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Environmental Burden of Childhood Disease in Europe

机译:欧洲儿童疾病的环境负担

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Background : Environmental factors determine children’s health. Quantifying the health impacts related to environmental hazards for children is essential to prioritize interventions to improve health in Europe. Objective : This study aimed to assess the burden of childhood disease due to environmental risks across the European Union. Methods : We conducted an environmental burden of childhood disease assessment in the 28 countries of the EU (EU28) for seven environmental risk factors (particulate matter less than 10 micrometer of diameter (PM 10 ) and less than 2.5 micrometer of diameter (PM 2.5 ), ozone, secondhand smoke, dampness, lead, and formaldehyde). The primary outcome was disability-adjusted life years (DALYs), assessed from exposure data provided by the World Health Organization, Global Burden of Disease project, scientific literature, and epidemiological risk estimates. Results : The seven studied environmental risk factors for children in the EU28 were responsible for around 211,000 DALYs annually. Particulate matter (PM 10 and PM 2.5 ) was the main environmental risk factor, producing 59% of total DALYs (125,000 DALYs), followed by secondhand smoke with 20% of all DALYs (42,500 DALYs), ozone 11% (24,000 DALYs), dampness 6% (13,000 DALYs), lead 3% (6200 DALYs), and formaldehyde 0.2% (423 DALYs). Conclusions : Environmental exposures included in this study were estimated to produce 211,000 DALYs each year in children in the EU28, representing 2.6% of all DALYs in children. Among the included environmental risk factors, air pollution (particulate matter and ozone) was estimated to produce the highest burden of disease in children in Europe, half of which was due to the effects of PM 10 on infant mortality. Effective policies to reduce environmental pollutants across Europe are needed.
机译:背景:环境因素决定儿童的健康。量化与对儿童的环境危害有关的健康影响对于确定干预措施以改善欧洲的健康状况至关重要。目的:本研究旨在评估整个欧盟因环境风险引起的儿童疾病负担。方法:我们在欧盟的28个国家(EU28)中对7种环境危险因素(直径小于10微米的颗粒物(PM 10)和直径小于2.5微米的颗粒物(PM 2.5))进行了儿童疾病的环境负担评估,臭氧,二手烟,潮湿,铅和甲醛)。主要结果是根据世界卫生组织,全球疾病负担项目,科学文献和流行病学风险估计提供的暴露数据评估的残疾调整生命年(DALYs)。结果:在EU28中研究的七个针对儿童的环境危险因素每年造成约211,000个DALY。颗粒物(PM 10和PM 2.5)是主要的环境风险因素,占DALYs总量的59%(125,000 DALYs),其次是二手烟,占所有DALYs的20%(42,500 DALYs),臭氧占11%(24,000 DALYs),湿度6%(13,000 DALYs),铅3%(6200 DALYs)和甲醛0.2%(423 DALYs)。结论:这项研究中包括的环境暴露估计在EU28的儿童中每年产生211,000个DALY,占儿童所有DALY的2.6%。在所包括的环境风险因素中,据估计,空气污染(颗粒物和臭氧)是欧洲儿童患病的最高负担,其中一半是由于PM 10对婴儿死亡率的影响。需要有效的政策来减少整个欧洲的环境污染物。

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