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I NSTITUT DE V EILLE S ANITAIRE. APHEIS Project. Ferran Ballester ESCUELA VALENCIANA DE ESTUDIOS PARA LA SALUD. The EMECAS Project. APHEIS. Air Pollution and Health: A European Information System. What is Apheis. Apheis programme created in 1999
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INSTITUT DEVEILLE SANITAIRE APHEIS Project Ferran Ballester ESCUELA VALENCIANA DE ESTUDIOS PARA LA SALUD The EMECAS Project
APHEIS Air Pollution and Health: A European Information System
What is Apheis • Apheis programme created in 1999 • Air Pollution and Health: A European Information System • Aims to provide up-to-date and easy-to-use information on health impact assessment (HIA) of air pollution • For decision makers, environmental and health professionals, media and general public • Enables better-informed decisions about political, professional, personal issues
Who funds Apheis Co-funded by: • Pollution-Related Diseases Programme of Health and Consumer Protection DG of the European Commission • Participating institutions in 12 European countries
What methods did we use Network * Network of environmental and public-health professionals * 16 centres totalling 26 cities in 12 European countries * Each centre part of a city, regional or national institution active in the field of environmental health
What methods did we use Network
Who are our partners • University of Athens, Athens, Greece • Institut Municipal de Salut Pública (Municipal Institute of Public Health), Barcelona, Spain • Departamento de Sanidad, Gobierno Vasco, Vitoria-Gasteiz, Spain • Institutul de Sanatate Publica (Institute of Public Health), Bucharest, Romania • Jozsef Fodor National Center for Public Health, National Institute of Environmental Health), Budapest, Hungary • National Institute of Hygiene, Warsaw, Poland • Saint James Hospital, Dublin, Ireland • Institut de Veille Sanitaire, Saint-Maurice, France • Inštitut za Varovanje Zdravja RS, (Institute of Public Health), Ljubljana, Republic of Slovenia
Who are our partners • Saint George’s Hospital Medical School, London, UK • Dirección General de Salud Pública, Consejeria de Sanidad, Comunidad de Madrid (Department of Public Health, Regional Ministry of Health, Madrid Regional Government), Madrid, Spain • ASL RM/E Local Health Authority Roma E, Rome, Italy • Escuela Andaluza de Salud Pública (Andalusia School of Public Health), Granada, Spain • Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden • Tel Aviv University, Tel Aviv, Israel • Escuela Valenciana de Estudios para la Salud (Valencia School of Health Studies), Valencia, Spain
Who are our partners Steering Committee • Ross Anderson, Saint George’s Hospital Medical School, London, UK • Emile De Saeger, Joint Research Centre, Institute for Environment and Sustainability, Ispra, Italy • Klea Katsouyanni, Department of Hygiene and Epidemiology, University of Athens, Athens, Greece • Michal Krzyzanowski, WHO European Centre for Environment and Health, Bonn Office, Germany • Hans-Guido Mücke, Umweltbundesamt - Federal Environmental Agency, WHO Collaborating Centre, Berlin, Germany • Joel Schwartz, Harvard School of Public Health, Boston, USA • Roel Van Aalst, European Environmental Agency, Copenhagen, Denmark
Who are our partners Coordinators • Sylvia Medina, Institut de Veille Sanitaire (Institute of Public Health), Saint-Maurice, France • Antoni Plasència, Institut Municipal de Salut Pública (Municipal Institute of Public Health), Barcelona, Spain Programme Assistant • Claire Sourceau, Institut de Veille Sanitaire, Saint-Maurice, France
What methods did we use Network Health outcomes monitoring (local/national institutes of public health, EUROSTAT, WHO) Exposure assessment Quantitative relationships of exposure and health-effect estimates (local networks, European Env. Agency; WHO collaborating centre for air quality control, Berlin; European Reference Laboratory Air Pollution, Ispra) (APHEIS) Health impact assessment (cases, population, attributable risks) (APHEIS, WHO-ECEH) Dissemination of information for defined target audiences (APHEIS) E&H professionals Decision makers Citizens Air quality management/Public-health actions Evaluation (European Commission)
What methods did we use Network Participating APHEIS Cities APHEIS coordination centre Paris and Barcelona Local/regional coordinator Technical committee Exposure assessment Epidemiology Statistics Public Health Health Impact Assessment Advisory groups Exposure assessment Epidemiology Statistics Public health Health impact assessment City committee NEHAPs Local/national authorities Medical/environmental sciences Citizens
Actions, steps and results during the first year • Created five advisory groups: public health; health-impact assessment; epidemiology; exposure assessment; statistics • Drafted guidelines for designing and implementing the surveillance system, and for developing a standardised protocol for data collection and analysis for HIA • Review of capacities for HIA in institutions of participating cities
Actions, steps and results during the second year • Implement or adapt organisational models designed during first year • Collect and analyse data for health-impact assessment • Prepare different health-impact scenarios • Prepare HIA report in standardised format (HIA in 26 cities)
On going actions during the third year • Disseminate HIA report in standardised format (HIA in 26 cities) • Update dose-exposure functions for HIA • Analyse data for obtaining estimates of air pollution impact on total respiratory admissions • Identify needs of the target public (decision makers, professionals,…)