INTEGRATED INFORMATIONINTEGRATED INFORMATION

E & H Action Plan Implementation

Aims of the sessionAims of the session

To obtain agreement on the definition of To obtain agreement on the definition of an integrated information system; the an integrated information system; the objectives of collecting the information; objectives of collecting the information; and the priorities for information collection.and the priorities for information collection.

To exchange information on the state of To exchange information on the state of the art of information availability, and the art of information availability, and discuss the implications for the future.discuss the implications for the future.

To agree on further steps and the To agree on further steps and the organisation of future work.organisation of future work.

Overall objectives

•State and trends of health impacts of environmental contaminants

•Best assessments on basis of existing information•Improving information base for the future

•Identify emerging issues•Possibly others

Must specify objectives clearly, identify information needs, and show how they can be integrated.

Information frameworkInformation framework

Identify exposureIdentify exposure

Translate exposure into health impactTranslate exposure into health impact

Trace exposure back to sources of Trace exposure back to sources of contaminationcontamination

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IndicatorsIndicators MonitoringMonitoring ResearchResearch

11 Source emissionsSource emissions EPER, IPPC, WFD, etc.EPER, IPPC, WFD, etc.

22 Concentrations in environmental media Concentrations in environmental media AAQ, WFD, others AAQ, WFD, others

33 Population distribution of exposure at EU Population distribution of exposure at EU levellevel

Monitoring of Monitoring of concentrations in concentrations in food, DW, ambient food, DW, ambient air, indoor air, and air, indoor air, and relevant relevant consumption/exposuconsumption/exposurere

Which are the principal Which are the principal exposure routes for a exposure routes for a given stressor.given stressor.

44 Apportionment of exposure between Apportionment of exposure between sources (derived from model using sources (derived from model using information in indicators information in indicators 1,2 and 31,2 and 3))

Development of models Development of models for linking exposure for linking exposure to emissions..to emissions..

55 Exposure-response relationshipExposure-response relationship Derived from toxicology Derived from toxicology and/or epidemiology, and/or epidemiology, normally expressed normally expressed in terms of relative in terms of relative risk.risk.

66 Attributable fraction of disease to Attributable fraction of disease to environmental exposure (obtained by environmental exposure (obtained by combining indicators combining indicators 3 and 53 and 5))

Refinement of risk Refinement of risk assessment assessment methodologies.methodologies.

77 Incidence/prevalence of outcome at EU Incidence/prevalence of outcome at EU levellevel

Health monitoring data Health monitoring data (surveys or (surveys or registries)registries)

88 Scale of health problem due to exposure Scale of health problem due to exposure in EU (obtained by combining in EU (obtained by combining indicators indicators 6 and 76 and 7))

State of play on environment and State of play on environment and health informationhealth information

Overview of current environmental Overview of current environmental monitoring relevant to information monitoring relevant to information objectives: EEAobjectives: EEA

Overview of health monitoring and Overview of health monitoring and indicator development: SANCO/ESTATindicator development: SANCO/ESTAT

Overview of information and reporting Overview of information and reporting systems existing or under development.systems existing or under development.

Best practices at Member State Best practices at Member State levellevel

A selection of presentations from Member A selection of presentations from Member States particularly engaged in one or other States particularly engaged in one or other aspect of assessment or monitoringaspect of assessment or monitoring

French pesticides studyFrench pesticides study

Orientations for the futureOrientations for the future

Prioritisation of issues.Prioritisation of issues. Structures for implementing these Structures for implementing these

activities.activities.

Prioritisation of issuesPrioritisation of issues

On the basis of criteria:On the basis of criteria: Is stressor significant at EU level?Is stressor significant at EU level? Magnitude and severity of potential health impactMagnitude and severity of potential health impact Strength of association between stressor and impactStrength of association between stressor and impact Whether policy responses to the stressors are Whether policy responses to the stressors are

feasiblefeasible

In short term, will use the priorities from E&H In short term, will use the priorities from E&H Strategy, WHO priorities, and any identified by Strategy, WHO priorities, and any identified by Member States and stakeholders.Member States and stakeholders.

WHO Regional Priority GoalsWHO Regional Priority Goals

Safe water and sanitationSafe water and sanitation Accidents (both traffic and other)Accidents (both traffic and other) Respiratory disease and air qualityRespiratory disease and air quality

Ambient airAmbient air Indoor airIndoor air

Disease related to physical and chemical stressorsDisease related to physical and chemical stressors

Check against indicators proposed by WHO and those held Check against indicators proposed by WHO and those held by the EEAby the EEA

Need to identify priorities in indoor air qualityNeed to identify priorities in indoor air quality Need to identify priorities among physical and chemical Need to identify priorities among physical and chemical

stressors (particularly chronic chemical contamination)stressors (particularly chronic chemical contamination)

Relation with risk assessment Relation with risk assessment regimesregimes

Decide how to treat stressors covered under Decide how to treat stressors covered under other RA programmesother RA programmes

Where stressors under different regimes Where stressors under different regimes contribute to same health problem, co-ordinate contribute to same health problem, co-ordinate under the Action Planunder the Action Plan

Promote development and uptake of risk Promote development and uptake of risk assessment methodology, on issues such as assessment methodology, on issues such as treatment of mixtures, treatment of vulnerable treatment of mixtures, treatment of vulnerable groups, and uncertainty analysis.groups, and uncertainty analysis.

Structures for implementing Structures for implementing activitiesactivities

How should the information system itself How should the information system itself be organised? IN particular, how should it be organised? IN particular, how should it relate to the WHO system?relate to the WHO system?

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Relation between EU and Relation between EU and WHO data transfersWHO data transfers

= data transfer

WHO

EU

EU Member States

Other WHO -EuroStates

= data transfer

WHO

EU

EU Member States

Other WHO -Euro

= data transfer= data transfer

WHO

EU

EU Member States

Other WHO -Europe

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Decision-making processDecision-making process

Health

SANCO/E&HWorking party

Include inECHI list?

Insert on nextreview

Co-ordinated assessment of information needs:done by Commission on basis of

outcome of Conference and ENHIS

Environment

ENV/EEA

Include in revisionof

Environmentalmonitoring?

Insert in review

Food

SANCO/EFSA

Establish new foodData flow?

Implement

Housing, accidentsand others

SANCO/Working party on

accidents

Analysis of extent to which they can be meton the basis of existing data flows:done by Commission on basis of

German work and ENHIS

Proposals for new indicators