Skip to end of metadata
Go to start of metadata

 DISA 2009 home

UNECE wikis home


 

 

Search DISA 2009

Browse by:

Organization

 Other years:

 About DISA

The Database of International Statistical Activities (DISA) lists the activities of over 30 statistical organizations active in the UNECE region. Updated every year, DISA is a coherent catalogue of planned work in international statistics over the coming year.  
Environment and Health

Purpose:

To provide data, information and analytical synthesis on the linkage between environment and public health, generating the evidence-base system to support decision-making in countries of the WHO European Region. This process also allows monitoring trends and progress with regards to the implementation of public health policy in the area of environment and health.

Ongoing methodological work:

  • Standardization and validation for data collection and linkage analyses to produce evidence-based assessments of environmental health status, and presentation methods for supplying information to decision-making;
  • Implementation of the follow-up project on environment and health information system supporting policy-making to propose indicators on health effects of climate change (contract between WHO/Europe and EC/DG Sanco);
  • Development of climate change and health indicators;
  • Implementation of new international data-flows e.g. from EUROSTAT surveys;
  • Development of methods for health impact assessment and burden of disease of environmental risk factors, using hierarchical models for uncertainty estimation;
  • Development of tools for the assessment of the burden of disease of climate change;
  • Development of harmonized evaluation methodology for the effectiveness of heat health action plans;
  • Development of assessment tool for health security and climate change;
  • Application of small area techniques for the analysis of high-resolution data on mortality, morbidity and hospital admission;
  • Support the Ministry of Health of Portugal in the development of standard tools and methods to identify housing and health priorities for local action.

Priority objectives over the next two years:

  • Preparation of national implementation of core environment and health (EH) indicators;
  • Maintaining up-to-date the pan-European database of the core EH indicators, related assessments and reporting and dealing with challenges related to data sources' sustainability and consistency;
  • Framework allowing systematic expansion of the system to accommodate further applications of information in support of policy formulation and assessment;
  • Preparation of indicator-based assessment report on environmental and health progress in the WHO European region in the context of the policies implemented for the 5th Ministerial Conference on Environment and Health (Italy, Feb/ Mar 2010);
  • Update previous estimates of health impact of air pollution in selected Member States using enhanced, model-based methods;
  • Assessment of burden of disease of selected environmental risk factors related to indoor air quality, noise, housing etc concerning children and other age groups;
  • Economic evaluation of health impacts due to environmental exposure through application of a set of reliable estimates and characterization of their uncertainty;
  • Assessment of the burden of disease and of health security in relation to climate change;
  • Building capacity on integrated environment and health assessments in European Member States.

New activities to be undertaken in the next two years:

  • Collection of evidence and data on social inequities of environmental health risks.

Meetings planned to be organised in the next two years:

  • Periodic technical meetings on methodological issues in environment and health assessments as well as the statistical data which serve as input for the EH indicators system. The meetings gather invited national professionals, professionals dealing with evaluation of national action programmes on public health and/or environment, statisticians and external experts. Parallel to these, agreement on a common approach will be created in collaboration with the relevant international agencies to avoid duplication of efforts, minimize the burden of reporting by the countries and to use the same indicators where there are similar needs.
Health Statistics

Purpose:

WHO/EURO aims to provide updated information to enable assessment and monitoring of the health situation and trends in countries of the European Region and to orient decision-making in the formulation of public health policies and programs and assessment of their effectiveness. In this regards, EURO collects, reviews the quality and maintains over 600 indicators from various health dimensions in different databases.

Ongoing methodological work:

  • Annual collection and processing of national basic health statistics (e.g. demographics, health status, health determinants and health care) from 53 European WHO Member States and dissemination via the WHO/EURO website http://www.euro.who.int/InformationSources/Data/20010827_1
    or from http://www.euro.who.int/HFADB;
  • Annual collection and processing of national and sub-national mortality from European WHO Member States and dissemination via the WHO/EURO website. It supplements the European health for all database (HFA-DB) providing data for a predefined set of aggregated indicators for 67 causes of death by age and sex (HFA-MDB) (http://www.euro.who.int/HFA-MDB;
  • Annual collection and dissemination of European detailed mortality database (DMDB). This source was developed in 2007 to provide user-friendly access to detailed data by any combination of three-digit codes used in the International Classification of Diseases, ninth or tenth revisions (ICD-9 or ICD-10) and five-year age groups (http://data.euro.who.int/dmdb/);
  • Collection and dissemination of the national hospital discharge data in a form of a European Hospital Morbidity database (HDMB), including detailed diagnoses by age and sex. It may be accessed at: http://data.euro.who.int/hmdb/index.php;
  • Web-enabled highlights on health which provide snapshots and comparative information on the main causes of death and illness in countries of the WHO European Region, linking key country findings to relevant public health policies. See URL: http://www.euro.who.int/highlights for their dissemination;
  • Maintenance of Health Evidence Network (HEN) as an information service for public health and health care decision makers in the European Region, as well as mapping of existing health information and data sources in the region. http://www.euro.who.int/eprise/main/who/progs/HEN.

Priority objective of methodological work:

  • Co-ordinated system of statistical databases maintained by specific WHO/Europe technical programmes available to external users;
  • Review and improvement of data quality of WHO/EURO data sources at different levels, including the establishment of mechanisms and tools to facilitate the process;
  • Improvement of the international data collection co-ordination and comparability in collaboration with other international agencies (primarily with OECD and EC/EUROSTAT). Work meetings aim to improve mechanisms for the coordination of health data collection efforts and the harmonization of health indicators in the European region. Following the national health accounts example, a joint collection on non-expenditure health indicators has been proposed, tentatively to start in 2010. Definition of scope, indicators definition, timetable and operational organization of the process are under discussion.

New activities:

  • Preparation of the 2009 European Health Report. In addition to the basic analyses of situation and trends, this update will emphasize the importance of the health system as a means to achieving varying levels of health in the countries of the region;
  • Development of new tools for improving on-line user-friendly access and integrated display of WHO/EURO data.

Meetings planned to be organised in the next two years:

  • Fourth European Meeting of WHO national counterparts on health statistics and information, to be held in Copenhagen, Denmark, in April 2009. The aim is to review updated demands for data and information, identify and agree on additional indicators for the HFA database, suggest mechanisms for improving data collection and harmonization processes and propose improvements to HFA data display and communication. In addition, the meeting will allow sharing country experiences in the development and use of core health information systems.
Prison and Health

Purpose:

The Prison Health database (http://www.euro.who.int/prisons) is used to develop evidence-based guidance on cost-effective disease control and health promotion in prisons as part of national strategies for public health. The information in the database is updated annually by national counterparts for the WHO Network on Prison and Health or a representative for the Ministry of Health. The prison health database was developed in order to increase the knowledge of prison health, trends in prison health and their importance for public health. The development of the database is done jointly by WHO and the European Monitoring Centre for Drugs and Drug Addiction and supported by a grant from the Public Health programme, European Commission.

Ongoing methodological work:

  • Decreasing the number of indicators and make standardization and validation for data collection;
  • Increase the number of participating countries;
  • Develop a system for data reporting.

Priority objectives over the next two years:

  • Streamline the database;
  • Increase collaboration with EMCDDA and European Commission in order to be able to continue the database.

Meetings planned to be organised in the next two years:

  • National counterpart meeting to be organized during October 2010 where prison health database will be discussed.
Alcohol

Purpose:

WHO/EURO started in 2008 to collect data on alcohol consumption, alcohol related harm and responses together with European Commission and the WHO HQ. Data will be used for a global/regional database and available for the public during 2009. The data will further be used for a Status report for the WHO European region, for a report for the European Commission and a Global Status report from WHO HQ.

Ongoing methodological work:

  • Data collection from 53 European Member States;
  • A system for on-line data entry;
  • Entering data in to a SPSS file.

Priority objective of methodological work:

  • A shared database will be developed at WHO HQ with a platform for each European region and also for the EU Member States only;
  • Review and improvement of data quality especially with focus on alcohol consumption by using many different sources of data;
  • Improvement of the international data collection co-ordination in order to secure that data for a country are always the same;
  • Improvement of data collection, so a Member States will only have to answer one survey every second year and not different surveys from HQ, EURO and EC.

New activities:

  • Preparation of a European Alcohol report to be presented for the Regional Committee 2009.

Meetings planned to be organized in the next two years:

  • Data meeting with HQ and the European Commission, December 2008;
  • Alcohol expert meeting, 14 January 2009, Barcelona, Spain;
  • Alcohol counterpart meeting 20-24 April 2009.
Tobacco

Global Adult Tobacco Survey (GATS) in the framework of Bloomberg Initiative will continue to be implemented in 4 countries, Turkey, Russia, Poland and Ukraine. The first country to come out with data and its analysis is Turkey in spring 2009, in other three countries the survey will be conducted in the first part of 2009 with data coming out late 2009/2010.

Nutrition

Purpose:

WHO/EURO started in 2005 to collect data on the prevalence of overweight and obesity in all population groups as preparation for the European Ministerial Conference on Counteracting Obesity (15-17 November 2006, Istanbul). To follow up and ensure implementation of the Charter that was endorsed at this Conference, prevalence data have been included in the WHO European Database on Nutrition Policy and regularly updated. Diet and physical activity are main determinants of overweight and obesity and thus WHO/EURO started late 2008 to collect data on dietary intake patterns and physical activity. All the information collected will be included in a European regional database, which will be accessible to policy-makers and will assist Member States in monitoring their nutrition and physical activity policy implementation and making comparisons between countries.

Ongoing methodological work:

  • Annual collection and processing of national and sub-national data on the prevalence and trends of overweight and obesity in all population groups (children, adolescents and adults) from the 53 Member States of the WHO European Region; as well as dissemination through the WHO/EURO website (http://data.euro.who.int/nutrition/);
  • As part of the WHO European Childhood Obesity Surveillance Initiative that aims to monitor routinely the policy response to the emerging obesity epidemic, a first data collection round has been taken place during the school year 200//2008 in 15 countries. Body weight and body height as well as dietary and physical activity patterns have been measured among primary school-children aged 6-9 years.

Priority objectives beyond 2009:

  • Validation of the collected data on overweight/obesity and physical inactivity by the national information focal points;
  • Calculation of inter-country comparable estimates of the prevalence of overweight/obesity and physical inactivity, based on a standardized methodology.

New activities to be undertaken in the next year:

  • Collection and processing of national and sub-national data on the prevalence and trends of physical inactivity in all population groups (children, adolescents and adults) from the 53 Member States of the WHO European;
  • Development of a comprehensive and integrated database on nutrition and physical activity as part of a joint WHO/EC project on monitoring progress on improving nutrition and physical activity and prevention of obesity; the two current existing databases (http://data.euro.who.int/nutrition/ and http://data.euro.who.int/physicalactivity) be merged;
  • Second data collection round of WHO European Childhood Obesity Surveillance Initiative, which is planned for the school year 2009/2010.

Meetings:

  • 3rd meeting of the principal investigators of the participating countries in the WHO European Childhood Obesity Surveillance Initiative;
  • 2nd meeting of the national information focal points for the joint WHO/EC monitoring project.
Communicable Disease Surveillance, Prevention and Control

Purpose:

Database contains data gathered through surveillance, prevention and control activities on communicable diseases - such as tuberculosis, HIV/AIDS and sexually transmitted infections, and malaria - and data on immunization coverage in countries and recent outbreaks in Europe. It offers information on recent outbreaks in Europe and some other textual information. Allows detailed review and assessment of the situation on the main infectious diseases in the WHO European Region. Offers some data at the subnational level.

Ongoing methodological work:

  • Collection and dissemination of data on vaccine preventable diseases, including monthly incidence of measles, rubella, acute flaccid paralysis (polio), and diphtheria, and annual summaries of immunization program indicators (vaccination coverage, immunization schedules), through the Centralized Information System for Infectious Diseases (CISID) database http://data.euro.who.int/cisid/. Monthly surveillance statistics for measles jointly collected and reported with EUVAC.NET;
  • Annual collection and dissemination of data on non-vaccine preventable infectious diseases, including zoonotic, vector-borne, and water related, through the centralized information system for infectious diseases (CISID);
  • Enhanced surveillance of HIV/AIDS conducted jointly by WHO EURO and the European Centre for Disease Prevention and Control (ECDC) in the 53 WHO EURO Member States since January 2008. Case-based data summaries are disseminated in an annual report and through the centralized information system for infectious diseases (CISID): http://data.euro.who.int/cisid/;
  • Annual collection, through an annual questionnaire, on the health sector response to HIV/AIDS, including information on access to prevention, treatment and care for people living with HIV/AIDS in the 53 member states. This information is collected from national HIV surveillance focal points in all member states and used for programmatic purposes as well as for global reporting and is available on the WHO/EURO website (http://www.euro.who.int/aids);
  • Annual collection of epidemiological data on the following sexually transmitted infections (STIs): Syphilis (total, early, late and congenital), Gonorrhoea, Chlamydia, Herpes simplex and HPV as well as viral hepatitis and HIV/ hepatitis co-infection. This is done through the WHO Communicable Disease Annual Reporting Form. Data are disseminated through CISID;
  • Annual collection and dissemination of tuberculosis incidence and prevalence data in collaboration with ECDC. Annual collection and dissemination of tuberculosis programme statistics maintained through CISID.

New activities:

  • Development of an online data entry tool for rubella and Congenital Rubella Syndrome through CISID;
  • Development of electronic data transfer protocols between ECDC and WHO databases;
  • Improvement of automated uploading capabilities in countries reporting surveillance data to CISID.
Health Accounts

Purpose:

WHO/EURO's work on health systems financing includes efforts to produce reliable, internationally comparable and transparent estimates of health expenditures for each country in the Region, using a common international standard (the International Classification for Health Accounts). Estimates are produced in a consultative process with technical specialists in all Member States and partner agencies. The work results in aggregate health expenditure estimates available on-line in the WHO/Europe Health for All database.

Ongoing methodological work:

The System of Health Accounts (SHA), a global standard for defining and classifying financial resources for health, is going through a major revision. The work is led jointly by WHO, OECD and Eurostat. WHO/Europe will continue to contribute to this revision to ensure the new standard is aligned with the functional framework for health financing that we use in our country and normative/analytic work, aiming at increasing the usefulness of health expenditure data and National Health Accounts in health financing policy work and monitoring. WHO/Europe contributions will be made through input papers to the revision process, and participation in revision meetings. Such engagement has already begun and will continue in 2009 and 2010.

Priority objective of methodological work:

WHO/Europe has established a validation process of all health expenditure data published in the Health For All Database, the WHO World Health Statistics and the WHO WHOSIS database. The validation consists of an informal network of experts in health accounting and/or health financing in the region, with whom is shared preliminary estimates from WHO and who are invited to provide comments and alternative estimates.
In the area of pharmaceuticals, WHO collaborates with the EU funded PHIS and PPRI network; this will produce in 2010:

  • updated national pharmaceutical profiles of EU countries;
  • indicators for national pharmaceutical systems;
  • data on medicines in hospitals.
    Some statistical data referred to on pharmaceuticals are included in the European Health for All database (mostly types of expenditure data on medicines) and is coordinated with the National Health Accounts as well.

Meetings planned to be organised in the next two years:

A workshop for CIS countries will be conducted in 2009 or early 2010. The workshop will contribute to increased networking among health accountants in the participating countries, knowledge sharing and methodological development.