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National Health and Environment Plan

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Contents: 1. Respond to health issues posed by pathologies linked to the environment...............12 1.1. Better understanding and prevention of cancers in relations to environmental exposures..................................................................................................................................................... 12 1.1.1 Reduce cancers linked to asbestos..................................................................................13 1.1.2 Take better account of the radon risk in buildings...................................................14 1.2. Prevent health risks linked to exposure to certain plant or animal species.........17 1.3. Better take into account the role of environmental exposures in the increase in certain diseases (metabolic diseases, reproductive diseases, obesity, etc.)..................20 1.3.1 Implement a national strategy on endocrine disrupters........................................20 1.3.2 Understand and act on all environmental factors involved in metabolic diseases and obesity.......................................................................................................................... 21 1.3.3 Prevent reprotoxic risks from environmental exposures and better understand them................................................................................................................................. 23 1.3.4 Prevent neurotoxic risks and neurobehavioural development deficits related to environmental pollutants and better understand them..............................................24 1.3.5 Prevent the risks linked to exposure to heavy metals (lead, mercury and cadmium)................................................................................................................................................. 25 1.3.6 Better understanding of hypersensitivity......................................................................28 1.4. Take better account of the increased risks of epidemics of vector-borne diseases in a context of climate change........................................................................................29 2. Issues in knowledge of exposures, their effects and levers of action..............................32 2.1. Establish the link between environmental contamination, exposure biomarkers and health data......................................................................................................................................... 32 2.1.1 Improve knowledge of exposures in the population through the use of biomonitoring data............................................................................................................................. 32 2.1.2 Measure pesticides in the air, documenting exposures and uses in order to carry out health risk assessments................................................................................................34 2 2.1.3 Improve knowledge of emerging substances in water...........................................36 2.2. Establish a corpus of indicators to obtain a comprehensive and integrated view of the history of exposures to chemical, physical and infectious agents (EXPOSOME) ........................................................................................................................................................................... 37 2.3. Characterise exposures at the territorial scale, taking into account inequalities in the vulnerability of populations...................................................................................................38 2.3.1 Protect the health of vulnerable people (children, pregnant women)............38 2.3.2 Providing a clearer picture of disparities in environmental and regional health levels............................................................................................................................................ 40 2.4. Making environmental health data more usable and accessible, and improving emergency detection systems............................................................................................................ 43 2.5. Acting to improve environmental quality.............................................................................47 2.5.1 Acting to improve interior air quality..............................................................................47 2.5.2 Acting to improve interior air quality..............................................................................49 2.5.3 Acting to improve water quality........................................................................................52 2.5.4 Reducing exposure linked to environmental soil contamination......................59 2.5.5 Protecting the general public from noise pollution.................................................60 2.5.6 Protecting the public from health risks linked to the use of pesticides in overseas territories.............................................................................................................................. 62 2.5.7 Protecting the public from exposure to harmful substances contained in consumer products............................................................................................................................. 64 2.6. Improving our understanding and management of risks in a context of uncertainty................................................................................................................................................... 66 2.6.1 Contribute to the promotion of European regulatory efforts that are adapted to highly uncertain types of risk................................................................................66 2.6.2 Improve knowledge in traceability and exposure to nanomaterials and carry out research on the links between health and nanomaterials by encouraging multidisciplinary approaches......................................................................................................... 68 3 2.6.3 Enhance knowledge of radio frequency exposure and implement the recommendations of the Operational Committee on Mobile Telephone Waves (COPIC)..................................................................................................................................................... 70 2.6.4 Enhance knowledge and reduce riparian exposure to electromagnetic waves from HT and VHT power lines.......................................................................................................71 3. Research in health and environment..............................................................................................73 3.1. Explore the key challenges in the Health-Environment field by organising multidisciplinary research..................................................................................................................... 73 3.2. Support and pursue research programmes........................................................................74 3.2.1 Endocrine disrupters............................................................................................................... 74 3.2.2 Air Quality.................................................................................................................................... 75 3.2.3 Soil management...................................................................................................................... 75 3.2.4 Pesticides and health.............................................................................................................. 76 3.2.5 Nanomaterials............................................................................................................................ 77 3.2.6 Health and biodiversity.......................................................................................................... 77 4. Strengthen the health-environment dynamic in the regions, information, communication and training.................................................................................................................... 80 4.1. Promote and support local health-environment initiatives in keeping with the PNSE............................................................................................................................................................... 81 4.2. Host public debates and promote health democracy in health-environment issues.............................................................................................................................................................. 83 4.3. Promoting consideration of health-environment issues in the local implementation of public policies.................................................................................................... 84 4.3.1 Promote the integration of health-environment issues in local policies.......84 4.3.2 Better integration of health environment issues in urban planning and development.......................................................................................................................................... 85 4.3.3 Support equal access to drinking water and sanitation.........................................87 4.3.4 Improving the noise environment....................................................................................88 4 4.4. Reinforce information, communication and training......................................................88 Annex: Ad Hoc Transportation Work Group Roadmap...............................................................92 1. Work group sphere of activity......................................................................................................
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