scholarly journals The burden of disease from air pollution in Israel: How do we use burden estimates to advance public health?

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Jonathan M. Samet
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Hilderink ◽  
D Schram ◽  
M Plasmans

Abstract Background RIVM-National Institute for Public Health and the Environment published as part of the 2018 Dutch Public Health Foresight report, an update of the Disease Burden, including the Environmental Burden of disease. This report is not only relevant for the Ministry of Health but also for other policy arenas, to support policy making with the objective of improving health. Methods Environment factors are distinguished by indoor and outdoor environment. The following environmental factors have been taken into account; Air pollution (PM10/NO2), UV radiation, noise, second-hand smoking, carbon monoxide poisoning and indoor dampness. The effects of chemical substances are not included. Making use of the population attributable fraction, the fraction part of mortality, disease burden and health care expenditures attributable to environmental factors is calculated. For this method, data on exposure as well as the dose-response relationship (relative risks) are used. Results Some 4% of the disease burden in the Netherlands is caused by environmental factors and that costs us more than 1 billion euros of care per year. This corresponds with 200,000 DALYs; of which 175,000 by outside environment and 25,000 by indoor environment. In total, almost 13000 deaths can be attributed to environmental factors. Air pollution causes by far most of this disease burden. After that, exposure to UV radiation and second-hand smoking rank highest. Conclusions A considerable disease burden, number of deaths and health expenditures is attributable to environmental factors and could at least in theory be avoided by improving our environment. Air pollution in particular plays an important role in this. In addition, even a greater health gain could be achieved if environment factors are tackled and healthy behavior is at the same time stimulated.


2021 ◽  
Vol 249 ◽  
pp. 118249
Author(s):  
Mathilde Pascal ◽  
Vérène Wagner ◽  
Anna Alari ◽  
Magali Corso ◽  
Alain Le Tertre

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Bellisario ◽  
R Bono ◽  
G Squillacioti ◽  
M Caputo ◽  
I Gintoli ◽  
...  

Abstract Background Childhood obesity is an important public health issue worldwide and includes different risk factors, such as environmental pollutants exposure or physical activity. Neighborhood composition and green spaces availability could contrast obesogenic lifestyles and promote healthy habits, whereas, urbanization and traffic volume exposure are inversely associated with physical activity and worsen effects on childhood health. Methods This project analyzed students involved in the HBSC survey from the Piedmont Region. Data were collected in 2018, following the protocol. All the subjects were georeferenced within buffers around schools. Green-spaces availability was measured by Normalised Difference Vegetation Index (NDVI-satellite images) while urbanization was calculated by population density, traffic intensity (satellite measurements) and air pollution concentration (sampling stations). Results Overall, the sample included 3022 subjects, with amount 50% male/female and 30% for each age group (11-13-15 years old). Concerning weight status, above 14% of the all sample is obese or overweight, with, respectively, 20% among boys and 11% among girls. Preliminary analyses showed an association between weight status and population density (rural vs urbanized areas). Currently, we are analyzing the association with greenness and the other measures of urbanization. Conclusions Our preliminary findings suggest that high urbanization levels impact health implementing weight in children. We are testing the hypothesis that greenness positively influences weight status and reduce negative effects of urbanization and air pollution. The managing of these risk factors must be deepened and corroborated by active preventive Public Health strategies for improving children health. Key messages Urbanization and greenness may influence weight status in children. Public Health strategies must be improved for children health.


Author(s):  
David Rojas-Rueda

Background: Bicycling has been associated with health benefits. Local and national authorities have been promoting bicycling as a tool to improve public health and the environment. Mexico is one of the largest Latin American countries, with high levels of sedentarism and non-communicable diseases. No previous studies have estimated the health impacts of Mexico’s national bicycling scenarios. Aim: Quantify the health impacts of Mexico urban bicycling scenarios. Methodology: Quantitative Health Impact Assessment, estimating health risks and benefits of bicycling scenarios in 51,718,756 adult urban inhabitants in Mexico (between 20 and 64 years old). Five bike scenarios were created based on current bike trends in Mexico. The number of premature deaths (increased or reduced) was estimated in relation to physical activity, road traffic fatalities, and air pollution. Input data were collected from national publicly available data sources from transport, environment, health and population reports, and surveys, in addition to scientific literature. Results: We estimated that nine premature deaths are prevented each year among urban populations in Mexico on the current car-bike substitution and trip levels (1% of bike trips), with an annual health economic benefit of US $1,897,920. If Mexico achieves similar trip levels to those reported in The Netherlands (27% of bike trips), 217 premature deaths could be saved annually, with an economic impact of US $45,760,960. In all bicycling scenarios assessed in Mexico, physical activity’s health benefits outweighed the health risks related to traffic fatalities and air pollution exposure. Conclusion: The study found that bicycling promotion in Mexico would provide important health benefits. The benefits of physical activity outweigh the risk from traffic fatalities and air pollution exposure in bicyclists. At the national level, Mexico could consider using sustainable transport policies as a tool to promote public health. Specifically, the support of active transportation through bicycling and urban design improvements could encourage physical activity and its health co-benefits.


2021 ◽  
Vol 150 ◽  
pp. 112072
Author(s):  
Jose Alejandro Romero Herrera ◽  
Sofie Theresa Thomsen ◽  
Lea Sletting Jakobsen ◽  
Sisse Fagt ◽  
Karina Banasik ◽  
...  

2020 ◽  
Vol 9 (8) ◽  
pp. 2351
Author(s):  
Łukasz Kuźma ◽  
Krzysztof Struniawski ◽  
Szymon Pogorzelski ◽  
Hanna Bachórzewska-Gajewska ◽  
Sławomir Dobrzycki

(1) Introduction: air pollution is considered to be one of the main risk factors for public health. According to the European Environment Agency (EEA), air pollution contributes to the premature deaths of approximately 500,000 citizens of the European Union (EU), including almost 5000 inhabitants of Poland every year. (2) Purpose: to assess the gender differences in the impact of air pollution on the mortality in the population of the city of Bialystok—the capital of the Green Lungs of Poland. (3) Materials and Methods: based on the data from the Central Statistical Office, the number—and causes of death—of Białystok residents in the period 2008–2017 were analyzed. The study utilized the data recorded by the Provincial Inspectorate for Environmental Protection station and the Institute of Meteorology and Water Management during the analysis period. Time series regression with Poisson distribution was used in statistical analysis. (4) Results: A total of 34,005 deaths had been recorded, in which women accounted for 47.5%. The proportion of cardiovascular-related deaths was 48% (n = 16,370). An increase of SO2 concentration by 1-µg/m3 (relative risk (RR) 1.07, 95% confidence interval (CI) 1.02–1.12; p = 0.005) and a 10 °C decrease of temperature (RR 1.03, 95% CI 1.01–1.05; p = 0.005) were related to an increase in the number of daily deaths. No gender differences in the impact of air pollution on mortality were observed. In the analysis of the subgroup of cardiovascular deaths, the main pollutant that was found to have an effect on daily mortality was particulate matter with a diameter of 2.5 μm or less (PM2.5); the RR for 10-µg/m3 increase of PM2.5 was 1.07 (95% CI 1.02–1.12; p = 0.01), and this effect was noted only in the male population. (5) Conclusions: air quality and atmospheric conditions had an impact on the mortality of Bialystok residents. The main air pollutant that influenced the mortality rate was SO2, and there were no gender differences in the impact of this pollutant. In the male population, an increased exposure to PM2.5 concentration was associated with significantly higher cardiovascular mortality. These findings suggest that improving air quality, in particular, even with lower SO2 levels than currently allowed by the World Health Organization (WHO) guidelines, may benefit public health. Further studies on this topic are needed, but our results bring questions whether the recommendations concerning acceptable concentrations of air pollutants should be stricter, or is there a safe concentration of SO2 in the air at all.


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