Healthy Ireland A framework for improved health and wellbeing

Transcription

1 Healthy Ireland A framework for improved health and wellbeing Sustainable Environment Research Planning Workshop September Dr Miriam Owens

2 Is Ireland Healthy? - key facts Obesity 20% of all children are overweight Almost one in ten three year-olds in lower socioeconomic groups are obese compared to one in 20 in higher socio-economic groups Two out of three adults are overweight or obese 25% of pregnant women are overweight or obese

3 More health facts Alcohol rate of alcohol consumption is one of the highest in Europe responsible for approximately 90 deaths per month and is a factor in half of all suicides Tobacco 5,500 deaths per annum around one million people in Ireland smoke tobacco products 12% of children between the ages of 11 and 17 years are current smokers rates are highest amongst women aged from poor communities 56% of that cohort compared to 28% of their peers from higher social classes

4 Healthy Ireland Vision..where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone s responsibility

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6 What is Healthy Ireland? Increase the proportion of people who are healthy at all stages of life Reduce health inequalities Protect the public from threats to health and wellbeing Create an environment where every individual and sector of society can play their part in achieving a Healthy Ireland

7 Healthy Ireland Themes Governance and Policy Partnerships and Cross-Sectoral Working Empowering People and Communities Health and Health Reform Research and Evidence Monitoring, Reporting and Evaluation

8 Priorities for HI Cross departmental Steering Group Cross-divisional group within Department Multi-stakeholder working groups for specific actions Research and Data Plan Outcomes Framework Plan to promote physical activity Plan for Positive Ageing Strategy

9 Healthy Ireland Research & Data Plan Support the implementation of the four goals of Healthy Ireland Provide a framework for research coordination, governance and evaluation within the health service and identification of challenges / issues which can benefit from research and collaboration To bridge the research and policy gap

10 Forfás 2012: Research Priorities Improving the health of the population across the life-course Minimising and mitigating climate change The contribution of bioenergy to the achievement of renewable energy targets Building a safe and sustainable environment Delivering new and cost-effective models of health care

11 Determinants of health / Research Priorities

12 Themes & Topics Smart information use Impact assessments Physical and built environment Communication and behaviour change Addressing specific diseases and threats Life course exposure Tackle threats from unregulated hazards and/or settings Oral health

13 Smart Information Use Improved and interconnected health and environmental data management creative interactive applications in health and environmental surveillance maps for each local authority displaying all relevant environment and health data as a means to improve service planning so as to reduce environment and health inequalities Septic tanks and bore wells Flood plains Deprivation Water supplies Green spaces, walking routes, cycle paths, leisure facilities What are appropriate metrics and indictor systems to provide information for planning, policy and decision making, early warning systems, identifying vulnerability communities, population subgroups Integrated pollution prevention control licence (IPPC) How to prioritise from public health perspective?

14 Impact assessments Develop methodology to integrate Health and Environmental Impact Assessments across a range of programmes and projects Economic evaluations of environmental incidents / interventions Can we quantify values of ecosystem services for health? Green and blue spaces

15 Physical and Built Environment What are sustainable ways of improving water productivity, increased protection of rivers and ground waters, re-use of waste water Effective ways to reduce emissions Planning and green spaces, better urban design to reverse obesogenic environments,to facilitate access to healthy foods Second hand smoke and indoor air quality risks in the home setting

16 Communication and Behaviour Change What factors motivate sustainable behaviour in individuals and organisations? Plastic bag levy Recycling Provide evidence for effective interventions across all sectors of society, including healthcare services on: energy use waste procurement transport local food supplies green prescriptions

17 Communication and Behaviour Change New ways of communicating and changing behaviour Behavioural insight / behavioural economics Improved understanding of health and environmental risks, new ways of effectively communicating risks FAQs, infographics, social media Exploration of public perception of risks from environmental hazards: Fracking Non-ionsing radiation Water quality Private supplies Fluoridated supplies

18 Addressing specific diseases and threats Use new technologies and integrate approaches across agencies to deal with existing and emerging threats specifically VTEC, avian influenza, fracking

19 Life course exposure Develop a clearer understanding of the life course environmental exposures that may influence negative health outcomes. Utilising and integrating existing data on human exposure (through pathways such as food, air, water, radiation, tobacco) and human biomonitoring data.

20 Tackle threats from unregulated hazards and/or settings EColi VTEC risks associated with open farms, animal handling, bore wells/septic tank arrangements ecological study concerning the frequency and spatial patterns of VTEC GIS Impact of climate change on mosquito borne disease risks Risks associated with designated and non designated bathing areas from microbiological, chemical or other incidents, e.g. injuries and drownings

21 Oral Health A review of waste amalgam process in dental premises and its environmental impact A baseline assessment to produce a database which can be updated to report progress to the EC in the future on successful phase down of amalgam

22 Better Healthy Ireland Operational Principles governance and leadership use of people and resources partnerships systems for healthcare use of evidence measurement and evaluation programme management

23 Healthy Ireland Thank you for listening!