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Integration ofIntegration of CEHAPE CEHAPE into NEHAP2into NEHAP2
Gyula DURA
’Fodor Jozsef’ National Centre for Public Health
National Institute of Environmental Health, Budapest
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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
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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
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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
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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.
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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
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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
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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
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NEHAP (4)
Goals Actions Results
education,training,information
getting support toactions
information
Env.Healthpublications,booklets,NEHAP LettersNEHAP website
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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
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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.
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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
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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.
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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
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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
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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
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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
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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
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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!
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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
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Thank youThank you
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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.
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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
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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
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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)