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Databases: Environment & Health
Prof. H. Van Loon
Aims
To build up databases to realise the disclosure of existing data
To integrate and to interprete the data monitored in order to clarify and assess the health status of the Flemish population
To map the health risks linked with selected and measured data
Objectives
Creation of database: Cancer register; Vital health statistics: birth, Population, mortality; SPE; Minimal clinical data
“Routine” analysis of the database: cluster research, multivariate analysis, disease mapping
“Rapid inquiry facility” Extension of database with environmental and
measured records Analysis of data from spatial and temporal point of
view
Realisations
Disclosure of the most important existing datasets by a web based application via a controlled access: password and license-system.
Disease mapping of a broad scope of disease categories
Possibility for “rapid inquiry facility” is present Data for cluster analysis are available (e.g. report
low birth weight)
Difficulties
Conceptual level:– Differences in vision: extensive (more data for more
rational) versus restrictive (more data for better control) – Differences in priorities: accessibility of the data versus
linkage – Differences in understanding: record linkage on individual,
spatial en temporal level. Operational level:
– Impact of outsourced of IT technology – Possessive and restrictive attitude of “data owners” creates
complex procedures (privacy)– Cost of data (what is the price of data ?)
Deficiencies
Absence of a tool for easy integration of “local data”.
Download procedure of tables, as a result of data selection, is not available
Lack of investment for the development of experts environment and health.
Canalisation of “questions and answers” is not functioning
Problems
Transfer of “know how” seems difficult by lack of continuity of expertise
Management of the license system on the population level.
Procedures for answering questions
The future
Consolidation of procedures for data loading in the database
Generalise the access procedure for different types of users
Addition of “local data” Strengthening the capacity and analysis expertise Addition of relevant scientific documentation in the
database via weblinks
Recommandations
To invest in this kind of tools in order to– Integrate more data – Permit more people to comment on the data– Which creates added value in the difficult topic of
environment and health.
To develop expertise and analysis capacity To operationalise the Rapid inquiry facility
Conclusions
The developped database is a “small for date” child, who needs the normal vaccines in order to prevent the common predictable illnesses and who needs a clean environment to permit normal growth