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Achievements of the WHO NEHAP in Hungary as a pilot country of the progamme

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Title: Achievements of the WHO NEHAP in Hungary as a pilot country of the progamme


1
Achievements of the WHO NEHAP in Hungary as a
pilot country of the progamme
  • A. Pintér, A. Páldy, T. Málnási,
  • E. Erdei
  • National Center for Public Health,
  • National Institute of Environmental Health,
    Hungary

2
Average life-expectancy at birth (years), males
1970-1999
3
Average life-expectancy at birth (years),
females, 1970-1999
4
Total mortality, male, 0-64 years, 1970-1999
standardized death rate / 100,000
5
Total mortality, female, 0-64 years, 1970-1999
standardized death rate / 100,000
6
Lung cancer mortality rates, males, 0-64 years,
1970-1999
standardized death rate / 100,000
7
Lung cancer mortality rates, females, 0-64 years,
1970-1999
standardized death rate / 100,000
8
Programs studied in the timeframe of Hungarian
NEHAP 1997-1999.
  • Outdoor air quality
  • Water quality
  • Waste management and soil quality
  • Work environment, occupational health
  • Special aspects of chemical safety
  • Ionizing radiation safety
  • Food safety
  • Environmental noise
  • Indoor air quality
  • Environmental epidemiological information system

9
Scope and Purpose of the Hungarian Environmental
Action Programme I.
  • To promote an environment supportive to human
    health and improving the health status of the
    population.
  • To overview the most important environmental
    health issues and problems while setting
    priorities for implementations.
  • To develop scientifically-based projects
    including technological, economic and
    administrative details (bankable projects),
    utilising available financial tools to support
    priorities.

10
Scope and Purpose of the Hungarian Environmental
Action Programme II.
  • To ensure close collaboration with respective
    ministries, agencies and other parties, with the
    health and environmental sectors playing a
    leading role.
  • To encourage local iniciatives (local
    governments, local NGOs) to improve environmental
    health in local areas.
  • To promote activities related to a healthy life
    style.
  • To encourage international collaborations in the
    field of environmental health

11
ResultsOutdoor air quality
  • New approach for measurement methodology-
    emission sources, modelling in Tatabánya
    modelling for other cities
  • Passive monitoring methodology for benzene,
    xylene, toluene measurements
  • EU conformed technics, measurement systems
  • Ragweed-caused allergic problems, continuous
    pollen monitoring network

12
Ragweed infected agricultural lands in Hungary
13
Water quality I.
  • Drinking water
  • 97 of population supplied with piped drinking
    water, generally good quality
  • Problems
  • 1. Arsenic-Hungarian limit value 50 ?g/l.
  • 2. Nitrate- newborn methaemoglobinaemia
  • 3. Ammonium, iron, manganese
  • 4. Bacterial aftergrowth in deep well waters

14
As concentration of drinking water in Hungary
(1998) and clusters of mortality from cancer of
the kidneys and bladder (ICD-10 C64-C68)
1986-1997
15
Water quality II.
  • Bathing water-bacterial contaminations, low level
    of sewage treatment
  • Lake Balaton - summer algal blooms (rare),
    bacteriologically clean
  • New diagnostic methods for Cryptosporidium and
    Giardia determinations

16
Waste and soil quality
  • In cooperation with the National Environmental
    Action Plan a survey of waste disposal (communal,
    industrial, agricultural) was carried out in 9
    counties.

17
Sites of pesticide and fertilizer disposal in
County Békés
Waste water producers and sites of disposal in
County Békés
pesticides fertilizers fertilizers pesticides
waste water producers disposal
18
Other programmes
  • Work environment- asbestos exposure in wokplaces
    and environment- lung cancer risk assessment
  • Chemical safety
  • PCB compounds in the environment, their health
    effects
  • Host genetic polymorphisms and carcinogenic
    exposure relationships
  • Noise- industrial and service facilities, road
    and air traffic related measurements, analysis

19
Radiation safety
  • occupational exposure, low levels (10-15 of the
    dose limits) Nuclear Power Plant (Paks)
    contributes only 1/1000 of the natural level
  • population exposure from medical sources (X-ray,
    isotope diagnostic, cancer treatment)
  • Uranium mining wastes and disposal wastes of
    nuclear energy
  • Food safety
  • Pb, Cd, Hg, nitrate, PAHs, polychlorinated
    compounds, breast-milk PCBs

20
(No Transcript)
21
Teaching environmental health and healhty
life-style
  • Importance of education in the field of
    environmental health, pilot project in one county
    (Gyor-Moson-Sopron), overall concepts from
    kindergarten level upto secondary school
    graduation creative, active teaching form
  • Books, leaflets, complex educational tools for
    teachers and schools

22
New NEHAP issues for 2000-2003 period
  • Climate change and its health effects in Hungary
  • Genetic polymorphisms and allergic diseases
  • Rural environment and its effect on the human
    health
  • Traffic and application of the Environment and
    Health Charta in Hungary
  • Persistent chlorine compounds
  • WHO Water and Health Document implications
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