WHO European Centre for Environment and Health Towards a pan-European Environment and Health...

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WHO European Centre for Environment and WHO European Centre for Environment and Health Health WHO European Centre for Environment and WHO European Centre for Environment and Health Health Towards a pan-European Towards a pan-European Environment and Health Environment and Health Information System Information System World Health Organization European Centre for Environment and Health, Bonn Office Working Group on Environmental Monitoring and Assessment 5th Session, Geneva, 2-3 June 2005 Dafina Dalbokova, Michal Krzyzanowski

Transcript of WHO European Centre for Environment and Health Towards a pan-European Environment and Health...

Page 1: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

Towards a pan-European Towards a pan-European

Environment and Health Environment and Health

Information SystemInformation System

World Health Organization

European Centre for Environment and Health, Bonn

Office

Working Group on Environmental Monitoring and Assessment 5th Session, Geneva, 2-3 June 2005

Dafina Dalbokova, Michal Krzyzanowski

Page 2: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

• Background: the need for EHIS, Budapest Conference

• EHIS: concept and main elements, example

• Implementing the Budapest Declaration commitments:

* Activities towards EHIS;* EHIS implementation in European Region.

• Challenges and opportunities

This presentation:This presentation:

Page 3: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

What is (magnitude of) environment-related health problems?

How does the environment affect our health?

When to act and how?

Are policy measures effective in terms of health benefits?

How are we doing as compared to others?

QuestionsQuestions: : policy-makers policy-makers, , citizenscitizens

Page 4: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

Fourth Ministerial Conference on

Environment and Health, Budapest 2004

Joining national actions with WHO, the EC and other international agencies on methodological and technical development;

Establishment of necessary mechanisms to sustain the process esp. a network of collaborating centres.

DECLARATION

Member States commitment on EHIS:

Children’s EH Action Plan for Europe (CEHAPE) adopted.

Page 5: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

EH Information and policy cycle EH Information and policy 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

Page 6: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

Reporting

Environment and Health Environment and Health Information System: main Information System: main

elementselementsIndicatorsEvidence

Page 7: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

EH Indicators and AssessmentsEH Indicators and Assessments

EH indicators focus:

Exposure-Health Effects-Actions

DPSEEA interlinkages enable

policy-relevant EH assessments &

reporting

The DPSEEA model

EH indicators credibility:

scientific evidence of H-E links

Page 8: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

Loss of life expectancyLoss of life expectancyDue to PM2.5 from anthropogenic sourcesDue to PM2.5 from anthropogenic sources

2000 2010Loss of Life expectancy in months

Source:EMEP & IIASA

Example: Air pollutionPOLICY FORMULATIONPOLICY FORMULATION

Page 9: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

Health Benefits of Reducing Air Pollution PoliciesHealth 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

Example cont’d POLICY EVALUATIONPOLICY EVALUATION

Page 10: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

Population exposure to urban PM10 air pollution 1997-2000

Example cont’d POLICY MONITORINGPOLICY MONITORING

http://www.euro.who.int/document/E82938.pdf

Page 11: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

Activities towards pan-European EHIS

Implementing Budapest Declaration Implementing Budapest Declaration

Commitments on EHISCommitments on EHIS

Page 12: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

PROJECTS (i)

Development of EH Indicators (1999-2003)Development of EH Indicators (1999-2003)

Pilot application of a ‘core’ set of EH indicators in collaboration with 15 Member States and EEA towards Budapest

Issues covered: Air, Noise, Housing, Traffic accidents, Water & sanitation, Chemical emergencies,

Radiation

Objectives: To propose, validate and test a ‘core’ set of indicators

Results: 17 indicators on Exposure, Effects, Action (+ 13 on driving forces, pressure, state identified)

Development of EH Indicators for EU Countries: Development of EH Indicators for EU Countries:

ECOEHIS (2002-2004)ECOEHIS (2002-2004)

Co-sponsored EC DG Sanco

Page 13: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

WHO/ECEH and partners from 22 Member States

Work Packages:1. Information needs of policies2. Update core set of indicators (focus: CHILDREN)3. Information retrieval and collection 4. Networking5. Health Impact Assessment6. Information maintenance, analysis and reporting

Implementing Environment and Health Implementing Environment and Health

Information System in Europe: ENHIS (2004-Information System in Europe: ENHIS (2004-

2007)2007)

PROJECTS (ii)

Co-sponsored EC DG Sanco

Page 14: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

Coordination of EU and WHO work on EHISCoordination of EU and WHO work on EHIS

PROJECTS (iii)

Testing feasibility of the system (2004/05): Estonia, Latvia,

Russian Federation: ‘Assessment of EH situation on air, drinking water’

Related developmentsRelated developments

Air Quality reporting in EU:Air Quality reporting in EU: exceedences replaced by a

uniform system of pollutant concentrations at spatial resolution.

1616thth Ratification of UNECE/WHO Water & Health Ratification of UNECE/WHO Water & Health

Protocol Protocol In force - August 2005, reporting programme – early

2006.

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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

Organisational framework using existing national structures:

network of technical reference centres, national processes;

5th Ministerial Conference on EH in 2009.

EHIS Implementation in Europe: a EHIS Implementation in Europe: a coordinated coordinated

movement to achieve common objectivesmovement to achieve common objectives Framework action plan: focus - CEHAPE monitoring;

Intergov. Review 2007 CEHAPE assessment report using EHIS;

Steering - EEHC;

Technical coordination - dedicated Group:

Albania, Czech Republic, France, Georgia, Italy, Lithuania, Slovakia, Spain,

EEA, EC DG ENV, EC DG SANCO, EC JRC, UNECE, UNEP, WHO.

Page 16: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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 Dealing with scientific uncertainty

Reporting overload Diversity of sectors involved

Challenges …Challenges …

… … and Opportunitiesand Opportunities

For joint actions on EH information For joint actions on EH information 2007 Reports 2007 Reports;

Towards a health-relevant environmental monitoring Towards a health-relevant environmental monitoring

andand

reporting.reporting.

Page 17: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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]

Thank Thank youyou

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WHO European Centre for Environment and HealthWHO European Centre for Environment and Health

Page 19: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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

Page 20: WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre.

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