EUROPE DAY - 13 JUNE 2013 · 2013-10-10 · Jaakko Kiander Senior Vice-President Ilmarinen Mutual Pension Insurance Company Finland A panel discussion between senior policy-makers

THE 8TH GLOBAL CONFERENCE ON HEALTH PROMOTION (8GCHP) HEALTH IN ALL POLICIES 2013

FINLANDIA HALL, HELSINKI, FINLAND, 10-14 JUNE 2013

EUROPE DAY - 13 JUNE 2013 PROMOTING HEALTH IN ALL POLICIES – EXPERIENCES FROM THE EUROPEAN REGION

OBJECTIVES: • Showing the diversity of the Region ensuring that other regions will recognize joint problems

and consider some of the ‘solutions’ implemented in Europe.

• To showcase inspirational achievements with regard to health promotion and Health in All Policies in the European region.

PROGRAMME Plenary 1, 8:30–09:15, Finlandia Hall

In the first session we link Health in All Policies to health promotion development in Europe and to the five action areas of the Ottawa Charter. This will be done in the context of three ‘histories’: the host country leadership since the Finnish Presidency of the European Union, the incorporation of this approach in the treaties of the European Union, and the application to the wider European Health Policy, Health 2020. Format: three keynote interventions of 15 minutes each.

Zsuzsanna Jakab, Regional Director, WHO/Europe

Highlights the intersectoral elements of Health 2020, focusing on practical components of policy-making that have general application globally: (a) a formal analysis of the governance of health, (b) a review of health inequalities, in the light of (c) evidence-based public health approaches that lead to (d) sound, equitable, and cost-effective approaches to health promotion

Paula Risikko, Minister of Social Affairs and Health Finland

Highlights four decades of health policy development, in particular applying the health in all policies approach in Finland. The work has evolved from intersectoral policies on single priority issues, such as nutrition, smoking and accident prevention, to more large-scale programmes, and further to systematic work based on legislation and permanent structures.

Tonio Borg, European Commissioner for Health and Consumer Policy

(by video)

Reviews the role of the European Union in health promotion and the EU contribution to improving health and reducing health inequalities – including in neighbouring countries and other regions. Highlights the role of HiAP in EU health policy and developments since the Finnish Presidency.

Moderator: Gauden Galea, WHO Regional Office for Europe

June 2013 PROGRAMME FOR EUROPE DAY AT GCHP8

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Plenary 2, 09:15–10:00, Finlandia Hall Challenges and Opportunities for HiAP in times of economic difficulty.

Dr Frances Fitzgerald Minister for Children and Youth Affairs, Ireland

Dr Svetlana Axelrod Deputy Head, Department of International Cooperation, Ministry of Health, Russian Federation

Professor Jose Pereira Miguel, Instituto Nacional de Saúde Dr. Ricardo Jorge, Portugal

Jaakko Kiander Senior Vice-President Ilmarinen Mutual Pension Insurance Company

Finland

A panel discussion between senior policy-makers and academics who share their experience in coping with the direct or indirect effects of economic recession and ways in which Health in All Policies could be applied in such circumstances. Panel members from Portugal, Finland, the Russian Federation and Ireland. All these countries are currently (Ireland and Portugal), or have been in earlier stages (Finland and the Russian Federation), suffering from the effects of a financial crisis.

During their five-minute presentations they will explain how they cope(d) with promoting health during the crisis and what the key lessons and opportunities for Health in All Policies are they learned from this time.

The presentations will focus on sustaining health promotion in challenging times.

Moderator: Clive Needle, EuroHealthNet

Site visits and lunch, 10:00 –14:00 (see main programme at http://www.healthpromotion2013.org)

Parallel sessions, 14:00–17:30.

First round 14:00–15:30

Reducing Inequalities: Life course approach (Veranda 3) Children, Health and society (Ireland), Schools, Ageing

Reducing Inequalities: Integrated Policies (Veranda 1) Norway, Finland, Roma (HAPI)

Better Governance: HiAP in national and local policy making (Veranda 2) Scotland, Finland, Russia

Better Governance: Partnership (Helsinki hall) SEEHN, Child Safety, Capacities

Priority Areas: Progress in NCD (Finlandia hall) Europe, Russia, EU (Estonia)

Priority areas: Mental health in all policies (Veranda 4) Finland, United Kingdom, Iceland


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Second round 16:00–17:30

Priority areas: Tobacco (Finlandia hall) Finland, Spain Turkey

Priority areas: Nutrition (Veranda 1) Denmark, Norway Salt in EU

Priority Areas: Alcohol (Veranda 3) Europe Status Report, Sweden, Finland

Priority Areas: Communicable Disease (Helsinki hall) Panel by ECDC and WHO

Priority Areas: Work and Health (Veranda 4) Denmark Finland, Hungary

Priority Areas: Environment and Health (Veranda 2) HiAP and crisis, air pollution and public health, HiAP and transport

Wrap up session, Finlandia Hall, 17:45–18:45

17:45–18:15 Plenary for wrap-up: Post 2015 the perspective from the Europe Day

Beyond 2015:

Closing keynote – Ilona Kickbusch, The Graduate Institute of International and Development Studies, Switzerland

Moderator: Taru Koivisto, Ministry of Social Affairs and Health, Finland

18:15–18:30 Citation for lifetime achievement in health promotion.


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PARALLEL SESSIONS – DETAILS

Chair Reducing inequalities Speakers/countries Life course Supporting good health and its social determinants throughout the life-course leads to increased healthy life expectancy as well as enhanced well-being and enjoyment of life, all of which can yield important economic, societal and individual benefits. The changing demographics globally require an effective life-course strategy that gives priority to approaches such as empowering people and building resilience and capacity, to promote health and prevent disease. This session will provide examples of policies, programs and interventions at crucial stages of the life course.

Chair: Mariam Jashi, Deputy Minister of Labour, Health and Social Affairs Georgia Co chair: Vivian Barnekow, WHO Regional Office for Europe

• Children, health and society

• Promoting health and equity in schools

• Ageing

Frances Fitzgerald Minister for Children and Youth Affairs, Ireland Goof Buijs, Manager, Schools for Health in Europe network The Netherlands Barbro Westerholm, AGE Platform Europe Sweden

Integrated policies on inequality This session will focus at providing examples of developing health in all policy approaches to improve the health of everyone and so reduce the absolute effect of social determinants of the entire population of a country. Experience of implementation of national action plans will be shared as well as examples of targeted interventions to focus on those most affected by ill health.

Chair : Mihály Kökény Hungary

• Lessons learnt- European and national action plan on inequities and health

Hannele Palosuo, National Institute for Health and Welfare, Finland Tone B. Torgersen, The National Institute for Public Health, Norway Maggie Davies Health Action Partnership International, United Kingdom


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Chair Better governance Speakers/country HiAP in national and local policy making This session demonstrates the ways in which HiAP has been applied in the national and local level administration. These include, for example, governance structures, planning, monitoring and evaluation tools, as well as legal requirements for applying HiAP. The session also presents experiences from the healthy cities network.

Chair: Erio Ziglio WHO Regional Office for Europe

• Regional level

• Local level

• Public health policy. The European Action Plan for Strengthening Public Health – Taking forward EPHO 4: Health Promotion, including action to address social determinants and health inequity

David Pattison, NSH Health Scotland United Kingdom Petteri Paronen, Mayor of Kuopio, Finland , Anna Korotkova, Federal Research Institute Health

Organization and Informatics

Ministry of Health

Russian Federation

Partnership and cross sector collaboration Collaboration between key sectors, with civil society and across borders are all key to address the social determinants for health and to ensure that societies have the capacity to provide the best possible circumstances for improving the health and well-being of their populations. This session will provide successful examples of partnership and cross sector collaboration between and within countries.

Chair: Agis Tsouros WHO Regional Office for Europe Co chair:

Diane Levin-Zamir

School of Public Health,

University of Haifa, Israel

• From Stability Pact to Health in all Policies (SEEHN)

• Violence and injury

• Capacities for Health promotion and health in all policies

Launch of “Health literacy: The

solid facts”

Svetlana Cotelea , Ministry of Health, Republic of Moldova Joanne Vincenten, Child Safety Alliance, United Kingdom Margaret Barry National University, Galway, Ireland


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Chair Priority areas Speakers/country Progress in NCD reduction Noncommunicable diseases cause 86% of deaths and 77% of the disease burden in the WHO European Region. These disorders are largely preventable and are linked by common risk factors, underlying determinants and opportunities for intervention. A more equitable share of the benefits from effective interventions would bring significant health and economic gain to all Member States. A comprehensive approach is needed to tackling noncommunicable diseases that simultaneously promotes population-level health promotion and disease prevention programmes, actively targets groups and individuals at high risk, and maximizes population coverage of effective treatment and care; and systematically integrates policy and action to reduce inequalities in health. This session will review progress in parts of the Region that have made dramatic improvements in policy and outcomes.

Chair: Michael Hübel DG SANCO, European

Commission

Co chair: Gauden Galea WHO Regional Office for Europe

• European and national progress in NCD prevention and control

Julia Critchley, St George's, University of London United Kingdom Sergey Boytsov, State Scientific Research Institute of Organization and Information of Health Care, Russian Federation

Maris Jesse National Public Health Institute Estonia

Mental Health in all policies This session presents ways of strengthening positive mental health of children and young people by the inclusion of mental health perspectives in the policies of the most important settings for their growth, namely families, nursery care, school and employment. It stresses the importance of their roles in supporting positive mental health, and the importance of taking into account the determinants of positive mental health when making and implementing policies concerning these settings.

Chair: Christian Wahlbeck THL - National Institute

for Health and Welfare

Finland

Co chair: Matt Muijen WHO Regional Office for Europe

• Supporting early childhood development: the role of nursery care

• Mental health promoting schools

• Government policies and population mental well-being

Mirjam Kalland, Mannerheim League for Child Welfare, Finland Jonathan Campion, South London and Maudsley NHS Foundation Trust, United Kingdom Dóra Guðmundsdóttir, Directorate of Health, Iceland


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Tobacco WHO FCTC was adopted by the WHA ten years ago, in 2003. Adoption of the first international health treaty created a major momentum in the European countries for new strong tobacco control policies and their enforcement. In the leading countries, we can already see how those policy changes lead to positive health outcomes. However WHO European Region has still the highest adult smoking prevalence globally and we observe female tobacco use increasing. What can countries learn from each other’s successes and lessons learned in view to stop the tobacco epidemic? What actions should be taken in the Region to meet the global voluntary target on tobacco use by 2025?

Chair: Bosse Petterson Sweden Co chair: Zoltan Voko

Hungary

• Legislation

• Smoke free public places

• Reduction in adult smoking by using comprehensive approach

Kari Paaso, Ministry of Social Affairs and Health, Finland Esteve Fernández, University of Barcelona

Spain

Nazmi Bilir

Hacettepe University

Turkey

Nutrition In this session some of the most interesting policy areas that are under discussion and based on some controversy as well as passionate debate in the field of nutrition will be addressed. Clear win-win and cost-effectiveness actions namely on salt reduction that could be followed by initiatives on fat, sugar or soft-drinks will also be discussed. Evidence-based diet, nutrition and physical activity actions conducive to equitable and cost-effective approaches to health promotion will also be debated.

Chair:

Sirpa Sarlio-Lähteenkorva

Ministry of Social Affairs

and Health, Finland

Co Chair:

João Breda

WHO Regional Office for Europe

• Price policies for healthy eating

• Marketing of food to children

• Salt reduction – EU initiative

Sinne Smed, University of Copenhagen Denmark Knut-Inge Klepp, Directorate of Health, Norway Stephanie Bodenbach, European Commission (SANCO)


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Alcohol Alcohol is one of the world’s top three risk factors for the disease burden even through only about half of the global population drink alcohol. Most alcohol is drunk in heavy drinking occasions, which worsen all risks, including ischaemic heart disease and sudden death. There is a strong evidence for effective alcohol policies of which pricing, availability and marketing are the most important areas for reducing harmful use of alcohol. In the end of 2011 the WHO Regional Committee adopted the European action plan to reduce the harmful use of alcohol 2012 – 2020 and the Regional Office monitor alcohol consumption, harm and the policy response in Europe.

Most recent data will be presented from the European status report on alcohol and health 2013 which will be launched during the session.

Chair:

Vesna-Kerstin Petric,

Ministry of Health,

Slovenia

Co chair: Lars Møller WHO Regional Office for Europe

• The European Status Report on Alcohol and Heath 2013

• EU alcohol strategy – evaluation

• Fiscal policies

Jürgen Rehm, Technical University of Dresden Germany Maria Renström, Ministry of Health and Social Affairs, Sweden Ismo Tuominen, Ministry of Social Affairs and Health, Finland

Health in all policies to prevent communicable diseases This session attempts to provide answers to the need of integrating health promotion/ health communication initiatives to contribute to CD prevention, by transferring knowledge and experiences from the NCDs area. Traditionally, non-communicable disease prevention has benefitted of comprehensive interventions. There is significant evidence on the impact and contributions that environment, education urbanization, agriculture as well as other sectors have on both NCDs and infectious diseases. In the same time, NCDs area benefits of a wealth of experiences and academic knowledge, based on a rich basis of theoretical concepts, of social marketing and behaviour change models that could promote synergies and add value to prevention of communicable disease efforts, especially during times of austerity and economic challenges.

Chair: Irina Dinca The European Centre for Disease Control

• Innovative practices of health promotion can contribute to communicable disease prevention within the framework of HiAP.

Margaret Barry, University of Galway, Ireland

Guenael Rodier, WHO Regional Office for Europe

Stephan van den Broucke, University of Louvain, Belgium

Ülla-Karin Nurm, The European Centre for Disease Control


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Work and health We spend approximately one third of our time at work and in principle work is beneficial for health.

The triple burden from traditional occupational safety and health hazards, the psychosocial risks and

challenges for integration of ageing and disabled workers into work life call for design of new

strategies. Minimizing safety and health risks, supporting and maintaining work ability and

promoting health of all groups of workers should be cornerstones of these new strategies. Instead of

having separate health and well-being projects at workplaces, we should take into consideration

health consequences every time when decisions are made at workplace.

Chair: Kristiina Mukala, Ministry of Social Affairs and Health, Finland

• Occupational health and safety - cornerstone for sustainable health at workplaces

• From industrial work to knowledge intensive work - unbeatable challenge of today

• Alcohol and workplace

Bitten Højmark Døjholt, National Working Environment Authority, Denmark Kiti Müller, Occupational Health Institute, Finland Edina Gabor, National Institute for Health Development, Hungary

Environment and health The Environment and Health (EH) discipline has been paying increasing attention to broad, distal health

determinants, beyond the traditional physical risk factors. Transport policies, for example, are addressed

as driving forces for air quality, exposure to noise, road injuries etc. The broadening of boundaries around

“environment” has been accompanied by an increased awareness of the complex web of health

determinants, direct and indirect, operating at individual and societal level. This process has helped

elucidate the interaction between environmental risk factors and other powerful health determinants

linked to lifestyle and to the social environment. The session will aim at providing a recap and update on

latest views and reflections in intersectoral work in EH-related domains, exposing and promoting recent

EH experiences that invite more collaboration with the Health Promotion community and identifying

gaps and best opportunities for strengthening collaboration between EH and Health Promotion.

Chair: Srdan Matic WHO Regional Office for Europe

• Revisiting Health in All Policies at times of environmental crisis

• Evidence on health aspects of air pollution as support to the improvement of public health activities

• Pioneer of HiAP: transport and health

George Morris, NHS Health Scotland, United Kingdom Patrick Goodman, Dublin Technical University, Ireland

Brigit Staatsen,

National Institute of Public Health

and the Environment

Netherlands


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ANNEX Europe Day Committee

Taru Koivisto Finland Co-chair

Mihály Kökény Hungary Co-chair

Bosse Pettersson Sweden

Ilona Kickbush Switzerland

Eeva Ollila Finland

Outi Kuivasniemi Finland

Vesna-Kerstin Petric Slovenia

Maris Jesse Estonia

Svetlana Axelrod Russian Federation

Michael Huebel European Commission

Charles Price European Commission

David Pattison IUHPE/Europe

Clive Needle EuroHealthNet

Gauden Galea WHO/Europe Secretariat

Agis Tsouros WHO/Europe Secretariat

Erio Ziglio WHO/Europe Secretariat

Vivian Barnekow WHO/Europe Secretariat

Speakers and Chairs (in alphabetic order)

Dr Svetlana Axelrod, Deputy Director Department of the international cooperation and public relations, Ministry of Health of the Russian Federation. Russian coordinator G8; Chair APEC HWG; Co-chair Russian-European Health Dialogue; Co-chair Russian-USA Global Health Subgroup; Alternative SCRC WHO. PhD, Doctor, pediatrician, neonatologist, public health specialist. Vivian Barnekow is working in the division on Non-communicable Diseases and Life Course in WHO, Regional Office for Europe. She started her professional carrier as a teacher, later becoming education adviser on health promotion programmes dealing with lifestyles, alcohol and drugs. Having finalized post graduate education in nutrition, biochemistry and health promotion she started working for WHO in 1994. Her main involvement for many years was with the European Network of Health Promoting Schools where she was responsible for the Technical Secretariat. She is now acting Programme Manager for Child and Adolescent Health and Development in the European Region. She is the WHO focal point for the Health Behaviour in School-aged Children survey.

Professor Margaret Barry, Ph.D. is Professor of Health Promotion and Public Health and Head of the World Health Organization Collaborating Centre for Health Promotion Research at the National University of Ireland Galway. Elected as IUHPE Global Vice President for Capacity Building, Education and Training (2007-2010), she has led international collaborative work on the development of core competencies for health promotion, including a major European Commission funded initiative in the European region. Presentation title: Capacities for Health Promotion and Health in All Policies: Findings of the CompHP Project . Abstract: Capacity development for the implementation of health promotion is fundamental to strengthening and sustaining action on population health in the European region. The capacity and infrastructure to support health promotion action, however, varies considerably across countries


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and is underdeveloped in many. Building partnerships and successful collaborations across sectors is an essential part of the health in all policies approach. This presentation addresses workforce capacity and the development of health promotion competencies for the implementation of effective health promotion action. The findings from the EU funded CompHP Project are presented, including an overview of the project development processes, and the collaboration and consensus building methods adopted with European partners across all project stages. The implications of the project outcomes for European and global health promotion are discussed. Presentation title: Translating Health Communication Programme: Implications for Capacity Development Abstract: In 2009 the European Centre for Disease Prevention and Control (ECDC) commissioned a Consortium of Universities to undertake the Translating Health Communication Research Project. The purpose of this three year project was to map activities and identify the research evidence base to support the optimal use and development of health communication for the prevention and control of communicable diseases in EU and EEA States. This presentation considers the main findings from this research programme and discusses the implications for developing strategic actions that will strengthen capacity in Europe to develop evidence-informed health communication for communicable diseases. Professor Nazmi Bilir, MD. Prof. of Public Health at Hacettepe University, Institute of Public Health, Ankara. Qualified as MD in 1970, completed Internal Medicine training in 1974 and Public Health in 1976. Has been working on tobacco control for more than 30 years, conducting several projects on tobacco use and prevention policies. Has participated in Parliamentary Commissions as invited expert during discussions on tobacco control law. He has written the book “Tobacco Control in Turkey; Story of Commitment and Leadership”, published by WHO, and GATS report in 2008 and 2012. Presentation title: Reduction of Adult Smoking by using Comprehensive Approach Abstract: Turkey is a tobacco producing country and has long history and culture of tobacco use. Tobacco use prevalence has been high, particularly among men, as smoking is regarded as a male behavior. Nevertheless, a remarkable decline was observed after the implementation of Tobacco Control Law, particularly the amendment of the Law in 2008. During the 4 years time between the two GATS in 2008 and 2012, tobacco use prevalence reduced by 13.5%. The GATS results were released on World No Tobacco Day, with World Health Organization Director General Margaret Chan attending the announcement event in Istanbul. The major comparative results of the two GATS were; • Smoking prevalence in Turkey decreased significantly; from 31.2% to 27.1%, and the number of smokers in Turkey dropped from 16 million adult smokers in 2008 to 14.8 million in 2012. • Exposure to secondhand smoke dropped dramatically, most notably in restaurants – from 55.9% in 2008 to 12.9% in 2012. • More current smokers in 2012 thought of quitting because of health warning labels on cigarette packages than current smokers in 2008 (53% versus 46.3%). • Exposure to tobacco marketing remains low compared to other countries, 15.7% report noticing tobacco marketing in the last 30 days. • The real cost of a pack of cigarette has increased substantially and cigarettes have become less affordable. The decline in smoking rates is due to the implementation of a comprehensive set of tobacco control policies by the Turkish government, with the support by sivil society and academia; including a national smoke-free law banning smoking in workplaces, restaurants, cafes and bars; graphic health warning labels on the front and back of tobacco packages; multiple tobacco tax increases; and a comprehensive ban on tobacco advertising, sponsorship and promotion that includes a ban on tobacco advertising at the point of sale and restrictions on point-of-sale displays.


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The latest GATS results for Turkey represent significant strides in reducing the toll of tobacco in the country and important progress in fulfilling Turkey’s obligations under the Framework Convention on Tobacco Control – the world’s first international health treaty. Turkey is the first and, to date, the only country in the world to attain the highest implementation score for all of WHO’s MPOWER measures. Ms Stephanie Bodenbach, Policy officer, Nutrition, food composition and labeling, European Commission, Health and Consumers Directorate-General . Stephanie Bodenbach is dealing with nutrition labeling, related nutrition issues and the implementation of the Strategy for Europe on Nutrition, Overweight and Obesity related Health Issues. Previously, she held positions in the coordination office of the Public Health Association Saxony and in a Japanese pharmaceutical and fine chemicals company. She holds Master degrees in Nutritional Science (Bonn University) and Public Health (University North Carolina at Chapel Hill). Dr Tonio Borg is the European Commissioner for Health and Consumer Policy in the second Barroso Commission. Borg graduated as a Doctor in Laws practicing law for fifteen years, specialising in human rights cases. Between 1990 and 1995 he served as member of the European Committee for the Prevention of Torture. Between 1995 and 2012 he was appointed to different top Ministerial positions in the government of Malta (Minister of Foreign Affairs, Deputy Prime Minister, Minister for Justice and Home Affairs, Minister for Home Affairs and the Environment, Leader of the House of Representatives and Chairman of the National Audit Office Accounts Committee). Dr João Breda, Programme Manager, Nutrition, Physical Activity and Obesity, WHO Regional office for Europe. Dr Breda is a PhD in Nutrition, an MBA and Master in Public Health. Dr Breda works in the Division of Noncommunicable Diseases and Life-course at WHO/Europe. He provides support to the 53 Member States in the WHO European Region on the implementation of the European Charter on Counteracting Obesity and evaluates their progress. His team is responsible for one of the world’s largest and most comprehensive surveillance mechanism for childhood obesity. Dr Breda was the first coordinator of the national platform against obesity under the Portuguese Ministry of Health. He worked as a public health nutritionist at the general health directorate in Ministry. He was the Head of the Nutrition Department at Atlantic University in Lisbon and lecturer and researcher at the Food and Agriculture Technical University in Coimbra, the University of the Algarve and the School of Hospitality and Culinary Arts in Coimbra. He has published in scientific journals given presentations at national and international congresses, written several dozen papers and published 17 original books. Professor Sergey A. Boytsov is a well-known Russian cardiologist, Doctor of Medicine, Professor, Head Specialist on Preventive Medicine of the Ministry of Healthcare of the Russian Federation, Vice-President of the Russian Society of Cardiology, Member of the Scientific Council of the Russian cardio somatic rehabilitation and secondary prevention society. Since March 2011, he is the director of the National Research Centre for preventive medicine of the Ministry of Health of the Russian Federation. Sergey A. Boytsov has more than 230 scientific papers and publications. Professor Stephan Van den Broucke is Professor of Health Psychology at the Université Catholique de Louvain, Belgium. Formerly a senior expert at the Flemish Institute for Health Promotion, project officer at the Executive Agency for Health and Consumers of the European Commission, and Associate Professor at the Department of International Health of Maastricht University, he published widely in the areas of health promotion planning and evaluation, health inequalities, capacity building and health literacy. He serves as an adviser to the European Commission, is a member of the Regional Committee for Europe and of the Global Working Groups on Competencies and


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Workforce Development and of Health Literacy of IUHPE, and is associate editor of Health Promotion International. Mr Goof Buijs (1954) is senior consultant at CBO BV and manager of the Schools for Health in Europe network - SHE network- . He is an expert in school health promotion since 1985, in strategic development and implementation as well as training and consultancy, both nationally and in Europe and worldwide. He is project manager of several EU co funded and international projects. SHE network: www.schoolsforhealth.eu. Presentation title: Reducing health inequalities: experiences with health promoting schools in Eastern Europe and Central Asia Abstract: The Schools for Health in Europe (SHE) network is a leading network on promoting and implementing health promoting schools in 43 European member countries. The SHE network is active since 1992 and is supported by the WHO EURO, Council of Europe and the European Commission. From the start the network has focused on including Eastern European and Central Asian countries in the WHO European region. The introduction of the health promoting school approach in this part of Europe coincided with the collapse of the former Sovjet Union. The health promoting school principles (including democracy, empowerment, equity and sustainable development) are good entry points for school development and introducing health education and training in schools. Currently 13 EECA countries are member of the SHE network, each has a national coordinator in charge of the national HPS programme. Over the last 20 years in most countries the introduction of HPS proved to be very successful, despite the challenging political and economic situation. The SHE network offered training and support in developing national HPS policies and programmes. In his presentation two recent examples in Kyrgyzstan and in Armenia will be highlighted. These demonstrate the potential of HPS to promote the health and wellbeing of children and young people in EECA countries and to school improvement. There are indications that this will in turn support the economic development of disadvantaged regions. Future plans include stronger focus on reducing inequalities and on more sustainibility of HPS programmes. New effective school programmes on relevant health issues need to developed and introduced, and research on impact of HPS encouraged. Finally improving school health services and linking with HPS will be a new focus. More information www.schoolsforhealth.eu. Professor Jonathan Campion. Professor of Population Mental Health (University College London) and Director of Population Mental Health (UCL Partners). Director for Public Mental Health and Consultant Psychiatrist (South London and Maudsley NHS Foundation Trust). Between 2008 and 2011, Jonathan was policy advisor and public mental health evidence lead at the UK's Department of Health. During this time, he contributed to two cross government mental health strategies, a public mental health strategy and the public health white paper as well as work with the LSE to estimate savings from a range of public mental health interventions. He is a Special Advisor on Mental Health Strategy and Policy at the Royal College of Psychiatrists and part of the Joint Commission Panel for Mental Health where he has written commissioning guidance on public mental health and contributed to other guidance. He represents the Department of Health on a European Union Joint Action on Mental Health and Wellbeing. Dr Svetlana Cotelea, MD, MPH, Head, Public Health Department, Ministry of Health Republic of Moldova. Dr. Svetlana Cotelea is a medical graduate from Chisinau State Medical and Pharmaceutical University, Republic of Moldova. After the graduation she served as an assistant professor at her alma mater conducting teaching, clinical and research activities. In 2011 she was awarded Muskie fellowship and entered MPH program at the Kansas State University, USA. Moving into policy work, she joined the Ministry of Health in October 2011. As head of the Public health department she is responsible for developing policies and interventions to control communicable and non-communicable diseases.


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Presentation title: From Stability Pact to Health in all Policies (SEEHN) Abstract: Multi-sectorial and multi-country partnerships are one critical aspect for ensuring sustainable improvement in the health and well-being of the population. The South-eastern Europe Health Network (SEEHN) has been proven to be an efficient model for cooperation and capacity building at the regional level. From the moment of its conception in 2001, as a health component of the Stability Pact, the SEEHN has put forward public health and prevention as its priority, by establishing sub-regional goals and objectives focused on health determinants and root causes of disease. The concerted health development action and exchange of experience within the SEEHN is structured around seven public health areas of common interest, identified in the Dubrovnik Pledge (2001). For over a decade, SEEHN has been offering great opportunities to the partner countries for regional cooperation in improving health systems and empowering health professionals in order to solve major public health problems. Starting as a regional initiative, the SEEHN has evolved in a political and institutional forum ensuring its independence and leadership in the region. Specific mechanisms and principles of cooperation that made the SEEHN a story of success (operation at both political and technical level, strong links with partner countries and international organizations, equal and fair partnership, rationalization of resources, etc.) could be applied to establish effective cross-country cooperation in other regions. As expressed in Banja Luka Pledge (2011), SEEHN Member States have the long-term commitment to continue regional cooperation in strengthening public health systems, applying the health in all policies approach and focusing on the improvement of the intersectoral partnerships. Professor Julia Critchley, St George’s, University of London. She is a Professor of Epidemiology at St. George’s, University of London, with over 15 years experience working in cardiovascular disease and diabetes epidemiology and public health. With Simon Capewell she developed a CHD mortality model (IMPACT), which has since been widely replicated and refined. She was first author on a number of key outputs to assess policy options and life years gained in the UK, and led initial work to translate the IMPACT model to a middle income setting (Beijing) where CHD mortality was rising (published in Circulation, 2004). Maggie Davies is the Executive Director of the Health Action Partnership International, a community interest company that aims to address the social determinants of health by brining together organisations and professionals from across countries and differing sectors. Maggie is also a tutor on the Distance Learning MSc in Health Promotion for the London School of Hygiene and Tropical Medicine. Maggie is Global Vice President for Partnerships for the International Union of Health Promotion and Education. Previously a lecturer in semiotics, Maggie has over 20 years experience of work in the field of public health which has ranged from managing local services to large-scale international projects. This includes work for organisations such as the European Commission, WHO and the World Bank. Maggie has also been a volunteer for non-government agencies and has been Director of the Terrence Higgins Trust and Rape Crisis, Croydon and President of Eurohealthnet. Maggie has a record of publication in the field and most recently has been an editor of Intersectoral Governance for Health in All Policies. Maggie is a fellow of the Faculty of Public Health. Presentation title: Lessons learnt – European and national action plan on inequities and health. Abstract: The Health Action Partnership International is a network of professionals and organisations from across the globe who work together on the social determinants of health. We manage several multi-country projects, one of which was to look at work, worklessness and social protection in relation to health. In addition to producing benchmarking and policy briefing tools for cross government working, it provided support to the development of a case study with Roma people in Hungary. This case study considered the current situation, the role of an active labour market initiative in a municipality and possible links to health. In highlighted the need for intersectoral action and drew learning from this. The presentation will focus on this aspect of our work.


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Dr Irina Dinca is a Public health physician that has worked since 2008 for ECDC as a senior expert in communicable diseases within the health communication unit. Her current major focuses are on measles and rubella elimination and how to involve primary healthcare professionals and hard to reach population groups. Prior to this, she coordinated health promotion in the home country - Romania. She holds a PhD in public health, with a focus on health policy, health communication and social mobilization campaigns. Mrs Bitten Højmark Døjholt, Head of Department, Danish Working Environment Authority. I have a law degree from University of Copenhagen the year 1999. Since then working as a civil servant for the Danish Government. Since 2001 for the Danish Working Environment Authority dealing with a variety of working environment issues as well as internal organizational matters. For the past 5 years I have been responsible for the Danish approach on muscular-skeletal disorders as well as dealing with health promotion issues in the context of MSD´s. Presentation title: Occupational health and safety – Cornerstone for sustainable health at workplaces. Abstract: Occupational Safety and Health (OSH) has an impact on the overall health in society. OSH efforts can have an impact on the supply of labour. OSH initiatives are an important step in overall employment-policy initiatives. As a Working Environment Authority the focus is on the workplace to ensure a safe and healthy working environment. The presentation will focus on the Danish approach where focus is on a strategical effort and how the WEA has a variety of instruments to help the workplaces to focus on these issues. Health promotion is mentioned as a specific example as an object of focus to help people stay at work. Dr Frances Fitzgerald, Minister for Children and Youth Affairs. In 2011, Frances Fitzgerald was appointed the first ever Minister for Children and Youth Affairs in Ireland. Her Department is responsible for child welfare and protection, early childhood care and education, youth justice, adoption, children and young people’s participation, play and recreation, research on children and young people. Prior to this, Frances was a member of Seanad Éireann (Ireland’s Senate) and Fine Gael Spokesperson on Health. She trained as a social worker and family therapist and has worked with inner city communities in London and Dublin. Prior to her election to the Dail (Irish Parliament), Frances was Chair of the National Women’s Council of Ireland (1988-1992) and Vice President of the European Women’s Lobby. She co-founded the first ever Cross Party Group on Mental Health and worked closely with Amnesty International to help break down the stigmas associated with mental health issues. Presentation title: Children, health and society. Abstract: Insight into the health and wellbeing of children in Ireland; Work of Department of Children and Youth Affairs; Listening to the voices of Children; Childhood obesity. Edina Gábor is a health promotion psychologist. Former deputy state secretary for drug coordination. Lecturer at the Eötvös Loránd University, Faculty of Education and Psychology, Institute for Health Promotion and Sport Sciences. Vice-President for Europe of the International Union for Health Promotion and Education. Presentation title: Alcohol at workplace. Abstract: Two examples, how Work and Health (Alcohol and Workplace) are included in other policies, in Lifelong Learning Programme and in Occupational Safety and Health Programme. MEPMIS: Maximizing employee performance, by minimizing the impact of substances in the workplace. The MEPMIS Project developed a training resource (web based, & face to face) for trainers and managers in small and medium sized enterprises (SMEs) that equip them with the appropriate skills and sufficient knowledge and understanding to enable them to deal both


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proactively and reactively with the issue of alcohol and substances and their impact on work/employment. The web based training is (freely) available at http://www.alcoholdrugsandwork.eu/, in English, Dutch, Italian, Polish and Hungarian. The MEPMIS project was funded by the LEONARDO DA VINCI Programme, which is a part of the European Commission's Lifelong Learning Programme. The European Agency for Safety and Health at Work (EU-OSHA) also contribute to the prevention efforts by OSHwiki, which represents an innovative channel to disseminate the latest knowledge on Occupational Safety and Health (OSH). The OSHwiki aims to provide authoritative, in-depth, multilingual and easily updated information on OSH, through a collaborative tool that allows the active participation of the OSH community. Alcohol at workplace will be included in it. Dr Gauden Galea is the Director of the Division of Noncommunicable Diseases and Life-Course, WHO Regional Office for Europe. He is a public health physician working with the World Health Organization since 1998, with experience in the Western Pacific, in WHO headquarters, and most recently, in the WHO European Region. He has a special interest in the social determinants of NCDs and in the links between noncommunicable diseases and the development agenda. Professor Patrick Goodman is a Lecturer in Environmental and Medical Physics at the Dublin Institute of Technology, Dublin Ireland. Researcher in the area of Environmental exposures and health effects, who has authored key papers in this area, including the Dublin Coal ban study, and the Irish workplace smoking ban study. He has worked as an advisor in this area with the WHO and the USEPA. Presentation title: Evidence on health aspects of air pollution as support to the improvement of public health activities. Abstract: The Dublin smoky coal ban study is one of the key publications showing that reduced air pollution can result in health benefits. This together with other intervention studies from around the world, including examples of the German re-unification, Olympic games etc will be used to show that some simple initiatives can have significant environmental and health benefits. The talk will finish with incorporating some of the latest WHO work from the REVIHAPP study.

Dr Dora Gudmundsdottir is head of the division of determinants of health and well-being at the Directorate of Health in Iceland. Dora is also a research fellow at the Well-being Institute, Cambridge University. She received her Cand.Psych. degree and training in clinical and organizational psychology from the University of Aarhus in Denmark in 2007. Dora is very interested in positive mental health, measurements of mental well-being and finding effective ways for individuals, institutions and societies to flourish. Dr Esteve Fernández is the Director of the Tobacco Control Unit of the Catalan Institute of Oncology (ICO) in Barcelona, Associate Professor of epidemiology and public health at the School of Medicine (Universitat de Barcelona) and the Chair of the Global Network of Tobacco-free Health Care Services (http://www.ensh.eu). His main areas of interest include tobacco control, the epidemiology of other risk factors related to cancer, and the social and economic determinants of health, with focus on gender and education upon cancer and smoking. You may find him in twitter as @stvfdz. More info: http://about.me/estevefernandez. Presentation title: Making smoke-free laws work: experience from Spain. Abstract: While smoke-free legislation can be remarkably effective, the political and social obstacles to introducing and implementing effective smoke-free legislation can be considerable. The aim of this presentation is to show the Spanish experience in evaluating and changing a partial ban to a complete ban. In January 1st 2006, legislation was enacted which prohibited smoking in enclosed public places, transportation and indoor workplaces. However, bars, cafes and restaurants were partially exempted, based on the area of the venue. This exemption the support of the tobacco industry and was promoted in a number of other countries as the ‘Spanish model’. An evaluation of


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nicotine levels in the air and salivary concentrations of cotinine in hospitality workers before and after the ban in Spain showed that there were large reductions in levels in premises with strict bans. However, high levels remained where smoking was permitted, and in some cases, these were even higher than before the ban in designated smoking areas. The continued risks to the health of hospitality workers were heavily publicized. Repeated public surveys showed over 70% support for a complete ban in bars and restaurants. As a result of intensive campaigning, the law was amended and, from January 2nd 2011, smoking is prohibited in all enclosed bars and restaurants, and also in campuses of healthcare centers, schools, and children’s playgrounds. The complete ban has reduced by 90% secondhand smoke in hospitality venues and by 87% salivary concentrations in adult non-smokers. Spain has thus shown that partial bans do not work, and that public health scientists and consumers can join forces to persuade politicians to change their minds.

Michael Hübel, European Commission, DG Health and Consumers. Primary and secondary education in Germany and the United States. Studies of Political Science (major), Public Law and History (Germany and Australia). Worked in different youth and social organisations in Germany, including the German Red Cross (1989-1995). Since 1995 at the European Commission, initially in DG V (Employment and Social Affairs), then in DG Health and Consumers, working on health policy and strategy, later on environmental health determinants. 2004 Deputy Head of Unit, 2005-2012 Head of Unit for Health Determinants. Since January 2013 Head of Unit for Health programme and disease, with responsibility for the EU Health programme, and chronic diseases, including cancer, mental health and wellbeing, as well as rare diseases.

Dr Zsuzsanna Jakab, Regional Director, WHO Regional Office for Europe. Dr Jakab holds a Master’s degree in Humanities, Eötvös Lóránd University, Budapest; a postgraduate degree from the University of Political Sciences, Budapest; a diploma in public health from the Nordic School of Public Health, Gothenburg, Sweden; and a postgraduate diploma from the National Institute of Public Administration and Management, Hungary. She began her career in Hungary’s Ministry of Health and Social Welfare in 1975, being responsible for external affairs, including relations with WHO. Later she worked at the WHO/Europe in a range of senior management roles –Coordinator of the EUROHEALTH programme, Director of the Division of Information, Evidence and Communication, Director of Country Health Development and finally as Director of Administration and Management. She then became the State Secretary at the Hungarian Ministry of Health, Social and Family Affairs, where she managed the country’s preparations for European Union accession in the area of public health. In 2005 she became the founding Director of the European Union's European Centre for Disease Prevention and Control (ECDC) in Stockholm, Sweden. She built ECDC into an internationally respected centre of excellence in the fight against infectious diseases. Since February 2010 she has been the Regional Director for the WHO European office. Dr Mariam Jashi is a Deputy Minister of Labour, Health and Social Affairs, Georgia. Master of Public Administration and Public Health, Mariam is also a lead author/co-author of strategic plans and applications for Maternal and Child Health, HIV/AIDS, Malaria, Nutrition and Health System Strengthening. She is recipient of awards from the World Health Organization, European Office and the Alliance for Improved Nutrition, Parliament of Georgia. Her work was published in 2010 UN Millennium Development Goals Good Practices, 2011 Harvard Kennedy School Review and 2012 Health Policy and Planning (Oxford University Press). Dr Maris Jesse is the director of Estonian National Institute for Health Development. She holds medical degree from Tartu Universtity, Estonia and a MSc from London School of Hygiene and Tropical Medicine and London School of Economics and Political Science. She has led the Estonian Health Insurance Fund as Chairman of Management Board, worked in the World Bank as senior health specialist and as health policy analyst at PRAXIS Center for Policy Studies, Estonia. Dr. Jesse served as Member of Executive Board of WHO during 2009-2012.


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Presentation title: The Estonian experience in addressing NCDs. Abstract: Over the two decades, average life expectancy in Estonia has increased by 10 years, with decrease of cardio-vascular (CV) mortality one important factor. The presentation gives overview of the Estonian comprehensive health system approach to CV disease prevention and treatment with the aim to share experience and lessons learnt, as well as to identify challenges ahead.

Dr Mirjam Kalland, PhD, Adjunct Professor in social work and family research, University of Helsinki, and Secretary General, The Mannerheim League for Child Welfare (MLL) . MLL is developing support for parenthood within primary health care and Dr Kalland is the head of a research project evaluating the impact of mentalization based group support for first-time parents on family well-being and health.

Presentation title: Supporting early childhood development: the role of nursery care Abstract: The presentation will emphasize the importance of support for parents and young children, and briefly describe family politics and the support of early childhood in Finland. According to Save the Children’s The Mothers’ Index, Finland is the world’s best place to be a mother. Yet the number of children in foster care, the number of children/families needing child welfare services, and the number of children needing psychiatric services is rising. The presentation suggests that this development is linked to the fact that municipalities struggling with economical problems tend to cut services vital for children and families. Poverty among families with children began to increase in 1995, and has more than doubled since. These factors are expressed in a growing need for child welfare services. Failure to take preventive measures leads to the culmination of problems and major costs. However, a few examples of how preventive work is cost effective will also be given. Dr Ilona Kickbusch is the Director of the Global Health Programme at the Graduate Institute of International and Development Studies, Geneva. She has had a distinguished career with the World Health Organization, at both the regional and global level and was responsible for the Ottawa Charter for Health Promotion and for developing the “settings” approach. Most recently she has spearheaded the field of global health diplomacy. She was also involved in the development of Health2020 at the WHO EURO. Closing keynote: The Ottawa Charter was one of the first major health statements to draw attention to the link between resource use and health; it calls on countries “to counteract the pressures towards harmful products, resource depletion, unhealthy living conditions and environments, and bad nutrition”. Presently the United Nations is discussing the next generation of development goals: one of the challenges is to integrate the health, the sustainable development and the equity agenda in new ways. The RIO+20 agenda has underlined the need to address “unsustainable production and consumption” – this is a central part of the non communicable disease agenda; it reinforces many HIAP challenges, for example agricultural policies, food policies and trade policies. It highlights that many consumer behaviors are health behaviors – and it reinforces the need to vigorously address the commercial determinants of health.

Professor Knut-Inge Klepp is the acting Deputy Director General of the Norwegian Directorate of Health, and he is an adjunct professor at the University of Oslo in public health nutrition. He has previously served as chair of the Norwegian National Council on Nutrition and Physical Activity, and he is chair of the WHO European member state network on reducing marketing pressure on children. Presentation title: Marketing of food to children. Abstract: Food continue to be one of the most advertised product geared toward children, and food advertising makes up a greater proportion of promotions aimed at children than at adults. Advertised food is dominated by products high in calories, sugar and fat, while healthier food items such as fruit and vegetables continue to be significantly underrepresented. Available research demonstrates that children recall, enjoy and engage with these promotional efforts. Furthermore, research examining the associations between food promotion and food behaviors, determinants of behavior and diet-related health outcomes, finds modest but consistent evidence that the link is


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causal. In 2010, the World Health Assembly endorsed a set of recommendations on marketing of foods and non-alcoholic beverages to children, and this has since then been follow-up with a framework for how to implement these recommendations. Within Europe, a WHO network of member states has, since 2008, been working in order to share experiences and best practices to help identify and implement specific actions which could substantially reduce the extent and impact of such marketing on children. This presentation will address the current research status, lessons learned from Europe, as well as their potential implications beyond the European region.

Ms Taru Koivisto is the Director of the Health Promotion Unit at the Finnish Ministry of Social Affairs and Health. In addition to health promotion and HiAP, her unit is responsible for preventive health services, child health, school and student health, occupational health, communicable and non-communicable diseases, health enhancing physical activity and nutrition. She has long experience of international cooperation, representing Finland in WHO and other international meetings. She has served as the chairperson of the Council of Europe’s health committees and is currently a member of the Standing Committee of the Regional Committee of WHO/EURO. Her unit has key role in organizing the WHO Global Conference for Health Promotion 2013 in Helsinki. Before appointment to her current position she worked in the Ministry, being responsible for the Public Health Program and as Secretary General of the National Advisory Board for Public Health. Before the Ministry she worked in the National Board of Health since 1989.

Dr Mihály Kökény, M.D. Hungarian, trained for medicine, cardiology, health care management and political sciences. He was elected to the Hungarian Parliament in 1994 and served there between 1994 and 2010. He was working in various government positions including secretary of state (1994-1996, 2002-3), health and welfare minister (1996-98, 2003-4), government commissioner for public health coordination (2004-2006). In Parliament Dr. Kökény was the chairman of the Health Committee (1998-2002, 2006-2010). His international activity covers a broad field of health promotion, environment and health and health reforms as WHO, EU, OECD and World Bank consultant and speaker of major conferences. As of 2008 he became a member of the Executive Board of WHO. In May 2010 he was elected to be the Chairman of the Executive Board of WHO to serve until May 2011. He is a member of the Task Force of Global Health Europe, Switzerland, a senior advisor of the WHO Regional Director for Europe, a lecturer at the University of Debrecen, Faculty of Public Health in Hungary (on global health and health policy) and a senior fellow at the Graduate Institute of International and Development Studies in Geneva (on global health diplomacy).

Dr Anna V. Korotkova, MD, PH.D. is the deputy director on the international affairs of Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation. Particularly in her responsibility are questions of cooperation Ministry of Health and WHO as an adviser of Russian member of Executive Body. Anna Korotkova headed National Center for health quality improvement since 1996 and she was the Russian coordinator of the Russian-US intergovernmental commission on technological cooperation on health quality items. Since 2004 she is a chief of Monitoring and Evaluation Center for Global Fund Projects in Russia. Now Anna Korotkova actively cooperates with European Regional office through a participation in working groups and as a director of newly initialized WHO Collaboration Center for Health Systems and Public Health.

Dr Diane Levin-Zamir is Director of the National Department of Health Education and Promotion of Clalit, Israel's largest health service organization, and lecturer in health promotion in the Schools of Public Health in Haifa, Tel Aviv and Hebrew Universities. Diane is a summa cum laude graduate of Tufts University in Boston, and earned a MPH and PhD from the Braun School of Public Health of Hadassah Hospital and Hebrew University’s Faculty of Medicine in Jerusalem. Diane is coordinator of the Global Working Group on Health Literacy of the International Union of Health Education and


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Promotion and serves on the editorial board of the Global Health Promotion Journal as well as editor of the HP-Source.com for building capacity in health promotion.

Dr Srdan Matic is the Coordinator for environment and health programmes at the WHO Regional Office for Europe since 2010. Prior to that, he served in the Organization as the Regional Adviser for HIV/AIDS, STI and viral hepatitis; Head of Unit of Communicable Diseases and as Head of Unit of Noncommunicable diseases and environment. Until 2001, he was the Director of Public Health Programs at the Open Society Institute in New York. Dr. Matic is a graduate of the Medical Faculty of the University of Zagreb, Croatia.

Professor George P Morris, BSc (Hons), PhD, FREHIS, FFPH. Throughout a career in environment and human health, George Morris has worked in local government, in academia and as an NHS Consultant. When seconded to Scottish Government as a Scientific Policy Adviser, he led development of a new national policy initiative “Good Places, Better Health”. Most recently his work has focused on complexity in environmental public health and challenges of building population health on ecological principles. He held the post of Consultant in Ecological Public Health with, NHS Health Scotland before leaving to pursue an independent career in 2011 and was recently appointed Honorary Professor with the European Centre for Environment and Human Health. Presentation title: Revisiting Health in All policies in Times of Environmental Crisis Abstract: For perhaps 30 years, and certainly in the developed world, governments and others with responsibility for population health have been challenged over how to reflect in policy and action the reality that health is created and destroyed by multiple influences in complex interaction. The task is sometimes presented as one of navigating in “socio-ecological” complexity. Recent acceptance of damage to planetary systems and processes from human activity now demands that health and wellbeing are pursued on ecological principles. This implies heightened urgency and additional complexity but can also present opportunities when supported by appropriate tools to think, engage and communicate.

Dr Matt Muijen, MD PhD is the Programme Manager for Mental Health at the WHO Regional Office for Europe. He is responsible for planning and coordinating mental health policies and strategies, research, dissemination and implementation in the Region, and is working actively with many countries. His present priority is the drafting of a new WHO European Mental Health Action Plan for Europe, to be approved in September 2013 by the 53 European Member States. WHO is also working with its partners to implement the Bucharest Declaration: ‘Better health, better lives: children and young people with intellectual disabilities and their families’.

Ms Kristiina Mukala, Ministerial Counsellor, Health and Medical Affairs. Kristina is MD, PhD, specialist in occupational health and in occupational medicine and specialist in public health as well as health administration. Kristina’s working career briefly: As a 1) general practitioner in Vantaa Health care centre, 2) senior researcher at Finnish Public Health Institute, doing research in environmental epidemiology (air pollutants). Teacher, team leader and senior physician at Finnish Institute of Occupational Health (FIOH) for 10 years as teaching Occupational Health, developing the occupational health service system and contents of Occupational health, doing research in OHS. 4) Senior Officer in Occupational Health at Finnish Defence Forces, 5) Ministerial Counselor (Health / Medical Affairs) in the Ministry of Social Affairs and Health

Professor Kiti Müller. Research professor, neurologist Kiti Müller is the director of the Brain and Work Research Centre at the Finnish Institute of Occupational Health. She talks about the importance of supporting brain and mind welfare of workers of all ages. Presentation title: Promoting a brain friendly working environment – Implementing brain research into practise. Abstract: In a 24/7 open society and global economy, mobility of work and the emergence of virtual,


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culturally diverse, working communities that do not share the same physical location or time zone have increased. Irregular and long working hours are common in many professions. Constant change in work content, our ways of organizing work, technologic applications and other working tools, management, leadership and organizational structures present cognitive challenges that workers’ have to cope with. Upgrading of skills and learning new ones is an essential part of work. Through human thinking information becomes knowledge and with experience we gain knowhow. The Brain and Work Research Centre focuses on cognitive neuroergonomics: Applied brain and behavioural research is linked together with human factors at work and working life research. Implementation of research results and new practises into working environments for minding the brain and mind and identifying factors that burden workers requires collaboration with labor unions and representatives of employers. Commitment of policy makers to use the produced knowledge for promoting a brain friendly working environment is highly important.

Dr Lars Møller is a Medical Doctor, graduated from the University of Copenhagen. He has a post-graduate specialization in Public Health Medicine and a Doctoral Degree in Medical Science. After clinical work he worked as a full time researcher at the University of Copenhagen followed by assignments at the National Board of Health and as a public health physician at Copenhagen County. Since 2001 he has been working for World Health Organization where he is the Programme Manager for Alcohol, Illicit Drugs and Prison Health Programmes.

Mr Clive Needle is an independent public policy and strategy advisor for international organizations currently based in Europe, particularly those connected with the EU. Previously an elected Member of the European Parliament specializing in public health and global development, he has been director of EuroHealthNet, the European network for health promotion agencies and actions on social determinants of health and equity (www.healthpromotion.eu ), since 2000. He has worked extensively with multiple EU and WHO events and processes since then, and been involved in the production of numerous project reports and policy recommendations, communications and advocacy materials, partnerships and capacity building. Clive has also been a commentator and writer on EU and current affairs, and previously worked with business, voluntary and public sectors relevant to approaches seeking to embed and improve health across all policies and practices.

Dr Ülla-Karin Nurm is a senior expert and Head of Communication Science Support section at the European Centre for Disease Prevention and Control (ECDC) where the main focus of the work is on activities related to behavioral science, risk communication and health promotion. Formerly seved as head of the Public Health Department at the Ministry of Social Affairs in Estonia. Has been trained as a medical doctor at the University of Tartu in Estonia. Public Health specialization in behavioral science, social marketing and international health policy and management is from Rollins School of Public Health, Emory University, Atlanta.

Hannele Palosuo, Senior Researcher, Division of Welfare and Health Policies, National Institute for Health and Welfare (THL), Helsinki, Finland. Hannele Palosuo has taught medical sociology at the University of Helsinki and carried out comparative research on health, well-being and lifestyles. In the past decade she has been involved mostly in doing research on health inequalities and health policy in the National Institute for Health and Welfare (THL). She was one of the secretaries in the preparation of the National Action Plan to Reduce Health Inequalities in Finland. Presentation title: National Action Plan to Reduce Health Inequalities – From Rhetoric to Action? Abstract: Not only the level of health but also its equal distribution was formulated as the goal of health policy in Finland in 1972, well before the Health for All –movement. Health inequalities have been on the agenda of health policy programmes recurrently since the 1980s. The first action plan to reduce health inequalities was launched in 2008. The aim was to tackle social determinants of health through welfare policies, to reduce harmful effects of unhealthy lifestyles and to promote equity in service use. In addition, proposals were directed to developing a more extensive information basis,


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developing equity oriented impact assessment and improving dissemination of relevant data. There were nearly 30 separate measures included in the 15 action proposals of the Action Plan. Participating actors included ministries (health and social affairs, agriculture and forestry, education, traffic, environment, employment and economy, finance), various national multiactor advisory boards, municipalities, NGOs, government research institutes and National Insurance Institution. In the evaluation of the Action Plan, many of the measures were considered successfully accomplished during the time period of the plan (2008–2011). These included initiatives to improve occupational health, to increase availability of healthy meals for those in mobile jobs or small workplaces and to increase taxes on alcohol and tobacco. However, most of the upstream level social determinants (or root causes) of social inequalities that were outlined in the Plan (e.g. reducing poverty, reducing unemployment and reducing homelessness) were considered to be taken care of in other programmes and policies and were not tackled in the measures of the Action Plan. There are always inherent controversies in programmes that deal with inequity. The context of health policy is analyzed in a framework of “Five I’s” to highlight the tensions that are frequently present and interfere with the implementation of a policy programme. These domains cover information needed in health policy, background ideologies, interests of various actors, institutions involved, and the implementation process itself.

Mr Kari Paaso is a lawyer currently working with the Finnish Ministry of Social Affairs and Health. He is the head of Unit for Harm Prevention. The main areas of the Unit are alcohol policy, tobacco policy, drugs policy as well as other addiction related policies in the Finnish Government. Prior to present position Mr Paaso worked with the European Commission from 2002 to 2006 and with the WHO European office as a responsible officer for tobacco and alcohol. He has been following the FCTC negotiations since the beginning of the process. Presentation title: Legislation as a powerful means in health promotion. Abstract: The problem with health promotion is often the vagueness of it. What do we mean when we talk about health promotion? Do we mean information campaigns: do not smoke, eat vegetables, and avoid saturated fat? Could legislation be used as a means in health promotion? Can we oblige citizens to behave in a healthy way? Is it possible to regulate industry to decrease its sales/at least not to actively increase? In Finland we have long had a comprehensive approach to promoting health/preventing harm. One important aspect has been legislation. Alcohol is a good example. Since alcohol causes numerous problems to a society as well as to individuals it is very wise to regulate the availability of the substance. Finland even tried a total ban. Tobacco is a good example of how successfully legislation can be used to try to curb a global epidemic. My presentation uses the FCTC as an example on a successful use of legislation as a means in health promotion and discusses first what is needed to bring about the momentum for a legislation, then what it should contain and finally how it should be implemented.

Dr Petteri Paronen, Ph.D. , Mayor of Kuopio. 1978-2001, University of Kuopio, Finland: assistant, professor of pharmaceutical technology, dean, vice-rector, rector; 2001 – , City of Kuopio, Finland: Mayor; Several memberships in Healthy Cities and Public Health organization and committees in governmental and local level. Presentation title: HIAP in National and Municipal level in Finland. Abstract: Focus of the presentation is, firstly, on the structures of health promotion in municipal level in Finland. Smooth collaboration between different service sectors and NGOs is important. WHO Healthy Cities movement and Finnish Network of Healthy Cities has important supportive role. New web based methods suitable for benchmarking and reporting are nationally developed and locally widely used. Practical health promotion examples from Kuopio City described include community centres, early support of elderly people, well-being kiosks and benefits of custom oriented working habits. Finnish municipalities are still very heterogeneous in their health and well-being promotion activities although new legislation put the primary responsibility to them.


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Mr Bosse Pettersson, Sweden, has been active in public health since the mid 1970’s. He has a longstanding and broad experience from health promotion at all national governance levels, from WHO regionally and globally and from the EU. From 1987 he was engaged in establishing a national Bachelor and Master’s programme at the Karolinska Institute in Stockholm. In the early 1990’s he was one of the members in a governmental strategy team proposing the re-establishment of Swedish National Public Health Institute (SNIPH), to which he was recruited from its start in 1992. Later he was appointed deputy D-G for the SNIPH. From 2008 he worked part time for the Ministry of Health and Social Affairs as a Senior Public Health Policy Adviser and later in the same capacity for the National Board of Health and Welfare. In parallel he is self-employed as an Independent Public Health Consultant working mainly with lecturing at universities and commissioned work for different public entities in Sweden and Europe. Bosse Pettersson was the Secretary General for the 3rd International Health Promotion Conference on Supportive Environments in Sundsvall, Sweden, 1991.

Professor José Pereira-Miguel, President of the National Institute of Health, Ministry of Health, Lisbon, Portugal. Chair Professor of Preventive Medicine and Public Health, Head of the Institute of Preventive Medicine, Faculty of Medicine, University of Lisbon, Portugal. Presentation title: Public Health coping with the financial crisis in Portugal. Abstract: Financial crisis in Portugal : consistent growth of unemployment rates (17,8%); consistent decrease of GDP (-4,0%). Potential solutions: take more advantage of what we already have (health care networks, health workforce, clinical guidelines and norms), poverty to be considered a public health emergency; increase surveillance and control of health problems of the more vulnerable (specially children and the elderly); “reorientation” of established strategies and interventions to respond the current real needs; expand research on the social determinants (trying to forecast impacts) and health services research to adapt to the new context and health needs; establish or reinforce partnerships with a common agenda and planning; strong communication strategy for capacity building and empowerment of all actors (population and key stakeholders). What has been the health sector action in mitigating the problems? Serious compromise with the financial adjustment agreement with the troika (ECB, IMF, EC) (on financing, pricing and reimbursement of pharmaceuticals, rational prescription and monitoring, pharmacies sector (regulation), centralised purchasing and procurement, primary care services (more USF; GP in needed areas), hospital services , cross services); at the highest political level disease prevention and healthy lifestyles have been explicitly included in the government programs; cheaper pharmaceuticals made possible to reduce drug spending by families; clinical guidelines were produced in many economically sensitive domains; increase access to GP; attempts to improve access to specific care ; maintenance of the national helpline for advice and guidance on health (Health 24); National Health Plan & nine priority national programs; research - primary care & health services research (role of the National Health Institute); better control of fraud and abuse.

Dr Jürgen Rehm, Ph.D. has been appointed the Inaugural Chair for Addiction Policy at the Dalla Lana School of Public Health of the University of Toronto. In addition he holds positions at the Centre for Addiction and Mental Health (Toronto, Canada) as Director of the Social and Epidemiological Research Department and Head of the PAHO WHO Collaborating Centre, and at the Institute for Clinical Psychology and Psychotherapy of the Technical University Dresden (Germany). Dr. Rehm has published more than 600 peer-reviewed publications in addiction research, comprising studies in epidemiology, economics and clinical research, the latter especially in the area of treatment evaluation. He is listed among the ISI most highly cited in the fields of social research and epidemiology and has been awarded the Jellinek Award, the most prestigious award in alcohol research. He has served as consultant to many countries, and is currently member of the WHO Expert Advisory Panel of on Drug Dependence and Alcohol Problems. Presentation title: The European Status Report on Alcohol and Heath 2013. Abstract: Europe has been the region of the world with the highest level of alcohol consumption. The EU countries, while consuming lower than some countries in Eastern Europe, contribute to this


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overall level. Alcohol consumption in the EU has been going down over the past 20 years, but still is more than twice the global average. Given high exposure to alcohol, it is no surprise that alcohol-attributable harm is also high. This presentation focuses on the mortality associated with alcohol consumption, in particular on alcohol-attributable cancer, liver cirrhosis and injury deaths. There is a clear West-East gradient in the EU with higher alcohol-attributable mortality in the Eastern part of the EU.

Dr Maria Renström, Director, The Ministry of Health and Social Affairs Sweden. Responsible for alcohol, drugs, doping and tobacco policy. Between 2004 - 2007 expert at the European Commission drafting the EU alcohol strategy. In 2007-2008 seconded to WHO at the Substance Abuse team working with among other things with the Global Alcohol Strategy and the Status Report. Presentation title: The policy development in Europe after the adoption of the key documents at EU and WHO Euro level. Abstract: The European Region was the first WHO region to adopt a policy instrument for Member States in 1992, and most recently, an action plan for the implementation of the global strategy to reduce the harmful use of alcohol in 2011. The first EU Alcohol Strategy was adopted by the European Commission in October 2006. In 2006 WHO Regional Office for Europe and the EU signed an agreement to update and expand the European Alcohol Information System to facilitate the follow- up of the policy development in Europe. A joint EU and WHO Status Report on Alcohol and Health in 35 European Countries was published in 2013. This presentation will describe and comment on the policy outcome.

Dr Guenael Rodier, MD, MSc, is Director, Division of Communicable Diseases, Health Security and Environment, WHO Regional Office for Europe. Prior to his present position, he worked at the World Health Organization Headquarters as Director, International Health Regulations Coordination, and from 2000 to 2005, as Director, Department of Communicable Disease Surveillance and Response. His previous work experience includes service with the International Health Program, University of Maryland, Baltimore, and as an infectious disease epidemiologist with the United States Navy, Medical Research Unit No.3, Cairo, from 1990 to 1994. Dr Rodier started his career as a clinician in East Africa, 1983-1989. He has a large international experience in infectious disease control, disease surveillance and outbreak response.

Dr Sirpa Heljä Sarlio-Lähteenkorva, PhD (Public health), Adjunct Professor (Nutrition). Dr Sarlio-Lähteenkorva works as a Ministerial Adviser and Deputy Director of the Health Promotion Unit at the Ministry of Social Affairs and Health in Finland. She is responsible for nutrition policy issues and works also with other health promotion activities, especially those with health in all policies approach. Previously she worked at the Finnish Food Safety Authority (Evira), and as a researcher and acting Professor in Medical Sociology at University of Helsinki. She has been responsible for teaching Health Promotion at the Medical Faculty at the University of Helsinki and has been active in the governing bodies and steering groups of several NGO’s and projects. Her publications include more than 60 scientific publications in peer-review journals and books as well as almost a hundred other publications.

Dr Sinne Smed is an assistant professor at the Department of Food and Resource Economics at the University of Copenhagen. She uses econometric methods to evaluate and simulate the effects of different policy instruments to regulate consumer behavior in relation to health behavior. Examples of her work could be to evaluate the effects of an information campaigns or to simulate the effects of a tax on some unhealthy food. Presentation title: Price policies for healthy eating. Abstract: Denmark was the first country in the world to introduce a tax on an ingredient that is naturally present in many foods. The fat tax amounted to 2.15 € paid on the weight of saturated fat. The tax came into force the 1st of October 2011 and even though there is evidence that the tax had


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some effect on the consumption of saturated fat it was abolished again 1st of January 2013. The main reason for the abolishment was concern about border trade and competitiveness.

Ms Brigit Staatsen is currently a project-manager of the Knowledge and Information Centre on Environment and Health at the Dutch National Institute of Public Health and Environment (RIVM), The Netherlands . Aim of this centre is to support policy-making and integrate and disseminate information on topics like healthy environment, healthy mobility, indoor air and emerging risks. She is also project-leader of the Atlas Living Environment: a webportal for citizens and professionals with maps , tools and background information on environment and health (www.atlasleefomgeving.nl). Internationally, she has contributed to several projects of the Pan-European Programme of WHO-UNECE on Transport, Health and Environment (THE- PEP). One of the products was a toolbox on healthy mobility (www.healthytransport.com). Presentation title: Pioneer of HiAP: transport and health –make way for the bicycle. Abstract: Promotion of healthy mobility (walking and cycling) has been of the first demonstrations of intersectoral collaboration. Within the framework of the Pan-European Programme of WHO-UNECE on Transport, Health and Environment (THE- PEP), ministries of transport, health and environment worked together to diminish negative environmental and health impacts of transport and ask attention for the positive impacts of transport means like cycling. Almost half of the European population does not meet the recommendations of physical activity (at least half an hour daily). That could be improved if people used their cars less often. Around one third of trips currently made by car are shorter than 3 km and there is great potential for more trips to be made on foot or by bicycle, especially in urban areas. The level of cycling is higher in countries that have a more cycling-friendly policy, dedicated investments and a safe cycling infrastructure. Experiences of the Netherlands were shared in different ways with several countries through the PEP. Some examples, results and lessons learned will be discussed.

Ms Tone P. Torgersen, Senior adviser Norwegian Directorate of Health, Msc Health Policy Planning and Financing University of London. Her field of expertise is public health policy development, particularly on health inequalities and social determinants of health. The last decade she has taken part in the development of several national public health policies; White paper (2002-2003) prescriptions for a healthier Norway; White paper (2006-2007) National strategy to reduce social inequalities in health and; (2010-2012) The Norwegian Public Health Act. Presentation title: Lessons learnt – European and national action plan on inequities and health. Abstract: Norway is a highly developed welfare state in Northern Europe. In the development of the welfare state from the mid 20th century equity has been a key ambition. Typical features include comprehensive universal social programs and public services that are mainly provided in a decentralized way by a large public sector, financed through progressive taxes. Infant mortality rates are low and life expectancy is high in the country with relatively small inequalities both between social classes and between women and men. Yet Norway faces social inequalities – a gradient in health - caused by inequalities in social determinants of health across society and the life course. In order to reduce inequalities in health, intersectoral action on the social determinants of health is needed. In the 90s Public health policies mainly focused on disease oriented strategies and were developed towards lifestyle approaches. In 2004 Norway started to build capacity on health inequalities and social determinants of health. A call for comprehensiveness and action on social determinants of health developed. In 2007 the white paper national intersectoral strategy to reduce social inequalities was launched. The strategy changed the problem definition of public health from one of individualization with a focus on health behaviors to a structural understanding that emphasizes the challenge of the health gradient and social determinants of health. Policy areas were: Income, Childhood conditions including education, Work, Health behaviour, Health systems, Social inclusion. An intersectoral reporting system was set up to track the implementation of the strategy. On the local level a new public health act that came into force in 2012 and places responsibility for public health work as a whole-of-municipality responsibility. The act is based on five fundamental


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principles; Health equity; Health in all policies; Sustainable development; Precautionary principle and Participation. The requirements for Whole of society approach at local level resulted in a call for stronger commitment to whole of society approach on national level. On 26 April this year the government therefore launched a new white paper Good health – Common responsibility. The white paper identifies responsibilities across sectors and actors for the common purpose of creating a society for good and equitable health.

Dr Agis D. Tsouros is Director of the Division of Policy and Governance for Health and Wellbeing at the WHO Regional Office for Europe, Copenhagen. The main Divisional focus is on implementation the new European Health Policy - Health 2020; national health policies; governance for health; social determinants of health, equity, gender and human rights; migrants and Roma health; Healthy Cities and Regions for Health networks and mainstreaming health promotion. He is particularly interested in health policy development at all levels, addressing equity and the social determinants of health and implementing health in all policies.

Ms Joanne Vincenten, Director, European Child Safety Alliance . Joanne Vincenten is presently the Director of the European Child Safety Alliance. She manages and leads an active network with more than 30 countries and 3 international societies to enhance policy development, best practice application and strategic alliances for child injury prevention throughout Europe. She is an expert advisor for child safety to the European Commission, World Health Organization and UNICEF.

Professor Kristian Wahlbeck is psychiatrist and MD, currently working as the Director of Development of the Finnish Association for Mental Health (FAMH). Previous posts include being Senior Technical Officer at the WHO Regional Office for Europe and Professor of Psychiatry at University of Helsinki.

Dr Barbro Westerholm, M.D. Prof. emerita. Present positions: Member of the Swedish Parliament. Member of the Swedish National Council on Medical Ethics, Member of Health Expert Group, AGE (European Older People’s Platform). Former positions: Director General, Swedish National Board of Health and Welfare; Vice President, Executive Board, World Health Organization; Medical Director, Swedish National Corporation of Pharmacies; President, Swedish Association of Senior Citizens; Vice President, AGE (European Older People’s Platform). Presentation title: Older people a resource, not a burden. Abstract: In the book “Health Crisis 2000” by WHO published 1982 you can read “The elderly have an important social role to play. They are often the most experienced members of society. They may have more physical needs than the rest of the family but they are often those who demand the least. If they are allowed, they can play a positive role when it comes to upbringing of children, give stability in the home and give parents possibility to relaxation from the needs of their children. They can by means of their life experience be a psychological anchor in times of stress.” Obviously WHO at that time wanted to underline the resource older people represent. We now witness a change in demography which we have used to describe as a pyramid. It has now turned to the shape of a skyscraper and will in a few years change to the shape of a muffin. The world is ageing but there are large differences in life expectance between and within countries. Educational, socioeconomic, gender and life style differences lie behind the figures but scientific data are sometimes contradictory. Healthy aging is of vital interest both for the individual and the society. The most important factor for older people is to feel needed, to remain somebody all through life, not turn into a nobody. We should welcome older people who want to and can remain at work and to engage in non-profit organizations. We should show appreciation of the support they give their families, friends, neighbors etc. An obstacle here is ageism which can result in age discrimination. Therefore EU:s proposed broad directive against age discrimination including health and social welfare, goods and services should be approved by Member states. It will send a signal that ageism and age discrimination in all walks of life are not accepted by society.


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The list of health promotion for older people also includes physical activity, brain exercise, accident prevention, nutrition, non-smoking, respect for alcohol, vaccinations against influenza and pneumonia, rational use of medicines, prevention of elder abuse and housing according to needs. Healthy ageing cannot be accomplished by the health care sector alone. It needs the collaboration of other sectors like housing, education, transportation, food production etc. Action has to be taken at different levels, from the global level to the level of the individual citizen. I will close with a quotation from Piet Hein (1905 – 1906) who wrote this to a WHO meeting in the 1980-ies:”Health is not bought with a chemist’s pills, nor saved by the surgeon’s knife. Health is not only the absence of ills, but the fight for the fullness of life”. This is very true for older people – the fight for the fullness of life.

Dr Zoltán Vokó MD MSc PhD. A physician, epidemiologist, and public health specialist by training. He has a working experience as a physician, academic researcher, lecturer (Erasmus University, Debrecen University), and as a governmental official (Ministry of Health, director of the National Institute for Health Development). Currently he works as an associate professor of epidemiology at the Eötvös Loránd University, and as the medical director of Syreon Research Institute.

Dr Erio Ziglio has been the Head of the WHO European Office for Investment for Health and Development in Venice, Italy since 2002. In addition to his 20 years of work with the World Health Organization, he has over 15 years of professional experience in the academic world both in Europe and North America. He worked for the European Commission for three years as a public health consultant in the late 1980s. He has lectured internationally and published widely on the subjects of health promotion, health policy and planning and health and development. He held an Honorary Professorship at the University of York, and was an Honorary Research Fellow at the University of Edinburgh, where he received his PhD in 1985. For several years he was a member of the international teaching staff at the Public Health School, Yale University. Since 2013, Dr. Ziglio has been a Professorial Fellow to the Royal Society for Public Health, London, UK.

Documents

EUROPE DAY - 13 JUNE 2013 · 2013-10-10 · Jaakko Kiander Senior Vice-President Ilmarinen Mutual Pension Insurance Company Finland A panel discussion between senior policy-makers