[Methods for health impact assessment of policies for municipal solid waste management: the SESPIR Project].
The Project Epidemiological Surveillance of Health Status of Resident Population Around the Waste Treatment Plants (SESPIR) included five Italian regions (Emilia-Romagna, Piedmont, Lazio, Campania, and Sicily) and the National Institute of Health in the period 2010-2013. SESPIR was funded by the Ministry of Health as part of the National centre for diseases prevention and control (CCM) programme of 2010 with the general objective to provide methods and operational tools for the implementation of surveillance systems for waste and health, aimed at assessing the impact of the municipal solid waste (MSW) treatment cycle on the health of the population. The specific objective was to assess health impacts resulting from the presence of disposal facilities related to different regional scenarios of waste management. Suitable tools for analysis of integrated assessment of environmental and health impact were developed and applied, using current demographic, environmental and health data. In this article, the methodology used for the quantitative estimation of the impact on the health of populations living nearby incinerators, landfills and mechanical biological treatment plants is showed, as well as the analysis of three different temporal scenarios: the first related to the existing plants in the period 2008-2009 (baseline), the second based on regional plans, the latter referring to MSW virtuous policy management based on reduction of produced waste and an intense recovery policy.
Federica
F
Parmagnani
Direzione tecnica, Centro ambiente e salute, ARPA Emilia-Romagna, Modena. aranzi@arpa.emr.it.
Andrea
A
Ranzi
Carla
C
Ancona
Paola
P
Angelini
Monica
M
Chiusolo
Ennio
E
Cadum
Paolo
P
Lauriola
Francesco
F
Forastiere
D001673:Biodegradation, Environmental; D004781:Environmental Exposure; D004782:Environmental Health; D004785:Environmental Pollutants / Q000633:toxicity; D006078:Government Programs / Q000191:economics / Q000458:organization & administration*; D062489:Health Impact Assessment / Q000379:methods*; D006291:Health Policy; D006801:Humans; D017745:Incineration; D007558:Italy; D008962:Models, Theoretical; D017063:Outcome Assessment, Health Care; D011159:Population Surveillance; D019057:Quality-Adjusted Life Years; D012037:Refuse Disposal / Q000191:economics / Q000379:methods*; D018570:Risk Assessment; D013997:Time Factors; D014504:Urban Health; D064091:Waste Disposal Facilities
D004785:Environmental Pollutants