WHO European Centre for Environment and Health

1. WHO European Centre for Environment and Health WHO European Centre for Environment and Health Pan-European Environment and Health Information System: a WHO Comprehensive Initiative World Health Organization European Centre for Environment and Health, Bonn Office Dafina Dalbokova Rokho Kim, Michal Krzyzanowski ISEE Central and Eastern European Chapter Conference: New Challenges of Environmental Health, Budapest, 9-11 June 2005

2. WHO European Centre for Environment and Health WHO European Centre for Environment and Health ISEE Central and Eastern European Chapter Conference, Budapest, 9-11 June 2005 This presentation: • The need for information support to EH policy-making • Experiences and lessons learnt on EHIS • Implementing EHIS in Europe (ENHIS): • advances and opportunities • Towards a sustainable EHIS

3. Policy Actions (NEHAPs, CEHAPE, EEHAP…) Projects: Methods, indicators, assessments, … Coordination: European region, national, sub- … EH Information Network WHO European Centre for Environment and Health WHO European Centre for Environment and Health Information support to public policies

4. WHO European Centre for Environment and Health ISEE Central and Eastern European Chapter Conference, Budapest, June 2005 Environment and Health Information System: Experiences and lessons learnt

5. Utility: EH Information and policy cycle Implementation Monitoring/ evaluation Formulation EH Information WHO European Centre for Environment and Health Health in setting priorities for policy actions H-E situation over time, across countries Policy performance in terms of health benefits

6. WHO European Centre for Environment and Health WHO European Centre for Environment and Health Environment and Health Information System Main elements Reporting Evidence Indicators

7. Environmental Health Indicators WHO European Centre for Environment and Health The DPSEEA model Focus: Exposure-Health Effects-Actions Credibility: evidence of Exposure < = > Health Effects DPSEEA interlinkages enable policy-relevant EH assessments & reporting

8. EH Indicator fact-sheet Keymessage EH context Policy context Assessment WHO European Centre for Environment and Health

9. Loss of life expectancy due to PM2.5 from anthropogenic sources 2010 2000 Loss of Life expectancy in months Source: EMEP & IIASA WHO European Centre for Environment and Health EH information in policy cycle: the air pollution example POLICY FORMULATION (1 of 3)

10. Potential health benefits of reducing air pollution policies: Preventable Loss of Life Expectancy by a 10% reduction in PM exposure WHO European Centre for Environment and Health EH information …: the air pollution example POLICY EVALUATION (2 of 3) http://www.euro.who.int/document/E82938.pdf

11. Population exposure to urban PM10 air pollution 1997-2000 WHO European Centre for Environment and Health EH information …: the air pollution example POLICY MONITORING (3 of 3) http://www.euro.who.int/document/E82938.pdf

12. Challenges WHO European Centre for Environment and Health WHO European Centre for Environment and Health • Simple message on a complex issue • Analyzing data collected for other than EH purposes • Tackling multisectorial policies outside public health • Dealing with scientific uncertainty • Reporting overload • Diversity of sectors involved

13. EH indicators and scientific evidence • Evidence of the • relative health impacts • Evidence of effective • interventions • Exposures and health • end-points WHO European Centre for Environment and Health Challenges … Systematic review and update:

14. EH indicators and policies WHO European Centre for Environment and Health Challenges … Air pollution Model the EH issue to determine policy- relevant exposures and health effects; Up-to-date inventory of current policies and regulations.

15. EH indicators and assessments WHO European Centre for Environment and Health Challenges … • Clearly defined ‘reference’ • (condition, countries …) • Data ‘ascertainty’ • Integrating QRA/ HIA

16. Advances and Opportunities WHO European Centre for Environment and Health Implementing Environment and Health Information System in Europe: ENHIS Period of implementation: ENHIS-1 2004/05; ENHIS-2 2005/07 WHO/ECEH and partner institutions: 12 MS; 22 Member States Work Packages: • Policy review and information needs • Update core set of indicators (focus: CHILDREN) • Information retrieval and collection • Networking • Health Impact Assessment • Information analysis and reporting, diffusion EC DG Sanco

17. Towards a sustainable EHIS WHO European Centre for Environment and Health CEHAPE Assessment Report for the IGM 2007 Indicators, assessments, guidelines, ENHIS … Knowledge transfer, capacity, WHO EHIS … Networking

18. WHO European Centre for Environment and Health Thank you http://www.euro.who.int/EHindicators http://www.enhis.net DDA@ecehbonn.euro.who.int

19. WHO European Centre for Environment and Health

20. Regions serving as basis for calculations Legend: Afr D Afr E Amr A Amr B Amr D Eur A Eur B Eur C Emr B Emr D Sear B Sear D Wpr A Wpr B

21. WHO European Centre for Environment and Health Example: Air pollution POLICY FORMULATION (i) Deaths attributable to air pollution by Region WHO CRA project, 2004

22. WHO European Centre for Environment and Health Highlights on health http://www.euro.who.int/InformationSources/Evidence/20011015_1