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INTRODUCTORY REMARKS,
INCLUDING UPDATE ON
GOVERNING BODY
DECISIONS AND MAJOR
EVENTS SINCE JULY 2015
Dr Zsuzsanna Jakab
WHO...
Where are we?
The is good news and less good news….
• The good news:
– The European Region is on track to achieve the Heal...
• The less good news:
– There are still unacceptable differences in
health status between European countries.
– If rates o...
Issues to be addressed in 2016:
• Health in the Sustainable Development
Agenda 2030 and the role of WHO
• Universal health...
Health in the Sustainable
Development Agenda
2030
Health is a political choice
The SDGs and Health 2020
RENEWED POLICY ENVIRONMENT
FRAMED BY
HEALTH 2020
“Ensure healthy lives and promote
well-being for all at all ages.”
 the “”unfinished business” of MDGs
 noncommunicable ...
The SDGs, Health 2020 and
public health
©WHO
Universal health coverage
Moving towards universal health
coverage is vital
Universal health
coverage: The single
most powerful
concept that public
...
Developmental origins of
health and disease and
the life-course approach
The Minsk Declaration
Chronic NCD
risk
Plasticity
Life-course
No intervention
Mother
& infant
Earlier intervention
improves functional
capacity ...
Building a new WHO
programme for outbreaks
and emergencies
WHO Director-General, Deputy Director-
General and regional directors have been
leading the transformation of WHO’s
work i...
WHO’s “new” programme on outbreaks and health
emergencies addresses the full cycle of health
emergencies.
• Comprehensive
...
What does the world expect of WHO in
emergencies?
Single approach for all emergencies (outbreaks,
humanitarian, other)
Sta...
Zika virus disease
Zika virus disease
©James
Gathany
Migration and
health in the
European Region
Setting the scene: migration in the
European Region
Source:
UNHCR
77 million migrants are living in the WHO European Regio...
Setting the scene: migration in the
European Region
The migrant population in the European Region is heterogeneous, compos...
European refugee and the migrant
crisis in numbers
The Eastern Mediterranean Region hosts the largest number of displaced
...
Health issues associated with
migration
• There is no systematic association between migration and the
importation of comm...
Project ‘Public Health Aspects of Migration
in Europe’
Lampedusa, Italy, 2011
Serbian-Hungarian border,
2015
Policy
develo...
Project ‘Public Health Aspects of Migration
in Europe’
Policy development
September
RC64:
Technical
briefing
September
RC6...
Project ‘Public Health Aspects of Migration
in Europe’
Technical assistance
• Assessing countries’ health-system capacity ...
Project ‘Public Health Aspects of Migration
in Europe’
Health information and evidence
Improving the
availability of good-...
Health system strengthening
Health system strengthening
From the Tallinn Charter to Health 2020
Introduced core health system functions:
governance; s...
Targets and beyond –
reaching new frontiers in
evidence
Health 2020 targets
1. Reduce premature mortality.
2. Increase life expectancy.
3. Reduce inequities.
4. Enhance well-bein...
European Health Report 2015
Main aims:
• To report on progress towards
the Health 2020 targets (since
the 2010 baseline)
•...
Thank you
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Introductory remarks, including update on governing body decisions and major events since July 2015

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Presentation delivered by Dr Zsuzsanna Jakab, WHO Regional Director for Europe, at the 7th Meeting of the European Advisory Committee on Health Research (Copenhagen, Denmark, 6 April 2016)

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Introductory remarks, including update on governing body decisions and major events since July 2015

  1. 1. INTRODUCTORY REMARKS, INCLUDING UPDATE ON GOVERNING BODY DECISIONS AND MAJOR EVENTS SINCE JULY 2015 Dr Zsuzsanna Jakab WHO Regional Director for Europe 7th Meeting of the European Advisory Committee on Health Research Copenhagen 6 April 2016
  2. 2. Where are we? The is good news and less good news…. • The good news: – The European Region is on track to achieve the Health 2020 targets. – Europeans live longer and healthier lives than ever before. – Differences in life expectancy and mortality between countries in Europe are diminishing. – Many European countries are aligning their national health strategies with Health 2020.
  3. 3. • The less good news: – There are still unacceptable differences in health status between European countries. – If rates of smoking, alcohol consumption and obesity do not decline substantially, the gains in life expectancy could be lost in the future. – Data collection must be strengthened and new health monitoring approaches explored to obtain adequate evidence for the 21st century. Where are we?
  4. 4. Issues to be addressed in 2016: • Health in the Sustainable Development Agenda 2030 and the role of WHO • Universal health coverage • Reform of WHO’s emergency programme • Public health impact of migration in Europe • Decision-making, performance, transparency, legitimacy and accountability in the Region and globally • Policy coordination and partnerships in Europe
  5. 5. Health in the Sustainable Development Agenda 2030
  6. 6. Health is a political choice
  7. 7. The SDGs and Health 2020
  8. 8. RENEWED POLICY ENVIRONMENT FRAMED BY HEALTH 2020
  9. 9. “Ensure healthy lives and promote well-being for all at all ages.”  the “”unfinished business” of MDGs  noncommunicable diseases, mental health and injuries  sexual and reproductive health and rights  determinants of health  universal health coverage  health security
  10. 10. The SDGs, Health 2020 and public health ©WHO
  11. 11. Universal health coverage
  12. 12. Moving towards universal health coverage is vital Universal health coverage: The single most powerful concept that public health has to offer.” Dr Margaret Chan WHO Director-General
  13. 13. Developmental origins of health and disease and the life-course approach The Minsk Declaration
  14. 14. Chronic NCD risk Plasticity Life-course No intervention Mother & infant Earlier intervention improves functional capacity and responses to new challenges. Inadequate response to new challenges Childhood Adulthood Early intervention Late intervention Late intervention impacts vulnerable groups. Life-course strategy for disease prevention Gluckman, Hanson, Cooper et al. New Engl J Med 2008; 359: 61-73 Harvey NC et al. J Bone Miner Res 2014; 29: 1917-25
  15. 15. Building a new WHO programme for outbreaks and emergencies
  16. 16. WHO Director-General, Deputy Director- General and regional directors have been leading the transformation of WHO’s work in outbreaks and emergencies since January 2015 We are fully committed to: • urgently reform the emergency work of WHO, • establish one single programme and • have an independent mechanism of assessment and monitoring.
  17. 17. WHO’s “new” programme on outbreaks and health emergencies addresses the full cycle of health emergencies. • Comprehensive • All-hazards approach • Flexible • Rapid and responsive • “No regrets” principle Preparedness Response Recovery Mitigation
  18. 18. What does the world expect of WHO in emergencies? Single approach for all emergencies (outbreaks, humanitarian, other) Standardized at all three levels and in all seven major offices Optimize WHO’s political access and technical expertise Leverage and facilitate the United Nations, partners and disaster management systems Operate across the emergency management cycle
  19. 19. Zika virus disease
  20. 20. Zika virus disease ©James Gathany
  21. 21. Migration and health in the European Region
  22. 22. Setting the scene: migration in the European Region Source: UNHCR 77 million migrants are living in the WHO European Region, representing 8% of its population (European Heath Report 2012) 1 out of 12 residents is a migrant Over 1 million people arrived in Europe in 2015. During the first 6 weeks of 2016, over 80 000 people arrived in Europe. This number is higher than the number of arrivals in the first 4 months of 2015.
  23. 23. Setting the scene: migration in the European Region The migrant population in the European Region is heterogeneous, composed of diverse and overlapping groups, including refugees, asylum-seekers, labour migrants and undocumented migrants.
  24. 24. European refugee and the migrant crisis in numbers The Eastern Mediterranean Region hosts the largest number of displaced people: 20 million internally displaced people and 9 million refugees. Arrivals in the European Region Demographics Childr en Wome n Me n Source: UNHCR Source:ReliefWeb Nationalities Inter-regional and inter-country coordination must be strengthened to improve the availability and exchange of health information, evidence and expertise in public health and migration.
  25. 25. Health issues associated with migration • There is no systematic association between migration and the importation of communicable diseases. Communicable diseases are primarily associated with poverty. • Migrants and refugees do not pose an additional health security threat to their host communities. Screening – not limited to infectious diseases – can be an effective public health instrument but should be non- discriminatory, non-stigmatizing and carried out to the benefit of the individual and the public; it should also be linked to access to treatment, care and support. (Outcome document Stepping up action on refugee and migrant health – High-level Meeting on Refugee and Migrant Heath, Rome, November 2015). • High-quality care for refugee and migrant groups cannot be provided by health systems alone. All sectors (education, employment, social security, housing) affect the health of refugees and migrants.
  26. 26. Project ‘Public Health Aspects of Migration in Europe’ Lampedusa, Italy, 2011 Serbian-Hungarian border, 2015 Policy development Advocacy and communication Health information and evidence Technical assistance
  27. 27. Project ‘Public Health Aspects of Migration in Europe’ Policy development September RC64: Technical briefing September RC65: Ministerial lunch and technical briefing November, Rome: High- level meeting on refugee and migrant health November: SCRC meeting, Paris, France Member States agreed to organize a high-level meeting 2014 2015 2016 Member States approved an outcome document calling for a European framework for collaborative action Member States approved the preparation of a European strategy, action plan and resolution on refugee and migrant health, to be submitted and discussed at RC66 September RC66 EB138 Global discussion
  28. 28. Project ‘Public Health Aspects of Migration in Europe’ Technical assistance • Assessing countries’ health-system capacity to address the public health aspects of migration. • Assessment missions conducted in Albania, Bulgaria, Cyprus, Greece, Hungary, Italy, Malta, Portugal, Serbia, Spain and the former Yugoslav Republic of Macedonia. • Providing technical assistance to upgrade the capacity of health systems to cope adequately with large-scale migration: • Policy advice on contingency planning, risk analysis, risk assessment and risk communication • Training in migrant health • Provision of medical supplies • Production of technical guidance notes and public information materials
  29. 29. Project ‘Public Health Aspects of Migration in Europe’ Health information and evidence Improving the availability of good- quality data on public health and migration is essential for evidence- informed policies and interventions. • Heallth Evidence Network (HEN) reports on public health and migration: • Published reviews of the available evidence on health status and access to health care for refugees and asylum seekers, undocumented and labour migrants • Ongoing reviews on mental health, maternal health and the public health implications of the legal definitions of migrants
  30. 30. Health system strengthening
  31. 31. Health system strengthening From the Tallinn Charter to Health 2020 Introduced core health system functions: governance; services delivery; financing; resource generation 2000 1978-’96 Alma-Ata Declaration; Ljubljana Conference on Reforming Health Care Building blocks: service delivery; health workforce; information; medical products; financing; leadership Tallinn Charter: health systems for health and wealth 2007 2008 2013 Strengthening people-centred health systems; operational approach to HSS 2020 Priority area: strengthening people- centred health systems and public health capacity People at the centre of systems 2009
  32. 32. Targets and beyond – reaching new frontiers in evidence
  33. 33. Health 2020 targets 1. Reduce premature mortality. 2. Increase life expectancy. 3. Reduce inequities. 4. Enhance well-being. 5. Achieve universal health coverage. 6. Member States establish national targets.
  34. 34. European Health Report 2015 Main aims: • To report on progress towards the Health 2020 targets (since the 2010 baseline) • To reach new frontiers in health information and ‘evidence for the 21st century’, including further work on well-being.
  35. 35. Thank you

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