Integration ofIntegration of CEHAPE CEHAPE into NEHAP2into NEHAP2

Gyula DURA

’Fodor Jozsef’ National Centre for Public Health

National Institute of Environmental Health, Budapest

SettSetting CEHAPE into ing CEHAPE into NEHAP2NEHAP2

Hungarian follow up activities of 4th Ministerial Conference on Environment

and Health;

Implementation of statements, recommendations of Declaration and CEHAPE

Environmental health is very important for Hungary

Commitment of Hungary in strengthening environmental health policy

This is supported by our legal provisions

Act of 1991 on Natl.Public Health and Medical Officer’s Service

in the Act on Health (1997 ) a whole chapter deals with environmental health issues

Institutional infrastructure of environmental healthThe establishment of the National Institute for Environmental Health (NIEH) in 1998 reflects that in Hungary environmental health is a priority issue

Strengthening environmental health policy - National Institute for Environmental Health

provides • professional expertise – coordination of national programmes on

environmental health ;• setting up of requirements, including human health risk based limit

values;• collecting and management of environmental health data (spatial data

processing, GIS for analysis of the regional distribution of mortality, exposure modelling, expert systems for chemical hazard assessment, interpretation/ integration of monitored data);

• environmental health impact assessment; • development, calibration and validation of the chemical analytical and

microbiological laboratory methods; models for chemical transfer and transport processes of environmental pollutants ;

• methodological and continuative education centre of environmental health;

• research on the effects of natural and built environments on human health.

• Environmental Health Surveillance, provided by Natl.Public Health and Medical Officer’s Service

The starting points of projecting the NEHAP2

1. The 4th European Environment and Health Ministerial Conference (Declaration, CEHAPE)

2. The European Strategy on Environment and Health (June 2003, SCALE)

3. “The European Environment and Health Action Plan 2004-2010“

4. The Resolution of the European Parliament on the European Environment and Health Action Plan for 2004-2010 (February, 2005)

5. The environmental health subprogram of the National Public Health Program, approved by the Hungarian Parlament

6.The Environmental Health and Food Safety Thematic Action Plan of the 2nd National Environment Protection Action Plan, approved by the Hungarian Parlament

7. The results already achieved in relation with environmental health- results of the (1st) National Environmental Health Action Plan (1997-2004);- results of the (1st) National Environmental Health Action Plan (1997-2004);

- EU RTD FP5, FP6, 6th Environment Program, Public Health Programme;

- environmental health researches performed by national support (Natl. Hlth.Science Committee, - ETT, Nat. R&Techn. Development Programme OTKA, NKFP, Natl. Env.Protection Goals KAC5);

- statements, proposals and programs related to sustainable development.

National Environmental Health Action Programme - NEHAP (1)

Goals Actions Results

to promote anenvironmentsupportinghuman health

assessment ofrelationships betweenenvironmental andhealth data

development ofdecision-supportingtools

recognition ofenv.health

GIS for analysis ofthe regionaldistribution ofmortality

good health riskassessmentpractice

NEHAP (2)

Goals Actions Results

encourage,supporting localinitiatives

involving localself-goverments

Local Env.Health ActionProgramme in cities –GYŐR, PÉCS,

country-wide survey ofdrinking water quality

NEHAP (3)

Goals Actions collaboration

Cooperationswith othersectors,ministries

Harmonization ofnational/internatl.programmes

National Programme ofEnvironmental Protection (I.)

National Remediation Programme Natl. Drinking Water amendment

Programme Natl. Food Safety Programme Natl.Waste Management Plan Natl.Committe of SD

. ECEH – Rome Office, Bonn Office

NEHAP (4)

Goals Actions Results

education,training,information

getting support toactions

information

Env.Healthpublications,booklets,NEHAP LettersNEHAP website

Goals of the 2nd National Environmental Health Action Programme

• to promote an environment supporting human health and improving the health status of the population,

• preventing children’s health from environmental threats,

• supporting local initiatives,

• cooperation with other sectors,

• improving education, information

The starting points of projecting the NEHAP2

1. The 4th European Environment and Health Ministerial Conference (Declaration, CEHAPE)

2. The European Strategy on Environment and Health (June 2003, SCALE)

3. “The European Environment and Health Action Plan 2004-2010“

4. The Resolution of the European Parliament on the European Environment and Health Action Plan for 2004-2010 (February, 2005)

5. The environmental health subprogram of the National Public Health Program, approved by the Hungarian Parlament

6.The Environmental Health and Food Safety Thematic Action Plan of the 2nd National Environment Protection Action Plan, approved by the Hungarian Parlament

7. The results already achieved in relation with environmental health- results of the (1st) National Environmental Health Action Plan (1997-2004);

- EU RTD FP5, FP6, 6th Environment Program, Public Health Programme;

- environmental health researches performed by national support (Natl. Hlth.Science Committee, - ETT, Nat. R&Techn. Development Programme OTKA, NKFP, Natl. Env.Protection Goals KAC5);

- statements, proposals and programs related to sustainable development.

Declaration & CEHAPE

RISK ANALYSIS

Tools: indikátorok, PP, research

ACTIONS

EXPOSURE EFFECT

children children

adults adults

Natl. Env Prg-II.

Publ.Hlth Prg

EU Env & Health Action Plan 2004-2010

Strategic elements of NEHAP2

1. To put the approach of disease prevention into the national development programs and sectoral policies, in compliance with the environment protecting measures.

2. To reflect the responsibility for future generations, for the protection and the improvement of health, representing the heart of sustainable development.

3. To diminish those inequities in the safety programs that may be led back to enviromental reasons (environment safety, chemical safety, food safety, water supply safety, traffic safety, physical safety), with special attention paid to the most vulnerable groups of the population.

4. To make people choose and develop healthy environment, by supporting healthy settings: local societies, transport, schools and apartments, healthy villages and cities.

5. To encourage the implementation of health policy in the practice, by the effective environmental health surveillance.

Main directions of NEHAP2 in Hungary

1.Integrated environment and health information system 2. Reduce of the environmentally-related burden of disease, complex investigation of environment and health3. Decrease of the exposure4. Calling the attention, providing risk information, education, training and continuing education and providing information

1. Integrated environment and health information system

• To encourage the better sharing of environment and health data and information - those already existing and those completed by biological monitoring - to improve availability and comparativeness of the data

• EU EH AP , WHO/Euro project, NEPP-II, PHP

2. Reduce of the environmentally-related burden of disease, complex investigation of environment and health

• Environmental health research

• To reduce environmentally-related burden of disease.To prevent and reduce respiratory diseases of children, with special emphasis on asthma

• To decrease the burden of neurological diseases, caused by malformation

• PHP

• HUN_CEHAP

• HUN_CEHAP

3. Reduction of the exposure • To reduce exposure to

outdoor and indoor air pollution

• To protect and decrease water-born diseases and unfavourable health impacts

• To decrease soil contamination and to increase the safety of waste management

• To diminish the risks of the exposure to chemicals

• EU EH AP, Hun_CEHAP• Hun_CEHAP

• PHP

• PHP

4. Calling the attention, providing risk information, education, training and continuing education and

providing information

• Calling the attention, providing risk and other information;prevention of children’s accidents and injuries

• Education, training and continuing education

• NEPP-II., Hun_CEHAP

• EU EH AP

Children’s Environmental Health Action Programmeaimed at:

• improving our understanding of the environmental dangers threatening the lives of the children (traffic injuries, soil contamination of playgrounds, children accidents, etc.)

• having more profound knowledge of children’s diseases ( respiratory diseases, asthma, bioallergenics, etc.)

• supporting the establishment of a sound and healthy environment ( air quality, urban and rural development, etc.)

The state of children’s health is the measure of economic and social development!

Healthy children have a greater chance to lead a productive and prosperous life!

MMAAKKIINNGG CCHHIILLDDRREENN’’SSEENNVVIIRROONNMMEENNTT HHEEAALLTTHHIIEERR

HHHeeeaaalllttthhhyyy ppplllaaaccceeesss:home, playgroundplaces:, streets,schools

Water:improve quality ofdrinking, bathing,recreational water

Air:reduce trafficand industrialemission,reduce passivetobbacosmoke

Food:promote breastfeeding,adequate feeding practice,prevent chemicalcontamination of food

Soil:safe wastedisposal

Thank youThank you

46/2003. (IV.16.) National Programme - Decade of Health (Parlament resolution)

• 2003-2004 years’ tasks Reducing the frequencies of allergic and respiratory diseases and improving the

health status of population.

Analysis of soil contamination in residental areas and impact assessment of waste disposal sites. Development of Action Programmes to restore sound conditions.

Making a survey of those buildings that pose a risk of being a source of asbestos.

Mapping of dioxin contamination.

Promotion of human adaptation to Global Climate Change.

Improving the quality and sanitary requirements of mineral and medicinal waters.

Development of Environmental Action Programmes and Computational Exposure Databases.

Risk Assessment of Radon exposure in residental areas.

Preparation of noise maps in districts burdened with heavy traffic.

Accentuated tasks in chemical risk assessment in Hungary (1)

Problems Actions insufficient knowledge on chemicals

improve dissemination and exchange of information, tox. information centre

safety of the unborn/new-born child

focus on reproductive health, pre-, peri- and postnatal effects neurodevelopmental disorders

lack of data on human exposure

strengthening biomonitoring

health risk of hazardous waste

special attention to obsolete pesticides

post marketing surveillance of chemicals

biocides, pesticides, household chemicals

Accentuated tasks in chemical risk assessment in Hungary (2)

Problems Actions site specific risk assessment of former/abandoned industrial facilities

land/groundwater remediation, derivation of environmental and human health risk-based clean up values

multi-exposure, multi-factorial, multi-outcome approach in risk assessment procedure uncertainties in risk assessment

Good Modelling Practice acceptability of risks (precautionary principle)

health, environment and safety in enterprises

integrated risk assessment

environmental health impact assessment

populational risk assessment

Further promotion of implementation of chemical risk assessment at country level

• harmonization of legislation (chemicals regulated via different legislation)

• implementation of national action plans (e.g. as part of Natl.Env.Hlth Action Programme - NEHAP, Children Env.Hlth Action Programme -CEHAPE)

• adaptation of public health services to chemical safety priorities

• public concern/awareness as input for priority action

• improvement of education and training

• development of coherent research plans

• strengthening of databases on occupational accidents and poisonings, on ecotoxicology and env.fate)