David Madlen, Schwedler Gerda, Reiber Lena, Tolonen Hanna, Andersson Anna-Maria, Esteban López Marta, Joas Anke, Schöpel Miriam, Polcher Alexandra, Kolossa-Gehring Marike
German Environment Agency, Berlin, Germany.
Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Arch Public Health. 2020 Sep 10;78:78. doi: 10.1186/s13690-020-00460-9. eCollection 2020.
During the last decade, the European Union initiated several projects in the domains of public and environmental health. Within this framework, BRIDGE Health (Bridging Information and Data Generation for Evidence-based Health policy and Research) and HBM4EU (European human biomonitoring initiative) have been implemented. Whereas, the focus of BRIDGE Health was towards a sustainable and integrated health information system (HIS), the aim of HBM4EU is to improve evidence of the internal exposure of European citizens to environmental chemicals by human biomonitoring (HBM) and the impact of internal exposure on health. As both, environmental and public health determinants are important for health promotion, disease prevention and policy, BRIDGE Health and HBM4EU have overlapping aims and outcomes. In order to improve health information regarding public health and environmental health issues, best use and exchange of respective networks and project results is necessary.
Both projects have implemented health information (HI) and HBM tasks in order to provide adequate environmental and public health information of the European population. Synergies of the projects were identified in the working progress and because of overlapping networks and experts a focused analysis of both projects was envisaged. This paper elaborates on the aims and outcomes of both projects and the benefit of merging and channelling research results for the use of better health information and policy making that may be of relevance for any other project in these research fields.
The need for focused exchanges and collaborations between the projects were identified and benefits of exchanges were highlighted for the specific areas of indicator development, linkage of data repositories and the combination of HBM studies and health examination surveys (HES). Further recommendations for a European wide harmonisation among different tasks in the fields of public health and environmental health are being developed.
Lessons learned from HBM4EU and BRIDGE Health show that continuous efforts must be undertaken, also by succeeding projects, to guarantee the exchange between public health and environmental health issues. Networks covering both are essential to provide better evidence of knowledge. The experiences from BRIDGE Health and HBM4EU give a valuable input for any future activity in these domains. Avoiding overlaps and streamlining further exchange of public health and environmental health contributes to best use of research results and allows to develop new strategies and tools for improvement of health information and thus enhances people's health and well-being.
在过去十年中，欧盟在公共卫生和环境卫生领域发起了多个项目。在此框架内，实施了“桥梁健康”（BRIDGE Health，为基于证据的卫生政策和研究搭建信息与数据生成桥梁）和“欧洲人类生物监测计划”（HBM4EU）。“桥梁健康”的重点是建立一个可持续且综合的卫生信息系统（HIS），而HBM4EU的目标是通过人类生物监测（HBM）提高欧洲公民环境化学物质体内暴露情况的证据，以及体内暴露对健康的影响。由于环境和公共卫生决定因素对健康促进、疾病预防及政策制定都很重要，“桥梁健康”和HBM4EU有重叠的目标和成果。为了改善有关公共卫生和环境卫生问题的健康信息，必须充分利用和交流各自的网络及项目成果。
两个项目都开展了卫生信息（HI）和HBM任务，以便提供欧洲人口充足的环境和公共卫生信息。在工作过程中确定了项目间的协同作用，并且由于网络和专家重叠，设想对两个项目进行重点分析。本文阐述了两个项目的目标和成果，以及合并和整合研究结果以获取更好的健康信息和用于政策制定的益处，这可能与这些研究领域的任何其他项目相关。
确定了项目间进行重点交流与合作的必要性，并强调了在指标开发、数据存储库链接以及HBM研究与健康检查调查（HES）相结合等特定领域进行交流的益处。正在制定关于公共卫生和环境卫生领域不同任务在欧洲范围内进行协调统一的进一步建议。
从HBM4EU和“桥梁健康”中吸取的经验教训表明，后续项目也必须持续努力，以确保公共卫生和环境卫生问题之间的交流。涵盖两者的网络对于提供更好的知识证据至关重要。“桥梁健康”和HBM4EU的经验为这些领域未来的任何活动提供了宝贵的参考。避免重叠并简化公共卫生和环境卫生的进一步交流有助于充分利用研究成果，并能够开发新的策略和工具来改善健康信息，从而增进人们的健康和福祉。
