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Co-design workshops with consortium and stakeholders

Author: Van den Hazel, Peter; Weber, Miriam; Jeram, Sonja; Jansen, Sammie; Teeuwen, Roos; Psyllidis, Achilleas; Ristovska, Gordana; Benz, Sarah; Kuhlmann, Julia; Sandionigi, Anna; Balduini, Marco; Schreckenberg, Dirk; White, Maddie; Gudi-Mindermann, Lena
Publisher: Zenodo
DOI: 10.5281/zenodo.17064184
Source: https://zenodo.org/records/17064184/files/D8.4.pdf
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Equal-Li e – Deli e able 8.4
P ojec i le: Ea ly En i onmen al quali y and li e-cou se men al heal h e ec s
P ojec Numbe : 874724
P ojec Ac onym: Equal-Li e
Wo k package 8 - Deli e able D8.4
Co-design wo kshops wi h conso ium and s akeholde s
HISTORY OF CHANGES
Ve sion Publica ion
da e Change
1.0 20.12.2022
Fi s d a
2.0 13.02.2023
Mo e in oduc ion, de ini ions, es uc u es annexes
3.0 23.03.2023
Rew i en in o a epo o ma
4.0 15.12.2023
In o ma ion om 2023 added
5.0 31.12.2023
Final
Re . A es(2023)8897295 - 29/12/2023
H2020 p og am G an ag eemen numbe s 874724
(Equal-Li e)
P ojec s a da e: Jan 1s 2020 Du a ion: 60 mon hs
P ojec Coo dina o : I ene an Kamp (RIVM)
WP (numbe and
i le)
Equal-Li e WP8
S akeholde in ol emen and in e en ion
de elopmen
Deli e able Numbe Equal-Li e D8.4
Deli e able Ti le Co-design wo kshops wi h conso ium and
s akeholde s
Due da e 31. 12. 2022
Ac ual da e 31. 12. 2023
Dissemina ion Le el Public
Lead
bene icia y
INCHES
Responsible
au ho (s) and
bene icia y
ac onym:
Pe e an den Hazel –INCHES, Mi iam Webe – Ci y o U ech ,
Sonja Je am –NIJZ, Sammie Jansen – RIVM, Roos Teeuwen -
TU Del , Achilleas Psyllidis – TU Del , Go dana Ris o ska –
IJZERM, Sa ah Benz – ZEUS, Julia Kuhlmann – ZEUS, Anna
Sandionigi – Quan ia, Ma co Balduini – Quan ia, Di k
Sch eckenbe g – ZEUS, Maddie Whi e – UB, Lena Gudi-
Minde mann – UB, Jenny Ah ens – UB
Wo k
package/ ask: WP8 / Task 8.1
Documen
s a us: Upda ed inal
Con iden iali y: public
Key wo ds: S akeholde , Co-design, o um, science-policy
in e ace
E-mail / phone
esponsible
au ho s
Pe e an den Hazel p [email protected]
Mi iam Webe m.webe @u ech .nl
Co-au ho s Sonja Je am [email p o ec ed]
Sammie Jansen [email p o ec ed]
Roos Teeuwen [email p o ec ed]
Achilleas Psyllidis [email p o ec ed]
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Go dana Ris o ska [email p o ec ed]
Sa ah Benz [email p o ec ed]
Julia Kuhlmann kuhlman[email p o ec ed]
Anna Sandionigi anna.sandionigi@quan iaconsul ing.com
Ma co Balduini ma co.balduini@quan iaconsul ing.com
Di k Sch eckenbe g sch eckenbe [email protected]
Maddie Whi e gab iele.bol e@uni-b emen.de
Lena Gudi-Minde mann hgudimin@uni-b emen.de
Re iewe s Maud Dohmen [email p o ec ed]
I ene an Kamp [email p o ec ed]
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Con en s
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Summa y................................................................................................................................................6
In oduc ion.....................................................................................................................................7
S akeholde  o umLjubljana.........................................................................................................10
2.1Theme1:Scaleonwhich esul sshould ocus......................................................................10
2.2Theme2:Including heimpac o en i onmen al ac o sonmen alheal h ac o sinall
policymaking.....................................................................................................................................11
2.3Theme3:Se ingupe ec i eyou hpa icipa ion...............................................................11
2.4Men alheal hplans...............................................................................................................12
Co‐designwo kshopSkopje..........................................................................................................12
3.1Theme1:Co‐design ools......................................................................................................13
3.2Theme2:Wo kingonapplica iono  oolsbasedonEqual‐li e esul s................................14
3.3Theme3:Wo king owa ds ansla iono scien i ic esul s.................................................14
3.4Theme4:In e en ions‘b idging hegap’asa ool oimp o eheal h o all.....................15
3.5Theme5:Spec umo p e en ion........................................................................................16
3.6Theme6:Wha a e henex s eps?......................................................................................16
S akeholde  o umMilano............................................................................................................16
4.1Equal‐Li eguidebookand oolbox.........................................................................................17
4.2Wo ldca édiscussionsonEqual‐Li ep esen a ions.............................................................18
4.3Usingalogicmodelasa ool oencou age hinkingabou socialinequali iesinu ban
planningin e en ions......................................................................................................................18
4.4E alua ingchild en’saccess opublicou doo playspace...................................................19
4.5Policy ecommenda ionpe spec i es...................................................................................20
4.7Wha a e henex s eps?......................................................................................................20
5Co‐designwo kshopComo............................................................................................................20
6S akeholde  o umHelsinki...........................................................................................................24
7Conclusion/Nex s eps.................................................................................................................25
8Pa ne s/Equal‐Li econ ac in o ma ion.....................................................................................29
9Annexes.........................................................................................................................................30
Annex1Addi ionalno esonwo kshopinLjubljana.............................................................................30
Annex2Co‐designwo kshopSkopje....................................................................................................32
Annex3S akeholde  o uminMilano..................................................................................................36
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Annex4Co‐designwo kshopinComo..................................................................................................46
Annex5S akeholde  o uminHelsinki.................................................................................................50
Annex6Someexampleso usedpe sonas...........................................................................................56
Annex7Co‐designp ocessp esen a ion..............................................................................................58
Annex8Wo kingonapplica iono  ools.............................................................................................61
Annex9 esea chques ionsusedinComoco‐designwo kshop..........................................................63

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Summa y
TheEqual‐Li ep ojec aims oin es iga e hecombinede ec so  a iousexposu esonchild enand
adolescen men alheal hac ossdi e en de elopmen als ages.Impo an  o hisp ojec is he
collabo a ionwi hs akeholde s.
Thisdeli e ableisa ep esen a iono allac i i iesin i edi e en mee ings.Eachmee ingwas
s uc u edacco ding odi e en  hemes.Thes akeholde  o ainLjubljana,MilanoandinHelsinki
we es uc u edacco ding odi e en in e ac i esessions.Di e en wo kingme hodswe eused.A
angeo po en ialou comeswe eadd essed.
Theou comeso  heco‐designwo kshopsands akeholde  o asigni yaimpo an s ep owa d
de elopingase o policyimplemen a ions,a oolboxandguidebook.Theseou comesno only
add ess hecomplexi ieso exposomeda abu alsoensu esi sp ac icalapplicabili yindi e se
se ings.Thecollabo a i eandinclusi ena u eo  hise o  e lec sacommi men  oad ancingou 
unde s andingo  heexposome'simpac onchildmen alheal handcogni i ede elopmen .The
indingsp o idea ounda ion o in o medpolicydecisions,p omo ing hein eg a iono  his oolbox
in o ele an  esea ch,heal hca e,andeduca ionalini ia i es.
S akeholde sa ein e es edinp ac icalimplica ionso Equal‐Li e esul s.S akeholde s ega d he
Equal‐Li e oolboxasase o  ools ha helps hosein e es edin heEqual‐Li ep ojec (a  a ious
le els) oexplo e,unde s and,and euse he esul ingou comes.TheEqual‐Li eguidebookshould
accompany he oolboxasaguide o p ac icaluseandhelpconcep ualizewha isbeingp esen ed.I 
shouldassis  hes akeholde s ounde s and heconnec ionsbe ween hemul iple esul sdisplayed
andwha  heymean o op ionso in e en ions.
I isin hein e es o s akeholde s ha  esul sshowupop ionso in e en ions.Indi e en coun ies
(and egions,communi ies)powe and inancesa eondi e en scales.The e o e,scien i ic
da a/ esul s,and ecommenda ions o in e en ionsshouldbeca ego izedby hesescales.
Resul sand ecommenda ionsshouldbep esen edinalanguage ha isunde s oodbys akeholde s.
Due o hedi e en languages,goals,mo i a ions,andsenseo u gency, hecommunica ionbe ween
scien is sands akeholde sisacomplex ask.Fo  hescien i iccommuni y,nea ness odecision‐
make sisimpo an .Scien is sshouldmakeuseo communica ionexpe swe eapplicableino de  o
communica e hei da a esul sand ecommenda ions.
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In oduc ion
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The ask“Co‐designwo kshopswi hconso iumands akeholde s” ela ed oD8.4has heobjec i e
oes ablishabi‐di ec ionaldialoguebe ween heEqual‐Li ep ojec and(in e )na ionalpolicymake s
o1) ansla ep ojec  esul sin oe ec i echild enheal hpoliciesand2)injec knowledgeabou bes 
p ac icesandheal hpoliciesin o hep ojec .This askensu es ha  hegene a edknowledge(on
exposome,mechanisms,andheal he ec s)isde elopedinlinewi h heneedso  heb oade socie y,
and ha knowledgeo  hein ol ed(publicandp i a e)s akeholde swillhelp oin e p e  he esul s.
Thisscience‐policyin e ac iongi esabe e unde s andingo  hesocie alimpac and ele anceo  he
Equal‐Li e esea chbo h o  hescien is swi hin hep ojec as o  hes akeholde s.Weha eiden i ied
keys akeholde (policymake s, egula o sand esea chne wo ks),andse upa o malco‐design
wo kshopand wos akeholde  o aandes ablished egula in e ac ionbe weenscien is sand
s akeholde s.
In he36mon hs e iews he eques edac ionwas oupda e heGann cha and heDoA.The ocus
o  hedeli e ablehasbeenadjus edwi h e e ences op elimina y esul s.Thesewe eadd essedin
helas  wos akeholde mee ings.Addi ionally, hedeli e ablehasbeengi enexampleso  heco‐
designp ocessand hedesc ip iono expec edou comes.Thesewe e ela ed o hecon ex and he
equi emen so  he oolboxandguidebook.Thesehads onglinks o hewo ko WP9.ThisD8.4was
p e iouslysubmi edinAp il2023,bu nowupda edwi hin o ma ion om woaddi ionals akeholde 
mee ings.Ano he upda eisexpec edinau umn2024.
Thisdeli e ableisina o ma o ademons a o .I isa ep esen a iono allac i i iesin i edi e en 
mee ings.Eachmee ingwass uc u edacco ding odi e en  hemes.Thes akeholde  o ain
Ljubljana,MilanoandinHelsinkiwe es uc u edacco ding odi e en in e ac i esessions.
 S akeholde  o uminLjubljana,Ma ch7‐8,2022
 Co‐designwo kshopinSkopje,Sep embe 14‐15,2022
 S akeholde  o uminMilan,No embe 16‐17,2022
 Co‐designwo kshopinComo,June29‐30,2023
 S akeholde  o uminHelsinkiSep embe 7‐8,2023
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Co‐designwo kshop
Co‐designis heac o c ea ingin e ac ionwi hs akeholde s(policymake s,end‐use s)speci ically
wi hinadesignde elopmen p ocess oensu e ha  he esul smee  hei needsanda eusable.I s
aimis oc ea esome hingno only o people,bu alsowi h hem.S akeholde scanbecomec ea o s
o ap oduc beingac i elyin ol edin hec ea ionp ocess.Co‐designiso ena ansdisciplina y
p ocess.The esul canbea epo (guidebook,guideline)o ap oduc .InEqual‐Li e heco‐designis
a ool oenables akeholde s ouseEqual‐Li e esul s o policymakingo e en od a in e en ions.
Weconduc edoneco‐designwo kshopinSkopje(seechap e 3).
S akeholde  o um
8
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S akeholde Fo ummeansapla o mopen o ep esen a i eso ins i u ions,na ional, egionaland
localau ho i ies,o ganisedin e es sandindi idualen i ies omdi e en domains,highe educa ion,
esea ch,associa ions,ci ilsocie yandclus e o ganisa ions,aswellaso he in e es edpa ies om
ac ossaselec edknowledgeo policy ocus.
These upo  hewo kp ocesso co‐designwo kshopso s akeholde  o umissimila .The o umaims
mo ea sendingin o ma ionbe ween hepa icipan s.Theco‐designwo kshopaimsa p oducing
con en  ela ed o hep oduc s ha a eseenas esul o  hep ojec .
He ewedesc ibe hewo kingp ocesso  hes akeholde  o aand heco‐designwo kshops.This
wo kingp ocessisp esen edasalis .Thisis ollowedbyadesc ip iono  heou comeso  he
collabo a i ee o be ween heEqual‐Li epa ne sand hes akeholde s.Thisisalsop esen edina
lis .
Ou lineo  hewo kingp ocess
Thep ocesso  heco‐designwo kshopands akeholde  o umusesas uc u edapp oach.This
app oach acili a esacodesignwo kshop/ o umaimeda collabo a i elyde eloping1)inpu  o 
policy ecommenda ions;2)a oolo guidebookwi hsuppo  omdi e ses akeholde s.Thep ocess
emphasizesopencommunica ion,ac i epa icipa ion,andi e a i e eedback oensu eawell‐
oundedandinclusi e inalp oduc .The ollowings epscanbeiden i iedandha ebeenused.
1.De iningObjec i esandScope:Thewo kshopbeginswi haclea a icula iono i spu poseand
goals.The ocusisonde ining hescopeo  he oolo guidebook,es ablishingbounda ies oguide
hecollabo a i ep ocess.
2.Iden i yingS akeholde s:S akeholde s,includingend‐use s,subjec ma e expe s,anddecision‐
make s,a eiden i iedandin i ed opa icipa e.Thegoalis oensu eadi e se ep esen a ion ha 
cap u esab oad angeo pe spec i es.
3.P e‐wo kshopP epa a ion:Pa icipan s ecei e ele an in o ma ionbe o e hewo kshop,along
wi hma e ialso  esou ces o e iew.Acommunica ionpla o mises ablished o acili a eongoing
collabo a ionamongs akeholde s.
4.Wo kshopAgenda:Ade ailedagendaou lines hewo kshopac i i ies,inco po a ing
in oduc ions,iceb eake s,andspeci icdesignsessions.Timeisalloca ed o b ains o ming,
p o o yping,and eedbacksessions.
5.Facili a ionTechniques:Facili a ion echniquesa eemployed oencou ageopencommunica ion,
ac i epa icipa ion,andequalcon ibu ion.The acili a o  os e sacollabo a i eandinclusi e
en i onmen whe eall oicesa ehea d.
6.B ains o ming:S uc u edb ains o mingsessionsa econduc ed ogene a eideas.Techniques
suchasmindmappingo a ini ydiag amsa eemployed,andpa icipan sa eencou aged osha e
hei pe spec i esandinsigh s.
7.P o o yping:Thedesignisb okendownin osmalle componen s,andpa icipan swo kon
c ea ingp o o ypeso d a so  he oolo guidebook.Collabo a i e oolso physicalma e ialsa e
used o isualizeideas.
8.I e a i eFeedback:Regula  eedbacksessionsa e acili a ed,allowings akeholde s o e iewand
p o ideinpu onp o o ypesandd a documen s.Cons uc i ec i icismisencou aged,andconce ns
a eadd essed o e ine hedesign.
9

9.Decision‐Making:Facili a eddecision‐makingsessionshelpp io i ize ea u es,con en ,o design
elemen s.Techniqueslikedo  o ingo consensusbuildinga eused o eachag eemen samong
s akeholde s.
10.Documen a ion:Ou comes,decisions,andchangesmadedu ing hewo kshopa e ho oughly
documen ed.A oadmapo ac ionplanisc ea ed o  henex s epsin hede elopmen p ocess.
11.Follow‐upandImplemen a ion:S akeholde sa ekep in o medabou  hewo kshopou comes.
Ag eed‐upondesignchangesa eimplemen ed,ands akeholde sa econ inuouslyin ol edin he
de elopmen p ocess.
12.Communica ion:Ongoingcommunica ionismain ainedwi hs akeholde s h oughou  he
de elopmen p ocess.Regula upda esandin ol emen in u u ei e a ionsensu esus ained
collabo a ion.
By ollowing heses eps, hecodesignp ocessbecameadynamicandinclusi ejou ney,ha nessing
hecollec i ec ea i i yandexpe iseo s akeholde s ode elopa aluableandwell‐ ecei eds eps
owa dspolicyimplica ions,a oolo guidebook.

Ou lineo  hepo en ialou comes
Weadd essedin hedi e en mee ings he ollowingou comes.Thesedemons a e hesigni icance
andpo en ialimpac o  hiscollabo a i ee o  oimp o e hewo ko Equal‐Li e.
1.Use ‐De inedRequi emen s o  hepolicyde elopmen and he oolbox:S akeholde s,including
esea che s,heal hca ep o essionals,non‐go e nmen alo ganisa ions,andpolicymake s,
pa icipa eac i elyinde iningspeci ic equi emen s o policyimplemen a ions, he oolboxand
guidebook.
2.Pe sonaP o iles:De ailedpe sonap o iles e lec  he a iouss akeholde swhowillin e ac wi h
heou comeso Equal‐Li e.Thesepe sonasp o ideanuancedunde s andingo use pe spec i es,
guiding hedesignp ocess obeinclusi eanduse cen ic.
3.ExposomeMappingandVisualiza ionS a egies:S akeholde scon ibu e o hede elopmen o 
e ec i eexposomemappingand isualiza ions a egieswi hin he oolbox.Thisou comeensu es
ha  hecomplexda a ela ed oexposome ac o sand hei impac onchildmen alheal hcanbe
communica edinacomp ehensibleandinsigh ulmanne .
4.Scopeo impac assessmen :S akeholde scon ibu e oiden i ywhichkindso impac assessmen 
a euse ul oinco po a ein o hei dailyp ac ice.Thisalsoincludesda asha ing.
5.UseCaseScena ios:Collabo a i elygene a edusecasescena iosillus a e hep ac ical
applica ionso policiesand heuseo  he oolboxin eal‐wo ldsi ua ions.Thesescena iosno only
e ine he unc ionali yo  he oolboxbu alsodemons a ei spo en ial alueac ossdi e se
con ex s.Cases udiesp esen edbys akeholde sa epa o  hisou come.
6.Fea u eP io i iza ion:S akeholde sp io i izeexpec a ionso  u u epoliciesand he oolbox
ea u esbasedon hei pe cei edimpo ance.Thisp io i iza ionp ocessensu es ha  he oolbox
ocusesonc i ical unc ionali ies,aligningcloselywi h heneedso use sandmaximizingi simpac .
7.P o o ypesandDemons a o :P o o ypesanddemons a o o  he oolboxa ede eloped,
inco po a ing heiden i ied ea u esanddesignelemen s.S akeholde sp o ide aluable eedback
onusabili yande ec i eness, acili a ingani e a i eimp o emen p ocess.
16

Thissessionadd essedi em5 heuseo casescena ios.The ocuso  hissessionwason hesocial
exposome.Thiswas ega dedas e yimpo an by hes akeholde s.Addi ionalno eson hissession
canbe oundinAnnex2.

3.5Theme5:Spec umo p e en ion

Thiswasanopensession ob ains o monwha kindo p e en ionshouldbeon hepolicyagenda.
Also, heques ionwasposedonwha  heexpec ed endsa einchild en'smen alheal handcogni i e
de elopmen .And:Whycan esea chbebene icial ochangepolicy?Wha s udiesand oolsshould
beused?
Thepa icipan sp o idedsugges ionsonhow ode elopp e en ions a egies.Seede ailso  hei 
answe sinAnnex2.
Thissession ela es o hei emo makingawo kplan o implemen a ion(i em10)and
ea u ingp io i iza ion(i em6).Thesugges ionsshowab oad angeo  opics.Theseshould
beconside edn u he s epsin heEqual‐Li ewo k.Addi ionalno eson hissessioncanbe
oundinAnnex2.

3.6Theme6:Wha a e henex s eps?

Thepa icipan s,bo hs akeholde andconso iummembe s,we eposi i eabou  hewo kshop.They
hough i wouldbe e yuse ul ocon inue hiskindo wo k.Sugges ionswe egi enons eng hening
hene wo ko s akeholde s.Communica ion oalls akeholde s.Sha ecommunica ions a egy.How
is hecommunica ion low op o essionals?WHO,EU,minis ieso heal h, egionse c.Ha e
s akeholde s alkingabou  hei wo k.C ea eandsha emo econc e eexamples omWPs.Rebuilding
hedemons a o .Mo eandbe e connec ions oo he WPs.The eisaneed oknowwha isgoing
on.Pa icipan sneeda ewp elimina y esul so ou pu s o in ol ings akeholde s.In ol eyou hin
allWPs,ass akeholde s,wea e alkingabou  hei li es.Aswellaspa en s.S akeholde communi y
building,in o mabou whoiscoming o henex mee ing.UseLinkedIn.Regula upda eson he
(whole)p ojec ,likeanewsle e .

Thissessionshowed heimpo anceo de elopingacommunica ions a egy(i em11).

S akeholde  o umMilano
In oduc ion
TheMilans akeholde  o umaimed ob ing oge he p o essionalsin hedomainso men alheal h
anden i onmen alheal h odiscuss1)exposu e o hephysicalandsocialen i onmen o child en;2)
heuseo  oolsasas a egy ob idge hescienceandpolicydomain;and3)using he u u eEqual‐
Li ep ojec  esul s o implemen ingpolicieso in e en ions oimp o echild en’sen i onmen sand

17

men alheal h.17s akeholde swe e(pa ‐ ime)p esen , oge he wi h23 esea che s(5o  hem
online) om heEqual‐Li ep ojec .
The o um ookplaceNo embe 16‐17,2022,a  heS a ho elRi zinMilan,I aly.The i s daywas
dedica ed op esen a ionsonwo k omEqual‐Li e esea che sands akeholde s, ollowedbywo ld
ca édiscussions.The i s daywasclosedwi hawo kshopon helogicmodel ha isde elopedwi hin
Equal‐Li easa ool oencou age hinkingabou socialinequali iesinu banplanningin e en ions.
Theseconddayopenedwi hawo kshoponhow oe alua echild en’saccess opublicou doo play
space, esea ch ha isalsope o medwi hinEqual‐Li e.The es o  hedaywasdedica ed odiscussing
policy ecommenda ionsanduse ulin e en ionsin heen i onmen almen alheal hdomain.
Thehands‐onwo kshopsp o ided heEqual‐Li ep ojec  esea che swi h aluableinpu  oimp o e
hep esen ed ools.Someconclusions:
 S akeholde swan  oha ea oleinEqual‐Li e, o exampleinpilo ingEqual‐Li e(d a )
ou comes(knowledgeand ools)andinco‐designingo o commen ingonEqual‐Li e
deli e ables.
 In e ac ionwi hEqual‐Li e esea che sandin ol emen o s akeholde sin(speci ic)wo k
(packages)need obe acili a edandinc eased, o examplein(in‐pe son)mee ingsaswellas
inone‐ o‐onese ingsandonlinewo kingg oups.
Thiss akeholde  o umadd essed he ollowingi emso  helis o ou comes.
- Use ‐De inedRequi emen s o  hepolicyde elopmen and he oolbox
- ExposomeMappingandVisualiza ionS a egies
- Fea u eP io i iza ion
- Scopeo impac assessmen 
- P o o ypesandDemons a o 
- FeedbackandI e a i eImp o emen andexpec a ions.Thisisalsoapplied o  he
policyimplemen a ionp ocess.
- Documen a ionandKnowledgeSha ing
- Wo kPlan o Implemen a ion
- Communica ionS a egy

Con en o  hemee ing
Th eep esen a ionswe ep o idedbyEqual‐Li e esea che s op o ideano e iewo  hep ojec .
See o mo ein o ma ion heDeli e able8.2.
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4.1Equal‐Li eguidebookand oolbox
Theguidebookand oolboxsessionwe eapa allelac i i y ha  an h oughou  he o um.I was
in oducedbyasho p esen a ion ha explained hein en andcu en de ini iono wha wecall he
oolboxandguidebook.Thede ini ionsa eunde con inuousdiscussion.Since he i s s akeholde 
mee inginMa ch2022(Ljubljana,Slo enia) he esponsiblepa ne sha ebeen eques ing eedback
omin e nal(Equal‐Li e)andex e nal(s akeholde s)pa ne s,whichispa o ani e a i ep ocess.
Thecu en unde s andingo  he oolboxandguidebooka eas ollows:
18
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 The oolboxshouldbea ool,o se o  ools,whichhelps hosein e es edin heEqual‐Li e
p ojec (a  a iousle els) oexplo e,unde s and,and euse he esul ingou comes.
 Theguidebookshouldaccompany he oolboxasaguide op ac icaluseandhelp
concep ualizewha isbeingp esen ed.I shouldassis  heuse  ounde s and heconnec ions
be ween hemul iple esul sdisplayed.
Theinpu  ecei edwassimila  o hecollec edideasin hep e iouss akeholde mee ingsasi  ocuses
on hede elopmen o  ools ha canallowguidingand acili a edaccess o hep ojec con en ssuch
asdeli e ables, esea chques ions,and ea u esconside edin heanalysis.S ongin e es wasalso
exp essedinexplana ionsand ainingonanalysisme hodsandso wa ede elopeddu ing he
p ojec ,wi hconsequen in e es indedica ed ainingsessions.
Thes akeholde s’inpu washelp ul o  heou comeso P o o yping he oolbox.

4.2 Wo ldca édiscussionsonEqual‐Li ep esen a ions

Thesec iondesc ibes heinpu gi enbysomePIso  heEqual‐Li ep ojec ,andalsobysome
s akeholde s.Thein e ac ionwi h hes akeholde sp o idedin o ma ionon heFeedbackand
I e a i eImp o emen andexpec a ions,Fea u eP io i iza ionandonDocumen a ionandknowledge
sha ing.
Weused heWo ldca éme hod.Inannex3a esho desc ip ionso  hedi e en sessions.

4.3Usingalogicmodelasa ool oencou age hinkingabou socialinequali iesin
u banplanningin e en ions

Fo  hiswo kshopsession anbyJennyAh ens(UB), hegoalwas oe alua e heapplicabili yo  he
LogicModel o Equi yAssessmen usinganexempla yin e en iononbicyclein as uc u ebasedon
hewo kshoppa icipan s’expe ise.Todo his, i eg oupswe e o med,andeachg oup ocussed
on he h eemainpa so anin e en ion:Planning–Implemen a ion–E alua ion.
Du ing hediscussion, he ollowing h eeques ionswe eou guidingques ions:
 Wha  oolssimila  o helogicmodela eyoucu en lyusinga wo k(e.g.,guidingques ions,
amewo ks,o he models)?
 Canyousee helogicmodelbeingusedinyou wo k?
 Wha couldbeaddedo changedino de  omake helogicmodelamo euse ul ool?
As o  hedi e en  h eephases,i wasno ed ha animpac assessmen wouldbe aluablewi hin
heplanningphaseand ha e alua ionneeds obeimplemen edwi hinallphases.
Themain akeaway om hediscussionwi hs akeholde sandmembe so Equal‐Li ewas ha i needs
obemade e yclea  ha  hisLogicModel o Equi yAssessmen isno ano he p ocess‐modelbu is
abou assessing heequi yaspec sin he h eemainphaseso anin e en ion.Ideas oimp o e his
was oemphasize hise enin he isualmodelbyusing“ igge wo ds”.
19
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Thissession ela ed o heScopeo impac assessmen .Basedon he eedback helogicmodelcould
beimp o ed.

4.4E alua ingchild en’saccess opublicou doo playspace

In hesessiononE alua ingChild en’sAccess oPublicOu doo PlaySpace,RoosTeeuwenand
AchilleasPsyllidis(TUDel )collec edknowledge om heEqual‐Li es akeholde sinanin e ac i e
wo kshopsession.TUDel aims omeasu echild en’saccess oplayspacesinci ies, obeused o 
heen ichmen o  heEqual‐Li ecoho andschools udyda ase s.Thegoalo  hissessionwas
h ee old: ocollabo a i elyiden i y he ac o s ha limi o p omo echild en’saccess oplayspace;
oconnec  hese ac o s oelemen sin heu banen i onmen ;and oassess hela es wo k‐in‐
p og essapp oacho TUDel inmeasu ingchild en’saccess oplayspace.
Fi s ,RT(TUD)in oduced he opic o hes akeholde sandp o ided hemwi hasho o e iewo 
he heo y ha  hewo kshopwasbuil upon.Then,s akeholde swe easked ocon ibu ewi h
sugges ionso  ac o s ha limi o  ha p omo echild en’saccess oplayspaceaskeywo ds, ollowed
byab ie plena ydiscussiono  hemos p e alen limi ing(i.e.,lacko sa e yo secu i y, a ic,and
lacko placessui ingageo mul iplegene a ionso use s)andp omo ing ac o s(i.e.,sa e y,o he 
child en,in o malplaces oplay,andequipmen  o child enwi h educedabili ies).
Second,bo hs akeholde sandEqual‐Li epa icipan sspli in o6g oups,eacha  hei own able, o
discusschild en’saccessibili yinaspeci icu bancase:3 ables ocusedonLjubljana,Slo enia,and3
ablesonMilan,I aly.Pa icipan s amilia wi hei he Milano Ljubljanawe ep esen edwi h he
co espondingci y,whileo he swe esp eado e  ables oensu e a ie yinexpe iseand
geog aphicalbackg ound.A each able,anEqual‐Li emode a o guided hep ocess.Pa icipan s
discussedpho osandmapso  heci ya handandpinpoin edwha couldlimi o p omo echild en o
accessplayspaces.
Thi d,pa icipan swe ep esen edwi hamapo e layon opo  hemapo  hesecond ound,made
byTUDel  omodelchild en’saccess oplayspace.Speci ically, heseo e laysshowedplaces hey
iden i ied ha maya ac child en’splay(i.e.,playg oundsandsmallpa ks),o  ha maybeaba ie 
ochild enwhowan  oaccessaspace oplayin heci y(i.e., anspo andna u alin as uc u es).
Pa icipan sdiscussed owha ex en  heyag eedwi h heba ie sandplacesp esen edon hemaps,
aswellaswha shouldbeomi edo added obe e  e lec p ac ice.
Th oughou  hesecondand hi d ounds,pa icipan scon ibu ed hei knowledgebymeanso 
anno a ions,d awings,ands ickyno es.Pa icipan salsoelabo a edonexpe iences om hei own
li eo  own,whichwe ecap u edinaudio eco dings.TUDel willuse hese ounde s and he
po en ialandlimi a ionso usingsuchda a omodelchild en’saccess oplayspacein heEqual‐Li e
p ojec .
P elimina y ake‐awaymessages om hepa icipan s oTUDinclude:Thesizeandshapeo pa ks,
imeo day,mo emen  ajec o ies,andsu oundinglanduseandac i i iesma e whenassessing
child en’saccess oplayspace;Goodquali yin as uc u eisimpo an ;Andknowledge omlocal
expe so child enisc ucial oge acomple eunde s andingo child en’saccess opublicou doo 
playspacein heu banen i onmen a hand.
20
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Thisou pu o  hissessionwillenableTUD oimp o e heExposomeMappingandVisualiza ion
S a egies.

4.5Policy ecommenda ionpe spec i es
INCHES(P dHl)in oduced hesessionwi hasho p esen a ionon heecologicaldoughnu model
and heDPSIRmodel.Thedoughnu modelbyKa eRawo h(2012)isa isual amewo k o 
sus ainablede elopmen ,combining heconcep o plane a ybounda ieswi h hecomplemen a y
concep o socialbounda ies.TheDPSIRmodel(d i e s,p essu es,s a e,impac ,and esponsemodel
o in e en ion)isacausal amewo k o desc ibing hein e ac ionsbe weensocie yand he
en i onmen .
Thesemodelswe ede elopedin hecon ex o plane a yheal hand heen i onmen alsciences, o
desc ibeandcla i ycomplexsys ems.Thepa icipan swe ein i ed o hinko applyinganadap ed
e siono  heDPSIRmodel o hecon ex o child en’smen alheal handcogni i ede elopmen .The
esul s om hediscussionsond i e s,p essu es,s a us,media o s,andou comesa eon henex 
page.
Thissessionhad heaimed ogi e hes akeholde sinpu  o  u u es epsinimplemen a iono policies
andin e en ions.This ela es odocumen a ionandknowledgesha ing.

4.7Wha a e henex s eps?

In his inalsession, hes akeholde sandEqual‐Li e esea che sspli in o wosepa a eg oups.The
s akeholde s e lec edon he ipsand opso  hes akeholde  o um om hei pe spec i e.TheEqual‐
Li e esea che sdiscussednex s eps o akein hes akeholde ac i i ies.


5 Co‐designwo kshopComo

Aco‐designwo kshopinComo,I alywasheldon he29 hand30 ho June2023.Thiswo kshop
discussed hep og essandin e ac ionwi hs akeholde sin heEqual‐Li ep ojec .Thebes wayso 
using heexpec edEqual‐Li ep ojec  esul s o implemen ingpolicieso in e en ionswe e
discussed.Howshouldwedesign he ools?How oinco po a e hegene a edda a omEqual‐Li ein
hedesigno policies?Wha a eyou heneedsass akeholde swo kingin hedomaino child en’s
men alheal h,cogni i ede elopmen  olinkEqual‐Li e esul s o hewo k ha s akeholde sdo?How
canscienceandci ilsocie yo ganisa ionsbes coope a e?
Thewo kshopwasali ewo kshop.A o alo 15pe sonsa ended(li e12,3online.Thewo kshop
ookplacea  hePoli enicoinComo.
Sessionswe econduc edonhow o ead amewo ksanddi e en concep ualmodelsonexposu es,
media o s,se ingsandli ecou ses ages.Ano he sessiondiscussed heuseo  oolsandhow hese
21

shouldbedesigned.Ano he sessiondeal wi h he e lec ionon hep io i iza iono  esea ch
ques ionso Equal‐Li eand hei link odailyp ac iceo  hes akeholde s.Asessiononsocialexposome
lookeda  hein eg a iono socialandphysicaldomain.Thiswasconside edas e yimpo an by he
s akeholde s.Two inalsessionswe econduc edon1)Da aandha moniza ion;and2)Concep ual
modellingwi hseman ic echnologies.

In oduc ionp esen a iononconcep ualmodels
P esen a ionWP1(DS‐Pa ne ZEUS): o mula e heo iesandmechanisms‐> amewo kanddi e en 
concep ualmodels(exposu es,media o s,se ings,li ecou ses ages).
Somemen ionedhighligh s:
Socialp ac icesa ec  heimpac ,aswellassocialandphysicalen i onmen s.T ansla edin o esea ch
ques ions,whicha e“ es ed’inin‐dep hs udies(sleeps udyandp eschools udy)andincoho 
s udies,includingen ichmen o  heda a.Resul swillbea ailableendo 2023/beginningo 2024
(ex e nally).
Aniden i ica iono keyexposu eswi hin hehumanexposome; hiscould o examplebeexposu es
likeaccess oplaya eas,noisele elsdu ingsleep,andquali yo in e ac ionbe weenchildandpa en ,
dependingupon heheal hou comes.
Discussionon heconcep o media o ,suchassleepands ess.Howdos akeholde suse ha ?
Sugges edbys akeholde :I isan‘ou come’ ha isanen ancepoin  o unpicking/unde s anding
wha ’sbehind his.Anin en o yons essamongpa en snowincludesaques iononwhe he one
mindsexpe iencings ess.Po e yisanessen ial ac o , hemain ac o ,aswell.Po e yispa o  he
socialexposome.Housingincombina ionwi hpo e y.
Po e yisno usedasa e minEqual‐Li ebu canbe oundin he‘inequali ies’pe spec i eo  he
esea ch.
Addingano he media o ,suchasaccess o(social/heal h)se icescouldbeconside ed?
Thissessionp o idedinsigh sonUse ‐De inedRequi emen s o  hepolicyde elopmen and he
oolbox, heExposomeMappingandVisualiza ionS a egies, heScopeo impac assessmen 
(includingda asha ing), heP o o ypesandDemons a o ( ela ed o he oolbox),Feedbackand
I e a i eImp o emen andexpec a ions.Thisisalsoapplied o  hescience‐policyimplemen a ion
p ocess.Fea u eP io i iza ionandDocumen a ionandKnowledgeSha ing.
 Wo kPlan o Implemen a ion
 Communica ionS a egy

Sessionon ools
Makeadis inc ionbe ween ypeso s akeholde s.Whoa eyouadd essing?In o ma ion o decision
making.(In e )na ionalle el,ci yle el,communi yle elandse ingsle el.Make he oolacco ding
osimplici yp inciples.
See o de ailson hes akeholde  e lec ionsannex4.
Thissessionp o idedin o ma ion ode elop hep o o ypeanddemons a o  owa dsa oolbox.


22

Sessionon esea chques ionsmode a edbyINCHES
Tableswi h he esea chques ionsconside edin hep ojec we ep esen edin hediscussion.The
ques ionshadbeensen inad ance os akeholde sino de  oha e ime o eadandunde s and
hem.
See o de ailson hes akeholde  e lec ionsannex4.
Seeannex9 o  ableswi h esea chques ions.Ini ialuse o nameso s akeholde s.

SessiononT ansla iono scien i ic esul sin o oolsmode a edbyQuan ia
Theinsigh s om heco‐c ea ionwo kshopinComop o ideda aluableunde s andingo 
hows akeholde su ilize oolsin hei p o essionalen i onmen sando e ed eedbackon
hedemons a o 'sad an agesanddisad an ages.
Mainin e es wasseeninallou pu s omWP4andlowin e es inWP5 o s akeholde s,excep  o 
hemaps(andhighe  o  esea che s).
Rela ed o hede elopmen o a oolboxse e alsugges ionswe ep o ided.S akeholde smen ioned
p e e ed o ma s:guidelines, isuals,‘easy’websi e,policyb ie ,communica ionma e ial,
in e ac i ewebpages.
Ac ion: aiseimpo anceo discussingp elimina y esul swi hs akeholde sdu ingupcomingca ch‐
upsession.Resea che sneed olea n ocommunica ewi h/ onon‐academics.Make helanguage
wo k o  heend‐use .
Thissessionp o idedinpu  o  hewo kplanonimplemen a ionandin o ma ion ode elop he
p o o ypeanddemons a o  owa dsa oolbox.

Sessiononsocialexposomemode a edbyUB,INCHESandNIJZ
Sessions a edwi hanexplana ionabou  hesocialexposome.
Socialexposome:ano elconcep ual amewo k.Goala ealis icpo ayalo  hecomplexsocial
en i onmen .Cha ac e is icso  he amewo k:Mul idimensionali y, ecip oci yand imingand
con inui y.Seepape a :
h ps://www.sciencedi ec .com/science/a icle/pii/S0013935123012896? ia%3Dihub
Th eepa hwaysa eiden i iedin hemodelde elopedbyUB:empowe men , esilienceand
suscep ibili yo  ulne abili y,andembodimen asaddi ional ea u e.
In eg a iono socialandphysicalexposomes.Ques ionbys akeholde :Whyin eg a ion?Answe :To
unde s andmechanisms/pa hways ha d i e hepa e ning/combina ionso exposu esandhow
hey oge he andholis icallya ec heal h.
S a ingpoin is ode elop eliableand alidme ics omeasu e hecomplexex e nalen i onmen ,
comp ised omsocialandphysicalindica o s.
In eg a iono socialandphysicaldomainsleads oano he s a ingpoin  owa dsaholis icex e nal
exposomeconcep .
SeeAnnex4ondiscussionno es,onin e ac ionsessionandonda aha moniza ionsession.
23


Thissession ela ed oknowledgesha ingand ea u ep io i iza ion.Inpu is aluable o adap ing he
socialexposomemodel.

In e ac i esessiononP io i isingda a(ca ego ies)
Wewan ed oknowwhichca ego ieso da aa eimpo an in he iewo s akeholde s.Di e en 
ca ego ieso da awe emen ioned.P io i isedca ego iesa emen alheal h, luidin elligence,socio‐
demog aphic ac o s,psychosocials ess, ela ionshipsandsocialsuppo ,educa ionalmobili y,
heal hcha ac e is ics,lea ningand eachingcondi ions,li ingcondi ions.
Al houghallha e(some)impo ance.
Re lec ionson his‘exe cise’:
- Weshouldha edone hisa  hes a o  he esea chp ojec .
- Combining esea chandp ac i ione ’sa gumen s–in e disciplina yapp oach
- Combine hesep io i ieswi h he esea chques ionsp io i ies.
Thissessionp o idedinpu  o  he ea u ep io i iza iono ou comeso  hep ojec ino de  oma ch
s akeholde ’sexpec a ionswi h hepo en ialou pu o  he oolbox.

SessiononConcep ualmodellingwi hseman ic echnologies(MB,Quan ia)
Wi hinEqual‐Li easeman icknowledgesea ch oolwillbede eloped:a ool ohelpyou indinga
speci icdocumen .Wha isanon ology?Amodelo (someaspec o ) hewo ld.In oduces ocabula y
ele an  o hedomain.Speci iesmeaning(seman ics)o  e ms.Fo malisedusingsui ablelogic.Sha ed
amongmul ipleo ganisa ions.
C ea ingclasses.C ea ingsubclasses.C ea ingaclassins ance.Fo example:a is isaclass.Pain e 
andsculp o a esubclasseso  hea is class.AndLeona doisapain e (hence,alsoan
a is ).Leona doisno aclass.And henc ea ingaddi ionalclassins ances: o example,DaVinci,age,
bi hda e.C ea ingclassins ances h oughclassp ope ies, o example:Leona dopain s he
Monalisa(pain ing),Michelangelopain s heSis ineChapel(pain ing),Michelangelosculp s heDa id
(sculp u e).And henanAI oolcanknow ha Leona doc ea es heMonalisao  ha Michelangelo
c ea es heSis ineChapeland heDa id.
S akeholde helpneeded oimp o e/ e lec on he ool.
Feedbacks akeholde s:sea ch hee idenceandbes p ac ice, ake heo yandimplemen  ha .No 
in e es edinwha isa  hebacko  ha (websi e, oole c).Technique e suscon en .
Sea chengineop imisa ion.Concep ualmodelo Equal‐Li eis heon ology o  he oolp o o ype.To
be alida edbys akeholde s(e.g.ins akeholde  o uminHelsinki).Ha eap ac i ione andITexpe 
wo kingsidebyside.
O ganising heinpu  o  hemachinelea ningisanimpo an s ep.I ene:no e, he ea emo e
concep ualmodelsinEqual‐Li e, husneed ouse hede ini iondocumen s/goalaye deepe .
Sugges ion:p epa eanexample o u he discuss/p e‐ es wi hs akeholde s.S a ingpoin  o  he
on ologycouldbe heconcep ualmodelo WP1.
24

Finalconclusion:
ADemons a o  e siono  he oolbox/guidebookwasp epa edand e iewedwi hs akeholde sa 
heWP8co‐c ea ionmee inginComo.Addi ionally,anEdi o ialBoa dwas o med oo ganizeand
inco po a e esul sand indings om heEqual‐Li ep ojec in o he oolboxandguidebook.This
boa d,adop inga op‐downapp oach,comp isesmembe swi hdi e seexpe iseina eassuchas
oolsand aining,knowledgemanagemen ,guidebookand oolboxde elopmen ,s akeholde 
expe ise,andcommunica ionandcoo dina ion.Thei goalis omake hep ojec 'sou comeseasily
unde s andableand ele an  o hepublic.

Sessionwas ela ed op o o ypingo  he oolbox.

6 S akeholde  o umHelsinki
As akeholde  o umwasconduc eda 7and8Sep embe 2023inCi yHall,Helsinki.Thismee ing
waso ganizedby hes akeholde  om heCi yo Helsinki.The ewe e14s akeholde sp esen and
14 ep esen a i eso  heEqual‐Li ep ojec .
Theaimo  hemee ingwas ogi einpu  owa ds hewayo  hede elopmen o policy
ecommenda ions, owa ds hecon en o  he oolboxandgoodp ac ices/ equi emen s o  aining
oimplemen policy ecommenda ionsand ools.

Thu sday7 hSep embe 
Themee ings a edwi hasho explana iono Equal‐Li e esea ch, heconcep ual amewo kand
hep og amo  he2‐daywo kshopso ganizedbyWP8(s akeholde in ol emen )andWP9( oolbox
and aining).
Anin oduc ionwasgi enon heconcep ual amewo k, he o ali yo in e nal,socialandphysical
exposu es,o e ali e ime,onbe e unde s anding hecauseso andp ocesses ela ed omen al
heal handcogni i e unc ioning,wi hpo en ialmedia ingpa hways,andabou p o idingapossibili y
o in e en ionsalong heli ecou se.
Expec ed esul s:ea lyli eexposu e ou banplanning ela ed ac o s(noise,ai ),social ac o s
(pa en als ess,socialeconomic),bioma ke s ela ed oen i onmen alandsocialexposu es.
P esen a ionswe egi enon:
- O e iew p elimina y esul s
- Measu ing access o public spaces
- P esen a ion on en iching he en i onmen al exposome: oad a ic low p edic ion and noise
modelling
- Social exposome
- Concep ual amewo k
See o de ails on hese p esen a ions Annex 4. These p esen a ion upda ed he s akeholde s on he
s a e o he a o he wo k done in Equal-Li e. Feedback was gi en by he s akeholde s.
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

F iday8 hSep embe 
P esen a ionswe egi enbys akeholde son hei wo k ela ed o opics ha a eadd essedin he
Equal‐Li ep ojec .
Thesessionsa e ela ed oknowledgesha ing.I gi es heEqual‐Li econso iuminsigh inwhichkind
o policyimplemen a ionsandpo en ialin e en ionsa eimpo an .

Toolboxandguidebook(AS,Quan ia)
Thes akeholde  o uminHelsinkip oducedbene icial eedback o  he e isedp o o ypeo  he
oolbox/guidebook. In ol emen o s akeholde sinb oade communica iono Equal‐Li e esul sis
c ucial–ando e ed!
Discussedi ems o  heToolboxmodulesa es akeholde s, isualiza ion,seman icknowledge
explo a ion,connec ionandsha ingmodules.Inmo ede ail heS akeholde moduleshouldbean
explo a i ewebsi ewi hclickableelemen s.Feedbackhasbeen es edinp e iouss akeholde 
wo kshops.Theupda edwebsi eisp esen edin hiswo kshop o commen s.
Toolsa eb oadlyde ined,andab oadselec ionwillbep esen ed,bu no hos edon hewebsi ebu 
h oughlinkages o he‘owne s’o  hespeci ic ools.Thewebsi ewillbeopen o e e yoneandwill
ha eanexplo a i epa .
Uses o y elling(wo kshops) o  he esea che sino de  ocollec s o ies,con en  o  hewebsi e.
Sugges ions:
- Ins eado awebsi eo inaddi ion o hewebsi econside de elopinganapp.
- Link oo he websi esanddashboa dssuchasUNICEF.

Thissessionp o idedinpu on hep o o ypingo  he oolbox.Thisisalso ela ed o isualiza ion,
knowledgesha ing,communica ionand ainingando he suppo needs.

7 Conclusion/Nex s eps

Thischap e highligh s heou comeso  heco‐designwo kshopsands akeholde  o a ha b ough 
oge he di e ses akeholde s ocollabo a i elyshape hede elopmen s eps owa dsusing he
p ojec  esul s o po en ialpolicyimplemen a ions.Andmo eo e , o  hede elopmen o a oolbox
andguidebook.The oolboxaims oad anceou unde s andingo  heexposome's oleinchild en’s
men alheal hchangedu ingchildhoodandadolescence,andchild en’scogni i ede elopmen .The
ollowingou comesdemons a e hesigni icanceandpo en ialimpac o  hiscollabo a i ee o .
1.Use ‐De inedRequi emen s o  hepolicyde elopmen and he oolbox:S akeholde s,including
esea che s,heal hca ep o essionals,non‐go e nmen alo ganisa ions,andpolicymake s,ac i ely
pa icipa edinde iningspeci ic equi emen s o policyimplemen a ions, he oolboxand
guidebook.Thisinclusi eapp oachensu es ha  hesegoalsadd ess heuniqueneedsand
expec a ionso di e seuse g oups.Thecon ibu ionby hes akeholde sinc eased heknowledge
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Annex2Co‐designwo kshopSkopje

Theme3Wo king owa ds ansla iono scien i ic esul s

Addi ionalanswe sby hes akeholde s.
Weaskedwha  hep oblemsa eon hein e ac ionbe weens akeholde sandscien is s.Wha 
ba ie sdoyousee?

Somemainanswe s:
 Di e enceinlanguagewi hinscien i iccommuni yandincommunica ionwi hdecision‐
make s.
 Policymake sa esome imesimpa ien ,whilescien is  ooli lesenseo u gency.
 Policymake sha eace aingoalandlook o in o ma ionsuppo ing ha .Cohe encywi hin
s akeholde g oupsislackingmigh add o his.
 Di e en senseo u gency.Mo i a iono scien is candi e  om hoseo poli icians.
 Poli iciansdon’ likep ecau iona yp inciples.
 Poo lis ening,hea ing,du ingallphases.In o ma iondu ingp ojec sandno a  heend.
 Addi ionalba ie sincommunica ion:changingo poli icians;di e en goals;educa ionle el
di e ences;scienceissome imesno applicable; ooexpensi e.
 Timingis ele an andmigh di e be weenscien is sandpolicymake s.
 Con ac sa eno alwaysone‐ o‐one,and hus‘in e e ence’ omo he con ac smigh occu .
 Themessagei sel canc ea eaba ie aswell.Themeaningo  heda acanbeunclea .
 Con inuousexposu e‐ esponsein o ma ionneeds obep o ided e susyes/no/no
in o ma ion.
 C ea i esolu ions:PRcommunica o so jou nalis s,usemedia.
 Weneedmedia o ans e keymessages om esea chandpu mo ep essu eonpolicy
make s.
 Decisionmake sneeddi e en kindo in o ma ion(yeso no) hanscien is s(can)p o ide.
Th esholdsa ese basedupon a iousa gumen s(incl.socie al)and husa ealwaysb oade 
han heempi ical esul s.
 Resul sdono alwayspleasepolicymake s.Policymake sa eno (always)in ol edin esea ch
s udies.
 Collabo a ionneeds oaim osomehowp ac icalwisdomandno  oscienceo solu ions.
 Scien i icp oposalscouldbeusedasexampleso suppo  oo he s oapply o  esea ch
p ojec s.So,lesscompe i ionbu mo ecollabo a ion.
 The eisanaddi ionalba ie be weenscien is sandpoli iciansbecausescien i icpape sa e
publishedinscien i icjou nalswhicha eno  isible o poli icians/policymake s.
 The eisaneed o sys ema iccapaci ybuildingo scien is son hei  oleinpolicymaking
p ocessandlea nhow ocommunica e hei  indings opoli icians.
 Resea chhas obep oac i e ob ingmain indingsin on o messages.




33
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Theme4In e en ions‘b idging hegap’asa ool oimp o eheal h o all

Then,mos o  hesessionwasabou conside ing he ollowing h eephases.
Phase1:Visual ep esen a iono s epsinanin e en ionp ocess(e.g.alogicmodel)
Phase2:Whe ea econside a ionso socialinequali iesandanequi ype spec i e ele an ?
Phase3:Ques ions ela ing osocialinequali iesandanequi ype spec i e.

The esul so  hediscussionin hesephasesa esumma isedbelow.
Phase1:Buildingagene allogicmodel
In ela ion ocon ex /moni o ing:
 wo kingwi hmunicipali ies,ci izens,p o essionals/expe s/ esea che s,na ional
go e nmen s,EU/in e na ionalgo e nmen s,enginee sandNGO´s
 includeexpe slike eache s‐>ask hemabou p oblemsandsolu ions+b ing he opic o
hei agenda
 conside ingexis ingno ms ela ed o he opic
 useKPI´s(‘keype o manceindica o s’) oe alua especi icp oblems
 men ionna ional‐le elp oblems
 decidingona opic(‐>e idence–wha ´schangeable,wha ´sin eg al?)
 conside inno a o s&In luencesondi e en gene a ions
 aiseawa enesson hein e en ion opic‐>communica ion

In ela ion oimplemen a ion:
 aiseawa enesson hein e en ion opic‐>communica ion
In ela ion oplanning:
 Iden i yneeds/p oblemin he e y i s s ep
 de ine hep oblem
 decideon he a ge (g oup)
 iden i ica iono a ec edg oups
 Includeexpe slike eache s‐>ask hemabou p oblemsandsolu ions+b ing he opic o
hei agenda
 Conside ingexis ingno ms ela ed o he opic
 se upindi idualgoals
 in e en ions o pa en s oeduca e hemon he opic
 decideon hephysicalspacesandi saccess
 decideon hepe sonswhoexecu e hein e en ion

In ela ion oe alua ion:
 Iden i ya ec edg oups ope o m hee alua ionwi h hem
34

 In e ‐e alua ionbe ween hedi e en plannings eps/phases
 planningasaspi alp ocedu e(planning‐>implemen a ion‐>e alua ion‐> e‐planning‐> e‐
implemen a ion‐> e‐e alua ion…)
 pu ing hede inedp oblemin hecen eo e alua ion,implemen a ionandplanning
 Useso‐calledKPI´s(‘keype o manceindica o s’) oe alua especi icp oblems

Phase2and3:
In ela ion oanequi ylens:
The ex sbelowwe e ansc ibed omhandw i enno es om hepa icipan s.
 Equi ype spec i eson heplanningp ocess
 Equi ype spec i eson he a ge g oups‐>planningp ocess:Doweco e wi hin e en ions
peoplewi hlowe socio‐economics a us?
 A e he ece aing oups ha a edisad an aged?
 Who´sa ec edbyin e en ions?(posi i eo nega i e)
 Whobene i s?
 Do a ge g oupsge disad an ages?
 Dopeopleha e heabili y opa icipa e?
 Educa ionindi e en socialg oups?
 Adhoccommunica ions a egy?(whendecidesou come,how ocommunica easpa o  he
in e en ion,how ocommunica edependsonsocial ac o s)
 Mode a ing ac o s:poo ness‐>cul u aldi e ences,languages)
 Tolooka inequi yisimpo an :du ingplanning,du ingmoni o ing,du inge alua ion
(pa en sin e en ion),assessmen o  a ge popula ion,bu  eallye e ys ep
 Se inggoalsin hea ailabili yo  hein e en ion
 Decidingonhowi ´simplemen ed,a ailabili y o e e yone–physical/online
 Moni o ing hea ailabili yo  hein e en ion( egionand imely)
 Ou come,sha e,helping


Theme5Spec umo p e en ion

Asumma yo bulle poin so  hesugges ionsby hepa icipan s:
 Schoolse ingscanha ebo hposi i eandnega i ee ec s.E.g.highdemands,d esscode
(uni o ms),schoolsys em(p ima y oseconda y ohighschoolselec ion),socialno ms,sel ‐
managemen  equi emen s/capabili ies
 Family:educa ion,singlepa en ,po e y,men als a uspa en s,addic ion, iolence,
c owding,numbe o child en(canbeaposi i ee ec ),di o ce,mo inghouse, auma.
 P e en i ep og ams,suchasDu chp og am“NuNie Zwange ”(no p egnan now).
 Communi y,housing,se ices,neighbou hood(playg ounds,g een),socialne wo ks.
35

 S eppings onesineachli ephase.Weneed oha euni e salknowledge,suchashowmany
g eena easa eneeded o child en’smen alheal h,wha  ac o sa e isky?Things o ixand
no‐go’s.
 Social ippingpoin s:
o 25%o  hepeoplemakea ippingpoin occu .
o Examplesa egi en o di e en socie alg oups:An i‐ axe s;F idays o  u u e;Whi e
ligh .
o Educa iono pa en sonhow oimp o e ela ionshipwi hchild enandadolescen s.
o Fo cewillno wo k.Su oundingsa eimpo an .Smallplans, oobigdoesno wo k.
o Collabo a ingsocialpsychologis s,psychologis s,beha iou analys s–be e 
unde s andingo humanbeha iou 
o Cul u e, eligion,wea he change,disas e s,acciden s,newpeoplecoming o he
neighbou hood,c ises
o Socialno msa ede imen al,ins anceso suddenchange,signi ican implica ions o 
wel a e
o De elopmen o communica ions a egy op omo eposi i ebeha iou among
child enandpa en s.Child en– eache s

T endwa ching
Fo  hissessionweused heme hodo asking epe i i e‘whyques ions’.Thes a ingques ionwas:
Wedono mee ou goal op o ec child en ommen alheal hp oblems.Why?
Wha doyouseecoming?
Child en’smen alheal hisge ingwo se.Inc easeo dep ession,o anxie y.Bu is he ea ealinc ease
o aninc easeo awa eness,analysing,da acollec ion?Allowing hecon e sa ion ohappenwillha e
highe numbe s(andno somuchinc ease heou comes).Medicalisa ioncouldbea eason.The
global,o e allpic u e e sus(di e encesin) egionalpic u es.

Theme6
36
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Annex3S akeholde  o uminMilano

Theme4.2Wo ldca ésessions
P esen e :MK,Uni e si yo Kaise slau e n,Cogni i eandDe elopmen alPsychology(online)
Ti lep esen a ion:E ec so en i onmen alexposu esonmen alheal h,well‐being,andcogni ionin
child ena  he ansi ion omkinde ga en op ima yschool:Concep o alongi udinal ields udy
Wo ldca éques ions:
 Wes udy he ela ionshipbe weeng eenspace,noise,ai pollu ion,social ac o s,and he
cogni i ede elopmen o child enin hepe iodbe weenp eschoolandp ima yschool.
 F omanin e en ionpe spec i ewha associa ions oanalysewouldbeo mos in e es  o 
you
Wo ldca édiscussion:
Thep esen a ionwas ega dedas e ygood,pa lyabi ha d ounde s and(pa icula ly hedi e en 
ou comemeasu emen sandhow heya e ela ed oeacho he ).Bu  hes udyp esen edwas
ega dedasqui eillus a i eabou wha Equal‐Li eisdealingwi handisbe e  ounde s and han
hecoho da a.
Topics/discussionpoin smen ionedwe e:
 Iden i yquali yaspec so g eenspace ha a eimpo an  ochild en'sde elopmen andhow
hey ela e o hep e e enceso  hei pa en s.
 G eenspacesin esiden iala easa emos impo an  o smallchild en.
 S udy he ela ionbe weeng eenspaces&quali yo  imespen in hosespaces.
A  ha poin , heg oupdiscussedwha de ines hebene icialquali yo g eenspaces(o o he places)
in ela ion o hemen alheal ho child en.I wasmen ioned ha  heWP5de ini iono " imespen "
and" equencyspen "isp obablyagoodindica o  o anen i onmen bene icial/a ac i e o 
child en‐be e  hande ining"highquali y"in e mso  hephysical ea u es( ege a ion,wa e …).
"G eenspaceneedsmain enance"wasmen ionedhe e.
Themode a o smen ioned ha  heP eschools udyisalsoin e es edinsocialexposu e/ ac o s.The
g oupdiscussion, he e o e,shi ed owa ds he oleo g eenspace o di e en (socio‐economic)
a ge g oups.
Topicsmen ionedhe ebyg oup1and he ollowingg oupswe e:
 Is he eadi e encein hee ec o g eenspacebe weendi e en SESg oups?
 Idea o anin e en ion:addg eenspace oschools.Schoolya di sel isanequalize o SES
di e ences
 Thisp o idesequi yo access og eenspace o pupils
Mo egene alideas o in e en ion ollowed:
 In e en ionshouldp o ideequi yina chi ec u e&u bandesign
 B ingna u einside he(a i icial)ci y owa dc ea i i y
 Also,animalsb ingna u eback o heci y,no  hes anda delemen smo ec ea i e
37

 Conside  hedidac icaspec so g eenen i onmen 
 Designinganin e en ion ha isloca edinag eenspace( eeschoollunchinapa kdu ing
summe –Helsinki)=>p o idesheal h‐bene iciale ec so g eenspaceandequi y odi e en 
socio‐economicg oups
Besidesg eenspace,someg oups’membe ssugges edconside ingo he exposu esin hep eschool
s udy,namely:
 Includedigi alexposome
 Impac o elec omagne ic adia iononp eschoolchild en
 Alsoincludenoise

P esen e :CG,Cen e o Cogni i eScienceTUKaise slau e nGe many(online)
Ti lep esen a ion:Causalpa hmodellinginEqual‐Li e.Wha hasbeenandwha willbedone?

Wo ldca éques ion:
Howshould(complex)empi icalands a is ical esul sbecommunica ed o he a ge audience,and
how op esen  hese esul s, oa oidmisconcep ions?

Wo ldca édiscussion:
S akeholde sdiscussed ha  heanswe dependsonwho he a ge audienceisand ha  he ea e
di e en le elso in o ma ion ha canbediscussed.Thes akeholde sexp essedin e es in
in o ma iononwha  he esul s ep esen andhow olinki  oin e en ionsandp ac ice.I is
impo an  oin o mon hecon ex o  he esul s–wha ques ionswe easked,wha da aandme hods
we eused,wha da awasmissing,andhowwas heconclusion eached.I isalsoimpo an  o  he
s akeholde s oknowhow heycanchange heou comesin he ealwo ld.Rega ding he o mo 
p esen ing esul s,se e al o mswe emen ioned:sho (w i en)summa ies,in e ac i esessionswi h
s akeholde s,ca oonso anima ions,andin e ac i eonlinema e ials.The esul smus bein oduced
p ope ly,communica edinause ‐ iendlyandsimpleway,and he ele ance o he a ge audience
shouldbeclea .

P esen e :AP,TUDel , heNe he lands
Ti lep esen a ion:Newme hodologicalapp oaches omeasu ing hephysicalen i onmen .

Wo ldca éques ions:
Wha me ics/indica o sa eyouusinginyou dailyp ac ice(i a all) oassessaneighbou hood’s
walkabili y/accessibili y/encou agemen o ac i e a elbeha iou ,e c.?Wha islacking?
Doyouuseanya ailable ools/designguidelines omglobalo ganiza ionssuchasWHO,UNHabi a ,
e c.?Whichones?Wha islacking?
Wheni comes oimp o ingchild en’smen alheal handwell‐being,whichen i onmen alaspec sdo
youconside  hemos impo an andwhy?Onwha e idencedoyoup io i ize hem?
Doyouseeanypo en ialin hewo kwep esen ed o you dailyp ac ice?Wha wouldyouneed o
make hishappen?

Wo ldca édiscussion:

38

Allpa icipan sag eed ha  hep esen a ionwas e ygood.Al eadyknowingabou  hiskindo 
esea chisan“eye‐opene ”.Membe so  hisg oupdiscussionwe eimp essedwi hallda aga he ed
andwe ein e es edinhow heycan eachda aa asimila le el o  hei cases.Theywouldbe
in e es edin eading epo sandpublica ions o eadmo eabou i on heEqual‐Li ewebsi e.
Rega ding he opic“g eena eas” heysugges ed oaddalsoloca ionso schools/kinde ga ens,and
playg ounds.Apa  om he ac  ha g eena easa ediscussedi isalsoimpo an wha sucha eas
o e ,wha a eac i i iessuppo edinsuchplaces( ec ea ion,useo digi alapps…).I wassugges ed
ha alis o aspec s ha spa ialplanne sshouldconside be o edecidingonnewin e en ions.
Planne sneedac i eengagemen o se e als akeholde sincluding esiden sand eedback omuse s.
I isimpo an  omoni o ande alua e heuseo  heg eena eaandmakeimp o emen swi h ime.
I isimpo an  oknowwha kindo g eena easweneedin heci y(sa e y,ac i i ies…).Accessibili y
isimpo an ,need oa oidba ie so c oss hem( ailways…).I shouldbeadynamicp ocess.Tools
o municipali iesa eneeded oconside  helis o aspec s ha  heyshouldconside .

P esen e :JA&LG,Uni e si yo B emen,Ge many
Ti lep esen a ion:SocialExposome‐Concep ,applica ion ields,andimplica ions

Wo ldca éques ions:
 Doesou  esea chinspi eanyp ac icalimplica ionsinyou wo k?
 Doyouseeanyop ions oin eg a eou  esea chinyou wo k?
 Doyouseeanygaps,whichshouldbeadd essedinou  esea ch?

Wo ldca édiscussion:
Doyouseeanygaps,whichshouldbeadd essedinou  esea ch?
 Oneimpo an aspec wi hinSocialExposomeshouldbedigi aliza ionandsocialmedia:Social
eali yishighlydigi alized,and heinc easingglobaldigi aliza ionshouldbeconside edwhen
we e e  o hesocialen i onmen ,becauseo  hehighin e ela ednessbe ween he ealand
he i ual/digi alwo lds.
o Social eali yis ypicallype cei ed h ough‘digi al il e s’(i.e.useo sma phones,iPads,
socialmedia,e c.)
o Theomnip esenceo digi alde icesdis ac s om he ealwo ldandin luencesou 
ela ionships:dis ac ion,losso  ocus(e.g.pa en sandli lechild enpa en al
in es men )
o In e ac ione ec sbe ween heuseo digi alad iceandsocioeconomic/educa ional
backg ounddigi alli e acyisneeded

 When alkingabou  heSocialExposomewealsoneed oconside communi yandsocial
in e ac ionsa  heneighbou hood/dis ic le el.

o Quali yo neighbou hoodsdi e salo wi hinci iesanddependshighlyonmo emen o 
employmen pa e ns.
o Wha canbeobse edis ha seg ega ioniswan edby hep i ileged
esiden s/communi ies:
Impo an How ob eak h ough hisa e sionandinc ease ole ance/openness o
achie e egene a ionwi hou losingbene i s?
39

o Young amilies ypicallya eacons an inneighbou hoodsmaybeinc easeexchange
pla o ms o child en o eachaccep ancebe weendi e sepopula ionsinsigh &
exchangeo li ingpa e ns
o Look o op ions oinc easecommuni yin ol emen (pa icipa o yapp oach)

 When alkingabou socialin e ac ionsweneed ode ine hemeaningo socialin e ac ions:
quali yandquan i yo in e ac ions
o Inp ac icei seems ha in e ac ionsou sidespeci icse ings(e.g.school)de ine he
a mosphe e o meaning,becausehe ein e ac ionslose hei  unc ionas“social oles”
(e.g. eache ,pupil)bu cang owin o‘ ue’ ela ionships.Thus, o‘imp o e’in e ac ions,
weneed oc ea eexchangeop ionsou sidese ings.Thisunde s andingmayalsohelp o
imp o eneighbou hoods/ ela ionswi hinneighbou hoods
 Fo men alheal hsocialin e ac ionsa eo high ele ance,asweneed oconside bo h,
pe cep iono in e ac ionsandbeha iou wi hinin e ac ions
o Toimp o ecommuni ies/neighbou hoodsweneedmoneyand, hus,weneed ocon ince
policyanddecision‐make s,weneed obeou come‐ ela ed.Bu awa enessisalsohighly
impo an alsocanbeou come ela ed.

Doyouseeanyop ions oin eg a eou  esea chin oyou wo k?
 Quali yo da a:Conc e eope a ionaliza ionop ionsneed obede ined ocollec good&clean
da a od aw alidconclusions
 Reduc iono complexi y omakei  easiblein he ield–conc e eguidelineswouldhelp
o E.g.LogicModel o Equi yAssessmen :nameconc e ee alua ionc i e ia ha a e obe
ollowedin hede elopmen o in e en ions

P esen e :MD,TUEindho en, heNe he lands
Ti lep esen a ion:De ining ele an se ingsby ime‐ac i i y‐soundexposu emapping

Wo ldca éques ions:
 Couldyousee his ypeo s udybeingdoneinyou municipali yo ano he scaleyoua e
dealingwi hinyou dailywo k(neighbou hood/ci y/p o ince/coun y)?
 Doyouseeanybene i  oapplyou  esea chinyou dailywo k?
 Knowing he ypeso da awecollec ed,wha  esea chques ionscome omind?(Ino he 
wo ds,canyougi eanyaddi ions/sugges ions oou wo k?)

Wo ldca édiscussions:
S akeholde s ound heideao usingbeha iou alpa e ns o da acollec ionanin e es ingapp oach.
Theopinionswe edi idedonwhe he o no  heysee hiss udybeing epea edin hei own ieldo 
wo k,due ocos so p i acy.Thein o ma ion ha  hes akeholde s hough o  obebene icial o 
hei wo kwe e:SES–noise,quali yo li e–noise,men alheal h–noise,and hesocialdi e ences.I 
wassugges edby hes akeholde s oexplo e he ela ionshipbe weendu a ionandnoise,wi h he
ques ionbeing:a eloca ionswi hahighe noiseexposu e isi ed o asho e  ime?O he sugges ions
we e oconnec mo eda a o heexis ingda ase  oin es iga e hemedia iono o he exposu es
suchasg eenspaceandai quali yand oinco po a esubjec i esoundexpe iencein he u u e.
Finally, hes akeholde swouldlike oseesugges ions o in e en ions,guidelines o whenase ing
is“good”o “bad”andhow oin o mpa en sand eache sbe e abou  hee ec so noise.
40

P esen e :DK,Jože S e anIns i u e,Depa men o En i onmen alSciences,Ljubljana,Slo enia
Ti lep esen a ion:Child en's(men al)heal handpa icipa o y esea ch:di e si yo le elso inclusion

Wo ldca éques ions:
 How o ansla e indings esul ing om a iouspa icipa o y/CSac i i iesinin e en ions?
 Which ools(and hei  ea u es)a e obeused o e ec i eengagemen o child en‐also o
os e mo i a ionandconsequen lysus ainabili yo ac i i ies?
 Is he e oom o in eg a iono app oachedp esen edin oschoolcu iculum?
 How oassessimpac o ac i i ies/in e en ionconside ingspeci icso pa icipan s(child en)
in ol ed?
 How o os e  heupscalingo  he esul sand hei up akebypolicyanddecisionmake s?

Wo ldca édiscussion:
In hebeginningo  hediscussion,someoneasked o anexplana iononwha isin e en ion.I seems
ha  hemeaningo  hewo disno su icien lyclea .Discussionwen indi ec ion ha  esul s om
he esea cha e e yo enno implemen edinpolicies.Decisionmake slis ena  he esul scoming
om esea ch,bu  heydono conside  hese esul sindecisionmaking.Weag ee ha en i onmen al
senso s o ai pollu ionandnoiseexposu ecangi e e y aluableda aand heyshouldbesha ed
wi hlocalau ho i ies.Peoplea escep icalo implemen ingsolu ionsonchild en’sscience.
On he opic‐Which ools(and hei  ea u es)a e obeused o e ec i eengagemen o child en‐
also o os e mo i a ionandconsequen lysus ainabili yo ac i i ies, hepa icipan sga e e y
in e es ingp oposals.These oolscouldbegames, oolsasamusemen  o child en, ools ha make
child en esponsible ouse,bu s ill, heya eno obliga o y o child en.I isalsoimpo an  oin ol e
eache sandchild en, eache scouldmake a ing o  hei de elopmen especiallyinde elopmen o 
emo ionalskills.Someo  hese oolscouldbeincludedineduca ionp ocessandbecomepa o 
educa ioncu iculum,especially o en i onmen alpollu ionandhumanheal h.
Weshould hink oincludechild enin hep ocesso de elopmen o  ools—co‐c ea ionandco‐design
wi hchild en.
Someonega eidea o de elopmen o applica ion o dailydia y,sowecange pic u e o  ime
ac i i ypa e ns.
 How o os e  heupscalingo  he esul sand hei up akebypolicyanddecisionmake s?
Fo  hisques ionallpa icipan swe e e yscep ical ha  esul swillbeimplemen edin hepolicies.

P esen e :KB,senio ad iso child&adolescen publicheal h, heNe he lands
Ti lep esen a ion:Men alHeal hin heDu chPublicHeal hsec o 

Wo ldca éques ions:
 A eyoumissingi emsin hewishlis ?
o Well‐beingasabasiccondi iona school
o Mo e a ge g oup‐o ien edin e en ions
o Mo eaccessiblein e en ions;mo ep e en i ein e en ions
o A en ion osocialandphysical ac o sin ela ion omen alheal h
o Da aabou :‐youngadul s;‐mig an s;‐lowsocio‐economics a us
o Mo equali a i eda ain he ieldo men alheal h.
 A e he eal eadyquali a i eda aabou men alheal h ha youwouldsugges ?
41

 Whichquali a i eda aa emos  ele an ?
 A e he eal eadyna ional esea chagenda’sMen alHeal honchild en’smen alheal h?
 CanEqual‐Li ebeo anysuppo ?

Wo ldca édiscussion:
Conside ing he ime,nodiscussionwasheldonKa in’sp esen a ion.

P esen e :ES,Ci yo Helsinki,Finland
Ti lep esen a ion:Implemen inge idence‐basedpsychosocialin e en ions:anexample om
Helsinki,Finland

Wo ldca éques ions:
 Wha kindo na ionalguidanceiso e edinyou  ieldo wo k?
 Howwouldyouapplyyou expe iencesinou wo k?

Wo ldca édiscussion:
Fi s , imewas aken oanswe ques ionsabou  heIPC‐Ain e en ion.Fo example,ques ionsabou 
heFinnishheal hca esys eminwhichbasicheal hca e ochild enisp o ided h ough heschool
sys em,and ha  heIPC‐Aisanindi idualin e en ion ha canbep o idedbyanyonewhohas
comple ed he aining.Animpo an ques ion o Emmaishow oge manage sin heschooland
heal hca esys em oadop  heIPC‐Ain e en ion.Thein e en ionisal eadyin hena ional
guidelines;howe e , hisna ionalguidanceisno en o ced.Ba ie sinFinlanda e ha manage sdo
no  eel ha implemen ingheal hca ein e en ionsispa o  hei jobdesc ip ion,as helawismo e
ocusedonp e en ion hanin e en ions.
A ewexpe iences omo he coun ieswi h hisissuewe esha ed:onepa icipan p oposed o
in o mpa en sabou  heimpo anceo  hisin e en ionso ha  heywillaskschools oimplemen i .
AGe manpa icipan p oposed os a sc eening o men alheal hp oblems oshow hemagni ude
o  hep oblemandc ea emo esuppo  o implemen ingIPC‐Ao o he in e en ions.Ano he 
Ge manpa icipan sugges ed ha i migh help ocon inceinsu e s ha  hein e en ioniscos ‐
e icien , heymigh  henlobby o  hein e en ioninschoolsandheal hca ese ings.Apa icipan 
omI alyp oposed ha i migh help oin o muni e si ys uden sabou  heimpo anceo  his
in e en ionand heimpo ance owo kin e disciplina y,so ha  heymigh change heeduca ional
andheal hca esys emso  he u u eandwillsee he alueo  hesein e en ionswhen heyen e 
p o essionalli e.InSlo enia heyencoun e simila di icul iesinimplemen ingin e en ions, hei 
ba ie sa emainlyalacko  esou ces,people,andmo i a ion,andwhohas he esponsibili y o  he
implemen a iono in e en ionsisno clea .

P esen e :MW,NCJ, heNe he lands
Ti lep esen a ion:You b ainincon ol?!Uni e salp e en ion owa dsmen alheal hinadolescen s

Wo ldca éques ions:
Is he eawayinwhichEqual‐Li ecanhelpmeasu ing hechangesweaim o wi h hisin e en iona 
school?
 weexpec  oseemo ein e ac ionbe weens uden s,ou sideclassesandlunchb eaks
48

In e ac ionsession:Social‐en i onmen aldimensionsci cle( apedon he loo ).
Ljubljana:includingsocialaspec sandheal himpac assessmen sinspa ialplanning.
In eg a ingEqual‐Li e esul sin oheal himpac assessmen s ega dingmen alheal handcogni i e
de elopmen ou comes.


SessiononDa aandha moniza ionp esen edbyJS(KI)
Ap esen a ionwasgi enonmappingo exis ingcon en in hecoho sandha moniza ion(p o ocol)
andcodebook.
The ea eAnalysis eamson:diagnosis eam(men alheal h),in e nalizing/ex e nalizing(men al
heal h),cogni ion,well‐being,andonbioma ke s.Selec iono li ephasewhe eou comesa e(mos )
ele an .
Analysisplan:
- Which esiden ial(ma e nal)physicalandsocialexposu esdu ingp egnancya eassocia ed
wi hADHDdiagnosis?
- Which esiden ialphysicalandsocialexposu esa age0‐3yea sa eassocia edwi hanADHD
diagnosis?
- Wha is heassocia ionbe weenp ena alphysicalandsocialexposomeandanADHD
diagnosis?Towha ex en is hisassocia ionmedia edbyp e e mbi h/SGA/LBW?
- Wha is heassocia ionbe weenphysicalandsocialexposomea age0‐3yea sandanAHDH
diagnosis?Towha ex en is hisassocia ionmedia edbys ess/sleep(measu eda age0‐3
yea )?
- Which esiden ial(ma e nal)physicalandsocialexposu esdu ingp egnancya eassocia ed
wi hau ismdiagnosis?
- Which esiden ialphysicalandsocialexposu esa age0‐3yea solda eassocia edwi han
au ismdiagnosis?
- Wha is heassocia ionbe weenp ena alphysicalandsocialexposomeandanau ism
diagnosis?
- Wha is heassocia ionbe weenphysicalandsocialexposomea age0‐3yea sandan
au ismdiagnosis?Towha ex en is hisassocia ionmedia edbys ess/sleep(measu eda 
age0‐3yea s)?


49
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S akeholde s’ olewaspa icula ly ele an and aluableinin e p e ing heanalysisou comes.Mo e
away oms a is icsin oin e p e a ion(RIVM‐I ene anKamp).
Rela ed oda ahandlingand u u eimplemen a iono  esul s.


50

Annex5S akeholde  o uminHelsinki

Summa ieso p esen a ionsanddiscussionson he i s day

P esen a ion:O e iewo p elimina y esul s/upda es(DS,Zeus)
Aimo WP1(onmechanisms)is o o mula e heo iesandmechanisms, o howexposomelinks o
men alheal handcogni i ede elopmen o child enandadolescen sand ounde s andhows ess/
es o a ion,sel ‐ egula ion/copingandsleepmaya ec  hese ela ionships.
Resea chques ionsa es udiedin‐dep hinsleepandp e‐schools udiesandin hecoho s udies
(da a),en ichedwi hnewda a.Exampleso da aa ailablein hecoho sand/o a eillus a ed.
Re lec ions oms akeholde s:coping,digi alen i onmen anddayligh a e(ye )missingin esea ch.
Ou comesin luence heexposome; ha a ow/linkis‘missing’in heconcep ual amewo k.Thiscan
bemodelled hough(inWP7).
Thissessionp o ides eedback om hes akeholde s ob ing ocusin heongoinganalysiso  he
esul s.

P esen a ion:Measu ingaccess opublicspaces(TUD)
Thiswo kshopconsis edo  wopa s.
Pa 1:In he i s pa ,weexaminewhich ac o sin luencepedes ianaccess opublicspaces
and o whom.Usinganin e ac i eca dgame,wewillp io i izedi e en  ac o s ha a ec pedes ian
accessibili yanddiscusshowwecanp ac icallymeasu e hem.
Pa 2:In hissecondpa we ocusonhow oassesschild en’saccess og eenspacein heci y
asaplace oplay,socialize,beac i e,andsoon,ul ima elycon ibu ing oheal hyu ban
en i onmen s.Usingin e ac i e ools,wewillcollabo a e oc ea eidealme ics o child en’saccess
og eenspaceanddiscussse e alme ics ha ha ebeenimplemen edbyTUDso a .
Rela ed opa 1:SDGs, a ge 7:by2030p o ideuni e salaccess osa e,inclusi eandaccessible,
g eenandpublicspacesinpa icula  o womenandchild en,olde pe sonsandpe sonswi h
disabili ies.How oiden i y,assess,es ablish/main ain hesea eas?G oupwo konwha  ac o sand
o whom?Andonmeasu ingg eenspace.
Iden i yingandp io i izingu ban ac o s:o e lapin ac o s,impo anceo p oximi y,shadow,sa e y,
ligh andameni ies.Mos impo an  ac o sa e a ic,sa e y, ollowedbyen i onmen al ac o s,
g een,shade.A ac i enessandaccessibili ya ekey.O he  ac o smen ioneda eseasono  he
yea ,a ailabili yo  ime,educa ion/p ac ice/no ms.
Mos impo an  ac o so ena eha d omeasu e,whe eas hoselessimpo an a eeasie  o
measu e.Fo example:wha is‘sa e y’,how omeasu e his?
Rep io i izingspeci ically o pa icula popula iong oups:
- o elde lynew ac o swe eiden i iedsuchas eepublic anspo ,ice‐ ee ou es
- o child enaswellnew ac o swe eiden i iedsuchaspee s,dis ance omhome,
sidewalks/bikelanes
51

- o womenno manychangesoccu ed
- o pe sonswi hdisabili ies:accessibili yismos impo an  o  hisg oup,aswellas
sa e anspo .

Rela ed opa 2:
Measu ingg eenspace o p ima yschoolagedchild en.Wha in o ma ionwouldyouneed?Fo 
example,geog aphicalsizeandde ail,a neighbou hoodle eland/o na ionalle el?
Sugges ions:addingwea ablesino de  ocollec da a omchild en’smo emen s,addingchild en’s
oiceandpe cep ionongooden i onmen s.Ano he p esen a ionwasoncycling owo k,addingda a
onp i a eandpublicland,a o dabili y,subsidized a elin o ma ion,bicycles o ageandseasonal
maps.Andano he idea:“Le ’splayandmo emo eou side”,aschild ena eno ge ingou side
anymo e.A a ie yo publicplacesandinc easeda ac i eness, oiceo pa en sando child en.And
planandmeasu ewi h hechild en.
TUDel p oposals:
- child en’sindependen access og eenspace.I isgood o child en ogoou doo s
independen ly;can hey eacha(g een)space oplaywi hou c ossingba ie s?
- day odayg eenspaces.Child engo oschoole e yday,bu whichs ee sdo hey
passandhow ege a eda e hose?
- c owd‐sou cedpe cei edg eenspaces.A eda aong eenspaces,suchas
OpenS ee Mapandsa elli eimages,comple e?O do heymissg eenspaces?

Imp o emen sugges ions:(social)sa e yo playa eas,a ac i enesso s ee s,addchild en’s oice,
useo blackspaceandwhy hesea eno used(ye ).
Thissessionwas ela edonhow ousecasescena ios ela ed oaccess opublicspaces.The eedback
o  hes akeholde sisenablingTUD o u he imp o e hemodelling.

P esen a iononen iching heen i onmen alexposome: oad a ic lowp edic ionandnoise
modelling(ULEIC)
Road a icnoise e‐modellingandincludingincoho s udies(whe eneeded).Eu opeans anda d
modellingme hod(CNOSSOS‐EU)isused ocalcula enoiseexposu esa  acadeso dwellings(and
indi ec lyo indi iduals) ommain oads.Inepidemiologicals udiesweneedexposu eda a o 
smalle /mino  oads, o indi idualdwellings,and hus hisapp oachacco ding o heEn i onmen al
NoiseDi ec i e(END)isno ideal.Equal‐Li eis ying o illin hesegapsbyusings a is icalme hods
wi haselec ednumbe o  a iables( heso‐calledgene alizedlinea mixede ec s eg essionmodel).
Suchas oad ype,a e agedaily a iccoun ,popula ion,numbe o  e minal/dead‐end oads,
nea es majo  oadjunc ion,g adien o  he oad,connec i i y oo he  oad ypes,numbe o people
ha cand i ewi hin5minu es oapa icula loca ion/d i e ime.Road a ic lowp edic ionsha e
been es edinUK,Ba celona;nowused o 3Dnoisemodelling.
Ques ions:Wha is hein luenceo elec ic ehicles?Wha abou lownoiseemissionzones?Dominan 
sou ceandbackg oundnoisedi e pe  oad ype, husa a esiden ial oadyouwillhea  ollingnoise
whe easa amajo  oad ha willbeenginenoise.
52

Noda aon ees(canopies)isincludedin hemodelling.Mos challengingis he empo alaspec 
(and husda a)o  oad a ic.
Thissessionp o ideknowledgeandwasanexampleo exposomemapping.

Socialexposome(NIJZ)
S a ingpoin be o e hep esen a ionwas hedesc ip iono  womain ools o  he
oolbox/guidebookplanned omWP4:
1)Fo  he a ge g oupo  esea che s:Concep ualF amewo ko  heSocialExposomeandi s
implica ions o  esea ch.Asho in oduc ionwillbegi en, heconcep ual amewo kisal eady
published(Gudi‐Minde manne al.(2023).In eg a ing hesocialen i onmen wi hanequi y
pe spec i ein o heexposomepa adigm:Anewconcep ual amewo ko  heSocialExposome.
En i onmen alResea ch.DOI:h ps://doi.o g/10.1016/j.en es.2023.116485).
2)Fo  he a ge g oupo policymake s/u banplanne s/o he s akeholde s:LogicModel o Equi y
Impac Assessmen andi simplica ions o in e en ionplanningande alua ion.A e asho 
in oduc ionaCaseS udyonNoiseLegisla ioninSlo eniawasp esen ed.
Explana iono  hesocialexposomeconcep ual amewo k, hein eg a iono physicalandsocial
exposomesand heheal hou comesandheal hinequali ies.Thisisbe es edincoho s udiesand
esul sexpec edin/a e summe 2024.Fo  he a ge g oupo policymake s,u banplanne s,public
heal hau ho i iesando he sis helogicmodelaway omakeanequi yimpac assessmen .Thisisa
ool ohelpembedanequi ype spec i ein heplanning,implemen a ionande alua ionp ocesso 
uni e salin e en ions oimp o e hebuil en i onmen .Publica ion o eseen.
Sugges ion:includea‘#when?’ques ionaswell,inaddi ion oHow,Who,Wha andWhe e.
Cases udiesconduc edinEqual‐Li ewe e(i) educ iono en i onmen alnoiseexposu esinSlo enia,
(ii)imp o emen o bicyclein as uc u eandinc easeo cyclingbeha iou inMacedonia,(iii)mobili y
hubsand(i )playa easinU ech , heNe he lands.Theen i onmen alnoisecases udyis u he 
explained,see hehandou /ICBENcon e encepape aswell.
In hissession hes akeholde sga e eedbackoncases udiesandamodelon hesocialexposome.
Thissessionispa o  hewo kplan o implemen a ioninp ac ice.

Discussiononconcep ual amewo k(INCHES)
Theaimo  hisdiscussionwas oge apic u eo :(i)wha ' ype'o in o ma ioncan hedi e en 
s akeholde sapplyin hei wo k?,(ii)whichda ao  esul s(exposu es,media o s)a e ele an  o he
wo ko s akeholde s?,(iii)dos akeholde s ecognize hei owndilemmasandques ions ha  heyha e
in he i s  esul sandde ia e his omwha s akeholde sexpec ed,in hei wo k?(e.g.wha a e he
maincausesandpe hapsmedia o s o men alheal hinchild en,acco ding o heEqual‐Li e
esea che sandacco ding o hes akeholde s?).
Anin e ac i egamewasplayed oge anideawhichkindo exposu eswe ep io i izedby he
s akeholde s:physicalexposu es,media o so socialexposu es.Inaddi ion,s ickyno eswe e
p oduced.Someou comeswe e:
Socialexposu eswe ehighly a edasbeingimpo an .
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Child en’s oicesneed obeandcanbehea d.
Whe eismos impac  obeexpec ed?In hedecision‐makingsys ems.The echangecanbebes 
achie ed.
Thissessionispa o  hewo kplan o implemen a ioninp ac ice.

Summa ieso p esen a ionsanddiscussionson hesecondday

Cases udy:Ci ycollabo a ion ack,Imp o ingyoungpeople’ssenseo sa e yin heci y(MV)
Bloombe gandHa a dCi yLeade shipIni ia i esuppo ,inHelsinki.Public alues a emen :enabling
asa eandwelcomingen i onmen  o child en h oughou  hedayisgood o eachindi idualand he
communi y.Tackling heissuebyb eakingi downin osubcausesandiden i yingcomplexi iesbyan
in e disciplina y eam.E.g.lacko sa e ee imeac i i ies o  heyoung,beha iou alissuesamong he
younga schoolandin hes ee s.G owingnumbe o con on a ionsbe weeng oups,lacko suppo 
andsenseo belonging o  amilies.
Th eeen ypoin sha ebeenselec ed:
- Se icesa edesigned o ‘a e age’use s
o Hobbypla o m
o Co‐c ea ese iceswi hchild en
o Newa ea‐basedleade shipmodel
o E c.
- Lacko sa e ee imeac i i ies o young
o Familiesha eknowledgeabou  ee imepossibili ies o child en
o P oac i eleisu ese ices indyoungpeoplewi hou hobbies
o E c.
- Publicspaces(inclschools)a eexpe iencedasunsa e
o In e eningandsol inge e ycaseo bullyingandha assmen 
o Publicspaceimp o emen sandnewschoolbuildinga ep io i ized
o Placemakingin e en ionswi hchild en
o E c.

Lessonsa ein eg a edin o egula wo kp ac ices.
P oblemD i enIn e ac i eAdap a ion(PDIA)p ocess(Ha a d)s eps:Ini ialp oblemanalysis;Iden i y
ac ions eps;Takeac ion;Check‐in;Sus ainau ho i yandlegi imacy;Adap andi e a e.
Key esul sand akeaways:
- Wemanaged ocomple enume oussimul aneousjoinedin e en ionsin hea eain
ma e o mon hs.Ini ial esul sindica e ha an isocialbeha iou hasdec easedin
hea ea.
- S a wi h hep oblemand he oo causes.S oppinga  hecommonp oblemwas
wo h he ime– hisenhancedpeople’sowne shipand omanea lys age hey
s a edseeing hei  olein hesolu ions oo.

54
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- Makesu eyouha e he igh peoplea  he able.Ha ing hemanda e ob ingabou 
conc e echangeandin e en ionswasc ucial.
- In e en ionswe ebasedonwidepa icipa iono s akeholde sandasolid
knowledgebase.

Quali a i eda acollec ion(anduse)needs obeimp o ed.Quali a i eda awillbecombinedwi h
heexis ing(quan i a i e)da ain hemunicipali y.Thenadecisionon o m(a )o da acollec ionwill
be aken.
Wha happensnex ?
- Resul sa ecompiledandp esen ed o heci yleade ship.Decisionsa eye  obe
madeabou scaling.
- Allci ydi isionsa ecommi ed os eng heninga ea‐basedwo k,u ilizing he ools
andp ocess ialedin hea ea.
- Goodwo kcon inuesin hea eaandsimila wo kwillbeexpanded o he
su oundingneighbo hoods
- Keychallenge oadd ess: heco eg oupo 8peoplepu alo o  imein o hisand
ecei edcoaching h oughou  hep ocess–howdoweu ilize heme hodsin
exis ingcoope a ions uc u es?

Cases udy:in an men alheal h(TL‐Heal hyCi iesCo k)
Co kci y:Le ’sg ow oge he !Va iousin e connec eds a egies:in an men alheal handwell‐
being;speechlanguagecommunica ionandli e acy.

Ea lyen i onmen alquali y:p esen a ionp elimina y esul s(JS,Ka olinskaIns .)
Acombina iono bi hcoho da aandda a omschools udies.
FAIRcoho :ADHDmos impo an  a iables(du ingp egnancy)a ebi hyea ,income,smoking,
popula iondensi y, oadin e sec ioncloseness,educa iono  a he , oaddis ance,e c.Fo Au ism he
mos impo an  a iablesa eincome,g eenu bana eas,build‐upa ea, oadnoise,g eenu bana ea,
o eignci izenship,e c.O he  esul sa ea ailable om heALPINE,PIAMAandWALNUTScoho s.
Ques ion:how ocommunica e he esul s?
- Communica e he esul spe coho o allpooledcoho s?
- Visualize heimpo anceo  he a iables.O a op enp esen a ion.
- In og aphic
- Mo ein o ma ionisneeded, o exampleoncausali y,how oin e p e  he ela ion
be ween he a iableand heou come.
- In ol es akeholde sin e iewingpape s!Ino de  ogi emeaning o esea ch
ou comes.

P esen a ionbyLAonPe sonallis eningandITde icesand hei  ela ion oli es yleo adolescen sin
heSlo akRiskBeha iou alSu ey
Thes udyisbasedonabila e alUS‐Slo akp ojec  oe alua e heimpac o selec edbeha io al,
psychological,andsocioeconomic ac o sonadolescen heal hin heB a isla aagglome a ion.Special
55

a en ionispaid o heuseo selec edITde ices(TV,PC‐pe sonalcompu e s,pe sonalmusicplaye s
‐PMPs).Theda a om525s uden s(185boys)a ending8seconda yschoolsinB a isla a,aged15‐
20yea sa ep esen ed. Themos impo an heal h iskbeha io sin hes uden s’samplewe e
iden i ied,90.9%o s uden slis en oPMPona e age o 405minu esandusemobilephones o 384
minu espe week,signi ican lymo egi ls.Abou 50%o s uden slis en oPMPsmo e han200
minu esaweek.Thoses uden sha eawo seli es yle han hoselis ening oPMPsless han200
minu esaweek.Ahighpe cen ageo PCusagehasbeenobse ed,especiallydu ing heweekend
(72.1%mo e han h eehou spe day),andlessin e es inwa chingTV.S uden suse hePCmo e
han hei pa en sandwa chlessTV,bu whenwa chingi , heycopy hebeha io o bo hpa en s.
Thes udyp esen sachallenge o  heanalysisand o  u u ep e en ionaswellasin e en ion
ac i i ies op o ec andp omo e heheal ho child enandyou h.

PlaceS anda dTool o Child enandYoungPeople(JH,Ci yo Glasgow)
ThePlaceS anda d ool(PS )waslaunchedin2015andin esponse oon‐going eedbacka
e sion o child enandyoungpeoplewasco‐p oducedandpublishedin2022. This ool
p o idesap ac icalsolu ion ohelpyounge communi iesiden i yinacollabo a i eand
inclusi emanne wha wo kswellwi hin hei place,wha needsimp o ingand hesolu ions
oadd ess hese.The oolismadeupo 14placedimensionswhichalignwi h heUNSDGs
and his ela ionshipcoupledwi h hesuccess ulapplica iono  he oolac ossEu opehasled
oanin i a ion omWHO oPublicHeal hSco land(PHS) ohos anewCollabo a ingCen e
o Place om2024onwa ds. Thelessonslea ned om heEqualLi eP ojec wouldbe
in aluablecon ibu ion o heCollabo a ingCen e’sp og amme.
Thesessionsabo ea e ela ed oknowledgesha ing.I gi es heEqual‐Li econso iuminsigh in
whichkindo policyimplemen a ionsandpo en ialin e en ionsa eimpo an .

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
56
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Annex6Someexampleso usedpe sonas
57
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64
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Inaddi ion o hemain esea chques ionsinEqual‐Li e,inTable3,weha ega he edques ions ha a especi ic os udying heassocia ionsbe weendi e en 
ypeso exposomes(e.g.,socialexposome,physicalexposome).

Ashomewo kwewouldlike oaskyou ochoose o each able he h eeques ions ha youconside  hemos  ele an .
Youmayha especi icc i e ia ha suppo you decision.Please akeno eo you a gumen s oselec you p e e enceques ions.
Youmigh conside a gumen sbasedon easibili y omakein e en ions,on hebigges heal himpac ,oncos ‐bene i  easons,onsuppo ingcu en 
p ojec s,o anyo he  eason.Youalsoha ea gumen swhysome esea chques ionsa eno good,no  easibleo maybeno jus o e hical.
Doyouconside  esea chques ionsassucha e aluable o s akeholde slikepolicymake so only he esul s?
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Canyoub ingyou  illedin o ms oComo.
Howe e ,wep e e i i youcouldsendusyou  illedin o ms wodaysbe o esowecanp in  hemou .
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In hesession ela ed o heEqual‐Li eques ionswewilldiscussyou  eedbackon he esea chques ions.

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