Summary
The National Environment and Health Action Plans (NEHAPs) are a novel attempt to integrate environmental protection and health promotion in political programmes. Throughout Europe, about 40 NEHAPs have been developed so far. The Swiss NEHAP was among the first to be developed in an industrialised country. We discuss strength and weaknesses of the Swiss NEHAP and draw first conclusions on the development and implementation process of such programmes, illustrated by examples of other European NEHAPs. The strengths of the Swiss NEHAP lie in the formulation of specific targets in selected areas, its approach as a environmental health promotion programme, and its comprehensive evaluation. Weaknesses in most NEHAPs are the lack of involvement of the general public and of the economic sector, and the absence of an implementation strategy along with adequate financing.
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References
Ackermann-Liebrich U, Braun C, Rapp R (1992). Epidemiological analysis of an environmental disaster: the Schweizerhalle experience. Environ Res58: 1–14.
Cameron D, Jones IG (1983). John Snow, the broad street pump and modern epidemiology. Int J Epidemiol12: 393–6.
Cassell EJ (1969). The right to a clean environment. Arch Environ Health18: 839–43.
Chartered Institute for Environmental Health (1998). Integrating environment and health policy: a “joined-up” response to recent government consultations, June 1998. http://www.cieh.org.uk/about/policy/integrat/index.htm (accessed December 2001).
Federal Ministry of Environment Youth and Family Affairs, Federal Ministry of Labour Health and Social Affairs, Bundesministerin für Frauenangelegenheiten und Verbraucherschutz (1999). Austrian National Environmental Health Action Plan. Vienna: Federal Ministry of Environment, Youth and Family Affairs.
Gochfeld M, Goldstein BD (1999). Lessons in environmental health in the twentieth century. Annu Rev Public Health20: 35–53.
Godlee F, Walker A (1991). Importance of a healthy environment. BMJ303: 1124–6.
Haralanova M (2000). Implementation of National Environmental Health Action Plans in the Czech Republic, Estonia, Lithunia, Poland and the Slovak Republic. Eur EpiMarker4: 2–6.
Isac A (2001). Environment and health cooperate in the Republic of Moldova. Eur Bull Environ Health8: 2.
Kahlmeier S, Künzli N, Braun-Fahrländer C (1997). Aktionsplan Umwelt und Gesundheit: ein wichtiger Beitrag zur Gesundheitsförderung und Prävention in der Schweiz. Schweiz Ärztezeitung78: 1852–4.
Keating M (1993). Agenda for a sustainable development in the 21st century. Geneva: Centre for our common future.
Ministry of Health Care of Ukraine, Ministry of Environmental Protection and Nuclear Safety of Ukraine (1999). National Environmental Health Action Plan of Ukraine 1999–2005. Kiev: Ministry of Health Care.
Ministry of Health, Ministry of Environment Poland (1999). National Environmental Health Action Plan for Poland. Warsaw: Ministry of Health.
Pinter A, ed. (1997). Hungarian Environmental Health Action Plan. Budapest: B. Johan' National Institute of Public Health.
Republic of Bulgaria Council of Ministers (1998). National Environmental Health Action Plan. Sofia: Council of Ministers.
Rosenbrock R (1995). Public Health als soziale Innovation. Gesundheitswesen57: 140–4.
Rossi P, Freeman H (1993). Evaluation: a systematic approach. 5th ed. Newbury Park, CA: Sage.
Schirnding Y v (1999). Incorporating health and environment considerations into sustainable development planning: report on a WHO/UNDP Initiative. Geneva: WHO Sustainable Development and Healthy Environments.
Swiss Federal Office of Public Health (2001). Umsetzungsprogramm Aktionsplan Umwelt und Gesundheit: Ziele, Strategie und Instrumente (Schlussentwurf). Bern: Swiss Federal Office of Public Health, Environment and Health Unit.
Swiss Federal Office of Public Health, Swiss Agency for the Environment Forests and Landscape (1997). Sustainable development: action-plan environment and health. Bern: SFOPH.
Van Herten LM, van de Water HP (1999). New global health for all targets. BMJ319: 700–3.
World Health Organization (1986). Ottawa Charter for Health Promotion: first International Conference on Health Promotion. Ottawa: WHO, Regional Office for Europe.
World Health Organization (1992). Our planet, our health. Geneva: WHO Commission on Health and Environment.
World Health Organization (1994). Environmetal health action plan for Europe: second European Conference on Environment and Health. Helsinki: WHO, Regional Office for Europe.
World Health Organization (1995). The healthy route to a sustainable world: health, environment and sustainable development. Geneva: WHO, UNDP.
World Health Organization (1999). Implementing national environmental health action plans in partnership: third Ministerial Conference on Environment and Health. London: WHO, Regional Office for Europe.
Ziglio E, Hagard S, Griffiths J (2000). Health promotion development in Europe: achievements and challenges. Health Promot Int15: 143–54.
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Kahlmeier, S., Künzli, N. & Braun-Fahrländer, C. The first years of implementation of the Swiss National Environment and Health Action Plan (NEHAP): Lessons for environmental health promotion. Soz Präventivmed 47, 67–73 (2002). https://doi.org/10.1007/BF01318383
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DOI: https://doi.org/10.1007/BF01318383