Outline. WHO work on Healthy Environments for ChildrenEnvironmental Burden of DiseaseChildren's special vulnerability Environmental risks to children's healthKey risk factors Target ActionMonitoring indicatorsHealthy Places, Happy Faces. 2. . Child and Adolescent HealthThe CAH Strategy
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1. Healthy Environments for Children ????? ??????? ?? ???? ?????
2. Outline WHO work on Healthy Environments for Children
Environmental Burden of Disease
Children’s special vulnerability
Environmental risks to children’s health
Key risk factors
Healthy Places, Happy Faces
3. Child and Adolescent Health
The CAH Strategy
Integrated Management of Childhood Illness (IMCI)
The Stockholm Consultation
Task Force on CEH
International Conference on Children’s Environmental Health
The Bangkok Statement: a pledge to promote the protection of CEH
CHILDREN IN THE NEW MILLENIUM: ENVIRONMENTAL IMPACT ON HEALTH
Task Force on Healthy Environments for Children (HEC)
HEC Initiative (HECI) announced at WSSD
HEC Alliance (HECA) …established in December 2002
CHILDREN’S HEALTH AND THE ENVIRONMENT: A REVIEW OF EVIDENCE
Publication on environmental impact on children’s health (1999)
Full CHELAC (Regional strategy)
Informal consultations (2)
Training workshop for the health sector
WPRO & SEARO: International Conference Bangkok
5. WHO/EMRO Regional Initiative Environmentally Healthy School Initiative in Jordan (1998-2001)
Task Force on HEC, October 2002
Consultation on HEC, Nov. 2002, Amman
CEHA Database and Information Clearing House on HEC started December 2002
World Health Day 2003 celebrations
HEC project in Pakistan and Yemen (2003-2006)
HEC Indicators monitoring. Piloting starts (2003)
Jordan National Conference on HEC (April 2003)
Saudi Arabia National Conference on HEC (April 2003)
Pakistan Conference on HEC (April 2003)
Lebanon pilot project on HEC in a Beirut suburb (starts 2003)
WHO/EMRO Regional planning consultation on HEC (Late 2003)
6. ENVIRONMENTAL THREATS MAY CAUSE UP TO ONE THIRD OF THE GLOBAL BURDEN OF DISEASE Over 40% of this burden falls on children under the age of five who make up only about 10% of the world’s population. 6
7. IN 2000, MORE THAN 4.7 MILLION CHILDREN UNDER THE AGE OF FIVE DIED FROM ILLINESSES AGGRAVATED BY UNHEALTHY ENVIRONMENTS
Most of the 13,000 child deaths each day are due to the dangers present in the environments in which they live, learn, play and grow.
Environment-related illnesses can kill the equivalent of a jumbo-jet full of
children every 45 minutes.
9. CHILDREN ARE AMONG THE MOST VULNERABLE TO ENVIRONMENTAL THREATS Children are in a dynamic state of growth with cells multiplying fast and organ systems developing at a rapid rate.
Children breathe more air and consume more food and water in proportion to their weight.
Their central nervous system, immune, digestive and reproductive systems are more vulnerable than those of adults. Exposure to certain environmental toxins can lead to irreversible damage, and to diseases during adulthood.
Children are more exposed to unhealthy conditions and to dangerous substances because they live their lives closer to the ground and, especially in the early years, they are frequently exposed through hand-to-mouth activities.
10. Children in EMR Children under 19, constitute 50% of EMR population
Respiratory infections, diarrhoeal diseases, injuries, and malaria account for more than 43% of under mortality.
All these diseases are attributable to environmental conditions
11. Key Environmental Health Risk Factors in EMR Housing quality
Household water security
Hygiene and sanitation
Air pollution (indoor and outdoor)
Injuries and accidents
Chemical hazards (e.g. lead, pesticides)
Poverty, war, occupation and aggression bring additional hazards
13. RISKS TO CHILDREN’S HEALTH IN AIR
Germs; indoor and
outdoor air pollutants;
toxic chemicals, second
hand tobacco smoke
and pesticides; disease-transmitting insects.
14. Environmental Risk Factors and their Health Effects
22. Healthy Home Environments for Children Store water in covered containers in safe, clean and cool places.
Promote the use of improved stoves and cleaner household fuels.
Wash your child’s and your own hands with water and soap before preparing food and eating, and after defecation.
Keep your child away from smoke during peak cooking times and do not smoke near children.
Store household cleaning products, pesticides, fuels and medicines away from children’s reach.
Use insecticide-treated bed-nets to prevent malaria.
23. Healthy School Environments for Children Ensure that clean running water and separate toilets are available for boys and girls.
Teach children about creating healthy environments.
Build and relocate schools and playgrounds away from traffic, noise, industrial and waste sites.
Maintain clean, well-ventilated, well-lit school buildings to promote health and learning.
Encourage healthy, well-balanced diets and regular exercise for children.
24. Healthy Neighborhood / Community Environments for Children Make public places smoke free.
Organize waste management to promote a healthy community.
Plant trees and clean up streams.
Advocate for safer roads and organized traffic.
Eliminate the use of leaded gasoline.
Take care of children in swimming areas, or when playing in ponds and creeks.
Maintain slides and swings to avoid in injuries.
Plant trees to provide protection from the sun.