Population health as a target function and criterion for assessing efficiency of activities performed within “Pure air” federal project
A.Yu. Popova1, 3, N.V. Zaitseva2, I.V. May2
1Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, 18, bld. 5 and 7, Vadkovskiy pereulok, Moscow, 127994, Russian Federation
2Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
3Russian Medical Academy for Postgraduate Studies, 2/1 Barrikadnaya Str., Moscow, 123995, Russian Federation
We took several cities (Bratsk, Krasnoyarsk, Norilsk, and Chita) included as priority ones into the “Pure air” federal project as an example and showed that it was not sufficient to only aim at reducing gross emissions of pollutants and apply it as a criterion to assess efficiency of air-protecting activities performed in a city. Health risk calculations, and comparative analysis of risk assessment and medical statistical data on population applying for medical aid, combined with the results of profound targeted examinations, revealed that medical and demographic losses (additional population mortality and morbidity) occurred due to a significant number of chemical admixtures, including those, who were not included into a list of pollutants which had to be reduced. Consequently, air-protecting activities don’t necessarily result in relevant improvement of a sanitary-hygienic and medical-demographic situation. Residual health risks still remain high.
We showed that there were several significant aspects related to developing and working out in detail complex regional action plans within the “Pure air” federal project. They were a necessity to constantly and profoundly inform a wide circle of people who make decisions on ambient air protection about adverse impacts exerted by specific components in emissions on population health and actual medical and demographic losses on a territory; to assess whether it was technically possible to achieve recommended emission levels and to discuss it with economic entities in order to work out optimal decisions as regards orientation and urgency of specific activities in the sphere; to integrate assessments of air-protecting activities efficiency with prospect city-planning in a region, and to include compensatory medical and prevention activities into regional action plans that should help achieving acceptable health risks levels.
- Medvedev D.A. Russia-2024: the strategy of social and economic development. Voprosy ekonomiki, 2018, no. 10, pp. 5–28 (in Russian).
- Popova A.Yu. Strategic priorities of the Russian Federation in the field of ecology from the position of preservation of health of the nation. Zdorov'e naseleniya i sreda obitaniya, 2014, vol. 251, no. 2, pp. 4–7 (in Russian).
- Polichetti G., Cocco S., Spinali A., Trimarco V., Nunziata A. Effects of particulate matter (PM10, PM2.5 and PM1) on the cardiovascular system. Toxicology, 2009, vol. 261, no. 1–2, pp. 1–8. DOI: 10.1016/j.tox.2009.04.035
- Dockery D.W., Pope C.A., Xu X., Spengler J.D., Ware K.H., Fay M.E., Ferris B.G., Speizer F.E. An association between air pollution and mortality in six U.S. cities. New. England. J. Med., 1993, vol. 329, pp. 1753–1759. DOI: 10.1056/NEJM199312093292401
- Pope C.A., Shwartz J., Ransom M.R. Daily mortality and PM10 pollution in Utah Valley. Arh. Environ. Health, 1992, vol. 47, pp. 211–217. DOI: 10.1080/00039896.1992.9938351
- Burnett R.T., Smith-Doiron M., Stieb D., Cakmak S., Brook J.R. Effects of particulate and gaseous air pollution on cardiorespiratory hospitalizations. Archives Environmental Health, 1999, vol. 54, no. 2, pp. 130–139. DOI: 10.1080/00039899909602248
- Burger M., Catto J.W., Dalbagni G., Grossman H.B., Herr H., Karakiewicz P., Kassouf W., Kiemeney L.A. [et al.]. Epidemiology and risk factors of urothelial bladder cancer. Eur. Urol., 2013, vol. 63, no. 2, pp. 234–241. DOI: 10.1016/j.eururo.2012.07.033
- Carpenter, D.O., Bushkin-Bedient S. Exposure to chemicals and radiation during childhood and risk for cancer later in life. J. Adolesc. Health, 2013, vol. 52, no. 5, pp. 21–29. DOI: 10.1016/j.jadohealth.2013.01.027
- World Cancer Report. IARC, 2014. Available at: https://www.iarc.fr/cards_page/world-cancer-report/ (01.10.2019).
- Wolf J., Corvalan C., Neville T., Bos R., Neira M. Diseases due to unhealthy environmental: as updated estimate of the global burden of diseases attributable to environmental determinants of health. Journal of Public Health, 2017, vol. 39, no. 3, pp. 464–475. DOI: 10.1093/pubmed/fdw085
- Air Pollution Science for 21-st Century. In: J. Austin, P. Brimblecombe, W. Sturgeseds. Elsevier Science Ltd, 2002, 676 p.
- Preventing disease through healthy environments: a global assessment of the burden of disease from environmental risks. World Health Organization, 2016. Available at: https://www.who.int/airpollution/ambient/health-impacts/en/ (01.10.2019).
- Nieuwenhuijsen M.J., Dadvand P., Grellier J., Martinez D., Vrijheid M. Environmental risk factors of pregnancy outcomes: a summaryof recent meta-analyses of epidemiological studies. Environ Health, 2013, vol. 15, no. 12, p. 6. DOI: 10.1186/1476-069X-12-6
- State of the science of endocrine disrupting chemicals. In: A. Bergman, H.J. Heindel, S. Jobling, K.A. Kidd, R.T. Zoeller eds. Geneva, WHO and UNEP Publ., 2012, 38 p.
- Ekong E.B., Jaar B.G., Weaver V.M. Lead-related nephrotoxicity: a review of the epidemiologic evidence. Kidney Int, 2006, vol. 70, no. 12, pp. 2074–2084. DOI: 10.1038/sj.ki.5001809
- Kazimov M.A., Aliyeva R.H., Aliyeva N.V. City air pollution with heavy metals and evaluating their jeopardy for public health. Meditsina truda i promyshlennaya ekologiya, 2014, no. 5, pp. 37–41 (in Russian).
- Revich B.A. Natsional'nyi proekt «Chistyi vozdukh» v kontekste okhrany zdorov'ya naseleniya [“Pure air” national project within the context of population health protection]. Ekologicheskii vestnik Rossii. Available at: http://ecovestnik.ru/index.php/2013-07-07-02-13-50/nashi-publikacii/3132... (01.10.2019) (in Russian).
- Zaitseva N.V., Zemlyanova M.A., Kol'dibekova Yu.V., Zhdanova-Zaplesvichko I.G., Perezhogin A.N., Kleyn S.V. Evaluation of the aerogenic impact of priority chemical factors on the health of the child population in the zone of the exposure of aluminum enterprises. Gigiena i sanitariya, 2019, vol. 98, no. 1, pp. 68–75 (in Russian).
- Zaitseva N.V., Zemlyanova M.A., Bulatova N.I., Kol'dibekova Yu.V. Analysis and evaluation of blood plasma pro-teomic profile violations due to the increased concentration of fluoride ion in children’s urine. Zdorov'e naseleniya i sreda obitaniya, 2019, vol. 316, no. 7, pp. 23–27 (in Russian).
- Ananina O.A., Pisareva L.F., Odintsova I.N., Khristenko E.L., Popkova G.A., Khristenko I.D. Cancer incidence among population of Norilsk. Formation of high risk groups for cancer. Sibirskii onkologicheskii zhurnal, 2013, vol. 58, no. 4, pp. 58–61 (in Russian).
- Kurkatov S.V., Tikhonova I.V., Ivanova O.Yu. Assessment of the risk of environmental atmospheric pollutants for the health of the population of the city of Norilsk. Gigiena i sanitariya, 2015, vol. 94, no. 2, pp. 28–31 (in Russian).
- Kashleva E.A., Ignateva L.P., Potapova M.O. Hygenic estimation of the influence factor ambiences on physical development of the children contingent. Profilakticheskaya i klinicheskaya meditsina, 2012, vol. 42, no. 1, pp. 15–18 (in Russian).
- Meshkov N.A., Val'tseva E.A., Yudin S.M. Environmental situation and health in large industrial cities. Mezhdunarodnyi zhurnal prikladnykh i fundamental'nykh issledovanii, 2018, no. 9, pp. 50–57 (in Russian).
- Nikiforova V.A., Pertseva T.G., Khoroshikh N.T., Nikiforova A.A. Ecological aspects of children's health in the northern territories of Eastern Siberia. Sistemy. Metody. Tekhnologii, 2014, vol. 21, no. 1, pp. 140–147 (in Russian).
- Revich B.A. Kachestvo atmosfernogo vozdukha v megapolisakh i riski zdorov'yu naseleniya [Ambient air quality in megalopolises and population health risks]. Chelovek v megapolise: opyt mezhdistsiplinarnogo issledovaniya. In: B.A. Revich, O.V. Kuznetsova. Moscow, LENAND Publ., 2018, 640 p. (in Russian).
- Chistyakov Ya.V., Eparkhin O.M., Volodin N.I. Melkodispersnaya pyl' – tekhnogennaya ugroza biosfere [Fine-disperse dust as a technogenic threat to the biosphere]. Istoriya i perspektivy razvitiya transporta na severe Rossii, 2014, no. 1, pp. 155–158 (in Russian).
- Zagorodnov S.Yu., Kokoulina A.A., Popova E.V. Studying of component and disperse structure of dust emissions of metallurgical complex enterprises for problems of estimation Izvestiya Samarskogo nauchnogo tsentra Rossiiskoi akademii nauk, 2015, no. 17, pp. 451–456 (in Russian).
- Ivanova A.A., Kumpan N.V., Bragina O.N., Kiseleva O.A., Myachina T.N. The need to develop guidelines on accounting for emissions of fine dust Thermal power plants. Elektricheskie stantsii, 2014, vol. 991, no. 2, pp. 57–63 (in Russian).
- Zagorodnov S.Yu. Dust contamination of the atmospheric air of the city as an undervalued risk factor to human health. Vestnik Permskogo natsional'nogo issledovatel'skogo politekhnicheskogo universiteta. Prikladnaya ekologiya. Urbanistika, 2018, vol. 30, no. 2, pp. 124–133 (in Russian).