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Achievements of the WHO NEHAP in Hungary as a pilot country of the progamme

Achievements of the WHO NEHAP in Hungary as a pilot country of the progamme. A. Pintér, A. Páldy, T. Málnási, E. Erdei National Center for Public Health, National Institute of Environmental Health, Hungary. Average life-expectancy at birth (years), males 1970-1999.

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Achievements of the WHO NEHAP in Hungary as a pilot country of the progamme

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  1. Achievements of the WHO NEHAP in Hungary as a pilot country of the progamme A. Pintér, A. Páldy, T. Málnási, E. Erdei National Center for Public Health, National Institute of Environmental Health, Hungary

  2. Average life-expectancy at birth (years), males 1970-1999

  3. Average life-expectancy at birth (years), females, 1970-1999

  4. Total mortality, male, 0-64 years, 1970-1999 standardized death rate / 100,000

  5. Total mortality, female, 0-64 years, 1970-1999 standardized death rate / 100,000

  6. Lung cancer mortality rates, males, 0-64 years, 1970-1999 standardized death rate / 100,000

  7. Lung cancer mortality rates, females, 0-64 years, 1970-1999 standardized death rate / 100,000

  8. Programs studied in the timeframe of Hungarian NEHAP 1997-1999. • Outdoor air quality • Water quality • Waste management and soil quality • Work environment, occupational health • Special aspects of chemical safety • Ionizing radiation safety • Food safety • Environmental noise • Indoor air quality • Environmental epidemiological information system

  9. Scope and Purpose of the Hungarian Environmental Action Programme I. • To promote an environment supportive to human health and improving the health status of the population. • To overview the most important environmental health issues and problems while setting priorities for implementations. • To develop scientifically-based projects including technological, economic and administrative details („bankable projects”), utilising available financial tools to support priorities.

  10. Scope and Purpose of the Hungarian Environmental Action Programme II. • To ensure close collaboration with respective ministries, agencies and other parties, with the health and environmental sectors playing a leading role. • To encourage local iniciatives (local governments, local NGOs) to improve environmental health in local areas. • To promote activities related to a healthy life style. • To encourage international collaborations in the field of environmental health

  11. ResultsOutdoor air quality • New approach for measurement methodology- emission sources, modelling in Tatabánya; modelling for other cities • Passive monitoring methodology for benzene, xylene, toluene measurements • EU conformed technics, measurement systems • Ragweed-caused allergic problems, continuous pollen monitoring network

  12. Ragweed infected agricultural lands in Hungary

  13. Water quality I. Drinking water: 97 % of population supplied with piped drinking water, generally good quality Problems: 1. Arsenic-Hungarian limit value: 50 g/l. 2. Nitrate- newborn methaemoglobinaemia 3. Ammonium, iron, manganese 4. Bacterial aftergrowth in deep well waters

  14. As concentration (µg/l) < 10 10 - 30 31 - 50 > 50 As concentration of drinking water in Hungary (1998) and clusters of mortality from cancer of the kidneys and bladder (ICD-10: C64-C68) 1986-1997

  15. Water quality II. • Bathing water-bacterial contaminations, low level of sewage treatment • Lake Balaton - summer algal blooms (rare), bacteriologically clean • New diagnostic methods for Cryptosporidium and Giardia determinations

  16. Waste and soil quality • In cooperation with the National Environmental Action Plan a survey of waste disposal (communal, industrial, agricultural) was carried out in 9 counties.

  17. Sites of pesticide and fertilizer disposal in County Békés Waste water producers and sites of disposal in County Békés pesticides & fertilizers fertilizers pesticides waste water producers disposal

  18. Other programmes • Work environment- asbestos exposure in wokplaces and environment- lung cancer risk assessment • Chemical safety • PCB compounds in the environment, their health effects • Host genetic polymorphisms and carcinogenic exposure relationships • Noise- industrial and service facilities, road and air traffic related measurements, analysis

  19. Radiation safety • occupational exposure, low levels (10-15% of the dose limits) Nuclear Power Plant (Paks) contributes only 1/1000 of the natural level • population exposure from medical sources (X-ray, isotope diagnostic, cancer treatment) • Uranium mining wastes and disposal wastes of nuclear energy Food safety • Pb, Cd, Hg, nitrate, PAHs, polychlorinated compounds, breast-milk PCBs

  20. Teaching environmental health and healhty life-style • Importance of education in the field of environmental health, pilot project in one county (Győr-Moson-Sopron), overall concepts from kindergarten level upto secondary school graduation; creative, active teaching form • Books, leaflets, complex educational tools for teachers and schools

  21. New NEHAP issues for 2000-2003 period • Climate change and its health effects in Hungary • Genetic polymorphisms and allergic diseases • Rural environment and its effect on the human health • Traffic and application of the Environment and Health Charta in Hungary • Persistent chlorine compounds • WHO Water and Health Document implications

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