Health Impact Assessment

健康影响评估
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    这项研究旨在解决使用环境效益测绘和分析程序(BenMap)评估空气污染健康影响的准确性挑战。由于气象因子数据有限和污染物数据缺失造成的。通过采用数据增量策略和多种机器学习模型,这项研究探讨了数据量的影响,时间步长,以天津市几年来的数据为例,分析了气象因素对模型预测性能的影响。研究结果表明,增加训练数据量可以提高随机森林回归器(RF)和决策树回归器(DT)模型的性能。特别是预测CO,NO2和PM2.5。最佳预测时间步长因污染物而异,与DT模型实现最高的R2值(0.99)的CO和O3。综合多种气象因素,如大气压力,相对湿度,和露点温度,显著提高了模型精度。当使用三个气象因素时,该模型预测CO的R2为0.99,NO2、PM10、PM2.5和SO2。使用BenMap进行的健康影响评估表明,预测的全因死亡率和特定疾病死亡率与实际值高度一致,确认模型在评估空气污染对健康影响方面的准确性。例如,PM2.5的预测和实际全因死亡率均为3120;对于心血管疾病,两者都是1560年;对于呼吸系统疾病,都是780为了验证其通用性,该方法应用于成都,中国,利用几年的数据对PM2.5、CO、NO2、O3、PM10和SO2,结合大气压,相对湿度,和露点温度。该模型保持了优异的性能,确认其广泛的适用性。总的来说,我们得出的结论是,机器学习和基于BenMap的方法在预测空气污染物浓度和健康影响方面显示出很高的准确性和可靠性,为空气污染评估提供有价值的参考。
    This study aims to address accuracy challenges in assessing air pollution health impacts using Environmental Benefits Mapping and Analysis Program (BenMap), caused by limited meteorological factor data and missing pollutant data. By employing data increment strategies and multiple machine learning models, this research explores the effects of data volume, time steps, and meteorological factors on model prediction performance using several years of data from Tianjin City as an example. The findings indicate that increasing training data volume enhances the performance of Random Forest Regressor (RF) and Decision Tree Regressor (DT) models, especially for predicting CO, NO2, and PM2.5. The optimal prediction time step varies by pollutant, with the DT model achieving the highest R2 value (0.99) for CO and O3. Combining multiple meteorological factors, such as atmospheric pressure, relative humidity, and dew point temperature, significantly improves model accuracy. When using three meteorological factors, the model achieves an R2 of 0.99 for predicting CO, NO2, PM10, PM2.5, and SO2. Health impact assessments using BenMap demonstrated that the predicted all-cause mortality and specific disease mortalities were highly consistent with actual values, confirming the model\'s accuracy in assessing health impacts from air pollution. For instance, the predicted and actual all-cause mortality for PM2.5 were both 3120; for cardiovascular disease, both were 1560; and for respiratory disease, both were 780. To validate its generalizability, this method was applied to Chengdu, China, using several years of data for training and prediction of PM2.5, CO, NO2, O3, PM10, and SO2, incorporating atmospheric pressure, relative humidity, and dew point temperature. The model maintained excellent performance, confirming its broad applicability. Overall, we conclude that the machine learning and BenMap-based methods show high accuracy and reliability in predicting air pollutant concentrations and health impacts, providing a valuable reference for air pollution assessment.
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  • 文章类型: Journal Article
    本研究引入了一种新颖的集成定量建模框架来评估多种环境,健康,以及在巴士拉省电力部门实施碳捕集技术的经济效益,伊拉克。该省正在努力应对广泛的石油开采作业造成的重大环境挑战和空气污染。首先,所开发的建模框架量化了在现有发电厂中使用碳捕获装置所捕获的CO2排放量和等效避免的PM2.5排放量。这是通过使用Aspen对单乙醇胺(MEA)捕获过程进行详细模拟来实现的。第二,通过在发电厂所在地区开发和应用动态扩散模型,评估了避免PM2.5暴露对公共卫生的影响。第三,它量化了预期的健康益处,使用健康影响评估方法。该方法基于对浓度-响应函数的综合荟萃分析,它利用基于长短期记忆(LSTM)方法的递归神经网络预测框架来预测六种健康结果的相对风险值。最后,避免的健康负担的经济价值是通过使用统计寿命值(VSL)和疾病成本(COI)方法来估计的。根据调查结果,在该地区选定的发电厂实施新的碳捕获装置,将导致该地区现有发电机组每年排放的污染物总量减少769.7万吨。综合评估结果显示PM2.5排放量显著减少,每年2299吨,避免了1328例过早死亡和217例住院,每年从避免的死亡和发病率案件中节省1.846亿美元,并在巴士拉省创造了29,607个绿色就业机会。
    This study introduces a novel integrated quantitative modeling framework to assess the multiple environmental, health, and economic benefits from implementing carbon capture technology in the power sector of Basra province, Iraq. This province is struggling with significant environmental challenges and air pollution caused by extensive oil extraction operations. First, the developed modeling framework quantifies the captured CO2 emissions and the equivalent avoided PM2.5 emissions resulting from the use of carbon capture units in existing power plants. This is achieved through a detailed simulation of the monoethanolamine (MEA) capture process using Aspen. Second, the impact of avoided PM2.5 exposure on public health is evaluated by developing and applying a dynamic dispersion model across the districts where the power plants are located. Third, it quantifies the expected health benefits, using the health impact assessment method. This method is based on a comprehensive meta-analysis of concentration-response functions, and it utilizes a Recurrent Neural Network prediction framework based on the Long-Short Term Memory (LSTM) method to predict the relative risk value of six health outcomes. Finally, the economic value of avoided health burdens is estimated by employing the Value of Statistical Life (VSL) and the Cost of Illness (COI) approaches. According to the findings, implementing new carbon capture units in the selected power plants in the area will lead to a reduction of 7.697 million tons of carbon dioxide per year in the total emission of pollutants from the current power generation units in the region. The integrated assessment results demonstrate a significant reduction in PM2.5 emissions, amounting to 2299 tons per year, leading to the avoidance of 1328 premature deaths and 217 hospital admissions, resulting in annual savings of $1846 million from the avoided mortalities and morbidities cases and creation of 29,607 green jobs in Basra Province.
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  • 文章类型: Journal Article
    理解和解决个人的社会,政治,经济,文化背景影响他们实现最佳健康的能力,这对设计和实施干预措施至关重要。在评估两个育儿计划之前,与四个儿童心理健康组织合作,我们使用健康公平影响评估工具(HEIA)来识别可能遭受意外健康影响的群体,以及为解决这些影响而制定的缓解策略。
    HEIA活动包括对已发表文献的回顾,组织文件的审查,与工作人员(n=12)和其他相关社区服务提供商(n=7)的关键线人访谈,和地理信息系统分析。使用反思性主题分析对所有证据来源进行了考虑和分析。与所有合作伙伴分享了总结报告。
    确定了一系列群体有遭受意外健康影响的风险,包括种族化的看护者,移民,土著,患有精神健康问题或成瘾,应对智力挑战和/或低识字水平,童年创伤的幸存者,单亲家庭,或经历经济困难的家庭。意外的健康影响分为6个主要主题,这些主题属于计划的可及性和文化适宜性的总体主题。讨论了缓解策略以及参与组织已经采用的创新策略。
    虽然这个HEIA专注于育儿计划,这些发现解决了适用于提供广泛儿童心理健康服务的公平问题。
    UNASSIGNED: Understanding and addressing how an individual\'s social, political, economic, and cultural context affects their ability to achieve optimal health is essential to designing and implementing interventions. Before evaluating two parenting programs, in partnership with four children\'s mental health organizations, we used the Health Equity Impact Assessment tool (HEIA) to identify groups that may experience unintended health impacts, as well as generated mitigation strategies to address these impacts.
    UNASSIGNED: HEIA activities included a review of the published literature, a review of organizational documents, key informant interviews with staff (n = 12) and other related community service providers (n = 7), and a geographic information systems analysis. All sources of evidence were considered and analyzed using reflective thematic analysis. Summary reports were shared with all partners.
    UNASSIGNED: A range of groups were identified as at risk of experiencing unintended health impacts, including caregivers who are racialized, immigrants, Indigenous, living with mental health issues or addictions, dealing with intellectual challenges and/or low literacy levels, survivors of childhood trauma, single parent families, or families experiencing financial difficulties. Unintended health impacts were sorted into 6 main themes which fell under the overarching themes of accessibility of the programs and cultural appropriateness. Mitigation strategies as well as innovative strategies already being applied by participating organizations are discussed.
    UNASSIGNED: Although this HEIA focused on parenting programs, the findings address equity issues applicable to the provision of a wide spectrum of children\'s mental health services.
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  • 文章类型: Journal Article
    先前关于城市形态与空气质量之间关系的研究:(1)报告了城市空间结构特定方面之间的混合结果(例如,城市扩张,形式,或形状)和(2)主要使用具有一年数据的横截面方法。这项研究利用了几十年的时间,纵向方法研究城市空间结构对PM2.5和NO2人口加权浓度的影响。根据1990年至2015年美国481个城市地区的固定效应回归模型,我们发现在控制气象和社会经济因素后,城市空间结构的各个方面与空气质量之间存在显着关联。我们的结果表明,人口密度,紧凑的城市形态,循环性,和绿色空间与较低的浓度有关。相反,更高的城市扩张速度,工业区,和多中心性与较高的浓度有关。对于大城市(总人口:180,262,404),我们发现,从每个城市空间结构类别中增加关键因素(即,绿色,人口密度,紧密度,循环性)适度的10%导致PM2.5(NO2)的死亡人数减少了10,387(12,376)。我们建议政策制定者采取全面的策略来增加人口密度,紧密度,和绿色空间,同时减缓城市扩张,以减少美国城市空气质量的健康负担。
    Previous studies on the relationship between urban form and air quality: (1) report mixed results among specific aspects of urban spatial structure (e.g., urban expansion, form, or shape) and (2) use primarily cross-sectional approaches with a single year of data. This study takes advantage of a multi-decade, longitudinal approach to investigate the impact of urban spatial structure on population-weighted concentrations of PM2.5 and NO2. Based on fixed-effect regression models for 481 urban areas in the United States spanning from 1990 to 2015, we found significant associations between various aspects of urban spatial structure and air quality after controlling for meteorological and socio-economic factors. Our results show that population density, compact urban form, circularity, and green space are associated with lower concentrations. Conversely, higher rates of urban expansion, industrial area, and polycentricity are associated with higher concentrations. For large cities (total population: 180,262,404), we found that increasing key factors from each urban spatial structure category (i.e., greenness, population density, compactness, circularity) by a modest 10% results in 10,387 (12,376) fewer deaths for PM2.5 (NO2). We recommend that policymakers adopt comprehensive strategies to increase population density, compactness, and green spaces while slowing urban expansion to reduce the health burden of air quality in US cities.
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  • 文章类型: Journal Article
    发电厂的煤燃烧释放出大量的多环芳烃(PAHs),剧毒和致癌。这项研究评估了8年来燃煤电厂PAHs污染对生态和人类健康的影响。监测选址考虑了与发电厂的距离和调查区域的盛行风向。结果表明,监测期间,PAH水平平均增加了43%,61%,37%在盛行风向的区域,在发电厂附近,和远离它的区域,分别。网站,在当时的风向半径为4.5公里,表现出最高的生态和人类健康影响。此外,在环境和人类健康影响之间观察到了很强的相关性,根据与发电厂的距离,特别是在风向盛行的地区。这些见解有助于全面了解发电厂排放的复杂动态,PAHs污染,以及它们对环境和人类健康的深远影响。
    The combustion of coal in power plants releases significant amounts of polycyclic aromatic hydrocarbons (PAHs), which are highly toxic and carcinogenic. This study assesses the ecological and human health impacts of PAHs contamination from a coal-fired power plant over 8 years. The monitoring site selection considered the distance from the power plant and the prevailing wind direction in the investigated area. The results reveal that, during the monitoring period, PAH levels increased on average by 43%, 61%, and 37% in the zone of the prevailing wind direction, in the area proximate to the power plant, and the zone distant from it, respectively. The site, which has a radius of 4.5 km in the prevailing wind direction, exhibited the highest ecological and human health impacts. Additionally, a strong correlation was observed between environmental and human health impacts, depending on the distance from the power plant, particularly in areas with the prevailing wind direction. These insights contribute to a comprehensive understanding of the intricate dynamics linking power plant emissions, PAHs contamination, and their far-reaching consequences on the environment and human health.
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    文章类型: Journal Article
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  • 文章类型: Journal Article
    目标:健康影响评估(HIA)是一种基于证据的方法,用于评估任何部门的政策或计划可能对公共卫生的影响。有几个HIA框架可用于指导从业人员进行HIA。本系统审查旨在确定这些支持从业人员是否符合国际影响评估协会定义的最佳实践原则。
    方法:这是一个系统综述。
    方法:2022年6月,使用了三种互补搜索策略来确定框架。我们使用了三个数据库来查找过去五年发布的完整HIA,并手动搜索了它们的框架参考列表。我们还使用Google的高级功能搜索了23个HIA存储库,并通过两个国际邮件列表联系了HIA从业人员。我们使用了定制的质量评估工具来根据原则评估框架。
    结果:搜索确定了24个HIA框架。没有一个框架获得了所有最佳实践原则的“良好”评级。许多人确定了这些原则,但没有就如何在所有HIA步骤中实现这些原则提供指导。在道德使用证据和综合健康方法方面,最高数量的框架被评为“良好”(n=15)。八个框架在参与方面被评为“良好”,和两个股权。在可持续性方面被评为“差”的框架数量最多(n=11)。
    结论:HIA框架支持最佳实践原则的程度存在显著差异。HIA从业者可以从不同框架中选择实际指导的要素,以满足所有最佳实践原则。
    OBJECTIVE: Health Impact Assessment (HIA) is an evidence-based approach to assess the likely public health impacts of a policy or plan in any sector. Several HIA frameworks are available to guide practitioners doing a HIA. This systematic review sought to determine whether these support practitioners to meet best practice principles defined by the International Association for Impact Assessment.
    METHODS: This was a systematic review.
    METHODS: Three complementary search strategies were used to identify frameworks in June 2022. We used three databases to find completed HIAs published in the last five years and hand-searched their reference lists for frameworks. We also searched 23 HIA repositories using Google\'s Advanced function and contacted HIA practitioners via two international mailing lists. We used a bespoke quality appraisal tool to assess frameworks against the principles.
    RESULTS: The search identified 24 HIA frameworks. None of the frameworks achieved a \'good\' rating for all best practice principles. Many identified the principles but did not provide guidance on how to meet them at all HIA steps. The highest number of frameworks were rated \'good\' for ethical use of evidence and comprehensive approach to health (n = 15). Eight frameworks were rated as \'good\' for participation, and two for equity. The highest number of frameworks rated \'poor\' for sustainability (n = 11).
    CONCLUSIONS: There is marked variation in the degree to which HIA frameworks support the best practice principles. HIA practitioners could select elements from different frameworks for practical guidance to meet all the best practice principles.
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  • 文章类型: Journal Article
    这项研究调查了加拿大土著人民对COVID-19资金的分配,澳大利亚,新西兰,和美国在大流行的第一波。土著社区,已经面临健康差距,系统性歧视,和殖民的历史力量,发现自己更容易受到病毒的攻击。分析这些国家的筹资政策,我们使用了健康公平影响评估(HEIA)工具和本土镜片工具补充来评估潜在影响.我们的结果确定了三个主要的资金公平问题:独特的健康和服务需求,社会经济差异,以及获得社区和文化安全卫生服务的机会有限。尽管为公平筹资做出了努力,缺乏有意义的协商导致缺点,从加拿大的紧急状态声明和美国的法律纠纷中可以看出。新西兰在整合毛利人的观点方面脱颖而出,展示咨询的重要性。这项研究呼吁一条和解的道路,符合真理与和解原则,联合国土著人民权利宣言,和不断发展的政府支持。本文得出的结论是,共同创造以土著知识为基础的公平供资政策需要伙伴关系,有意义的协商,和组织文化谦逊。即使在紧急情况下,这些措施确保响应和尊重土著自决。
    This study examines the allocation of COVID-19 funding for Indigenous Peoples in Canada, Australia, New Zealand, and the United States during the pandemic\'s first wave. Indigenous communities, already facing health disparities, systemic discrimination, and historical forces of colonisation, found themselves further vulnerable to the virus. Analysing the funding policies of these countries, we employed a Health Equity Impact Assessment (HEIA) tool and an Indigenous Lens Tool supplement to evaluate potential impacts. Our results identify three major funding equity issues: unique health and service needs, socioeconomic disparities, and limited access to community and culturally safe health services. Despite efforts for equitable funding, a lack of meaningful consultation led to shortcomings, as seen in Canada\'s state of emergency declaration and legal disputes in the United States. New Zealand stood out for integrating Māori perspectives, showcasing the importance of consultation. The study calls for a reconciliation-minded path, aligning with Truth and Reconciliation principles, the UN Declaration on the Rights of Indigenous Peoples, and evolving government support. The paper concludes that co-creating equitable funding policies grounded in Indigenous knowledge requires partnership, meaningful consultation, and organisational cultural humility. Even in emergencies, these measures ensure responsiveness and respect for Indigenous self-determination.
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