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Environmental health surveillance in a future European health information system

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dc.contributor.author Joas, Anke
dc.contributor.author Schöpel, Miriam
dc.contributor.author David, Madlen
dc.contributor.author Casas Sanahuja, Maribel
dc.contributor.author Koppen, Gudrun
dc.contributor.author Esteban, Marta
dc.contributor.author Knudsen, Lisbeth E.
dc.contributor.author Vrijheid, Martine
dc.contributor.author Schoeters, Greet
dc.contributor.author Castaño Calvo, Argelia
dc.contributor.author Schwedler, Gerda
dc.contributor.author Kolossa-Gehring, Marike
dc.contributor.author Joas, Reinhard
dc.date.accessioned 2020-01-14T08:30:18Z
dc.date.available 2020-01-14T08:30:18Z
dc.date.issued 2019
dc.identifier.citation Joas A, Schöpel M, David M, Casas M, Koppen G, Esteban M et al. Environmental health surveillance in a future European health information system. Arch Public Health. 2018;76:27. DOI: 10.1186/s13690-018-0272-6
dc.identifier.issn 0778-7367
dc.identifier.uri http://hdl.handle.net/10230/43270
dc.description.abstract Background: To date Health information (HI) in the European Union does not comprise indicators or other information related to impacts of hazardous chemicals in consumer products, food, drinking water or air on the health status of the population. Therefore, we inventorised and evaluated the potential of environmental health surveillance and research data sources in the European population to provide HBM-based indicators of internal human exposure and health impact of relevant chemicals. Methods: We established an up-dated inventory of European cross-sectional Human Biomonitoring (HBM) surveys and of birth cohorts, and compared chemicals and chemical groups addressed by HBM with indicators and health end points collected via European Core Health Indicators (ECHI), in birth registries, as well as in environmental and food data bases and health registries to see on how data collection could be aligned. Finally, we investigated study designs of HBM survey and health examination surveys for potential synergies. Results: The inventory covers a total of 11 European cross-sectional national programmes and a large number of birth cohorts and includes information on study population, age groups, covered substances, sampled matrices, and frequency. The comparison of data collections shows that there are many overlaps between environmental chemicals with environmental and health reporting. HBM data could be linked with ECHI indicators for work-related risks, body mass index (BMI), and low birth weight, with perinatal disease, neurologic disorders, and some chronic diseases, or with data bases for e.g. indoor air, food, or consumer products. Existing initiatives to link data collections at European Environment Agency (EEA) and Joint Research Center (JRC) or at World Health Organization (WHO) are good options to further develop linkage of HBM with exposures sources and health end points. Conclusions: There is potential to use HBM based information in a number of public health policies, and this would help to align reporting to international commitments. Environmental health surveillance based on HBM and HBM-based indicators, is an excellent tool to inform public health policies about risks from environmental chemicals, and the EU health information system would benefit from additional HBM-based indicators for monitoring exposure burden from environmental chemicals. Considerable efforts are needed to align and establish routine data collections and to develop a surveillance system and indicators which may inform public health policies.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof Archives of Public Health. 2018;76:27
dc.rights © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Environmental health surveillance in a future European health information system
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1186/s13690-018-0272-6
dc.subject.keyword Birth cohorts
dc.subject.keyword Chemical contaminants
dc.subject.keyword Environmental health
dc.subject.keyword HBM
dc.subject.keyword HES
dc.subject.keyword Health information
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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