Thank you, Chairman. I will start by saying a few words about stem cells themselves without going into a great amount of technical detail. Essentially there are 200 cell types within the body and stem cells are the cells from which those cell types evolve. There are two types of stem cells - adult stem cells, which are found in a fully developed body, and embryonic stem cells, which are found in the embryo within a very short space of time after fertilisation. The difference between the two cells is that embryonic stem cells can develop into any of the 200 cell types in our bodies whereas adult stem cells have a much more limited form of differentiation. They can form particular kinds of cells, for example, blood cells. That is the difference between the two but the distinction is important in the context of the proposal and of the science.
The reason this area is of interest in medical research terms is that there are a number of diseases, particularly degenerative diseases such as Alzheimer's disease and various neuromuscular diseases which are currently impossible to cure. It is felt that stem cell research has the potential to offer cures for these and for other diseases such as chronic ulcerative diseases of the digestive system, for example.
There is some divergence in the scientific community in that some feel that embryonic stem cells offer the best possibilities of developing therapeutic treatments and the best possibilities of it answering the area of knowledge, others feel that adult stem cells offer equal possibilities and others feel the two lines of research will converge somewhere in the middle but that all are aimed at developing these treatments for these diseases which are difficult to cure. That is a brief word on the scientific background to the issue.
As the Chairman said, the background to this issue is that this area of research is part of the overall European framework programme for research and development. That is the programme by which the European Union organises almost all of its collaborative research and development which is aimed at improving the competitiveness of the Union.
The current framework programme is the sixth in a number of multi-annual framework programmes. The common position on that programme was agreed at Council in December 2001 and formally adopted on 27 June 2002 following co-decision procedure with the European Parliament. The programme runs from 2003 to 2006 and the budget for the programme overall is €16 billion for research. The programme is organised in a range of thematic areas, including genomics and biotechnology for health, information society technologies, nano technologies, food quality and safety, sustainable development, global change, eco systems and so on. The fundamental aim of the programme is to contribute to the growth of European industry and competitiveness. In relation to this issue, the focus of the discussion was on establishing a common position on one of the thematic areas, the thematic area being 1.1.1 genomics and biotechnology for health. The total amount of funding allocated to that area is €2.5 billion.
In the adoption of the overall framework programme - I again stress this point of the adoption of the overall area and the issue to which we are coming - the agreement formally adopted in June 2002 provided that research activities carried out under the programme should respect fundamental ethical principles. That is contained in Article 3 of the decision.
In this regard, the programme decision contains a reference to relevant international instruments but does not provide detailed rules for applying these ethical principles nor does it specify any activities which would not be eligible for funding for ethical reasons. This was left to the subsequent decisions on the specific programmes which had to be adopted where the detail, or the meat, if you like, of the framework programme is.
In relation to the specific programmes adopted on 30 September 2002, the Council decision, following consultation with the European Parliament, provided the following in respect of research activities involving stem cells. It said that the research will focus, inter alia, on development and testing of new preventative and therapeutic tools, such as somatic gene and cell therapies and immunotherapies. It specifically - this relates to the programme on genomics and health - said that the following areas shall not be financed under the programme - research activities aimed at human cloning for reproductive purposes, research activity intended to modify the genetic heritage of human beings and research activities intended to create human embryos - this is relevant in the current proposal, in particular - solely for the purposes of research. It specifically excluded the creation of embryos purely for research.
In addition, the conditions provided that any research project involving the use of human embryos and human embryonic stem cells would be subject to an ethical review and that this would be submitted to a regulatory committee assisting the Commission in the implementation of the programme. It also provided that funding of research activities which are prohibited in a member state would, in all circumstances, be excluded under the programme. It included this important provision. This recognises the ethical debate and the different regimes in place in different member states.
As part of the adoption of that decision, the whole issue of embryonic stem cell research was discussed. A moratorium was agreed to the end of 2003. The purpose of this moratorium was to allow for further clarification on the part of the Commission of the guidelines and the safeguards underlying this particular area of research.
In regard to what was specifically agreed, detailed implementing provisions concerning research activities involving the use of human embryos and human embryonic stem cells which may be funded by the programme shall be established by December 2003. It stated that there must be detailed implementing provisions. In that regard, the Commission undertook to submit a legislative proposal to amend the relevant specific programme and it stated that the European Parliament would be consulted on it. During the period of the moratorium and pending the establishment of those provisions, the Commission would not propose to fund such research with the exception of the study of banked or isolated embryonic stem cells in culture, in other words, stem cells which already existed independent of the embryo.
Furthermore, it also noted that the ethical acceptability of various research fields is related to diversity among member states and it is governed by national law in accordance with the principle of subsidiarity and that research using human embryos and human embryonic stem cells was allowed in some member states but not in others. It reflected this principle of ethical subsidiarity, if one could call it that.
Following the adoption of that particular agreement, the Commission held an inter-institutional seminar to further tease out the issues involved and that led us to the Commission proposal in July 2003 when the Commission submitted, as it agreed it would, its proposal for amending the specific programme with a view to establishing the implementing provisions. Among the issues involved there are that the Commission proposes that a code of conduct for the research activities concerned in which, in particular, human embryos used in the procurement of stem cells must have been created before 27 June 2002. A key part of the conditions put forward are that only stem cells created before the start of the framework programme on 27 June 2002 can be used and that they must have come about as a result of medically assisted in vitro fertilisation. They must be embryos which are left over or are no longer required as a result of an in vitro fertilisation treatment which has been completed. There is a range of additional safeguards in the conditions and I think members received those in our briefing note in the other documentation, so I do not propose to go through them in detail.
In relation to the current position, on 22 September 2003, the Commission presented its proposal to the competitiveness Council and informal discussions took place on the proposal. Those discussions, and I suppose the discussions at the Council research group leading up to the Council, indicated that there are, as would be expected, divergent views among member states. Without going into too much detail on them, because the discussions were informal, what is clear is that a number of member states are opposed to the proposal in principle and have a reasonably strong level of opposition. There are other member states which feel the proposal is not sufficiently expansive because it is more restrictive than the ethical and legislative regime they have in place in their own member states. There are other member states which are willing to accept the proposal as drafted.
Having consulted the Department of Health and Children, which obviously has a broader range of knowledge and competence in the whole area of health research, the position Ireland has taken is that it will not oppose the Commission proposal as currently drafted on the following basis: that it does not allow for the funding of any research in Ireland which would not satisfy Irish ethical or legal requirements; that the framework programme will be strictly limited to research on embryos produced as a result of in vitro fertilisation; that clear and comprehensive guidelines and conditions governing the research are established - as I said, the guidelines in the proposal are comprehensive - and that scientific evaluations and ethical review will be required before any proposal for research activity under the EU framework programme is permitted. That is where we stand now.
Following the informal discussions at the Council, an opinion is now being sought from the European Parliament and, as the Chairman indicated, the matter will be returned to at the competitiveness Council in November.