Use of Sub-national Indicators to Improve Public Health in Europe (UNIPHE)

ANNEX 18: WP9 – CONFERENCE REPORT (D4)

Use of Sub-national Indicators to Improve Public Health in Europe (UNIPHE)

WP9 Conference D4

February 2012

WP Lead Partner

National Institute of Public Health (INSP) Romania

WP Associate Partners

NRW Institute of Health and Work (LIGA.NRW) Germany

National Institute of Environmental Health (NIEH) Hungary

Centre for Health Education and Disease Prevention (SMLPC) Lithuania

National Institute of Public Health (IVZ RS) Slovenia

Instituto De Salud Carlos III (ISCIII) Spain

Health Protection Agency (HPA) United Kingdom

Funding and disclaimer

This report arises the project, Use of sub-national indicators to improve public health in Europe (UNIPHE), which has received funding from the European Union, in the framework of the Health Programme. Sole responsibility for this publication lies with the authors and the Executive Agency for Health and Consumers is not responsible for any use that may be made of the information contained therein.

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EXECUTIVE SUMMARY

Good quality and reliable information on the environment, population health and their linkages is

essential to identify and prioritise issues, develop and evaluate policies and actions in order to

reduce the burden of disease via control of hazardous environmental exposures and their effects.

Given this, the European Commission identified as a priority the need to establish a group of

experts to develop a sustainable health information system to monitor and review the quality and

consistency of health information across Europe thereby generating and disseminating

information and knowledge. Through the use of such a system it will be possible to identify

health inequalities among regions within European countries.

Within the framework of Work Plan 2008 for the implementation of the “Second programme for

community action in the field of public health (2008-2013)”, this projects aims to develop a

sustainable environmental health monitoring system comprising of a set of sub-national indicators

to improve public health across Europe. The creation of a consistent and common framework will

facilitate the comparability of health data and information at a regional level in European

countries. In addition, the system seeks to identify and highlight those

policies/interventions/programmes which deliver positive health outcomes to enable transferability

within Europe where applicable.

The scope of the project, to develop a sustainable harmonised environmental health information

system of sub-national indicators, is supported by a total of 3 mandatory (coordination,

dissemination and evaluation) and 6 core work packages. Each work package has a specific

objective and the work described herein relates to work package 9.

The specific objective of work package 9 (WP9) was to raise awareness and promote

participation through the organisation and hosting of an international conference. Hence the

conference was supposed to promote and raise the profile of UNIPHE as well as to encourage

participation in the system when it is rolled within Europe. Given this, a one and half days

international conference took place in Bucharest, Romania, 27-28 September 2010, according to

the planned activity in the contract.

The conference was attended by 80 participants from 16 countries (including Romania) across

Europe. At least one representative from all UNIPHE partner countries attended the conference.

A total of 7 invited key speakers representing different leading institutions or European projects

were present at the conference: World Health Organization European Centre for Environment

EXECUTIVE SUMMARY

and Health (WHO ECEH) Bonn Office, Germany; National Institute for Public Health and the

Environment (RIVM), Netherlands; National Health Service, Scotland (UK); Health Indicators in

the European Region (I2SARE) project; European Urban Health Indicators System (EURO-

URHIS) project; and European Environment and Health Information System (ENHIS) project. Six

representatives of the former countries participating in ENHIS, a project coordinated by WHO

ECEH-Bonn Office, involving more than 20 partners from EU, funded by the European

Commission) were also present at Bucharest. The conference was also attended by participants

from non-EU countries (e.g. Republic of Moldova, Turkey).

The general theme of the conference was “Towards improved local public health” which was an

extension of the project motto (towards positive health outcomes). The conference programme

was divided into two sections: the first day was entirely dedicated to the international arena

related to other programs/projects which have taken place or were currently in progress within

Europe addressing the health information strand of the EU public health programme; the second

half-day was dedicated to the presentation of UNIPHE achievements up to that point in time.

There were 6 plenary sessions; 4 on the first day and 2 on the second day. The first day also

included a Poster session, presenting interim results of UNIPHE, as well as other results from

different research studies in the field of Environmental Health.

The overall perception of the participants was very good, most of them rating the event as

excellent in the evaluation questionnaire distributed during the conference.

Based on the responses provided in the evaluation questionnaire, it could be concluded that the

International Conference organised in Bucharest, 27-28 September 2010, was a success and

achieved the objectives established by the project, to raise awareness and promote participation.

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TABLE OF CONTENTS

Executive Summary i

1 Introduction 1

2 Organisation of the Conference 6

3 The conference 9

4 Conference evaluation 11

5 Conclusions 13

Appendix A: Conference Flyer 14

Appendix B: Information Circular 15

Appendix C: Conference Programme 17

Appendix D: Evaluation Questionnaire 21

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1 INTRODUCTION

This project was developed in response to the Executive Agency for Health and Consumers’ calls

for proposals for projects within the framework of the European Union (EU) 2008 Work Plan to

implement the programme for community action in the field of public health (2008-2013) as

outlined in Decision No 1350/2007/EC. It seeks to address the priority area “to develop a

sustainable health monitoring system with mechanisms for collation of comparable data and

information, with appropriate indicators” through the monitoring, consistency and quality

assurance of health information by a network of experts. Given this, the Commission awarded a

consortium of seven (7) European countries a 3 year (60%) co-financed project which

commenced on 1 March 2009 and will continued through to 28 February 2012. The project

partners are as listed below:

Main Partner:

Health Protection Agency (HPA), United Kingdom

Associate Partners:

NRW Institute of Health and Work (LIGA.NRW), Germany

National Institute of Environmental Health (NIEH), Hungary

Centre for Health Education and Disease Prevention (SMLPC formerly VASC until 31

March 2010), Lithuania

National Institute of Public Health (INSP formerly IPHB until 21 December 2009),

Romania

National Institute of Public Health (IVZ RS), Slovenia

Institute of Health Carlos III (ISCIII), Spain

Within the framework of Work Plan 2008 for the implementation of the second programme for

community action in the field of public health (2008-2013), this projects aims to develop a

sustainable environmental health monitoring system comprising of a set of sub-national indicators

to improve public health across Europe. The creation of a consistent and common framework will

facilitate the comparability of health data and information at a regional level and help to identify

those policies and interventions which deliver positive health outcomes and encourage their

transfer to other regions.

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In order to raise awareness and promote participation in the project a one and half days

international conference was organised. It took place in Bucharest, Romania on 27-28

September 2010, according to the planned activity in the contract.

Work package 9 (WP9) was led by INSP with contributions from all other 6 partner countries.

The work package commenced in August 2009 (as stipulated in the contract), with the

development of an outline work plan by the leader. A conference committee was firstly

established at the National Institute of Public Health (INSP) Romania, to take the responsibility of

the proper organisation of the event. The outline work plan was refined and a detailed one

produced in October 2009 (see Table 1).

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Table 1: WP9 work-plan Activities Nov

2009 Dec 2009

Jan 2010

Feb 2010

Mar 2010

Apr 2010

May 2010

Jun 2010

Jul 2010

Aug 2010

Sep 2010

Conference committee

Agree on date, theme and aim /outcomes, target audience (to be discussed during the teleconference 18.11.09)

Prepare a draft agenda

Determine a preliminary list of potential participants

Post the on website INSP and UNIPHE website call for session and poster abstracts, requirements for each type, deadlines, online forms

Initiate, identify and confirm keynote speaker(s)

Confirmation for speakers, workshops, and posters

Locate and contract with hotel, catering

Update preliminary program; post

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updates on the website and keep the Program Committee informed Conclude oral presentation and poster selection and communicate results to submitters

Prepare evaluation forms

Conclude contract and arrangements for printing the proceedings and posters

Identify staff and students who can help with conference logistics

Prepare attendee name badges and place names for speakers

Prepare name, affiliation and email list of registrants for duplication / distribution

Confirm participation of senior host institution officials at opening

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session

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2 ORGANISATION OF THE CONFERENCE

The initial plan was to attempt to “twin” the conference with another appropriate event in

Bucharest to reduce travel costs to conference; however, no such opportunity could be identified.

Given this, the conference was organized as a “stand-alone” event as delays to identify a suitable

event at a later date could not be contemplated within the timeframe of all activities within the

project.

All activities undertaken are shown below in Table 2 and mapped against the expected date of

achievement shown in Table 1. The activities included the appointment of a conference

committee to assist with all the preparations for and general organization of the conference. The

project partners then agreed a theme for the conference, “Towards improved local public health”.

Appropriate arrangements were made to accommodate 70 – 80 delegates and a venue was

identified and reserved for 27/28 September 2010.

A conference flyer (see Appendix A), which contains details of the call for abstract submissions,

was produced and placed on the project website as well as on the partner institutions’ websites.

An announcement was also registered with www.conferencealerts.com to ensure that it was

widely publicized among the public health network. This proved successful as the organisers

were contacted by interested professionals from non-EU countries (e.g. Turkey, Republic of

Moldova) willing to participate.

An information circular (see Appendix B) was sent to all participants prior to the conference. This

included details on the venue, meals and transportation options. It also included information

about travel costs reimbursement for the participants whose travel costs were to be covered by

UNIPHE project. Information about presentations was also provided.

Twenty-eight (28) posters were selected by the conference committee to be presented at the

conference. The abstracts of all posters were printed prior the conference and distributed among

the participants in form of a Conference Proceedings volume.

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Table 2: Overview of activities for the organisation and hosting of the conference WP Activities Outcomes/

deliverables Date foreseen

Date of achievement

Level of achievement Justification/

Problems encountered

Action taken to

overcome the problem

9 Establishment of a conference committee

Conference Committee

December 2009

December 2009 Completely achieved Good coordination of action

Agreement of date, theme and aim/outcomes, target audience

November/December 2009

December 2009 Completely achieved To facilitate securing a venue and inviting speakers and other participants

n/a

Preparation of a draft agenda Jan. 2010 Jan. 2010 Completely achieved n/a n/a Preparation of a preliminary list of potential participants

Feb. 2010 Feb. 2010 Completely achieved To commence inviting speakers and other participants

Preparation of conference flyer Flyer Completely achieved Publicize event n/a Conference flyer containing call for abstracts and registration details posted on UNIPHE and National Institute of Public Health website.

March 2010 March 2010 Completely achieved There were difficulties with the on-line registration system

All the registration forms were completed off-line and sent to the conference project manager

Confirmation of keynote speaker(s) and a chair for each session

May 2010 May 2010 Completely achieved Slow response from some speakers

Replacement of some speakers with an appropriate alternative

Confirmation of venue and catering and signing of contract

Contract June 2010 July 2010 Completely achieved Lengthy administrative procedure involved in signing of a contract

n/a

Update preliminary program; post updates on the website

Conference Programme

Sept. 2010 Completely achieved Still pending confirmation from EAHC, EC and EEA

n/a

Selection of poster presentations and communication of results to

Summary of abstracts

June 2010 July 2010 Completely achieved Few abstracts from the UNIPHE partners

Deadline extended to 15 July 2010 to accommodate submissions from partners

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submitters Preparation of conference evaluation forms

Evaluation form August 2010

September 2010 Completely achieved A number of revisions was required due to changes to the agenda

Preparation and production of conference material including proceedings

Conference proceedings and leaflets

September 2010

September 2011 Completely achieved n/a n/a

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3 THE CONFERENCE

The conference was attended by 80 participants from 16 countries (including Romania). At least

one representative from all UNIPHE partner countries was in attendance. A total of 7 invited key

speakers representing different leading institutions or European projects were present at the

conference: World Health Organization European Centre for Environment and Health (WHO

ECEH) Bonn Office, Germany; National Institute for Public Health and the Environment (RIVM),

Netherlands; National Health Service, Scotland (UK); Health Indicators in the European Region

(I2SARE) project; European Urban Health Indicators System (EURO-URHIS) project; and

European Environment and Health Information System (ENHIS) project. Six representatives of

the former countries participating in ENHIS, a project coordinated by WHO ECEH-Bonn Office,

involving more than 20 partners from EU, funded by the European Commission) were also

present at Bucharest. The conference was also attended by participants from non-EU countries

(e.g. Republic of Moldova, Turkey).

The general theme of the conference was “Towards improved local public health” which was an

extension of the project motto (towards positive health outcomes). The conference programme

was divided into two sections: the first day was entirely dedicated to the international arena

related to other programs/projects which have taken place or were currently in progress within

Europe addressing the health information strand of the EU public health programme; the second

half-day was dedicated to the presentation of UNIPHE achievements up to that point in time.

There were 6 plenary sessions; 4 on the first day and 2 on the second day. The first day also

included a Poster session, presenting interim results of UNIPHE, as well as other results from

different research studies in the field of Environmental Health.

The opening session (Day 1) was chaired by a representative (Director of Public Health) of the

Ministry of Health, Romania and set the scene for international work in the filed of environmental

health. Hence two key players in the field of public health were introduced:

The European Commission – an overview of European Union Environment and Health

Programme was presented; and

The WHO EURO, ECEH Bonn Office – the Environmental Health developments within

the World Health Organization European Region was presented.

The first day of the conference was aimed at demonstrating the integration of the UNIPHE project

efforts into the European work done in the field of Environment and Health and development of

indicators. Overviews of the following European projects were presented: ENHIS, UNIPHE,

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I2SARE, EURO-URHIS. In addition, there were presentation of other important relevant reports

and work such as: Review of the Environment and Health Policies report , Examination of

Environmental Burden of Disease report, Environmental Health response for the ecological public

health era.

The second day focused on UNIPHE achievements to that point in time. The Progress to date of

the UNIPHE project presented by the project lead, was followed by two general presentations of

(a) the Methods used for the selection of the environment and health indicators and (b)

Methodology for data collection and analysis. The two latter presentations outlined the

methodological approach of UNIPHE project. A set of 7 further specific presentations showed the

sub-national comparisons for a certain indicator in each of UNIPHE partner countries.

A moderated summary discussion session took place at the end of the presentations and the

conference was closed by the health advisor of the Minister of Health, Romania. All

presentations were uploaded on the project website after the conference at

http://www.uniphe.eu/publications.html.

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4 CONFERENCE EVALUATION

During the conference, an evaluation questionnaire (see Appendix D) was distributed to all

participants and collected at the end of the closing session. A total of 44 completed

questionnaires were returned to the conference secretariat.

The completed questionnaires were analysed by the WP leader and the main findings are

presented in this report. The majority of the respondents rated the event as excellent (see Figure

1), therefore it can be concluded that the conference was a success.

0

5

10

15

20

25

30

Number of answers

Excellent 1 2 3 4 5 6 Poor

Figure 1: Overall rating of the conference

The whole event (venue, catering and overall organisation) was also very well rated by the vast

majority of the respondents (refer to Figure 2).

0

5

10

15

20

25

30

35

Number of answers

1 2 3 4 5 6

Excellent Poor

VenueCateringOverall organisation

Figure 2: Overall rating of the organisation

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In general, participants considered that their objectives for attending the conference were met

(see Figure 3) which hopefully is aligned with the aims of the conference which were outlined in

the conference flyer and invitations.

0

5

10

15

20

25

Number of answers

Completelymet

1 2 3 4 5 6 Not met

Figure 3: Personal objectives for attending the conference

All the presentations were very well appreciated.

The participants were also asked to make comments on the usefulness of the conference. Among many comments, more frequent were those related to:

I. Identification of collaboration opportunities II. Exchange of information with I2SARE & EURO-URHIS was particularly useful and

constructive III. New contacts, overview of EU projects IV. Participation of experienced people, presentations from other related properties V. Lots of feedback and discussion moments VI. Informative

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5 CONCLUSIONS

The dynamic discussions aground all the presentations, especially those introducing other international projects, emphasized the strong need for better coordination and collaboration at European level, as well as the development of new indicators to monitor other important health determinants (e.g. the access to green public spaces, or mode of transportation of children to and from school etc.).

At the same time, former participants in ENHIS project who attended the Conference in Bucharest recognised the importance of UNIPHE project and committed themselves to contribute to the project development by providing data from their countries at regional level.

The conclusion based on the responses on the evaluation questionnaires is that the conference organised in Bucharest, 27-28 September 2010, was a successful event that has met the objectives established in the project contract; to raise awareness and promote participation.

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Appendix A: Conference Flyer

For further information, please contact us at:

Adriana Galan agalan@ispb.ro or Alexandra Cucu alexandracucu2003@yahoo.com

ANNOUNCEMENT

UNIPHE Project Conference September 27 and 28, 2010

The National Institute of Public Health from Romania is pleased to announce the dissemination conference of the project. The “Use of sub-national Indicators to improve Public Health in Europe” (UNIPHE) project is a 3 year project which is financed by the European Commission – DG Sanco (Grant Agreement No 2008 13 04), co-ordinated by Health Protection Agency, UK and involves partner institutions from 6 other European countries. The project is building on work done by the European Environment and Health Information System (ENHIS) project which developed a harmonised system of a core set of environment health indicators to monitor and report health status of populations at a national level. The UNIPHE Conference is organized under the general theme “Towards improved local public health”. The aim of the conference is to raise awareness about the need for sub-national assessments of population health and its social and environmental determinants by improving information sharing and participation among the European community. The conference will focus on emerging and current work in the field of public health information and its application in the following key areas:

o Environment and Health (EH) information policy in Europe o Existing EH initiatives / projects update in Europe o Environmental health impact assessment tools / approaches o UNIPHE results o EH and UNIPHE further partnerships and networking

The conference will feature both oral and poster presentations addressing these key issues. It will provide an opportunity for knowledge sharing and establishing collaborative working among EC, WHO Euro, EEA representatives; policy and decision-makers; Public Health and EH experts; former ENHIS partners; and existing European networks / projects. Further information and registration will be available soon at http://www.uniphe.eu/.

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Appendix B: Information Circular Dear Participants,

We are looking forward to welcoming you at the above mentioned conference in Romania. Please find below the detailed logistics information about this conference.

ORGANIZERS

The National Institute of Public Health in Bucharest, Romania is organizing an international conference between 27-28 September 2010, in Bucharest, Romania, with the theme of "Towards improved local public health". CONFERENCE VENUE

RIN Grand Hotel

Address: 7D Vitan-Barzesti Str, Bucharest, Romania

Tel: +40 31 106 1111

Fax: +40 31 106 1119

Web: http://www.rinhotels.ro/rin-grand-hotel/

ACCOMMODATION

All the participants who confirmed before August 15 have a room booked on their name at RIN Grand Hotel. On arrival at the hotel you have to mention UNIPHE Conference and your name and will get the room.

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TRANSPORTATION

Airport - accredited taxis are located just outside international arrivals terminal building. Please do not use illegal operators. The travel by taxi to the hotel should normally cost less than 25 euros. There is a bureau at the first floor of the arrival terminal where you can get information and ask for a taxi.

Another option would be to use the bus Line 783 just in front of the arrivals terminal. You can buy tickets from the bus station (a card with 2 journeys cost about 2 euros). The bus arrives in the city center (Piata Unirii – the end station) where you can take a taxi to the hotel (this should cost you about 5-10 euros).

MEALS

Lunch on Monday 27 will be served for all the participants.

RECEPTION

You are cordially invited to a Festive Dinner on Monday 27 September 2010 from 19h30, at Rin Grand Hotel.

TRAVEL COSTS - for participants whose travel costs will be covered by UNIPHE project

UNIPHE project will cover the plane ticket and the accommodation. You will have to pay in advance the plane ticket and the hotel room, and get reimbursed after the conference.

In order to get reimbursed shortly after the conference, please keep all the invoices/receipts to be send at Health Protection Agency (UK).

PRESENTATIONS - for speakers

It would be greatly appreciated, if speakers could provide a copy of their PowerPoint presentation as soon as possible, but no later than 48 hours before their presentation so as to avoid last minute electronic problems. Presentations should be sent to adriana.galan@insp.gov.ro and (cc) cristina.chirita@insp.gov.ro . Should you encounter connection problems, please use adrgalan@gmail.com

LANGUAGE

The meeting will be held in English only.

CONTACTS

Should you have any query, please do not hesitate to contact "the Secretariat Group of the Conference".

Email: adriana.galan@insp.gov.ro

For emergency only please contact:

Cristina Chirita cristina.chirita@insp.gov.ro Maria Radulescu maria_radulescu2002@yahoo.com

We wish you a safe journey!

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Appendix C: Conference Programme

UNIPHE Conference Towards Improved Local Public Health

Bucharest, 27 – 28 September 2010

Programme Day One – Monday 27 September 2010

(Madrid Conference Room) 8:30

Registration and Coffee

9:00 Opening remarks

Romania Ministry of Health representative

9:10 – 10:30 Plenary Session One: European Environment and Health Information Policy

Chair: Ministry of Health representative

9:05 – 9:20 Opening of Conference Cucu, Alexandra (INSP RO), and Stewart, Lorraine (HPA UK)

9:20 – 9:50 Presentation 1 Overview of European Union Environment and Health Programme Duarte-Davidson, Raquel – Health Protection Agency, UK)

10:00 – 10:25 Presentation 2 Environmental Health developments within the World Health Organization European Region (WHO EURO) Egorov, Andrey – World Health Organization

10:30

Coffee break

11:00 – 13:00 Plenary Session Two: Existing EH initiatives/projects update in Europe

Chair: Saunders, Patrick – National Health Service, Sandwell PCT, United Kingdom

11:00 – 11:05 Setting the scene Saunders, Patrick

11:05 – 11:35 Presentation 1 Overview of European Environment and Health Information System (ENHIS) project Dalbokova, Dafina – World Health Organization, ECEH, Bonn Germany

11:45 – 12:15 Presentation 2 Overview of the Use of sub-national indicators to improve public health in Europe (UNIPHE) project Stewart, Lorraine – Health Protection Agency, UK

12:20 – 12:50 Presentation 3

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Overview of Health Indicators in the European Region (ISARE) project Hellmeier, Wolfgang - LIGA.NRW, Germany Ochoa, Andre – Observatoire régional de la santé d'Aquitaine and Fédération nationale des ORS, France

13:00

Lunch

14:00 – 15:30 Plenary Session Three: Existing EH initiatives/ projects update in

Europe Chair: Cucu, Alexandra – National Institute of Public Health, Romania

14:00 – 14:35 Presentation 1 Overview of the European Urban Health Indicators System (EURO-URHIS) project Verma, Arpana – University of Manchester, UK

14:45 – 15:15 Presentation 2 Review of the Environment and Health Policies report Dalbokova, Dafina – WHO, ECEH Bonn

15:30

Coffee break

16:00 – 17:00 Plenary Session Four: Environmental health impact assessment tools/

approaches Chair: Egorov, Andrey – WHO, ECEH Bonn

16:00 – 16:25 Presentation 1

Examination of Environmental Burden of Disease report Staatsen Brigit – RIVM, the Netherlands

16:30 – 16:55 Presentation 2 Environmental Health response for the ecological public health era Morris, George – National Health Service Scotland, UK

17:00 – 18:00 Poster Session 19:30

Festive Dinner – Rin Grand Hotel

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Day Two – Tuesday 28 September 2010 (Madrid Conference Room)

9:00 – 10:30 Plenary Session One: UNIPHE Results Chair: Hellmeier, Wolfgang - LIGA.NRW, Germany

9:00 – 9:05 Review of Day 1

Stewart, Lorraine – Health Protection Agency, UK 9:05 – 9:20 Presentation 1

Progress to date within the UNIPHE project Stewart, Lorraine – Health Protection Agency, UK

9:25 – 9:35 Presentation 2 Process of ensuring that the deliverables meet the stakeholders’ perspective Duarte-Davidson, Raquel - Health Protection Agency, UK

9:40 – 10:55 Presentation 3 Methods used for the selection of the environment and health indicators Zurlyte, Ingrida - Centre for Health Education and Disease Prevention, Lithuania

10:10 – 10:30 Presentation 4 Methodology for data collection and analysis Paldy, Anna – National Institute of Environmental Health, Hungary

10:30 – 10.45 Coffee break 10:45 – 12:00 Plenary Session Two: UNIPHE Results

Chair: Morris, George - National Health Service Scotland, UK

10:45 – 10:55 Presentation 1 Sub-national comparison of population-weighted annual mean particulate matter (PM10) concentration in urban areas: emphasis on Hungary Paldy, Anna – National Institute of Environmental Health, Hungary

10:55 – 11:05 Presentation 2 Sub-national comparison of annual mortality rate due to respiratory diseases in children older than one month and under one year of age: emphasis on Slovenia Hojs, Ana - National Institute of Public Health, Slovenia

11:05 – 11:15 Presentation 3 Sub-national comparison of injury rates due to road traffic accidents: emphasis on Germany Mekel, Odile: Institute of Health and Works of North Rhine-Westphalia, Germany

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11:15 – 11:25 Presentation 4 Sub-national comparison of incidence of melanoma in people aged under 55 years: emphasis on Lithuania Zurlyte, Ingrida - Centre for Health Education and Disease Prevention, Lithuania

11: 25 – 11:35 Presentation 5 Sub-national comparison of mortality due to respiratory diseases for all ages: emphasis on United Kingdom Awofisayo, Adedoyin – Health Protection Agency, UK

11:35 – 11:45 Presentation 6 Sub-national comparison of infant mortality rate: emphasis on Spain Carroquino, Maria Jose – Institute of Health, Spain

11:45 – 11:55 Presentation 7 Sub-national comparison of life expectancy at birth: emphasis on Romania Galan, Adriana – National Institute of Public Health, Romania

12:00 – 13:00 Discussion session Moderators- Duarte-Davidson, Raquel – HPA, UK & Galan, Adriana –

INSP, Romania

Environmental Health Information Systems, Emerging Issues/ projects

13:00 Final Remarks – Close of conference Pistol, Adriana – National Institute of Public Health, Romania

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Appendix D: Evaluation Questionnaire

UNIPHE Conference Towards improved local public health

Evaluation Form

Monday 27 – Tuesday 28 September 2010-04-20 Bucharest, Romania

Please complete the evaluation form and leave it at the registration desk. Your response will assist the UNIPHE project team with the evaluation of the organisation, content and style of the conference. Key: 1 = Excellent through to 6 = Poor 1. Presentations Please assess each presentation by checking the appropriate rating. Excellent Average Poor Opening of conference 1 2 3 4 5 6 Overview of European Union Environment and Health Programme

1 2 3 4 5 6

Environmental Health developments within the World Health Organization European Region (WHO EURO)

1 2 3 4 5 6

Overview of European Environment and Health Information System (ENHIS) project

1 2 3 4 5 6

Overview of the Use of sub-national indicators to improve public health in Europe (UNIPHE) project

1 2 3 4 5 6

Overview of Health Indicators in the European Region (ISARE) project

1 2 3 4 5 6

Overview of the European Urban Health Indicators System (EURO-URHIS) project

1 2 3 4 5 6

Review of the Environment and Health Policies report

1 2 3 4 5 6

Examination of Environmental Burden of Disease 1 2 3 4 5 6

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report Environmental Health response for the ecological public health era

1 2 3 4 5 6

Progress to date within the UNIPHE project 1 2 3 4 5 6 Process of ensuring that the deliverables meet the stakeholders’ perspective

1 2 3 4 5 6

Methods used for the selection of the environment and health indicators

1 2 3 4 5 6

Methodology for data collection and analysis 1 2 3 4 5 6 Sub-national comparisons: Hungary, Slovenia, Germany, Lithuania, UK, Spain, Romania

1 2 3 4 5 6

If ratings of 4 – 6 (Poor) were given please provide details 2. Objectives Please indicate the extent to which you feel your objectives for attending the conference were met. Completely met 1 2 3 4 5 6 Not met If ratings of 4 – 6 (Poor) were given please state why you think this was the case and how it might be improved 3. Overall rating Please assess the overall conference by checking the appropriate rating (length of the sessions, time for questions and comments, content of presentations etc.). Excellent 1 2 3 4 5 6 Poor Please give reasons for your rating and if appropriate provide ideas for future improvements.

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4. The Event Venue 1 2 3 4 5 6 Catering 1 2 3 4 5 6 Overall Organisation 1 2 3 4 5 6 If ratings of 4 – 6 (Poor) were given please provide details or additional comments 5. Usefulness Please indicate which aspects of the conference you found particularly useful 6. Indicators Please indicate your feelings with regards to the adequacy of number (of indicators) and the fields covered by the core set of indicators. 7. Any other comments

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THANK YOU FOR YOUR TIME AND INTEREST. PLEASE SUBMIT THE COMPLETED EVALUATION FORM TO THE

SECRETARIAT BEFORE DEPARTURE.