Sustainable Development Goals And The European Environment .
The WHO RegionalOffice for EuropeThe World HealthOrganization (WHO) is aspecialized agency of theUnited Nations created in1948 with the primaryresponsibility forinternational health mattersand public health. The WHORegional Office for Europe isone of six regional officesthroughout the world, eachwith its own programmegeared to the particularhealth conditions of thecountries it serves.Member sBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech groNetherlandsNorwayPolandPortugalRepublic of MoldovaRomaniaRussian FederationSan TajikistanThe former YugoslavRepublic of MacedoniaTurkeyTurkmenistanUkraineUnited KingdomUzbekistanMeeting report: Sustainable Development Goals and the EuropeanEnvironment and Health Process – Aligning the AgendaThe WHO Regional Office for Europe organized a meeting on 30 September 2014 with the goal of aligning thepost-2015 development agenda on Sustainable Development Goals (SDG) and the European Environment andHealth Process. The aim of this meeting was to inform about the current status of negotiations on the SDGs,targets and indicators; and provide a platform where Member States can discuss the relevance, accuracy, andviability of health-related goals, targets and indicators for the WHO European Region. The global ambition andrequired transformative change for sustainable development was discussed, whilst Member States alsohighlighted key environment and health priorities in their countries, notably water and sanitation, climatechange mitigation and adaptation, air quality, waste management, chemical pollution and contaminated sites,renewable energy, and sustainable and active transport. In September 2015, a summit of Heads of State willadopt the SDGs at the United Nations in New York; Member States and international organizations need toprepare for their implementation now.Sustainable Development Goals and theEuropean Environment and HealthProcessAligning the AgendaMeeting Report30 September 2014Bonn, GermanyWorld Health OrganizationRegional Office for EuropeUN City, Marmorvej 51, DK-2100 Copenhagen Ø, DenmarkTel.: 45 45 33 70 00Fax: 45 45 33 70 01Email: contact@euro.who.intWebsite: www.euro.who.int
Sustainable DevelopmentGoals and the EuropeanEnvironment and HealthProcessAligning the AgendaMeeting Report30 September 2014Bonn, Germany
ABSTRACTThe WHO Regional Office for Europe organized a meeting on 30 September 2014 with the goal of aligningthe post-2015 development agenda on Sustainable Development Goals (SDG) and the EuropeanEnvironment and Health Process. The aim of this meeting was to inform about the current status ofnegotiations on the SDGs, targets and indicators; and provide a platform where Member States candiscuss the relevance, accuracy, and viability of health-related goals, targets and indicators for the WHOEuropean Region. The global ambition and required transformative change for sustainable developmentwas discussed, whilst Member States also highlighted key environment and health priorities in theircountries, notably water and sanitation, climate change mitigation and adaptation, air quality, wastemanagement, chemical pollution and contaminated sites, renewable energy, and sustainable and activetransport. In September 2015, a summit of Heads of State will adopt the SDGs at the United Nations inNew York; Member States and international organizations need to prepare for their implementation now.KeywordsHEALTH POLICYMEETING REPORTSPUBLIC HEALTHUNITED NATIONSAddress requests about publications of the WHO Regional Office for Europe to:PublicationsWHO Regional Office for EuropeUN City, Marmorvej 51DK-2100 Copenhagen Ø, DenmarkAlternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on theRegional Office web site (http://www.euro.who.int/pubrequest). World Health Organization 2014All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission toreproduce or translate its publications, in part or in full.The designations employed and the presentation of the material in this publication do not imply the expression of any opinionwhatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area orof its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximateborder lines for which there may not yet be full agreement.The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed orrecommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors andomissions excepted, the names of proprietary products are distinguished by initial capital letters.All reasonable precautions have been taken by the World Health Organization to verify the information contained in thispublication. However, the published material is being distributed without warranty of any kind, either express or implied.The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World HealthOrganization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do notnecessarily represent the decisions or the stated policy of the World Health Organization.
Sustainable Development Goals and the European Environment and Health Processpage 2CONTENTSPageSCOPE AND PURPOSE OF THE MEETING . 4INTRODUCTION . 5THE POST-2015 DEVELOPMENT AGENDA . 6The proposed sustainable development goals and targets . 7The global ambition: a transformative change . 9Health in the post-2015 development agenda . 10THE POST-2015 DEVELOPMENT AGENDA AND THE WHO EUROPEAN REGION. 12Health priorities . 13Environment and health priorities. 14TOWARDS THE POST-2015 DEVELOPMENT AGENDA . 15Governance and management . 16Accountability and transparency . 16Opportunities for health and well-being of the SDGs . 17Technical, financial cooperation and partnerships among sectors, Member Statesand the international community. 18NEXT STEPS . 19Next steps in the post-2015 process. 19Next steps in the EHP process . 19Next steps as a follow up of this meeting . 20ANNEX I: Final programme . 21ANNEX II: Final list of participants . 23
Sustainable Development Goals and the European Environment and Health Processpage 3List of ECRio 20SDGUNDPUNEPUNFCCCWHAWHOFederal Ministry for the Environment, Nature Conservation, Building andNuclear Safety, GermanyClimate change, green health services and sustainable development programmeEuropean Environment and Health ProcessEuropean Environment and Health Task ForceEnvironment and Health Information SystemEuropean Unionhealth impact assessmentWorking Group on Climate Change and its Impacts on HealthMillennium Development GoalMid-Term Review of the EHP and Parma commitmentsOpen Working Group on Sustainable Development GoalsRegional Environmental Center for Central and Eastern EuropeUnited Nations Conference on Sustainable Development; 20–22 June, 2012Sustainable Development GoalUnited Nations Development ProgrammeUnited Nations Environment ProgrammeUnited Nations Framework Convention on Climate ChangeWorld Health AssemblyWorld Health OrganizationAcknowledgementsThis report has been prepared by Bettina Menne and James Creswick. We would specifically liketo thank the speakers, Andy Haines, Christoph Hamelmann, Csaba Korösi, Monika Linn,Maria Neira, Alexander Nies, Gertrud Sahler and Elizabet Paunovic for their insightfulpresentations that formed the basis for the discussions; as well as the chair of the meeting,Mike Depledge. We would also like to thank all the meeting participants for their activecontributions and comments during the meeting.We also thank the German Federal Ministry for the Environment, Nature Conservation, Buildingand Nuclear Safety for co-sponsoring and hosting this meeting.
Sustainable Development Goals and the European Environment and Health Processpage 4There is no ‘Plan B’ for action as there is no ‘Planet B’– Ban Ki-moon, Secretary-General of the United Nations (UN) at the Climate Summit 2014SCOPE AND PURPOSE OF THE MEETINGThe environment is a major determinant of health, estimated to account for almost 20% of alldeaths in the WHO European Region. In 1989, concerned about the growing evidence of theimpact of hazardous environments on human health, WHO Regional Office for Europe initiatedthe first ever Environment and Health Process, with the aim to eliminate or reduce the mostsignificant environmental threats to human health. Progress towards this goal is driven by aseries of ministerial conferences held every five years and coordinated by the Regional Office.The Fifth, and most recent, conference was held in Parma, Italy, on 10–12 March, 2010. TheParma Declaration is the first time-bound outcome of the Environment and Health Process.Governments of the 53 European Member States set clear-cut targets to reduce the adversehealth impact of environmental threats for this decade. The European Environment and HealthProcess will continue towards the Sixth Ministerial Conference on Environment and Health in2016.Following the request of the WHO European Member States participating in the EuropeanEnvironment and Health Process (EHP), a meeting on 30 September 2014 was organized by theWHO Regional Office for Europe, in close collaboration with WHO headquarters in Geneva,with the goal of aligning the Sustainable Development Goals (SDG) and EHP agendas.The proposed aim of this meeting was to: inform about the current status of negotiations on the SDGs, targets and indicators; and provide a platform where Member States can discuss the relevance, accuracy, andviability of health-related goals, targets and indicators for the WHO European Region;Representatives from 22 WHO European Member States, international organizations, the OpenWorking Group on Sustainable Development Goals (OWG), and civil society discussed theregional relevance, accuracy, appropriateness and viability of health- and environment-relatedgoals, targets and indicators.
Sustainable Development Goals and the European Environment and Health Processpage 5INTRODUCTIONMany steps were taken to strengthen sustainable development all over the globe in the lastdecade. But the journey towards a real sustainable development is far from being over. Wehave to finish the unfinished business of the Millennium Development Goals and start a neweffort, the post-2015 agenda for sustainable development.— Gertrud Sahler, German Federal Ministry for the Environment,Nature Conservation, Building and Nuclear SafetyIn 1992, at the United Nations Conference on Environment and Development, in Rio de Janeiro,Brazil, 27 principles were adopted, together with a global programme, entitled Agenda 211, andtwo legally binding conventions: the Convention on Biological Diversity and the United NationsFramework Convention on Climate Change. The first principle of the Rio Declaration onEnvironment and Development recognized that “Human beings are at the centre of concerns forsustainable development. They are entitled to a healthy and productive life in harmony withnature”. Agenda 21 identified primary health care, control of communicable diseases, protectionof vulnerable groups, urban health and reducing health risks from environmental pollution andhazards as essential measures.In 2012, the United Nations Conference on Sustainable Development, known as Rio 20,promised to strive “for a world that is just, equitable and inclusive, and committed to worktogether to promote sustained and inclusive economic growth, social development andenvironmental protection and thereby to benefit all, in particular the children of the world, youthand future generations of the world.”2 The Conference resulted in a focused political outcomedocument entitled the Future We Want.3 It underscored “the need to further mainstreamsustainable development at all levels, integrating economic, social and environmental aspectsand recognizing their interlinkages, so as to achieve sustainable development in all itsdimensions”. It also called for the “full realization of the right to the enjoyment of the highestattainable standard of physical and mental health” as well as recognized health “as aprecondition for and an outcome and indicator of all three dimensions of sustainabledevelopment”. This position was reinforced by the Rio Political Declaration on SocialDeterminants of Health and by the General Assembly’s resolution 67/814 on global health andforeign policy, which, inter alia, recommended that consideration be given to including universalhealth coverage in the discussion of the post-2015 United Nations development agenda.One of the main outcomes of Rio 20 was the agreement by UN Member States to launch aprocess to develop a set of sustainable development goals, which should build upon theMillennium Development Goals and converge within the so-called post-2015 developmentagenda, thus contributing to the achievement of sustainable development and serving as a driverfor implementing and mainstreaming sustainable development in the UN system as a n/ga/search/view doc.asp?symbol A/RES/67/812
Sustainable Development Goals and the European Environment and Health Processpage 6THE POST-2015 DEVELOPMENT AGENDAThe world is entering a crucial phase in the global negotiations of the post-2015 developmentagenda, concluding next year. Member States of the United Nations have given clear mandatesto the United Nations Secretary-General at the High-level Plenary Meeting of the GeneralAssembly on the Millennium Development Goals (New York, 20–22 September, 2010)5 and theUnited Nations Conference on Sustainable Development (Rio 20; Rio de Janeiro, Brazil, 20–22June, 2012) on how the process of preparing for the post-2015 United Nations developmentagenda should unfold.As part of the process, and as a follow up to Rio 20, the UN General Assembly convened theOpen Working Group (OWG), to discuss and develop sustainable development goals and targets.This was accompanied by a multitude of global, regional and national dialogues anddevelopments. The OWG has met thirteen times, with one thematic session on human health.Having completed its initial stocktaking discussions in 2013, the OWG began to considerpotential goals and targets in early 2014. By the time of the opening of the General Assembly inSeptember 2014, all the work set in train following the Rio 20 conference, including thedevelopment of a set of seventeen sustainable development goals, and 169 targets formed thebasis of a report by the Secretary-General to the General Assembly.Rio 20 has given us a solid platform to build on. And it has given us thetools to build with. The work starts now.”– Ban Ki-moon, Secretary-General of the United NationsThe next phase in the process will be the creation of a single framework – including a set ofgoals and measurable targets, as well as mechanisms of implementation, cooperation, technologyand financing —the post-2015 United Nations development agenda— (see also Fig. e documentN1051260.pdf
Sustainable Development Goals and the European Environment and Health Processpage 7Fig. 1. The process of the post 2015 development agenda6The proposed sustainable development goals and targetsAs of July 2014, seventeen goals were proposed by the Open Working Group for SustainableDevelopment Goals (seeBox 1)767UN Foundation and Dalberg analysis: rocess-slide-1114.pdfFinal compilation of amendments to goals and target by major groups and other stakeholders including citizen’sresponses to MY World 6 priorities to inform the Thirteenth and last Session of the Open Working Group onSustainable Development Goals, 14–18 July, documents/4438mgscompilationowg13.pdf
Sustainable Development Goals and the European Environment and Health Processpage 8Box 1. The seventeen goals proposed by the OWG1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.End poverty everywhereEnd hunger, improve nutrition and promote sustainable agricultureAttain healthy lives for allProvide quality education and life‐long learning opportunities for allAttain gender equality, empower women and girls everywhereEnsure availability and sustainable use of water and sanitation for allEnsure sustainable energy for allPromote sustained, inclusive and sustainable economic growth, full and productive employment anddecent work for allPromote sustainable infrastructure and industrialization and foster innovationReduce inequality within and between countriesMake cities and human settlements inclusive, safe and sustainablePromote sustainable consumption and production patternsTackle climate change and its impactsConserve and promote sustainable use of oceans, seas and marine resourcesProtect and promote sustainable use of terrestrial ecosystems, halt desertification, land degradation andbiodiversity lossAchieve peaceful and inclusive societies, access to justice for all, and effective and capable institutionsStrengthen the means of implementation and the global partnership for sustainable developmentThese goals are accompanied by 169 targets. Those will be “further elaborated throughindicators focused on measurable outcomes”. Targets “are action oriented, global in nature anduniversally applicable. They take into account different national realities, capacities and levels ofdevelopment and respect national policies and priorities. They build on the foundation laid by theMDGs, seek to complete the unfinished business of the MDGs, and respond to new challenges.Targets are defined as aspirational global targets, with each government setting its own nationaltargets guided by the global level of ambition but taking into account n
development”. This position was reinforced by the Rio Political Declaration on Social Determinants of Health and by the General Assembly’s resolution 67/814 on global health and foreign policy, which, inter alia, recommended that consideration be given to including universal
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