NDPHS / SIHLWA Social Inclusion, Healthy Lifestyles & Work Ability A. SIHLWA Annual Report 2008: what was done B. SIHLWA Action Plan for 2009: what we plan to do

SIHLWA-5 Oslo 6-7 March OSH

SIHLWA-5 Oslo 6-7 March ALC

SIHLWA-5 Oslo 6-7 March ADO

NDPHS / SIHLWA Social Inclusion, Healthy Lifestyles & Work Ability 6th meeting 30 September – 1 October 2008, Oslo Norway Holmenkollen Park Hotel Rica ? Outcome

SIHLWA has now ITA! International Technical Advisor* Ms Hanna Koppelomäki Co-ordinator for Neighbouring Area and Northern Dimension Partnership Projects - Department of Health Promotion and Chronic Disease Prevention - National Public Health Institute (KTL) GSM: ; Tel ; fax Address: KTL, Mannerheimintie 166, Helsinki, Finland [* 40% of time]

COUNTRY ADO ALC OSH 1Chair: Mikko Vienonen1acting Chair: Kari Paaso1Chair: Wiking Husberg Co-C: A. Jociute Co-C E. Krupitsky Co-C: R. Jankauskas 1CANADA1Robert (Bob) Shearer1Nathan Lockhart to be appointed? 2DENMARK not participating 3ESTONIA1Iisi Saame1Sirje Bunder1Irma Nool 4FINLAND1Tiina Laatikainen1Marjatta Montonen1Suvi Lehtinen 5FRANCE to be appointed ? 6GERMANY to be appointed ? 7ICELAND not participating 8LATVIA1Lolita Melke1Ineta Vanaga to be appointed? 9LITHUANIA1Aldona Jociute1Kriveliene Gelena1Remigijus Jankauskas 10NORWAY 1Simon-Peter Neumer1Bent Bull 1Trygve Eklund 11POLAND1Janusz Sieroslawski1Magdalena Pietruszka1Eliza Iwanowicz 12RUSSIA1Natalia Kostenko1 Evgeny Krupitsky1Nikolai Izmerov 13SWEDEN1Karin Nilsson-Kelly1Sven Andréasson to be appointed? SUM10 7 SIHLWA membership September 2008

SIHLWA project-based activities implemented in 2008 : 1.SIHLWA-OSH sub-group: Thematic report on OSH for NDPHS Data-Base finalized in 2008 and placed on the NDPHS data-base. 2.Facts-sheet prepared for SIHLWA EG in English and in Russian and were placed on the NDPHS data-base. 3.Facts-sheet prepared for SIHLWA OSH-sub-group in English and in Russian and were placed on the NDPHS data-base. 4.Potential Years of Life Lost (“PYLL”) assessment in Karelia, Pitkaryanta)

   70 y      Standard-life to which all preventable deaths are reflected A = Ivan died of coronary heart attack at age of 55 years Ivan’s PYLL = = 15 years B = Anna died of alcohol poisoning at age of 28 years Anna’s PYLL = 70 – 28 = 42 years C = Pelagiya died of stroke at age of 71 years Pelagiya’s PYLL = 70 – 71 = 0 years PYLL Starting point: simple calculation

PYLL Objectives 1.To assess the problems of early deaths. 2.To direct preventive measures. 3.To evaluate the performance of prevention and treatment.

SIHLWA Projects on-going in 2008: 1.Alcohol & Drug Prevention among youth in SPb phase 1: NCM, Russian Federation (St. Petersburg), NCM &Finland: Alcohol & Drug Prevention among youth in SPb phase 2: MoFA/ MoSA&H/Finland, Russian Federation (St. Petersburg),: Alcohol and drug prevention among youth 2nd phase to start in Sept > 2009; 3.Early Identification & Brief Intervention on Hazardous & Harmful use of alcohol (EIBI) Feasibility project SPb & Leningrad Obl.: March –October ILO, Russian Federation and Finland: Occupational safety and health project in N-W Russian Federation (Leningrad Oblast & Republic of Karelia). 2nd phase in 2008.

SIHLWA Projects beginning in 2008: 1.SIHLWA Stakeholder Analysis September 2008 (starting). St Petersburg, Leningrad Obl., Republic of Karelia, Murmansk. Pipeline-funded project. Later in 2009 in other regions and other countries (Baltic States, etc. depending on countries’ interest)

SIHLWA projects still in preparation in 2008: 1.Facts-sheet for SIHLWA ADO sub-group in English and in Russian. 2.Facts-sheet for SIHLWA ALC sub-group in English and in Russian. 3.Full “EIBI” project (after feasibility project): Hazardous & harmful use of alcohol: Early Identification and Brief Intervention “Possible regions/countries for implementation: St. Petersburg City (will be agreed upon with the St. Petersburg City Health Committee). Other potential candidates: Leningrad Obl., Republic of Karelia, Murmansk, Cherepovets city /Vologda Obl., Arkhangelsk, Republic of Komi, Nenets Autonomic Area. Potential funders (tentative): Finland, Norway, EC, others? 4.Full “PYLL” – analysis for the Republic of Karelia and/or Vologda/ Cherepovets city 5.“Life at Stake” (“Na konu zhizn”) TV programme on healthy lifestyles’ impact on individual people. [This project idea is running late due to time resource shortages]. END OF SIHLWA ANNUAL REPORT 2008 (to be amended and completed during the remaining months of the year)

SIHLWA 2009 Action Plan draft SIHLWA OSH SIHLWA ADO SIHLWA ALC

SIHLWA 2009 Action Plan Meetings, conferences & workshops 1.Two SIHLWA meetings (SIHLWA-7 & -8) (tentative February & September 2009) 2.Ad hoc meetings, workshops, seminars and conferences (ADO & ALC & OSH): The overall purpose of seminars and conferences should be to make best practices more available to a wide range of stakeholders (as opposed to a small circle of experts). See Draft Action Plan text When is the time to review the EG Terms of Reference 2006/ TOR? High time to do it in 2009?

1. ADO Thematic paper (data-base) 2. ALC Thematic paper (data-base) “snapshot”, “quick & dirty” Going ahead: FIN, LTU, POL, CAN, EST, RUS? Others? Existing data primarily (intl. & national). Do not invent the wheel. Identify gaps in data and policies. Be strategic!!

SIHLWA FLAGSHIP PROJECTS

Flagship-projects for every sub-group ADO: a) A&DPrevY b) 2009?  Friends for Life or “Coping Cat”: Prevention of social anxiety -> depression -> substance abuse etc. (children & adolescents). SIHLWA’s response to “over-medicalization” and to scale up social inclusion theme.

FRIENDS FOR LIFE

ALC FLAGSHIP PROJECT: “EIBI” After finalizing the feasibility project on the Prevention of Hazardous & Harmful Use of Alcohol: Early Identification and Brief Intervention “EIBI” by the end of 2008, follow up based on the outcome will take place. Tentatively the outcome would be a 3 year EIBI project in the range of € per year ( ). Possible regions/countries for implementation: St. Petersburg City in collaboration with the St. Petersburg City Health Committee and Social committee. Further potential candidates are Leningrad Oblast, Republic of Karelia, Murmansk, Cherepovets city /Vologda Obl., Arkhangelsk, Republic of Komi, Nenets Autonomic Area. Estonia, Latvia and Lithuania have joined the Primary Health Care European Project on Alcohol PHEPA ( funded by the EU public health program and could possibly join with their own funding.

EIBI is not about….

Translation: This is our favourate shop! EIBI is about…. Interesting conceptual dilemma (linking with our own NDPHS evaluation): How do you measure success when someone does NOT develop alcohol dependency? We know through evidence based research that about one in 10 EIBI interventions has an impact, but we do not know which one is it? Should we stop doing it? Who would benefit? (= alcohol industry!)

OSH FLAGSHIP PROJECT: Continuing 2nd phase of “Occupational Safety and Health (OSH) in North- Western Russia” proceeding into phase 3 ( ); Broadening the scope towards social inclusion, unemployment, illegal migrants, trafficking etc. would be feasible

Following up of PAC-5 Post-meeting workshop on “health & social well-being of indigenous and remote northern communities” in Ottawa/ Canada (Nov, 2008)

“Health & social well-being of indigenous and remote northern communities” Explore possibilities for a joint, holistic and innovative project under NDPHS. SIHLWA’s input could be on alcohol and tobacco prevention, action against obesity, accidents and violence. Partners in this development could be all other NDPHS EGs (HIV/AIDS, PHC and PH) and associated EGs CBSS Working Group for Cooperation on Children at Risk (WGCC) and the Baltic Sea Network on Occupational Health and Safety (BSN).CBSS Working Group for Cooperation on Children at RiskBaltic Sea Network on Occupational Health and Safety Potential partner Member countries /regions could be Canada, Finland, Norway, Sweden (Lapland, Finnmarken and Norrbotten) and Russian Federation (Murmansk, Arkhangelsk, Nenets Autonomic Region, and Komi Republic)

2001 average PYLL Canada 5202/100,000

“Health & social well-being of indigenous and remote northern communities”

Thank you! ĄČİVAÉ! [Moose Cree] Tahka Tahka! [Inari Saame] SIHLWA EG team