1. WHO European Centre for Environment and Health Towards a pan-European Environment and Health Information System World Health Organization European Centre for Environment and Health, Bonn Office Working Group on Environmental Monitoring and Assessment 5th Session, Geneva, 2-3 June 2005 Dafina Dalbokova, Michal Krzyzanowski

2. WHO European Centre for Environment and Health Background: the need for EHIS, Budapest Conference EHIS: concept and main elements, example Implementing the Budapest Declaration commitments: * Activities towards EHIS; * EHIS implementation in European Region. Challenges and opportunities This presentation:

3. WHO European Centre for Environment and Health  What is (magnitude of) environment-related health problems?  How does the environment affect our health?  When to act and how?  Are policy measures effective in terms of health benefits?  How are we doing as compared to others? Questions: policy-makers, citizens

4. WHO European Centre for Environment and Health Fourth Ministerial Conference on Environment and Health, Budapest 2004  Joining national actions with WHO, the EC and other international agencies on methodological and technical development;  Establishment of necessary mechanisms to sustain the process esp. a network of collaborating centres. DECLARATION Member States commitment on EHIS: Children’s EH Action Plan for Europe (CEHAPE) adopted.

5. WHO European Centre for Environment and Health 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 Reporting Environment and Health Information System: main elements Indicators Evidence

7. WHO European Centre for Environment and Health EH Indicators and Assessments EH indicators focus: E xposure-Health E ffects- A ctions DPSEEA interlinkages enable policy- relevant EH assessments & reporting The DPSEEA model EH indicators credibility: scientific evidence of H-E links

8. WHO European Centre for Environment and Health Loss of life expectancy Due to PM2.5 from anthropogenic sources 20002010 Loss of Life expectancy in months Source:EMEP & IIASA Example: Air pollution POLICY FORMULATION

9. WHO European Centre for Environment and Health 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 Example cont’d POLICY EVALUATION

10. WHO European Centre for Environment and Health Population exposure to urban PM10 air pollution 1997-2000 Example cont’d POLICY MONITORING POLICY MONITORING http://www.euro.who.int/document/E82938.pdf

11. WHO European Centre for Environment and Health Activities towards pan-European EHIS Implementing Budapest Declaration Commitments on EHIS

12. WHO European Centre for Environment and Health PROJECTS (i) Development of EH Indicators (1999-2003) Pilot application of a ‘core’ set of EH indicators in collaboration with 15 Member States and EEA towards Budapest Issues covered: Air, Noise, Housing, Traffic accidents, Water & sanitation, Chemical emergencies, Radiation Objectives: To propose, validate and test a ‘core’ set of indicators Results: 17 indicators on Exposure, Effects, Action (+ 13 on driving forces, pressure, state identified) Development of EH Indicators for EU Countries: ECOEHIS (2002-2004) Co-sponsored EC DG Sanco

13. WHO European Centre for Environment and Health WHO/ECEH and partners from 22 Member States Work Packages: 1. Information needs of policies 2. Update core set of indicators (focus: CHILDREN) 3. Information retrieval and collection 4. Networking 5. Health Impact Assessment 6. Information maintenance, analysis and reporting Implementing Environment and Health Information System in Europe: ENHIS (2004-2007) PROJECTS (ii) Co-sponsored EC DG Sanco

14. WHO European Centre for Environment and Health Coordination of EU and WHO work on EHIS PROJECTS (iii) Testing feasibility of the system (2004/05): Estonia, Latvia, Russian Federation: ‘Assessment of EH situation on air, drinking water’ Related developments Air Quality reporting in EU: Air Quality reporting in EU: exceedences replaced by a uniform system of pollutant concentrations at spatial resolution. 16 th Ratification of UNECE/WHO Water & Health Protocol 16 th Ratification of UNECE/WHO Water & Health Protocol In force - August 2005, reporting programme – early 2006.

15. WHO European Centre for Environment and Health  Organisational framework using existing national structures: network of technical reference centres, national processes;  5 th Ministerial Conference on EH in 2009. EHIS Implementation in Europe: a coordinated movement to achieve common objectives  Framework action plan: focus - CEHAPE monitoring;  Intergov. Review 2007  CEHAPE assessment report using EHIS;  Steering - EEHC;  Technical coordination - dedicated Group: Albania, Czech Republic, France, Georgia, Italy, Lithuania, Slovakia, Spain, EEA, EC DG ENV, EC DG SANCO, EC JRC, UNECE, UNEP, WHO.

16. WHO European Centre for Environment and Health  Simple message on a complex issue  Analyzing data collected for other than EH purposes  Dealing with scientific uncertainty  Reporting overload  Diversity of sectors involved Challenges … … and Opportunities For joint actions on EH information  2007 Reports For joint actions on EH information  2007 Reports; Towards a health-relevant environmental monitoring and reporting. reporting.

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

18. WHO European Centre for Environment and Health

19. 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

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