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ENVIRONMENT AND HEALTH INFORMATION E&H Consultative Forum 19 October 2005 •Process •Content 1: Ambient Air Quality Process • Series of meetings focusing on four main exposure routes, plus two other issues – Ambient air – Indoor air – Drinking water/bathing water – Food – Physical stressors (noise, EMF, UV, ionising radiation, others) – E&H tracking systems • Objectives – To work with the policy leads and their technical contacts – To analyse the existing information framework and develop actions to improve it for the short, medium and long term – To focus on actions on information, analysis and presentation – To identify cross-cutting issues Technical preparation • Outcome – Detailed Implementation Plan for E&H Information System (by early 2006) • Support: two contracts – Technical support : about to be awarded: will run until April 2006 – Scientific Support for Policy: in fifth call, to be published late 2005 Technical preparation • Integration with ENHIS and ENHIS 2 – Principal contact with WP 5 – Ambient Air Quality and DW conclusions reflected in Content 1 and 3 – Indoor air and noise will be reflected in Content 4 and 5 respectively – Development of information system using currently available information will proceed in parallel First output • on ambient air quality – Draft document 23 September. • on drinking water/bathing water • on exposure through food – Drafts 11 October. Written comments welcome – By 11 November. Next steps in technical preparation • Second public drafts plus further meetings if necessary – ambient air – DW/BW – food Mid December 2005 • First meetings and first public drafts – indoor air – physical stressors (noise, EMF, radiation) – E&H Tracking Mid December 2005 • Written comments by mid/end January Next steps in technical preparation • AFSSE workshop on E&H Information systems – 5-6 December 2005 • Final reports for all six subjects • Integration into an Implementation Plan – February/March 2006 • Consultation meeting end Feb/beginning March Financial preparation • Need to identify tasks precisely and match with suitable funding from FP7, LIFE+, Public Health programme – Environmental monitoring under LIFE+ – Infrastructure-related elements possibly under Research Infrastructure budget line of FP7 – Support under the Environment theme of FP7 – Health endpoint information under Public Health and Consumer Protection Programme. • Possible scope for use of E budget lines of DG INFSO, for presentation aspect • More clarity on funding possibilities as information needs become clearer Deadlines 11/11: Written comments on first three issues 16/12: Revised documents on first three issues First documents on second three issues » Indoor air » Noise » Environmental Public Health Tracking 24/1/06: Deadline for written comments 22/2/06: Final drafts of all six reports. First draft of Implementation Plan. 3/06: Consultation and final draft of IP. Content 1: Air Quality • Priority substances and emerging issues • Exposure – Monitoring – Modelling – Personal exposure monitoring – Biomonitoring • Health effects monitoring • Epidemiology • Source-receptor relations • Toxicology Ambient air monitoring network Ambient Air Concentration monitoring •Hemispheric (isolated Speciation stations) monitoring •Regional Components of health •Superstations •Urban background (twin impact assessment stations) •Hot-spots Exposure response relations Dispersion Health effect Exposure: population monitoring network Modelling distribution of Mortality and morbidity concentrations at for COPD, lung cancer, regional, urban, hot- childhood respiratory Sources spot scales disease, etc. at regional, Time-activity patterns urban, hot-spot scales Reduction scenarios at Assessment of health regional, urban, impacts of ambient air hot-spot scales on regional, urban and hot-spot scales Economic assessment Priorities and emerging issues Which substances should we focus on? • Particulate matter • Gaseous pollutants (ozone etc) • New/emerging ambient air pollutants (RTD NORMAN project) Exposure • Maps of concentrations across Europe • Maps of population densities across Europe • Population distributions of concentrations Monitoring • Improve monitoring used to develop concentration maps at all geographical scales (hemispheric, regional, urban background, hotspot) Exposure Modelling • Calibrate major models against monitoring results. • Develop guidance on using models for concentration mapping • Encourage adoption of new techniques (such as ‘adjoint’ techniques). Monitoring of personal exposure • Not really useful for adapting the exposure metric itself • Validation of concentration metric • For time series, the necessary work has largely been done. For spatial contrasts, work is underway but more is still needed. Exposure: biomonitoring • Evidence that the current state of biomarkers for PM, NO2 insufficiently developed for policy use • The emphasis for that reason has been on other approaches such as personal monitoring to validate exposure models, as discussed above. • Identify extent to which biomarkers can be used for policy purposes in ambient air. Health effects monitoring Mortality – International Classification of Disease coding is improving comparability. – The main outstanding problem is the long delay required in some countries to get the most recent data. – Concrete measures to address this delay? Health effects monitoring Morbidity: • For broad categories (respiratory, cardiovascular admissions etc.) ICD codes ensure comparability • For more detailed categories data is less comparable. • Develop survey of health impacts? – European Community Respiratory Health Survey – US experience (NHANES) – Collection of health statistics on a solid legal footing, including the European Health Interview and Health Examination Surveys. Epidemiology • Develop infrastructure for epidemiological studies at EU level – supersites/superstations to allow very detailed time resolution and speciation of pollutants – programme of combined health/air quality studies. – operational management of the stations should be considered. • Long-term studies a major priority – At least a decade of consistent funding – How to provide a basis for funding stretching across a number of research funding cycles. Source-receptor relations For particulate matter: • Exposure efficiency – proportion of a given exposure that ends up in the body (>> for transport than energy, for instance) • Need research into source-resolved size distributions. For gaseous pollutants: • Current approach (emission inventories and modelling) works well for most common pollutants. • But reassessment may be needed for some specific compounds ( dioxins, HMs, POPs). Toxicology • Mechanistic studies to identify exactly what is happening in the body. • Predictive toxicology to assess which of the various new technologies offers the most promise in reducing toxic emissions. • Studies combining epidemiology and toxicology (HEPMEAP, Health Effects Institute (HEI) research agenda). Next steps • Many actions are already underway and have responsibilities and resources allocated. • Where not, identify the actors and resources required. • Integrate with work on other exposure routes, principally indoor air.
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