francesca racioppi: using "health in all policies" framework to integrate safety
TRANSCRIPT
Safety201619 September 2016, Tampere, Finland
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Using “Health in all policies” framework to integrate
safety
Francesca RacioppiWHO Regional Office for Europe
with thanks to Dinesh Sethi, WHO Regional Office for Europe
Heather Adair-Rohani, WHO Headquarters
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What this talk is about• Health/Safety in all policies• Make it happening
– Change accountability frameworks– The “co-benefit” argument: build on other sectoral agendas
• Energy, • Air pollution• Climate change
– The 2030 agenda for Sustainable Development: a new entry point
– The role of the safety community
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Injury deaths:
755 000 in 2000 544 000 in 2012
1980 1985 1990 1995 2000 2005 2008 2009 2010 2011 2012 20130
20406080
100120140160180200
European Region EU CIS
Deaths from Injuries, All ages in European Region
Dea
ths
per 1
00 0
00
More needs to be done reduce injuries for a safer and more equitable Europe
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From “Health in all policies” to “Safety in all policies”
Health in all policies (HiAP) is an approach to public policies across sectors that systematically takes into account the health and health systems implications of decisions, seeks synergies and avoids harmful health impacts, in order to improve population health and health equity2006 2013
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Taking HiAP forward in Europe: Health 2020
Intersectoral action for
health
Whole-of-governmen
t
Health in all Policies
Governance for Health
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In which policy domains?
Safety in All
Policies
Transport
Environment
Land use
Housing
Leisure
Sport
Education
Justice
Social policy
Labour
Industry
Health
Road traffic injuries
Fire-related injuries
Poisonings
Drownings
Falls
Occupational injuries
Interpersonal Violence
Child abuse and neglect
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Integrating safety in other policies: recognizing opportunities
Increasing efficiency
Enhancing sectoral
performance
Reducing inequalities
Reducing preventable
loss
Making safety an
integral part of sectoral
performance
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Changing accountability frameworksroad traffic injury prevention - 1
2004 20132009 20152011
The transport sector introduced monitoring and public reporting on progress against quantitative road safety targets
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European facts and Global status report on road safety 2015
Age-standardised road traffic injury mortality rates by quintiles, WHO European Region 2013
85 000
8 8.1%
Road traffic injuries are the leading cause of death in young people aged 5-29 years
Increase efforts to reach target of 50% reduction by 2020
Changing accountability frameworks: road traffic injury prevention - 2
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Goals in transport policy Sectoral InterestReduce emissions of:
–air pollutants;–greenhouse gases;–Noise
EnvironmentHealthEnergy
Reduce congestion Transport
Reduce road traffic injuries Transport, Health
Reduce investments in infrastructure Transport, Land use
Improve accessibility and quality of urban life Transport, Health
Complement improvements to vehicles and fuels Transport
Increase physical activity through active mobility Health
“Decarbonize” transport Environment, Energy
Improve transport efficiency Transport, Economy, Energy
Promote tourism Tourism and leisure industry
Creation of new jobs Economy, welfare, labour
Bridging across diverging agendas: Developing the “co-benefit” argument
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The “co-benefit argument”: Example -1Fighting indoor air pollution: Kerosene replacement
• An estimated 265 000 deaths every year are caused by burns• Burns occur mainly in the home and workplace, mostly –in low- and middle-income
countries.• Kerosene is a leading cause of burns and poisonings in low and
middle income countries• Kerosene is a major source of air pollution in and around the home, emitting high
levels of health-damaging pollutants like fine particulates (including black carbon), PAH’s, CO, NO2, SO2, etc
• Many households still rely on kerosene for cooking, heating and lighting• New WHO figures estimate around 200 million people still rely primarily on kerosene
for cooking along and many homes, particularly AFRO rely mainly on kerosene for lighting
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Percentage of population relying on kerosene as main lighting fuel in three WHO Regions
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WHO Indoor Air Quality Guidelines: defining “clean” for health?
Normative guidance found in the WHO Guidelines for indoor air quality: household fuel combustion:• Provides emission rate targets for PM2.5, and CO that
determine whether fuel and technology combinations are “clean” for health
• Provides guidance on the policy in transition to the sustained adoption of clean fuels (e.g. LPG) and technologies
• Recommendations made against kerosene and unprocessed coal use
• Emphasizes importance of addressing all main household energy end uses for health benefits
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Source: World Health Organization, 2011. Health co-benefits of climate change mitigation - Transport sector,
The “co-benefit argument”: Example - 2Mitigating climate change: Promoting cycling and walking
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The “co-benefit argument”: Example - 3Adapting to climate change: preparing for and preventing the effects of extreme weather events – from reacting to managing risks
Credit: UNDP/Ljubo Stefanov Credit: UNDP/Ljubo Stefanov
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The 2030 agenda for Sustainable Development: a new entry point for “Safety in all policies”
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Safety in all policies supports the attainment of SDGs. SDGs support safety in all policies implementation
Safety in all
policies
1.5 By 2030, build the resilience of the poor and those in vulnerable situations and reduce their exposure and vulnerability to climate-related extreme events and other economic, social and environmental shocks and disasters
3.2 End preventable deaths of children under 5 years by 20303.5 Prevention and treatment of substance abuse and harmful use of alcohol3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents
4.a Build and upgrade education facilities that are child, disability and gender sensitive and provide safe, non-violent, inclusive and effective learning environments for all
5.2 Eliminate all forms of violence against all women and girls in the public and private spheres, including trafficking and sexual and other types of exploitation5.3 Eliminate all harmful practices, such as child, early and forced marriage, and female genital mutilations
7.1 By 2030, ensure universal access to affordable, reliable and modern energy services
8.8 Protect labour rights and promote safe and secure working environments for all workers, including migrant workers, in particular women migrants, and those in precarious employmen
9.1 Develop quality, reliable, sustainable and resilient infrastructure, including regional and transborder infrastructure, to support economic development and human well-being, with a focus on affordable and equitable access for all
11.1 By 2030, ensure access for all to adequate, safe and affordable housing and basic services and upgrade slums11.2 By 2030, provide access to safe, affordable, accessible and sustainable transport systems for all, improving road safety, notably by expanding public transport, with special attention to the needs of those in vulnerable situations, women, children, persons with disabilities and older persons
13.1 Strengthen resilience and adaptive capacity to climate-related hazards and natural disasters in all countries
16.1 Significantly reduce all forms of violence and related death rates everywhere16.2 End abuse, exploitation, trafficking and all forms of violence against and torture of children
17.16 Enhance the global partnership for sustainable development, complemented by multi-stakeholder partnerships that mobilize and share knowledge, expertise, technology and financial resources, to support the achievement of the sustainable development goals in all countries, in particular developing countries
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The role of the safety community• Provide the evidence:
– Of the magnitude of the burden of violence and injury– Of the links to risk factors and protective factors– Of effective policies and interventions
• Advocate “Safety in all policies”– Understand other sectors agenda– Identify and leverage on “co-benefits”– Promote sectoral accountability– Use the economic and development argument
• Build capacities for “Safety in all policies” – Public health approach to violence and injury prevention– Risk assessment and management
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In conclusion
• “Health in all policies” approaches are amenable to “safety in all policies”
• Health 2020 and the 2030 Sustainable Development Agenda support and offer entry points to “safety in all policies”
• Implementing “safety in all policies” will benefit from: – Shifting sectoral accountability and integrating safety goals in
performance appraisals– Understanding sectoral policies agendas– Identifying opportunities for “co-benefits”– Demonstrating the economic and development benefits of safety in all
policies approaches
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To get in touch with us:
[email protected]@who.int
http://www.euro.who.int/en/health-topics/disease-prevention/violence-and-injuries