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Community Systems for NCD Prevention and Control Presentation

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Picture 1 Community systems for NCD prevention and control - based on experiences from Västerbotten County, Sweden Dr. Maria Nilsson, Epidemiology and Global Health Centre for Global Health Research, Umeå University Picture 2 Presentation over view • Why do we need community systems for NCD prevention and control? • Why should local governments care? • Three examples of interventions • Joint criteria´s • Some lessons learnt Picture 3 The County of Västerbotten Sorsele Malå Storuman Norsjö Vilhelmina Skellefteå 15 municipalities Lycksele 260 000 inhabitants Dorotea - sparsely populated, Vindeln Robertsfors Åsele - 70% lives in the major two cities Vännäs Umeå - 80% lives by the coast Bjurholm - Range: 0.4 – 48.4 inhabitants per km2 Nordmaling 2 1 55 200 km ( /8 of Sweden) - Second largest in Sw., as large as the Netherlands Varied landscape with mountains and coastal areas Picture 4 Why do we need community systems for NCD prevention and control • To reach out – maximize the potential - systems enables a combination of population-based and individually based strategies • For capacity and response - infrastructure/organisation, policies and plans, access to key actors and partnerships • For sustainability - coordination, resources and mandate Picture 5 Why should local decision makers care? • Healthy citizens - local communities most important resource • To reduce costs for health care • To identify and reduce local gaps • Can enact policies and plans to reduce NCD:s – be part of the solution They have the means for - surveillance - reducing exposure levels of risk factors - management through strengthening local systems Picture 6 Three examples of interventions - tradition of sustainability • Västerbotten Intervention Program (VIP) - started in 1985 • Tobacco Free Duo - started 1993 • Salut - started 2005 Picture 7 The start – looking back • A problem - CVD-mortality, - Cancer, - Obesity, oral health problems and mental illness • Political decision - do something! • Targetgroups and pilot areas selected - middle aged - youth 12-15 yrs - unborn baby – 18 yrs • Key functions and partnerships identified - health care, - health care incl dental care, schools, local business, NGO:s, churches - health care incl dental care, pre-schools, schools, NGO:s, churches • Core components identified, discussed and decided with partners Picture 8 Steps in the process Initiation Identify core - Pilot components Local Upscaling commitment Maintenance Integration Research and policy expectations Development Picture 9 Västerbotten Intervention Program (VIP) Main component: invitation to a health examination within the PHC 140 000 at the age of 40, 50 and 60 incl a follow up councelling session 120 000 140 244 examinations (2011-12-31) 99 844 participants, out of those 100 000 37 799 has participated twice (10 yrs in between) NorsjNorsjöö 80 000 60 000 Västerbotten 40 000 NumberAntal hälsoundersökningarof examinations NumberAntal deltagareof participants 20 000 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 Norsjö Lycksele Vindeln Umeå Sorsele Bjurholm Nordmaling Vännäs Robertsfors Storuman Vilhelmina Skellefteå Malå Dorotea Åsele Picture 10 SMR Males VIP - One way to Västerbotten Sweden look at effects SMR Females Västerbotten Sweden Mortality data, Population in Västerbotten 40-76 yrs, 1970-2009. Source: Swedish Registry for cause of death Picture 11 Tobacco free Duo - Organisation within the county council - The school is the arena Main components: • Tobacco free partnership (12 yr old and adult) • Signs a contract valid till the end of grade 9 • Membership card – discounts and lotteries • Interactive information, education • Active young role models – coaches • Web (www.tobaksfri.se) • Annual newspaper Picture 12 It is possible to reduce young people’s smoking Boys and girls smoking decreased during the seven year long evaluation period while no such change was found nationally 30 25 20 % 15 10 MARIA NILSSON Sverige 5 Sweden VästerbottenVästerbotten 0 1994 1995 1996 1997 1998 1999 2000 2001 Picture 13 A Child health promoting program Moduls based on the childs different ages Selected intervention components and partnerships judged most appropriate for the age 10 ––1212 years years 13 – 15 years For a healthier county The unborn baby 6 – 9 years 16 – 18 years 0 -18 months 1- 5 years Picture 14 The Salut programme progress over time VII 15 VI Intervention 10 development V Pilot area implementation Dissemination Age Age (years) County wide IV Modules implementation 5 III II 0 I 2005 2010 2015 Calender time (years) Picture 15 Joint criteria´s • Start based on an identified health problem • Dialogues between politicians and population • Infrastructure for prevention with a base in on going work • Identified core competencies • Carefully selected intervention components • Inform, educate and train • Keep it ”modern” • Evaluate – Interventions in focus – research to support Picture 16 Some lessons learnt • One must understand and meet the public’s expectations • Prevention is a team sport • Intervention providers need feed back • Every partner also has an agenda of their own • Joint venture researchers and health care: a good combination • Without impetus from decision makers the journey will be short .
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    Spillnings- inventering av björn i Västerbottens län 2014 Spillningsinventering av björn i Västerbottens län 2014 Handläggande enhet: Naturvårdsenheten Text: Michael Schneider Omslagsbild: Två björnar i daglega. Nationalpark Bayerischer Wald, Tyskland. Foto: Michael Schneider Kartor och grafik: Michael Schneider Tryck: Taberg Media Group, Taberg, 2015 Upplaga: 150 exemplar. Rapporten finns även tillgänglig som PDF på Länsstyrelsens webb- plats ISSN: 0348-0291 2 Förord Länsstyrelsen har uppdraget att förvalta rovdjuren i länet. För en bra förvaltning krävs bra information om rovdjurens antal och utbredning. I Västerbotten tillgodoses det behovet bland annat genom regelbundna inventeringar av björnstammen med hjälp av DNA-analys av in- samlad spillning. Första gången skedde detta 2004, andra gången 2009 och hösten 2014 var det dags igen. Spillningsinventeringar är svåra att genomföra utan en tät samverkan mellan Länsstyrelsen, jägarna, björnforskarna och ett laboratorium som genomför analyserna. Metoderna utvecklas ständigt. Västerbotten är med i arbetet att driva utvecklingen framåt och att öka vår kunskap om björnarna, inte bara i länet, utan också långt utanför. Ett led i detta arbete har varit att använda en ny metodik vid DNA-analyserna. Denna metod, som grundar sig på skillnader mellan olika björnindivider med avseende på enstaka byggste- nar i arvsmassan, har visat sig fungera mycket väl. Metoden har en hög analysframgång, den är förhållandevis billig och den ger en mängd information om björnstammens storlek, utbred- ning och struktur och i förlängningen även dess dynamik. Denna rapport ska ge en samlad bild över det arbete som genomfördes i Västerbotten 2014 och de resultat som har erhållits. De som har samlat spillning ges här tillfälle att sätta de egna proverna in i ett större sammanhang och att reflektera över vad som var bra och vad som kan bli bättre.
  • Vilhelmina Tourist Guide

    Vilhelmina Tourist Guide

    Vilhelmina Tourist Guide The four “Must See and Do’s” when visiting Vilhelmina Fatmomakke - Sami Ancient Culture and Church Site Vilhelmina Church Town Vilhelmina Museum Mountain Trails Municipality Facts 01 Population 7 400 Area 8795 km² Regional Center Vilhelmina County Västerbotten More Information 02 Internet www.vilhelmina.se www.sodralappland.se Newspapers Västerbottens Folkbla www.folkbladet.nu Västerbottens-Kuriren www.vk.se Photo: Shutterstock Tourist Bureaus Vilhelmina Tourist Bureau Storgatan 9, Kyrkstan, Vilhelmina Welcome to Vilhelmina +46 940-152 70 Vilhelmina offers you natural beauty and an celebration and autumn weekend. interesting culture. Would you like to experience hunting or fishing You will encounter different natural habitats in a magnificent natural and come home with Notes 03 in a dramatic combination. Here joins the unforgettable memories - then Vilhelmina is forests, the fertile mountain meadows and the the place for you. The municipality stretches Emergency 112 high mountains. All in a intangible perimeter. from the woodlands in the East, to the Police 114 14 mountains in the West and offers a variety of Country Code +46 Vilhelmina is also a meeting place for different fishing and hunting. cultures and ways of living. In Fatmomakke, Area Code 0940 the newly built culture along with the Vilhelmina Municipality has been awarded traditional Sami, makes an interesting mix. both the “Fishing Municipality of the Year” and Still alive today are the traditional midsummer “Hunting Municipality of the Year.” Eurotourism Media Group AB: Box 55157 504 04 Borås Sweden Tel +46 33-233220 Fax +46 33-233222 [email protected] Copyright © 2009 E.M.G.
  • TECHNICAL REPORT 85-08 Feasibility Study For

    TECHNICAL REPORT 85-08 Feasibility Study For

    r^ TECHNICAL REPORT 85-08 Feasibility study for siting of a deep repository within the Storuman municipality Swedish Nuclear Fuel and Waste Management Co January 1995 SVENSK KÄRNBRÄNSLEHANTERING AB SWEDISH NUCLEAR FUEL AND WASTE MANAGEMENT CO BOX 5864 S-102 40 STOCKHOLM TEL. 08-665 28 00 TELEX 13108 SKB TELEFAX 08-661 57 19 FEASIBILITY STUDY FOR SITING OF A DEEP REPOSITORY WITHIN THE STORUMAN MUNICIPALITY January 1995 Key words: Deep repository, site selection, feasibility study, Storuman FOREWORD 1 his report summarizes the results of the feasibility study in Storuman. It also contains SKB's collective evaluation of the results (Chapter 11). A status report was published in June 1994. The purpose of the status report was to give the municipality, its reference group and other interested groups in Storuman and in the region, a basis for discussion and opinions before the final report was written. Numerous viewpoints have been presented and have occasioned some supplemen- tary studies or adjustments and additions to the final report. The viewpoints of the reference group on the status report are compiled in an appendix to this final report. For SKB's part, this report represents the conclusion of the feasibility study. As is evident from the viewpoints of the reference group, there are important questions that have not been fully answered within the framework of the feasibility study. Answering some of these questions requires information that can only be provided by a site investigation. Other questions of a more general nature can be taken up if the final evaluation of the feasibility study results in a common interest to continue site investigations in Storuman.