PHASE Public Health Adaptation Strategies to Extreme weather events

Transcription

1 PHASE Public Health Adaptation Strategies to Extreme weather events Dissemination Action Plan

2 Contents 1. PHASE introduction 2. PHASE objectives 3. PHASE partners 4. PHASE work packages & deliverables 5. Work Package 2: objectives and deliverables 6. Planned dissemination activities 7. Dissemination materials 7.1. Project website 7.2. Promotional leaflet 7.3. Stakeholder analysis 7.4. PHE Extreme Events Bulletin 8. Presentations and posters 9. Events and meetings Annex 1- Acronyms

3 1. PHASE introduction The Public Health Adaptation Strategies to Extreme Weather Events (PHASE) project was a three year international collaboration started in 2011, funded by the Executive Agency for Health and Consumers (EAHC) within the European Commission Health Programme (contract number EAHC ). The project included eight European countries (Finland, France, Greece, Hungary, Italy, Spain, Sweden, and the United Kingdom) and was coordinated by the Department of Epidemiology, Lazio Regional Service (Italy). The aim of the project was to provide a framework of tools for the preparedness and response to Extreme Weather Events (EWE), (e.g. heat waves, cold spells, flooding), and their environmental consequences (wildfires, air pollution) in order to reduce the impact on public health. A specific aspect of the project was to apply new methodologies to improve knowledge on the health effects of EWE and to identify individual risk factors. A key aim of the PHASE project was to improve preparedness and response to reduce the impact of EWE on public health. Tools to improve prevention efforts were developed, and subgroups vulnerable to EWE were identified in order to target prevention activities and optimise resources. 2. PHASE objectives PHASE built upon findings from previous EU projects by filling the knowledge gaps with innovative research methodologies. The project helped improve the existing response to EWE that represent a serious health threat for European populations. Collaboration developed within the project aimed to set the foundations for the establishment of a network between local and international institutions, to reduce the impact of future climate change on health. The general objectives were to: Increase population and institutional awareness of the health risks associated with EWE Increase efficiency and effectiveness of warning systems and prevention measures for EWE through evaluation Provide national and local governments, and health and social services, with a framework of tools to improve preparedness and help mitigate the impacts of EWE on health, taking into account local health care systems and infrastructure characteristics in the European Union Target prevention activities to specific vulnerable population subgroups

4 3. PHASE partners Coordinating partner: Department of Epidemiology, Lazio Regional Health Service, Rome, Italy Associated partners: Extreme Events and Health Protection, Public Health England, Umeå University (UmU), Occupational and Environmental Medicine, Umeå, Sweden Université Pierre at Marie Curie (UPMC), Paris, France National Institute of Environmental Health (NIEH), Budapest, Hungary National Institute for Health and Welfare (THL), Helsinki, Finland Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO, Valencia, Spain National and Kapodistrian University of Athens (NKUA), Athens, Greece Collaborating partners: Institut de Veille Sanitaire (INVS), Paris, France Italian Department of Civil Protection (DCP), Rome, Italy WHO Regional Office for Europe, Copenhagen, Denmark

5 4. PHASE Work Packages and Deliverables WP1 Coordination of the project Number Deliverable name Work package leader 01 Technical and financial interim report (x2) Department of Epidemiology, Lazio 02 Technical and financial final report Regional Health Service, Rome, Italy WP2 Dissemination of the project 03 Promotional leaflet 04 Development of project website 05 Dissemination plan Public Health England, United Kingdom 06 Development of science-policy interface 07 Collaboration in final workshop WP3 Evaluation of the project 08 Evaluation protocol Department of Epidemiology, Lazio Regional Health Service, Rome, Italy 09 Progress evaluation reports 10 Final report WP4 Prevention of health effects of heat waves and cold spells (framework of tools to improve preparedness for and response to heat waves/cold spells 11 Protocol including methods for health impact assessment 12 Indicators to monitor the health impact 13 Procedures to implement/evaluate prevention measures and warning systems National and Kapodistrian University of Athens (NKUA), Athens, Greece WP5 Adaptation tools to prevent the health effects of flooding (framework of tools to improve preparedness for and response to flooding) 14 Tools and guidance for creating resilience to the health impacts of flooding, including evidence on the health risks/benefits of flood structures Public Health England, United Kingdom WP6 Prevention of health effects of wildfires (framework of tools to improve preparedness for and response to wild fires) 15 Report on the acute and chronic health effects of air pollution at risk areas 16 Mitigation measures, and methodology for assessing the health impacts of wildfires WP7 Synergies between air pollution, extreme weather events and wildfires 17 Report on how extreme weather events/wildfires change the composition of Université Pierre at Marie Curie (UPMC), Paris, France National and Kapodistrian University of Athens (NKUA), Athens, Greece air pollution 18 Report on the synergy between air pollution and extreme weather vents/wildfires WP8 Identification of subgroups vulnerable to extreme weather events 19 Literature review of existing selection procedures in European countries 20 Definition of methods for the identification of susceptibility factors 21 Selection of population subgroups Umeå University (UmU), Occupational and Environmental Medicine, Umeå, Sweden

6 5. Work Package 2: objectives and deliverables The aim of Work package 2 was to promote resilience and actions to reduce the health risks associated with EWE, in particular flooding. These objectives were developed and implemented as a part of collaborative efforts to share knowledge and to improve procedures across Europe. The tasks undertaken within this work package have contributed to the identification of a network of policy makers and researchers. This network includes representatives of the Executive Agency for Health Consumers, International Health and Environmental Institutions, Public Health and Social Care Stakeholders, Policy Makers (national, regional health and environmental ministries, civil protection), and the general public. 6. Planned dissemination activities In collaboration with other PHASE the dissemination activities included: a) the development of a PHASE project website b) the publication of promotional leaflet c) a stakeholder analysis to gather a pan-european overview of key stakeholders d) the development of a dissemination plan (updated every six months) 7. Dissemination materials The promotional materials prepared were available for all the partners of the PHASE project to be presented during conferences and workshops related to the health effects of EWE and their environmental consequences. 7.1 PHASE website The PHASE website was launched to improve awareness of the project and provide a source of information about the project, its aim, work packages, project partners and the Health Programme of DG Sanco. With the assistance of PHASE partners, the website was updated by PHE every month to promote the programme outputs and raise awareness of the health impacts of EWE. When published, PHASE outputs including publications and posters were published online in a timely manner. The outputs of meetings, including the WP5 European Flood Workshop Report were also disseminated via the website. 7.2 Promotional leaflet The PHASE promotional leaflet, created by PHE, was disseminated via the PHASE website. 7.3 Stakeholder analysis With the support and input of the PHASE partners, PHE undertook a stakeholder analysis to identify key project partners and response frameworks in PHASE countries. This analysis identified a network of supra-national bodies, national government, environmental and health organisations, local authorities, voluntary sector, non-governmental organisations, and health professionals involved in EWE prevention activities. The stakeholder analysis was also shared with PHASE partners to identify vulnerable sub groups across the work packages.

7 7.4 PHE Extreme Events Bulletin PHE produces an Extreme Events Bulletin to provide a topical update of current extreme weather events occurring worldwide to over 2000 international subscribers. On several occasions, the Bulletin has been used to promote PHASE project by incorporating its logo and providing links to the project website; additionally information on new publications was included when possible. Opportunities to promote PHASE through networks such as the Living with Environmental Change (LWEC) partnership have also been taken, for example by including information about PHASE in the Flood and Coastal Erosion Risk Management (FCERM) newsletter. 8. Presentations and posters Several opportunities for the promotion of the PHASE project were identified and supported by members of EEHP staff (Table 1). Presentations given within these events supported the dissemination and help raise awareness of the PHASE project. Table 1. A selection of opportunities utilised to promote the PHASE project. Title Event (name, date, place) Presenter Extreme events and climate change what are the challenges (oral presentation) Extreme events and their impacts nationally and internationally (oral Health effects of flooding: issues for health protection in the UK (poster Extreme Events how well planned are we in the UK? (oral The human impact of emergencies and disasters: the case of flooding (oral Flood Management and Emergency Planning Prevention, Protection and Preparedness (oral Power outages, extreme events and health: a systematic review of the literature from (oral PHE flood health advice: a study on effectiveness (poster Power outages, extreme events and health: a systematic review of the literature from (poster Extreme Events & Public Health England: Are we ready in the UK and what is our role internationally? (oral presentation) Effective flood guidance: PHE/EA public flooding advice (oral Chartered Institute of Environmental Health Conference, 8 th May 2013, Cardiff. European Masters in Disaster Medicine, 11 th May 2013, Milan, Italy. Five Nations Health Protection Conference, 14 th -15 th May 2013, Dublin. Public Health Medicine Environmental Group update seminar. Wednesday 12 th June 2013, London. Mental Health, Marginal Communities and Well-being: the Public Health Challenge. Thursday 4 th July 2013, London. Emergency Planning in a New Age of Uncertainty: Building the Nation s Resilience to Flooding. Wednesday 18 th September 2013, London. Dealing with Disasters. 4 th 6 th September 2013, Newcastle, UK. Public Health England Conference. 10 th - 11 th September 2013, Warwick University, UK. Public Health England Conference, 10 th - 11 th September Warwick University, UK. St George s Leadership in Disaster Medicine teaching course. 22 nd October 2013, St. George s University, London. 29 th January 2014,. Angie Bone Stanke Landeg Landeg

8 Surveillance tools for measuring impact of flooding (oral Case studies of community resilience to flooding: the UK experience (oral Carbon monoxide poisoning and flooding; changes in risk before, during and after flooding require appropriate public health intervention (poster Power outages, extreme events and health: a systematic review of the literature from (poster Assessing the possible implications of wetland expansion and management on mosquitos in Britain (poster Protocol for establishing a health register after a flood (poster PHE flood factsheets: as study of their usefulness (poster Health consequences of flooding (oral Flooding in England in winter 2013/14: Public Health England s response (oral Effective flood resilience in health providers: flooding at a major NHS Blood and Transplant facility, UK (oral Evaluation of the PHASE Health-Related Flooding advice leaflets during 2013 flooding in the UK (oral Summary of the WP5 European Flood workshop (oral WP5 Adaptation tools to prevent the health effects of flooding (oral The Cold Weather Plan for England (oral 29 th January 2014,. 29 th January 2014,. 29 th January 2014,, and Second NHP Hazard Impact Model Conference, 19 th -20 th March 2014, Exeter, UK. 29 th January 2014,, and Second NHP Hazard Impact Model Conference, 19 th -20 th March 2014, Exeter, UK. 29 th January 2014,. 29 th January 2014,, and Second NHP Hazard Impact Model Conference, 19 th -20 th March 2014, Exeter, UK. 29 th January 2014,. Second NHP Hazard Impact Model Conference, 19 th -20 th March 2014, Exeter, UK. 5 Nations Health Protection Conference 2014, May, Royal York Hotel, York PHASE FINAL Meeting, 5-6th June 2014, Rome PHASE FINAL Meeting, 5-6th June 2014, Rome PHASE FINAL Meeting, 5-6th June 2014, Rome PHASE FINAL Meeting, 5-6th June 2014, Rome PHASE FINAL Meeting, 5-6th June 2014, Rome Catherine Keshishian Richard Amlot & Holly Carter Thomas Waite & Landeg Jolyon Medlock Catherine Keshishian Stanke Landeg Angie Bone Angie Bone & Landeg Angie Bone & Landeg Angie Bone & Landeg Angie Bone & Landeg Angie Bone & Landeg

9 9. Events and meetings Dissemination of the PHASE project was also carried out through various internal and external meetings, steering groups, workshops, and other events. A selection of these events is documented in the Table 2. Table 2. A selection of meetings utilised to promote the PHASE project. Date Title of event Delegate Participants Aim of event 11/04/2012, 19/04/2012, 09/05/2012, Durham, UK 14/05/2012, 18/05/ /05/2012, Novara, Italy 21/05/ /05/12, 04/06/ /06/2012 Bonn, Germany 12/06/2012, 27/06/2012, 03/07/2012, Translating Early Warning into Early Action NHP (Natural Hazards Partnership) Steering Group Adapting to Climate Change in Health and Social Care: Mapping Future Hazards, Vulnerabilities and Risks Tools. LWEC Health Challenge Steering Group meeting Lecture: Global climate change and their interference with disasters Lecture: Epidemiology Lecture: Climate Change and Health: lessons learnt in the WHO UK Summit on Disasters Wildfires meeting Cold Weather Plan Workshop HPA/PHE, Chatham House (Royal Institute of International Affairs) Defra, NERC, Met Office, HPA (PHE), Cabinet Office, FFC, SEPA Durham University, HPA/PHE, EPSRC, ARCC, Heriot-Watt University LWEC, HPA/PHE, NERC, DH, EA, Defra Emergency medicine students Students, field professionals WHO Regional Office for Europe; HPA/PHE; Ministers of Health/Environment Government Office for Science; HPA/PHE DCLG; HPA/PHE; NHS; HPA/PHE; Met Office; Cabinet Discussion on the ways in which early warning information is provided and the particular institutional, technical, political barriers that decision-makers face in deciding when, and how, to respond. To discuss international opportunities and operating plan 2012/13 To share findings from the BIOPICCC study and the tools developed to support local level resilience planning. To discuss context and scope set out for the Health Challenge Lecture during EMDM (European Master is Disaster Medicine) residential course in Novara Lecture during Essentials of Toxicology Course To discuss integrated policy and governance for climate change and health; adaptation to climate change, and sustainable health sector To discuss Foresight project Improving Future Disaster Anticipation and Resilience (in order to identify actions to reduce the impacts of disasters arising from natural hazards up to 2040). To discuss wildfire picture, national risk assessment, wildfire threat awareness To help evaluate Cold Weather Plan (CWP -

10 05/07/2012, 10/07/2012, Disaster discussion meeting Cross-Whitehall flood meeting 11/01/2013 UK Extreme Events Recovery Handbook Workshop 17/01/2013, 06/07-07/06/2013, Nottingham, UK 10/06/2013, 13/06/ /06/2013, Exeter, UK 29/01/2014, Impact of drought on Vector-borne diseases workshop Focus group discussions (Nottingham front-line responders) First Meeting of National Flood Emergency Framework (NFEF) Project Board Focus group discussions (front-line responders) European Flood Workshop - PHASE, Angie Bone, Stanke, Stanke, Angie Bone, Jolyon Medlock Stanke Stanke, Stanke, Landeg, Angie Office; Department of Health; DECC; Age UK; various councils Wellcome Trust, HPA (PHE), King s College London, UKCDS HPA (PHE), Cabinet Office, Defra, EA, Met Office HPA (PHE) and Central government departments HPA (PHE), Defra, EA, Animal Health and Veterinary Laboratories Agency PHE, EA, Nottingham City Council, Western Power, Fire and Rescue Services, Anglian Water Defra, EA, PHE and other central government departments PHE, Met Office, DCLG, British Red Cross, Devon and Cornwall Councils; ambulance, police, and fire and rescue services Met Office, PHE, NFF, FFC, EA, DH, PHASE partners published yearly) and implementation of the Warm Homes Healthy People (WHHP) fund projects to share good practice and experience To discuss how do we strike a balance between disaster risk reduction/development and humanitarian expertise and how do we learn from and integrate the natural hazards partnership approach Interdepartmental meeting to discuss preparedness for the summer of 2012, with focus on flooding in England, To determine whether or not there is a need to develop a recovery handbook for extreme weather events To present findings from the literature review as well as findings from ground-based research conducted by the HPA on impact of aquatic habitats subject to drying and re-wetting. To evaluate PHE flood guidance leaflet and factsheets To review the National Flood Emergency Framework for England To improve quality of PHE flood public health advice To raise awareness of the health risks of flooding and to contribute to the discussion on the reduction of future impacts by improving flood preparedness and

11 30/01/2014, 19/03/ /03/2014, Exeter, UK Flooding and GIS: opportunities for public health workshop Second NHP Hazard Impact Model Science Conference. Bone, Kasia Markiewic z, Catherine Keshishia n, Landeg, Kevyn Austyn, Kasia Markiewic z, Angie Bone. Landeg PHE, Met Office, EA, NHS England, HSL, FFC, BGS, Kent County Council, CEH, PHASE partners PHE, Met Office, HSL, BGS, EA, BIS, Defra, Cabinet Office, KCL. response. To establish crossgovernment relationships and opportunities to build actions on the health impacts of flooding, especially between HIM and SHAPE flood risk management tools. To share and review the science progress within the NHP and the development of the HIM.

12 Appendix 1: Acronyms Acronym ARCC CN BGS BIOPICC BIS CEH DCLG DECC Defra DH EA EAHC EAPCCT EMDM EPSRC EWE FFC GIS HIM HPA HSL KCL LWEC NERC NFEF NFF NHP NHS England PHASE PHE SEPA SHAPE UKCDS WHHP Name Adaptation and Resilience to a Changing Climate Coordination Network British Geological Survey Built Infrastructure for Older People in Climate Change Department for Business, Innovation & Skills Centre for Ecology and Hydrology Department for Communities and Local Government Department of Energy & Climate Change Department for Environment, Food and Rural Affairs Department of Health Environment Agency Executive Agency for Health and Consumers European Association of Poisons Centres and Clinical Toxicologists European Master in Disaster Medicine Engineering and Physical Sciences Research Council Extreme Weather Events Flood Forecasting Centre Geographical Information Systems Hazard Impact Model Health Protection Agency Health and Safety Laboratory King s College London Living with Environmental Change Natural Environment Research Council National Emergency Flood Framework National Flood Forum Natural Hazards Partnership National Health Services England Public Health Adaptation Strategies to extreme Weather Events Public Health England Scottish Environment Protection Agency Strategic Health Asset Planning and Evaluation Tool UK Collaborative on Development Sciences Warm Homes Healthy People