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ABSTRACT: Background
Environmental health effects vary considerably with regard to their severity, type of disease, and duration. Integrated measures of population health, such as environmental burden of disease (EBD), are useful for setting priorities in environmental health policies and research. This review is a summary of the full Environmental Burden of Disease in European countries (EBoDE) project report.Objectives
The EBoDE project was set up to provide assessments for nine environmental risk factors relevant in selected European countries (Belgium, Finland, France, Germany, Italy, and the Netherlands).Methods
Disability-adjusted life years (DALYs) were estimated for benzene, dioxins, secondhand smoke, formaldehyde, lead, traffic noise, ozone, particulate matter (PM2.5), and radon, using primarily World Health Organization data on burden of disease, (inter)national exposure data, and epidemiological or toxicological risk estimates. Results are presented here without discounting or age-weighting.Results
About 3-7% of the annual burden of disease in the participating countries is associated with the included environmental risk factors. Airborne particulate matter (diameter ? 2.5 ?m; PM2.5) is the leading risk factor associated with 6,000-10,000 DALYs/year and 1 million people. Secondhand smoke, traffic noise (including road, rail, and air traffic noise), and radon had overlapping estimate ranges (600-1,200 DALYs/million people). Some of the EBD estimates, especially for dioxins and formaldehyde, contain substantial uncertainties that could be only partly quantified. However, overall ranking of the estimates seems relatively robust.Conclusions
With current methods and data, environmental burden of disease estimates support meaningful policy evaluation and resource allocation, including identification of susceptible groups and targets for efficient exposure reduction. International exposure monitoring standards would enhance data quality and improve comparability.
SUBMITTER: Hanninen O
PROVIDER: S-EPMC4014759 | biostudies-literature | 2014 May
REPOSITORIES: biostudies-literature
Hänninen Otto O Knol Anne B AB Jantunen Matti M Lim Tek-Ang TA Conrad André A Rappolder Marianne M Carrer Paolo P Fanetti Anna-Clara AC Kim Rokho R Buekers Jurgen J Torfs Rudi R Iavarone Ivano I Classen Thomas T Hornberg Claudia C Mekel Odile C L OC
Environmental health perspectives 20140228 5
<h4>Background</h4>Environmental health effects vary considerably with regard to their severity, type of disease, and duration. Integrated measures of population health, such as environmental burden of disease (EBD), are useful for setting priorities in environmental health policies and research. This review is a summary of the full Environmental Burden of Disease in European countries (EBoDE) project report.<h4>Objectives</h4>The EBoDE project was set up to provide assessments for nine environm ...[more]