APHEIS Project INSTITUT DE VEILLE SANITAIRE Ferran Ballester

APHEIS Project INSTITUT DE VEILLE SANITAIRE Ferran Ballester ESCUELA VALENCIANA DE ESTUDIOS PARA LA SALUD

APHEIS Air Pollution and Health: A European Information System

What is Apheis l Apheis programme created in 1999 l Air Pollution and Health: A European Information System l l l 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: v Pollution-Related Diseases Programme of Health and Consumer Protection DG of the European Commission v 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 l l l l l University of 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 l l l l 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 l l l l 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, 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 l l 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 l Claire Sourceau, Institut de Veille Sanitaire, Saint-Maurice, France

What methods did we use Network Exposure assessment (local networks, European Env. Agency; WHO collaborating centre for air quality control, Berlin; European Reference Laboratory Air Pollution, Ispra) Quantitative relationships of exposure and health-effect estimates Health outcomes monitoring (local/national institutes of public health, EUROSTAT, WHO) (APHEIS) Health impact assessment (cases, population, attributable risks) (APHEIS, WHO-ECEH) Dissemination of information for defined target audiences (APHEIS) Decision makers E&H professionals Air quality management/Public-health actions Evaluation (European Commission) Citizens

What methods did we use Network Participating APHEIS Cities APHEIS coordination centre Local/regional coordinator Paris and Barcelona Technical committee Advisory groups Exposure assessment Epidemiology Statistics Public health Health impact assessment Exposure assessment Epidemiology Statistics Public Health Impact Assessment City committee NEHAPs Local/national authorities Medical/environmental sciences Citizens

Actions, steps and results during the first year l l l 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 l Implement or adapt organisational models designed during first year l Collect and analyse data for health-impact assessment l Prepare different health-impact scenarios l Prepare HIA report in standardised format (HIA in 26 cities)

On going actions during the third year l l 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, …)

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