title: [Health impact assessment of airport noise on people living nearby six Italian airports].
abstract: BACKGROUND
  aircraft noise has been associated with several health effects. Because of the great success of low-cost flights, small airports have been turned into international airports thus exposing nearby residents to an increase in noise levels and potential disturbances and health disorders.
  
  
  OBJECTIVE
  to estimate the exposure levels and evaluate the health impact of aircraft noise on residents nearby six airports in Italy (Rome: Ciampino; Milan: Linate and Malpensa; Pisa; Turin; Venice) focusing on hypertension, acute myocardial infarction (AMI), annoyance and sleep disturbances.
  
  
  METHODS
  residents in the local Municipalities considered at 31.12.2010 were included in the study and their addresses were geocoded. Aircraft noise exposure in 2011 was defined using the Integrated Noise Model linked to each participant's address. Lden (<55, 55-60, 61-65, 65-70 dB), Lnight, Leq (day and night) were calculated. Available exposure-response relationships were used to estimate the number of additional cases of hypertension, AMI, annoyance and sleep disturbances in the local population.
  
  
  RESULTS
  73,272 persons exposed to aircraft noise levels >55dB were considered: 55,915 (76.3%) were exposed to 55-60 dB; 16,562 (22.6%) to 60-65 dB; 795 (1.2%) to 65-70 dB. Exposure to aircraft noise levels above 55 dB was estimated to be responsible each year of 4,607 (95%CI 0-9,923) additional cases of hypertension; 3.4 (95%CI 0-10.7) cases of AMI; 9,789 (95%CI 6,895-11,962) cases of annoyance; 5,084 (95%CI 1,894-10,509) cases of sleep disturbances.
  
  
  CONCLUSIONS
  a significant impact of airport noise on the health of residents nearby six Italian airports was estimated. Epidemiological evaluation and noise mitigation measures should be introduced to protect the health of residents.
authors.affiliation: Dipartimento di epidemiologia, Servizio sanitario regionale Lazio, Roma. c.ancona@deplazio.it.
authors.forename: Carla
authors.initials: C
authors.lastname: Ancona
authors.forename: Martina Nicole
authors.initials: MN
authors.lastname: Golini
authors.forename: Francesca
authors.initials: F
authors.lastname: Mataloni
authors.forename: Donatella
authors.initials: D
authors.lastname: Camerino
authors.forename: Monica
authors.initials: M
authors.lastname: Chiusolo
authors.forename: Gaetano
authors.initials: G
authors.lastname: Licitra
authors.forename: Marina
authors.initials: M
authors.lastname: Ottino
authors.forename: Salvatore
authors.initials: S
authors.lastname: Pisani
authors.forename: Laura
authors.initials: L
authors.lastname: Cestari
authors.forename: Maria Angela
authors.initials: MA
authors.lastname: Vigotti
authors.forename: Marina
authors.initials: M
authors.lastname: Davoli
authors.forename: Francesco
authors.initials: F
authors.lastname: Forastiere
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000401:Aircraft; D059028:Airports; D005260:Female; D062489:Health Impact Assessment; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000209:etiology; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000209:etiology; D009622:Noise / Q000009:adverse effects*; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000209:etiology; D055815:Young Adult