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Group of Experts on Risk Management in Regulatory Systems 6. Ad Hoc Team of Specialists on Standardization and Regulatory Techniques 7. (...) ECE/CTCS/WP.6/2021/1 4 6. Ad Hoc Team of Specialists on Standardization and Regulatory Techniques Title of document Document symbol For information/decision Report on recent developments in the sectoral initiatives ECE/CTCS/WP.6/2021/6 For decision Education on standards- related issues: update on activities ECE/CTCS/WP.6/2021/7 For information The Ad Hoc Team of Specialists on Standardization and Regulatory Techniques (START) was established in 1999 with an aim to assist member States’ efforts to converge towards better regulations. (...) Tentative timetable Time Agenda item Introduced by Wednesday, 24 November 14:30–14:45 Opening WP.6 Chair and secretariat 14:45–15:00 Item 1: Adoption of the agenda WP.6 Chair 15:00–15:15 Item 2: Election of officers Secretariat 15:15–15:30 Item 3: Matters arising Secretariat 15:30–16:00 Item 4: Advisory Group on Market Surveillance MARS Chair 16:00–16:30 Item 5: Group of Experts on Risk Management in Regulatory Systems GRM Chair 16:30–17:00 Item 6: Ad Hoc Team of Specialists on Standardization and Regulatory Techniques START Chair 17:00–17:30 Item 2: Finalization of the election of officers Secretariat ECE/CTCS/WP.6/2021/1 7 Time Agenda item Introduced by Thursday, 25 November 10:00–10:30 Item 7: Gender-Responsive Standards Initiative GRSI Coordinator 10:30–11:00 Item 8 (a): Report on capacity-building Secretariat 11:00–11:30 Item 8 (b): Programme of work for 2022 WP.6 Chair 11:30–13:00 Item 8 (c): Activities of other United Nations Economic Commission for Europe bodies and other international organizations of interest to WP.6 Secretariat and invited speakers 13:00–14:30 Break 14:30–17:30 Item 9: Panel discussion on circular economy and regulatory cooperation and standardization (part 1) Secretariat and invited speakers Friday, 26 November 10:00–13:00 Item 9: Panel discussion on circular economy and regulatory cooperation and standardization (part 2) Secretariat and invited speakers 13:00–14:30 Break 14:30–15:30 Item 8 (d): Working Party terms of reference WP.6 Chair 15:30–16:00 Item 10: Other business WP.6 Chair 16:00–17:30 Item 11: Adoption of the report Secretariat

The monitoring revealed major problems, including the following: ● cases of providing paid psychiatric services where psychiatric care is legally free; ● inaccessibility of mental health care services at the community level; ● legislative and practical issues related to compulsory treatment (e.g. the absence of time periods for compulsory treatment and the absence of periodic review mechanism); A/HRC/38/NI/1 3 GE.18-09722 ● use of medical restraints not envisaged by the law and violations of procedures for their use; ● inadequate number of medical staff in psychiatric institutions, lack of narrowly focused specialists, specialists for child mental health services and psychiatrists on duty at night time; ● use of expired medication and medical supplies, improper maintenance and disposal of medication; ● shortage of alternative medical treatment methods; ● overcrowding and substandard conditions in psychiatric institutions. (...) In the meantime, by highlighting the importance of the developments in the sphere of psychiatry, the Department of Medical Assistance Policy of the RA Ministry of Healthcare has been assigned to develop a concept of psychiatric service development with chief and leading specialists. During the working meeting between the representatives of the RA Human Rights Defender's Office and the RA Ministry of Healthcare the issues raised in the ad hoc public report were discussed.

As they now return to their cities and villages and see their demolished houses, the children are reliving those frightening events. Specialists have testified that they have observed behavioural changes in 30 per cent of the children examined (aggression, absent-mindedness, tearfulness and confusion), mental and physical disorders (such as elevated body temperature, muscular tension, nervousness, headaches, stomach pains and bed-wetting), sleep and eating disorders, lethargy and adjustment disorders. (...) Updated information on the specific features of post-traumatic stress disorder among children and their families by population group in the territory of South Ossetia and by refugee group in the territory of North Ossetia was available on 9 September 2008. Specialists from the Russian Federation have carried out psychological intervention work with teachers, parents and children. (...) The authorities managed to open only 8 of the 14 schools in Tskhinval at the start of the school year, on 1 September 2008, after emergency repairs were made with the direct assistance of specialists from the Russian Federation; most of the others were razed to the ground and have yet to be rebuilt.

A number of studies show that health systems can improve equity, efficiency, effectiveness and responsiveness by strengthening primary care while decreasing the unnecessary use of specialists and hospital care.23 38. Croatia needs to strengthen primary health care, both in quantity and quality, for the early detection and treatment of mild forms of illnesses, before they reach the stage at which they require specialist care. An optimal balance between general practitioners and specialists should be sought by providing outpatient specialist care which backs up the general practitioners. (...) As noted by the European Commission, strengthening primary health care in Croatia would bring about reductions, not only in the number of referrals to specialists, but in the cost of specialist and hospital treatments.

The report, for example, contains more than 50 references to certain “specialists” and “specialized forensic institutes”, providing no details of their nationality and area of activity. (...) In 2017, the Syrian authorities made an insistent appeal for OPCW specialists to visit Shayrat airbase without delay, and provided the appropriate assurances of security. Unfortunately, the visit was disrupted by the actions of an external aggressor, the United States, which hastily launched a missile attack on the airbase on 7 April 2017 in order to prevent the OPCW experts from officially refuting the unfounded allegations against the Syrian government in connection with the chemical incident in Khan Shaykhun on 4 April 2017. The OPCW specialists, meanwhile, never visited the air base, on the grounds – it was said – that there would no longer be any purpose in doing so after the missile attack.

The human rights community insists on the needs to continue working on the draft strat- egy by establishing an expert task group for deliberation of the draft engaging representatives of the Verkhovna Rada Committee on Human Rights, Minorities, and Interethnic Relations, Secretariat of the Parliament Commissioner for Human Rights, the Government, and the Minis- try of Justice of Ukraine, as well as specialists on human rights, including representatives of civilian society. 5. (...) The system for training of law enforcement personnel currently in place does not always meet the practical needs of the respective units and today’s requirements for the training of highly qualified specialists in this area. 57. The departmental education system, despite the annually increasing number of gradu- ates, does not fully satisfy the current needs for training of law enforcement officers. As a re- sult of poor selection of candidates for training, low pay rates and insufficient social and legal protection of young specialists, deficiencies in the education process (gap between the theoreti- cal skills of graduate students and the practice, insufficient practical experience, lack of atten- tion to young specialists, and insufficient life experience of the graduates themselves), one in five young specialists with up to three years of professional experience resigns from the service. 58.

To be effective, primary care must be supported by mental health specialists working as consultants at the outpatient and day-care levels. (...) A/HRC/41/34/Add.1 GE.19-07502 12 The field of child and adolescent mental health is particularly underdeveloped, with only a few specialists working in this important field in the two largest cities. 60. (...) As a recent WHO study23 revealed, such a strategy requires close collaboration between policymakers and specialists, with educational programmes to help specialists to move in the same direction. __________ 23 See WHO Regional Office for Europe, Mental health, human rights and standards of care: Assessment of the quality of institutional care for adults with psychosocial and intellectual disabilities in the WHO European Region, 2018.

She was also informed that there were more than 36,000 family doctors and 12,000 specialists in the polyclinic system. In July 2017, it was estimated that there was one doctor and one nurse for every 1,094 inhabitants. 22. (...) In cases in which such development is deemed to be delayed, a neurologist is integrated into the list of specialists monitoring the health of the child. There is also a vaccination programme consisting of 11 vaccinations, of which 8 are produced by Cuba, for 13 diseases. (...) Similarly, for the 2008 Olympic Games, there were 18 Cuban sports specialists and trainers who formed part of the sports delegations from 14 countries. 4.