In 2018, the Collegiate Medical Organization of Spain published a report in which it rejected homeopathy and other non-scientific medical practices;[24] this report changed the organization's previous position, dating from 2009, when it had approved the recognition of homeopathy as a "medical procedure".[25] The change was prompted by the activity of the Association to Protect the Sick from Pseudoscientific Therapies, which, among other actions, has produced a European manifesto for the change of laws that protect the sale of homeopathy in Europe.[26]