10.P. Round table: Public health of the future: innovations in surveillance, communication and knowledge translation

Abstract   The social, ecological, economic and health crises exacerbated by COVID-19 pandemic are challenges of extraordinary magnitude and complexity for global public health. Moreover, the context in which the pandemic emerged was characterized by underinvestment in public health and growing distrust in institutions. Public health responses were often fragmented and failed to make use of existing resources and expertise. Nearly 3 years after the start of the COVID-19 pandemic much has been learned and much is still to be learned. Accordingly, European national public health agencies have been pushed to their limits and currently face an urgent need to be renovated incorporating innovations in surveillance, communication and knowledge translation. National agencies should network and collaborate at the EU level. EUPHA may play an important role in this effort. On the one hand, there is the need of improving surveillance of harmful effects of the pandemic, specifically the health inequalities aggravated at local, national and global levels; and, on the other, to improve the availability of this knowledge to policymakers. Public Health communication needs to be further developed as it has been a crucial piece of national and international efforts to protect and promote health in the pandemic and so will be in the future. With this workshop proposal, we would like to bring up for discussion how could we further improve surveillance, communication and knowledge translation to policy makers and citizens in our European national public health agencies. Innovative and updated public health agencies will help regaining trust and strengthening public health institutions. National and European Public Health further development is essential and should be strengthened to protect and promote European populatiońs health. The objectives of the workshop are: – To discuss key innovations to implement in national public health agencies to improve surveillance, communication and knowledge transfer to policy makers and citizens. – To reflect on supranational European coordination mechanisms that would allow for efficient surveillance and a rapid and adequate response to different public health challenges, including social inequalities in health. – To manage public health intelligence in the European Health Data Space and the role of public health in this data lake design. Key messages • COVID19 pandemic has revealed the challenges of creating strong trustworthy national public health institutions to ensure the integrity of public health science and information dissemination. • Structures to facilitate timely and efficient monitoring requires national and supranational coordination mechanisms, including data and experience sharing. Speakers/Panellists Robert Otok ASPHER, Brussels, Belgium Sofia Ribeiro EUPHA-PHPP Manuel Franco University of Alcalá, Madrid, Spain

The social, ecological, economic and health crises exacerbated by COVID-19 pandemic are challenges of extraordinary magnitude and complexity for global public health.Moreover, the context in which the pandemic emerged was characterized by underinvestment in public health and growing distrust in institutions.Public health responses were often fragmented and failed to make use of existing resources and expertise.Nearly 3 years after the start of the COVID-19 pandemic much has been learned and much is still to be learned.Accordingly, European national public health agencies have been pushed to their limits and currently face an urgent need to be renovated incorporating innovations in surveillance, communication and knowledge translation.National agencies should network and collaborate at the EU level.EUPHA may play an important role in this effort.On the one hand, there is the need of improving surveillance of harmful effects of the pandemic, specifically the health inequalities aggravated at local, national and global levels; and, on the other, to improve the availability of this knowledge to policymakers.Public Health communication needs to be further developed as it has been a crucial piece of national and international efforts to protect and promote health in the pandemic and so will be in the future.With this workshop proposal, we would like to bring up for discussion how could we further improve surveillance, communication and knowledge translation to policy makers and citizens in our European national public health agencies.Innovative and updated public health agencies will help regaining trust and strengthening public health institutions.National and European Public Health further development is essential and should be strengthened to protect and promote European population ´s health.The objectives of the workshop are: -To discuss key innovations to implement in national public health agencies to improve surveillance, communication and knowledge transfer to policy makers and citizens.
-To reflect on supranational European coordination mechanisms that would allow for efficient surveillance and a rapid and adequate response to different public health challenges, including social inequalities in health.
-To manage public health intelligence in the European Health Data Space and the role of public health in this data lake design.

Key messages:
COVID19 pandemic has revealed the challenges of creating strong trustworthy national public health institutions to ensure the integrity of public health science and information dissemination.Organised by: Finnish Institute of Occupational Health Chair persons: Ari Va ¨a ¨na ¨nen (Finland), Sanna Selinheimo (Finland) Contact: sanna.selinheimo@ttl.fi Mental disorders are globally among the leading causes of disability in the working-age population.Psychotherapies have proven to be effective in the improvement of mental health.
The current evidence on the benefits of psychotherapies is mainly based on randomized control trials and patientreported outcomes, whereas the potential impact of longterm psychological therapy on work disability and income is not so well known.This emphasizes the need for longitudinal studies on the effects of psychological therapies in a 'real-world study setting', and on the distribution of the availability and the use of psychological therapies in different populations.In Finland, rehabilitative psychotherapy is the major single form of publicly provided psychological therapy.It is targeted at those aged 16 to 67 who are at risk of disability or not being able to study because of mental health problems.It is granted an annual period (maximum three years), a maximum of 80 sessions per year and 200 sessions per 3 years.From 2011 on this psychotherapy has been statutorily granted to all at risk of work disability due mental health disorders.The number of annual users has increased from 15 757 (2010) to 56 682 (2020).This workshop presents the results from a research project investigating the use and real-world effects of longterm psychotherapy in the Finnish working-age population in the 2010s.It shows 1) whether the use of psychotherapy is associated with subsequent work disability and labour market outcomes (income, employment), 2) how the use of long-term psychotherapy differed between socio-demographic groups in the 2010s in Finland, and 3) the extent to which statesubsidized psychotherapy is linked to the distinctive profiles of mental health problems in the population.The five presentations offer new results from the Rise of Mental Vulnerability in Work Life Study drawn from the national registers.The presentations are mostly based on three randomly selected population cohorts which each included 33% of the 18-64year-old permanent Finnish residents at the baseline.These data were sampled (sampling years: 2010, 2013, 2016) by and derived from the Population Register maintained by Statistics Finland and included information on various socio-demographic characteristics (e.g., gender, occupation class, region, income).These were linked to the national health registers.Information on reimbursed psychotherapy and mental health indicators (sickness absence, psychotropic drugs, disability benefits) were obtained from the Social Insurance Institution of Finland and complemented by the disability pension data from the Finnish Centre for Pensions.The data provide a unique opportunity to observe how the use of state-subsidized long-term psychotherapy was distributed across population groups in the 2010s, and to the extent to which disability trajectories and economic outcomes have developed in different groups during and after psychotherapeutic treatment.

Introduction:
Mental disorders are a major cause of work disability among working age population.Psychotherapy has been shown to be an effective treatment for mental disorders, but the evidence mainly comes from small scale randomised trials with a relatively short follow-up.

Objectives:
We used population-based register data to examine the association between statutory rehabilitative psychotherapy and change in depression or anxiety related work disability using a quasi-experimental interrupted time series analysis.

Methods:
All those who started rehabilitative psychotherapy in 2011-2014 comprised the study group.The study group included Structures to facilitate timely and efficient monitoring requires national and supranational coordination mechanisms, including data and experience sharing.