UNECE WGEMA Sixth session, Geneva, UNECE WGEMA Sixth session, Geneva, 12-14 June 200612-14 June 2006

World Health Organization Regional Office for EuropeWorld Health Organization Regional Office for EuropeDafina Dalbokova, Michal KrzyzanowskiDafina Dalbokova, Michal Krzyzanowski

Towards a pan-European Environment Towards a pan-European Environment and Health Information System: and Health Information System:

Status and ProgressStatus and Progress

http://www.euro.who.int/EHindicators

Framework: the Budapest Declaration Framework: the Budapest Declaration commitments towards a pan-European EHIScommitments towards a pan-European EHIS

The ENHIS (& ENHIS-2) projects implemented with EC DG Sanco and involving partners from 18 Member States -> methodological and IT basis of the system

Member States (MS): - commitments to establish EH Information System (EHIS)

WHO & International Organisations to assist MS in : - upgrading / operating existing systems - building capacities - Implementation of technical projects .

Budapest Declaration §16:

http://www.euro.who.int/EHindicators/Methodology/20050419_2

Reporting on EHIS progress at Intergovernmental Reporting on EHIS progress at Intergovernmental Mid-term Review (IMR) Vienna, 13-15 June 2007Mid-term Review (IMR) Vienna, 13-15 June 2007

EHIS-based Products

Report ‘‘Children’s Health and the Environment: first assessment’:Children’s Health and the Environment: first assessment’: policy-relevant assessment of the situation – focus on children’s health and the environment - in the context CEHAPE

Web-based information service which provides access to:: indicators, trends in time and space, and fact-sheets

ENHIS Products: Methods and Capacities for EHISENHIS Products: Methods and Capacities for EHIS

• Core set of indicators (focus: Children)

• Methods for assessing information needs of policies

• Definition of reporting methods:

- indicator-based fact sheets- design of web based tools- integration of HIA

• Building EH Information Network

ENHIS

About CEHAPE and the Assessment ReportAbout CEHAPE and the Assessment Report

CEHAPE Action Plan: Four Regional Priority Goals to reduce health risks and promote safe and secure

environments for our children

1. Improve access and water quality;

2. Injuries and accidents: safety, mobility & physical activity;

3. Air quality indoors and outdoors and respiratory health;

4. Reduce chemical, physical and biological hazards.

A baseline analysis along the four RPG using policy-relevant indicators

REPORT “Children’s Health and the Environment in Europe: First Assessment”

Outline of the CEHAPE Assessment Report Outline of the CEHAPE Assessment Report

Overall structure of indicator-based assessment per Regional Priority Goal:

1. Public health issue: how big is the problem using key health indicators

2. EH indicator-based assessment of the situation and trends, identifying

causes of the problems and room for improvement

3. Policies and regulations: description of policy actions implemented in MS:

follow-up mechanisms in place, potential health benefits

4. Conclusions: overall progress for the RPG on European region-wide scale in the

context of the implemented policies; monitoring needs and priority data gaps/

harmonization

Transfer of knowledge and involvement of MSTransfer of knowledge and involvement of MS

EHIS WG Meeting (Bonn, 27-28 April 2006)29 countries (14 non-EU), WHO, EC, EEA

MS commitments:

To provide indicators based on routinely collected data IF not reported to international organizations: PM10/ TSP

To generate the indicators on country policies

To join the ENHIS network and active networking with relevant sectors in the countries

To provide case studies to feed indicators:

Outbreaks of water-borne diseases; Lead in children

EHIS Products for IMR 2007: Timelines EHIS Products for IMR 2007: Timelines

EH indicatorsGeneration from international databases and preparation of supporting information (analysis, presentation, key message …)

Annotated outline, organizing writers, reviewers …End June

Assessment Report

IT tools for a few lead indicators

Development of data exchange/ retrieval tool; database and web functionalities

Dates to note:

First draft of the assessment report and web service ……... 15 Nov 2006

Review of the first draft report and web service……….….… 15 Jan 2007

Final draft of the assessment report .………………………... 15 Mar 2007

Launch of the web-service…………………………………..… 31 May 2007

Synergies with ongoing initiatives

Assessment and reporting within Environment for Europe

The ‘Belgrade’ Report

Assuring synergies requires active networking & exchange of

information and expertise in the countries: UNECE WGEMA,

WHO EHIS WG, relevant sectors

Reporting on the Environmental Strategy for EECCA countries:

Report at the 5th Environmental Ministerial Conference (2007)

Health-relevant air quality monitoring

UNECE WGEMA Sixth session, Geneva, UNECE WGEMA Sixth session, Geneva, 12-14 June 200612-14 June 2006

Partners welcome!!

Contacts: Dafina Dalbokova, dda@ecehbonn.euro.who.int

Development of EH Information SystemDevelopment of EH Information System

EHIS DevelopmentEHIS Development

EHIS Implem

entation

Priority: CEHAPE

assessment

System Products & Services

Assessment of H-E situation &Policy implementation

Access to indicators database &Fact-sheets

Building & Maintaining Information-base

Data retrievalIndicator generationInformation analysis

Methodology

Indicators Analysis & Reporting tools