APHEIS Project

Ferran Ballester

ESCUELA VALENCIANA DE ESTUDIOS PARA LA SALUD

IINSTITUT DENSTITUT DE

VVEILLE EILLE SSANITAIREANITAIRE

APHEIS

Air Pollution and Health: A European Information System

Apheis programme created in 1999

Air Pollution and Health: A European Information System

Aims to provide up-to-date and easy-to-use information on health impact assessment (HIA) of air pollution

For decision makers, environmental and health professionals, media and general public

Enables better-informed decisions about political, professional, personal issues

What is Apheis

Co-funded by:

Pollution-Related Diseases Programme of Health and Consumer Protection DG of the European Commission

Participating institutions in 12 European countries

Who funds Apheis

Network

* Network of environmental and public-health professionals

* 16 centres totalling 26 cities in 12 European countries

* Each centre part of a city, regional or national institution active in the field of environmental health

What methods did we use

Network

What methods did we use

APHEIS cities (26)

Steering Committee (Boston, USA)

(Tel-Aviv, Israel)

University of Athens, Athens, Greece Institut Municipal de Salut Pública (Municipal Institute of Public Health),

Barcelona, Spain Departamento de Sanidad, Gobierno Vasco, Vitoria-Gasteiz, Spain Institutul de Sanatate Publica (Institute of Public Health), Bucharest, Romania Jozsef Fodor National Center for Public Health, National Institute of

Environmental Health), Budapest, Hungary National Institute of Hygiene, Warsaw, Poland Saint James Hospital, Dublin, Ireland Institut de Veille Sanitaire, Saint-Maurice, France Inštitut za Varovanje Zdravja RS, (Institute of Public Health), Ljubljana,

Republic of Slovenia

Who are our partners

Saint George’s Hospital Medical School, London, UK Dirección General de Salud Pública, Consejeria de Sanidad,

Comunidad de Madrid (Department of Public Health, Regional Ministry of Health, Madrid Regional Government), Madrid, Spain

ASL RM/E Local Health Authority Roma E, Rome, Italy Escuela Andaluza de Salud Pública (Andalusia School of Public

Health), Granada, Spain Umeå University, Department of Public Health and Clinical Medicine,

Umeå, Sweden Tel Aviv University, Tel Aviv, Israel Escuela Valenciana de Estudios para la Salud (Valencia School of

Health Studies), Valencia, Spain

Who are our partners

Steering Committee Ross Anderson, Saint George’s Hospital Medical School, London, UK Emile De Saeger, Joint Research Centre, Institute for Environment and

Sustainability, Ispra, Italy Klea Katsouyanni, Department of Hygiene and Epidemiology, University of

Athens, Athens, Greece Michal Krzyzanowski, WHO European Centre for Environment and Health,

Bonn Office, Germany Hans-Guido Mücke, Umweltbundesamt - Federal Environmental Agency,

WHO Collaborating Centre, Berlin, Germany Joel Schwartz, Harvard School of Public Health, Boston, USA Roel Van Aalst, European Environmental Agency, Copenhagen, Denmark

Who are our partners

Coordinators Sylvia Medina, Institut de Veille Sanitaire (Institute of Public Health),

Saint-Maurice, France Antoni Plasència, Institut Municipal de Salut Pública (Municipal

Institute of Public Health), Barcelona, Spain

  

Programme Assistant Claire Sourceau, Institut de Veille Sanitaire, Saint-Maurice, France

Who are our partners

What methods did we use

Exposure assessment

(local networks, European Env. Agency; WHO collaborating centre for air quality control, Berlin; European Reference Laboratory Air Pollution, Ispra)

Health outcomes monitoring

(local/national institutes of public health, EUROSTAT,

WHO)

Quantitative relationships ofexposure and health-effect

estimates

(APHEIS)

Health impact assessment (cases, population, attributable risks)

(APHEIS, WHO-ECEH)

Dissemination of information for defined target audiences(APHEIS)

Decision makers

Citizens

Air quality management/Public-health actions

Evaluation (European Commission)

E&H professionals

Network

What methods did we use

APHEIS coordination centre

Paris and Barcelona

Advisory groupsExposure assessmentEpidemiologyStatisticsPublic health Health impact assessment

Participating APHEIS Cities

Technical committeeExposure assessmentEpidemiologyStatisticsPublic HealthHealth Impact Assessment

City committeeNEHAPsLocal/national authoritiesMedical/environmental sciencesCitizens

Local/regional coordinator

Network

Created five advisory groups: public health; health-impact assessment; epidemiology; exposure assessment; statistics

Drafted guidelines for designing and implementing the surveillance system, and for developing a standardised protocol for data collection and analysis for HIA

Review of capacities for HIA in institutions of participating cities

Actions, steps and resultsduring the first year

Implement or adapt organisational models designed during first year

Collect and analyse data for health-impact assessment

Prepare different health-impact scenarios

Prepare HIA report in standardised format (HIA in 26 cities)

Actions, steps and resultsduring the second year

Disseminate HIA report in standardised format (HIA in 26 cities)

Update dose-exposure functions for HIA

Analyse data for obtaining estimates of air pollution impact on total respiratory admissions

Identify needs of the target public (decision makers, professionals,…)

On going actions during the third year

http://apheis.org