The European Parliament on Wednesday called for a Europe-wide minimum threshold
of 16 for minors to access social media without their parents’ consent.
Parliament members also want the EU to hold tech CEOs like Mark Zuckerberg and
Elon Musk personally liable should their platforms consistently violate the EU’s
provisions on protecting minors online — a suggested provision that was added by
Hungarian social-democrat member Dóra Dávid, who previously worked for Meta.
The call for tougher rules on social media comes as several EU countries prepare
more restrictions on social media for kids, following concerns about the effects
on mental health and development of platforms like TikTok, Instagram, YouTube
and others. Australia is in the process of implementing an age limit of 16 for
users of social media accounts.
The European Parliament backed an age limit in its report on how to better
protect minors online, with 483 members voting in favor, 92 against and 86
abstaining.
The report called on the European Commission to ensure that laws and measures on
age checks are consistent across the bloc. Several countries are rushing to
develop their own national checks.
The bulk of the votes against and abstentions came from political groups on the
right, who have argued that the report goes too far into EU countries’
competencies.
The report was led by Danish social-democrat Christel Schaldemose, who also led
Parliament’s work on the Digital Services Act, the EU’s content moderation
regulation.
The report could influence upcoming negotiations on EU law. The Commission is
set to propose two legislative acts that will include heavy chunks on minor
protections next year: the review of the Audiovisual Media Services Directive
and a new Digital Fairness Act.
Tag - Mental health
TOURNAI, Belgium — Back in 2016, a freak storm destroyed the entire strawberry
crop on Hugues Falys’ farm in the province of Hainaut in west Belgium.
It was one of a long string of unusual natural calamities that have ravaged his
farm, and which he says are becoming more frequent because of climate change.
Falys now wants those responsible for the climate crisis to pay him for the
damage done — and he’s chosen as his target one of the world’s biggest oil
companies: TotalEnergies.
In a packed courtroom in the local town of Tournai, backed by a group of NGOs
and a team of lawyers, Falys last week made his case to the judges that the
French fossil fuel giant should be held responsible for the climate disasters
that have decimated his yields.
It’s likely to be a tricky case to make. TotalEnergies, which has yet to present
its side of the case in court, told POLITICO in a statement that making a single
producer responsible for the collective impact of centuries of fossil fuel use
“makes no sense.”
But the stakes are undeniably high: If Falys is successful, it could create a
massive legal precedent and open a floodgate for similar litigation against
other fossil fuel companies across Europe and beyond.
“It’s a historic day,” Falys told a crowd outside the courtroom. “The courts
could force multinationals to change their practices.”
A TOUGH ROW TO HOE
While burning fossil fuels is almost universally accepted as the chief cause of
global warming, the impact is cumulative and global, the responsibility of
innumerable groups over more than two centuries. Pinning the blame on one
company — even one as huge as TotalEnergies, which emits as much CO2 every year
as the whole of the U.K. combined — is difficult, and most legal attempts to do
so have failed.
Citing these arguments, TotalEnergies denies it’s responsible for worsening the
droughts and storms that Falys has experienced on his farm in recent years.
The case is part of a broader movement of strategic litigation that aims to test
the courts and their ability to enforce changes on the oil and gas industry.
More than 2,900 climate litigation cases have been filed globally to date.
“It’s the first time that a court, at least in Belgium, can recognize the legal
responsibility, the accountability of one of those carbon polluters in the
climate damages that citizens, and also farmers like Hugues, are suffering and
have already suffered in the previous decade,” Joeri Thijs, a spokesperson for
Greenpeace Belgium, told POLITICO in front of the courtroom.
MAKING HISTORY
Previous attempts to pin the effects of climate change on a single emitter have
mostly failed, like when a Peruvian farmer sued German energy company RWE
arguing its emissions contributed to melting glaciers putting his village at
risk of flooding.
But Thijs said that “the legal context internationally has changed over the past
year” and pointed to the recent “game-changer” legal opinion of the
International Court of Justice, which establishes the obligations of countries
in the fight against climate change.
TotalEnergies, which has yet to present its side of the case in court. |
Gregoire Campione/Getty Images
“There have been several … opinions that clearly give this accountability to
companies and to governments; and so we really hope that the judge will also
take this into account in his judgment,” he said.
Because “there are various actors who maintain this status quo of a fossil-based
economy … it is important that there are different lawsuits in different parts
of the world, for different victims, against different companies,” said Matthias
Petel, a member of the environment committee of the Human Rights League, an NGO
that is also one of the plaintiffs in the case.
Falys’ lawsuit is “building on the successes” of recent cases like the one
pitting Friends of the Earth Netherlands against oil giant Shell, he told
POLITICO.
But it’s also trying to go “one step further” by not only looking backward at
the historical contribution of private actors to climate change to seek
financial compensation, he explained, but also looking forward to force these
companies to change their investment policies and align them with the goal of
net-zero emissions by 2050.
“We are not just asking them to compensate the victim, we are asking them to
transform their entire investment model in the years to come,” Petel said.
DIRECT IMPACTS
In recent years, Falys, who has been a cattle farmer for more than 35 years, has
had to put up with more frequent extreme weather events.
The 2016 storm that decimated his strawberry crop also destroyed most of his
potatoes. In 2018, 2020 and 2022, heat waves and droughts affected his yields
and his cows, preventing him from harvesting enough fodder for his animals and
forcing him to buy feed from elsewhere.
These events also started affecting his mental health on top of his finances, he
told POLITICO.
“I have experienced climate change first-hand,” he said. “It impacted my farm,
but also my everyday life and even my morale.”
Falys says he’s tried to adapt to the changing climate. He transitioned to
organic farming, stopped using chemical pesticides and fertilizers on his farm,
and even had to reduce the size of his herd to keep it sustainable.
Yet he feels that his efforts are being “undermined by the fact that carbon
majors like TotalEnergies continue to explore for new [fossil fuel] fields,
further increasing their harmful impact on the climate.”
FIVE FAULTS
Falys’ lawyers spent more than six hours last Wednesday quoting scientific
reports and climate studies aimed at showing the judges the direct link between
TotalEnergies’ fossil fuel production, the greenhouse gas emissions resulting
from their use, and their contribution to climate change and the extreme weather
events that hit Falys’ farm.
They want TotalEnergies to pay reparations for the damages Falys suffered. But
they’re also asking the court to order the company to stop investing in new
fossil fuel projects, to drastically reduce its emissions, and to adopt a
transition plan that is in line with the 2015 Paris climate agreement.
Falys’ lawsuit is “building on the successes” of recent cases like the one
pitting Friends of the Earth Netherlands against oil giant Shell, he told
POLITICO. | Klaudia Radecka/Getty Images
TotalEnergies’ culpability derives from five main faults, the lawyers argued.
They claimed the French oil giant continued to exploit fossil fuels despite
knowing the impact of their related emissions on climate change; it fabricated
doubt about scientific findings establishing this connection; it lobbied against
stricter measures to tackle global warming; it adopted a transition strategy
that is not aligned with the goals of the Paris agreement; and it engaged in
greenwashing, misleading its customers when promoting its activities in Belgium.
“Every ton [of CO2 emissions] counts, every fraction of warming matters” to stop
climate change, the lawyers hammered all day on Wednesday.
“Imposing these orders would have direct impacts on alleviating Mr. Falys’
climate anxiety,” lawyer Marie Doutrepont told the court, urging the judges “to
be brave,” follow through on their responsibilities to protect human rights, and
ensure that if polluters don’t want to change their practices voluntarily, “one
must force them to.”
TOTAL’S RESPONSE
But the French oil major retorted that Falys’ action “is not legitimate” and has
“no legal basis.”
In a statement shared with POLITICO, TotalEnergies said that trying to “make a
single, long-standing oil and gas producer (which accounts for just under 2
percent of the oil and gas sector and is not active in coal) bear a
responsibility that would be associated with the way in which the European and
global energy system has been built over more than a century … makes no sense.”
Because climate change is a global issue and multiple actors contribute to it,
TotalEnergies cannot hold individual responsibility for it, the fossil fuel
giant argues.
It also said that the company is reducing its emissions and investing in
renewable energy, and that targeted, sector-specific regulations would be a more
appropriate way to advance the energy transition rather than legal action.
The French company challenges the assertion that it committed any faults, saying
its activities “are perfectly lawful” and that the firm “strictly complies with
the applicable national and European regulations in this area.”
TotalEnergies’ legal counsel will have six hours to present their arguments
during a second round of hearings on Nov. 26 in Tournai.
The court is expected to rule in the first half of next year.
French prosecutors have opened a criminal investigation into TikTok for failing
to safeguard the mental health of children on its platforms.
It’s the first time the protection of minors on social media has led to criminal
proceedings, marking a significant escalation in regulators’ push to protect
children on the internet.
The probe comes after a parliamentary inquiry led by Socialist lawmaker Arthur
Delaporte, which presented its findings on Sept. 11.
A criminal investigation was opened by the Paris police’s cybercrime unit at the
end of October, Delaporte wrote in a press release welcoming the news.
“Our commission’s empirical observation is that of an algorithmic trap that, in
just a few interactions, increases exposure to harmful, anxiety-inducing, and
depressing content,” he previously said.
TikTok is regulated as a Very Large Online Platform by the European Commission
under the EU’s Digital Services Act. The EU has been investigating TikTok for
lapses in the protection of child users.
TikTok and the Commission did not immediately respond to POLITICO’s request for
comment.
The mastermind of President Donald Trump’s effort to downsize the federal
workforce, Russ Vought, promised to use the government shutdown to advance his
goal of “shuttering the bureaucracy.”
Presented with a layoff plan that would have moved in that direction, officials
at the Department of Health and Human Services scaled it way back, POLITICO has
learned. It was another example, like several during the layoffs led by Elon
Musk’s Department of Government Efficiency this spring, in which Trump’s agency
heads have pushed back successfully against top-down cuts they viewed as
reckless.
POLITICO obtained an HHS document from late September, the shutdown’s eve, that
said the department wanted to cut nearly 8,000 jobs, based on guidance from
Vought’s budget office. On Oct. 10, HHS only went ahead with 1,760. In the two
weeks since, the number has dwindled to 954, as the department has rescinded
nearly half of the total, blaming a coding error.
The disorganized handling of the layoffs is reminiscent of Musk’s DOGE effort,
in which employees were rehired after being fired, sometimes on court orders,
sometimes because agency officials objected. In each case, the layoffs rattled
agency managers and traumatized employees, as Vought wanted, but haven’t gone
nearly as far in downsizing the government as forecast.
While the nearly 8,000-person layoff plan this month was largely scuttled by top
agency officials who intervened before the cuts could be made, the whiplash
manner in which it was proposed and then scaled back shows that the
administration is still following the DOGE playbook.
“These appear to be leftovers from DOGE. I don’t know anyone — including in the
White House — who supports such cuts,” a senior administration official told
POLITICO in explaining the pullback from the promised mass layoffs. The
official, granted anonymity to discuss confidential matters, pointed to the
involvement of a staffer who was part of the DOGE effort in producing the
administration document.
That document came to its initial tally of 7,885 layoffs at HHS by adding
employees who would be furloughed during the shutdown, as well as workers in
divisions that would be shuttered if Congress passed Trump’s fiscal 2026 budget
proposal. Trump’s May budget plan called for a 25 percent cut to HHS, but
lawmakers have rejected it in the appropriations bills now in process.
HHS spokesperson Emily Hilliard told POLITICO in a statement that HHS made its
layoff list “based upon positions designated as non-essential prior to the
Democrat-led government shutdown.” She added: “Due to a recent court order, HHS
is not currently taking actions to implement or administer the
reduction-in-force notices.”
According to the document reviewed by POLITICO, the National Institutes of
Health was to take the hardest hit among HHS agencies, 4,545 layoffs, or roughly
a quarter of its workforce. It ended up firing no one.
A federal judge in San Francisco blocked the firing of 362 of the 954 HHS
employees who did receive the October layoff notices. More will be shielded
after additional federal employee unions joined the lawsuit on Wednesday.
In congressional testimony earlier this year, Health Secretary Robert F. Kennedy
Jr. said he had downsized his department’s staff to 62,000 from 82,000 when he
took office. He’s nowhere close. An HHS contingency plan produced in advance of
the shutdown said the department still employed 79,717. Employees who took a
Sept. 30 buyout offer from Musk would bring that lower, though the number who
did is unknown because the White House has not released agency-by-agency totals
and has stopped publishing agency employment updates.
It’s unclear who within the Trump administration came up with the initial plan
for the shutdown layoffs. Hilliard did not respond to POLITICO’s question about
who within HHS was responsible. Thomas Nagy, the HHS deputy assistant secretary
for human resources, has been the one updating the judge, Susan Illston of the
U.S. District Court for the Northern District of California, about the layoffs.
The experience of the fired 954, whose last work day is scheduled for early
December, mirrors the chaos of DOGE’s spring layoffs, in which employees were
left wondering whether they still had jobs amidst lawsuits and officials were
forced to backtrack and rehire fired workers.
In one such instance, Kennedy told a House panel in June that he had appealed
directly to Vought to make sure Head Start funding was protected after the early
education and health care program was left out of the president’s budget
proposal. In another case, HHS fired and then rehired an award-winning
Parkinson’s researcher. Kennedy also told senators that he brought back hundreds
of staffers at the National Institute for Occupational Safety and Health. That
came after West Virginia Republican Sen. Shelley Moore Capito and others
protested.
Now many HHS employees are having déjà vu.
The situation is reminiscent of the experience some former employees of the U.S.
Agency for International Development had during the Trump administration
dismantling of the foreign aid agency early this year.
Some furloughed employees at HHS, for example, didn’t have access to their work
emails to receive notices informing them they were laid off this month.
“There were individuals who didn’t even know if they were in RIF status until
they got the hard copy packet in the mail two days ago,” a laid-off employee at
the Centers for Disease Control and Prevention said, using the acronym for
“reduction-in-force.”
A similar situation played out at HHS’ Office of Population Affairs, where
nearly all of the roughly 50 employees were laid off two weeks ago, according to
one person with knowledge of the situation speaking anonymously for fear of
retribution. The office, which is congressionally mandated, manages hundreds of
millions of dollars in funding for family planning and teen pregnancy prevention
programs.
Three fired employees from the Substance Abuse and Mental Health Services
Administration — granted anonymity to provide details about the firings without
fear of retribution — said that many of the roughly 170 employees cut from the
agency earlier this month are getting physical copies of their termination
notices mailed to them because they’re shut out of their email accounts.
“DOGE never really left, it just looks different now,” one of the SAMHSA
employees said.
Amanda Friedman and Sophie Gardner contributed reporting.
Tim Röhn is a global reporter at Axel Springer and head of investigations for
WELT, POLITICO Germany and Business Insider Germany.
Mortality rates for young adults have increased in Eastern Europe over the past
decade, despite global death rates falling.
Drug-use, suicide and war are among the causes of death that are rising in
Eastern Europe, while earthquakes and climate-related disasters have also pushed
up death rates in the region.
The Global Burden of Disease report — published in The Lancet on Sunday and
presented at the World Health Summit in Berlin — analyzed data from more than
200 countries and territories to estimate the leading causes of illness,
mortality and early death worldwide from 1990 to 2023.
Between 2000 and 2023, there was a notable rise in deaths among younger adults
in Eastern Europe caused by HIV, self-harm and personal violence. In Central
Europe, deaths from mental disorders and eating disorders have also risen
sharply among teens over the decade.
This reflects a global trend — a rise in mental health disorders, with worldwide
rates of anxiety increasing by 63 percent and of depression by 26 percent.
“The rise of depression and anxiety is very concerning,” coauthor Chris Murray,
director of the Institute for Health Metrics and Evaluation (IHME) at the
University of Washington, told POLITICO. “We hear a lot of debate as to what the
root causes are … but we certainly need to pay attention to try to figure out
what’s driving the rise. “
The report shows some overall positive trends: Global mortality rates dropped by
67 percent between 1950 and 2023 and global life expectancy in 2023 was more
than 20 years higher compared to 1950.
But despite the improvements, the study also highlights “an emerging crisis” of
higher death rates in teenagers and young adults in certain regions.
In North America and Latin America, for example, deaths among young people
increased significantly from 2011 to 2023, mainly due to suicide, drug overdose
and high consumption of alcohol. In sub-Saharan Africa, they increased due to
infectious diseases and unintentional injuries.
In Eastern Europe, the largest increases in mortality were among those aged
15-19 year and 20-24 years, with rates increasing by 54 percent and 40 percent,
respectively, between 2011 and 2023.
The report also tracks leading causes of mortality worldwide. It found that
non-communicable diseases (NCDs) now account for nearly two-thirds of the
world’s total mortality and morbidity, led by ischemic heart disease, stroke and
diabetes.
In particular, in lower-middle and upper-middle income countries there is a
“very rapid transition towards non-communicable diseases,” said Murray, driven
by factors such as an aging population, slow or no progress on tobacco and air
pollution, and rising levels of obesity.
In Central Europe and North America, these chronic diseases were primarily
driven by an increase in drug use disorders, according to the report. Diabetes
and kidney disease also largely contributed to the increase in Central Europe,
along with several other regions. “Addressing these trends requires targeted
public health interventions, improved health-care access, and socioeconomic
policies to mitigate the underlying risk factors,” the report authors urge.
The researchers estimate that half of all deaths and disability could be
prevented by tackling high levels of blood sugar, overweight and obesity, for
example.
The report also points out how conflict has “begun to shift from north Africa
and the Middle East to central Europe, eastern Europe, and central Asia,” in
recent years due to Russia’s war in Ukraine. This has led to a rise in
injury-related deaths. Palestine had the highest mortality rate due to conflict
and terrorism of any country in the world.
While injury-related deaths caused by specific natural disasters, such as the
2023 earthquake in Turkey and the 2022-23 heatwaves in Europe, are also on the
rise. “In central and eastern Europe, heatwaves have been occurring more
frequently over the past decade,” the authors said.
Epilepsy affects 50 million people globally and 6 million in the EU.1 Despite
this, it is a chronically underfunded and underserved condition in need of
strategic investment. The latest report from Headway1 — a survey dedicated to
tracking and analysing epilepsy care in the EU — underscores the urgent funding
gap across the EU in epilepsy care. At the launch of the latest report in
Brussels, members of the European Parliament, advocacy and patient
organizations, key industry leaders, and I discussed the current picture painted
by the report, and the decisions we must make to support the European epilepsy
community.
Overcoming barriers to epilepsy care
Epilepsy continues to be one of the most significant neurological conditions
across Europe. As the fourth most common neurological disorder,2 it takes a
startling toll on people’s health. People with epilepsy tend to have more
physical problems (such as fractures and bruising from injuries related to
seizures), as well as higher rates of psychological conditions, including
anxiety and depression.3 Defined as a chronic non-communicable neurological
disease, epilepsy is characterized by unprovoked seizures often associated with
neurobiological, cognitive and social consequences.4
Despite the size of the patient population, the condition is often hidden and
therefore heavily stigmatized, with such stigma contributing to a crisis of
care. Nearly 40 percent of people living with epilepsy in Europe remain
untreated, a figure that rises as high as 90 percent in underserved areas.5
Moreover, individuals with epilepsy have more than a twofold increased risk of
premature death compared with the general population, and their life expectancy
is reduced by approximately 10-12 years.6
> Individuals with epilepsy have more than a twofold increased risk of premature
> death compared with the general population, and their life expectancy is
> reduced by approximately 10-12 years.
Epilepsy is not currently recognized in some countries as a brain disorder, and
while new treatments have been coming to the EU, the scarce investment in brain
health impacts access to care, which is already unequal — subject to geographic
lottery, socioeconomic status and gender. Additionally, the stigma associated
with epilepsy, alongside limited seizure control, significantly hinders social
and economic inclusion, resulting in individuals with epilepsy feeling isolated,
engaged in lower employment rates and without long-term financial security.
Addressing these barriers is not just a healthcare imperative, but a societal
one
via Angelini Pharma
Embracing brain capital
Central to the Headway report is the concept of ‘brain capital’. This framework
underscores that investing in brain health, including epilepsy, is a robust
economic strategy. Avoidable epilepsy-related costs are estimated to reach €49.2
billion annually within the EU27 and the U.K., which is approximately 0.28
percent of the combined GDP of the EU and the U.K.. These figures include €20.1
billion in direct costs and €29 billion in indirect costs.7
> Avoidable epilepsy-related costs are estimated to reach €49.2 billion annually
> within the EU27 and the U.K., which is approximately 0.28 percent of the
> combined GDP of the EU and the U.K.
The Headway report outlines three return-on-investment models that address both
the human and financial costs:
1. Closing the treatment gap by ensuring timely access to appropriate care
could yield a return on investment of €1.9 for every €1 invested.8,9,10
2. Addressing psychiatric comorbidities, such as anxiety and depression, by
integrating mental health support into standard epilepsy care can offer a
return of €1.5 per €1 spent.11,12 This intervention is critical, as mental
health disorders often exacerbate the challenges faced by individuals with
epilepsy.
3. Preventing avoidable cases through public health strategies such as stroke
prevention and improved perinatal care could present a return of €1.7 per €1
spent.13
If national health systems across the EU and the U.K. invest €1 in each of these
targeted actions and allocate a larger portion of their total national
healthcare budgets to brain health services such as diagnostics testing,
hospitalizations and antiseizure medications, to name a few, it’s obvious that
it repays itself. It also yields an additional €0.50-€0.90 in reduced healthcare
spending and increased productivity of patients and caregivers. In a climate of
tight healthcare budgets and growing demand, these findings provide an
evidence-based roadmap to better care and stronger systems.
A unified approach to a healthier future
The Headway report is a clear wake-up call for European policymakers to
prioritize epilepsy as part of the broader brain health agenda. By investing in
epilepsy care and engaging the public, countries will not only improve
individual health outcomes but also realize substantial economic and societal
benefits in both the short and long term. Moreover, they can lead the way in
global best practice by scaling up proven solutions such as deploying
epilepsy-specialist nurses and modernizing clinical trial regulations,
especially for complex studies, to promote person-centered care and improve
outcomes.
> By investing in epilepsy care and engaging the public, countries will not only
> improve individual health outcomes but also realize substantial economic and
> societal benefits.
Countries should establish dedicated additional funding for epilepsy and brain
health research within the forthcoming EU Brain Health Partnership and Horizon
Europe. Additionally, strengthening cross-border networks like EpiCARE and
aligning with the World Health Organization’s IGAP framework will support EU
member states and the U.K. in implementing effective national responses, improve
access to highly specialized care and shared expertise, and knowledge from the
inclusion of patient-reported indicators and real-world evidence. Epilepsy
should be included as a distinct priority in the EU’s and member states’ mental
health strategies with tailored indicators and goals for the best possible
outcomes.
> The Headway report lay the foundation for a clear path to a more resilient and
> inclusive society, one that ensures a future where every individual living
> with epilepsy has the opportunity to thrive.
The EU27 and the U.K. stand at a crossroads. The research we’ve done, the
insights we’ve discussed in Brussels and the findings outlined clearly in the
Headway report lay the foundation for a clear path to a more resilient and
inclusive society, one that ensures a future where every individual living with
epilepsy has the opportunity to thrive. The need now is for committed action. It
is crucial that policymakers, medical and healthcare professionals, and those
living with epilepsy come together to effect change, improve access to treatment
and turn our vision into reality.
> --------------------------------------------------------------------------------
1. Szaflaraski M (2014), “Social determinants of health in epilepsy”
2. TEHA on GBD 2021 Nervous System Disorders Collaborators (2024), “Global,
regional, and national burden of disorders affecting the nervous system,
1990-2021: a systemic analysis for the Global Burden of Disease Study
2021,” 2025
3. World Health Organisation. Epilepsy. Signs and Symptoms. Available online
here: https://www.who.int/news-room/fact-sheets/detail/epilepsy. (Accessed
August 2025]
4. Fisher RS, et al. Epilepsia 2014;55: 475-482
5. IBE, ILAE, WHO (2011), “Epilepsy in the WHO European Region.” and European
Parliament (2011), “Proceedings of the workshop ‘Treating and living with
Epilepsy’”
6. Thurman DJ et al. (2014), “The burden of premature mortality of epilepsy in
high-income countries: A systematic review from the Mortality Task Force of
the International League Against Epilepsy”. Epilepsia.
7. TEHA on Begley C et al. (2022), “The global cost of epilepsy: A systematic
review and extrapolation”, Strzelczyk et al. (2015), “Costs of epilepsy and
cost‐driving factors in children, adolescents, and their caregivers in
Germany”, and Willems LM et al. (2021), “Multicenter, cross-sectional study
of the costs of illness andcost-driving factors in adult patients with
epilepsy”, 2025
8. Kwon C et al. (2022), “The worldwide epilepsy treatment gap: A systematic
review and recommendations for revised definitions – A report from the ILAE
Epidemiology Commission”. Epilepsia.
9. De Zélicourt M et al. (2014), “Management of focal epilepsy in adults
treated with polytherapy in France: The direct cost of drug resistance
(ESPERA study)”. Seizure.
10. Willems LM et al. (2022), “Multicenter, cross-sectional study of the costs
of illness and cost-driving factors in adult patients with epilepsy”.
Epilepsia
11. Dewhurst E et al. (2015), “A prospective service evaluation of acceptance
and commitment therapy for patients with refractory epilepsy”. Epilepsy &
Behavior.
12. TEHA Group elaboration on OECD data and Fleishman JA et al. (2006), “Using
the SF-12 health status measure to improve predictions of medical
expenditures”. Medical Care
13. The European House of Ambrosetti and Angelini Pharma. (2025) Brain Health
in Uncertain Times: A strategic investment for Europe’s future
Poland wants to ban shop booze sales at night to curb excessive drinking, cut
crime and prevent ill health, after Warsaw city tried and failed to outlaw them.
Prime Minister Donald Tusk’s coalition partners — The Left and centrist Poland
2050 — have submitted legislative proposals including broad alcohol advertising
bans, outlawing off-license sales from at least 10 p.m. to 6 a.m. and curbs on
alcohol sales at petrol stations and online.
The coalition partners say these measures, consistent with World Health
Organization recommendations, are among the most effective tools to prevent
alcohol-related poor health, such as cancer and mental health disorders. Latvia
enforced similar measures from August.
EU health data places Poland among the bloc’s worst performers on
alcohol-related mortality: The country ranked second in the EU for
alcohol-attributable deaths, behind Slovenia, in 2022, Eurostat said in March.
The push for a nationwide ban follows the collapse of plans for a citywide
proposal in Warsaw, after the local council threw out the measure over failure
to agree.
Warsaw’s failed attempt highlights the divergence between political groups on
such public health measures, even inside Tusk’s ruling coalition. Councilors
rebelled against the proposal tabled by their own mayor, Rafał Trzaskowski,
arguing it impinged civil liberties. Trzaskowski pledged to keep trying to
institute the ban.
It also comes as global leaders failed to agree to a political declaration to
curb chronic diseases, such as those caused by drinking, underscoring the
difficulty in agreeing to proven public health measures in a politically divided
arena.
In Poland, Warsaw city’s policy failure came despite overwhelming support among
the local Varsovians when the city hall had tried to gauge the mood among
people.
Warsaw’s failed attempt highlights the divergence between political groups on
such public health measures, even inside Donald Tusk’s ruling coalition. |
Jonathan Raa/Getty Images
Joanna Wicha, an MP for The Left, told POLITICO many local governments often
lack determination and courage to ban nighttime booze sales. “That is why a
top-down ban is needed,” she said. She hinted Tusk’s backing could help make the
bans reality.
Currently, the proposals are undergoing public consultation and the parliament
is expected to begin work on them in late October or early November, she said.
SATURATED
Poland is awash with booze shops.
There were nearly 119,000 shops selling alcohol in Poland at the end of 2023,
from small privately owned stores to large grocery chains, to 24-hour gas
stations, Poland’s health ministry said in January.
By contrast, Sweden has 900 alcohol stores, one per roughly 11,000 people,
compared with one for every 320 people in Poland.
To date, some 180 Polish municipalities already operate some form of nighttime
prohibition, including in Kraków — Poland’s top tourist destination.
Warsaw eventually ended up passing trial bans in two of the city’s 18 districts,
but critics say it’s nowhere near effective.
In locations where bans have been in place, police reports say the effects have
been positive — less crime, more security in the streets and fewer patients at
emergency wards — according to local media.
“I would prefer local governments to follow the example of those that
consistently try to counter the effects of what I call ‘liberal alcoholism,’
Especially in big cities, the presence of drunk people late at night near homes
or in city centers is anything but pleasant,” Tusk said Sept. 22.
The Left’s draft would ban sales at petrol stations and in long-term
rehabilitation facilities and impose a 10 p.m.–6 a.m. national ban, with the
option for local councils to widen the restriction to start at 9 p.m. and end at
9 a.m. It would also mandate age checks for every purchase and forbid selling
below the combined level of excise and VAT, as is often the case in supermarket
promotions.
Poland 2050 also wants to let local authorities extend bans to 9 a.m. and to
adjust licenses that have not been changed in 23 years.
FEW INCENTIVES TO DRINK LESS
The country’s National Center for Counteracting Addictions, or KCPU, a
government agency coordinating policies on drug and alcohol abuse, estimates the
social cost from alcohol in Poland at roughly 93 billion złoty (€21.8 billion) a
year, compared with just 14 billion złoty in excise revenues.
Poland’s per-capita consumption of pure alcohol stood at 8.8 liters in 2024,
dropping steadily from 9.7 liters in 2021 due to lower beer consumption,
according to KCPU data. Spirits, meanwhile, have held steady. WHO data shows
Poles drink more than the bloc’s average.
Cheap booze may be a reason: In 2024, an average monthly wage would buy about
2,103 half-liter bottles of beer — the highest since at least 2002.
Affordability of other alcohol types has also been rising.
By contrast, Sweden has 900 alcohol stores, one per roughly 11,000 people,
compared with one for every 320 people in Poland. | Xavi Lopez/Getty Images
The drinks industry has mobilized against sweeping curbs. “The proposed bill is
a populist overregulation drafted in a wave of emotion and a chaotic set of
changes that do not account for consumption trends or market realities,” Browary
Polskie said in a statement.
The brewers’ lobby argues beer volumes have been sliding for years: Sales have
fallen some 15 percent over six years, and in the first nine months of this year
the category declined a further 7-8 percent, while beer prices rose around 45
percent in recent years. Browary Polskie also complained that the draft would
sweep in nonalcoholic beer — a product that, they say, helps reduce alcohol
intake — and hit domestic brewers disproportionately.
“Entrepreneurs are again surprised by legislative initiatives that threaten
business stability,” Karol Stec, head of the spirits industry employers’ group,
told the national newswire PAP.
Sweden’s health minister has urged the EU to push ahead with social media
restrictions for kids while insisting it be treated as a pressing matter.
“We’re losing an entire generation to endless scrolling and harmful content, and
we need to do something about it,” Minister Jakob Forssmed told POLITICO, adding
that social media use among youth is the “most pressing health issue there is.”
His comments follow those of European Commission chief Ursula von der Leyen, who
said Europe could adopt a similar approach to Australia. The country is set to
ban social media for all users under 16.
In her State of the Union address in Strasbourg earlier this week, she pledged
to commission a panel of experts to study the impact of the Australian measure
and provide recommendations on how Europe should proceed.
Forssmed said Europe should move quickly, warning: “We don’t have the time. We
need to move forward fast.”
Sweden has already compiled research that demonstrates the impact on young
people, he said, and the results are clear.
“This is a risk for mental health issues. We see it not least when it comes to
eating disorders and harmful self-image,” he added.
Health authorities in Sweden issued guidelines last year, stating that children
under the age of two should not be exposed to any screens and teenagers should
have no more than three hours of screen time per day. The government also
announced an inquiry into social media use and age restrictions.
In Denmark, Minister for Digital Affairs Caroline Stage Olsen also said she
would support stronger measures from Brussels and would make it one of the “main
priorities” for the Danish presidency of the Council of the EU.
“I see three steps on the EU level: mandatory legal requirement for age
verification, a ban on harmful and addictive practices for minors and stronger
enforcement,” she told POLITICO.
Denmark has imposed a ban on smartphones in schools since February, following
France’s lead in 2018. A similar ban in Belgium came into effect this month.
Five EU countries — Denmark, Greece, France, Italy and Spain — are testing a
European Commission age verification app, a new system designed to protect
children online.
Last year, Ireland’s Department of Health established an online health task
force to examine the links between specific types of online activity and
physical and mental health harms to children and young people.
It’s also developing a strategic public health response to these harms, which it
will bring forward in its final report next month.
Von der Leyen suggested she would wait to decide on EU-wide measures until she
had received analysis of the Australian policy. It’s unclear how long European
experts will have to do that, given that it comes into force in Australia on
Dec. 10, and she wants the panel’s recommendations by year’s end.