Transcript European Environment and Health Information System

Data collection to monitor progress
towards goals set at the 5th Ministerial
Conference on Environment and Health
Andrey Egorov
European Centre for Environment and Health
World Health Organization, Regional Office for Europe
13th session of the Working Group on Environmental Monitoring and
Assessment, UNECE
2 November 2012
Geneva, Switzerland
5th Ministerial Conference on Environment
and Health (Parma, Italy, March 2010)
• Decided to establish European Environment and Health
Ministerial Board (EHMB) and Task Force (EHTF)
• Adopted Commitment to Act:
– A. Protect children from EH risks
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RPG 1 Water and sanitation
RPG 2 Obesity, injuries, physical activity
RPG 3 Outdoor and indoor air quality
RPG 4 Chemical, biological and physical environ.
– B. Protect health from climate change
– D. Develop knowledge and tools for policy making:
9. …develop indicators
11. Develop consistent approach to human
biomonitoring to assist evidence-based public
health measures
European Environment and Health
Information System (ENHIS)
www.euro.who.int/enhis - publications, meeting
reports, archive of indicator fact sheets
http://data.euro.who.int/eceh-enhis - new
indicators, interactive IT platform
• Country level indicators
• Exposure
• Health effect
• Policy action
• Existing data sources
• Further development
• Sub-national data
• New surveys – data warehouse
• Russian language
RPG 3. Preventing disease through
improved outdoor and indoor air quality
i.
Decrease the incidence of
respiratory diseases through
reduction of exposure to ultrafine
particles and ground level ozone
iii. Provide each child by 2020 with
healthy indoor environment in child
care facilities, kindergartens,
schools…, implementing WHO’s
indoor air quality guidelines and…
ensuring these are smoke-free by
2015.
New indicators and data collection tools
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Nov 2010 (Bonn) – preliminary list of recommended
indicators
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Apr 2011 (Bonn, co-funded by Joint Research
Centre, EC) – indoor air quality indicators and
school survey design
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Sep 2011 (Bonn) – detailed methodologies of data
collection
– Climate change indicators from the EC-funded
Climate, Environment and Health Action Plan
and Information System (CEHAPIS) project
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Apr 2012 (Catania, Italy – funded by the Sicilian
Regional Government) – design and methods of
an HBM survey in maternities
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Extraordinary 2nd meeting of the European
Environment and Health Task Force (May-June
2012, The Hague, Netherlands)
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Oct 2012 (Bonn) – organization of data collection
for Parma follow-up
Technical meetings in Bonn were
supported by the Federal Ministry for
the Environment, Nature Conservation
and Nuclear Safety of Germany
New indicators using existing data sources
– Existing international or national databases:
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urban population exposure to ground level ozone (EEA, EUROSTAT)
urban exposure to noise and its health effects (EEA, EUROSTAT)
urban population exposure to PM10 and PM2.5
incidence of hepatitis A in children
Lyme borelliosis incidence
– Policy surveys (national EH focal points)
– National or local data requiring processing and analysis:
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access to public green spaces in cities (GIS analysis)
population vulnerability to floods and population exposure to actual floods
(GIS analysis)
exposure to allergenic pollen (pollen monitoring + population data)
exposure to and mortality from heat waves (analysis of daily mortality data)
Exposure assessment survey in schools
Survey with stratified randomized clustered design
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Ventilation rate in classrooms (3 per school)
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Exposure to NO2, formaldehyde and benzene in
classrooms (3 per school and outdoor sites)
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Exposure to mould/dampness (all school premises)
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Smoking in school and on school ground
(questionnaire, 3 classes per school)
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Access to proper sanitary facilities
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Hygiene practices in pupils
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Mode of transportation to school
WHO role:
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Standardized methodology
Facilitate training and technical assistance to national surveys
International data compilation, data analysis and reporting
Role of Member States:
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Implementation of national surveys
Use of results to support the implementation of Parma commitments
Pilot surveys in schools in Albania and
Croatia
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ALB: 12 schools in 3 clusters
CRO: 2 schools in one cluster
>850 questionnaires from pupils
CO2 and air pollution monitoring in 42
classrooms and at 14 outdoor sites
Major problems identified:
– Low indoor temperature and very poor
ventilation in winter (ALB)
– Mould and dampness (ALB and CRO)
– Poorly maintained toilets (ALB)
– Smoking in schools (CRO)
– High benzene levels in few classrooms
8300
Albania SM1 2012-.01-18
7300
6300
CO2 level (ppm)
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5300
4300
10:45
13:00
3300
2300
1300
8:59
8:07
300
7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00
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Further survey development
• Coordinated pilot surveys in three Baltic states
(Lithuania, Latvia, Estonia) – Jan-Mar 2013
• National survey in Croatia
– Dec 2012-Jan 2013: questionnaires and
inspections in ~ 200 schools in 17 areas
– 2013: ventilation and air pollution monitoring
in a subset of schools
• Pilot surveys in other countries (2013)
• 1st round of reporting (winter 2013-2014)
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Proposed HBM survey design and list of
biomarkers
• Randomized clustered cross-sectional survey in maternities
• Contaminated areas/exposure hot spots vs. general population
• Non-invasive sampling (maternal hair and urine, cord blood):
– Hg in maternal hair (and in urine if elemental Hg is an issue)
– Cadmium in maternal urine
– Cotinine in maternal urine (exposure to tobacco smoke)
– Lead in cord blood
– Additional biomarkers for industrially contaminated areas: to
be identified using data on emissions and environ. levels
• Plans for further development and application
– Collaboration with the Regional Administration of Sicily, Italy
– UNEP/WHO collaboration on mercury monitoring (proposed)