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Dia 1 - NDPHS

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NDPHS - a partnership committed
to achieving tangible results
Mikko Vienonen/ Coordinating Chair
SIHLWA
Social Inclusion, Healthy Lifestyles & Work Ability
Progress so far
Future activities
CSR-13 Brussels 21-22 April 2008
Agenda item 13.4
EG on ”SIHLWA”
(Social Inclusion, Healthy Lifestyles and Work Ability)
Representatives: 14 + 11 +9 = 34
Alternates:
8 + 7 +5 = 20
About 40 -50 participants
Ad hoc participants
≈ 5 - 10
Objectives
• Developing the NDPHS’ co-operation in areas related to
alcohol, periodic drinking, youth lifestyles, as well as
occupational safety and health
• Support national, regional or local programmes in its
respective fields of co-operation
• To that end, there are 3 sub-groups:
Adolescents and Socially-Rewarding Lifestyles (ADO)
Alcohol (ALC)
Occupational Safety and Health (OSH)
Average life expectancy (all
♀
&
♂)
EU-15 79yr.
EU members before
Life expectancy at birth, in years
Source: WHO/Europe, HFA Database,
January 2005
May 2004
EU
EU-25
78yr.
CEE / Central and
Eastern Europe 74yr.
EU members since
May 2004
Russia LOST 14 yr!
31 million peoples input is lost!
Every
year!years of life !
2000 million
human
Russia 65yr.
Россия
Russian
Federation
2000
2005
ЦВЕ – среднее значение
Average life-expectancy is mainly a reflection of unhealthy lifestyles.
In Europe the estimated number of deaths (2005) from non-communicable
diseases was 8.2 million people (all deaths were 9.6 million). NCDs make
77% of all deaths (source WHO-EURO 2006).
Leading NCD conditions in Europe
Disease
Disease burden
(DALYs)
Deaths
Cardiovascular diseases
23%
52%
Neuropsychiatric disorders
20%
3%
Cancer
11%
19%
Digestive diseases
5%
4%
Respiratory diseases
4%
4%
Diabetes mellitus
1%
1%
Musculoskeletal diseases
4%
0%
Sense organ disorders
4%
0%
Other NCDs
5%
2%
Total
77%
86%
Source WHO-EURO 2005
EG on ”SIHLWA” Highlights
(Social Inclusion, Healthy Lifestyles and Work Ability)
Since CSR-12 in Kaliningrad (Sept. 2007)
NDPHS / SIHLWA
Social Inclusion, Healthy Lifestyles & Work Ability
5th meeting 6-7 March 2008, Oslo Norway
Holmenkollen Park Hotel Rica
Honorable SIHLWA Delegates are arriving …
NDPHS / SIHLWA
Social Inclusion, Healthy Lifestyles & Work Ability
5th meeting 6-7 March 2008, Oslo Norway
Holmenkollen Park Hotel Rica
PLENARY
OSH
ALC
NDPHS / SIHLWA
Social Inclusion, Healthy Lifestyles & Work Ability
next
6th meeting 29-39 Sept. 2008,
again in Oslo, Norway
together with other EGs?
Projects in implementation:
•
•
•
ADO sub-group: Russian Federation (St. Petersburg), NCM, &
Finland:
Alcohol and drug prevention among youth 2007- 2008;
+ Continuation for 2008 – 2009 approved (~ 80.000 €/ Finland MoFA)
ALC sub-group: Alcohol early identification & brief intervention/ EIBI
feasibility (project preparation) in St Petersburg and Leningrad oblast
2008 NEW! (~ 80.000 €/ Finland MoFA)
OSH sub-group with ILO, Russian Federation and Finland:
Occupational safety and health project in N-W Russian Federation
(Leningrad Oblast & Republic of Karelia). 1st phase 2005 – 2007 and
2nd phase in 2007 – 2008.
+ Continuation 3rd phase for 2008 – 2009 approved (~ 200.000 €/
Finland MoFA)
NOW ALL SUB-GROUPS HAVE THEIR OWN FLAGSHIP PROJECT!
START-UP OF COLLECTING “SATELLITE-PROJECTS” ASSOCIATED WITH SIHLWA ?
Total SIHLWA project scope
• ADO A&DPrevY SPb -1. 07-08
• ADO A&DPrevY SPb-2. 08-09
•
•
•
•
•
•
ALC EIBI feasibility 2008
OSH-1
OSH-2
OSH-3 FIOH 2008-09
OSH data-base Thematic rep.
SIHLWA Stakeholder analysis
TOTAL:
80.000 €
15.000 € RUS
30.000 €
81.000 €
15.000 € RUS
79.000 €
200.000 €
300.000 €
108.000 €
10.000 €
80.000 €
997.000 €
Question: should we become primarily project implementing bodies?
SIHLWA thematic meetings (since Sept. 2007):
1. European Public Health Association (EUPHA) Annual
Conference 11-13 October 2007 SIHLWA together with HIV/AIDS
EG and NDPHS/Secretariat/Data-base project organized a
seminar on NDPHS action. (ADO, ALC & OSH)
2. Pre-PAC Forum 15 Nov 2007: “Healthy Life – Healthy Work:
Partnership for health & safety”. (OSH)
3. NCM/ Finnish chairmanship conference on promotion of
healthy lifestyles and prevention of non-communicable
diseases in St. Petersburg 11-12 December 2007. (ADO, ALC &
OSH)
4. “Impact of international trade agreements and EU internal
market legislation on national alcohol, public health and social
policies” meeting in 2008 . Lessons learned from EC court
cases with relevance to alcohol control policies will also be
discussed. The seminar aims to increase understanding of the
functioning of international trade legislation, and of the public
health and social policy considerations involved, as well as of
the political interests at stake in the legislative processes.
(ALC). CONCERN: Funding? Host? Technical support?
SIHLWA Secretariat 2008
(Social Inclusion, Healthy Lifestyles and Work Ability)
Activities
• To prepare a SIHLWA stakeholder analysis in Leningrad Oblast,
Murmansk, St. Petersburg and Republic of Karelia. (Funding received
though NDPHS Project Pipeline 79.000 € in February). Exploring for
expanding the stakeholder analysis in other Russian regions and
other countries, such as Baltic States, Nordic countries and Poland
• Potential Years of Life Lost (“PYLL”) assessment in selected NW
Russian regions (Karelia, Vologda?).
POTENTIAL YEARS OF LIFE LOST
”PYLL”
A MAP FOR HEALTH
OF THE POPULATION
“PYLL”
From shadow to light
Study tour from Vologda, Cherepovets and Republic of Karelia 19 – 23 May 2008
Mayor, Minister/ Deputy Minister/ Head of Public Health.
Business negotiations on how to proceed into PYLL-analysis in Russian regions
and how to train Russian scientific institutions to the methodology.
“PYLL”
“ПГПЖ”
ПОТЕНЦИАЛЬНЫЕ ГОДЫ
ПОТЕРЯННОЙ ЖИЗНИ
( ”PYLL”)
КАРТА ЗДОРОВЬЯ НАСЕЛЕНИЯ
Илкка Вохлонен, Профессор
Университета г. Куопио,
Финляндия
Финская консалтинговая
компания Efeko Ltd.
ilkka.vohlonen@fcg.fi
Из тени к свету
Starting point: simple calculation
Standard-life to which all preventable deaths are reflected
70 y
A = Ivan died of coronary heart attack at age of 55 years
Ivan’s PYLL = 70 -55 = 15 years
B = Anna died of alcohol poisoning at age of 28 years
Anna’s PYLL = 70 – 28 = 42 years
C = Pelagiya died of stroke at age of 71 years
Pelagiya’s PYLL = 70 – 71 = 0 years
Fig. 1
Prematurely lost life years (PYLL)
in international comparison 2006
3000
3500
3600
4000
4100
Sweden
Norway
Canada
Finland
Denmark
5200
USA
PYLL (years per 100 000)
00
60
50
00
40
00
30
00
20
00
10
0
00
?
Russia
SIHLWA Secretariat 2008
(Social Inclusion, Healthy Lifestyles and Work Ability)
Planned activity/ not yet activated
•2008 “Wild Card”: Reviewing possibilities to implement
“Life at Stake” (“Elämä pelissä”/ “На кону – жизнь”) popular TVshow on a Russian TV-channel in 2008. You try to change your
predicted day of death by changing your lifestyle!
OSH-subgroup 2008
1)
Partnership Health & Work Strategy approved at PAC in Vilnius Nov. 2007.
2)
Lithuania already started to implement the strategy.
3)
OSH/ SIHLWA has submitted a draft letter to the CSR-13 (agenda item 13.4/1) for consideration to be
sent to the Ministries of Health in Partnership countries, asking the respective ministries to summarize
the main actions, tools and measures that the countries are currently implementing to fulfill the 9
action points of the approved strategy.
4)
ILO and OSH have made a joint draft outline for the preparation of regional OSH-profiles (4 regions in
NX-Russia: Murmansk, Karelia, Leningrad Region & Vologda). Item 1 in Strategy.
5)
Finnish Occupational Health Institute (FIOH) has started a project in NW-Russia to support preparation
of regional OSH program, review of working conditions in high risk sector and improved information
dissemination.
6)
High level policy seminar on occupational health services scheduled for 27-29 May in Moscow with
WHO, ILO, International commission on Occupational Health (ICOH) and Finnish Occupational Health
Institute (FIOH).
7)
The World Day on Safety and Health at Work, 28 April 2008, is observed in the 1st OSH Congress 22
April and 28 April (both in Moscow). Several other events are held in the regions, including NW-Russia.
Several OSH journals and newspapers are publishing articlesconcerning the Day. The ILO World Day
report is published in Russian at www.ilo.ru and in English at www.ilo.org/safework .
8)
Country Reports on OSH in Northern Dimension Area (EST, FIN, LVA, LTU, NOR, RUS). First SIHLWA
country profile for NDPHS Data-Base Project
ADO & ALC-subgroups’ thematic
papers
Thematic reports pending on:
1. Youth health
2. Alcohol & health profiles
Problems:
Funding?
Not a project, not a meeting, not a conference
HEALTH
SIHLWA
ILL-HEALTH
Is something really happening?
17/4/2008 Ministry of Interior/ Security in Finland: “alcohol is the biggest
security risk in Finland”. More serious than international terrorism.
etc.
11/04/2008 “Russian State Duma ratifies
International Framework of Tobacco Control
etc.
etc.
18/04/2008 “Russian President Elect Mr Medvedev has pointed
out the importance of focusing on health systems.
Good news last….
In May 2008 SIHLWA “Lead Partner” the
MoSA&H/Finland will recruite half-time ITA
(International Technical Adviser) to assist in
the coordination and management of
SIHLWA activities.
This will help to scale up SIHLWA activities
in the future
Merçi!
Thank you!
СПАСИБО!
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