who european centre for environment and health pan-european environment and health information...
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WHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Pan-European Environment and Pan-European Environment and
Health Information System: a Health Information System: a
WHO Comprehensive InitiativeWHO Comprehensive Initiative
World Health Organization
European Centre for Environment and Health, Bonn
Office
ISEE Central and Eastern European Chapter Conference: New Challenges of Environmental Health, Budapest, 9-11 June 2005
Dafina Dalbokova Dafina Dalbokova Rokho Kim, Michal Krzyzanowski Rokho Kim, Michal Krzyzanowski
WHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and Health
• The need for information support to EH policy-making
• Experiences and lessons learnt on EHIS
• Implementing EHIS in Europe (ENHIS): advances and opportunities
• Towards a sustainable EHIS
This presentation:This presentation:
ISEE Central and Eastern European Chapter Conference, Budapest, 9-11 June 2005
WHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Information support to public Information support to public policiespolicies
EH Information NetworkEH Information Network
Projects:Projects: Methods,Methods,
indicators, indicators, assessments,assessments,
……
Coordination:Coordination:EuropeanEuropeanregion, region,
national, sub-national, sub-……
Policy ActionsPolicy Actions(NEHAPs, CEHAPE, EEHAP…)(NEHAPs, CEHAPE, EEHAP…)
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Environment and Health Environment and Health
Information System: Information System:
Experiences and lessons Experiences and lessons
learntlearnt
ISEE Central and Eastern European Chapter Conference, Budapest, June 2005
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Utility: EH Information and policy Utility: EH Information and policy cycle cycle
Formulation
Implementation
Monitoring/ evaluation
EH Information
Health in settingpriorities for policy actions
H-E situation over time, across countries
Policy performance in terms of health benefits
WHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Evidence ReportingIndicators
Main elementsMain elements
Environment and Environment and Health Information Health Information
SystemSystem
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Environmental Health Environmental Health IndicatorsIndicators
Focus:
Exposure-Health Effects-Actions
DPSEEA interlinkages enable
policy-relevant EH assessments &
reporting
The DPSEEA model
Credibility: evidence of
Exposure < = > Health Effects
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Key message
EH context
Policy context
Assessment
EH Indicator fact-sheetEH Indicator fact-sheet
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Loss of life expectancy due to PM2.5 Loss of life expectancy due to PM2.5 from anthropogenic sourcesfrom anthropogenic sources
2000 2010Loss of Life expectancy in months
Source: EMEP & IIASA
POLICY FORMULATION (1 of 3)POLICY FORMULATION (1 of 3)
EH information in policy cycle: the air pollution EH information in policy cycle: the air pollution example example
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Potential health benefits of reducing air pollution policies:Preventable Loss of Life Expectancy by a 10% reduction in PM
exposure
http://www.euro.who.int/document/E82938.pdf
POLICY EVALUATION (2 of 3)POLICY EVALUATION (2 of 3)
EH information …: the air pollution EH information …: the air pollution example example
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Population exposure to urban PM10 air pollution 1997-2000
http://www.euro.who.int/document/E82938.pdf
POLICY MONITORING (3 of 3)POLICY MONITORING (3 of 3)
EH information …: the air pollution EH information …: the air pollution example example
WHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Simple message on a complex issue
Analyzing data collected for other than EH
purposes
Tackling multisectorial policies outside public
health
Dealing with scientific uncertainty
Reporting overload
Diversity of sectors involved
ChallengesChallenges
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Systematic review and update:
Challenges …Challenges …
• Evidence of the
relative health impacts
• Exposures and health
end-points
• Evidence of effective
interventions
EH indicators and scientific evidenceEH indicators and scientific evidence
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
EH indicators and policies EH indicators and policies
Model the EH issue to determine policy- relevant exposures and health effects;
Up-to-date inventory of current policies and regulations.
Air pollution
Challenges Challenges ……
WHO European WHO European CentreCentre for Environment and Health for Environment and Health
• Clearly defined ‘reference’
(condition, countries …)
• Data ‘ascertainty’
• Integrating QRA/ HIA
Challenges …Challenges …
EH indicators and assessmentsEH indicators and assessments
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
1. Policy review and information needs
6. Information analysis and reporting, diffusion
Implementing Environment and Health Implementing Environment and Health
Information System in Europe: ENHISInformation System in Europe: ENHIS
EC DG SancoEC DG Sanco
Advances and Opportunities Advances and Opportunities
WHO/ECEH and partner institutions: WHO/ECEH and partner institutions: 12 MS; 22 Member States12 MS; 22 Member States
Period of implementation: Period of implementation: ENHIS-1 2004/05; ENHIS-2 2005/07ENHIS-1 2004/05; ENHIS-2 2005/07
Work Packages:Work Packages:
2. Update core set of indicators (focus: CHILDRENCHILDREN)
3. Information retrieval and collection4.4. NetworkingNetworking5. Health Impact Assessment
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
NetworkingNetworking
Indicators, Indicators, assessments, assessments,
guidelines,guidelines,ENHISENHIS
……
Knowledge Knowledge transfer, transfer, capacity,capacity,WHO EHISWHO EHIS
……
CEHAPE CEHAPE Assessment Report Assessment Report
for the IGM 2007for the IGM 2007
Towards a sustainable EHISTowards a sustainable EHIS
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
http://www.euro.who.int/EHindicators
http://www.enhis.net
[email protected]@ecehbonn.euro.who.int
Thank Thank youyou
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Legend:
Afr D
Afr E
Amr A
Amr B
Amr D
Regions serving as basis for calculationsRegions serving as basis for calculations
Eur A
Eur B
Eur C
Emr B
Emr D
Sear B
Sear D
Wpr A
Wpr B
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
Example: Air pollutionExample: Air pollutionPOLICY FORMULATION (i)
0123456789
10
%
LCA CPD ARI<5 yrs
Deaths attributable to air pollution by RegionDeaths attributable to air pollution by Region
WHO CRA project, 2004
WHO European Centre for Environment and HealthWHO European Centre for Environment and Health
http://www.euro.who.int/InformationSources/Evidence/20011015_1
Highlights on health