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Enhancing Water, Sanitation & Health Indicators System for Public Health Efforts

Explore WHO indicators on water, sanitation, and health in different Member States. Learn about EH indicators, ECOEHIS program, and ENHIS implementation in Europe. Discover ready-to-use indicators for the Protocol on Water and Health. Evaluate various EH data systems like WHO Health for All database and EUROSTAT/OECD. Understand the importance of EEA Waterbase for water-related indicators. Take recommended actions to utilize existing data sources effectively.

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Enhancing Water, Sanitation & Health Indicators System for Public Health Efforts

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  1. WHO indicators on water, sanitation and health • Experiences from the feasibility testing in different Member States in the framework of several WHO activities

  2. Background • Need of quantitative data for development programmes’ baseline-setting and follow-up • ECEH elaborating and testing a pan-European environmental and health indicator system – EHIS in cooperation with DG Sanco and EEA • ECOEHIS programme to integrate EH indicators into ECHI (European Community Health Indicators) systems • ENHIS programme (Implementing Environment and Health Information System in Europe): actual use of ECOEHIS indicators in 12 MS also proposed for CEHAPE • Use for the Protocol on Water and Health: • Four indicators are ready to use: • WatSan_S1 (Quality of bathing water) • WatSan_S2 (Quality of drinking water) • WatSan_Ex1 (Access to safe drinking water) • WatSan_P1 (Waste water treatment coverage)

  3. Background • Other EH indicators considered • Indicators relevant in ENHIS context but not yet for EU: • WatSan_A1 (Management of bathing water) • Indicators to be further developed • WatSan_E1 (Number of water related outbreaks) • WatSan_A2 (Water Safety Plans) • Indicators not considered any more • WatSan_E2 (diarrhoeal morbidity under 5) • WatSan_Ex2 (Access to sanitation)

  4. Other systems hosting EH data • WHO Health for All database: • Indicators on access to drinking water and sanitation • Ready to host indicator of waterborne diseases (outbreaks and cases) for selected priority diseases (cholera, typhoid, shigellosis, hepatitis A, EHEC) • May also host other waterborne infections (campylobacteriosis, cryptosporidiosis, calici, salmonellosis) • Joint Monitoring Programme (WHO-UNICEF) • Access to „improved drinking water sources” and „improved sanitation”

  5. Other systems hosting EH data • EUROSTAT/OECD: • „Access” indicators (drinking water; sanitation) • Several indicator subgroup for sanitation and sewage treatment coverage according to treatment grade • Separate group for „independent systems” • EEA Waterbase • A voluntary reporting system of 32 European countries in the framework of EIONET • Covers 49 water related indicators also on performance, reuse and remediation • Direct reporting schemes for various EU directives • 98/83/EC; 76/160/EEC; 91/676/EEC; 91/270/EEC …

  6. Conclusions • There is an abundance of data sources that may support the information gathering for the Protocol • Eurostat data are of primary choice • EEA water database has to be actively supported • Proposed actions: • To prolong the mandate of the „Copenhagen group” to investigate the usability of the aforementioned data • To propose Parties to liaise with EEA and ECEH ENHIS group

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