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The ND area ranges from the European Arctic and
Sub-Arctic to the southern shores of the Baltic
Sea encompassing the countries in its vicinity,
as well as the North West Russia in the East to
Iceland and Greenland in the West
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Geographical Area
Priority Sectors
Northern Dimension
Four partners EU, Iceland, Norway and Russia
Economic Cooperation
Freedom, Security and Justice
External Security, Civil Protection
Research, Education and Culture
Environment, Nuclear Safety and Natural Resources
Social Wellfare and Health Care
The ND area ranges from the European Arctic and
Sub-Arctic to the southern shores of the Baltic
Sea encompassing the countries in its vicinity,
as well as the North West Russia in the East to
Iceland and Greenland in the West
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Priority Sectors
Northern Dimension
Objectives(Oslo Declaration of 27 October 2003
establishing the NDPHS)
A new opening from begining of 2007 Four
partners EU, Iceland, Norway and Russia
Economic Cooperation
Freedom, Security and Justice
External Security, Civil Protection
Research, Education and Culture
Environment, Nuclear Safety and Natural Resources
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Partner Organisations
Structure

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Expert Groups
HIV/AIDS Primary Health Care Prison
Health SIHLWA (social inclusion, healthy
lifestyles work-ability) and Associated
Expert Group Children at Risk Associated
Expert Group Baltic Sea Network on Occup. Safety
Health
EG meetings (at least 2 per year), conferences,
workshops Develop/review, implement, monitor,
appraise projects/activities Co-ordinate and
collaborate with relevant stakeholders Flagship-p
rojects with partner agencies and NGOs Promote
networking and facilitate professional exchanges
Back to menu
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For more information
Please visit our website at www.ndphs.org
and read the NDPHS e-Newsletter
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• Average life-expectancy is mainly a reflection of
  unhealthy lifestyles.
• In Europe the estimated number of deaths (2005)
  from non-communicable
• diseases was 8.2 million people (all deaths were
  9.6 million). NCDs make
• 77 of all deaths (source WHO-EURO 2006).

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RUSSIAN FEDERATION/ Karelia, Pitkyaranta
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Greenland, Ilullisat
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POTENTIAL YEARS OF LIFE LOST PYLL
PYLL
A MAP FOR HEALTH OF THE POPULATION
From shadow to light
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PYLL Starting point simple calculation
Standard-life to which all preventable deaths
are reflected
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70 y
A Ivan died of coronary heart attack at age of
55 years
?
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Ivans PYLL 70 -55 15 years
B Anna died of alcohol poisoning at age of 28
years
?
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Annas PYLL 70 28 42 years
C Pelagiya died of stroke at age of 71 years
?
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Pelagiyas PYLL 70 71 0 years
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Objectives

• To assess the problems of early deaths.
• To direct preventive measures.
• 3. To evaluate the performance of prevention and
  treatment.

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2001 average PYLL Canada 5202/100,000
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Examples of actions taken at municipal level in
Finland in order to reduce immature deaths
(PYLL)
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About 120 die in alcohol poisoning every day in
Russia Liver chirrosis mortality in Finland
rose from 500 to 2000 x 4! from 2002 in 2006
Alcohol is now the biggest killer of working aged
women in Finland. On 2nd place comes breast
cancer.
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4 Main reasons to Russian low life expectancy
SAMOGON 50-60 ? /l
VODKA 40 3/l
COUGH MEDICINE 75 1.50/l
COLOGNE 96 0.70 /l
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Source KTL/ Erkki Vartiainen
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Conclusions

• By the age when children have reached adulthood
  (18 years) in Finland, about one third or more
  (33-40) have already managed to develop a
  hazardous drinking habit for their future.
• By the age of 16 about one fourth (22-23) of
  minors break the law regularly by purchasing and
  using alcohol (most likely with their parents
  knowing what they do). There is full gender
  equality girls drink as much as the boys.
• By the age of 14, about 10 of girls become
  drunk regularly. There is gender inequality, as
  only 5 of boys at 14 become drunk regularly.
• Politicians and alcohol distribution (shops) are
  not unaware where and how children get their
  alcohol. Beer, cider and long-drinks are BIG
  BUSINESS.
• SHOULD WE TRY TO DO SOMETHING ABOUT THIS?

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and FINLAND, supported by EU alcohol policy,
follows the example
YELLOW or RED or GREEN CAT for adults?
RED CAT 6.86 15 alc.
ALCOHOL LEMONADE for whom?
So much for the responsible advertizing policies
of alco-industry!
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Translation This is our favourate shop!
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SIHLWA
SIHLWA ADO
SIHLWA ALC
SIHLWA OSH
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SIHLWA Projects on-going in 2008

• Alcohol Drug Prevention among youth in SPb
  phase 1 NCM, Russian Federation (St.
  Petersburg), NCM Finland 2007-2008
• Alcohol Drug Prevention among youth in SPb
  phase 2 MoFA/ MoSAH/Finland, Russian Federation
  (St. Petersburg), Alcohol and drug prevention
  among youth 2nd phase to start in Sept. 2008 -gt
  2009
• Early Identification Brief Intervention on
  Hazardous Harmful use of alcohol (EIBI)
  Feasibility project SPb Leningrad Obl. March
  October 2008
• ILO, Russian Federation and Finland Occupational
  safety and health project in N-W Russian
  Federation (Leningrad Oblast Republic of
  Karelia). 2nd phase in 2008.

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SIHLWA Projects beginning in 2008

• SIHLWA Stakeholder Analysis September 2008
  (starting). St Petersburg, Leningrad Obl.,
  Republic of Karelia, Murmansk.
• Later in 2009 in other regions and other
  countries (Baltic States, etc. depending on
  countries interest)

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SIHLWA projects still in preparation in 2008

• Facts-sheet for SIHLWA ADO sub-group in English
  and in Russian.
• Facts-sheet for SIHLWA ALC sub-group in English
  and in Russian.
• Full EIBI project (after feasibility project)
  Hazardous harmful use of alcohol Early
  Identification and Brief Intervention Possible
  regions/countries for implementation St.
  Petersburg City (will be agreed upon with the St.
  Petersburg City Health Committee). Other
  potential candidates Leningrad Obl., Republic of
  Karelia, Murmansk, Cherepovets city /Vologda
  Obl., Arkhangelsk, Republic of Komi, Nenets
  Autonomic Area. Potential funders (tentative)
  Finland, Norway, EC, others?
• Full PYLL analysis for the Republic of
  Karelia and/or Vologda/ Cherepovets city
• Life at Stake (Na konu zhizn) TV programme on
  healthy lifestyles impact on individual people.
  This project idea is running late due to time
  resource shortages.

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SIHLWA 2009 Action Plan

• Meetings, conferences workshops
• Two SIHLWA meetings (SIHLWA-7 -8) (tentative
  February September 2009)
• Ad hoc meetings, workshops, seminars and
  conferences (ADO ALC OSH)
• The overall purpose of seminars and conferences
  should be to make best practices more available
  to a wide range of stakeholders (as opposed to a
  small circle of experts). See Draft Action Plan
  text

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1. ADO Thematic paper (data-base)2. ALC
Thematic paper (data-base)

• snapshot, quick dirty
• Going ahead FIN, LTU, POL, CAN, EST, RUS?
  Others?
• Existing data primarily (intl. national). Do
  not invent the wheel.
• Identify gaps in data and policies.
• Be strategic!!

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Flagship-projectsfor every sub-group

• ADO
• a) ADPrevY 2007-2009
• b) 2009??Friends for Life or Coping Cat
  Prevention of social anxiety -gt depression -gt
  substance abuse etc. (children adolescents).
• SIHLWAs response to over-medicalization and
  to scale up social inclusion theme.

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ALC FLAGSHIP PROJECT EIBI

• After finalizing the feasibility project on the
  Prevention of Hazardous Harmful Use of Alcohol
  Early Identification and Brief Intervention
  EIBI by the end of 2008, follow up based on the
  outcome will take place. Tentatively the outcome
  would be a 3 year EIBI project in the range of
  150.000 per year (2009-2011).
• Possible regions/countries for implementation
  St. Petersburg City in collaboration with the St.
  Petersburg City Health Committee and Social
  committee. Further potential candidates are
  Leningrad Oblast, Republic of Karelia, Murmansk,
  Cherepovets city /Vologda Obl., Arkhangelsk,
  Republic of Komi, Nenets Autonomic Area.
• Estonia, Latvia and Lithuania have joined the
  Primary Health Care European Project on Alcohol
  PHEPA (www.phepa.net) funded by the EU public
  health program and could possibly join with their
  own funding.

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EIBI is not about.
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Translation This is our favourate shop!
Interesting conceptual dilemma (linking with our
own NDPHS evaluation) How do you measure
success when someone does NOT develop alcohol
dependency? We know through evidence based
research that about one in 10 EIBI interventions
has an impact, but we do not know which one is
it? Should we stop doing it? Who would benefit?
( alcohol industry!)
EIBI is about.
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OSH FLAGSHIP PROJECT

• Continuing 2nd phase of Occupational Safety
  and Health (OSH) in North-Western Russia
  proceeding into phase 3 (2009-10)
• Broadening the scope towards social inclusion,
  unemployment, illegal migrants, trafficking etc.
  would be feasible

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Following up of PAC-5 Post-meeting workshop on
health social well-being of indigenous and
remote northern communities in Ottawa/ Canada
(Nov, 2008)
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Health social well-being of indigenous and
remote northern communities

• Explore possibilities for a joint, holistic and
  innovative project under NDPHS.
• SIHLWAs input could be on alcohol and tobacco
  prevention, action against obesity, accidents and
  violence.
• Partners in this development could be all other
  NDPHS EGs (HIV/AIDS, PHC and PH) and associated
  EGs CBSS Working Group for Cooperation on
  Children at Risk (WGCC) and the Baltic Sea
  Network on Occupational Health and Safety (BSN).
• Potential partner Member countries /regions
  could be Canada, Finland, Norway, Sweden
  (Lapland, Finnmarken and Norrbotten) and Russian
  Federation (Murmansk, Arkhangelsk, Nenets
  Autonomic Region, and Komi Republic)

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ILL-
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The thinking that brought us to where we are
now, is not the same thinking that will take us
out of here and forward. Albert Einstein
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HERE WE ARE!WHAT TO DO?
Fly in formation! You will save energy! (in
flying 70)
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Clever, happy goose flies in formation !
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Some think that the problem will go away when
you dont see it !
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SIHLWA
HEALTH
ILL-HEALTH
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Health for All is not on everyones
agenda! Health in All Policies only a
conference phrase?
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Is it easier to govern people who are drunk than
those who are sober?