Second meeting of the European Burden of Disease Network (EBoDN): Oslo, Norway, 23–24 August 2017

Second meeting of the European Burden of Disease Network (EBoDN) Oslo, Norway 23–24 August 2017 To insert additional logo: - choose Insert then Draw Text box in the upper menu - in the Text box, Insert your logo as Picture - Make text box borders transparent: use Format Shape under right-click menu, select Line colour and change to white Second meeting of the European Burden of Disease Network (EBoDN) Oslo, Norway 23–24 August 2017 Second meeting of the European Burden of Disease Network ABSTRACT The second meeting of the European Burden of Disease Network (EBoDN) was convened by the WHO Regional Office for Europe on 23–24 August 2017 in Oslo, Norway, and hosted by the Norwegian Institute of Public Health. A range of national and international burden of disease (BoD) experts from Europe and the Institute for Health Metrics and Evaluation (IHME) attended the meeting. The purpose of the second meeting was to further enhance collaboration; to discuss and agree on development of the BoD manual; and to facilitate effective knowledge exchange between experts in the field. Considerable progress has been made since the first meeting: a draft of the BoD manual has been produced; an editorial on the formation of the EBoDN has been published in the European journal of public health; several countries have managed to produce subnational BoD estimates; and IHME has secured funding for the next 10 years. However, participants also described various challenges facing those undertaking BoD studies, including capacity and funding, engagement from stakeholders, and access to high-quality data. The next steps will be to continue collaboration and knowledge transfer between countries, to expand the network in breadth and depth, and to finalize the BoD manual. A work plan for the next year was agreed to realize these aims. 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Second meeting of the European Burden of Disease Network CONTENTS Abbreviations ............................................................................................................................................................................................... 4 Executive summary .................................................................................................................................................................................... 5 Introduction .................................................................................................................................................................................................. 7 Objectives of the meeting .............................................................................................................................................................................................. 7 Update on recent developments in the field of BoD and related areas in the WHO European Region ....................... 8 Update on recent developments in the field of BoD and related areas at national level by participants .................. 8 1. Capacity and funding ................................................................................................................................................................................................. 8 2. Engagement from stakeholders ............................................................................................................................................................................ 9 3. Access to high-quality data ..................................................................................................................................................................................... 9 Update from IHME ....................................................................................................................................................................................... 9 Update on the BoD manual .................................................................................................................................................................... 10 Recent and potential publications ...................................................................................................................................................... 10 Areas for further development and next steps .............................................................................................................................. 11 Conclusions and next steps .................................................................................................................................................................... 11 References ................................................................................................................................................................................................... 12 Annex 1. Programme................................................................................................................................................................................ 13 Annex 2. Work plan .................................................................................................................................................................................. 15 Annex 3. List of participants .................................................................................................................................................................. 18 3 Second meeting of the European Burden of Disease Network Abbreviations BoD burden of disease EBoDN European Burden of Disease Network EHII European Health Information Initiative EUPHA European Public Health Association EVIPNet Evidence-Informed Policy Network GBD global burden of disease IANPHI International Association of National Public Health Institutes IHME Institute for Health Metrics and Evaluation PHE Public Health England RKI Robert Koch Institute WHO World Health Organization 4 Second meeting of the European Burden of Disease Network Executive summary The second meeting of the European Burden of Disease Network (EBoDN) was convened by the WHO Regional Office for Europe on 23–24 August 2017 in Oslo, Norway, and hosted by the Norwegian Institute of Public Health. The meeting was attended by a range of national and international burden of disease (BoD) experts from Europe (including Norway, Germany, Sweden, France, the United Kingdom, Belgium, Switzerland, the Russian Federation and Serbia) and by representatives from the Institute for Health Metrics and Evaluation (IHME) and the WHO Regional Office for Europe. The BoD Manual Working Group met on 22 August 2017, the day before the EBoDN meeting. Considerable progress has been made since the first meeting: a draft of the BoD manual has been produced; an editorial on the formation of the EBoDN has been published in the European journal of public health; several countries have managed to produce subnational BoD estimates; and IHME has secured funding for the next 10 years. Furthermore, the European Health Information Initiative (EHII), which aims to improve data interoperability and harmonization across the European Region, may provide opportunities for BoD studies to optimize data use. Participants described a spectrum of progress and approaches to BoD across Europe. A few countries have been working on BoD for several years and have started to generate subnational BoD estimates, whereas others are just starting to engage with national estimates. Participants also described various challenges facing BoD studies that have so far been undertaken. These included: sustainable capacity and funding, especially with respect to personnel required for data management and funding of BoD studies; engagement from stakeholders, such as governments, academics and data custodians, because of methodological concerns or political influences; and insufficient access to high-quality data, which has led to data gaps. Participants shared examples of national successes, such as Norway undertaking national surveys to fill data gaps, IHME publishing methodological papers specifically for Brazil to improve engagement, and the United Kingdom working with a number of universities on specific topics or areas. The meeting achieved its purpose of further enhancing collaboration, discussing and agreeing on development of the BoD manual, and facilitating effective knowledge exchange between experts in the field. The expected outcomes achieved were as follows. a) Agreement on the content and future steps for finalization of the BoD manual Significant progress has been made since the signing of a memorandum of understanding between WHO and IHME to produce a freely accessible and regularly updated BoD manual. The purpose of the manual is to provide a practical guide that reflects advances in methodology and gives guidance on how to undertake national BoD studies, signposting to other resources, and a description of the strengths and limitations of various approaches. More detail about the manual can be found in the report of the BoD Manual Working Group meeting. The main sections of the manual will include: 1) key components; 2) summary information on conducting a national BoD study; 3) conducting a national BoD study: data, analysis, indicators; 4) analytic components; 5) subnational BoD; and 6) resources and opportunities. It is expected that a final version will be produced in 2018. b) Identification of potential new areas of work Participants were keen to expand the EBoDN, while acknowledging that it should not become too large and unmanageable. Expansion should include adding new members, strengthening collaboration between countries, and linking with other relevant networks. Supporting BoD knowledge translation within and between countries and organizing appropriate training were also identified as an important area of future work. 5 Second meeting of the European Burden of Disease Network c) Agreement on the revised EBoDN work plan A detailed work plan detailing specific strategic and technical activities was produced to cover the period until the end of 2018 and is shown in Annex 2. d) Production of a report This report summarizes the discussions held, conclusions reached, and action points agreed at the meeting. The next steps will be to continue collaboration and knowledge transfer between countries, to expand the network in breadth and depth, and to finalize the BoD manual. A work plan for the next year was agreed to realize these aims. 6 Second meeting of the European Burden of Disease Network Introduction The second meeting of the European Burden of Disease Network (EBoDN) was convened by the WHO Regional Office for Europe on 23–24 August 2017 in Oslo, Norway, and hosted by the Norwegian Institute of Public Health (see Annex 1 for the programme). The meeting was attended by a range of national and international burden of disease (BoD) experts from Europe and the Institute for Health Metrics and Evaluation (IHME) (see Annex 3 for the list of participants). The BoD Manual Working Group met on 22 August 2017, the day before the EBoDN meeting. The meeting was opened by Dr Camilla Stoltenberg (Director-General of the Norwegian Institute of Public Health), Professor John Newton (Chief Knowledge Officer, Public Health England and Chair of the EBoDN) and Dr Claudia Stein (Director, Division of Information, Evidence, Research and Innovation, WHO Regional Office for Europe). Dr John Ford was elected as rapporteur. The programme was adopted. Objectives of the meeting The purpose of the second meeting of the EBoDN was to further enhance collaboration among a diverse group of countries that share similar aims; to discuss and agree on development of the BoD manual; and to facilitate effective knowledge exchange between experts in the field. The expected outcomes were: • agreement on the content and future steps for the finalization of the BoD manual; • identification of potential new areas of work; • agreement on the revised EBoDN work plan; • a report summarizing the discussions held, conclusions reached, and action points agreed at the meeting. © WHO/Olga Fradkina 7 Second meeting of the European Burden of Disease Network Update on recent developments in the field of BoD and related areas in the WHO European Region The European Health Information Initiative (EHII) is committed to improving the information that underpins health policies across Member States of the WHO European Region by focusing on coordination, harmonization and integration of health information and its systems (1). At the time of writing this report, the EHII had 34 participants including a range of other interested organizations (e.g. Organisation for Economic Co-operation and Development, Wellcome Trust, IHME, European Commission and European Public Health Association (EUPHA)). The EHII has six key areas of work: 1. Development of information for health and well-being with a focus on indicators 2. Enhanced access to and dissemination of health information 3. Capacity building 4. Strengthening of health information networks 5. Support for health information strategy development 6. Communication and advocacy. Developments within the EHII have implications for national and international BoD projects within the European Region. These include: a desire to reintroduce country health and well-being profiles and to highlight documents which could include BoD results; the launch of a new bilingual (English and Russian) public health journal for the Region (Public health panorama), which may be a vehicle for BoD dissemination (2); inclusion of a BoD module presented by IHME at the annual Autumn School on Health Information and Evidence for Policy-making; and opportunities to support other EHII-associated networks, such as the South-eastern Europe Health Network, to develop BoD work. The goal of the EHII is interoperability and harmonization of data within the Region. This would not only reduce the reporting burden for individual countries but could also improve data quality. BoD would be a direct beneficiary of, and possibly contributor to, this data integration. Furthermore, WHO is working with other organizations to reduce the burden of reporting, for example by a joint set of indicators with reporting at agreed intervals. Update on recent developments in the field of BoD and related areas at national level by participants Participants from nine different countries reported on BoD developments (Norway, Germany, Sweden, France, the United Kingdom, Belgium, Switzerland, the Russian Federation and Serbia). A few countries, such as Norway, Sweden and the United Kingdom, have been working on BoD for several years and have started to generate subnational BoD estimates; other countries, such as France, are just starting to engage with national estimates. There is also a spectrum of approaches seen across Europe with respect to the way in which BoD studies are undertaken. For example, in the United Kingdom, Scotland has undertaken its own BoD analyses, drawing on IHME methodology, because there are local contextual concerns about the disability weights and prevalence estimates generated by IHME. Most other countries are using the estimates provided by IHME. There is also a range of different specific policy interests within countries, such as air pollution, mental health, and drug and alcohol use. There were three common themes reported by participants. 1. Capacity and funding All participants reported the difficulty of undertaking BoD projects with limited resources – in particular, a lack of sufficient personnel resources in the area of data management. While there may be a number of GBD (global BoD) collaborators within a country, many of these are disease-specific experts, with relatively few people taking a broad overview. Countries that have managed to develop BoD projects 8 Second meeting of the European Burden of Disease Network have usually had support from the Ministry of Health (or equivalent) and national institutes of public health. Linked to this issue is the challenge of securing funding for BoD work. BoD projects seem to fall between descriptive epidemiology and research. Some research funders are therefore unwilling to fund BoD projects because they are too descriptive and not sufficiently analytical. Health ministries (or their equivalent), on the other hand, seem to be less likely to fund BoD projects because they are viewed as being similar to research. 2. Engagement from stakeholders A number of participants spoke about the difficulties of engaging with stakeholders within their country, such as government, academics and data custodians. There were various reasons cited for this lack of engagement, including concerns about the methodology of BoD studies, political influences, and lack of familiarity with outcome measures (such as disability-adjusted life years, or DALYs). Poor engagement made it more difficult to disseminate BoD findings, reducing their potential impact. Countries with better BoD engagement reported a history of evidence-informed policy-making, successful communications campaigns and broad engagement. For example, in the United Kingdom, Public Health England (PHE) is working with up to six universities in BoD, while in Scotland voluntary organizations and charities have expressed such interest in BoD estimates that a three-day event to present the results has been organized. BoD experts from Germany successfully collaborate with an insurance company to access additional data. Participants from IHME reported that there had been greater engagement in Brazil after a series of publications, including methodological papers, that were bespoke to the country (3). 3. Access to high-quality data Lack of funding, capacity and engagement from stakeholders has led to limited access to suitable data to inform BoD models. For example, some participants reported that disengaged academics expected academic recognition or payment for providing data for BoD studies to cover the cost of data management; other participants noted that a lack of capacity and funding for data management had made it more difficult to improve the quality of data underlying BoD models. Participants noted that data custodians were often more willing to share data with WHO than with IHME and suggested that a WHO endorsement might encourage more people to share data. Furthermore, lack of consistency in case definitions and coding, such as inconsistent use of ICD codes, was reported to be a problem. Data gaps were reported to be a common problem. Some participants reported that they had been able to undertake or modify national surveys either to fill these gaps or to update estimates that were out of date. For example, Norway is currently undertaking a survey to obtain more up-to-date mental health estimates because the current estimates date back to the 1990s. Rapid response projects – brief studies undertaken to answer a focused epidemiological question – were discussed as an alternative. It was recognized that harmonization of surveys across the Region would be useful. Participants from Sweden reported the potential future use of individual-level data to inform BoD studies. However, a major barrier will be information governance processes, which currently do not allow this level of data to be shared internationally. One possible solution would be to undertake the analysis within the country and export summary-level data. Update from IHME IHME has secured $279 million for the next 10 years of GBD; this will be used to understand the world’s major health problems, how societies are dealing with them, and how best to direct resources towards alleviating them. IHME continues its close collaboration with the WHO Regional Office for Europe, 9 Second meeting of the European Burden of Disease Network supported by the memorandum of understanding (4), to develop the BoD manual, support training and raise awareness of GBD. Since the meeting, the next wave of GBD data has been published (5). As part of this analysis, IHME has now produced subnational estimates for the Russian Federation, Norway, India, the United Kingdom (England), Ethiopia, Iran and New Zealand, although not all of these have been published. The subnational estimates for New Zealand are based on ethnicity (Maori versus non-Maori). GBD publications are now compliant with the Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER), improving the transparency of the studies. Considerable work has gone into further improving the online resources. Future developments will include tracking health spending and forecasting GBD for the next 35 years. Update on the BoD manual The first meeting of the EBoDN’s BoD Manual Working Group was held on 22 August 2017, the day prior to the main EBoDN meeting. A separate report will be produced to summarize the discussion and actions of the working group. During the EBoDN meeting an update on progress of the BoD manual was given by Professor Stein Emil Vollset. In May 2015, a memorandum of understanding between WHO and IHME included an ambition to produce a manual on conducting national BoD studies (4). The purpose of the manual is to provide a practical guide that reflects advances in methodology and gives guidance on how to undertake a national BoD study, signposting to other resources, and a description of the strengths and limitations of various BoD approaches. The manual recognizes that BoD studies cover a spectrum ranging from those that rely only on IHME infrastructures to those that are completely stand-alone. A first draft of the manual was produced in August 2016. Since then it has undergone three further iterations based on comments from national BoD experts. Currently the main sections of the BoD manual include: 1. Key components of BoD 2. Conducting a national BoD study, summary information (e.g. capacity and infrastructure) 3. Conducting a national BoD study: data, analysis, indicators 4. Analytic components 5. Subnational BoD 6. Resources and opportunities. The manual will be produced in a way that is neutral and value-free – not advocating one approach or organization, but rather describing the strengths and limitations of different approaches. A further revision is planned for December 2017, with a final version due in 2018. Recent and potential publications An editorial was published in the European journal of public health on the formation of the EBoDN; it was authored by the EBoDN Chair and the WHO Regional Office for Europe Secretariat (6). There has also been extensive work mapping all European BoD studies, documented in a paper now in press with the same journal (7). Dietrich Plass wrote a short report about the EBoDN for the WHO Collaborating Centre for Air Quality Management and Air Pollution newsletter (8). 10 Second meeting of the European Burden of Disease Network IHME produces a newsletter for collaborators and would like to include any publications arising from the EBoDN. Areas for further development and next steps Participants were keen to see the EBoDN grow by increasing the membership, improving communication about the network’s purpose, and strengthening collaboration between countries. There was a desire to expand the network by adding new national expert members, but without it becoming too large. Some countries may be interested in developing BoD projects, but lack the necessary expertise. There may also be opportunities to link with other networks, such as the International Association of National Public Health Institutes (IANPHI). EBoDN membership may not be suitable for everyone, and these individuals could join future meetings as observers. In addition, participants wanted the EBoDN to continue to share good practice and to be a forum in which the strengths and limitations of BoD studies can be articulated. Participants will continue to work on the BoD manual; its publication will be a significant achievement for both the EBoDN and IHME. Participants recognized that BoD knowledge translation – taking BoD estimates to policy-makers to influence decisions – would be an important next step. WHO’s Evidence-Informed Policy Network (EVIPNet) supports knowledge translation by bringing together a range of stakeholders and helping to establish mechanisms to translate evidence into policy. In the United Kingdom knowledge translation has been facilitated by involving three main groups: academics, public health practitioners and policy-makers. Participants acknowledged the need for better training around BoD. Funding may become available for two EBoDN workshops over a three-year period through the European Commission’s Joint Action Plans programme. Attempts will also be made to organize a BoD workshop at the EUPHA Conference 2018. Participants will share any national BoD training with the network. Conclusions and next steps The second meeting of the EBoDN sought to deepen collaboration and knowledge transfer between national experts in BoD studies. Significant progress has been made by the EBoDN and IHME in developing a BoD manual. There have been several positive developments in BoD studies – notably, generating subnational estimates and securing funding for the next 10 years of GBD work at IHME. However, various challenges remain for those undertaking BoD studies, including capacity and funding, engagement from stakeholders, and access to high-quality data. The next steps will be:  to continue collaboration and knowledge transfer between countries;  to expand the network;  to finalize the BoD manual in 2018. An action plan for the next year was agreed in order to realize these aims. 11 Second meeting of the European Burden of Disease Network References 1. European Health Information Initiative. Copenhagen: WHO Regional Office for Europe (http://www.euro.who.int/en/data-and-evidence/european-health-information-initiative-ehii, accessed 15 November 2017). 2. Public health panorama. Copenhagen: WHO Regional Office for Europe; 2015– (http://www.euro.who.int/en/publications/public-health-panorama/about-panorama, accessed 15 November 2017). 3. Rev Bras Epidemiol [Brazilian Journal of Epidemiology]. 2017;20Suppl 01 (http://www.scielo.br/scielo.php?script=sci_issuetoc&pid=1415- 790X20170005&lng=en&nrm=iso, accessed 15 November 2017). 4. Memorandum of Understanding between the World Health Organization and the Institute for Health Metrics and Evaluation (http://www.healthdata.org/sites/default/files/files/MOU_IHME_WHO_050615.pdf, accessed 15 November 2017). 5. GBD Compare  Public Health England. Seattle (WA): Institute for Health Metrics and Evaluation; 2017 (https://vizhub.healthdata.org/gbd-compare/england, accessed 15 November 2017). 6. Stein C, Newton J. Sharing the burden: a new European Burden of Disease Network is formed. Eur J Public Health 2017;27(2):191–2. 7. O’Donovan M. Mapping and categorization of published BoD studies in the WHO European Region [online presentation] (https://www.youtube.com/watch?v=7phicDt0Y1E, accessed 15 November 2017). 8. Plass D. Launch event of the European Burden of Disease Network. WHO Collaborating Centre for Air Quality Management and Air Pollution (newsletter). February 2017;58:11–12 (http://www.umweltbundesamt.de/sites/default/files/medien/376/dokumente/newsletter_who_cc_a ir_58.pdf, accessed 15 November 2017). 12 Second meeting of the European Burden of Disease Network Annex 1. Programme Wednesday, 23 August 2017 08:30–09:00 Registration 09:00–09:25 Welcome and opening remarks Official opening by Dr Camilla Stoltenberg, Director-General of the Norwegian Institute of Public Health, Professor John Newton, Chair of the EBoDN, and Dr Claudia Stein, WHO Regional Office for Europe 09:25–09:40 Introduction of participants 09:40–09:45 Selection of the rapporteur Professor John Newton, Chair 09:45–09:55 Adoption of the programme Professor John Newton, Chair 09:55–10:25 Update on recent developments in the field of BoD and related areas in the WHO European Region WHO Secretariat 10:25–10:50 Coffee break and group photo 10:50–11:50 Update on recent developments in the field of BoD and related areas at national level by participants All 11:50–12:00 Update by Chair Professor John Newton, Chair 12:00–13:00 Presentation of the BoD manual (IHME) Discussion 13:00–14:00 Lunch break 14:00–15:00 Presentation and discussion of the results of the First meeting of the BoD Manual Working Group Spokesperson of the working group Discussion 15:00–15:15 Reflections on and summary of day 1 Chair, WHO Secretariat, IHME 19:00 Dinner Thursday, 24 August 2017 09:00–09:15 Summary of the key points outlined in day 1 and expectations for day 2 Rapporteur, WHO Secretariat 09:15–10:30 Presentation and discussion of the results of the First meeting of the BoD Manual Working Group (continued) Spokesperson of the working group Discussion 10:30–10:45 Coffee break 13 Second meeting of the European Burden of Disease Network 10:45–11:15 Discussion of the results of the First meeting of the BoD Manual Working Group and agreement on next steps Professor John Newton, Chair 11:15–11:45 Recent and potential new publications of the EBoDN All 11:45–12:30 Attracting new members to the network Chair, all Discussion 12:30–13:30 Lunch break 13:30–15:00 Revision of the EBoDN work plan All 15:00–15:15 Coffee break 15:15–16:15 Next steps and date of the next meeting All 16:15–16:45 Closing remarks Professor John Newton, Chair 14 Second meeting of the European Burden of Disease Network Annex 2. Work plan Priority activities Description of activity Core deliverable Priority Lead Timeframe 2016 2017 2018 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Strategic activities Ensure sustainability of BoD work at the national level Rationale (and generic benefits) to support national bids for resources to perform BoD studies Dietrich Plass, Brecht Devlees- schauwer X Establish working group for finalization of BoD manual 1 WHO Regional Office for Europe X Develop and publish BoD manual Interim draft IHME X Final draft for discussion with WHO and WHO regions IHME Spring 2018 (pending IHME confirma- tion) Articulate what the network requires from WHO, IHME and governments to proceed An EBoDN manifesto All X Publish manifesto on WHO/Europe website WHO X Provide a strategic forum to articulate the strengths and weaknesses of different approaches to, and operational requirements of, BoD studies Plan half-day section for next in-person meeting to discuss WHO Regional Office for Europe X Done on 22 Aug 2017 Outputs of discussion to become a part of meeting report and a part of BoD manual X Outreach to potential members Sara Monteiro Pires Next six months WHO call for experts (developing BoD group in its current form) WHO X 15 Second meeting of the European Burden of Disease Network Engage IANPHI in promotion of BoD PHE/John Newton X Explore options for a BoD workshop in EUPHA 2018 RKI/Thomas Ziese (EUPHA/ EHII focal point to be potentially involved) X To support development of the Joint Action on Health Information in relation to BoD PHE/John Newton Santé publique France/Anne Gallay X To take forward/ report actions from the Joint Action PHE/John Newton Santé publique France/Anne Gallay X An inventory of networks and groups working with BoD Ian Grant and Peter Allebeck X Collect information on other European networks/ groups doing any BoD work and provide to Secretariat All X Promote access to data Review reports from IHME on data revision All/IHME to provide reports T h ro u g h - o u t X Draft a discussion paper on improving availability of data for the next meeting Brecht Devlees- schauwer, Stein Emil Vollset, Thomas Fürst, Ian Grant, IHME X Link IHME and EHII (and extend an invitation to join EHII) WHO Regional Office for Europe X Ensure appropriate use of BoD results in practice Report back on experience All X X Identify opportunities for BoD training and translation of material into national languages All X X 16 Second meeting of the European Burden of Disease Network Explore regional training(s)/ opportunities for future training(s) and report at next meeting WHO, IHME X Engage- ment with knowledge translation (KT) platforms Present KT tools and options to EBoDN at next meeting WHO X Funding Add to IANPHI request to fund network attendance PHE/John Newton X Explore funding for training(s) IHME X Technical activities Provide technical expertise and share experience Contribute to development of national BoD manual  Review meeting  Technical input into the draft  Review of final draft as group Members of working group X X Contribute methodo- logical expertise to international collaboration Sign up to collaborate and peer- review GBD analyses All (on voluntary basis) X Create EBoDN website Identify and promote information about international and national BoD activities Website WHO Regional Office for Europe X Improve website (make user- friendly) WHO X Organize a sharing platform Dropbox folder to share bibliography of studies WHO Regional Office for Europe X 17 Second meeting of the European Burden of Disease Network Annex 3. List of participants Dr Emilie Agardh Associate professor Karolinska Institutet Professor Peter Allebeck Professor/senior physician Department of Public Health Sciences Karolinska Institutet Dr Brecht Devleesschauwer Scientific Institute of Public Health Dr Tamer Farag Assistant Director, Strategic Analytics Institute for Health Metrics and Evaluation Dr John Ford Norwich Medical School University of East Anglia Dr Thomas Fürst Postdoctoral Scientific Collaborator Department of Epidemiology and Public Health Swiss Tropical and Public Health Institute Dr Anne Gallay Director, Non-communicable diseases Public Health France (Santé publique France) Dr Ian Grant Principal Researcher Scottish Burden of Disease Study The Scottish Public Health Observatory Dr Elena von der Lippe Robert Koch Institute 18 Second meeting of the European Burden of Disease Network Ms Heidi Lyshol Senior Adviser Department of Health Statistics Norwegian Institute of Public Health Professor Milena Šantrić Milićević (by WebEx) Associate Professor Institute of Social Medicine University of Belgrade School of Medicine Ms Meghan Mooney Senior Engagement Manager Institute for Health Metrics and Evaluation Professor John Newton Chief Knowledge Officer Public Health England Dr Dietrich Plass German Federal Environmental Agency Professor Nicholas Steel University of East Anglia Dr Mette C Tollaanes Research coordinator Norwegian Institute of Public Health Professor Stein Emil Vollset Professor Department of Global Public Health and Primary Care University of Bergen Dr Elena Varavikova (by WebEx) Lead Researcher Department of Human Resources in Health Analysis Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation Dr Thomas Ziese Robert Koch Institute 19 Second meeting of the European Burden of Disease Network WHO Regional Office for Europe Ms Olga Fradkina Programme Assistant Division of Information, Evidence, Research and Innovation Email: fradkinao@who.int Dr Christian Gapp Technical Officer Division of Information, Evidence, Research and Innovation Dr Claudia Stein Director Division of Information, Evidence, Research and Innovation 20 The WHO Regional Office for Europe The World Health Organization (WHO) is a specialized agency of the United Nations created in 1948 with the primary responsibility for international health matters and public health. The WHO Regional Office for Europe is one of six regional offices throughout the world, each with its own programme geared to the particular health conditions of the countries it serves. Member States Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czechia Denmark Estonia Finland France Georgia Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania Russian Federation San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav Republic of Macedonia Turkey Turkmenistan Ukraine United Kingdom Uzbekistan Document number: WHO/EURO:2018-2969-42727-59600 World Health Organization Regional Office for Europe UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Tel: +45 45 33 70 00 Fax: +45 45 33 70 01 Email: eucontact@who.int Website: www.euro.who.int