■受大规模和长期工业污染影响的社区通常渴望了解他们的健康是否因这种污染而受到损害。这需要将环境公共卫生和环境正义观点结合起来的答案。在这些地点,随着时间的推移,多种化学品造成的环境污染的暴露情景,通常涉及不同的环境矩阵,重建是复杂且具有挑战性的。
■提出了一种描述与环境污染相关的此类社区健康的方法,这些方法应用于环境污染的三个领域,人群暴露和毒理学,环境和社会流行病学,和环境公共卫生传播。从应用到托雷斯港的案例研究,都用实例描述了该方法,具有实质性工业条件演变的城镇。
■环境污染领域的活动,人口暴露和毒理学侧重于现有污染数据的收集和系统化,根据其毒理学特征确定优先污染物,对人群暴露于优先污染物的可能性及其已知健康影响的定性评估。环境和社会流行病学方法用于描述当地人口的健康状况和社会经济状况,考虑到来自当地信息系统的多种健康结果,并根据暴露和毒理学评估考虑特定疾病。环境公共卫生沟通方法旨在制定沟通计划,并通过与当地机构和社会行为者的互动来实施。对健康概况的解释得益于对结果的跨学科分析。
■拟议的方法结合了环境公共卫生和环境正义的需求,允许整合多学科知识,以定义减少和/或预防危险环境暴露和不利健康影响的建议。刺激利益相关者之间的互动,使公民更容易获得研究结果。
UNASSIGNED: Communities affected by large scale and long lasting industrial contamination are often keen to understand whether their health has been impaired by such contamination. This requires answers that integrate environmental public health and environmental justice perspectives. At these sites, exposure scenarios from environmental contamination over time by multiple chemicals, often involving different environmental matrices, are complex and challenging to reconstruct.
UNASSIGNED: An approach for describing the health of such communities in association with environmental contamination is presented, with the methods applied across the three domains of environmental contamination, population exposure and toxicology, environmental and social epidemiology, and environmental public health communication. The approach is described with examples from its application to the
case study of Porto Torres, a town with a substantial industrially conditioned evolution.
UNASSIGNED: Activities in the field of environmental contamination, population exposure and toxicology focus on the collection and systematization of available contamination data, the identification of priority pollutants based on their toxicological profiles, the qualitative assessment of the likelihood of exposure for the population to priority pollutants and their known health effects. Environmental and social epidemiology methods are applied to describe the health profiles and socioeconomic conditions of the local population, taking into account multiple health outcomes from local information systems and considering specific diseases based on exposure and toxicological assessments. The environmental public health communication methods are directed to produce a communication plan and for its implementation through interaction with local institutional and social actors. The interpretation of health profiles benefits from a transdisciplinary analysis of the results.
UNASSIGNED: The proposed approach combines the needs of environmental public health and environmental justice allowing the integration of multidisciplinary knowledge to define recommendations for reducing and/or preventing hazardous environmental exposures and adverse health effects, stimulating the interactions between stakeholders, and making the study results more accessible to citizens.