WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ REGIONAL OFFICE FOR EUROPE BUREAU RÉGIONAL DE L'EUROPE WELTGESUNDHEITSORGANISATION ВСЕМИРНАЯ ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ REGIONALBÜRO FÜR EUROPA ЕВРОПЕЙСКОЕ РЕГИОНАЛЬНОЕ БЮРО EUROPEAN CENTRE FOR ENVIRONMENT AND HEALTH BONN OFFICE IMPLEMENTING ENVIRONMENT AND HEALTH INFORMATION SYSTEM IN EUROPE ENHIS Grant Agreement SPC 2003112 between the European Commission, DG Sanco and World Health Organization, Regional Office for Europe FINAL TECHNICAL REPORT 1 JUNE 2004 – 31 OCTOBER 2005 WHO ECEH, Bonn, December 2005 The views expressed in this report can in no way be taken to reflect the official opinion of the European Community EU/05/5046032 ABSTRACT This report summarizes the results of the project ‘Implementing environment and health information system in Europe – ENHIS’ (co-sponsored by EC DG Sanco) imple- mented by WHO European Centre for Environment and Health and partner institutions from 11 Member States. The project has developed methodological and technical ele- ments of a comprehensive information system for monitoring and evaluating the envi- ronmental health risks and effects of interventions focusing on children’s health. Meth- odological guidelines for information generation, health impact assessments (HIA), pol- icy-oriented analysis and reporting and for a ‘core’ set of children’s environmental health indicators were developed and implemented on a pilot basis. A network of col- laborating centres was created to strengthening environment and health information capacities in Europe and to maintain the system relevance for the member states. The products comprise HIA of outdoor air and drinking water pollution, policy analysis and fact-sheets’ indicator-based reporting, and web site for dissemination of the information collected by the system. These results and developments will be further advanced in a second phase of the ENHIS-2 project (2005-20007). Keywords ENVIRONMENTAL HEALTH CHILDREN’S HEALTH INFORMATION SYSTEMS POLICY-MAKING EUROPE Address requests about publications of the WHO Regional Office to: • by e-mail [email protected] (for copies of publications) [email protected] (for permission to reproduce them) [email protected] (for permission to translate them) • by post Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark © World Health Organization 2005 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Where the designation “country or area” appears in the headings of tables, it covers countries, territories, cities, or areas. Dot- ted lines on maps represent approximate borderlines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions accepted, the names of proprietary products are distinguished by initial capital letters. The World Health Organization does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. The views expressed by authors or editors do not necessarily represent the decisions or the stated policy of the World Health Organization. ENHIS Final Technical Report – December 2005 Table of Contents Table of Contents......................................................................................................................ii ENHIS partner organizations and project participants....................................................... v Executive summary .................................................................................................................ix List of Abbreviations..............................................................................................................xv Introduction .............................................................................................................................. 1 Chapter 1 Support to National Collaborating Centres......................................................... 4 1.1 Introduction and background........................................................................................... 4 1.2 Aim and Objectives........................................................................................................... 4 1.3 Methods ............................................................................................................................ 5 1.4 Results .............................................................................................................................. 5 1.5 Conclusion........................................................................................................................ 7 Constraints and lessons learnt ........................................................................................... 8 Follow-up in ENHIS-2........................................................................................................ 8 Chapter 2 Determine information needs of policies............................................................ 10 2.1 Introduction and background......................................................................................... 10 2.2 Aim and objectives..........................................................................................................10 2.3 Methods and instruments................................................................................................ 11 2.4 Results and Key Findings............................................................................................... 12 General question .............................................................................................................. 12 Air Quality........................................................................................................................ 14 Noise................................................................................................................................. 15 Housing ............................................................................................................................ 16 Traffic ............................................................................................................................... 17 Water and Sanitation........................................................................................................ 17 Radiation .......................................................................................................................... 18 2.5. Conclusion..................................................................................................................... 18 Constraints and lessons learnt ......................................................................................... 19 Follow-up in ENHIS-2...................................................................................................... 20 Chapter 3 Update core set of EH indicators ........................................................................ 21 3.1 Introduction and background......................................................................................... 21 3.2 Aim and Objectives.........................................................................................................21 3.3 Methods .......................................................................................................................... 22 ii Table of contents Identification of potential indicators................................................................................ 22 Development of methodology ........................................................................................... 23 Definition of the core and extended set of indicators....................................................... 25 3.4 Results and Key findings ................................................................................................ 26 Results from Screening Process ....................................................................................... 26 Core set and extended set of indicators............................................................................ 27 Focus on children............................................................................................................. 27 3.5 Conclusion...................................................................................................................... 34 Constraints and lessons learnt ......................................................................................... 34 Follow-up in ENHIS-2...................................................................................................... 35 Chapter 4 Methods for information generation .................................................................. 36 4.1 Introduction.................................................................................................................... 36 4.2 Aim and objectives..........................................................................................................36