Use of Sub-national Indicators to Improve Public Health in Europe (UNIPHE) ANNEX 17: WP9 – CONFERENCE PROCEEDINGS (D4) UNIPHE Conference Towards Improved Local Public Health Bucharest 27–28 September 2010 National Institute of Public Health The National Institute of Public Health was initially established by royal decree in 1927, by King Ferdinand I of Romania. The decree stipulated the establishment of an Institute of Hygiene and Public Health of the Ministry of Health, with a separate budget and activity in the area of “epidemiology and prophylaxy of infectious ailments, food hygiene, industrial hygiene, sanitary genius, social hygiene, eugenya, scholar hygiene, social assistance, social and work accidents insurance, statistics and demography, sanitary administration and legislation”. Over the years the Institute has gone through numerous changes, but its core activities have been maintained, modernized and continuously adapted to meet the needs of the population. The current Institute, the National Institute of Public Health, is an organization with legal personality subordinated to the Ministry of Health of Romania. It was reorganized and restructured during 2009 and 2010 by merging all the former national branches that dealt with public health – the Institute of Public Health Bucharest, Institute of Public Health “Prof Dr Iuliu Moldovan” Cluj-Napoca, Institute of Public Health of Iasi, Institute of Public Health “Prof Dr Leonida Georgescu” Timisoara, and Public Health Centre for Targu Mures and Sibiu – along with the National Centre for Health Statistics. Today the Institute the main methodological and technical institution for public health activities in Romania. The main goals of the Institute are oriented towards: • Prevention, surveillance and control of communicable and non-communicable diseases • Monitoring health status • Promoting health and health education • Assessment of occupational health • Monitoring health in relation to the environment • Drafting regulations in the fi eld of public health • Managing public health • Development of specifi c public health services. The work of the Institute is accomplished by four national centres and six regional public health centres, organized in its structure without legal personality. 2 The four national centres, which ensure technical and methodological coordination on specifi c issues for the Institute, are: • National Centre for Surveillance and Control of Communicable Diseases (CNSCBT) • National Centre for Environmental Monitoring of Risks in the Community (CNMRMC) • National Centre for Evaluation and Promotion of Health Status (CNEPSS) • National Centre for Public Health Statistics Monitoring (CNMSP). The six regional public health centres, which ensure the coordination and execution of the work of the Institute, are: • Regional Centre of Public Health Bucharest (CRSPB) • Regional Centre of Public Health Cluj (CRSPC) • Regional Centre of Public Health Iasi (CRSPI) • Regional Centre of Public Health Timisoara (CRSPT) • Regional Centre of Public Health Targu Mures (CRSPM) • Regional Centre of Public Health Sibiu (CRSPS). UNIPHE Conference Towards Improved Local Public Health Bucharest 27–28 September 2010 Programme Day 1 Monday 27 September 2010 Palace of the Parliament Madrid Conference Room 8:30–9:00 Registration and Coffee 9:00 –9:05 Opening Remarks Romania Ministry of Health Representative 9:05–10:30 Session 1: European Environment and Health Programme/Activities Chair: Ministry of Health Representative 9:05–9:20 Opening of Conference Alexandra Cucu, National Institute of Public Health, Romania Lorraine Stewart, Health Protection Agency, United Kingdom 9:20–9:50 Overview of the European Union Environment and Health Programme Raquel Duarte-Davidson, Health Protection Agency, United Kingdom 10:00–10:25 Environmental health developments within the World Health Organization European Region (WHO EURO) Andrey Egorov, World Health Organization, European Centre for Environment and Health, Bonn, Germany 10:30–11:00 Coffee 11:00–13:00 Session 2: Existing Environment and Health Information Initiatives in Europe – Part I Chair: George Morris, National Health Service Scotland, United Kingdom 11:00–11:40 Overview of the European Environment and Health Information System (ENHIS) project Dafi na Dalbokova, World Health Organization, European Centre for Environment and Health, Bonn, Germany 11:45–12:15 Overview of the Use of Sub-national Indicators to Improve Public Health in Europe (UNIPHE) project Lorraine Stewart, Health Protection Agency, United Kingdom 12:20–12:50 Overview of health indicators in the European Region (ISARE) project Wolfgang Hellmeier, NRW Institute of Health and Work, Germany Andre Ochoa, National Federation of Regional Health Observatories (FNORS), France 13:00–14:00 Lunch 2 14:00–15:30 Session 3: Existing Environmental and Health Information Initiatives in Europe – Part II Chair: Alexandra Cucu, National Institute of Public Health, Romania 14:00–14:35 Overview of the European Urban Health Indicators System (EURO-URHIS) project Arpana Verma, University of Manchester, United Kingdom Wolfgang Hellmeier, NRW Institute of Health and Work, Germany 14:45–15:25 Review of the Environment and Health Policies Report Dafi na Dalbokova, World Health Organization, European Centre for Environment and Health, Bonn, Germany 15:30–16:00 Coffee 16:00–17:00 Session 4: Tools and Approaches Used to Assess Environmental Health Chair: Andrey Egorov, World Health Organization, European Centre for Environment and Health, Bonn, Germany 16:00–16:25 Examination of the Environmental Burden of Disease Report Brigit Staatsen, National Institute for Public Health and the Environment (RIVM), Netherlands 16:30–16:55 Environmental health response for the ecological public health era George Morris, National Health Service Scotland, United Kingdom 17:00–18:00 Poster Session 19:30 Conference Dinner – Rin Grand Hotel Day 2 Tuesday 28 September 2010 Palace of the Parliament Madrid Conference Room 9:00–10:15 Session 5: UNIPHE Results – Part I Chair: Wolfgang Hellmeier, NRW Institute of Health and Work, Germany 9:00–9:05 Review of Day 1 Lorraine Stewart, Health Protection Agency, United Kingdom 9:05–9:15 Progress to date within the UNIPHE project Lorraine Stewart, Health Protection Agency, United Kingdom 9:20–9:30 Process of ensuring that the deliverables meet the stakeholders’ perspective Raquel Duarte-Davidson, Health Protection Agency, United Kingdom 9:30–9:45 Methods used for the selection of the environment and health indicators Ingrida Zurlyte, Centre for Health Education and Disease Prevention, Lithuania 9:50–10:10 Methodology for data collection and analysis Anna Páldy, National Institute of Environmental Health, Hungary 10:15–10.45 Coffee 3 10:45–12:00 Session 6: UNIPHE Results – Part II Chair: Patrick Saunders, National Health Service, Sandwell Primary Care Trust, United Kingdom 10:45–10:55 Sub-national comparison of population-weighted annual mean particulate matter (PM10) concentration in urban areas: emphasis on Hungary Anna Páldy, National Institute of Environmental Health, Hungary 10:55–11:05 Sub-national comparison of annual mortality rate due to respiratory diseases in children older than one month and under one year of age: emphasis on Slovenia Ana Hojs, National Institute of Public Health, Slovenia 11:05–11:15 Sub-national comparison of injury rates due to road traffi c accidents: emphasis on Germany Odile Mekel, NRW Institute of Health and Work, Germany 11:15–11:25 Sub-national comparison of incidence of melanoma in people aged under 55 years: emphasis on Lithuania Ingrida Zurlyte, Centre for Health Education and Disease Prevention, Lithuania 11: 25–11:35 Sub-national comparison of mortality due to respiratory diseases for all ages: emphasis on United Kingdom Adedoyin Awofi sayo, Health Protection Agency, United Kingdom 11:35–11:45 Sub-national comparison of infant mortality rate: emphasis on Spain Maria José Carroquino, Institute of Health, Spain 11:45–11:55 Sub-national comparison of life expectancy at birth: emphasis on Romania Adriana Galan, National Institute of Public Health, Romania 12:00–13:00 Session 7: Plenary Discussion – The Way Forward Moderators: Raquel Duarte-Davidson, Health Protection Agency, United Kingdom Adriana Galan, National Institute of Public Health, Romania Open Discussion 13:00 Final Remarks – Close of Conference Adriana Pistol, National Institute of Public Health, Romania UNIPHE Conference Towards Improved Local Public Health Bucharest 27–28 September 2010 Biographies Ms Adedoyin Awofi sayo Health Protection Agency, United Kingdom Adedoyin Awofi sayo obtained a Bachelors degree in nursing and widwifery in 2006 and practiced for a short while. In 2007, she went into public health and worked with an AIDS organization in Nigeria where she was involved in the evaluation of public health interventions used in the control of HIV. She completed an MPH in 2008 at the University of Birmingham, and has since worked with the Health Protection Agency. She is currently a public health scientist at the Centre for Radiation, Chemical and Environmental Hazards of the HPA. She previously worked with the West Midlands Regional Epidemiology Unit and the Real-Time Syndromic Surveillance Team, where she carried out enhanced surveillance of several infectious diseases including meningococcal disease and measles. She also worked with the HPA West Midlands East unit, where she developed various databases, worked with several outbreak control teams and carried out enhanced