Parma Declaration

Governments from northern, western, central, southern and eastern Europe adopted a declaration pledging to reduce the adverse health impact of environmental threats in the next decade.  The text was endorsed by 53 Member States attending the Fifth Ministerial Conference on Environment and Health in Parma, Italy on 10-12 March 2010.

Through the Declaration and Commitment to Act, participating governments agreed to implement national programmes to provide equal opportunities to each child by 2020 by ensuring access to safe water and sanitation, opportunities for physical activity and a healthy diet, improved air quality and an environment free of toxic chemicals.

Governments vowed to tackle the adverse health impact of climate change and to reduce social and gender inequalities in exposure to risk. They also pledged to place health at the centre of socioeconomic development through increased investment in new technologies and green jobs.

"We need a radically new vision for European health policy to address the biggest health challenges of our Region. This Conference has opened an exciting new chapter in the way European governments work on environment and health - helping to push these closely inter-related issues higher up the political agenda," says Ms Zsuzsanna Jakab, WHO Regional Director for Europe.

In this first major gathering of health and environment ministers since the Copenhagen conference of the United Nations Framework Convention on Climate Change last December, European governments pledged to integrate health issues into climate change mitigation and adaptation measures, policies and strategies in all sectors.

Evidence is growing that climate change is contributing to an increase in the frequency of natural disasters, such as heat-waves, floods and droughts. Since 1990, the International Disaster Database (EM-DAT) has recorded more than 1200 natural events in the WHO European Region, affecting over 48 million people and causing more than 112 000 deaths, at an estimated loss of more than US$ 241 billion.

Future work will be based on a new European regional framework for action, entitled "Protecting health in an environment challenged by climate change". The document provides a comprehensive roadmap laying out steps and priorities for coordinated international and national action.

Delegates also underlined that the health sector, one of the most energy-intensive sectors in all countries, should lead moves to reduce greenhouse gas emissions in the public sector by rationalizing energy use. They also agreed to strengthen early-warning surveillance and preparedness systems for extreme weather events and disease outbreaks.

"A significant proportion of Europeans suffers from health problems linked to environmental conditions. Vulnerable groups, such as children, pregnant women and socially disadvantaged people are particularly affected. Policy-makers have the responsibility to address this problem. The European Commission will play its part by continuing to focus attention across European Union policies on environmental impacts on health," says John Dalli, European Commissioner for Health and Consumer Policy.

"Integration of environment and health issues into the policies of other sectors, like transport, energy, industry or agriculture, and related investments would in turn reduce impacts and save the costs of inaction. Environment and health objectives can also serve as an engine to boost innovation and competitiveness: the main challenge now is to address environment and health concerns through socioeconomic policies. The Parma Declaration is an important step to join efforts at local, national and international level in this direction," says Ms Stefania Prestigiacomo, Italian Minister for the Environment, Land and Sea.

"The Conference outcomes entrust the health sector with a stronger responsibility. Not only can many of the environmental effects be controlled through well-known health-system interventions, such as primary prevention or health care; but the health sector can take a leading role with other sectors in advocating for a reduction in risk exposure," notes Professor Ferruccio Fazio, Italian Minister of Health.

In September 2010, Member States will gather in Moscow for the sixtieth session of the WHO Regional Committee for Europe, WHO's highest decision-making body at the regional level, to endorse the outcomes of this Conference through a resolution.

During 2010 and beyond, the European environment and health process will be revitalized through a series of new arrangements.

The governments gathered in Parma agreed to strengthen political coordination between regular ministerial conferences, and will now involve ministers directly in steering the Process - to ensure that cross-sectoral issues are given the highest possible political profile.

Ministers from the 53 European Member States will meet again at the Sixth Ministerial Conference on Environment and Health in 2016.

(Source: World Health Organisation - Regional Office for Europe)

Parma Declaration on Environment and Health​