Third National Plan for Rare Diseases for France

At a public session in the National Assembly on June 15, the minister of social affairs and health, Marisol Touraine, has announced that a third national plan for rare diseases would soon be launched, continuing from the previous two plans.
Three million people are affected by rare diseases in France. The first national plan for rare diseases was launched for the period 2005-2008. It was followed by a second plan for 2011-2016. Last February, Plateforme maladies rares had called for a third National Plan for Rare Diseases with an interministerial steering and co-constructed by several stakeholders. LEEM also called for the release of a third plan.
Marisol Touraine has responded to these calls emphasising the government's willingness to "continue in this direction to encourage the participation of French teams in tenders to promote the structuring of the medical care and medical and social." The minister also recalled that "the results of previous plans are encouraging and interesting especially with regard to the care of patients since France is proud to have a unique system, temporary use authorization (ATU) which allows us to handle whatever the cost of disease treatment when necessary." Plateforme maladies rares immediately responded with a press release pointing out the importance of the involvement of all stakeholders in the development of the third plan as well as its interdepartmental governance and with specific means to build a policy that certainly continue current actions, but is also innovative and plural in its vision.
Listen to Députée Dominique Orliac and Minister Marisol Touraine speak on this topic (from 27.30 to 31.40 minutes – in French)
Read the press release of the Platform rare diseases (in French)

Leading charities have published an open letter to the Prime Minister in The Daily Telegraph expressing ’deep concern’ over the plans of NICE to take over the Cancer Drugs Fund’s (CDF) while leaving the NICE appraisal methodology unreformed. 
Organization for Rare Diseases in India (ORDI) is asking citizens to sign a petition asking the Indian government to set aside a dedicated fund for rare disease patients. According to the petition hosted on Change.org, there about 70 million rare disease patients and families that could benefit from policies catered specifically towards them, which includes a dedicated fund.
An article published in the Orphanet Journal of Rare Diseases addresses the problem of rare disease expenditure leading to poverty in China. The authors state that despite rare disease and orphan drugs being formally introduced into its health planning, affordability of orphan drugs in China is not addressed. Thus the authors studies the catastrophic expenditure and impoverishment expenditure among patients in China suffering from one of the 7 rare diseases selected by them. According to the authors, taking medications for any of these diseases (which could be nearly 4.6 million patients) leads to catastrophic health expenditure. The authors recommend a “social security mechanism for rare disease patients should be established and specific payment pattern for orphan drugs should be set up.”
In the United States, the National Cancer Institute (NCI) (part of National Institute of health) has launched the Genomic Data Commons (GDC) - a unified data system that promotes sharing of genomic and clinical data between researchers. The GDC will centralise, standardise and make accessible data from large-scale NCI programs such as The Cancer Genome Atlas (TCGA) and its pediatric equivalent, Therapeutically Applicable Research to Generate Effective Treatments (TARGET). It will also accept submissions of cancer genomic and clinical data from researchers around the world who wish to share their data broadly. 




