An Aggregate Public Health Indicator to Represent the Impact of Multiple Environmental Exposures

Hollander, A.E.M. de; Melse, Johan; Lebret, Erik; Kramers, P.G.N.

doi:10.1097/00001648-199909000-00030

Cited by 104 publications

(69 citation statements)

References 44 publications

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“…This parameter is also confirmed by other studies (de Hollander et al 1999;Torfs 2003;Knol and Staatsen 2005;Stassen et al 2008).…”

Section: Health Impacts Of Noisesupporting

confidence: 89%

“…The severity ranges between 0 (perfect health) and 1 (death). Severity for SA and HSD is set at 0.01, as suggested by de Hollander et al (1999). The severity of ''Hypertension'' (HT) is set at 0.352, as suggested by Mathers et al (1999) and the severity of ''Ischaemic Heart Disease'' (IHD) is set at 0.35 as suggested by de Hollander et al (1999).…”

Section: Health Impacts Of Noisementioning

confidence: 99%

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Environmental health impacts of mobility and transport in Hai Phong, Vietnam

Dhondt

Xuan

Van

et al. 2010

Stoch Environ Res Risk Assess

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Traffic is an essential part of modern society and mobility is part of its socio-economic setting. However, signs of counter productivity arise as the current mobility patterns substantially affect our health, including the consequences from traffic accidents, air pollutionwhich causes even more victims than traffic accidentsand traffic-noise. The use of private motorised vehicles also contributes to sedentarism, climate change and psychological effects. This paper reviews these mobility related health effects and applies them to the situation in Hai Phong, a Vietnamese port-city in fast development and facing growing mobility patterns. In his Master Plan the city developed a view on its development together with the transportation infrastructure up to 2020. Together with the fast changing mobility patterns, such as a modal change from bicycles to motorcycles and cars, this lead to an increase in motorized vehicles and non-negligible environmental health risks. Applying the methodology of a Health Impact Assessment as used in previous studies the current health burden is estimated, focussing on particulate matter (PM) and noise. For PM 10 1287 deaths per year were calculated for the current situation, where the estimated number of deaths by 2020 doubled up to 2741. Hospital admissions due to PM 10 raised from 44,954 now to 51,467 in 2020 and for PM 2.5 the restricted-activity days were calculated, accounting for 852,352 per year. For noise only calculations for the current state (2007) were performed. The total estimated DALYs due to noise was 4758.

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“…This parameter is also confirmed by other studies (de Hollander et al 1999;Torfs 2003;Knol and Staatsen 2005;Stassen et al 2008).…”

Section: Health Impacts Of Noisesupporting

confidence: 89%

Section: Health Impacts Of Noisementioning

confidence: 99%

Environmental health impacts of mobility and transport in Hai Phong, Vietnam

Dhondt

Xuan

Van

et al. 2010

Stoch Environ Res Risk Assess

View full text Add to dashboard Cite

show abstract

“…[10][11][12] Another possible use of DALYs is in assessing the importance of risk factors, such as smoking and environmental factors, by calculating associated DALYs. 13 It is evident that in addition to assessments of health gains or losses, considerations regarding the distribution of health and the cost-effectiveness of interventions affect prioritization and policy decisions. 14 This report describes an estimation of the burden of disease due to 48 major causes for the Netherlands in 1994, using Dutch disability weights combined with epidemiologic data from medical registrations and surveys.…”

mentioning

confidence: 99%

A national burden of disease calculation: Dutch disability-adjusted life-years. Dutch Burden of Disease Group

Melse

Essink‐Bot²,

Kramers³

et al. 2000

Am J Public Health

164

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OBJECTIVES: This study estimated the burden of disease due to 48 major causes in the Netherlands in 1994 in disability-adjusted life-years (DALYs), using national epidemiologic data and disability weights, and explored associated problems and uncertainties. METHODS: We combined data from Dutch vital statistics, registrations, and surveys with Dutch disability weights to calculate disease-specific health loss in DALYs, which are the sum of years of life lost (YLLs) and years lived with disability (YLDs) weighted for severity. RESULTS: YLLs were primarily lost by cardiovascular diseases and cancers, while YLDs were mostly lost by mental disorders and a range of chronic somatic disorders (such as chronic nonspecific lung disease and diabetes). These 4 diagnostic groups caused approximately equal numbers of DALYs. Sensitivity analysis calls for improving the accuracy of the epidemiologic data in connection with disability weights, especially for mild and frequent diseases. CONCLUSIONS: The DALY approach appeared to be feasible at a national Western European level and produced interpretable results, comparable to results from the Global Burden of Disease Study for the Established Market Economies. Suggestions for improving the methodology and its applicability are presented.

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“…In the Netherlands, particulates have been classified as the second highest risk for human life [82]. Wichmann [83] reviewed that average life exposure to particulates (23.5 μg PM 10 m −3 ) reduces life expectancy by 0.6 years.…”

Section: Health Hazards Of Particulate Mattermentioning

confidence: 99%

Critical evaluation of the European diesel car boom - global comparison, environmental effects and various national strategies

2013

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Background: On the way to a more sustainable society, transport needs to be urgently optimized regarding energy consumption and pollution control. While in earlier decades, Europe followed automobile technology leaps initiated in the USA, it has decoupled itself for 20 years by focusing research capacity towards the diesel powertrain. The resulting technology shift has led to some 45 million extra diesel cars in Europe. Its outcome in terms of health and environmental effects will be investigated below. Results: Expected greenhouse gas savings initiated by the shift to diesel cars have been overestimated. Only about one tenth of overall energy efficiency improvements of passenger cars can be attributed to it. These minor savings are on the other hand overcompensated by a significant increase of supply chain CO 2 emissions and extensive black carbon emissions of diesel cars without particulate filter. We conclude that the European diesel car boom did not cool down the atmosphere. Moreover, toxic NO x emissions of diesel cars have been underestimated up to 20-fold in officially announced data. The voluntary agreement signed in 1998 between the European Automobile industry and the European Commission envisaging to reduce CO 2 emissions has been identified as elementary for the ensuing European diesel car boom. Four factors have been quantified in order to explain very different dieselization rates across Europe: impact of national car/supplier industry, ecological modernization, fuel tourism and corporatist political governance. By comparing the European diesel strategy to the Japanese petrol-hybrid avenue, it becomes clear that a different road would have both more effectively reduced CO 2 emissions and pollutants.

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An Aggregate Public Health Indicator to Represent the Impact of Multiple Environmental Exposures

Cited by 104 publications

References 44 publications

Environmental health impacts of mobility and transport in Hai Phong, Vietnam

Environmental health impacts of mobility and transport in Hai Phong, Vietnam

A national burden of disease calculation: Dutch disability-adjusted life-years. Dutch Burden of Disease Group

Critical evaluation of the European diesel car boom - global comparison, environmental effects and various national strategies

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