1. 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 ISEE Central and Eastern European Chapter Conference: New Challenges of Environmental Health, Budapest, 9-11 June 2005 Dafina Dalbokova Rokho Kim, Michal Krzyzanowski

2. WHO European Centre for Environment and Health 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 This presentation: ISEE Central and Eastern European Chapter Conference, Budapest, 9-11 June 2005

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

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

5. WHO European Centre for Environment and Health Utility: EH Information and policy cycle Formulation Implementation Monitoring/ evaluation EH Information 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 Evidence Reporting Indicators Main elements Environment and Health Information System

7. WHO European Centre for Environment and Health Environmental Health Indicators Focus: E xposure-Health E ffects- A ctions DPSEEA interlinkages enable policy- relevant EH assessments & reporting The DPSEEA model Credibility: evidence of Exposure Health Effects

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

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

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

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

12. 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 Challenges

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

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

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

16. WHO European Centre for Environment and Health 1.Policy review and information needs 6.Information analysis and reporting, diffusion Implementing Environment and Health Information System in Europe: ENHIS EC DG Sanco Advances and Opportunities WHO/ECEH and partner institutions: 12 MS; 22 Member States Period of implementation: ENHIS-1 2004/05; ENHIS-2 2005/07 Work Packages: CHILDREN 2.Update core set of indicators (focus: CHILDREN) 3.Information retrieval and collection 4.Networking 5.Health Impact Assessment

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

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

19. WHO European Centre for Environment and Health

20. Legend: Afr D Afr E Amr A Amr B Amr D Regions serving as basis for calculations 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 http://www.euro.who.int/InformationSources/Evidence/20011015_1 Highlights on health