers’ Meetings and discussed the future framework of cooperation. Items on the agenda of this meeting included the prevention and control of emerging and re-emerging infectious diseases, healthy aging, the prevention and control of non-communicable diseases, the application of information and communication technologies in the fields of health and traditional medicine.

1. Prevention and control of emerging and re-emerging infectious diseases
In recent years, the emergence throughout the world of acute infectious diseases and major public health emergencies has been posing serious threats and challenges to the health and lives of our peoples, and to the global public health security. From the end of 2016 to 2017, human infection with avian influenza A(H7N9) occurred in China, and severe outbreaks of avian influenza A(H5N6) and A(H5N8) occurred in Japan and Korea. Given the geographical proximity of the three countries, and the frequent movement of people and goods, the need for stronger collaboration at the regional level to jointly address infectious disease epidemics is extremely pressing.
Over the past decade, under the framework of the tripartite cooperation documents of the Memorandum of Cooperation among the Ministry of Health, Labour and Welfare of Japan, the Ministry of Health and Welfare of the Republic of Korea and the National Health and Family Planning Commission of the People's Republic of China on a Joint Response against Pandemic Influenza and Emerging/Re-emerging Infectious Diseases of Common Concern and the Joint Action Plan on Preparedness and Response against Pandemic Influenza and Emerging/Re-emerging Infectious Diseases of Common Concern, our three countries have successfully responded to the Middle East respiratory syndrome and other public health emergencies, not only effectively safeguarding the public health of our three countries, but also making a significant contribution to global public health security.
We congratulate the successful convention of the 11th China-Japan-Korea Infectious Disease Prevention and Control Forum held in Seoul, Korea, on November 7th, 2017. Under this mechanism, experts from China, Japan and Korea held in-depth discussions on the preparedness and response to the prevention and control of avian influenza A (H7N9), severe fever with thrombocytopenia syndrome (SFTS), dengue fever and other emerging and re-emerging infectious diseases, and explored possible trilateral collaboration in sharing influenza information.
We will closely cooperate with the WHO Regional Office for the Western Pacific as well as Asia Pacific countries including through the implementation of the “Asia-Pacific Strategy For Emerging Diseases And Public Health Emergencies” (APSED III) and relevant regional and national disease prevention and control strategies and programs for further strengthening prevention and preparedness against health emergencies in the region, including their IHR core capacities. We will also continue to promote timely tripartite sharing of information, closely monitor threats to the public health in this region, and jointly improve the core capability to respond to all kinds of threats posed by outbreaks of acute infectious diseases.

2. Healthy aging
We note that the number of people over the age of 65 has increased significantly, and that the three governments’ spending on medical services and long-term care has risen sharply. Since 2010, the Trilateral Policy Dialogue on Aging has become a useful platform for our three countries to share healthy aging policies, experiences and best practices. We welcome the Trilateral Policy Dialogue on Aging to be held in Jinan on November 12-13th,2017.
Japan and Korea are among the foremost countries in the world with a rising aging population, and have responded early to the aging of the population by taking a series of effective measures. We appreciate the active measures taken by the health sectors of Japan and Korea, including policies that encourage elderly citizens to continue to work, those that promote development of elderly service industry, and those that actively implement long-term care insurance systems. Therefore, we recognize their achievements in satisfying needs in the elderly medical and long-term care services. At the same time, with 150 million people over 65 years old, China has the largest aged population in the world that has an ever increasing demand for quality health services. We are glad to see that China is continuing to explore a healthy aging path suited to its national conditions, and has made many encouraging steps in the areas of medical and nursing care integration, long-term care system construction, hospice care and training of nursing professionals. We will continue to utilize this meeting to promote exchanges of health policies and to look for ways forward in tripartite cooperation on issues caused by changes in demographic structure, thus paving the way for stimulating the dynamism of our research network.

3. Prevention and control of non-communicable diseases (NCDs)
NCD is a serious threat to human health. It is a main contributor to population mortality and a health challenge currently being faced in our three countries. Since the Fifth Tripartite Health Ministers’ Meeting, NCD has become an important area of cooperation for our three countries. At present, our three countries have made the reduction of premature mortality caused by major chronic diseases, which was proposed by the 2030 Agenda for Sustainable Development and the WHO Global Integrated Monitoring Framework for Chronic Disease Prevention and Control, as an important goal of our national health development programs. Our common objectives are to further improve population health, life expectancy, and to control the increasing NCD burden by adopting such policy.
China, Japan and Korea have the responsibility to push forward the formation of joint efforts to promote the health development of the region. We acknowledge that the NCD reduction including that of cancer requires a comprehensive approach, emphasizing on primary and secondary prevention, focused on promoting healthy lifestyles for the public, and actively promoting the health service industry, telemedicine and integration of medical services and nursing care. We should continue to promote early screening, early diagnosis and early treatment for major NCDs, and strengthen information sharing and technical exchanges to ensure the effective prevention and control of the occurrence and development of NCDs in the population of our region.

4. The application of information and communication technology (ICT) in the field of health
As global information and big data applications leading a new phase of innovation, integration and development, the attention and demand by people have reached an unprecedented level. With the computerization of the whole society, the revolutionary impact of information technology on health care becomes obvious. New health care development models and creative medical and health services are constantly emerging, bringing about profound changes to the health care model and the improvement of health and medical service efficiency and quality, increasing resources supply, and cultivating new industries and growth points to continuously meet the health needs of the public in a multi-level and diversified way.
Our three countries are responding to global trends of information and communications technology, striving to apply ICT as well as information strategy and big data technology in health to promote the transformation of the traditional service mode of treatment-centric to health-centric in the new service model, and striving to provide an integrated health care service system which is equally accessible to all people. We discussed strategies for the utilization of ICT and big data for disease control and health promotion work in our respective countries. In the next step, we will further share best practices when agreed by the three countries to promote the application of ICT and big data in the health sector.

5. Traditional medicine
Traditional medicine plays an important role in the health system of our three countries. Since 1995, China and Korea have held the China-Korea Joint Cooperation Committee Meeting for Traditional Medicine and have carried out pragmatic cooperation under the framework of the conference. Our three countries have made positive progress in implementing the WHO resolution on Traditional Medicine and the Traditional Medicine Strategy (2014-2023). We will continue to strengthen exchanges and cooperation in the implementation of the WHO resolutions, the promotion of traditional medicine into the 11th edition of the International Classification of Diseases (ICD 11), and the ISO/TC249 to develop and promote traditional medical standards. The health and traditional medicine management departments of our three countries will jointly support active exchanges and pragmatic cooperation among us in the field of traditional medicine. The specific areas of cooperation may include education, scientific research, cultural exchanges, and partnerships by industry or healthcare institutions.

6. Next meeting
We reaffirm our consensus that the Tripartite Health Ministers’ Meeting will be held on a regular basis, and that all relevant activities will be conducted on the basis of equality, reciprocity and mutual benefit, and we will coordinate the activities and objectives of other international health institutions, as appropriate, and promote the establishment of inter-agency and individual contact.
The next Tripartite Health Ministers’ Meeting will be held in Japan in 2018

 

 박능후 보건복지부장관은 금년 한·중·일 보건장관회의는 10주년이 되는 해로, 그간 3국 간 합의사항을 점검하고 협력 성과를 평가하는 한편, 향후 발전을 위한 논의가 필요함을 언급했다.


이번 회의에서 한·중·일 3국은 평상시 감염병 정보공유의 활성화 및 검역분야 협력 강화와 함께 공중보건 위기상황에 대비한 공조체계 강화 필요성을 재확인하였다.

 

박능후 보건복지부 장관은 기조연설에서 최근 지카, 마버그 등 신·변종 감염병으로 인한 보건안보 위협이 지속되고 있는 상황에서 감염병 대응은 한 국가의 노력만으로는 절대 해결할 수 없다는 것에 3국은 이미 충분한 합의가 이루어졌다고 밝혔다.

 

아울러 이제는 꾸준한 대응 연습과 치밀한 협력 프로토콜을 통하여 감염병 발생시 신속하게 정보를 공유하고 대처하는 “실천(action)”이 필요하다고 강조하였다.


한편, 한·중·일 3국은 고령화라는 공통의 상황 속에서 건강하고 활기찬 노년을 위한 각국의 정책을 공유하는 한편, 인구구조 변화로 인한 이슈에 대응하기 위하여 연구 네트워크를 활성화하는 등 협력을 강화해 나가는 방안을 논의하였다.


 만성질환 예방·관리와 관련하여 △보건의료 산업의 발전, △정보통신기술(ICT) 기반 보건의료 서비스 및 △간호간병 서비스 통합을 적극적으로 장려하는 한편, 3국 간 정보 및 기술교류를 강화하기로 하였다.

 

또한, 보건의료 분야에서 ICT 및 빅데이터 활용을 논의하였다. 박능후 보건복지부 장관은 ICT 기반 의료와 보건의료 빅데이터는 활용가치가 크지만 개인정보보호 문제에 있어서는 꼼꼼하고 엄격하게 대처해 나갈 필요가 있음을 강조하였다.


한·중·일 3국은 전통의약 발전방향에 대해서도 의견을 교환하였다.

 

3국은 현대보건의료 체계 내에서 전통의약을 체계화하고 국가 간 학술·임상·산업분야의 교류를 활성화하기 위하여 용어·규격·체계 등의 표준화 필요성에 공감하였다.
 

특히, 세계보건기구(WHO) 국제질병분류(ICD, International Classification of Diseases)에 전통의약 항목을 신설하고, 국제표준화기구(ISO, International Organization for Standardization)에도 전통의약 분야의 국제산업표준을 제정하는데 함께 노력하기로 하였다.


이번 회의를 계기로, 한․중, 한․일 및 한국과 WHO 서태평양지역사무처(WPRO, West Pacific Regional Ofice)와의 양자면담도 진행하였다.

 

중국 리빈 위생가족계획위원회 주임(장관)과는 ’10년 제4차 한·중·일 보건장관회의 계기에 체결한 식품안전기준에 관한 양해각서(MOU)를 보건의료 전반 협력 내용을 담은 MOU로 개정하기로 합의했다. 더불어 인구문제 해결을 위한 협력체계 구성 및 보건산업 분야의 협력 강화 등을 논의하였다.



또한 지난 10월 서울에서 개최한 ‘국제인구컨퍼런스’에서 일본의 마츠야마 마사지 1억총활약상(인구장관)과 협의한 동아시아 인구문제 대응을 위한 협력체계 구성에 관한 사항 등을 논의하였으며, 특히 3국 ‘고령화 회담’에서는 고령화 뿐만 아니라 저출산 문제도 함께 논의하기로 하였다.

  

신영수 WHO 서태평양지역 사무처장과는 올해 한국이 선도그룹회의 의장국을 맡고 있는 글로벌보건안보구상(GHSA, Global Health Security Agenda)과 WHO 간 보건안보 위협에 대응하기 위한 협력방안 등을 논의하였다.

    

박능후 보건복지부 장관은, 향후 한·중·일 보건장관회의에서 정신건강분야에 대해서도 긴밀한 논의와 협력을 강화해나갈 것을 제안했다.

 

더불어, “보건의료 분야의 협력은 국민 생활과 밀접하게 관련되며, ‘사람중심 협력’의 핵심 분야 이므로 앞으로도 한·중·일 삼국 간 끈끈한 협력이 지속될 수 있도록 노력하겠다”고 밝혔다

김민정 기자 imph7777@naver.com
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