© 2002 Occupational and Environmental Medicine
EDITORIAL
Pollution
Quantification of health effects of exposure to air pollution
1 WHO European Centre for Environment and Health, Bonn Office, Germany
2 Health Effects Institute, Boston, Massachusetts, USA
3 St Georges Hospital Medical School, London, UK
Correspondence to:
Correspondence to:
Dr M Krzyzanowski, WHO European Centre for Environment and Health, Bonn Office, Goerrestrasse 15, 53113 Bonn, Germany;
mkr@ecehbonn.euro.who.int
Accepted 9 April 2002
Air pollution is a significant factor shaping public health
Keywords: environmental monitoring; epidemiology; guidelines
| The first 150 words of the full text of this article appear below. |
Over the past decade epidemiological studies in Europe and worldwide have measured increases in mortality and morbidity associated with air pollution.1,2 As evidence of health effects of air pollution has accumulated, European governments, the World Health Organisation (WHO), and other groups have begun to use data from these studies to inform environmental policies through, for example, quantitative estimates of impact of air pollution on public health.36 Health impact assessment involves extrapolation of exposure-health associations measured in epidemiological studies to a target population characterised by a certain observed or predicted exposure pattern.7 The analysis must address important methodological issues relevant to both its design and conduct. Clarity in defining these issues is a prerequisite for proper interpretation of the results in the policy arena. Nevertheless, the results are often prone to misinterpretation, even when the assessment is done carefully, and its multiple uncertainties are carefully presented and explained to decision
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