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Monitoring Children's Health in Contaminated Sites

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Monitoring Children's Health in Contaminated Sites ISTITUTO SUPERIORE DI SANITÀ Italy-Latin America cooperation. Health impact of contaminated sites: methods and applications / Cooperación Italia-América Latina. Impacto en la salud de sitios contaminados: métodos y aplicaciones Edited by/Editado por Daniela Marsili (a), Roberto Pasetto (b) (a) Servizio Informatico, Documentazione, Biblioteca ed Attività Editoriali (b) Dipartimento di Ambiente e Connessa Prevenzione Primaria ISSN: 1123-3117 (cartaceo) • 2384-8936 (online) Rapporti ISTISAN 15/32 Istituto Superiore di Sanità Italy-Latin America cooperation. Health impact of contaminated sites: methods and applications/Cooperación Italia-América Latina. Impacto en la salud de sitios contaminados: métodos y aplicaciones. Edited by/Editado por Daniela Marsili, Roberto Pasetto 2015, viii, 212 p. Rapporti ISTISAN 15/32 The volume has been produced within the framework of the international cooperation activities promoted by the Istituto Superiore di Sanità (ISS, the National Institute of Health in Italy) in the environment and health domain. This report focuses on current approaches and methods to study the global health issue of health impact of contaminated sites. The first section of the volume presents the cooperation approach and activities carried out by ISS in Latin America in the last years, mainly referring to training and dissemination activities. This section includes a contribution on the requirements to develop a centre for the prevention and control of diseases due to silica and asbestos exposure in mining and industrial sites. The second section shows the main approaches available for the health impact assessment of industrially contaminated sites such as health risk assessment methods and epidemiological studies. The third section presents the results of studies carried out in Italy applying the methods described in the previous section to selected contaminated sites. Key words: Contaminated sites; Health impact; International cooperation; Latin America El presente volumen ha sido realizado en el marco de las actividades de cooperación internacional del Istituto Superiore di Sanità (ISS) en el sector de ambiente y salud. El volumen se centra en los métodos actuales y enfoques para estudiar el tema de salud global del impacto en la salud de los sitios contaminados. La primera sección del volumen presenta el enfoque y las actividades de cooperación del ISS en América Latina en los últimos años, sobre todo de formación y diseminación. Esta sección incluye una contribución sobre los requisitos para el desarrollo de un centro para la prevención y control de las enfermedades causadas por la exposición a sílice y asbesto en sitios industriales y mineros. En la segunda sección se presentan los métodos principales utilizados para la evaluación de impactos en la salud de los sitios contaminados por actividades industriales, como los métodos de risk assessment y los estudios epidemiológicos. En la tercera parte se presentan los resultados de estudios llevados a cabo en Italia mediante la aplicación de tales métodos en diferentes sitios contaminados. Palabras clave: Sitios contaminados; Impacto sanitario; Cooperación internacional; América Latina Istituto Superiore di Sanità Cooperazione Italia-America Latina. Impatto sanitario dei siti contaminati: metodi e applicazioni. A cura di Daniela Marsili, Roberto Pasetto 2015, viii, 212 p. Rapporti ISTISAN 15/32 (in inglese e spagnolo) Il volume è stato realizzato nell’ambito delle attività di cooperazione internazionale promosse dall’Istituto Superiore di Sanità (ISS) nel settore ambiente e salute. Questo volume descrive gli approcci e i metodi per lo studio del tema di salute globale dell’impatto sulla salute dei siti contaminati. La prima sezione del volume presenta l’approccio e le attività di cooperazione svolte dall’ISS in America Latina negli ultimi anni, principalmente attività di formazione e divulgazione. Questa sezione comprende un contributo sui requisiti per lo sviluppo di un centro per la prevenzione e il controllo delle malattie dovute all’esposizione a silice e amianto in siti industriali e minerari. La seconda sezione illustra i principali approcci utilizzabili per la valutazione dell’impatto sulla salute dei siti contaminati da attività industriali, quali i metodi di risk assessment e gli studi epidemiologici. La terza sezione del volume presenta i risultati degli studi effettuati in Italia applicando i metodi presentati nella seconda sezione ad alcuni siti contaminati. Parole chiave: Siti contaminati; Impatto sanitario; Cooperazione internazionale; America Latina Traduzioni in spagnolo di Daniela Marsili. Si ringrazia Reyna Paredes, borsista presso il Dipartimento Ambiente e Connessa Prevenzione Primaria, per la revisione linguistica dei testi in spagnolo. Per informazioni su questo documento scrivere a: [email protected] Il rapporto è accessibile online dal sito di questo Istituto: www.iss.it. Citare questo documento come segue: Marsili D, Pasetto R. (Ed.). Italy-Latin America cooperation. Health impact of contaminated sites: methods and applications/Cooperación Italia-América Latina. Impacto en la salud de sitios contaminados: métodos y aplicaciones. Roma: Istituto Superiore di Sanità; 2015. (Rapporti ISTISAN 15/32). Legale rappresentante dell’Istituto Superiore di Sanità: Gualtiero Ricciardi Registro della Stampa - Tribunale di Roma n. 114 (cartaceo) e n. 115 (online) del 16 maggio 2014 Direttore responsabile della serie: Paola De Castro Redazione: Paola De Castro e Sandra Salinetti La responsabilità dei dati scientifici e tecnici è dei singoli autori, che dichiarano di non avere conflitti di interesse. © Istituto Superiore di Sanità 2015 viale Regina Elena, 299 – 00161 Roma Rapporti ISTISAN 15/32 TABLE OF CONTENT/ÍNDICE Foreword ........................................................................................................................................... v Premisa ............................................................................................................................................... vii ENGLISH VERSION Section 1 – Cooperation, training and dissemination Training and dissemination tools for promoting studies on the health impact of contaminated sites within the Italy-Latin America scientific cooperation framework Daniela Marsili ........................................................................................................................ 3 Open access to scientific information and data. Challenges and opportunities for different stakeholders Paola De Castro....................................................................................................................... 8 Preliminary requirements for prevention and control of silica and asbestos diseases in mining and industrial areas Fulvio Cavariani, Rita Leonori, Enrico Cardona, Augusto Quercia, Roberto Pasetto, Francesco Forastiere, Reyna Paredes, Daniela Marsili, Paola De Castro, Pietro Comba..... 17 Section 2 – Research methodologies Health impact assessment in industrially contaminated areas Roberto Pasetto, Piedad Martin-Olmedo, Ivano Iavarone, Marco Martuzzi .......................... 25 SENTIERI project: epidemiological study of residents in national priority contaminated sites in Italy Roberta Pirastu, Roberto Pasetto, Amerigo Zona, Carla Ancona, Ivano Iavarone, Marco Martuzzi, Pietro Comba ............................................................................................... 36 Priority index contaminants, target organs and human exposure in contaminated sites Amerigo Zona, Ida Marcello, Mario Carere, Eleonora Beccaloni, Fabrizio Falleni, Maria Eleonora Soggiu ........................................................................................................... 45 Monitoring children’s health in contaminated sites Ivano Iavarone, Roberta Pirastu, Pietro Comba ..................................................................... 54 i Rapporti ISTISAN 15/32 Section 3 – Applications SENTIERI project: main findings and the way forward Pietro Comba ........................................................................................................................... 65 Epidemiological studies on people living in Civitavecchia, an Italian industrial contaminated site Carla Ancona, Lisa Bauleo, Francesco Forastiere.................................................................. 71 Epidemiological study in an Italian industrial contaminated site with oil refineries and petrochemical plants Lucia Fazzo, Francesco Tisano, Caterina Bruno, Marco De Santis, Amerigo Zona, Pietro Comba .......................................................................................................................... 79 Epidemiological surveillance in a district with soil and groundwater industrial waste contamination Roberto Pasetto, Andrea Ranzi, Aldo De Togni, Stefano Ferretti, Paolo Pasetti, Paola Angelini, Pietro Comba ................................................................................................ 89 Mesothelioma incidence surveillance system and role of environmental exposure to asbestos in contaminated sites Alessandra Binazzi, Marisa Corfiati, Alessandro Marinaccio................................................. 96 VERSIÓN EN ESPAÑOL Parte 1 – Cooperación, formación y diseminación Herramientas de capacitación y diseminación para promover estudios sobre el impacto en la salud de sitios contaminados en el marco de la cooperación científica Italia-América Latina Daniela Marsili .......................................................................................................................
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