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Published on: April 28, 2023
Biomonitoring-based environmental public health indicators
Andrey I Egorov1, Dafina Dalbokova, Michal Krzyzanowski
1World Health Organization (WHO), Regional Office for Europe, European Centre for Environment and Health (ECEH), Bonn, Germany. egorovan@ecehbonn.euro.who.int
Biomonitoring indicators track environmental pollutant exposure. Persistent organic pollutants in human milk show a decline, except for PBDEs, highlighting the need for effective public health policies.
Area of Science:
- Environmental Health
- Toxicology
- Public Health Surveillance
Background:
- Environmental health information systems rely on biomonitoring to assess pollutant exposure.
- Standardized surveillance programs are crucial for collecting reliable data on environmental contaminants.
Purpose of the Study:
- To discuss the application of biomonitoring indicators in environmental health information systems.
- To demonstrate the use of "Persistent organic pollutants in human milk" as an environmental public health indicator.
Main Methods:
- Utilized data from WHO-coordinated surveillance of persistent organic pollutants in human milk.
- Incorporated data from national biomonitoring studies, including those from Sweden.
- Analyzed trends in pollutant concentrations over time.
Main Results:
- WHO survey data indicate a consistent decrease in dioxin levels in breast milk across Europe.
- Swedish biomonitoring data show a general decline in most persistent organic pollutants since the 1970s.
- Polybrominated diphenyl ethers (PBDEs) increased until the late 1990s before declining due to policy interventions.
Conclusions:
- Human biomonitoring data are vital for informing environmental public health policy.
- Effective policy support requires standardized, sustainable surveillance, robust data interpretation, and clear communication strategies.
- Indicator factsheets are essential for disseminating credible information on environmental health indicators.
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