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The main objective of these updated global guidelines is to offer health-based air quality guideline levels, expressed as long-term or short-term concentrations for six key air pollutants: PM2.5, PM10, ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. In addition, the guidelines provide interim targets to guide reduction efforts of these pollutants, as well as good practice statements for the management of certain types of PM (i.e., black carbon/elemental carbon, ultrafine particles, particles originating from sand and duststorms). These guidelines are not legally binding standards; however, they provide WHO Member States with an evidence-informed tool, which they can use to inform legislation and policy. Ultimately, the goal of these guidelines is to help reduce levels of air pollutants in order to decrease the enormous health burden resulting from the exposure to air pollution worldwide.
This book presents revised guideline values for the four most common air pollutants - particulate matter, ozone, nitrogen dioxide and sulfur dioxide - based on a recent review of the accumulated scientific evidence. The rationale for selection of each guideline value is supported by a synthesis of information emerging from research on the health effects of each pollutant. As a result, these guidelines now also apply globally. They can be read in conjunction with Air quality guidelines for Europe, 2nd edition, which is still the authority on guideline values for all other air pollutants. As well as revised guideline values, this book makes a brief yet comprehensive review of the issues affecting the application of the guidelines in risk assessment and policy development. Further, it summarizes information on: . pollution sources and levels in various parts of the world, . population exposure and characteristics affecting sensitivity to pollution, . methods for quantifying the health burden of air pollution, and . the use of guidelines in developing air quality standards and other policy tools. Finally, the special case of indoor air pollution is explored. Prepared by a large team of renowned international experts who considered conditions in various parts of the globe, these guidelines are applicable throughout the world. They provide reliable guidance for policy-makers everywhere when considering the various options for air quality management.
This book presents WHO guidelines for the protection of public health from risks due to a number of chemicals commonly present in indoor air. The substances considered in this review, i.e. benzene, carbon monoxide, formaldehyde, naphthalene, nitrogen dioxide, polycyclic aromatic hydrocarbons (especially benzo[a]pyrene), radon, trichloroethylene and tetrachloroethylene, have indoor sources, are known in respect of their hazardousness to health and are often found indoors in concentrations of health concern. The guidelines are targeted at public health professionals involved in preventing health risks of environmental exposures, as well as specialists and authorities involved in the design and use of buildings, indoor materials and products. They provide a scientific basis for legally enforceable standards.
Air Pollution and Lung Disease in Adults provides a general approach to problems involving air pollutants and respiratory disorders in adults. The diversity among the authors, whose areas of expertise and interest include pulmonary medicine, toxicology, allergy immunology, pathology, environmental engineering, and industrial hygiene, parallels the diversity of the readers. Although selected chapters address specific conditions, the overall general approach creates a wide context in which to assess and explore several areas of interest. The book begins with a chapter on exposure and environmental characterization, followed by discussions on direct and indirect injury to the respiratory tract, carcinogenesis, and lung cancer. The book then covers the pathology of environmental lung disease, causality assessment, and causal inference and toxicology. Clinical evaluation of the individual patient, diagnosis and differential diagnosis, as well as spirometry and cardiopulmonary exercise testing in impairment evaluation follow. The three chapters addressing the more particular entities of immunologic mechanisms include pneumoconioses, chronic and interstitial pulmonary fibrosis and bronchiolitis, sick building syndrome, multiple chemical sensitivities, and chronic fatigue syndrome.
The 2020 edition of Health at a Glance: Europe focuses on the impact of the COVID‐19 crisis. Chapter 1 provides an initial assessment of the resilience of European health systems to the COVID-19 pandemic and their ability to contain and respond to the worst pandemic in the past century.
Diseases related to the air pollution caused by road transport affect tens of thousands of people in the WHO Europe region each year. This publication considers the policy challenges involved in the need to reduce the related risks to public health and the environment, whilst meeting socio-economic requirements for effective transport systems. It sets out a systematic review of the literature and a comprehensive evaluation of the health hazards of transport-related air pollution, including factors determining emissions, the contribution of traffic to pollution levels, human exposure and the results of epidemiological and toxicological studies to identify and measure the health effects, and suggestions for policy actions and further research.
Microbial pollution is a key element of indoor air pollution. It is caused by hundreds of species of bacteria and fungi, in particular filamentous fungi (mould), growing indoors when sufficient moisture is available. This document provides a comprehensive review of the scientific evidence on health problems associated with building moisture and biological agents. The review concludes that the most important effects are increased prevalences of respiratory symptoms, allergies and asthma as well as perturbation of the immunological system. The document also summarizes the available information on the conditions that determine the presence of mould and measures to control their growth indoors. WHO guidelines for protecting public health are formulated on the basis of the review. The most important means for avoiding adverse health effects is the prevention (or minimization) of persistent dampness and microbial growth on interior surfaces and in building structures. [Ed.]
Presenting the first continental-scale assessment of reactive nitrogen in the environment, this book sets the related environmental problems in context by providing a multidisciplinary introduction to the nitrogen cycle processes. Issues of upscaling from farm plot and city to national and continental scales are addressed in detail with emphasis on opportunities for better management at local to global levels. The five key societal threats posed by reactive nitrogen are assessed, providing a framework for joined-up management of the nitrogen cycle in Europe, including the first cost-benefit analysis for different reactive nitrogen forms and future scenarios. Incorporating comprehensive maps, a handy technical synopsis and a summary for policy makers, this landmark volume is an essential reference for academic researchers across a wide range of disciplines, as well as stakeholders and policy makers. It is also a valuable tool in communicating the key environmental issues and future challenges to the wider public.
This symposium was jointly organized by the United States Environmental Protection Agency and The Netherlands Ministry of Housing, Spatial Planning and the Environment. These proceedings will provide a stimulus for taking up the challenges of environmental policy development in the 21st century, and will contribute to continuing co-operation.Clean air is a basic condition for health. Air pollution aggravates respiratory problems, leading to increased sickness absenteeism, increased use of health care services and even premature mortality. Air pollution is under intensive discussion in the United States and Europe.In The Netherlands, a wide range of policy instruments have been formulated which have reduced air pollution. For example; since 1975, sulphur dioxide and lead emissions have been reduced. However, emission reduction figures for many other substances are more modest. Many air pollution problems persist because progress in countering these problems is nullified by growth in the economy and traffic. Another important target is the prevention of climate change. The international community is agreed that the increasing concentration of greenhouse gases in the atmosphere has led to a gradual increase in the earth's temperature. In terms of the environmental consequences and social implications, the greenhouse problem surpasses all other air quality problems.Across Europe, strategies are being developed to reduce acidification and photochemical air pollution. An air emission ceiling for each country in the European Union is being agreed. In the area of climate change, there is good co-operation between the United States, The Netherlands and other EU Members States in the ongoing global negotiations. This is the start of a new movement. In the last century economies and societies developed through increasing human productivity. In the next century they must develop through increasing the productivity of fuel and natural resources.