1. SIHLWA’s leadership 2009 Lead Partner continued to be Finland -> hopefully will continue Co-Lead partner continued to be Lithuania -> hopefully will continue NEW Lead Partner for IMHAP Canada -> to be formalized NEW Co-Lead partner for IMHAP Nordic Council of Ministers -> to be formalized Chairs, co-chairs of sub-groups ADO, ALC (presently weak leadership, links with WHO-EURO weakness), OSH (ILO+), IMHAP (Canada & NCM +) SIHLWA ITA International Technical Advisor 40 % -> 100% needed More interaction between sub-groups: ”pen cafe”/ Less NDPHS bureaucracy

2. EG SIHLWA consists of 3 sub-groups: 1. 1.Sub-group on adolescent health and socially-rewarding lifestyles [ADO] 2. 2.Sub-group on alcohol [ ALC] 3. 3.Sub-group on Occupational Safety & Health [OSH] And one candidate new sub-group waiting for “green light” from CSRs: 4.Sub-group on Indigenous Mental Health, Addictions and Parenting [IMHAP] [follow up of PAC-5 and SWG preliminary messages]

3. “SIHLWA” will act as catalyst through: 1. 1.Bringing together key stakeholders from the core health constituencies within the health system and broader society, including those other government sectors whose policies impact on health; 2. 2.Carrying out situational analyses, assessing the size of the problem and identifies the priority areas for action; 3. 3.Evaluating what is already in place, strengths and weaknesses, and identifies current gaps; 4. 4.Strengthening international, bilateral and multilateral cooperation by further developing alliances for advocacy and action on non- communicable diseases which unites major international players in Europe, including intergovernmental organizations, NGOs and others; 5. 5.A special challenge for this Expert Group will be how we can best benefit from the synergy that the three (four)sub-groups will pose. 6. 6.Elaboration of viable and practical projects in NDP area.

4. SIHLWA meetings: 1. 1.Two SIHLWA meetings (ADO, ALC, OSH & IMHAP) together with all 4 sub-groups ( 1)Sweden/ 4-5May 2009, and 2) Latvia/7-9 October 2009). 2. 2.Ad hoc meetings, workshops, seminars and conferences (see list later)

5. ADO sub-group: 1. 1.Explore possibilities for methods for prevention of social exclusion among school aged children. -> Spb project Alc&DrugPrevYouth 2. 2.Thematic report on adolescent health and social wellbeing and methods to improve pupils social inclusion and coping skills in schools. Tabulated data from all 11 countries, country thematic profiles, 3) thematic papers ( a)sexual halth, b)obesity, c)adolescent substance abuse, d) adolescent accidents & violence, etc.)

6. Alcohol drinking during last 30 days (15-16 year olds)

7. A. Cross tabulated ADO - indicators B. ADO – Country profiles 1-2 pp FIN, LTU, POL, RUS C. ADO - Thematic papers sexual health & behavioursexual health & behaviour obesity obesity physical activityphysical activity psychoactive substnce abusepsychoactive substnce abuse safety & accidentssafety & accidents social inclusion, poverty, ”happiness”social inclusion, poverty, ”happiness”

8. B. Policy componentPolicy component Management of changeManagement of change Links with polticians, parliaments, MinistriesLinks with polticians, parliaments, Ministries C. Social inclusion and NGO component Alcohol & drug prevention among youth.Alcohol & drug prevention among youth. (SPb experiences to be disseminated) D. PHC (?) EIBI Early Identification - Brief Intervention A.Situation analysis Profiles, half doneProfiles, half done Potential years of life lost duet to alcohol and other preventable causes.Potential years of life lost duet to alcohol and other preventable causes. Cost of non-action?Cost of non-action? etc.etc. COUNTRIES TO BE INVOLVED? ESTONIA?LATVIA?LITHUANIA?POLAND?RUSSIA?OTHERS? PLANNING OF THE FAST-TRACK PROJECT Good example from PHCGood example from PHC Takes time and effort (6-6 months full time consultancy work)Takes time and effort (6-6 months full time consultancy work) HELP NEEDED!HELP NEEDED!

9. ALC sub-group: 1. 1.Alcohol and the family; “Passive alcohol use”, “Chemical abuse of children” (NORDAN, etc.) 2. 2.Alcohol and access to under-aged, Alcohol advertisements (Finland/ “KLAARI” and “Booze Rebellion”. Russia/ Russian Patriarchat and MoH&SD “Healthy Nation – Flourishing Russia”) 3. 3.The concept of “stepped care” or modular treatment as an approach to holistic development of treatment services. EIBI: Early Identification & Brief Intervention of Hazardous & Harmful Alcohol Use. Back-slash SPb. New attempt -> BSR fast-track project component? 4. 4.EIBI thematic paper and EIBI Poster for EU Alcohol Conference September 2009

10. IMHAP “in spe” sub-group: 1. 1.Pursuing collaboration between IMHAP, NCM and NSPH for a forum focussed on indigenous health issues (in particular mental health, additions, and family/parenting), involving indigenous people, policy makers, researchers, and health workers. 2. 2.Explore the production of IMHAP papers: 3. 3.Mapping traditional (indigenous) healing / health services in NDPHS countrie. 4. 4.Scan of promising strategies of traditional/clinical approaches to healing, treatment, prevention, etc. 5. 5.Fact sheet / diagnostic of mental health status (Sami, Inuit, First Nations, other) with a focus on adolescent/child mental health, alcohol and drug addiction, and family/parent service 6. 6.Continuing to build the IMHAP network: 7. 7.Establish email list serve 8. 8.Share information regarding conferences, research, 9. 9.Project preparation in 2010 on Suicide prevention among indigenous people.

11. ALC sub-group strengthened its efforts to create a structured (web-site) to support monitoring of alcohol policy issues and information exchange among NDPHS partners. More effective dissemination of update information on alcohol policy-related developments will help the coordination and development of measures to address increasing alcohol use, notably by: Raising alcohol sales taxes; Limiting access to alcohol; Counteracting pressure on state alcohol monopolies; Restricting alcohol advertising; Info about health effects on alcohol containers; Implementing strict drink driving policies; Address alcohol-related crime and disturbance; Well-thought public education about alcohol; Implementing specific measures for young people.

12. OSH sub-group: 1. 1.Annual Meeting of Baltic Sea Network on Occupational Health & Safety together with SIHLWA-8 Riga 8/10); 2. 2.Review of progress in the implementation of Partnership “Health at Work” Strategy in all member states, specifically the preparation of national OSH profiles in selected countries; 3. 3.Review of progress of ongoing OSH-projects, ILO OSH in NW Russia and FIOH project implementing the Health at Work strategy in NW Russia; 4. 4.Continuing and improving cooperation between ILO, WHO, EU and ICOH in the OSH field; 5. 5.Developing new projects for selected countries, including assisting in the search of funding for feasible projects; 6. 6.Cooperation with the Primary Health Care EG to link occupational health and public health closer

13. SIHLWA Projects 1. 1.Finalizing SIHLWA stakeholder analysis in Leningrad Oblast, Murmansk, St. Petersburg and Republic of Karelia (started in September 2008). Funding for through MoFA/ MoSA&H/ Finland (57.000€) New attempt -> BSR fast-track project component? 2. 2.Potential Years of Life Lost (“PYLL”) continuing assessment in selected North-Western Russian regions (Karelia, Vologda?). New attempt -> BSR fast-track project component? 3. 3.Continued efforts to explore possibilities to implement “Life at Stake” (“Na konu zhizn”) popular TV-show format on a Russian TV-channel. The prototype started in Finland in September 2007 and in Canada shortly. 4. 4.ADO FLAGSHIP PROJECT: Completing 2nd phase of “Alcohol and Drug Prevention among Youth in St. Petersburg. 3rd Phase funding applied for 2010. Success-story SPb. New attempt -> BSR fast-track project component? 5. 5. ALC FLAGSHIP PROJECT: Prevention of Hazardous & Harmful Use of Alcohol: Early Identification and Brief Intervention “EIBI”. New attempt -> BSR fast-track project component? 6. 6.OSH FLAGSHIP PROJECT 2nd phase of “Occupational Safety and Health (OSH) in North-Western Russia” active in five regions with funding from Finland and ILO and proceeding into phase-3 (2009-10);

14. SIHLWA action summary (A.) 2009 1. January- November  Alcohol & Drug Prevention among Youth SPb Phase-I (NCM & FIN) final report & seminar for decision makers.  Phase-II-2009 A&DPrevY-SPb (FIN)/ NGO implemented end October 2009 Innovating for new Phase-III-2010-2011 A&DPrevY-SPb with strengthened involvement of social well-being components e.g. social support to families affected by alcohol & drugs, support to adolescent’s reproductive health, mental health, suicide prevention, social inclusion promotion for teenagers, etc (in planning) FLAGSHIP PROJECT OF SIHLWA ADO -> EU-BALTIC SEA FAST-TRACK: RF, Estonia, Latvia, Lithuania, Poland? Political will & energy & commitment also from CSRs ??? Combine with ALC EIBI lessons-learned? One oit of two? 2. May – ongoing Suicide prevention & social inclusion among indiginous populations of the north (would link with alcohol, tobacco,narcotics, parenting) FLAGSHIP PROJECT OF SIHLWA IMHAP ? DOES IT FIT WITH THE NEW STRATEGIC GOALS ? IMHAP needs to be officially established at CSR-Riga and later in PAC 3. January- November N-W Russia Occupational Health & Safety (OSH) project phase II successfully ongoing (ILO & RF).  N-W Russia Occupational Health & Safety (OSH) project phase III in planning for 2010- 2011 (ILO & RF). C. 270.000 € plan. FLAGSHIP PROJECT OF SIHLWA OSH 4. February “EC law & trade agreements impact on alcohol policy” Riga 25-26/2/2009 (NAD & EC & SIHLWA-ALC). To be followed up in SIHLWA-7 and eventually at Swedish EU Presidency alcohol conferences in September 2009

15. SIHLWA action summary (B.) 2009 5. February Working visit to WHO-EURO on issues related to healthy lifestyles and search for synergies in our work (note for the file is available)  Working visit to NCM/CPH: strengthen social wellbeing components in ADO projects. Interested in IMHAP (co-lead partner) 6. February- December Scaling up Indigenous Mental Health – Addiction – Parenting following the recommendations from PAC-5 & Ottawa side event. Luleå 18/03/2009 (note for the file available) and preparation for SIHLWA-7 May 4-5. 7. April - August SIHLWA Stakeholder-analysis for N-W-Russia. After SIHLWA-7 to use the template for other regions and countries by SIHLWA experts. Report for SIHLWA-8 -> spreading/repeating in other countries EST, LVA LTU, POL. Other NDPHS partners ? 8. January - December “SIHLWA-WILD CARD” Life at Stake / На кону – жизнь (Na konu – zhizn’) reality TV- program promotion/adoption for Russia  SIHLWA’s role “enzymatic”. Actual work by NIHSW/FIN, FIN Medical Association, Finnish TV, TARINATALO TV-producer.  Progress surprisingly successful (CTC/ SPb, Russian World Studios, REN-TV Moscow). Suprisingly, probably will first be launched in US & Canada. Discussions in Russia will continue in early autumn. Cooperation with MoSA&H and Russian Institutes (Professor Starodubov, Professor Oganov, Professor Shabrov & others)  Flyers available in English and in Russian.  Minister Golikova’s paper on “Lifestyle health promotion in Russia 2009” (from Rus/MoH&SD website informal tranlation English). NEW STRATEGY? Stop or continue?

16. SIHLWA action summary (C.) 2009 9. April December PYLL – Potential Years of Life Lost. Updated business proposal sent to Vologda Oblast. Cooperation with MoSA&H and Russian Institutes (Professor Starodubov, Professor Oganov, Professor Shabrov & others could be useful. Russian economic crisis presently prevents progress. Dormant at present. NEW STRATEGY? Stop or continue? 10. January - May SIHLWA-7 May 4-5. Important issues on the agenda are  scaling up social well-being component within SIHLWA and strategic considerations (note available), upcoming EU-presidency alcohol conferences  PAC-6 & prison health lifestyle challenges  SIHLWA thematic papers (ADO, ALC, OSH)  IMHAP – “to be or not to be?”  17 nominated PC-representatives 15 “ad hoc” members (present status 24/4) 11. January – December Work on the long-term meeting schedule for SIHLWA 2009 and beyond. Further discussions with Partner countries and organizations (2 per year)  Technical “hurdles”: o “Belarussians: to be or not to be? Presently I am glad that we were not too active, yet) o Hosting EG meetings: can the hosts (PCs) meet the commitments that have been considered as “standard” so far? 12 April - May Strategic considerations for SWG. SIHLWA questionnaire, 11 responses (report available 23 pp). Strategic work between the meetings. Support from SRs is needed! SIHLWA secretariat letters might be used as a tool?

17. SIHLWA action summary (D.) 2009 14. 20-22 May Networking  Moscow Patriarchat and MoH&SD/RF alcohol conference. SIHLWA input. 15. 16-19 Sept. Networking Healthy Nation – Basis for Flourishing Russia” SIHLWA input in Russian annual health promotion event 16. 21-22 Sept. Networking  SIHLWA participation in EU-Alcohol Conference in Stockholm on alcohol advertisement, alcohol know-how in exhibition, EIBI NDPHS status-report, EIBI Flyer 17. 23 Sept. Networking  Global Alcohol Conference (WHO and others) SIHLWA participation

18. SIHLWA action summary (E.)2009 18. 7-9 October SIHLWA-8 October 7-9. Riga SWG recommendations SIHLWA Annual report SIHLWA Action plan Update of TOR IMHAP institutionalization EU Baltic Sea Strategy and SIHLWA implications PAC-6 input on the context ADO, ALC, IMHAP thematic reports elaboration 19. 28 Oct Final Conference of Alcohol & Drug Prevention programme SPB 20. 23-25 Nov PAC-6 and Prison Health side- event and Declaration SIHLWA input Etc.?  Etc.?

19. Ad hoc NDPHS Strategy Working Group Report for the NDPHS Committee of Senior Representatives: Actions proposed as the follow-up of the NDPHS evaluation of 2008 September 2009 Probably most important: CSR-16: Riga 15-16 Oct,

20. What we would like to see to happen more: 1. 1.To have International Technical Adviser “ITA” to assist SIHLWA coordination full time (not only 40%) 2. 2.“Satellite projects” what you already are doing. 3. 3.SIHLWA ADO & ALC & IMHAP thematic reports for the data- base (following OSH example). 4. 4.Meeting reporting: have you realized how much useful material is made easily available? Power-Point presentations! 5. 5.To strengthen WHO-EURO’s involvement in SIHLWA. 6. 6.To make SIHLWA’s work more relevant to your work at home: give and take, action and contacts in between meetings. 7. 7.Make NDPHS database & project pipeline into a practical and useful tool. 8. 8.Strengthen social inclusion in SIHLWA action. 9. 9.Health and social well-being of indigenous and remote northern communities