In December 1984 the Regional Director of WHO-Europe invited the National Medical Associations (NMAs) in the WHO European Region to a joint meeting in Copenhagen, to discuss Health for All in Europe and other matters of common interest. Since then, joint annual meetings between the European Regional Office of WHO and the National Medical Associations have taken place, hosted by different National Medical Associations. At its Rome meeting in 1990, where 28 of the 32 Member States were represented, the European Forum of Medical Associations (EFMA) was established.