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Health impact assessment of waste management facilities in three European countries
by
Forastiere, Francesco
, Briggs, David
, von Kraus, Martin K
, Badaloni, Chiara
, Mitis, Francesco
, Ranzi, Andrea
, de Hoogh, Kees
, Martuzzi, Marco
, Palkovicova, Lubica
, Porta, Daniela
, Perucci, Carlo A
, Preiss, Philipp
in
Adolescent
/ Adult
/ Aged
/ Air Pollutants - analysis
/ Air Pollutants - toxicity
/ Child
/ Child, Preschool
/ Congenital Abnormalities - epidemiology
/ Data Collection
/ Earth and Environmental Science
/ England - epidemiology
/ Environment
/ Environmental aspects
/ Environmental Health
/ Epidemiology
/ Female
/ Humans
/ Incidence
/ Incineration
/ Infant
/ Infant, Low Birth Weight
/ Infant, Newborn
/ Italy - epidemiology
/ Life Expectancy
/ Male
/ Middle Aged
/ Models, Theoretical
/ Neoplasms - epidemiology
/ Occupational Medicine/Industrial Medicine
/ Public Health
/ Refuse Disposal
/ Refuse disposal facilities
/ Slovakia - epidemiology
/ Young Adult
2011
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Health impact assessment of waste management facilities in three European countries
by
Forastiere, Francesco
, Briggs, David
, von Kraus, Martin K
, Badaloni, Chiara
, Mitis, Francesco
, Ranzi, Andrea
, de Hoogh, Kees
, Martuzzi, Marco
, Palkovicova, Lubica
, Porta, Daniela
, Perucci, Carlo A
, Preiss, Philipp
in
Adolescent
/ Adult
/ Aged
/ Air Pollutants - analysis
/ Air Pollutants - toxicity
/ Child
/ Child, Preschool
/ Congenital Abnormalities - epidemiology
/ Data Collection
/ Earth and Environmental Science
/ England - epidemiology
/ Environment
/ Environmental aspects
/ Environmental Health
/ Epidemiology
/ Female
/ Humans
/ Incidence
/ Incineration
/ Infant
/ Infant, Low Birth Weight
/ Infant, Newborn
/ Italy - epidemiology
/ Life Expectancy
/ Male
/ Middle Aged
/ Models, Theoretical
/ Neoplasms - epidemiology
/ Occupational Medicine/Industrial Medicine
/ Public Health
/ Refuse Disposal
/ Refuse disposal facilities
/ Slovakia - epidemiology
/ Young Adult
2011
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Health impact assessment of waste management facilities in three European countries
by
Forastiere, Francesco
, Briggs, David
, von Kraus, Martin K
, Badaloni, Chiara
, Mitis, Francesco
, Ranzi, Andrea
, de Hoogh, Kees
, Martuzzi, Marco
, Palkovicova, Lubica
, Porta, Daniela
, Perucci, Carlo A
, Preiss, Philipp
in
Adolescent
/ Adult
/ Aged
/ Air Pollutants - analysis
/ Air Pollutants - toxicity
/ Child
/ Child, Preschool
/ Congenital Abnormalities - epidemiology
/ Data Collection
/ Earth and Environmental Science
/ England - epidemiology
/ Environment
/ Environmental aspects
/ Environmental Health
/ Epidemiology
/ Female
/ Humans
/ Incidence
/ Incineration
/ Infant
/ Infant, Low Birth Weight
/ Infant, Newborn
/ Italy - epidemiology
/ Life Expectancy
/ Male
/ Middle Aged
/ Models, Theoretical
/ Neoplasms - epidemiology
/ Occupational Medicine/Industrial Medicine
/ Public Health
/ Refuse Disposal
/ Refuse disposal facilities
/ Slovakia - epidemiology
/ Young Adult
2011
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Health impact assessment of waste management facilities in three European countries
Journal Article
Health impact assessment of waste management facilities in three European countries
2011
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Overview
Background
Policies on waste disposal in Europe are heterogeneous and rapidly changing, with potential health implications that are largely unknown. We conducted a health impact assessment of landfilling and incineration in three European countries: Italy, Slovakia and England.
Methods
A total of 49 (Italy), 2 (Slovakia), and 11 (England) incinerators were operating in 2001 while for landfills the figures were 619, 121 and 232, respectively. The study population consisted of residents living within 3 km of an incinerator and 2 km of a landfill. Excess risk estimates from epidemiological studies were used, combined with air pollution dispersion modelling for particulate matter (PM
10
) and nitrogen dioxide (NO
2
). For incinerators, we estimated attributable cancer incidence and years of life lost (YoLL), while for landfills we estimated attributable cases of congenital anomalies and low birth weight infants.
Results
About 1,000,000, 16,000, and 1,200,000 subjects lived close to incinerators in Italy, Slovakia and England, respectively. The additional contribution to NO
2
levels within a 3 km radius was 0.23, 0.15, and 0.14 μg/m
3
, respectively. Lower values were found for PM
10
. Assuming that the incinerators continue to operate until 2020, we are moderately confident that the annual number of cancer cases due to exposure in 2001-2020 will reach 11, 0, and 7 in 2020 and then decline to 0 in the three countries in 2050. We are moderately confident that by 2050, the attributable impact on the 2001 cohort of residents will be 3,621 (Italy), 37 (Slovakia) and 3,966 (England) YoLL. The total exposed population to landfills was 1,350,000, 329,000, and 1,425,000 subjects, respectively. We are moderately confident that the annual additional cases of congenital anomalies up to 2030 will be approximately 2, 2, and 3 whereas there will be 42, 13, and 59 additional low-birth weight newborns, respectively.
Conclusions
The current health impacts of landfilling and incineration can be characterized as moderate when compared to other sources of environmental pollution, e.g. traffic or industrial emissions, that have an impact on public health. There are several uncertainties and critical assumptions in the assessment model, but it provides insight into the relative health impact attributable to waste management.
Publisher
BioMed Central,BioMed Central Ltd,BMC
Subject
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