Transcript Health and Environment - ISEE

Environmental Health in Hungary
in the Light of the
4th Ministerial Conference:
Current Activities, Projects and Tasks
Gyula Dura, Anna Páldy
National Institute of Environmental Health, Budapest
ISEE
Central and Eastern European Meeting
4 - 6 September, Balatonföldvár, 2003
• Growing international
awareness that good health is
VITAL
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European Environmental and Health Process
EU new Public Health Policy
European Environment &Health Strategy
UN Millenium Development Goals
Declaration of Johannesburg Word
conference on Sustainable Development
– 4th European Environment & Health
Ministerial Conferance
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 National Public Health and
Medical Officer’s Service
 in the new Act of 1997 on Health a whole chapter
deals with environmental health issues
Active institutions in the field of
environmental health
The establishment of the National Institute for
Environmental Health (NIEH) in 1998 reflects that in
Hungary environmental health is a priority issue
Implementation of environmental health policy  Environmental Health Surveillance, provided by Natl.Public Health and
Medical Officer’s Service as well as county Public Health Institutes
 NIEH (former National Institute of Hygiene, founded in 1925)
• professional expertise;
• professional objectives as setting up of environmental health requirements,
including human health risk based limit values;
• collecting and management of environmental health data (analysis,
interpretation of monitored data );
• environmental health impact assessment;
• development, calibration and validation of the chemical analytical and
microbiological laboratory methods; exposure models for chemical
transfer and transport processes of environmental pollutants ;
• methodological and continuing education centre for environmental health
inspectors, technicians;
• research on the effects of natural, man-made and social environments on
human health.
The dynamic environmental health activity
in Hungary
explained by good practice regarding the management
of the environmental health problems that appeared
after the political system change;
harmonization of national legislation to international
requirements;
health risk assessment and management of polluted
sites/areas to protect the health of population living
in hot spots.
Contaminated sites in Hungary
The dynamic environmental health activity
Long-term public health programme for the
improvement of the health status of the
population
Parlament Resolution on Decade of Health
‘Johan Béla’ National Programe
• Health has to become most important human value for
the vast majority of the public, citizens have to be made
ready to act to maintain its health.
• Years of life spent in good health have to be extended.
• Decision-makers have to integrate health policy into
sectoral policy.
The dynamic environmental health activity
 Long-term public health programme for the
improvement of the health status of the population (2)
• Establishing and maintaining equal opportunity to a
healthy life
• Conditions for healthy development have to be
guaranteed for upcoming generations, from
conception to adulthood.
• Social inequalities and differences in life expectancy at
birth have to be reduced.
• Creating an environment conducive to health,
reducing death due to environmental (external) causes
• Improving epidemiological safety
/food/environmental/occupational safety
• Strengthening capacity – rapidly reply to new
challenges
European environmental health process
Frankfurt
1989
Common policy
European Carta of
Environment and Health
Helsinki
1994
Common
planning
European
Environmental Health
Action Plan
London
1999
Action in
partnership
Water and Health
Protocol
Carta on Transport,
Environment and Health
Budapest FUTURE FOR
2004
OUR
CHILDREN
The decisions, recommendations of the
previous ministerial conferences
• Helsinki Conference, 1994
Hungary was among the firsts to develop the National
Environmental Health Action Programme
overview E&H priority problems and launch actions covering
the whole country and mobilising the relevant sectors,
NEHAP was implemented as part of the National Environmental
Protection Programme but self-dependent programme with close
relation with that.
• London Conference, 1999
Water and Health Protocol has been ratified
National Environmental Health
Action Programme (NEHAP)
Goals
Actions
 to promote an  assessment of
relationships between
environment
environmental and
supporting
health data
human health
and improving
the health
 development of
status of the
decision-supporting
population
tools
Results
 recognition of
env.health
 GIS for analysis of
the regional
distribution of
mortality
 good health risk
assessment
practice
NEHAP
Goals
Actions
 encourage,
supporting local
initiatives
 involving local
self-goverments
(2)
Results
 Local Env.Health Action
Programme in cities –
GYŐR, PÉCS,
 country-wide survey of
drinking water quality of
single wells
Price of drinking water /m3 since 1990
2000
1998
1996
1994
Hungary
Budapest
1992
1990
0
20
40
60
80
100
120
HUF
140
50
45
40
35
30
400
No of samples
350
300
250
25
20
15
10
5
0
200
150
100
50
0
No of samples
Unacceptable %
Tolerable %
%
Water quality of individual (single) wells
NEHAP
Goals
Actions
 Cooperations
with other
sectors,
ministries
Harmonization of
national/internatl.
programmes
(3)
collaboration
 National Programme of
Environmental Protection (I. – II.)
 National Clean-up Programme
 Natl. Drinking Water amendment
Prg
 Natl. Food Safety Prg
 Natl.Waste Management Plan
 Natl.Committe of SD
. ECEH – Rome Office, Bonn Office
Priories of EU public health policy
tasks & opportunities for env.health
• Improving health information
elaboration of env.health indicators, reporting systems
• Responding rapidly to health threats
building capacity (e.g. improvement of laboratory methods;
implementation of REHRA methodology)
• Addressing health determinants
uncertainties in risk assessment, env.health/strategic
impact assessment.
Influence of EU programmes on env. health tasks & opportunities
EU 6. Environmental Programme
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protection of waters from pollution
rational use of natural resources
waste management
environmental health:
facilitate more attention to vulnerable groups of
population, especially to children;
databases, guidelines, recommendations;
approximation health, environmental and safety policies.
Message of Johannesburg World Conference on
SD to environmental health
• humans are in the centre of sustainable development
• 25% of morbidity all over the word is caused by bad environmental
conditions
• improve sanitation
Halve, by the year 2015, the proportion of people without access to safe
drinking water
Aim, by 2020, to use and produce chemicals in ways that do not lead to
significant adverse effects on human health and the environment.
• Renew the commitment to the sound management of chemicals and
of hazardous wastes throughout their life cycle.
• reduce adverse environmental effects taking into consideration of
integrated management of poverty, environment and health.
Impacts of European Environment & Health
strategy
COM(2003)338 final adopted 11 June 2003
Key elements:
• SCALE (Science, Children, Awareness Raising, Legal instruments, Evaluation)
• Integrated approach
E&H information, cycle of chemicals, research, E&H concerns into other
sectoral policies, intervention,
• Objectives: reduce disease burden, strenghten
•
Focus on children:
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•
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Childhood resp.diseases, asthma, allergia
neurodevelopmental disorders
childhood cancer
endocrine dusrupting effects
• Acceding countries
Children’s Environmental Health Action
Programme
should be aimed 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!
MAKING CHILDREN’S
ENVIRONMENT HEALTHIER
Water:
Air:
improve quality of
drinking, bathing,
recreational water
reduce traffic
and industrial
emission,
reduce passive
tobbaco
smoke
Healthy places :
home, playground
places, streets,
schools
Food:
promote breastfeeding,
adequate feeding practice,
prevent chemical
contamination of food
Soil:
safe waste
disposal
Thank you for your attention!