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Environmental Health and Sustainable Development Dr. Maria Neira WHO PUBLIC HEALTH AND ENVIRONMENT World Health Organization 1 Environmental factors cause over 25% of global burden of disease –important contributions to largest diseases World Health Organization 2 Public Health and Environment: preventing disease through healthier environments Reduce 25% of the global Health impact assessment and burden of disease environmental burden of disease Promote a healthier Environmental health of the health environment sector – intensify primary prevention Occupational health and Chemical Safety – influence public policies in all Water, sanitation and health sectors, so as to Children's environmental health – address the root causes of Air pollution (in and outdoors) environmental threats to Radiation safety health Climate change and health World Health Organization 3 Impact of environment on healthImpact of environment on health How much disease could be prevented by modifying the environment? n 40% World Current evidence io t average c 30% a (best conservative estimate)= 24% r f le 20% b a t u 10% ib r t t Based on Comparative Risk Assessment, evidence A 0% synthesis and expert survey D E -A -B -D -B D A B C B D A B - - R R - - - - R- - - - AFR AFR AM AM AMR EMR EMR EUR EUR EUR A AR WPR WPR SE SE "Preventing disease through healthy environments". Sub-region WHO, 2006 What is the modifiable environment? Pollution UV and ionizing radiation, noise, EMF Occupational risks Built environment, incl. housing, land use, roads Agricultural methods, irrigation schemes Man-made climate change, ecosystem change Related behaviour (e.g. handwashing) World Health Organization 4
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