European Commission - DG ENVec.europa.eu/environment/archives/health/pdf/slides_030711.pdf · European Commission - DG ENV 12 SCOPE OF FIRST CYCLE 1. Integrated E&H Monitoring & Response

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European Commission - DG ENV

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Communication on aCommunication on a“EUROPEAN“EUROPEAN

ENVIRONMENT & HEALTHENVIRONMENT & HEALTHSTRATEGY”STRATEGY”

COM(2003)338 final COM(2003)338 final adopted 11 June 2003 adopted 11 June 2003

European Commission - DG ENV

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Two step approachTwo step approach

1) Presenting a “1) Presenting a “Vision”Vision”

2) Announcing preparation of2) Announcing preparation of““Action Plan 2004-2010Action Plan 2004-2010 “ “----> Communication June 2004--> Communication June 2004

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1. 1. IntroductionIntroduction

●● EU Environment Policy = “health driven”EU Environment Policy = “health driven”●● InteractionInteraction of pollutants ?? of pollutants ??●● New EU policy orientations started toNew EU policy orientations started to

address interactions :address interactions :❍ 6th EAP❍ Community AP Public Health❍ 5th & 6th RFP

European Commission - DG ENV

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“SCALE Initiative”“SCALE Initiative”

●● SSciencecience●● CChildrenhildren●● AAwareness Raisingwareness Raising●● LLegal instrumentsegal instruments●● EEvaluationvaluation

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2. RATIONALE2. RATIONALE

Single pollutants in single Single pollutants in single envenv. compartments. compartments

“interactions” “interactions” Integration Integration of all the information on state of of all the information on state ofthe environment, ecosystem, human healththe environment, ecosystem, human health---> to investigate links between E & H---> to investigate links between E & H---> to develop cause-effect framework---> to develop cause-effect framework---> to develop policy ---> to develop policy = ADDED VALUE !!!= ADDED VALUE !!!

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3. Objectives3. Objectives

1. 1. Reduce disease Reduce disease burden caused by burden caused by environmental factors in EUenvironmental factors in EU

2. 2. Identify & Prevent Identify & Prevent newnew health health threats threatscaused by caused by environmental factorsenvironmental factors

3. 3. Strenghten Strenghten EU capacity for EU capacity for policymakingpolicymakingin this areain this area

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Key elements Key elements

1. 1. Integrated ApproachIntegrated Approach2. 2. IncrementalIncremental3.3. Focus on ChildrenFocus on Children4. 4. Acceding CountriesAcceding Countries

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Integrated approachIntegrated approach

Integration of :Integration of :❍ information❍ understanding cycle of pollutants❍ research❍ E&H concerns into other policies❍ intervention❍ stakeholders

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IncrementalIncremental

●● Incremental scopeIncremental scope●● Implemented in cyclesImplemented in cycles●● Cycle I (2004-2010) :Cycle I (2004-2010) :

- 4 diseases & - 4 diseases & assocassoc. . envenv. fact.. fact.- basis for Cycle II- basis for Cycle II

●● Cycle II (2010-2015)Cycle II (2010-2015)

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European IntegratedEuropean IntegratedEnvironmentEnvironment & & Health Health

Monitoring &Monitoring & Response System Response System

Information on state ofInformation on state ofEnvironmentEnvironment

(air-water-soil,…)(air-water-soil,…)

Information onInformation onEcosystemEcosystem

Information onInformation onHuman HealthHuman Health

Interactions !!!!- Cocktail effects- Combined exposure- Cumulative effects- ...BETTER UNDERSTAND

LINK ENVIRONMENT & HEALTH(e.g. air pollution- asthma)

CAUSE-EFFECT FRAMEWORK

POLICY

European Commission - DG ENV

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Scope of first cycleScope of first cycle

1. Childhood resp. diseases, asthma, allergies2. Neurodevelopmental disorders3. Childhood cancer4. Endocrine disrupting effectsand the associated environmental factors

+ Identify new Environmental Health threats

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SCOPE OF FIRST CYCLESCOPE OF FIRST CYCLE

1. 1. Integrated E&H Monitoring & Response SystemIntegrated E&H Monitoring & Response System- Bio-monitoring children- Bio-monitoring children- Pilot project on Dioxins, Heavy Metals, End. - Pilot project on Dioxins, Heavy Metals, End. DisrDisr..- Harmonised E&H Indicators- Harmonised E&H Indicators

2.2. Research :Research : Children’s Children’s EnvEnv Health/Comb. Health/Comb. ExpExp././EconEcon.Valuation.Valuation

3. 3. Reducing ExposureReducing Exposure In & Outdoor air/Heavy metals/Electromagnetic In & Outdoor air/Heavy metals/Electromagneticfields/Urban environmentfields/Urban environment

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7. Implementation7. Implementation

●● Full Stakeholder InvolvementFull Stakeholder Involvement❍ Consultative Group on E&H❍ Technical Working Groups

●● Preparing “Action Plan 2004-2010”Preparing “Action Plan 2004-2010”❍ Commission’s input for Budapest

2004 Ministerial Conference

European Commission - DG ENV

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PreparingPreparing““Action Plan 2004-2010Action Plan 2004-2010””

●● Stakeholder MeetingStakeholder Meeting: : 11/7/200311/7/2003●● Three Regional ConferencesThree Regional Conferences: : Oct. 2003Oct. 2003

---> Baseline Report 2004●● Stakeholder ConferenceStakeholder Conference: : March 2004March 2004

---> Action Plan 2004-2010---> Action Plan 2004-2010

Budapest Conference, Budapest Conference, June 2004June 2004

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ConclusionConclusion

Integrated StrategyIntegrated Strategy●● SCALESCALE●● Aim : better understanding, helpAim : better understanding, help

policymakers to deal with policymakers to deal with interactionsinteractions●● Ultimate objectives : reduce disease burden,Ultimate objectives : reduce disease burden,

strengthen policymakingstrengthen policymaking●● Implemented in cycles, incremental scopeImplemented in cycles, incremental scope

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Workprogramme2003-2004and

Deliverables

Environment and Health

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Major steps

Phase 1: …. - June 2003“Environment & Health Strategy”

Phase 2: June 2003-June 2004“Preparing Action Plan 2004-2010”

Phase 3: June 2004- ….Implementing successive cycles

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Phase 2: Major Deliverables

•Baseline Report 2004---> end of December 2003

•Action Plan 2004-2010---> June 2004

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Agenda - Reports

❚ Stakeholder meeting : 11 July 2003❙ Information & Consultation❙ Announcing Call for participation in

Consultative Group & TWGs

❚ Internet based stakeholder inf/cons

CONSULTATIVE GROUPTECHNICAL WGs

(september 2003)

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Agenda - Reports

❚ Consultative Forum : 10/9❚ Regional Conferences : 6-17/10

Poland (6-7)- Brussels (9-10) - Italy(16-17)

❚ TWGs meetings❚ Consultative Forum : 18-19/12

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3 regional conferences“2 weeks of E&H”

Poland Brussels Italy6-7/10 9-10/10 16-17/10

Dioxins Biomonitoring Resp/asthmaHeavy Metals Indicators NeurodevelopmEnd. Disr Research needs Cancer

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Agenda - Reports

❚ end of December 2003❚ picture of situation for all items of

first cycle

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Agenda - Reports

❚ TWGs meetings❚ Consultative Forum : 3-4 March 2004❚ Stakeholder Conference : March

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Agenda - Reports

❚ end of March 2004❚ detailed action plan with defined goals

and actions for the period 2004-2010covering all the items of cycle I andidentifying new items to be addressed incycle II

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Agenda - Reports

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Stakeholders‘ParticipationConcept

Environment and Health

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6th Environmental Action Programme

Policy making based on :

ParticipationSound knowledge

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“SCALE”

❚ cience : drawing togetherknowledge from a wide range ofnetworks of stakeholders, includingE&H experts from present andAcceding Countries, international, NGand consumer organisations

❚ Full stakeholder involvement !

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Organisational Set-up

Consultative Groupon Env. & Health

Env. & Health experts from MS, Acceding Countries, EEA, EFSA, WHO, NGOs, ….

Technical WorkingGroups

Experts fromMS, Acceding countries,EEA, EFSA, WHO,NGO’s, doctors,Consumer Organis.,Academia, Industry, ...

ACTION PLAN2004-2010

(Spring 2004)- Stakeholder Meeting 11 July 2003- 3 Regional Conf. Autumn 2003- Stakeholders Conf. Spring 2004

+ Commission

Bio-monitoring

Heavy metals

EDs

Dioxins

Childhood cancer

Respiratory diseasesAsthma, allergies

Neurodvpt.

Indicators

Research Needs

Emerging threats

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Roles

❚ Stakeholder meeting: inform. & consultation❚ Internet : inform. & consultation❚ Technical WGs: technical guidance❚ Consultative Group: collate output TWGs❚ Contractors : organisation/support TWGs❚ Task Force: coordination

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Members ofConsultative Group &

TWGs

Environment and Health experts from :

❙ Member States and Acceding Countries

❙ The European Commission

❙ European bodies such as the EEA, EFSA

❙ The medical and research communities

❙ Industry

❙ The European Civil Society through NGOs, ConsumerOrganisations and Professional Organisations

❙ International organisations (WHO, …)

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Chairs & Co-chairs

Chair for Consultative GroupEuropean Commission

Chair for TWGsMember StatesCommission DG, EEA, EFSA

Co-chair for TWGsMember States, Acceding CountriesCommission DG, EEA, EFSAMajor organisation

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RoleChairs TWGs

❚ Organise meetings

❚ Facilitate discussions and activities

❚ Develop a work-plan and distribution of the work

❚ Overall responsibility for the production of thedeliverables according to the deadlines agreed inthe work-plan

❚ Co-ordination with the Consultative group

❚ Presentation of the Working Group’s results atthe meetings of the Consultative Group

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Selection ofMembers

❚ MS, AC, Commission DGs, EEA, EFSA❘ Appoint own representatives

❚ Commission selects otherparticipants based on 3 criteria :

❘ Specific expertise❘ Level of representation❘ European-wide character

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Call for Candidates

For Consultative GroupMembers

For Technical Working GroupsMembersChairsCo-chairs

Application to env-health@cec.eu.intbefore 15/8

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Working MethodsConsultative Group

❚ Consultative Forum I :❙ to formally establish Consultative Group❙ to present members of TWGs❙ to finalise and adopt mandates TWGs

❚ Consultative Forum II and III :❙ discussion/consolidation reports TWGs

Work by consensus !

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Working MethodsTWGs

❚ Regional Conferences = Kick-off meeting❚ Subsequent meetings organised by

chairs/co-chairs/EC/contractors❚ Work by consensus !❚ Reflect scientific/technical state of the art❚ Alternative options +

advantages/disadvantes

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CONTRACTORS

❚ Organise 3 Regional Conferences& subsequent meetings withTWGs

❚ Provide technical support toTWGs

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SOIL EXPERIENCE

Participation: Results from Call❚ 20 States

❚ 100 Organisations

❚ 400 Nominations (persons)

❚ 25 Chairs/co-chairs

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SOIL EXPERIENCE

Composition Advisory Forum :

❚ 50 Government (25 states)❚ 50 non-Government (35 organis.)

❚ + Commission and EU Institutions❚ + Chairs and Co-chairs

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SOIL EXPERIENCE

Total number of Participants

❚ Advisory Forum: 100

❚ 5 WGs of maximum 30 each : 150

❚ TOTAL: 250

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SOIL EXPERIENCE

7967

53 52 45

0

20

40

60

80

1

Number of candidates who have applied to the WG

ContaminationMonitoring Organic MatterResearchErosion

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General information

Meeting Place & frequencyConsultative Group: Brussels

10/9, 18-19/12, 3-4/3TWGs: organis.by chairs/co-chairs/EC/contrLanguagesConsult. Forum : Engl, French, Germ, Sp.TWGs : EnglishWorking documents: English

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General information

❚ Geographical balanceBalanced geographical representations !

❚ CostsParticipants in Consultative Group andTWGs are required to cover own expenses

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ElectronicElectronicElectronicElectronicCommunication toolsCommunication toolsCommunication toolsCommunication tools

❚ Environment & health mailbox:env-health@cec.eu.int

❚ Environment and health internet site :http://europa.eu.int/comm/environment/health/index_en.htm

❚ Environment and health discussion site :CIRCA (October 2003)

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Issues to be dealtwith by the

Technical WorkingGroups

Environment and Health

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1. Integrated monitoring ofdioxins & PCBs

2. Integrated monitoring ofheavy metals

3. Integrated monitoring of endocrine disrupters

---->To develop the European IntegratedE&H Monitoring & Response System

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4. Biomonitoring of Children

5. Environment & Health Indicators

---->E&H Monitoring & Response System

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6. Childhood respiratory diseases,asthma, allergies

7. Neurodevelopmental disorders

8. Childhood cancer

-----> Health Objectives first cycle

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9 . How to determine priority health impacts & emergingthreats

10. Research needs

-----> To prepare for cycle II

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Tasks of theTechnical Working

Groups

Environment and Health

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GENERAL

Where are we now ? What is missing ?

Where are we going ? Goals.

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IntegratedIntegratedIntegratedIntegratedMonitoringMonitoringMonitoringMonitoring

Information on stateof

Environment (air-water-

soil,…)

Information onEcosystem

Information onHuman Health

Interactions !!!!- Cocktail effects- Combined exposure- Cumulative effects- ...BETTER UNDERSTAND

LINK ENVIRONMENT & HEALTH(e.g. air pollution- asthma)

CAUSE-EFFECT FRAMEWORK

POLICY

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IntegratedIntegratedIntegratedIntegrated monitoring monitoring monitoring monitoringof of of of dioxinsdioxinsdioxinsdioxins & & & & PCBsPCBsPCBsPCBs

1) Baseline❚ Overview existing dioxin & PCB monitoring in

the Baltic Region (diff. env. media-bioindicators-fish-human health)

❚ Assess possibilities to integrate

❚ Identify missing links

2) Options for action & recommendations❚ Integrated dioxin & PCB monitoring

❚ European integrated E&H monitoring & responsesystem !!! LINKS WITH OTHER TWGs !!!

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IntegratedIntegratedIntegratedIntegrated monitoring of monitoring of monitoring of monitoring ofheavy metalsheavy metalsheavy metalsheavy metals

1) Baseline❚ Overview existing monitoring of heavy metals

(air, water, soil, ecosystem-human health)

❚ Assess possibilities to integrate

❚ Identify missing links

2) Options for action & recommendations❚ Integrated heavy metal monitoring

❚ European integrated E&H monitoring & responsesystem

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IntegratedIntegratedIntegratedIntegrated monitoring monitoring monitoring monitoringof endocrine of endocrine of endocrine of endocrine disruptersdisruptersdisruptersdisrupters

1) Baseline❚ Overview existing ED monitoring (different

environmental media-human exposure routes)

❚ Assess possibilities to integrate

❚ Identify missing links

2) Options for action & recommendations❚ Integrated ED monitoring

❚ European integrated E&H monitoring & responsesystem

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BiomonitoringBiomonitoringBiomonitoringBiomonitoring of of of of ChildrenChildrenChildrenChildren

1) Baseline❚ overview existing E&H biomonitoring activities

(env. exposure-gene/env interaction-reproductive disorders, allergies, asthma,neurodevelopmental,..)

❚ Assess possibilities to integrate

❚ Identify missing elements

2) Options for action & recommendations❚ European biomonitoring system

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HEALTH OBJECTIVESHEALTH OBJECTIVESHEALTH OBJECTIVESHEALTH OBJECTIVES

1) Baseline❚ overview of studies/programmes investigating

link with environmental exposure

❚ identify gaps

2) Options for action & recommendations❚ preventive actions

❚ monitoring-epidemiological surveillanceprogrammes in areas at risk

❚ research recommendations

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