1. EHIS Workshop Berlin Welcome Presentation Cornelia Lange

2. The Robert Koch Institute – Tasks and Aims The tasks of the Robert Koch Institute comprise:  The identification of politically important health problems and associated scientific issues  Applied and response-orientated research to resolve these issues  The assessment of scientific results through analysis of current international developments in the respective scientific areas  Informing and the advising political decision makers and the scientific sector  Executive tasks defined by special laws, in particular with regard to protection from infection, legislation on stem cell research, and attacks using biological agents  The topical realisation and coordination of federal health reporting. The Robert Koch Institute (RKI) is the central federal institution responsible for disease control and prevention and is therefore the central federal reference institution for both applied and response-orientated research as well as for the Public Health Sector.

3. Robert Koch Institute - Foundation  Founded in 1891 as the scientific division of "The Royal Prussian Institute for Infectious Diseases". Robert Koch heads the Institute up to 1904.  A new building in Berlin- Wedding is completed in 1900 and has since been the headquarters of the Robert Koch Institute  Since 1912 the institute bears the name of its founding father

4. RKI – Departments and Units  Department of Infectious Diseases  Department of Epidemiology and Health Reporting  Department for Infectious Disease Epidemiology  Centre for Biological Security  Project Groups  Junior Research Groups  Regulatory Authority for the Import and Use of Human Embryonic Stem Cells Staff: About 900 Employees, including 370 scientists.

5. Department of Epidemiology and Health Reporting: Main Areas of Activity  Nationwide health monitoring: continuous reporting on the health of the German population  Federal Health Reporting  Epidemiological research on Health of children and adolescents Health and care of the elderly Risk factors of non-communicable disease (life style, environment, nutrition) Prevention concepts and their evaluation  German Cancer Registry Data Centre

6. 6 C. Lange Aims of Health Monitoring:  Surveillance of development in health status, health behaviour and health risks in the general population or specific population groups  Identification of recent trends and their changes  Evaluation of possible interventions and prevention measures  Contribution to needs assessment and planning in the health care system

7. 7 C. Lange Data Sources for a Comprehensive Health Monitoring  Official statistics (causes of death statistics, hospital statistics, microcensus, EU-SILC, data on severly disabled persons, data on abortions etc.)  Process data (data of the compulsary health insurance [sickness leave, medication index], data of the statutory social security insurance, data of the pension funds)  Data collected by the Länder (school entering medical screenings, perinatal studies)  Registry data (cancer registries of the Länder, myocardial infarction registries, stroke registries etc.)  Data according to IfSG (mandatory statistics of infectious diseases, sentinels)  Population-based health surveys (health surveys of the Robert Koch Institute, socio-economic panel [DIW] etc.)  Epidemiological studies

8. 8 C. Lange Health Examination and Health Interview Surveys Conducted by the RKI

9. 9 C. Lange Components of the Health Monitoring System Component 1Component 2Component 3 Children & AdolescentsAdults Base-line data collection KiGGS 2003-06 HIS/HES Base-line data collection BGS 1998 HIS/HES 1st wave KiGGS 1 (2009-12) HIS (Phone survey) 1st wave DEGS 1 (2008-11) HIS/HES Base-line data collection GEDA 2008-09 HIS (Telephone Health Interview Survey) Cohort studyPanel studyCross-sectional study Repeated continuously Continuous public funding by BMG and RKI

10. 10 C. Lange Participation in EU Health Monitoring Projects  European Health Interview Survey (EHIS)  Pilot project (2008-2009): The German Translation and Adaptation to Telephone Mode of the Questionnaire for the European Health Interview Survey (EHIS) (funded by EC; Eurostat)  Current project (2010-2011): Improvement of the EHIS modules (funded by EC; Eurostat)  European Health Examination Survey (JA)  European Community Health Indicator Monitoring ECHIM (JA)  European Health and Life Expectancy Information Systems EHLEIS (JA application running)

11. 11 C. Lange Goals of the workshop  „Kick off“ to EHIS wave 2  Revision of the EHIS wave 1 instruments with respect to relevance, feasibility, comparability, use for building indicators (based on the review of experience and workshop discussions)  Recommendations on what should be kept, moved or changed (based on criteria settled by the CG HIS)  Update on the revision process of specific modules identified as being problematic (mental health, alcohol consumption, physical activity)  Discussion of methodological aspects such as sampling design, methods of data collection, field work etc.

12. 12 C. Lange Structure of the Workshop  Plenary sessions  Parallel working groups  Minutes  Presentations – discussions  Facilitators  Lunch and Dinner  Ask for permission to record the sessions

13. 13 C. Lange Have a nice and inspiring stay in Berlin! Relics of the Berlin wall 20 years after reunification