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  E&H Consultative Forum
        19 October 2005

 •Content 1: Ambient Air Quality
•    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
  – 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
                 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
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
       •Urban background (twin                               impact assessment
       •Hot-spots                                             Exposure
                                                              response relations

                                                                         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,
                      patterns                                           urban, hot-spot scales

   scenarios at                                        Assessment of health
   regional, urban,                                    impacts of ambient air
   hot-spot scales
                                                       on regional, urban and
                                                       hot-spot scales
    Priorities and emerging issues

Which substances should we focus

•    Particulate matter
•    Gaseous pollutants (ozone etc)
•    New/emerging ambient air pollutants
     (RTD NORMAN project)
• Maps of concentrations across Europe
• Maps of population densities across Europe
• Population distributions of concentrations


• Improve monitoring used to develop
  concentration maps at all geographical
  scales (hemispheric, regional, urban
  background, hotspot)
• Calibrate major models against monitoring results.
• Develop guidance on using models for concentration
• Encourage adoption of new techniques (such as
  ‘adjoint’ techniques).

Monitoring of personal exposure
• Not really useful for adapting the exposure metric
• 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

  – 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

• For    broad     categories     (respiratory,
  cardiovascular admissions etc.) ICD codes
  ensure comparability
• For more detailed categories data is less
• 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.
• 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

• 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
• 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).
• 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

• Where not, identify the actors and
  resources required.

• Integrate with work on other exposure
  routes, principally indoor air.

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