MEPs give overwhelming backing to a new EU cardiovascular strategy, placing alcohol, food and tobacco policy at the heart of a wider drive to tackle Europe’s biggest killer
The European Parliament has given overwhelming backing to a new EU cardiovascular diseases strategy, with 545 MEPs voting in favour of a report that places prevention at the centre of Europe’s response to its biggest cause of death.
The vote marks a significant political endorsement of a broader approach to cardiovascular health, addressing not only diagnosis and treatment but also the major lifestyle and consumer-related risk factors associated with cardiovascular disease.
Three sectors feature prominently in that debate: alcohol, food and tobacco and nicotine products.
Rather than relying on a single regulatory approach, Parliament’s position points towards a combination of education, consumer information, prevention, proportionate regulation and measures targeted at clearly identified health risks.
Cardiovascular diseases remain the leading cause of mortality in the European Union, accounting for around 1.7 million deaths every year. Around 62 million people are living with cardiovascular disease in the EU, while close to 13 million new cases occur annually.
An estimated 80% of cardiovascular disease, including many cases of heart disease and stroke, is considered preventable.
Those figures have transformed cardiovascular disease from primarily a healthcare issue into a much broader European policy challenge.
The adopted report therefore addresses prevention alongside screening, early detection, treatment and care.
Alcohol: focusing on harmful consumption
Alcohol is one of the major modifiable risk factors identified in cardiovascular prevention.
A central issue in the European debate is how to distinguish between policies aimed at harmful alcohol consumption and measures that treat all drinking patterns in essentially the same way.
That distinction matters in a European Union where national traditions, consumption patterns and regulatory approaches vary considerably.
Measures under discussion include greater public awareness of alcohol-related health risks and better consumer information.
The cardiovascular debate consequently reinforces a wider movement towards giving consumers clearer information about the possible health consequences associated with excessive alcohol consumption.
At the same time, Parliament’s approach leaves room for the principle of proportionality.
The policy challenge is not simply whether alcohol consumption can contribute to cardiovascular risk — the scientific relationship is well established — but which regulatory measures are most effective in reducing harmful consumption without imposing measures that are disproportionate to the objective.
That distinction is likely to remain important as the EU develops its wider strategy on non-communicable diseases.
Food: healthier choices rather than simplistic classifications
Food and nutrition represent another major strand of cardiovascular prevention.
Obesity, excessive salt intake, poor diet and high consumption of certain highly processed foods can all contribute to cardiovascular risk.
That has inevitably placed the food industry at the centre of the debate.
But regulating food is fundamentally different from regulating products whose consumption is inherently associated with health risk.
Individual foods form part of much broader diets, while quantity, frequency of consumption, nutritional composition and lifestyle all influence health outcomes.
The Parliament report therefore places considerable emphasis on enabling Europeans to make better-informed choices.
Public-health education and clearer nutritional information are among the principal tools available.
Front-of-pack food labelling is also part of the wider European discussion over how consumers can be given easily understandable nutritional information.
However, that issue remains politically sensitive.
Any European system must operate across very different national diets and food traditions while avoiding labels that oversimplify nutritional science or inadvertently discourage otherwise balanced eating patterns.
The economic implications are equally significant.
Europe’s food and agricultural sectors are major employers and central components of the Single Market.
Future cardiovascular policy therefore has to reconcile public health, consumer information, agricultural interests, competitiveness and Europe’s diverse food cultures.
Tobacco and nicotine: prevention alongside risk differentiation
The third major area covered by the cardiovascular debate is tobacco and nicotine.
Smoking is a significant preventable contributor to cardiovascular disease, and Parliament’s report supports measures aimed at reducing smoking and preventing young people from beginning to use tobacco and nicotine products.
There is particularly strong emphasis on protecting minors.
The report supports effective enforcement of minimum-age-of-sale requirements and appropriate identification checks whether products are purchased in physical shops or online.
At the same time, Parliament has introduced an important element of differentiation into the debate.
The adopted approach recognises that different nicotine products may have differentiated risk profiles, rather than automatically treating every tobacco and nicotine product as presenting an identical risk.
The supplied policy material also records Parliament’s support for appropriate and differentiated excise taxation between different product categories. It combines calls for tighter rules with an explicit nod to the idea that regulation need not be one-size-fits-all across the nicotine market.
That distinction could have consequences beyond cardiovascular policy.
The European Commission is already examining the future of the Tobacco Products Directive (TPD) and Tobacco Advertising Directive (TAD), meaning EP’s approach to differentiated risks is likely to be closely watched as the EU considers regulation of cigarettes, heated tobacco products, electronic cigarettes, nicotine pouches and other products.
But the cardiovascular report simultaneously makes clear that protecting children and young people remains an overarching objective irrespective of the particular product involved.
The question of consistency
The debate will not end with the cardiovascular vote.
Parliament is simultaneously considering other major health-policy files, particularly those associated with Europe’s Beating Cancer Plan (BECA).
That creates an important question of policy consistency.
Alcohol, food and tobacco appear repeatedly in European strategies dealing with non-communicable disease.
Positions adopted in one parliamentary report will inevitably therefore be compared with those adopted in another.
The briefing accompanying the cardiovascular debate already highlights this issue, arguing that potentially contradictory approaches between the cardiovascular and cancer files could create uncertainty about Parliament’s wider regulatory direction.
That discussion is likely to intensify as Parliament and the Commission move from broad public-health strategies towards individual regulatory measures.
For the alcohol, food and tobacco sectors alike, the key question will be whether Europe develops policies that are evidence-based, proportionate and tailored to the particular risks involved, rather than attempting to impose identical regulatory solutions across fundamentally different industries.
After two clear defeats, the TED opinion and the CVD Report, the EC is seeking a comeback through BECA, despite the EP's opposition to extreme prohibitionist measures. With EP’S SANT Committee vote due on 28 September, BECA is rapidly becoming the next political battleground.
Prevention becomes mainstream EU policy
Cardiovascular disease imposes immense human and economic costs on Europe through premature deaths, long-term illness, disability, hospital treatment and lost productivity.
Reducing that burden will require healthcare systems to diagnose and treat disease earlier.
But Parliament’s vote also sends a wider message.
Improving cardiovascular health will require action long before people reach hospitals or doctors’ surgeries.
The debate over alcohol, food and tobacco is therefore part of a much larger European question: how public authorities can help citizens reduce preventable health risks while preserving proportionality, informed consumer choice and regulatory coherence.
The European Commission has approved a €52 million (RON 277 million) Romanian state aid scheme for cattle farmers facing increased fuel and fertiliser prices due to the Middle East crisis.
The scheme was approved under the Middle East Crisis Temporary State Aid Framework (METSAF) adopted by the Commission on 29 April 2026.
The Romanian scheme
Romania notified to the Commission a €52 million scheme to support companies active in the cattle farming sector. The scheme, which will run until 31 December 2026, aims to mitigate the impact of the increase in agricultural fuel and fertiliser prices.
The aid will take the form of direct grants, with a maximum of €50,000 per company.
The Commission assessed the scheme under EU state aid rules, in particular Article 107(3)(c) of the Treaty on the Functioning of the EU, which enables member states to support the development of certain economic activities subject to certain conditions, as well as Sections 1 and 2.1 of the METSAF.
The Commission found that the scheme is in line with the conditions set out in the METSAF. In particular, the aid will be granted based on a scheme with a clear estimated budget and will be provided to temporarily support the development of companies active in the primary production of agricultural products. The Commission concluded that the scheme is necessary, appropriate and proportionate to facilitate the development of an economic activity and does not adversely affect trading conditions to an extent contrary to the common interest.
On this basis, the Commission approved the Romanian scheme under EU State aid rules.
Background
On 29 April 2026, the Commission adopted the METSAF to enable member states to support the EU economy in the context of the Middle East crisis. The METSAF is a targeted and temporary framework to address the effects of the crisis on some of the most exposed sectors of the economy: agriculture, fishery, transport and energy-intensive industries. The METSAF will be in place until 31 December 2026. During its period of application, the Commission will keep the content, scope and duration of the framework under review in the light of developments in the Middle East and of the general economic situation.
While the transition towards a clean economy remains the long-term solution to shield EU companies from the effects of global energy shocks, the METSAF allows Member States to act immediately to make sure that the growth of the most exposed companies is not irreparably hampered by the current crisis.
To this end, support can take various forms for companies active in the agriculture, fishery and transport sectors. This includes aid based on actual consumption to cover part of the price increases for fuel or fertilisers, and a simplified approach for small amounts of aid.
The METSAF also includes a temporary adjustment to the Clean Industrial Deal State aid Framework allowing for further flexibility and higher aid intensities to address electricity price spikes.
More information on the METSAF can be found online.
For more information
The non-confidential versions of today's decisions will be made available under case number SA.124647, in the state aid register on the Commission's competition website. New publications of state aid decisions on the internet and in the Official Journal are listed in the Competition Weekly e-News.
Login