UFIREG Project and Team

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UFIREG Project and Team Dr. Monika Senghaas Research Association Public Health Saxony Faculty of Medicine Carl Gustav Carus Technische Universität Dresden

Background I UFP rarely included in routine measurements No limit values for UFP Little number of epidemiological studies Bild: fotalia/anatolii Insufficient epidemiological evidence II Monika Senghaas 2

Background I I: UFP rarely included in routine measurements Measurement technique too expensive, not suitable for routine measurements UFIPOLNET (Ultra Fine Particle Size Distribution in Air Pollution Monitoring Networks, 2004-2008) project developed a new instrument for UFP measurements designed for monitoring networks There is a need to demonstrate that UFP could be measured routinely at network monitoring sites Monika Senghaas 3

Background II II: Insufficient epidemiological evidence on health effects of UFP Specific properties and acting mechanisms of UPF (< 100 nanometres) effects might be independent from those of larger particles Suggestive, but not consistent epidemiological evidence on association between exposure to UFP and mortality and morbidity (respiratory and cardiovascular diseases) Monika Senghaas 4

Motivation for UFIREG I: UFP rarely included in routine measurements Motivation: To demonstrate the applicability of the UFP measurements at network monitoring stations and to provide reliable and comparable data on UFP exposure for epidemiological analyses II: Insufficient epidemiological evidence Motivation: To increase the knowledge base on health effects of ultrafine particles and other air pollutants By conducting a multicentre study, using the same monitoring and health outcome evaluation approaches across several cities in Central Europe Monika Senghaas 5

UFIREG Ultrafine Particles an evidence based contribution to the development of regional and European environmental and health policy (UFIREG) Objective Measurement of ultrafine particles in five Central European cities and analysis of their short-term effects on (cause-specific) mortality and morbidity Duration 01.07.2011 31.12.2014 Implementation CENTRAL EUROPE Programme, co-financed by the ERDF Monika Senghaas 6

UFIREG project team Germany Technische Universität Dresden (Dresden) (Lead Partner) Saxon State Office for Environment, Agriculture and Geology (Dresden) Helmholtz-Zentrum München German Research Center for Environmental Health (Munich) Czech Republic Institute of Experimental Medicine, Academy of Sciences of the Czech Republic (Prague) Czech Hydrometeorological Institute (Prague) Slovenia The National Laboratory of Health, Environment and Food (Maribor) Ukraine L.I. Medved s Research Center of Preventive Toxicology, Food and Chemical Safety, Ministry of Health, Ukraine (state enterprise) (Chernivtsi) Monika Senghaas 7

Project coordination Dissemination Project overview Exposure assessment to UFP and other air pollutants Epidemiology of short term health effects Workgroups & Stakeholder Panel Results and Conclusions www.ufireg-central.eu Monika Senghaas 8

Exposure assessment UFIREG measurements 2012 2011 2013 2004 2012 Fotos: S. Bastian, M. Pitz, B. Mykhalchuk, M. Gobec Monika Senghaas 9

Exposure assessment UFIREG measurements Matevž Gobec National Laboratory of Health, Environment and Food, Maribor Bogdan Mykhalchuk L.I. Medved s Research Center of Preventive Toxicology, Food and Chemical Safety, Ministry of Health, Ukraine (state enterprise), Chernivtsi Monika Senghaas 10

Epidemiology of short term health effects Daily counts of (cause-specific) deaths and hospital admissions (official statistics) Primary outcomes Deaths due to natural causes Deaths and hospital admissions due to cardiovascular diseases Deaths and hospital admissions due to respiratory diseases Monika Senghaas 11

Exposure assessment UFIREG measurements Stefanie Lanzinger Helmholtz-Zentrum München German Research Center for Environmental Health, Munich Anna Pastorková Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Prague Monika Senghaas 12

Data Collection in Augsburg and Dresden Access to the health data through the Research Data Centres of the Federal Statistical Office + Statistical Offices of the Länder 1. Request for working as a guest scientist at the research data centers 2. Analysis of mortality and hospital admission data only at the respective research data centers Delayed data availability (Data from 2013 available as of Spring/Summer 2015) Analysis of health data more time consuming Monika Senghaas 13

Prague epidemiological data Source and data selection Mortality and Hospital Admissions data 2012-2013 Institute of Health Information and Statistics of the Czech Republic Prague residents who died in Prague (age =>1 year) reduction from 24 561 to 19 605 of natural mortality Prague residents hospitalized in Prague (age =>1 year) (unscheduled admissions) reduction from 82 006 to 28 616 hospital admissions Sociodemographic data Institute of Health Information and Statistics of the Czech Republic Czech Statistical Office Monika Senghaas 14