Workshop on air pollution epidemiology
288 Pages
English

Workshop on air pollution epidemiology

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Experiences in East and West Europe
Environment policy and protection of the environment

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Language English
Document size 4 MB

ISSN 1018-5593
European Commission
Directorate-General XII
Science, Research and Development
Air pollution epidemiology reports series
Report No 7
Workshop on air pollution epidemiology:
Experiences in East and West Europe
Berlin, 14 and 15 November 1994
EUR 16747 EN J
European Commission
Directorate-General XII
Science, Research, Development
Air pollution epidemiology report series
Report No 7
Proceedings of the
Workshop on air pollution epidemiology:
Experiences in East and West Europe
Berlin, 14 and 15 November 1994
co-organized in the framework of the
European concerted action in air pollution epidemiology
sponsored by the
European Commission,
Directorate-General XII for Science, Research and Development and
the Federal Ministry for the Environment, Nature Conservation and Reactor Safety
organized by
the Federal Environmental Agency
Institute for Water, Soil and Air Hygiene, Berlin
with support by its WHO Collaborating Centre
for Air Quality Management and Air Pollution Control
and in cooperation with
the Institute for Epidemiology, GSF Munich
edited by
PARI EUSOP. Bih'Mh.
N. Englert, B. Seifert, H. E. Wichmann
N.C.
1996 C r EUR 16747 EN Published by the
EUROPEAN COMMISSION
Directorate-General XIII
Telecommunications, Information Market and Exploitation of Research
L-2920 Luxembourg
Air pollution epidemiology reports series
Report No 7: Workshop on air pollution epidemiology: Experiences in East and West Europe
Edited by:
N. Englert and B. Seifert
Institute for Water, Soil and Air Hygiene
Federal Environmental Agency
Corrensplatz, 1
D-14195 Berlin
H. E. Wichmann
GSF-Forschungszentrum
Institut fur Epidemiologie
D-85758 Oberschleissheim
This report is a publication of the Environment and Climate Research Programme
of the European Commission, Directorate-General for Science,
Research and Development
LEGAL NOTICE
Neither the European Commission nor any person acting
on behalf of the Commission is responsible for the use which might be made
of the following information
No part of this publication may be reproduced, stored in a retrieval system, or transmit­
ted in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, without indicating the abovementioned references
Cataloguing data can be found at the end of this publication
Luxembourg: Office for Official Publications of the European Communities, 1996
ISBN 92-827-5783-8
© ECSC-EC-EAEC, Brussels • Luxembourg, 1996
Printed in Belgium Reports available to date in the Air Pollution Epidemiology Reports Series:
1. Exposure Assessment
2. Health Effect Assessment
3. EC(COST) - East Europe Workshop on Air Pollution Epidemiology (Proceedings Budapest
Workshop)
4. Study Designs
5. Workshop on Air Pollution and Health in the Mediterranean Countries of Europe (Proceedings
Athens Workshop)
6. Time-Activity Patterns in Exposure Assessment
7. Workshop on Air Pollution Epidemiology - Experiences in Eastern and Western Europe
(Proceedings Berlin Workshop)
Reports in preparation in the Air Pollution Epidemiology Reports Series:
8. Socioeconomic and Cultural Confounders in Air Pollution Epidemiology
9. Risk Assessment
10. Time-Series Analysis
For further information on this series, please contact:
Dr. C. NOLAN
European Commission
DG XII - Directorate-General for Science, Research and Development
200, rue de la Loi
B-1049 BRUSSELS FOREWORD
In 1990, an European Concerted Action in Air Pollution Epidemiology was established. It was
initially implemented as COST project 613/2 linked to the STEP Programme, but was later run as a
concerted action in the ENVIRONMENT Research Programme of the European Commission. The
main objective of the concerted action is "to improve the quality and effectiveness of
epidemiological research on atmospheric pollution and health through European cooperation".
Technical objectives of the action are:
raising and unifying the standards of study designs, measurement techniques and data analysis
methodologies,
creating an European (including Central and Eastern Europe) network of experts in air
pollution epidemiology,
initiating cross-European multicenter studies in air pollution epidemiology,
identifying and addressing air pollution problems specific to some European regions, and
encouraging the utilization of the unique opportunities of East-West European study
comparisons, and possibilities for semi-experimental studies in Central and Eastern Europe.
No research is funded directly within the concerted action, although shared-cost action projects
which are offshoots of the action have successfully joined the ENVIRONMENT Research
Programme of the Commission.
Within the concerted action, the Commission is assisted in its tasks of coordinating European
Research by a scientific Steering Committee comprising experts appointed ad personam from both
Western and Eastern Europe.
Working groups are established by the Commission on the advice of the Steering Committee to
implement specific tasks. These groups meet at workshops etc. to produce Air Pollution
Epidemiology Research Reports. To date, four working groups have produced reports on: (i)
Exposure Assessment, (ii) Health Effects Assessment, (iii) Study Designs, and (iv) Time-Activity
Patterns.
Three other working groups are currently preparing reports on (v) Socio-Economic and Cultural
Confounders, (vi) Risk Assessment, and (vii) Time-Series Analysis.
In addition, regional aspects of air pollution are treated in special scientific symposia. To date, two
sets of proceedings have been produced following (i) an East European / COST Meeting in Air
Pollution Epidemiology (Budapest, May 1991) and (ii) a Meeting on Air Pollution and Health in the
Mediterranean Region of Europe (Athens, October 1992). This report is the product of the third
regional meeting organised under the concerted action.
Heinrich OTT TABLE OF CONTENTS
OPENING
H. Lange-Asschenfeldt xiii
RTiirck xv
C. Nolan xvi
H.E. Wichmann xix
Session I: INTRODUCTION
Chair: B. Seifert
U. Ackermann-Liebrich
The European Concerted Action on Air Pollution Epidemiology:
Views on Study Design 3
M. Williams
Ambient Air Pollution in Europe 9
M. Krzyzanowski
Availability of Data Concerning Studies on Health Effects of Air Pollution
in East and West Europe 13
E. Lebret
The PHARE Research Programme on Health Effects of Air Pollution
in Six Central European Countries5
Session II: CROSS-SECTIONAL STUDIES I
Chair: H.-E. Wichmann
D. Nowak and H. Magnussen
The EC Respiratory Health Survey in Adults 21
E. von Mutius
Asthma and Atopy in Children in Leipzig/Halle/Munich5
ISAAC - The International Study of Asthma and Allergies in Childhood 33
U. Kramer et al.
Health Effects of Air Pollution in Children in Leipzig / Halle / Magdeburg /
Ruhr and Rhine Area 3
VII J. Heinrich et al.
Health Surveillance Programme in Children in Two Polluted Areas (Bitterfeld
and Hettstedt) and in A Control Region (Zerbst) in East Germany 45
L. Pelech et al.
Developmental and Hematological Changes in Children Living in Areas with
Different Degree of Air Pollution 53
Session III: CROSS-SECTIONAL STUDIES II
Chair: I. Farkas
v
R.J. Sram
Teplice Program - A Complex Study of the Effects of Air Pollution on Human Health 63
M. Cucu and E.S. Gurzau
Epidemiological Studies on Respiratory Diseases in Children Exposed to Different
Air Pollutants 75
J. Zejda
Chronic Respiratory Symptoms in Children of Upper Silesia, Poland -
Occurrence and Risk Factors • °*
J. Pastuszka, R.L. Gorny, and K. Okada
Particulate Air Pollution in Upper Silesia, Poland, Outdoors and Indoors -
Recommendations for Epidemiological Studies 8
Session IV: CROSS-SECTIONAL STUDIES III
Chair: U. Ackermann-Liebrich
I. Farkas et al.
Use of Biological Markers in Epidemiological Studies in Connection with
Traffic-Related Air Pollution 95
W. Jedrychowski
Individual Susceptibility to Air Pollutants 107
N. Englert and W. Babisch
Lung Function Studies in Schoolchildren in Berlin 119
VIII