European Action Research Articles

Progress Toward Rubella Elimination - World Health Organization European Region, 2005-2019.

In 2005, the Regional Committee of the World Health Organization (WHO) European Region (EUR) passed a resolution calling for the regional elimination of measles, rubella, and congenital rubella syndrome (CRS) (1). In 2010, all 53 countries in EUR* reaffirmed their commitment to eliminating measles, rubella, and CRS (2); this goal was included in the European Vaccine Action Plan 2015-2020 (3,4). Rubella, which typically manifests as a mild febrile rash illness, is the leading vaccine-preventable cause of birth defects. Rubella infection during pregnancy can result in miscarriage, fetal death, or a constellation of malformations known as CRS, which usually includes one or more visual, auditory, or cardiac defects (5). The WHO-recommended measles and rubella elimination strategies in EUR include 1) achieving and maintaining ≥95% coverage with 2 doses of measles- and rubella-containing vaccine (MRCV) through routine immunization services; 2) providing measles and rubella vaccination opportunities, including supplementary immunization activities (SIAs), to populations susceptible to measles or rubella; 3) strengthening surveillance by conducting case investigations and confirming suspected cases and outbreaks with laboratory results; and 4) improving the availability and use of evidence to clearly communicate the benefits and risks of preventing these diseases through vaccination to health professionals and the public (6). This report updates a previous report and describes progress toward rubella and CRS elimination in EUR during 2005-2019 (7). In 2000, estimated coverage with the first dose of a rubella-containing vaccine (RCV1) in EUR was 60%, and 621,039 rubella cases were reported (incidence = 716.9 per 1 million population). During 2005-2019, estimated regional coverage with RCV1 was 93%-95%, and in 2019, 31 (58%) countries achieved ≥95% coverage with the RCV1. During 2005-2019, approximately 38 million persons received an RCV during SIAs in 20 (37%) countries. Rubella incidence declined by >99%, from 234.9 cases per 1 million population (206,359 cases) in 2005 to 0.67 cases per 1 million population (620 cases) by 2019. CRS cases declined by 50%, from 16 cases in 2005 to eight cases in 2019. For rubella and CRS elimination in EUR to be achieved and maintained, measures are needed to strengthen immunization programs by ensuring high coverage with an RCV in every district of each country, offering supplementary rubella vaccination to susceptible adults, maintaining high-quality surveillance for rapid case detection and confirmation, and ensuring effective outbreak preparedness and response.

Staging childhood cancers in Europe: Application of the Toronto stage principles for neuroblastoma and Wilms tumour. The JARC pilot study.

The 'Toronto consensus principles and guidelines' (TG) provided paediatric-specific staging system affordable by population-based cancer registries (CRs). Within the European Rare Cancers Joint Action, a pilot study of the application of TG for childhood cancer (CC) was conducted to test the ability of CRs to reconstruct stage, describe stage across countries and assess survival by stage. Twenty-five CRs representing 15 countries contributed data on a representative sample of patients with neuroblastoma (NB) and Wilms tumour (WT) <15years, diagnosed between 2000 and 2016. Outcome was calculated by Kaplan-Meier method and by Cox regression model. Stage was reconstructed for 95% of cases. Around half of the children had localised or locoregional disease at diagnosis. The proportion of metastatic cases was 38% for NB and 13% for WT. Three-year survival was >90% for locoregional cases both of NB and WT, 58% for NB M-stage and 77% for WT stage-IV. Older age was associated with more advanced stage. European CRs were able to reconstruct stage according to the TG. Stage should be included in the routine collection of variables. Stage information had clear prognostic value and should be used to investigate survival variations between countries or over time.

Contested Colonial Metrological Sovereignty: The daching riot and the regulation of weights and measures in British Malaya

AbstractDrawing on materials from the National Archives of Malaysia, newspapers, literature on historical metrology, and the colonial history of Malaya, this article weaves a social history of Malaya's colonial metrological reform by taking into account the roles of both European and Asian historical actors. Prior to the 1894 reform, people in Malaya used customary scales and weight units, which varied across districts, for commercial transactions. Initiated by colonial administrators, the reform was both welcomed and resisted. In 1897, a riot against the Sanitary Board broke out in Kuala Lumpur for its attempt to mandate that previously exempted traders use only government-verified and -stamped scales. The colonial government managed to maintain order and restore its authority at the end of the riot, but four types of merchants—goldsmiths, silversmiths, opium dealers, and drug sellers—managed to remain exempted. Metrological reform continued to be contested in the following century, but the central concerns of the regulation moved from easing taxation, facilitating cross-district trade, and taming Chinese traders to protecting consumers. More emphasis was placed on educating the public to be able to read scales, in addition to using police force to raid businesses. The enforcement was, however, compromised due to inadequate funds. The reality on the ground contradicts the image of an omnipresent colonial authority and reveals the fragility of colonial administration.

Patchwork of Counterterrorism: Analyzing European Types of Cooperation in Sahel

Abstract The overlapping of a series of events in the region has brought the Sahel under the spotlight of many European countries. It has been argued that the peculiar transnational nature of many terrorist groups of the area represents a concrete threat to European security. France, specifically, has led and encouraged a series of European initiatives, which aim to stabilize the region, calling for different degrees of counterterrorism cooperation with its European allies. Many European countries, such as Spain, Germany, the Netherlands, or Italy, have indeed increased their engagement in the area. Yet, not only a variety of new actors are now involved in the response to terrorism, but European cooperation among key actors is also developing along political-strategic, organizational, and procedural dimensions largely unexplored by the existing literature. This paper specifically accounts for the different multilevel configurations of European counterterrorism cooperation in the Sahel between 2012 and 2018. More specifically, the aim of this contribution is twofold. First, theoretically, through the concept of “patchwork” the paper proposes a conceptual framework able to investigate and analyze the apparently confusing multidimensional and multi-actor European cooperation in counterterrorism. Second, it empirically researches and analyzes the types of cooperation and the actors that fulfil key strategic positions in the patchwork. Overall, this paper provides a first complete account of the universe of European actors involved in the region and the types of cooperative patterns.

Strategic communication of EU CSDP missions – measuring the EU's external legitimacy

PurposeThe European Union’s (EU’s) Common Security and Defence Policy (CSDP) has gained increasing attention as the EU faces new threats and challenges from its surroundings. As part of its CSDP, the EU currently runs six military operations and 11 civilian missions. This paper aims to analyze the EU’s social media use of four CSDP missions and operations running in two regions: in the Mediterranean and in the Western Balkans.Design/methodology/approachThe paper has a mixed-methods research design. A computer-assisted content analysis was conducted to extract data on the Twitter communication of the chosen missions, followed by a quantitative analysis on which elements of the EU’s strategic communication can be identified. The timeframe for investigation was set up between 1 January 2019 and 31 August 2020.FindingsPatterns of communication cannot be recognized either based on regional or on the civilian-military division. The strong connectivity with the accounts of other European actors and/or institutions is striking. This study finds that the concept of local ownership can be observed only at European level, local populations of the host countries are usually not targeted. Even though several elements of the EU’s strategic communication are recurrent on the missions’ official Twitter account, Twitter communication seems to be an intra-European communication tool.Originality/valueThe research revealed the main features of the Twitter communication of four CSDP missions. Due to the software-assisted methodology, measuring influence score was made possible, a feature that was still missing from academic literature regarding this specific area, the EU’s CSDP.

Whose action research is it?: Promoting linguistically sensitive teacher education in Europe

ABSTRACT This article examines the possibilities and challenges in turning a top-down action research project led by high-level public authorities into a shared and collaborative, multi-site and multi-professional bottom-up action research project. For this purpose, the article explores the initial stages of a European level action research project called ‘Linguistically Sensitive Teaching in All Classrooms’ that aimed to help teacher education systems better acknowledge linguistically diverse student populations in seven European countries. The analysis of the data sought to identify how to promote linguistically sensitive initial teacher education by incorporating reflection tasks into existing courses, and how to transform a top-down research project into a shared and collaborative bottom-up action project. The primary data consisted of 19 video-recorded online research meetings. Qualitative analysis was used to identify ‘critical moments’ in the data; these included a moment of major insight where transformation of project related ideas took place. The findings showed that linguistically sensitive teaching as a phenomenon is complex and the related terminology challenging to translate between languages and contexts. Furthermore, a European level action research requires negotiating a joint understanding of the roles of the participants and the individual perceptions of project ownership in each context. This suggests that a deeper understanding of the processes of participation and the partnerships involved in the action research may be as valuable as the actual reflection tools developed in the project in securing a systematic change towards linguistically sensitive teacher education.

The adoption of circular economy practices in supply chains – An assessment of European Multi-National Enterprises

The European Commission Circular Economy Action Plan aims at fostering a society based on sustainable production and consumption. Within this context, industrial organisations are called to implement a wide set of practices to drive this transition: manufacturing easy-to-repair and sustainable products, adopting solutions aimed at extending product lifetime, and promoting remanufacturing and materials’ recycling. A major contribution is expected from Multi-National Enterprises (MNEs), as these organisations dominate the European economy and coordinate resource-intensive global supply networks.As such, this study assesses the Circular Economy-inspired initiatives promoted by the largest European MNEs. The content of sustainability reports is scrutinised, through a template analysis technique, in order to create a database of Circular Economy practices. Key findings include the degree of implementation, the level of involvement of supply chain partners, and the drivers behind the implementation of such practices. Furthermore, a conceptual framework is proposed, in order to describe the adoption of Circular Economy practices as a supply chain process. A theoretical discussion explores the role of institutional pressures and supply chain integration to shape the transition towards the adoption of Circular Economy practices in global supply chains.

Enslaved in Dzungaria: what an eighteenth-century crocheting instructor can teach us about overland globalisation

AbstractThis global microhistorical analysis of the Swede Brigitta Scherzenfeldt’s capture in Russia and her subsequent enslavement in the Dzungar khanate stresses actors and regions needed to nuance the history of globalisation. The early globalisation process is commonly exemplified with maritime contacts, involving free and often male West European actors. In contrast, this study combines multilingual source material to trace and discuss economic integration, cross-border trade, forced migration, the circulation of knowledge, literary depictions, and diplomatic contacts in the Central Asian borderlands between China and Russia. In the process, I clarify the importance of female, coerced actors, and overland connections between non-European empires for the history of early modern globalisation.

Transfer and Implementation Process of a Good Practice in Workplace Health Promotion.

The procedure developed by the European Joint Action CHRODIS PLUS (JAC+) to transfer and implement good practices from one setting to another was tested in the context of a workplace health promotion good practice identified in the Region of Lombardy (Italy) and transferred and implemented in two organisations in Andalusia (Spain). This article provides a detailed account on how the JAC+ implementation methodology, which included the use of the SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines, was applied. It offers a practical overview for the uptake of this methodology and of the good practice itself. The account of how this systematic and rigorous implementation reporting model was applied can be of value to those with an interest in workplace health and in the transfer of good practice and implementation sciences.

What knowledge is required to grow food? A framework for understanding horticulture's skills ‘crisis’

For more than a decade actors in Europe, North America and Australasia have been warning of crises with horticultural skills, highlighting shortages of specialists, educational programmes and traineeships. Related warnings predict worsening shortages of skilled workers essential for production of horticultural crops. Analysis of recent strategies from the UK finds these problems poorly defined and characterised, without articulating what horticultural skills comprise, tending to misconstrue problems and causes. This paper aims to characterise food growing knowledge systems and challenges they face. The result is a new definition of and conceptual framework for horticultural skills to enhance understanding of the sector's problems and formulation of solutions. The framework valorises knowledge of workers often portrayed as unskilled, and demonstrates how skills and labour challenges are wholly inter-linked. Knowledge flows are found to be affected by multiple impediments which contribute to a sense of crisis. Unresolved questions regarding this skills system present avenues for research to better understand the future prospects of food production skills, and demonstrate the value critical social science can bring to this topic.

Priorities and preferences for care of people with multiple chronic conditions.

BackgroundTo guide the development of high‐quality care for people with multiple chronic conditions, partners of the European Joint Action CHRODIS developed the Integrated Multimorbidity Care Model. To assess its suitability for improving care for people with multimorbidity in the Netherlands, the model was piloted in a primary care setting with both patients and care providers.AimThis paper reports on the patient perspective, and aims to explore the priorities, underlying values and preferences for care of people with multimorbidity.Participants and methodsTwenty persons with multimorbidity (selected from general practice registries) participated in a focus group or telephone interview. Subsequently, a questionnaire was completed by 863 persons with multimorbidity registered with 14 general practices. Qualitative data were thematically analysed and quantitative data by means of descriptive statistics.ResultsFrequently prioritized elements of care were the use of shared electronic health records, regular comprehensive assessments, self‐management support and shared decision making, and care coordination. Preferences for how these elements should be specifically addressed differed according to individual values (eg weighing safety against privacy) and needs (eg ways of coping with multimorbidity).ConclusionThe JA‐CHRODIS Integrated Multimorbidity Care Model reflects the priorities and preferences for care of people with multimorbidity in the Netherlands, which supports its relevance to guide the development of person‐centred integrated care for people with multiple chronic conditions in the Netherlands.Patient contributionEuropean patient experts contributed to the development and applicability assessment of the JA‐CHRODIS Integrated Multimorbidity Care Model; Dutch patients participated in focus groups, interviews and a survey.

Focusing on political and civil concerns in news media? European refugee issue seen from China

The European refugee issue has become one of the major topics in Europe’s media narratives, its public discourses, and political debates, particularly in the peak period from late summer 2015 to the migration worries driving the Brexit referendum vote in June 2016. This study examines what image Chinese newspapers projects of the EU as a global actor against the backdrop of the refugee issue. The focus is on the coverage of the political and civil responses in European societies toward the issue and the actors and factors behind these responses. Based on a content analysis of 536 news articles from four Chinese newspapers spanning from 2015 to 2017, this study found that Chinese media portrayed a fairly unwelcoming attitude from both political and civil society actors in Europe towards refugees, though civil society actors tend to be more welcoming than political actors. The place of the event, reference to religion, i.e., Muslims, non-Muslims, and Christian, and threat themes, i.e., economic threat, security threat, cultural threat, and health threat, affect Chinese media representation of the European refugee issue, and these factors showed a different concern pattern from political and civil societies. However, the portrayed unwelcoming responses toward the refugee issue do not seem to harm the images of the EU as a Union of integrity and a global actor in Chinese news media. The study concludes with a discussion on the image of the EU as a global actor in Chinese news as well as limitations and directions for future research.

Italian neonatologists and SARS-CoV-2: lessons learned to face coming new waves.

The aim of this review was threefold: (a) to retrieve all SARS-CoV-2 evidences published by Italian neonatologists working in maternity centers and NICUs during the pandemic; (b) to summarize current evidence for the management of term and preterm infants with a SARS-CoV-2-related illness; and (c) to provide an update for dealing with the second wave of COVID-19 and discuss open questions. A review was conducted using MEDLINE/PubMed and the national COVID-19 registry of the Italian Society of Neonatology including citations from December 1, 2019 to October 28, 2020. Sixty-three articles were included. Collected data were divided into the following topics: (a) antenatal management, (b) management in delivery room, (c) postnatal management, (d) mother–baby dyad and breastfeeding management, (e) neonatal emergency transport system reorganization, (f) parents’ management and perspective during SARS-CoV-2 pandemic, and (g) future perspective. Evidences have evolved over the pandemic period and the current review can be useful in the management of the mother–neonate dyad during SARS-CoV-2 future waves. Italian neonatologists have played an active role in producing official guidelines and reporting data that have contributed to improve the care of neonates. A joint European action plan is mandatory to face COVID-19 in neonates with more awareness.Impact A joint European action plan is mandatory to face COVID-19 in neonates with more awareness.This review summarizes the available evidences from neonatal COVID-19 management in Italy analyzing all the published paper in this specific field of interest.The current review can be useful in the management of the mother–neonate dyad during the SARS-CoV-2 future waves.

European Union Legislation and Actions

European Union Legislation and Actions

Creation of a New European Metrology Network on Pollution Monitoring (POLMO)

Driven by a wide set of European regulations, strategies and action plans, to cope with and to minimize environmental pollution in Europe, the need for pollution monitoring especially on chemicals and radionuclides is constantly growing in importance as it supports the ambition of the European Union: “In 2050, we live well within the planet’s ecological limits”. This can be reached only on the basis of high-quality data on pollution monitoring as well as strong metrological cooperation between all relevant European partners and stakeholders. To foster this goal a strong, collaborative, multi-disciplinary, long-term and self-sustaining “European Metrology Network on pollution monitoring”, as a metrological reference infrastructure, needs to be generated and managed. Such a metrological network will be developed over the next years within the framework of an EMPIR network project called POLMO. POLMO will focus first on chemicals and radionuclides pollution in the different compartments of the environment (water, air, soil) but also will strive to expand its expertise to other areas such as light or noise pollution on longer terms. The detailed objectives of the POLMO network are: To become an international point of focus and create stronger connections for all the different stakeholder communities (active networks and associations, research centres, testing laboratories, manufacturers, industry, standardization bodies, regulators) with NMIs/DIs. This should allow new approaches to meet stakeholder requirements by developing multidisciplinary metrological research overpassing current regulatory principles. To maximize efficiency of NMIs/DIs activity and minimise resources (human, infrastructures, financial) as well as knowledge, data and best-practice transfers between NMIs/DIs and with the main EU organisations as well as stakeholders in the POLMO context. Demonstrate the role of metrology in the European research area. Moreover, to define the place and role of the metrology in the pollution monitoring chain of measurements and to demonstrate its added value and benefit. To maximize and accelerate dissemination of reliable metrology practices for pollution monitoring through mutually recognized and agreed approaches The goal of this poster is to describe how the POLMO Metrology Network will be implemented from mid 2022 in particular by the means of an EMPIR JNP (Joint Network Programme) in the framework of EURAMET (European Association of National Metrology Institutes). The project could support the need for harmonization and reliability of e-DNA measurements, as necessary to support their recognition, by organizing the development of missing metrological tools at European level

Sustainable Economic Growth Support through Credit Transmission Channel and Financial Stability: In the Context of the COVID-19 Pandemic

All countries worldwide faced the COVID-19 pandemic and had to take actions to lower the economic shock. Financial authorities play an especially significant role in economics and can help to manage the negative consequences. This article focuses on the European central bank monetary policy and actions taken for COVID-19 risk management. This research aims to identify the significant factors influencing the long-term loans for enterprises’ credit conditions in a forward-looking approach and determine the impact of the spread of COVID-19 pandemic on banking sector credit risk, financial distress, lending growth, and financial soundness indicators. This research is focused on the credit transmission channel and the role of the Pandemic Emergency Purchase Program in different countries of the euro area. To reach the main goal, panel data regression models are used. Our findings showed that the banks’ risk tolerance is a principal factor influencing long-term loan credit standards. We also identified that the spread of the COVID-19 pandemic has a statistically significant negative effect on banking sector credit risk, financial distress, banking sector profitability, and solvency. Furthermore, after analyzing the euro area banking sector, we found that liquidity increased. Hence, it means that banks have enough funds to support sustainable economic growth, but on the other side, commercial banks do not want to take credit risk because of their risk tolerance. Our research findings show the mixed effect of the COVID-19 pandemic on financial stability: while the overall financial distress decreased and banking sector liquidity increased, the profitability and solvency decreased some extent.

‘The real power must be in the base’ – Decentralised collective intellectual leadership in the European Action Coalition for the Right to Housing and to the City

The ongoing commodification of housing and urban space in Europe has led to the formation of a burgeoning housing movement, consisting of large anti-eviction networks in Southern Europe, as well as tenants’ unions and right-to-the-city networks in Central and Northern Europe. These different forms of housing activism have become increasingly connected at the transnational level, primarily due to the work of the ‘European Action Coalition for the Right to Housing and to the City’. Consisting of activist groups from over 20 different countries, this coalition facilitates mutual exchange, organises collective campaigns and has begun engaging in institutional advocacy at the European Union level. It steadily expands in size and tactical repertoire, aiming to develop a more unified transnational strategy for attaining affordable and self-determined living space across Europe. Drawing on the writings of Antonio Gramsci, this article makes the case that the ‘European Action Coalition for the Right to Housing and to the City’ increasingly performs the function of a ‘collective intellectual’ that organises a transnational struggle against neoliberal hegemony. Based on qualitative analyses of documents, interviews and field notes, it demonstrates that the ‘European Action Coalition for the Right to Housing and to the City’ exhibits a counter-hegemonic perspective that opposes neoliberal capitalism as a whole and manages to facilitate mutual solidarity across different activist communities explicitly on the basis of class struggle. At the same time, instead of organising a democratic centralist political project the ‘European Action Coalition for the Right to Housing and to the City’ pursues a more decentralised approach to collective intellectual leadership that prioritises domestic struggles, yet also lacks a cohesive long-term strategy.

The Greek Revolution of 1821 and Russian Policy in the Eastern Question

The Greek Revolution 1821-1829 contributed to the beginning and development of the Eastern crisis of the 1820s, which led to the military confrontation in the Russian-Turkish relations in 1828-1829. The Russian government was forced to closely monitor the unfolding events in Greece, repeatedly expressing the Sublime Porte condemnation of her repression against the Greek population. During the crisis the Petersburg Cabinet has repeatedly attempted to settle the Greek-Turkish conflict diplomatically by means of a joint statement of the European powers addressing the Ottoman government. The agreements adopted at the St. Petersburg (1826) and London (1827) conferences of the powers were aimed at "pacifying" the Greek problem through the joint efforts of the European powers. Ineffective European actions resulted in the fact that Russian government was forced to radically change its policy on the Greek issue and declare its determination to take independent steps to resolve the Greek issue and start military operations against the Ottoman Empire. The Greek uprising of 1821 became the central event of the 1820s. in the Balkans. Standing in the same row with the revolutionary movements in European countries, the Greek revolution led to a change in the entire foreign policy doctrine of the Russian government. It was forced, despite the adherence of the Russian emperors to the principles of the Holy Alliance, not only to provide the rebel Greeks with material and moral support, but also to openly declare to the allies about the existing interests in the Balkans. Match of these interests with the demands for independence of the Greek movement leaders led to a more decisive steps taken by the Russian government in the Greek issue. The Russian Empire took path of an independent policy in the Eastern question, which contributed to the victory of the national interests of Greece.

고등교육 국제화의 활성화 방안에 관한 사례연구-C대학교 쌍방향(In/Out bound) 2+2복수학위제를 중심으로

4차 산업혁명시대 진입에 따라 고등교육의 국제화는 중요한 이슈로 부각되고 있고, 저출산 고령화로 인해 가시화된 학력인구 감소는 in-bound와 out-bound 즉 쌍방향 국제화를 활성화 시켜야만 하는 중요한 요인이 되었다. 1990년대 이후 해외 자매대학과의 교환학생제도 활성화를 통해 한국 대학들은 학생들로 하여금 외국에서 국제적인 경험을 하는 out-bound 국제화에 치중해 왔다. 2000년대 들어 고등교육 국제화는 전 세계적으로 더욱더 확산되는 분위기였으며 그 예로 EU위원회(European Commission)에서 주관하는 ERASMUS+ (European Action Scheme for the Mobility of University Students)가 있고, 아시아에서 2011년부터 추진한 한중일 3국 교류프로그램인 “CAMPUS Asia 사업”이 있고, 중국정부에서 2015년부터 추진한

COVERAGE OF ISSUES THE IMPACT OF STRESS ON HEALTH AND COUNTERMEASURES IN A PUBLIC HEALTH CURRICULUM

Aim: substantiation of educational content on the impact of stress on health and countermeasures in a public health curriculum.&#x0D; Materials and methods: bibliographic, information and analytical methods and content analysis were used in the work. The study was carried out as part of the research work of the Bogomolets National Medical University on the topic «Medical and social substantiation of the optimization of the healthcare organization in the context of the public healthcare system development» (state registration number 0120U100807).&#x0D; Sources of information included scientific literature on the research topic, strategic and policy documents of WHO and WHO / Europe, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services, educational standards for the preparation of Masters in Medicine and Public Health, an exemplary curriculum of the discipline «social medicine, public health» for the preparation of Masters of Medicine.&#x0D; Results. A study of scientific sources of literature has shown the growing influence of psychological factors, including stress, on the formation of population health and the need for countermeasures, which requires, among other things, the training of health care professionals able to determine the impact of stresses on public health, assess their prevalence, justify countermeasures.&#x0D; Justification of educational content on these issues was carried out on the basis of an analysis of the provisions of educational standards for the training of masters of health, an exemplary curriculum "social medicine, public health" for training masters of medicine, WHO documents, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services etc.&#x0D; Learning content includes a statement of the purpose of the lesson on the topic «Stresses and Conflicts, mechanisms of protecting people from stress actions», its rationale, a list of basic concepts, educational target tasks, pre-classroom training issues, basic theoretical questions, typical examples of solving specific situational tasks, a list of recommended literature. The theoretical part of the lesson includes versatile questions of the prevalence of stressful situations in society, their causes, types and signs of stress, the impact of stressful situations on the health of the population, types of conflicts, their consequences, causes of conflicts, phases of their deployment and methods of settlement, measures to protect people from stress, psychoprophylaxis, strategies and measures to counter the negative impact of stress on public health.&#x0D; Conclusions. Training of Masters of Health Care in countering the negative effects of stressful situations on health will contribute to improving the preventive component in health care, reducing the global burden of disease caused by stressful situations, maintaining and strengthening the health of the population.