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Veröffentlichung Transport-related measures to mitigate climate change in Basel, Switzerland: A health-effectiveness comparison study(2015) Perez, L.; Trüeb, S.; Cowie, H.; Keuken, M.P.; Mudu, P.; Ragettli, M.S.; Sarigiannis, D.A.; Tuomisto, J.; Tobollik, Myriam; Vienneau, D.; Sabel, C.F.; Kuenzli, N.Background
Local strategies to reduce green-house gases (GHG) imply changes of non-climatic exposure patterns.
Objective
To assess the health impacts of locally relevant transport-related climate change policies in Basel, Switzerland.
Methods
We modelled change in mortality and morbidity for the year 2020 based on several locally relevant transport scenarios including all decided transport policies up to 2020, additional realistic and hypothesized traffic reductions, as well as ambitious diffusion levels of electric cars. The scenarios were compared to the reference condition in 2010 assumed as status quo. The changes in non-climatic population exposure included ambient air pollution, physical activity, and noise. As secondary outcome, changes in Disability-Adjusted Life Years (DALYs) were put into perspective with predicted changes of CO2 emissions and fuel consumption.
Results
Under the scenario that assumed a strict particle emissions standard in diesel cars and all planned transport measures, 3% of premature deaths could be prevented from projected PM2.5 exposure reduction. A traffic reduction scenario assuming more active trips provided only minor added health benefits for any of the changes in exposure considered. A hypothetical strong support to electric vehicles diffusion would have the largest health effectiveness given that the energy production in Basel comes from renewable sources.
Conclusion
The planned local transport related GHG emission reduction policies in Basel are sensible for mitigating climate change and improving public health. In this context, the most effective policy remains increasing zero-emission vehicles.
Quelle: http://www.sciencedirect.comVeröffentlichung Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015(2016) Forouzanfar, Mohammad H.; Alexander, Lily; Anderson, H. Ross; Bhutta, Zulfiqar A.; Biryukov, Stan; Brauer, Michael; Burnett, Richard T.; Cercy, Kelly; Charlson, Fiona J.; Cohen, Aaron J.; Dandona, Lalit; Estep, Kara; Frostad, Joseph, J.; Ferrari, Alize J.; Fullman, Nancy; Gething, Peter W.; Godwin, William W.; Griswold, Max; Hay, Simon I.; Kinfu, Yohannes; Kyu, Hmwe H.; Larson, Heidi J.; Liang, Xiaofeng; Lim, Stephen S.; Liu, Patrick Y.; Lopez, Alan D.; Lozano, Rafael; Marczak, Laurie; Mensah, George A.; Mokdad, Ali H.; Moradi-Lakeh, Maziar; Naghavi, Mohsen; Neal, Bruce; Reitsma, Marissa B; Roth, Gregory A.; Salomon, Joshua A.; Sur, Patrick J.; Vos, Theo; Wagner, Joseph A.; Wang, Haidong; Zhao, Yi; Zhou, Maigeng; Aasvang, Gunn Marit; Abajobir, Amanuel Alemu; Abate, Kalkidan Hassen; Abbafati, Cristiana; Abbas, Kaja M.; Abd-Allah, Foad; Abdulle, Abdishakur M.; Abera, Semaw Ferede; Abraham, Biju; Abu-Raddad, Laith J.; Abyu, Gebre Yitayih; Adebiyi, Akindele Olupelumi; Adedeji, Isaac Akinkunmi; Ademi, Zanfina; Adou, Arsène Kouablan; Adsuar, José C.; Agardh, Emilie Elisabet; Agarwal, Arnav; Agrawal, Anurag; Ahmad Kiadaliri, Aliasghar; Ajala, Oluremi N.; Akinyemiju, Tomi F.; Al-Aly, Ziyad; Alam, Khurshid; Plaß, Dietrich; Alam, Noore K. M.; Aldhahri, Saleh Fahed; Aldridge, Robert William; Alemu, Zewdie Aderaw; Ali, Raghib; Tobollik, Myriam; Alkerwi, Ala'a; Alla, Francois; Allebeck, Peter; Alsharif, Ubai; Altirkawi, Khalid A.Background The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 provides an up-to-date synthesis of the evidence for risk factor exposure and the attributable burden of disease. By providing national and subnational assessments spanning the past 25 years, this study can inform debates on the importance of addressing risks in context. Quelle: www.sciencedirect.comVeröffentlichung Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016(2017) Abajobir, A.A.; Abate, K.H.; Abbafati, C.; Tobollik, MyriamVeröffentlichung Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016(2017) Gakidou, Emmanuela; Afshin, Ashkan; Abajobir, Amanuel Alemu; Plaß, Dietrich; Tobollik, MyriamVeröffentlichung Global burden of disease of mercury used in artisanal small-scale gold mining(2017) Steckling, Nadine; Plaß, Dietrich; Hornberg, Claudia; Ericson, Bret; Tobollik, MyriamVeröffentlichung Umweltbedingte Krankheitslasten in Deutschland(2018) Steckling, Nadine; Myck, Thomas; Mertes, Hanna; Plaß, Dietrich; Ziese, Thomas; Tobollik, Myriam; Wintermeyer, Dirk; Hornberg, ClaudiaVeröffentlichung Übersicht zu Indikatoren im Kontext Umwelt und Gesundheit(2018) Kabel, Claudia; Mekel, Odile; Hornberg, Claudia; Plaß, Dietrich; Tobollik, MyriamVeröffentlichung BURDEN 2020(2018) Rommel, Alexander; Lippe, Elena von der; Plaß, Dietrich; Tobollik, MyriamVeröffentlichung Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017(2018) Stanaway, Jeffrey D.; Afshin, Ashkan; Gakidou, Emmanuela; Tobollik, Myriam; Plaß, DietrichBackground The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk-outcome associations. Methods We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or groups of risks from 1990 to 2017. This study included 476 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk and exposure estimates from 46ââą 749 randomised controlled trials, cohort studies, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. We explored the relationship between development and risk exposure by modelling the relationship between the Socio-demographic Index (SDI) and risk-weighted exposure prevalence and estimated expected levels of exposure and risk-attributable burden by SDI. Finally, we explored temporal changes in risk-attributable DALYs by decomposing those changes into six main component drivers of change as follows: (1) population growth; (2) changes in population age structures; (3) changes in exposure to environmental and occupational risks; (4) changes in exposure to behavioural risks; (5) changes in exposure to metabolic risks; and (6) changes due to all other factors, approximated as the risk-deleted death and DALY rates, where the risk-deleted rate is the rate that would be observed had we reduced the exposure levels to the TMREL for all risk factors included in GBD 2017. Findings In 2017, 341 million (95% uncertainty interval [UI] 333-350) deaths and 121 billion (114-128) DALYs were attributable to GBD risk factors. Globally, 610% (596-624) of deaths and 483% (463-502) of DALYs were attributed to the GBD 2017 risk factors. When ranked by risk-attributable DALYs, high systolic blood pressure (SBP) was the leading risk factor, accounting for 104 million (939-115) deaths and 218 million (198-237) DALYs, followed by smoking (710 million [683-737] deaths and 182 million [173-193] DALYs), high fasting plasma glucose (653 million [523-823] deaths and 171 million [144-201] DALYs), high body-mass index (BMI; 472 million [299-670] deaths and 148 million [986-202] DALYs), and short gestation for birthweight (143 million [136-151] deaths and 139 million [131-147] DALYs). In total, risk-attributable DALYs declined by 49% (33-65) between 2007 and 2017. In the absence of demographic changes (ie, population growth and ageing), changes in risk exposure and risk-deleted DALYs would have led to a 235% decline in DALYs during that period. Conversely, in the absence of changes in risk exposure and risk-deleted DALYs, demographic changes would have led to an 186% increase in DALYs during that period. The ratios of observed risk exposure levels to exposure levels expected based on SDI (O/E ratios) increased globally for unsafe drinking water and household air pollution between 1990 and 2017. This result suggests that development is occurring more rapidly than are changes in the underlying risk structure in a population. Conversely, nearly universal declines in O/E ratios for smoking and alcohol use indicate that, for a given SDI, exposure to these risks is declining. In 2017, the leading Level 4 risk factor for age-standardised DALY rates was high SBP in four super-regions: central Europe, eastern Europe, and central Asia; north Africa and Middle East; south Asia; and southeast Asia, east Asia, and Oceania. The leading risk factor in the high-income super-region was smoking, in Latin America and Caribbean was high BMI, and in sub-Saharan Africa was unsafe sex. O/E ratios for unsafe sex in sub-Saharan Africa were notably high, and those for alcohol use in north Africa and the Middle East were notably low. Interpretation By quantifying levels and trends in exposures to risk factors and the resulting disease burden, this assessment offers insight into where past policy and programme efforts might have been successful and highlights current priorities for public health action. Decreases in behavioural, environmental, and occupational risks have largely offset the effects of population growth and ageing, in relation to trends in absolute burden. Conversely, the combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in non-communicable diseases at the global level, which presents both a public health challenge and opportunity. We see considerable spatiotemporal heterogeneity in levels of risk exposure and risk-attributable burden. Although levels of development underlie some of this heterogeneity, O/E ratios show risks for which countries are overperforming or underperforming relative to their level of development. As such, these ratios provide a benchmarking tool to help to focus local decision making. Our findings reinforce the importance of both risk exposure monitoring and epidemiological research to assess causal connections between risks and health outcomes, and they highlight the usefulness of the GBD study in synthesising data to draw comprehensive and robust conclusions that help to inform good policy and strategic health planning. © 2018 The Author(s). Published by Elsevier Ltd.Veröffentlichung Sex and gender approaches in environmental health research: two exemplary case studies of the German environment agency(2019) Debiak, Malgorzata; Groth, Katrin; Kolossa-Gehring, Marike; Sauer, Arn Thorben; Tobollik, Myriam; Wintermeyer, DirkEngaging with the analytical categories of sex and gender in environmental health studies remains challenging in practice but promising with regards to research excellence and scientific benefit. The German Environment Agency reports on two case studies navigating this complex interaction in the fields of health risk assessment of environmental stressors and human biomonitoring studies. It is apparent that the levels of integration of the sex/gender theories and sex/gender data are differently advanced in research. In some areas the collection of sex-disaggregated data has just begun, whereas in others research started engaging with newer gender theories such as embodiment or intersectionality. The practical applications and obstacles in incorporating sex and gender dimensions into environmental health studies are presented and discussed. Quelle: https://www.tandfonline.com
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