Environment and Health Information System in the Netherlands

Brigit Staatsen, Jessica Kwekkeboom, Anne Knol, Caroline Ameling, Kees Huijsmans, Tilly Fast, Diane Houweling

2Environment and health information system in NL | Diane Houweling

Background• NEHAP:

• aim:– develop a system to collect, analyse and present spatial

and temporal trends on environment and health

3Environment and health information system in NL | Diane Houweling

In the Netherlands:• A lot of information available, scattered over various

databases

• combining• harmonising

• development of an Environment and Health Information System

4Environment and health information system in NL | Diane Houweling

background

information on

indicators

background information(projects etc)

policyregulations

indicators

indicators:

P HE

data analysis

results

datawarehouse E&H(Oracle)informationon dataholder

information ondataset

justification ofdata-analysis

indicator reports

G. RIF

F. EUROINDY

Environment and health information system

5Environment and health information system in NL | Diane Houweling

Action

Economic policiesTransport policiesSocial policies etc.

Clean technologies, emission limits ,planning controls etc.

Environmental standards monitoring remediation etc.

Education, awareness raising ,early warning systems etc.

Counseling, treatment, rehabilitation etc.

Driving forcesAffluence/disposable incomeMobilityetc. PressureRoad development Road traffic density

StateNoise levels

ExposureNoise

Effectannoyancesleep disturbanceHypertensionCardio-respiratory illness

6Environment and health information system in NL | Diane Houweling

Meta-information system (IMeG)

7Environment and health information system in NL | Diane Houweling

8Environment and health information system in NL | Diane Houweling

9Environment and health information system in NL | Diane Houweling

Indicators on noise easy available in the Netherlands

10Environment and health information system in NL | Diane Houweling

driving force - 1

11Environment and health information system in NL | Diane Houweling

driving force - 2

12Environment and health information system in NL | Diane Houweling

driving force - 3

13Environment and health information system in NL | Diane Houweling

driving force - 4

14Environment and health information system in NL | Diane Houweling

pressure - 1

15Environment and health information system in NL | Diane Houweling

exposure - 1

16Environment and health information system in NL | Diane Houweling

exposure - 2

17Environment and health information system in NL | Diane Houweling

exposure - 3

18Environment and health information system in NL | Diane Houweling

effect - 1

Population annoyed by noise

0

10

20

30

40

50

60

1989

1991

1993

1995

1997

1999

2001

year

% o

f pop

ulat

ion

anno

yed

total

road traffic

neighbours

air traffic

railway traffic

industry

19Environment and health information system in NL | Diane Houweling

effect - 2

Population highly annoyed by noise

05

101520253035404550

total

road

traff

ic

neighb

ours

air tr

affic

industr

y

enter

tainment

railw

ay tr

affic%

of p

opul

atio

n hi

ghly

ann

oyed

1993

1998

20Environment and health information system in NL | Diane Houweling

effect - 3

Sleep disturbance by noise in 1998

02468

10121416

road

traff

ic

air tr

affic

railw

ay tr

affic

industr

y

enter

tainment

neighb

ours

total

% s

leep

dis

turb

ed

21Environment and health information system in NL | Diane Houweling

policy - 1

22Environment and health information system in NL | Diane Houweling

23Environment and health information system in NL | Diane Houweling

Evaluation by policy makers:• EH infosystem useful

• expansion and further harmonisation needed (national, regional, local)

• policy evaluation sometimes based on other indicators (for instance number of environmental health

professionals)• website for public: also information on how to deal with

complaints about environmental health• expansion of the dataset to enable international

comparisons

24Environment and health information system in NL | Diane Houweling

Conclusions about EH information system:• Information in NL not always according to definitions WHO

methodology sheet• time consuming

(harmonisation indicators and instruments; regional, national, international)

• HIA: possibility to calculate health effects based on exposures

• Most efforts you do for the WHO EHIS project have relevance for the national EH information system

• Future: website and data exchange platform

25Environment and health information system in NL | Diane Houweling

Indicators available in Dutch environmental data compendium

http://arch.rivm.nl/environmentaldata/