Person: Tobollik, Myriam
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1988
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Tobollik
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Myriam
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Veröffentlichung Schätzung der umweltbedingten Krankheitslast im Rahmen des Projektes BURDEN 2020 - Projekthintergrund und methodisches Vorgehen(2019) Gruhl, Heike; Plaß, Dietrich; Wengler, Annelene; Tobollik, Myriam; Wintermeyer, DirkDie Lancet Kommission zu "pollution and health" berichtet für das Jahr 2015, dass weltweit etwa 4,2 Millionen Todesfälle den Auswirkungen von Feinstaub in der Außenluft zugeschrieben werden können. Auch in Deutschland ist Feinstaub der bedeutendste Umweltrisikofaktor. Die gesundheitlichen Auswirkungen von Risikofaktoren können durch die Methoden der vergleichenden Risikoschätzung und im Speziellen der umweltbedingten Krankheitslast quantifiziert werden. Im Rahmen der Global Burden of Disease-Studie hat das Institute for Health Metrics and Evaluation (IHME) die Krankheitslast unter Berücksichtigung von 84 Risikofaktoren für 195 Länder untersucht. In der Berechnung für Deutschland wurden nicht alle in Deutschland verfügbaren Daten eingesetzt, und es erfolgte keine regionale Differenzierung. Um unter anderem diese Lücken zu schließen, wurde das Projekt "BURDEN 2020 - Die Krankheitslast in Deutschland und seinen Regionen" entwickelt. Dieses soll die besten verfügbaren Daten zur Berechnung der Krankheitslast verwenden. In: UMID : Umwelt und Mensch - Informationsdienst ; Umwelt & Gesundheit, Umweltmedizin, Verbraucherschutz / Boden- und Lufthygiene (Berlin) Institut für Wasser-. - (2019), Heft 2, Seite 37Veröffentlichung Health-related quality of life (EQ-5D + C) among people living in artisanal and small-scale gold mining areas in Zimbabwe: a cross-sectional study(2020) Butscher, Friederike-Marie; Rakete, Stefan; Tobollik, MyriamBackground In Zimbabwe, an estimated 500,000 people work in the sector of artisanal and small-scale gold mining (ASGM). Two million Zimbabweans are dependent on this sector. Using mercury is common to extract gold from ore. Long term exposure to mercury can cause various adverse health conditions including chronic mercury intoxication. The influence of these adverse health effects on the health-related quality of life (HRQoL) is still unknown. The aim of this study is to assess the HRQoL of people who identify themselves as miners, and to analyze potential influencing factors, such as age, years of working with mercury and health conditions caused by mercury exposure. Methods This cross-sectional study assessed the HRQoL using the standardized EQ-5D†+†C (3†L) questionnaire and collected human specimens (blood, urine) of people living and possibly working in ASGM areas in Zimbabwe. Factors such as age, years of working with mercury and adverse health conditions possibly caused by mercury exposure were analyzed with regards to their influence on the HRQoL. Results The 207 participants (82% male, mean age 38†years) reported 40 different health states. Of the study participants 42.5% reported to be in complete good health while 57.5% reported being unwell in different ways. Nine participants (4.3%) were identified with chronic mercury intoxication, whereas 92 participants (33.3%) had mercury levels above the "Alert" threshold in at least one specimen. Having chronic mercury intoxication has a significant negative influence on the HRQoL, when taking into account age, gender and years of working with mercury. Cognitive problems were the most reported in the questionnaire, however, the association between this domain separately and the HRQoL was not verified. Conclusion This study shows that adverse health effects caused by chronic exposure to mercury, have a negative influence on the HRQoL among people living in ASGM areas. © The Author(s). 2020Veröffentlichung Biomonitoring of arsenic, cadmium and lead in two artisanal and small-scale gold mining areas in Zimbabwe(2022) Rakete, Stefan; Moonga, Given; Wahl, Anna-Maria; Tobollik, MyriamPeople living and working in artisanal and small-scale gold mining (ASGM) areas are frequently exposed to elemental mercury (Hg), which is used for gold extraction. However, additional exposure to other toxic metals such as arsenic (As), cadmium (Cd) and lead (Pb) may result from mining-related activities and could be ingested via dust, water or food. In these areas, only limited biomonitoring data is available for toxic metals other than Hg. In particular, data about the exposure to As, Cd and Pb is unavailable for the Zimbabwean population. Therefore, we conducted a cross-sectional study in two ASGM areas in Zimbabwe to evaluate the internal exposure to these metals. In total, urine and blood samples from 207 people that identified themselves as miners were collected and analysed for As and Cd in urine as well as Pb in blood by GF-AAS. Median levels (interquartile ranges in (micro)g/l) of As and Pb were 9.7 (micro)g/l (4.0, 18.5) and 19.7 (micro)g/l (12.5, 34.5), respectively. The 25th percentile and the median for Cd were below the limit of detection (0.5 (micro)g/l); the 75th percentile was at 0.9 (micro)g/l. The results were compared to reference values found for the general population in the USA and Germany, and a significant number of participants exceeded these values (As, 33 %; Cd, 27 %; Pb, 32 %), indicating a relevant exposure to toxic metals. Although not representative for the Zimbabwean population, our results demonstrate that the exposure to toxic metals is relevant for the public health in Zimbabwe and requires further investigation. © 2021, The Author(s)Veröffentlichung Burden of Disease Due to Traffic Noise in Germany(2019) Hintzsche, Matthias; Myck, Thomas; Plaß, Dietrich; Tobollik, Myriam; Wothge, JördisTraffic noise is nearly ubiquitous and thus can affect the health of many people. Using the German noise mapping data according to the Directive 2002/49/EC of 2017 and exposure-response functions for ischemic heart disease, noise annoyance and sleep disturbance assessed by the World Health Organizationâ€Ìs Environmental Noise Guidelines for the European Region the burden of disease due to traffic noise is quantified. The burden of disease is expressed in disability-adjusted life years (DALYs) and its components. The highest burden was found for road traffic noise, with 75,896 DALYs when only considering moderate evidence. When including all available evidence, 176,888 DALYs can be attributable to road traffic noise. The burden due to aircraft and railway noise is lower because fewer people are exposed. Comparing the burden by health outcomes, the biggest share is due to ischemic heart disease (90%) in regard to aircraft noise, however, the lowest evidence was expressed for the association between traffic noise and ischemic heart disease. Therefore, the results should be interpreted with caution. Using alternative input parameters (e.g., exposure data) can lead to a much higher burden. Nevertheless, environmental noise is an important risk factor which leads to considerable loss of healthy life years. Quelle: https://www.mdpi.comVeröffentlichung Stickstoffdioxid aus dem Verkehr - ein Gesundheitsrisiko(2016) Kallweit, Dagmar; Plaß, Dietrich; Tobollik, Myriam; Deutschland. UmweltbundesamtVeröffentlichung Quantifying the environmental burden of disease for children and adolescents in Germany(2023) Kienzler, Sarah; Plaß, Dietrich; Tobollik, Myriam; Wintermeyer, DirkVeröffentlichung Veröffentlichung Experiences shared by the (future) Public Health Workforce during the COVD-19 pandemic in Germany: results of a survey on workload, work content, and related challenges among students and young professionals(2022) Fischer, Florian; Wicherski, Julia; Tobollik, MyriamAlthough previous studies have focused on the adverse effects of the COVID-19 pandemic on various professional groups (particularly in the health and nursing care sector), this study aims to close a research gap by assessing perspectives of students and young professionals in epidemiology and public health in Germany in terms of shifts in workload, work content, and related challenges caused by the pandemic. We conducted a cross-sectional survey between mid-February and mid-March 2022. Quantitative data were analyzed via standardized mean differences. Qualitative data based on answers to open-ended questions were analyzed via a qualitative content analysis. Overall, 172 individuals participated in this survey. Results indicate that students felt burdened the most by lack of exchange with other students and lecturers. Study participants employed in public health experienced changes in their employment because they had changes in their work content- and administration, which was accompanied by a high burden due to the workload. Multiple demands that can have an impact on both acquired skills and mental health during the professional qualification phase were mentioned by the participants. Therefore, more in-depth analyses are needed to investigate the impact the pandemic will have on the (future) public health workforce in the long run. © 2022 by the authorsVeröffentlichung Eine umweltmedizinische Begründung für die Bewertungsklassen und Beurteilungs-Schwellenwerte des Luftqualitätsindex des UBAs(2021) Mücke, Hans-Guido; Straff, Wolfgang; Tobollik, MyriamDie App "Luftqualität" und das Luftportal des Umweltbundesamtes (UBA) stellen aktuelle Messwerte für die gesundheitsschädlichen Luftschadstoffe Feinstaub (PM10 ), Stickstoffdioxid (NO2 ) und Ozon (O3 ) zur Verfügung. Zur gesundheitlichen Einschätzung werden diese Werte in Bewertungsklassen eingeteilt und darauf basierende Gesundheitstipps für Aktivitäten im Freien gegeben. Der Artikel erläutert die gesundheitlichen Begründungen für die Bewertungsklassen, wie auch ihre Beurteilungs-Schwellenwerte. Fünf Klassen wurden gebildet, sie reichen von "sehr gut" bis "sehr schlecht". Sie beziehen ähnlich wie der Europäische Luftqualitätsindex bestehende Ziel- und Grenzwerte sowie Empfehlungen der Weltgesundheitsorganisation (WHO) mit ein. Da eine gesundheitliche Wirkungsschwelle für diese Luftschadstoffe nicht bekannt ist, erfolgt die Einteilung zum Teil präventionsorientiert pragmatisch. Die Beurteilung umfasst sowohl kurzfristige als auch langfristige gesundheitliche Wirkungen. Es ist beabsichtigt die Schwellenwerteinteilung zu aktualisieren, sobald die Überarbeitung der WHO-Luftqualitätsrichtlinien abgeschlossen ist. Quelle: UMID : Umwelt und Mensch - Informationsdienst ; Umwelt & Gesundheit, Umweltmedizin, Verbraucherschutz / Boden- und Lufthygiene (Berlin) Institut für Wasser- - 1 (2021), 85Veröffentlichung Environmental burden of disease approach(2017) Tobollik, Myriam; Tobollik, T.; Brodner, B.