Person: Tobollik, Myriam
Lade...
E-Mail-Adresse
Geburtsdatum
1988
Forschungsvorhaben
Organisationseinheiten
Berufsbeschreibung
Nachname
Tobollik
Vorname
Myriam
Name
14 Ergebnisse
Suchergebnisse
Gerade angezeigt 1 - 10 von 14
Veröffentlichung 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 Quantifying the environmental burden of disease for children and adolescents in Germany(2023) Kienzler, Sarah; Plaß, Dietrich; Tobollik, Myriam; Wintermeyer, DirkVeröffentlichung 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 Ultrafeine Partikel(Umweltbundesamt, 2022) Birmili, Wolfram; Elsasser, Michael; Gerwig, Holger; Hellack, Bryan; Juhrich, Kristina; Langner, Marcel; Liesegang, Christian; Nordmann, Stephan; Rüdiger, Julian; Straff, Wolfgang; Tobollik, Myriam; Vitzthum von Eckstädt, Christiane; Wichmann-Fiebig, MarionDieser Text stellt den Stand und die Lücken des Wissens zu Ultrafeinen Partikeln aus regulatorischer Sicht dar. Obwohl bereits erste Schritte der Vereinheitlichung gemacht sind zeigt sich ein deutlicher Normungs-, Regelungs- und Untersuchungsbedarf. Quelle: Texte-BandVeröffentlichung Burden of disease due to ambient particulate matter in Germany - explaining the differences in the available estimates(2022) Kienzler, Sarah; Plaß, Dietrich; Schuster, Christian; Tobollik, Myriam; Wintermeyer, DirkAmbient particulate matter (PM2.5) pollution is an important threat to human health. The aim of this study is to estimate the environmental burden of disease (EBD) for the German population associated with PM2.5 exposure in Germany for the years 2010 until 2018. The EBD method was used to quantify relevant indicators, e.g., disability-adjusted life years (DALYs), and the life table approach was used to estimate the reduction in life expectancy caused by long-term PM2.5 exposure. The impact of varying assumptions and input data was assessed. From 2010 to 2018 in Germany, the annual population-weighted PM2.5 concentration declined from 13.7 to 10.8 (micro)g/m3. The estimates of annual PM2.5-attributable DALYs for all disease outcomes showed a downward trend. In 2018, the highest EBD was estimated for ischemic heart disease (101.776; 95% uncertainty interval (UI) 62,713-145,644), followed by lung cancer (60,843; 95% UI 43,380-79,379). The estimates for Germany differ from those provided by other institutions. This is mainly related to considerable differences in the input data, the use of a specific German national life expectancy and the selected relative risks. A transparent description of input data, computational steps, and assumptions is essential to explain differing results of EBD studies to improve methodological credibility and trust in the results. Furthermore, the different calculated indicators should be explained and interpreted with caution. 2022 by the authorsVeröffentlichung Disease costs due to outdoor ambient particulate matter pollution in Germany, 2018(2023) Kienzler, Sarah; Plaß, Dietrich; Tobollik, Myriam; Wintermeyer, DirkVeröffentlichung Gesundheitsbezogene Indikatoren der Sustainable Development Goals (SDG) und ihre Umsetzung für Deutschland im Bereich Umwelt(2020) Doyle, Ulrike; Kabel, Claudia; Plaß, Dietrich; Schuster, Christian; Tobollik, Myriam; Wintermeyer, DirkDie menschliche Gesundheit wird durch viele Faktoren beeinflusst. Neben den persönlichen Lebensumständen, Verhaltensweisen und angeborenen Faktoren ist Gesundheit auch ein Resultat umweltpolitischen Handelns. Dieses sollte möglichst gesundheitsförderlich sein und gesundheitsgefährdende Umwelteinflüsse auf die Bevölkerung minimieren. Die 2030-Agenda für Nachhaltige Entwicklung bildet mit ihren eng miteinander verknüpften 17 Nachhaltigkeitszielen (Sustainable Development Goals - SDGs) diese Komplexität ab. Die SDGs dienen als ein integratives Navigationsset, um dringende Umwelt- und Gesundheitsprobleme kohärent zu lösen. Gesundheit ist ein zentrales Schutzgut der SDGs. Der gesundheitsbezogene Umweltschutz wird in mehreren SDGs abgebildet. Die unterschiedlichen politischen Ebenen benutzen jedoch Indikatoren, die auf unterschiedlichen Datenquellen beruhen sowie auf verschiedenartigen Berechnungs- und Bewertungsmethoden. Dies sollte transparent dargestellt werden. Neben der nationalen Fortentwicklung der Deutschen Nachhaltigkeitsstrategie wäre eine stärkere Ausrichtung der Indikatoren an denen der 2030-Agenda wünschenswert. Quelle: UMID : Umwelt und Mensch - Informationsdienst ; Umwelt & Gesundheit, Umweltmedizin, Verbraucherschutz / Boden- und Lufthygiene (Berlin) Institut für Wasser- - (2020), Heft 1, Seite 7Veröffentlichung Artisanal and small-scale gold mining: A cross-sectional assessment of occupational mercury exposure and exposure risk factors in Kadoma and Shurugwi, Zimbabwe(2020) Mambrey, Viola; Rakete, Stefan; Tobollik, MyriamIn artisanal and small-scale gold mining (ASGM) the toxic metal mercury is used for gold extraction. The objective of this cross-sectional study was to assess mercury concentrations in urine and blood and mercury-related symptoms of participants identifying themselves as miners from Kadoma and Shurugwi, Zimbabwe. Moreover, we aimed to explore possible risk factors influencing mercury body burden. In 2019, urine and blood samples of 207 participants were collected and analyzed for mercury using atomic absorption spectroscopy. All participants answered questions regarding their exposure risks. The median urine mercury value was 4.75 my g/L with a maximum of 612 my g/L. Median mercury concentration in creatinine corrected urine values was 3.98 my g/g with a maximum value of 478 my g/g. The median blood mercury value was 2.70 ÎÌg/L with a maximum of 167 my g/L. Correlations between exposure risks factors such as the lack of retort use and elevated mercury values were demonstrated. ASGM is very common in Zimbabwe. Thus, mercury exposure is a major occupational health risk for miners. Moreover, this study emphasizes the impact of exposure risk factors on the mercury body burden. © 2020 The Authors