Promoted and/or co-realized initiatives

 

2005

2006

2007

2008

 

National Conference

“HEALTHY CITIES FOR CHILDREN AND ADOLESCENTS:
POVERTY, ENVIRONMENTAL RISK AND HEALTH”

Arezzo, 3 - 4 March 2005

 

The Italian Ministry of Welfare, the National Documentation and Analysis on Children and Adolescents Center, Municipality of Arezzo, Francesco Redi Center and International Society of Doctors for the Environment promoted the National Conference on “Healthy Cities for children and adolescents: Poverty, Environmental Risk and Health” held in Arezzo, Tuscany, on March 3-4, 2005.

Representatives of Ministry of Environment, Ministry of Health, Ministry of Public Education, Ministry of Infrastructures, WHO European Centre Health and Environment Roma, UNICEF,  Innocenti Research Centre, Superior Health Institute, National Agency for Environmental Protection, National Federation of Colleges of Physicians, Italian Federation of Paediatricians, WHO-Italian Healthy Cities Network, Tuscany Region, Tuscany Regional Health Agency, Tuscany Regional Agency for Environmental Protection, Meyer Children’s Hospital and Province of Arezzo were also invited.

The Conference aimed to draw up the Action Plan for Children’s Health in Urban Environment as regard to the relationship between poverty and environmental risk (especially indoor pollution, atmospheric air pollution, chemical pollution and traffic related risk factors).

The Conference was in tune with our Integrated Health Plan on “Children Environmental Health”, which aims to use the WHO methodology to create an interconnection among local, regional, national and international level.

The results of the conference were delivered to local administrations and decision-makers  to influence their policies, and can be also used as tool for planning and managing future actions on this field.

 

Results: proceedings have been published (Italian language)

 

Workshop

TRAINING FOR TRAINERS:
THE INTERNATIONAL PERSPECTIVES
ON CHILDREN'S ENVIRONMENTAL HEALTH (CEH)

1 April 2005, Florence

 Justification:

In the last few years, the Children's Environmental Health (CEH) activities have been greatly developed as a result of increased awareness about the linkages between environmental risk factors and children's health, and growing concern about the special vulnerability of children. Recent international mandates, resolutions and conferences have given tremendous impetus to the CEH activities and action has been taken by organizations, agencies, governments and NGOs.

 In the last Conference on Environment and Health organised by the WHO in Budapest (June 2004), has been developed the Children’s Environment and Health Action Plan for Europe (CEHAPE). The CEHAPE is a document for policy makers, negotiated whit Member States, that highlights the main commitments on children’s health and outlines four regional priority goals for Europe.

Taking into account the perspective offered by the Budapest Conference, it seems very important to reflect about the actual international situation and to know which “space” possible for sharing and  implement working plans by training activities.

Sharing knowledge and models will contribute to further advance to work undertaken, multiply its positive results and generate new ideas to promote CHE issues in an international contest by training activities.

 Objectives:

Participants:

Professionals with interest in CEH issues with recognized experience representing: Tuscany Region (Workgroup on CEH), Istituto degli Innocenti, Tuscany Cancer Institute - CSPO, ISDE Executive Board, International School on Environment, Health and Sustainable Development - SIASS, INCHES, WHO HQ, UNICEF, Italian Federation of Paediatricians, Siena University.

Outcomes

Defining the present situation

Quantitative risk assessment is still very primitive, but useful tool (PINCHE).

National Profile on the status of CEH. Implementation should be through regional WHO offices to guarantee multistakeholder participation. NGO’s could press for the start of this process. NGO’s need to participate in the writing up of the National Profile.

Indicator programmes are in pilot phase in several countries (linked to National Profile).

State of the child worldreport by UNICEF could be a source for some CEH information. Look into the possibility to have CEH as a speciality topic in this report. See also the WHO Atlas. To discuss with WHO Euro to combine the different available information sources into one ‘atlas’.

Information dissemination

There is a need for public awareness tools on CEH (see Austrian examples of brochures, books). Specific attention on young people, without scaring them. There is a need for an overview of existing material. Project proposal to the EU (INCHES).

Video (€ 18,000) and public service announcements (€ 5000) on different topics. Project money (TvEarth – Jenny Richards) to develop these. Responsible? Lead coming soon (WHO HQ).

Websites: national websites should include information on CEH. NGO’s to press for this at their ministries.

New political scenarios

Setting up CEH centres, such as Paediatric Environmental Health Speciality Units.

IPA statement on PEHSU (Ruth Etzel) to use as leverage tool. WHO has draft for requirements for PEHSU-TOX. Plan to transfer it into proper PEHSU guidelines.

Looking at the source for reducing the burden of disease.

Ensure commitment by politicians based on the official documents (Budapest, WSSD, POPs convention, IFCS recommendations, etc.). Contact technical personnel to deliver documents (NGOs).

New international processes

Shaping new programmes within the IGO’s are needed on CEH. A good example is IFCS programme. Climate change.

Providing input in international meetings,such as HEMA (AAMMA) next WHO ministerial conference in Europe (EEN), EEHC working group on CEH (INCHES/ISDE).

Indicator and monitoring systems need to be established and harmonised.

Organisations involved

Children should be more involved in the different processes. Collection of good practices where children are participating is useful.

Promoting networks works! (see example from Argentina).

Enhance existing partnerships with eg. IPA, ICN (nurses),UNICEF, UNEP, etc.

Education

Training of paediatrician (WHO/CHEST) and other health care providers. Other stakeholders need to be included in these trainings especially when they are in the position to make changes in local or regional policies. Health care personnel within mandate of WHO. Healthy cities network could be addressed. NGO’s as providers on a local level for other stakeholders.

Health promotion related to children (see example of Tuscany region on good practices) needs more attention. Collaboration with other regions in Italy and outside. Cases are included in survey by WHO Euro.

Interactive training with new knowledge is needed.

Baby-friendly hospital / breastfeeding activities link between UNICEF and Italian Paediatricians. Duplication in other countries.

Research

Innovative alliances are needed between different research organisations.

Scientific results should be made available independently from the publication strategies of scientific journals in a timely manner.

Long term studies need to be expanded to other countries. A group of developing countries are interested.

Unicef Innocenti research centre to check on material in CEH (Christoph).

General suggestions:

Child-friendly cities (attention to space-pollution) (has examples of good practices on their website). UNICEF Italy.


 

Training Course

“CHILDREN INTEGRATED HEALTH PLANS”

Arezzo, 5 and 12 April 2005

Co-promoted with
Francesco Redi Center,
Arezzo Lacl Health Unit,
Arezzo Municipality,
Regional health agency of Tuscany,
Environmental Protection Agency - Tuscany,
Italian Federation of Paediatricians,
Arezzo Education Office,
Arezzo Province

Justification:

WHO Europe faced in Budapest, with the 104  Ministers of Health and Environement the question of the future of our children, particularly adopting the Children’s Environment and health Action Plan for Europe, CEHAPE (Table of Child-specific actions on environment and health Working paper EUR/04/5046267/8, 28 Aprile 2004).  World Health Day (7 April) 2005 was also dedicated to  mother and child health.

General objectives

CEHAPE was utilized in Arezzo since 2004 within a larger operative project on the realization of Integrated Health Plans planned by the Tuscany Regional Health Plan.

An interistitutional and interdisciplinary workgroup (Research and Training Centre “Francesco Redi”, Local Health Unit, Arezzo Municipality, Tuscany Regional Health Agency, Local Education Office, Province, Family Paediatricians, Tuscany Regional Agency for Environmental Protection, International School on Environment, Health and Sustainable Development, Italian Society of Doctors for the Environment – ISDE Italy, other local Municipalities, UNICEF, Italian Federation of Friends of Bicycle, Italian Cancer League, Siena University, General Practitioners Associations), which studied the European Plan to compare its objectives and actions with the local hypothesis of Integrated Children Health Plan related to the Arezzo urban area.

The phases of the project till now realized are: Italian translation of CEHAPE and relative analysis; ascertainment of activities already carried out locally; integration at local level of different CEHAPE actions with actions applicable and planned by the regional and national law and supplementary local interventions; integration with Arezzo Provincial Health Profile data (particular attention was given to the indicators related to children and adolescents)

Specific objective

Particularly, this workshop was held to present the project creating an occasion of meeting for professionals from different sectors interested to the Integrated Health Plan (Health, Environment, Social, School, public administrations, etc.); 3 hypothesis of further deeper works were developed: “home to school” way; domestic accidents; school abandonment.

Further development

Next phases of the project plan the approval of the proposal by the Municipality Council and the elaboration of a shared Integrated Health Plan Project, articulated on the basis of the regional guide lines.

 

National Workshop

AVOIDABLE MORTALITY IN THE CITIES:
GENERAL PRACTITIONERS AND PRIMARY CANCER PREVENTION

Arezzo, 6 June 2005

Justification

Mortality by avoidable causes represents an important indicator of effectiveness of social and sanitary interventions in the national territory.

Death causes can be considered avoidable, when, through good public intervention on health (from prevention to rehabilitation), death risk by these causes can be reduced or eliminated.

Health Superior Institute and Italian Society of Doctors for the Environment – ISDE realized two studies on “Avoidable mortality in cities capital of provinces”: the first related to years 1989-1993 and the second related to years 1994-1999.

The first study originated the publication “Atlas of Avoidable mortality in cities capital of provinces” presented during a National Workshop held in Florence on 11 December 1998.

We’re now going to publish the second Atlas.

Avoidable death causes can be divided in 3 different groups: by primary prevention  (reduction of exposition), secondary prevention (early diagnosis and treatment), tertiary prevention (hospital and territorial services).

Objective

Moving from an analysis on avoidable mortality, define and promote interventions oriented to improve cancer primary prevention actions through a special involvement of GPs collaborating with other sectors of the city.

Program

Role of  the Training in order to realize an Integrated Model for Health, Environment and Sustainable Development

Roberto Romizi (ISDE/International School on Environment, Health and Sustainable Development)

Avoidable Mortality - Susanna Conti (National Health Superior Institute)

Urban Avoidable Mortality - Gianna Zamaro (WHO Healthy Cities NetworkUdine)

Avoidable Mortality and Public Health

Debate between  audience and experts lead by a conductor

Conductor: Aldo Pagni (General Parctitioners European School)

Cancer Primary Prevention  - Adele Seniori Costantini (Tuscany Cancer Institute /CSPO)

Primary Cancer Prevention and GPs

Debate between  audience and experts lead by a conductor

Conductor Danila Scala (Tuscany Regional Agency for Environmental Protection/ISDE Italy)

Integration of health policies and strategies at territorial level - Stefano Beccastrini (Tuscany Regional Agency for Environmental Protection/ International School on Environment, Health and Sustainable Development)

Health Policies and role of the GP

Round Table – debate among experts

Conductor Giuseppe Parisi (Advisory Board Wonca Europe Firenze 2006)

Cancer Primary Prevention Actions in urban area with the specific involvement of GPs: Sentinel-GPs’ networks

Workgroups finalized to define and develop integrated management organizational experiences - Paolo Lauriola (Emilia Romagna Regional Agency for Environmental Protection/ ISDE Italy)

Plenary presentation and conclusion

Conductor: Stefania Borgo (ISDE Italy/ International School on Environment, Health and Sustainable Development)

Final Test

TRAINING PACKAGE FOR THE HEALTH CARE PROVIDERS ON
CHILDREN’S HEALTH AND ENVIRONMENT

Buenos Aires – Argentina, 12-13 November, 2005

Organized by
 International Society of Doctors for the Environment, ISDE,
International Network on Children’s Health Environment and Safety, INCHES
Sociedad Argentina de Pediatría, SAP
International School on Environment, Health and Sustainable Development - SIASS

Under the Technical support of
 World Health Organization, WHO

Under special support of the
 Tuscany Region, Italy

Foster by
 Argentinean Association of Environmental Journalist, APA
Argentinean Federation of Nursing

 

Background WHO Training Package for Health Care Providers

Environment is a key factor in determining the health of fetus, infants, children and adolescents. Efforts are undertaken by WHO in partnership with experts from different countries and organizations such as the International Pediatric Association (IPA), the International Society of Doctors for the Environment (ISDE) and the International Network on Children’s Health, Environment and Safety (INCHES) in order to enable those working “in the front line” - the health professionals dealing with children and adolescents’ health - to recognize and assess diseases linked to or triggered by environmental factors.

The Bangkok Statement (Area 2: Health and Research) urges WHO to promote the recognition, assessment and study of environmental factors that have an impact on health and development of children, more specifically, to incorporate children’s environmental health into the training of health care providers and to promote the use of the Pediatric Environmental History.

At the IFCS Forum IV meeting (1-7 November 2003, Bangkok, Thailand) participants recognized that children are the future of our societies, that they require safe environments in order to reach their full potential as individuals and contributing members of society. Different sectors of society should be informed and trained to recognize the adverse effects posed by environmental factors and specifically by chemicals.

CEAHPE, Children's Health and Environment Action Plan for Europe, approved by the European Ministers of Health and Environment (June, 2004, Budapest) asks for collaboration to ensure its implementation by developing and providing training opportunities and materials and promoting the incorporation of children’s environmental health issues in the curricula of child and adolescent health care professionals.

Why should health care providers be trained in children’s health and environment?

Trained and well-informed health care providers will improve their capacity to diagnose, prevent and manage pediatric diseases linked to the environment. The specific benefits include:

  1. Increased understanding and interest among health care professionals about the influence of environmental factors on children’s health, development and well being,

  2. Ability to recognize signs, symptoms and diseases linked to or triggered by environmental factors, as well as the potential sources of exposure,

  3. Capacity to elicit and record an appropriate Pediatric Environmental Exposure History, and to record, report and publish the cases and experience collected,

  4. Ability to identify gaps of knowledge, and to plan and undertake research activities,

  5. Knowledge on how to identify and access information sources on pediatric environmental threats and the environment (e.g. clinical, toxicological, environmental, other),

  6. Capacity to discuss environmental risks with patients, parents, educators and the media, providing understandable, concise information about potential threats and risk-reduction strategies,

  7. Advocacy skills for approaching and sensitizing decision-makers about high priority issues requiring urgent action, and

  8. Capacity to further disseminate the information obtained and experience gained, through the implementation of further training events.

As a result, well-trained professionals will become “champions” for the protection of children’s health and environment.

 Training workshop

A two-days training workshop was held in Buenos Aires, Argentina, as a Pre Conference activity linked to the WHO 2nd International Conference on Children Environmental Health: “Healthy Environments, Healthy Children´s: Increasing the Knowledge and Taking Action” (14-16 November 2005- Buenos Aires, Argentina). The training activity was organized by the Asociación Argentina de Médicos por el Medio Ambiente (AAMMA), the International Society of Doctors for the Environment (ISDE), the International Network on Children's Health, Environment and Safety, INCHES, the Argentinean Society of Paediatrics (SAP) and the International School on Environment, Health and Sustainable Development (SIASS) with the technical support of the World Health Organization (WHO) under the sponsor of the Tuscany region and foster by the Argentinean Association on Journalist (APA) and the Argentinean Nurses Federation (FAE).

During this workshop, paediatricians and health care providers learned about the special situation of children in relation to environmental factors, the "windows of vulnerability" during the periods of development, the harmful effects of air, water and food pollution, how and when does exposure to toxic chemicals occur and the effects of chronic exposure to low doses of different chemicals. The different factors in the urban local environment and the impacts on health of anthropological global changes were also analysed. Moreover, discussions took place on how paediatricians and other health care providers, as well as policy-makers, can work together with the community to improve the environment for today and tomorrow's children.  

This two days course was orientated to increase and improve the capacity of paediatricians and health care providers to:

Modules that were presented: 

Seven areas were addressed through the use of training modules (power point (PPT) presentations with notes included to train trainers), provision of reference materials and interactive discussions:

  1. Why children are more vulnerable to environmental factors? was preset ed by Dr. Daniel Beltramino, Coordinator of the Workgroup on Environment and Health of the Argentinean Society of Pediatrics, Argentina.

  2. Children are not little adults. Lic. Daniel Liboreiro, representing the Argentinean Federation of Nursing, Argentina

  3. Foetal origin of adult diseases. Ms. M.Brune, WHO, Gineva, Switzerland.

  4. Water and Children’s health. Dr. Fernando Díaz Barriga, University of San Luis Potosi, Mexico.

  5. Outdoor Air Pollution: Dr. Federico Balestreri, ISDE, Italy.

  6. Indoor Air Pollution: Dra. Susana Gonzalez, Workgroup on Environment and Health of the Argentinean Society of Pediatrics, Argentina.

  7. Chemicals and Children’s Health: Dr. Aida Galeano Rojas. Workgroup on Environment and Health of the Paraguayan Society of Pediatrics, Paraguay.

  8. Heavy Metals: Lead. Dra. Elena Queirolo. Workgroup on Environment and Health of the Uruguayan Society of Pediatrics, Uruguay.

  9. POP´s and Children’s Health: Dr. Susana García., Argentinean Association of Toxicologist, Argentina.

  10. Pesticides: Dr. Amalia Laborde, Uruguayan Association of Toxicologist,  Uruguay.

  11. Paediatric Environmental Health History. Dr. Julia Piñero, Workgroup on Environment and Health of the Argentinean Society of Pediatrics, Argentina.

  12. AIEPI Strategy. Green Page for Children’s Environment Diagnosis. Dr.      Juan Carlos Bossio, Institute for Respiratory Diseases Emilio Coni, Argentina.

  13. The Italian experience: Tuscany Region “Integral plan of health”. Successful experiences to share. Dr. Roberto Romizi, International School on Environment, Health and Sustainable Development (SIASS).

 Besides the modules one has given a space to present studies of cases:

Both days of workshop were coordinated by Dr. Lilian Corra, AAMMA and ISDE president and INCHES International Coordinating Committee , Argentina

During the workshop, and as complementary information, two videos were shown to complete the information and as another useful resource:

  1. Chemical Safety in a Vulnerable World, prepared by IFCS.

  2. Children and POP's: Enabling our most precious resource to secure a POPs Free world, realized in Montevideo Uruguay – 2005, prepared by WHO and IFCS.

Besides, an exhibition of reports on environmental factors that condition child’s health prepared by the School EGB Number 119 of the City of Olmos, Province of Buenos Aires, Argentina in cooperation with AAMMA was shown. The pupils (aged 11 years old) worked under the slogan "Your House is My House ".

Some topics of the essays presented by the pupils were:

 

National Conference

“Environment, Health and Sustainable Developement:
Health Promotion and Training Activities”

Organised by
 the International School on Environment, Health and Sustainable Development – SIASS
(promoted by International Society of Doctors for the Environment – ISDE
Tuscany Regional Agency for Health, Tuscany Regional Agency for Environmental Protection, Florence University Hospital for Children - Meyer)

Sponsored by
the Tuscany Region

2006, January 13

Sala del Gonfalone,
Tuscany Regional Council,
Via Cavour 2,
Florence

 

The Conference aims to evaluate the implications of training activities about health integrated policies and strategies, environment and sustainable development, starting from the children’s situation considered the European Interministerial Conference recently held in Budapest and the next Interministerial Conference to be held in Italy in 2009.

This initiative, while presenting objectives and programs of the School, aims also to arise a first debate in view of the Ottawa Chart twentieth anniversary, which will engage institutions, associations and professionals in evaluating the outcomes of the health policies.

The UN Decade for Education for Sustainable Development (2005-2014) guided by UNESCO as the lead agency will represent a chance for further reflections.

Program

9.00  

Official Opening
 Presentation
Authorities Intervention
(by Tuscany Region and WHO European Centre for Environment and Health)
9.30  

1st Session
"20 years after the Ottawa Chart:  Integration Modelse”

Round table
11.30  

2nd Session
“Training Activities for Health Promotion: Children’s Environmental Health”

Round Table 
14.15  

3rd Session
“UNESCO Decade for Education for Sustainable Development”

Round Table
16.00  

Conclusions

Among the Conference rapporteurs:

Michele Faberi - Resource Mobilization for Sustainable Development, WHO European Centre for Environment and Health

Jenny Pronzuck – Medical Officer International Programme on Chemical Safety (IPCS) WHO

Leda Eugenia Nemer – Technical Officer Children's Health and the Environment Programme,

WHO European Centre for Environment and Health

Liliana Cori - Ministry of the Environment and Territory Antonio Sclavi – UNICEF President

Federica Rolle – Unesco National Committee

Stefania Borgo – International Society of Doctors for the Environment (ISDE) Executive Board

Eva Buiatti –  Epidemiological Area Coordinator, Regional health agency of Tuscany; SIASS Scientific Coordinator

Roberto Romizi – ISDE Italy President; SIASS Coordinator

Representatives of : Tuscany Regional Agencies, Italian Healthy Cities Network, Italian GPs Societies, Italian Paediatrician Society, NGOs, etc.

International School on Environment, Health and Sustainable Development - SIASS
Via della Fioraia, 17/19
52100 Arezzo
Tel: 0575-22256 - Fax: 0575-28676
 e-mail: siass@siass.org

 


 

Children’s Health, Environment and Safety training - CHEST

Workshop and training pilot course

20 April 2006,
Environmental Protection Agency
Tuscany Region
ARPAT
Via N. Porpora, 22
50144 - Firenze (FI)
http://www.arpat.toscana.it

Justification:

This event aims to raise awareness in Italy the on Children Environmental Health - CEH, fostering the integration and a synergic course among international projects and organisations, starting from the evaluation of local training needs, available resources and ways necessary  to involve all the interested subjects.

Objectives:

Participants:

About 20 professionals with interest in CEH issues with recognized experience representing the Italian Network for Children's Health and Environment – RISBA and other stakeholders. Paediatricians would be especially welcome.

Program

Training on CEH, in the context of the UN Decade for Education for Sustainable Development (2005-2014) guided by UNESCO

International opportunities (CHEST; INCHES; WHO)

Current initiatives in Italy (RISBA , SIASS, ….etc..)

Policies and trends on CEH

Needs Analysis

CHEST Questionnaire

Models and methods

Presenting the Italian translation of  modules included in iternational packages

"Transport and Health"

"Allergy and Environment"

"Occupational Risk for Children" (and "Preconceptional Counselling")

Indications for a regional/national training strategy, available resources and subjects to involve.

 

Environment and Health:
communicating the research results
and the risk for population

13 June 2006

Regional Health Agency of Tuscany
Via Vittorio Emanuele II, 64
50134 Firenze

Background

The environment and health communication is a really important factor to get a participated and fair management of the  risks and choices necessary to improve environmental protection and community health.

The strong health-environment relation makes studies and government complex and increase the necessity of integrated work and the responsibility of involved professionals.

Individuals everyday face risk for life which can result from: individual actions (use of tobacco, alcohol and other drugs), occupational conditions (exposure to chemicals, noise or unsafe conditions), social and economical conditions (poverty, lack of defences, unsafe lodging conditions…), terrorism and/or wars, natural disasters (storms, flood, earthquake …).

Public local administrators the potential risk sources and reduce their possible effects through appropriated actions facing the already stated  risks and the risks perceived by the population which result from human activities and natural events as well.

The risk assessment/management approach is based on the interaction between scientific knowledge and perceptions and on existent conflicts of interest.

This approach involves: the awareness necessary to start the management process; the method used to estimate the risk gravity and dimension; the social evaluation to define the urgency of front a specific problem; and the management decisions required to reduce the damage potential and dimension.

These complex and often correlated problems, can be successfully treated only if an appropriated and effective risk communication is developed, that is an informative exchange among all the involved subjects.  The environmental management as a resource for health can be reached only trough the participation of a aware community and the development and diffusion of adequate, reliable and accessible information.

The development of appropriated platforms and effective techniques for risk communication is the key for the success of such programs.

Goals and participants

Technicians and experts of communication theories and models identify and illustrate the keys of communicative and decisional process, discussing with other participants about particularly meaningful experiences on electromagnetic and atmospheric pollution and waste management.

Program

From risk perception to risk communication: undefined questions

The social risk perception

Discussion

The media role in risk communication

Discussion

The risk communication as a tool for partecipated decision

Discussion

Cases and experiences on electromagnetic and atmospheric pollution and waste management: planned talks ad plenary discussion

Conclusions

 Organizzative Secretariat:

Scuola Internazionale Ambiente Salute e Sviluppo Sostenibile - SIASS

Via della Fioraia,17/19
52100 Arezzo
Tel. 0575-22256
Fax. 0575-28676
url: www.siass.org
e-mail: siass@siass.org

 

2nd National Workshop

“Observatory on traffic accidents: from data to action-  tools for safety policies ”

 

Arezzo Province,
Regional health agency of Tuscany,
"Francesco Redi" Center,
Health Superior Health,
International School on Environment,
Health and Sustainable Development

 

Under the Tuscany Region Sponsorship

 

Arezzo, 12-13 October 2006

 

Objectives:

Participants:

Professionals working on road safety : representatives of Regions, Provinces, Municipalities, prevention departements, emergency and urgence departments police, schools, universities, research institutes, traffic control authority,  associations, insurance companies,  driving schools, etc..

 

Program

 

12 October

Participants registration

Authorities Intervention

Session 1

“The problem Il problema dei dati e della loro lettura integrata”

(Planned interventions)

Discussion

Session 2

“Risk factors and protection factors related to road safety”

(Planned interventions)

Discussion

 

13 October

 

Poster Session

Session 3

“Prevention of traffic accidents:  before, during, after and after ”

(Planned interventions)

particolar experiences in different places

Discussion

Round table “Toward 2010 – tools for safety policies”

(Planned interventions)

Conclusions

 

Proceedings have been published (Italian language)

 


 

WORKSHOPS

"Avoidable mortality due to lungs pathology
and urban air pollution"
 Laterina (Arezzo),
8-9 November 2006
and
Arezzo,
13-14 December 2006

Justification

Mortality by avoidable causes represents an important indicator of effectiveness of social and sanitary interventions in the national territory.

Death causes can be considered avoidable, when, through good public intervention on health (from prevention to rehabilitation), death risk by these causes can be reduced or eliminated.

Health Superior Institute and Italian Society of Doctors for the Environment – ISDE realized two studies on “Avoidable mortality in cities capital of provinces”: the first related to years 1989-1993 and the second related to years 1994-1999.

The first study originated the publication “Atlas of Avoidable mortality in cities capital of provinces” presented during a National Workshop held in Florence on 11 December 1998. The second Atlas was published in May 2005.

Avoidable death causes can be divided in 3 different groups: by primary prevention  (reduction of exposition), secondary prevention (early diagnosis and treatment), tertiary prevention (hospital and territorial services).

Effects of atmospheric pollution are especially related – often acutely and chronically – to human respiratory and cardiac systems. Atmospheric pollution especially affects children, people at risk like asthmatic patients, people living in strongly traffic congested areas and elder people suffering from chronic pathologies.

Urban atmospheric pollution results from traffic, production activities and heating system.

Participants: Experts/professionals working in different organisations as Regional Health and Environment departments, Minister of Health, WHO Healthy Cities Projects, etc.

Objectives

Program

1st Day

1^ Session: Data

Introduction

Urban air quality

Effects on Human health: avoidable mortality due to lungs pathology

Health and social costs of urban air pollution  

 

2nd Day

2^ Session: Sharing experiences and collaboration

Intervention strategy to prevent and reduce effect on health of urban air pollution: European and national experiences

Avoidable mortality due to lungs pathology: role of therapy

Paths of local participated intervention

The 20th Anniversary of the Ottawa Charter
 The Ottawa and Bangkok Charters:
from principles to action

International Conferences
for the Evaluation of Global Strategies on Health

 

Florence,
21-22-23 November 2006

 

Promoted by:

World Health Organization - WHO, Tuscany Region (Italy),

International Society of Doctors for the Environment - ISDE

International School on Environment, Health and Sustainable Development - SIASS

 

in collaboration with: 

UNICEF, Regional Health Agency of Tuscany (ARS), Regional Agency for Environmental Protection of Tuscany (ARPAT), A. Meyer University Children's Hospital, Istituto degli Innocenti, International Academy of Environmental Sciences (IAES), WHO Collaborating Centre for Health Promotion Capacity Building in Child and Adolescent Health, Florence

 

The aims of the Conference are:

The Conference should be an opportunity for sharing different experiences and ideas among representatives of United Nations Agencies and Health Promotion experts.

During the first day  the theme of children’s health is tackled in relation to the socio-economic factors and to the need of investing in future society to guarantee a healthy environment for children.

During the second day the fundamental aspects of  Health Promotion are discussed considering the results of the policies and strategies applied in the twenty years following the Ottawa Charter and suggesting possible paths for further development. 

Participants: the attendance at the conference and working sessions is by invitation and only for the representatives of: United Nations Agencies, International Public Health and Health Promotion Networks and Programmes; WHO Collaborating Centres for Health Promotion; the representatives of ministries and local authorities for health and environment of worldwide countries; NGOs.

Different working sessions take place during the third day focusing attention on precise moments, procedures and tools which should be implemented in the near future.


The 20th Anniversary of the Ottawa Charter

The Ottawa and Bangkok Charters:

from principles to action
Health promotion strategies for children and adolescents

 

1st Day – 21 November 2006

Venue: New A. Meyer University Hospital,

Viale Pieraccini, 24
Florence

 

The Conference aims at pondering on the strategies of Health Promotion for children and adolescents coming  from the principles of the Ottawa and Bangkok Charters, on their concrete applications and emerging perspectives, taking into account globalisation, international co-operation and balance of relationships all over the world.

WORKING LANGUAGE: ENGLISH/ITALIAN

Please note that simultaneous translation will be available.

Programme

9.00  

Registration 
9.30  

Welcome and opening statements (english communication 121KB)

  • Enrico Rossi
    Regional Minister of the Right to Health, Tuscany Region

  • Paolo Morello Marchese
    General Manager, A. Meyer University Children’s Hospital, Florence

  • Antonio Sclavi
    President, Italian Committee UNICEF 
10.00  

Session 1:
Globalisation, co-operation and global governance: Health and Environment at the heart of sustainable development
Chair:

  • Maria Neira (slides 833KB)
    Director, Department of Protection of the Human Environment WHO, Geneva 
10.20  

The World Strategy for Child and Adolescent Health and Development (2005)

  • Giorgio Tamburlini (slides 377KB)
    Representative for WHO,         Geneva         

10.40  

The UNICEF Strategic Medium Term  Plan  2006-2009: Investing in child health and development
11.00  

Presentation of  the WHO Collaborating Centre for Health Promotion Capacity Building in Child and Adolescent Health – A. Meyer University Children’s Hospital, Florence

  • Erio Ziglio
    Head, WHO European Office for Investment for Health and Development, WHO Regional Office for Europe

  • Roberto Bertollini(slides 5868KB)
    Director, Special Programme on Health and Environment, WHO European Centre for Environment and Health, WHO Regional Office for Europe

  • Fabrizio Simonelli (slides 89KB - english communication 89KB)
    Director, WHO Collaborating Centre, Florence
11.20  

Session 2:
Integration of UN Agencies and NGOs
Chair:

  • Jenny Pronczuk (slides 330KB)
    Medical Officer, International Programme on Chemical Safety (IPCS), WHO Geneva

 
    Meaningful  experiences reported by :
11.30  

Enrique Loyola (slides 1120KB - english communication 226KB)
SDE Health Area, Pan American Health Organization (PAHO)
11.50   Giorgio Andrian  (slides 3388KB - english communication 350KB)
Section for Science, United Nations Educational, Scientific and Cultural Organization (UNESCO) Venice
12.10  

Lilian Corra (slides 230KB - english communication 26KB)
President, International Society Doctors for Environment (ISDE)
12.30  

Discussion 
13.30  

Lunch Buffet 
14.30  

Session 3:
Health Promotion programmes and networks for Newborn, Children and

Adolescents

Chair:

  • Emanuela Balocchini
    DG “Right  to Health”, Tuscany Region

14.40  

Networking to increase visibility for children’s environmental health
15.00  

The Children’s Environment and Health Action Plan for Europe

  • Leda Eugenia Nemer  (slides 3971KB)
    Technical Officer, Children's Health and Environment, WHO European Centre for Environment and Health

15.20  

The Baby Friendly Hospitals Network
15.40  

Sustainable Cities for Girls and Boys project

  • Annamaria Bertazzoni (slides 114KB)
    Director, Istituto degli Innocenti
   

Session 4:
New issues for the International Convention on the Rights of Child 
16.00  

The Rights of Child to a pollution free life

  • Lorenzo Tomatis
    President, ISDE Scientific Committee
16.20  

The Rights of  New-born

  • Paolo Morello Marchese (slides 3509KB)
    General Manager, A. Meyer University Children’s Hospital, Florence
16.40  

Guided tour of the new A.Meyer Children’s Hospital

 

The 20th Anniversary of the Ottawa Charter

The Ottawa and Bangkok Charters:

from principles to action

Integration of Health Policies

 

2nd Day – 22 November 2006

Venue: Istituto degli Innocenti

Piazza Santissima Annunziata 12, Florence

 

“Since the adoption of the Ottawa Charter, a significant number of resolutions at national and global level have been signed in support of health promotion, but these have not always been followed by action. The participants of this Bangkok Conference forcefully call on Member States of the World Health Organization to close this implementation gap and move to policies and partnerships for action..”

/Source: The Bangkok Charter for Health Promotion in a Globalized World, 2005/

 

The Conference aims at carrying out the orientations of the Bangkok Charter and reflecting critically on the opportunities and the limits of the health promotion strategies emerging from the Ottawa Charter. Moreover, the Conference will focus attention on important policies of health promotion, following the criteria of intersectoral integration and social participation. 

 

WORKING LANGUAGE: ENGLISH/ITALIAN

Please note that simultaneous translation will be available.

9.00  

Registration
9.30  

Opening

  • Marino Artusa
    Regional Minister of Environmen, Tuscany Region

  • Alessandra Maggi
    President, Istituto degli Innocenti

  • Maura Cossutta
    Consultant of Italian Minister of Health on the Health Impact Assessment

10.10  

Session 1:
Integration of Health Policies

Chair:

  • Lorenzo Tomatis
    President, ISDE Scientific Committee

10.20  

Health Promotion: Critical reflections and implications for the health policies
10.40  

Investing for Sustainable Environment

  • Roberto Bertollini  (slides 3390KB - italian communication 487KB)
    Director, Special Programme on Health and Environment, WHO European Centre for Environment and Health, WHO Regional Office for Europe
11.05  

Investing for Health and Development
11.30  

Critical Analysis of WHO’s Role in Promoting Health
12.00  

Discussion
13.30  

Lunch Buffet
14.30  

Session 2:
Integration Practices in Communities

Chair:

  • Eva Buiatti
    Scientific Coordinator, International School on Environment, Health and Sustainable Development (SIASS)
14.40  

Local level
15.00  

Regional level
15.20  

National level

  • Donato Greco  (slides 905KB - italian communication 48KB)
    Head, Communication and Prevention Department - Italian Ministry of Health

  • Begoña Merino Merino
    Head,  Health Promotion Department - Spanish Ministry of Health
16.00  

International level
16.20  

Conclusions

  • Roberto Romizi
    SIASS Co-ordinator

  • Fabrizio Fabbri
    Head, Technical Secretariat,     Italian Ministry of Environment

 

 

The 20th Anniversary of the Ottawa Charter

The Ottawa and Bangkok Charters:

from principles to action

International Conferences

for the Evaluation of Global Strategies on Health

 

Working Sessions

23 November 2006

Venue: Istituto degli Innocenti

Piazza Santissima Annunziata 12, Florence

 

PARTICIPATION LIMITED TO SELECTED INVITED PARTICIPANTS

 

Different working sessions take place focusing attention on precise moments, procedures and tools which should be implemented in the near future. These must be strictly in accordance with the strategies discussed during  the previous days.

The target of the working sessions is to carry out and especially achieve the objectives and guidelines defined  in the previous Conferences, planning events aimed at developing further policies, strategies and actions about Health Promotion and  creating specific working groups .

 

9.30  

Introduction
10.00  

Working sessions:

  • Defining  a pilot workshop to create capacities and motivate action, on Children's Environmental Health - CEH for different countries, providing in depth training;

  • Planning an International Conference on the Role of Local Authorities for Health  Promotion";

  • How to compare National Health and Development Plans for children (english communication 11KB); 

  • How to promote the Rights of Child to a Pollution Free Life and the Rights of the Newborn.
12.00  

Summarising and conclusions (english communication 140KB)

  

Organising  Secretariat:
International School on Environment, Health and Sustainable Development - SIASS

Via della Fioraia,17/19
52100 Arezzo
Italy

Tel. +39-0575-22256
Fax. +39-0575-28676

e-mail: siass@siass.org

url: www.siass.org

 

Conference

Health Policies: difficulties and perspectives

Comparing International Experiences

29 October 2007 – College of Physicians of Arezzo, Viale Giotto 134

  

Promoted by

International Society of Doctors for the Environment - ISDE,
International School on Environment, Health and Sustainable Development – SIASS,
Francesco Redi Center

 

In collaboration with
Ministry of Health, Health Commission of the Arezzo Municipality, Health and Future Association, College of Physicians of Arezzo, Franco Basaglia, Standing Conference on the Cooperation for Development

 

  ITALIAN VERSION WITH COMMUNICATIONS

 

9.15  

Introduction
Roberto Romizi, President of ISDE Italia  
9.30  

Neoliberism, health and environment in Equador
Raul Harari , Executive Director of IFA, Equador; ISDE Continental Vice President for Latin America

10.15  

The National Health Service between Public and Private: difficulties and perspectives
Gavino Maciocco, President of the Italian Observatory on Global Health; University of Florence

11.00  

Round table and debate
Chair: Monica Bettoni, General Director of the Superior Institute of Health

 

Battista Roberto Polillo, Head of Secretariat of the State Undersecretary for Health

Valtere Giovannini, Director of the Health Department, Tuscany Region

Luigi Triggiano, President of the  “Peace, Cooperation and Human Rights” Commission

Vasco Giannotti, Coordinator of the “Health and Future”  Association

 

Conclusions

Bruno Benigni, President of the Franco Basaglia Center

 

Policy authorities, administrators, medical leaders, representatives of associations, political and union organisations, civil society and population are invited to participate.

 

Organisational Secretariat:

Tel. 0575-22256

Email: isde@ats.it

 

 

IInd Medical Days for the Environment

The Pandemia Silent

Environmental pollution and health effects

 

Arezzo, Hotel Minerva (Via Fiorentina, 4)

29-30 November 2007 - 1 December 2007

 

Under the sponsorship of the Italian Federation of Collages of Physicians - FNOMCeO

Con il patrocinio di

With the financial support of

in collaboration with International School on Environment, Health and Sustainable Development – SIASS Tuscany Region and  College of Physicians of Arezzo

ITALIAN VERSION WITH COMMUNICATIONS

Program

 

29 November

 

I SESSION: The pandemia silent: children’s frailness

 

Debate among participants and experts

14.30-17.30

Chair: B.M Carlozzo

 

Interventions:

In memory of Lorenzo Tomatis

R. Romizi

Environmental, climatic and epidemic transformations

E. Burgio

Children’s exposure to endocrine disruptors

C. Minoia

 

Presenting abstracts and  posters

Chair: S. Borgo

 

Round table and debate among experts

17.30-18.30

Chair: S.Beccastrini

R. Barale, G. Sapia, G. Toffol

 

30 November

 

II SESSION: Environmental pollution and health

 

Debate among participants and experts

9.00-12.00

Chair: E. Buiatti

 

Interventions

Environment and tumours

P. Vineis

Non ionizing radiations and precaution principle

A. Levis

Waste and effects on health

F. Balestreri

Epidemiology, toxicology, toxicogenomics: evaluation and undervaluation of risk

V. Gennaro

 

Presenting abstracts and  posters

Chairs: R.Bragheri, P.Lauriola

 

Round table and debate among experts

12.00-13.00

Chair E.Buiatti

E. Burgio, D. Degli Esposti, P. Hrelia, G. Porcile

 

III SESSION: Atmospheric pollution and health effects

 

Debate among participants and experts

14.30-17.30

Chair A.Seniori Costantini

 

Interventions

Urban pollution: general situation

M. Martuzzi

Atmospheric pollution and health effects

F. Forastiere

Atopy and environment

R. Ronchetti

 

Presenting abstracts and  posters

Chair: G. Rivezzi

 

Round table and debate among experts

17.30-18.30

Chair: A.Corrado

G. Bruno, L. Cecchi, S. La Grutta , M. Ucci

 

1 December

 

IV SESSION: Good practices to reduce pollution

9.00-13.00

 

Debate among participants and experts

9.00-12.00

Chair: M.G. Petronio

 

Interventions

Sustainable mobility

P. Crosignani

Waste management

P. Gentilini

 

Presenting abstracts and  posters

Chair: D. Scala

 

Round table and debate among experts

12.00-13.00

Chair:  F. Bianchi

L. Carneglia, G. Donzelli , S. Sciacca, S. Squarcione, G. Tamino

 

Conclusions

 

Congress Scientific Committee

Balestreri Federico, Beccastrini Stefano, Benato Maurizio, Bianchi Fabrizio, Borgo Stefania, Bragheri Romano, Burgio Ernesto, Buiatti Eva, Cori Liliana, Corrado Antonio, Crosignani Paolo, Faggioli Antonio, Forastiere Francesco, Gennaro Valerio, Gensini Gianfranco, Gentilini Patrizia, Lauriola Paolo, Petronio Maria Grazia, Rivezzi Gaetano, Scala Danila, Terracini Benedetto, Vineis Paolo.

                                                                     

Chairs and speakers:

Balestreri Federico (ISDE Italia - Cremona)

Barale Roberto (Genetica, Mutagenesi ed Epidemiologia Ambientale, Università di Pisa)

Beccastrini Stefano (Scuola Internazionale Ambiente Salute e Sviluppo Sostenibile – SIASS)

Bianchi Fabrizio (Sezione di Epidemiologia Istituto di Fisiologia Clinica Consiglio Nazionale delle Ricerche – IFC CNR)

Borgo Stefania (ISDE Italia – Roma)

Bragheri Romano (ISDE Italia - Pavia)

Bruno Guglielmo (Società Italiana di Allergologia e Immunologia Clinica; Università “La Sapienza” di Roma)

Buiatti Eva (Agenzia Regionale di Sanità – ARS Toscana; ISDE Italia Firenze)

Burgio Ernesto (ISDE Italia - Palermo)

Carneglia Luca (SNOP Toscana)

Carlozzo Bianca Maria (Agenzia Sanitaria Regionale Emilia Romagna; ISDE Italia Bologna)

Cecchi Lorenzo (Associazione Italiana di Aerobiologia – AIA)

Corrado Antonio (Associazione Italiana Pneumologi Ospedalieri – AIPO)

Crosignani Paolo (Unità di Epidemiologia Ambientale e Registro Tumori, Istituto Nazionale Tumori, Milano)

Degli Esposti Davide (Collegium Ramazzini)

Donzelli Giampaolo (Azienda Ospedaliero-Universitaria Meyer Firenze)

Forastiere Francesco (Dipartimento di Epidemiologia, ASL Roma)

Hrelia Patrizia (Società Italiana di Tossicologia – SITOX)

Gennaro Valerio (Istituto Nazionale per la Ricerca sul Cancro di Genova - IST)

Gentilini Patrizia (ISDE Italia - Forlì)

La Grutta Stefania (Agenzia Regionale per la Protezione Ambientale - ARPA Sicilia; Società Italiana per le Malattie Respiratorie Infantili – SIMRI)

Lauriola Paolo (Epidemiologia Ambientale, ARPA Emilia Romagna)

Levis Angelo Gino (Commissione Oncologica Nazionale; Mutagenesi Ambientale Università di Padova)

Martuzzi Marco (World Health Organization European Centre for Environment and Health Roma)

Minoia Claudio (Fondazione "Salvatore Maugeri" IRCCS)

Petronio Maria Grazia (UO Igiene e Prevenzione ASL 11 di Empoli; ISDE Italia Pisa)

Porcile Gianfranco (Collegio Italiano dei Primari Oncologi Medici Ospedalieri – CIPOMO; ISDE Italia Genova)

Rivezzi Gaetano (ISDE Italia - Caserta)

Romizi Roberto (ISDE Italia)

Ronchetti Roberto (ISDE Italia - Roma)

Sapia Gabriella (Progetto "Bambino e ambiente"Società Italiana di Pediatria - SIP)

Scala Danila (ARPA Toscana)

Sciacca Salvatore (Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica – SItI)

Seniori Costantini Adele (UO Epidemiologia Ambientale e occupazionale, Centro per lo Studio e la Prevenzione Oncologica – CSPO; Associazione Italiana Epidemilogia - AIE)

Squarcione Salvatore (Ufficio IV, Direzione generale della prevenzione sanitaria, Ministero della Salute)

Tamino Gianni (Dipartimento di Biologia, Università di Padova)

Toffol Giacomo (Associazione Culturale Pediatri – ACP)

Ucci Mauro (Federazione Italiana Medici di Medicina Generale)

Vineis Paolo (Environmental Epidemiology, Imperial College London St Mary's Campus)

 

 

Scientific and Organisational Secretariat:

Associazione Medici per l’Ambiente - ISDE Italia

Via della Fioraia, 17/19 - 52100 Arezzo - Tel. +39 0575 22256 – Fax. +39 0575 28676

E-mail: isde@ats.it - http://www.isde.it