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Bottom-up risk assessment of asthma bronchiale in Slovakia

Bottom-up risk assessment of asthma bronchiale in Slovakia. Kallayova , D., Majdan , M., O´Mullane M., Bosak , L., Kvakova , M., Gallova,E . Trnava University Public Health Department. RAPID project Risk Assessment from Policy to Impact Dimension .

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Bottom-up risk assessment of asthma bronchiale in Slovakia

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  1. Bottom-up risk assessment of asthma bronchiale in Slovakia Kallayova, D., Majdan, M., O´Mullane M., Bosak, L., Kvakova, M., Gallova,E. Trnava University Public Health Department XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  2. RAPID project Risk Assessment from Policy to Impact Dimension • Case study from Slovakia is a part of RAPID project • The main aim of the project is to develop, pilot test and implement risk assessment methodology for full chain risk assessment • Methodology- how to develop full chain R.A. • Find feasible methodology for risk assessment which can be used then in HIA frompolicy-> determinants of health- > risk factors- > health effect (full chain) XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  3. Specific projectaim • Conduct risk assessment case studies from policy to health effect and from health effect to policy • Bottom-up: check if there’s any policy that can affect asthma • The project acknowledges funding by the European Commission Health & Consumer Protection Directorate-General via Executive Agency for Health and Consumers, Grant agreement no 20081105 XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  4. Bottom-up risk assessment of asthma bronchiale in Slovakia: FULL CHAIN XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  5. Healthoutcomedatasourcesrelevant to Slovakia (1) XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  6. Fromhealthoutcome to risk factors (2) • Methodologyshouldbebased on literaturereviews - for the purpose of risk assessment phase we strongly recommend using review articles • Findings from Reviews: Strongestrisk factors for developing asthma are a combination of genetic predisposition with environmental exposure (higher outdoor air levels of priority pollutants such as particulates, ozone, sulfur and nitrogen oxides and carbon monoxide.) XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  7. XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  8. Findings from Review: Fromrisk factor to healthdeterminants • Genetics and physical environment are crucial within the process of initiation of asthma (plus exacerbation of asthma)… • The most important determinants we have identified environment (air pollution) and health care -in caseofasthmaexacerbations(management of asthma/asthma control) • There are very few publication focused on asthma and risk factors research which has been done in Slovakia. XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  9. Fromdeterminantsto policy in Slovakia • The Government approved the State Health Policy Resolution No. 910 on 8 November 2000. • Ministry of Environment has created Environment Strategy for protecting and enhancing the health of citizens SR based on State health Policy. XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  10. Fromdeterminants to policies in Slovakia XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

  11. Conclusion • Pilot for how full chain R.A. can be done, starting with health outcome.. • case study on possible risk assessment methodology taking into account whole pathway from health outcome to risk factor, from risk factor to health determinants and from health determinants to policy could be the starting point to processes of ‘‘healthier” policy choices • Difficulty is the gap in research.. • The outlines options for the future risk appraisal methodologymustbe further discussed and improved XI HIA INTERNATIONAL CONFERENCE, Granada, April 14‐15, 2011

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