Cent Eur J Public Health 2016, 24(Supplement):S18-S25

A Summary of Environmental Health Studies in the City of Ostrava and the Surrounding Region in the Czech Republic

Hana Tomášková1,2, Ivan Tomášek1,2, Pavla Polaufová2, Hana Šlachtová1, Jana Janoutová1, Vítězslav Jiřík1, Vladimír Janout1
1 Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
2 Institute of Public Health in Ostrava, Ostrava, Czech Republic

Aim: This study is concerned with environmental health studies conducted in Ostrava (Czech Republic) and the surrounding region since the early nineties.

Methods: Various databases, journals and reports, including internal or unpublished reports, were reviewed to assess the individual publications. A brief description of the studies and main results were collated.

Results: The city of Ostrava and the surrounding region is an important industrial centre in the Czech Republic with a long-term heavy environmental and occupational disease burden. In spite of the theoretically assessed decline of health risks related to decreasing concentrations of compounds in the environment in recent years, it still poses a disproportionally high risk for the city residents. There are a number of studies suggesting supportive evidence, but they are highly variable in their approach to this topic resulting in a high uncertainty of observed associations and consistency of results. Most of the studies were focused on specific contexts, without any relation to environmental factors.

Conclusions: A more systematic approach is needed to assess environmental health burden of diseases especially in relation to air pollution, based on the prospective cohort study, that would lead to sufficient new evidence for accurate and updated description of the environmental health burden in Ostrava.

Keywords: industry, air pollution, PM10, health

Received: August 28, 2015; Revised: June 22, 2016; Accepted: June 22, 2016; Published: December 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Tomášková H, Tomášek I, Polaufová P, Šlachtová H, Janoutová J, Jiřík V, Janout V. A Summary of Environmental Health Studies in the City of Ostrava and the Surrounding Region in the Czech Republic. Cent Eur J Public Health. 2016;24(Supplement):S18-25. PubMed PMID: 28160533.
Download citation

References

  1. Przybylova B, Barcuch A. Ostrava. Praha: NLN, Nakladatelství Lidové noviny; 2013. (In Czech.)
  2. Drbal C. Changes in development of health determinants, their nature, manifestations and impact on health policy. Zdrav Čes Repub. 2000;3(12):6-12.(In Czech.)
  3. Air quality maps of Europe. Air quality data: Air Base - EEA [Internet]. Copenhagen: European Environment Agency; 2014 [cited 2015 July 29]. Available from: http://www.eea.europa.eu/data-and-maps/figures/particulate-matter-pm10-annual-limit-value-for-the-protection-ofhuman-health-7.
  4. Czech Health StatisticsYearbook [Internet]. Praha: ÚZIS ČR; 1992-2014 [cited 2015 Jul 19]. Available from: http://www.uzis.cz/category/edice/publikace/rocenky.
  5. Šlachtová H, Fejtková P, Skýbová D. Special Environmental Health monitoring in the Ostrava-Karviná region. Report 1994-2003. Ostrava: Zdravotní ústav se sídlem v Ostravě, Krajská hygienická stanice Moravskoslezského kraje v Ostravě; 2004. (In Czech.)
  6. Environmental health monitoring system in the Czech Republic. Subsystem 1. Airborne pollution and associated health risks. Report 2013. Praha: SZÚ; 2014 [cited 2015 Jul 19]. Available from: http://www.szu.cz/uploads/documents/chzp/odborne_zpravy/OZ_13/ovzdusi_2013.pdf. (In Czech.)
  7. Environmental health monitoring system in the Czech Republic. Subsystem 6. Health assessment - study HELEN. Report 2005. Praha: SZÚ; 2006 [cited 2015 Jul 19]. Available from: http://www.szu.cz/uploads/documents/chzp/odborne_zpravy/OZ_05/Helen_05.pdf. (In Czech.)
  8. Čížková H. Project Silesia: practical application of methods of risk assessment and management. Ochr Ovzduší. 1998;10(2):4-6. (In Czech.)
  9. Česlová V, Michalík J, Volf J. Evaluation of the health risk of emissions from coke plants for the health of the Ostrava population. Hygiena. 2002;47(2):63-72. (In Czech.)
  10. Williams RW, Watts RR, Hartlage AT, Phillips L, Lewtas J, Dobias L, et al. Ostrava human exposure and biomarker study. EPA/600/R-97/069. Washington DC: U.S. Environmental Protection Agency, Office of Research and Development; 1997.
  11. Dobiáš L, Kůsová J, Havránková J, Vít M, Volf J, Rakusová R, et al. Personnel exposure of the Ostrava population by polycyclic aromatic hydrocarbons in the ambient air (thirty-days monitoring study, project Silesia. Ochr Ovzduší. 1998;10(2):11-15. (In Czech.)
  12. Antova T, Pattenden S, Nikiforov B, Leonardi GS, Boeva B, Fletcher T, et al. Nutrition and respiratory health in children in six Central and Eastern European countries. Thorax. 2003;58(3):231-36. Go to original source...
  13. Gorog K, Pattenden S, Antova T, Niciu E, Rudnai P, Scholtens S, et al. Maternal smoking during pregnancy and childhood obesity: results from the CESAR study. Matern Child Health J. 2011;15(7):985-92. Go to original source... Go to PubMed...
  14. Houthuijs D, Breugelmans O, Hoek G, Vaskövi É, Miháliková E, Pastuszka JS, et al. PM10 and PM2.5 concentrations in Central and Eastern Europe: results from the CESAR study. Atmos Environ. 2001;35(15):2757-71. Go to original source...
  15. Šlachtová H, Avdičová M, Tvrdík J, Fletcher T, Dusseldorp A, Kolarova D, et al. Perceptual differences regarding health and environmental prob lems and their remedies in two states of the former Czechoslovakia. Cent Eur J Public Health. 2003;11(1):44-9.
  16. Šlachtová H, Tomášek I, Jones K, Vašina B, Volf J. Risk perception study in the framework of PHARE/CESAR study - Central European study on air pollution and respiratory health: risk perception, the environment, and communication strategies in the CESAR project: results from the Czech Republic. J Hazard Mater. 1998;61(1-3):313-17. Go to original source...
  17. Timová S, Leonardi GS, Hrubá F, Lochman I, LochmanováA, Erdei E et al. Immune system parameters in children of Central and Eastern Europe: the CESAR study. Cent Eur J Public Health. 2004;12(3):119-25.
  18. Šlachtová H, Kůsová J. The health effects of air pollution in the OstravaKarviná region. Ochr Ovzduší. 2008;21(5-6):24-32. (In Czech.)
  19. Lvončík S, Šplíchalová A, Tomášková H, Tomášek I, Tvrdík J, Volf J. Multilevel comparison of selected results from the CESAR/PHARE study - national results from the Czech Republic - impact of selected factors to respiratory health. Epidemiology. 1998;9(4):S161. Go to original source...
  20. Fabiánová E, Fletcher T, Brunekreef B, Houthuijs D, Lebret E, Leonardi GS, et al. CESAR: respiratory symptoms and indoor risk factors. Epidemiology. 1999;10(4):S30.
  21. Nikiforov B, Breugelmans O, Brunekreef B, Fletcher T, Houthuijs D, Jazwiec-Kanyion B, et al. CESAR: respiratory health. Epidemiology. 1999;10(4):S29.
  22. Houthuijs D, Antova T, Brunekreef B, Fletcher T, Koppova K et all. Traffic and respiratory symptoms in Central and Eastern Europe: results from the CESAR study. Epidemiology. 2001;12(4):S44. Go to original source...
  23. Antova T, Pattenden S, Brunekreef B, Heinrich J, Rudnai P, Forastiere F, et al. Exposure to indoor mould and children's respiratory health in the PATY study. J Epidemiol Community Health. 2008;62(8):708-14. Go to original source... Go to PubMed...
  24. Gehring U, Pattenden S, Slachtova H, Antova T, Braun-Fahrländer C, Fabianova E, et al. Parental education and children's respiratory and allergic symptoms in the Pollution and theYoung (PATY) study. Eur Respir J. 2006;27(1):95-107. Go to original source... Go to PubMed...
  25. Hoek G, Pattenden S,Willers S,AntovaT, Fabianova E, Braun-Fahrländer C, et al. PM10, and children's respiratory symptoms and lung function in the PATY study. Eur Respir J. 2012;40(3):538-47. Go to original source... Go to PubMed...
  26. Pattenden S, Hoek G, Braun-Fahrländer C, Forastiere F, Kosheleva A, Neuberger M, et al. NO2 and children's respiratory symptoms in the PATY study. Occup Environ Med. 2006;63(12):828-35. Go to original source... Go to PubMed...
  27. Slachtova H, Gehring U, Hoek G, Tomaskova H, Luttmann-Gibson H, Moshammer H, et al. Parental education and lung function of children in the PATY study. Eur J Epidemiol. 2011; 26(1):45-54. Go to original source... Go to PubMed...
  28. Fletcher T, Pattenden S,Antova T, Braun-Fahrländer Ch, Koppova K, Forastiere F, et al. Consistency and heterogeneity in PM10 and NO2 effects on children's respiratory symptoms. Epidemiology. 2005;16(5):S93-4. Go to original source...
  29. Fletcher T, Pattenden S, Hoek G, Heinrich J, Neuberger MA, Braun CH, et al. PM10 and respiratory symptoms in primary school children in multi-country study. Epidemiology. 2004;15(4):S32. Go to original source...
  30. Moshammer H, Hoek G, Luttmann-Gibson H, Neuberger MA, Antova, T, Gehring U, et al. Parental smoking and lung function in children: an international study. Am J Respir Crit Care Med. 2006;173(11):1255-63. Go to original source... Go to PubMed...
  31. Tomášková H, Tomášek I, Šlachtová H, Šebáková H. Impact assessment of PM10 concentrations on mortality and morbidity in Ostrava during smog episodes. Hygiena. 2011;56(1):5-10. (In Czech.)
  32. Tomášková H, Šlachtová H, Tomášek I, Skýbová D, Šebáková H. Relationship PM10 pollution and specific mortality and hospitalizations in Ostrava in the period 2007 and 2009. In: Proceedings of the 19th Conference Environment and Health; 2011 Sep 19-21; Smokovec, SK. Bratislava: Úrad verejného zdravotníctva SR; 2012. (In Czech.)
  33. Tomášek I, Tomášková H, Polaufová P, Šplíchalová A, Michalík J. The study of mortality and morbidity from cardiovascular and respiratory causes in relation to PM10 air pollution in Ostrava. Report 2014. Ostrava: Zdravotní ústav se sídlem v Ostravě; 2014. (In Czech.)
  34. Environmental health monitoring system in the Czech Republic. Subsystem 6. Health assessment, study HELEN - Allergic diseases in children. Report 2012. Praha: SZÚ; 2013 [cited 2015 Jul 19].Available from: http://www.szu.cz/uploads/documents/chzp/alergie/Subsystem_6_OZ_2013_2.pdf. (In Czech.)
  35. Šrám RJ. Results of air pollution study - new knowledge 2010. Ochr Ovzduší. 2010;22(5-6):3-7. (In Czech.)
  36. Michalík J, Šlachtová H, Polášková M. Evaluation of outdoor factors in prevalence of allergies using the GIS. Epidemiology. 2000;11(4):S74. Go to original source...
  37. Michalík J, Šlachtová H, Tomášková H. GIS in medicine. GEOinfo. 2001; 8(1):20-2. (In Czech.)
  38. Health 2020 - national strategy for health protection and promotion and disease prevention. Prague: Ministry of Health of the Czech Republic; 2014.
  39. Dostál M, Šrám RJ. The study on the health status of children from Ostrava-Radvanice and Ostrava-Bartovice. Ochr Ovzduší. 2010;22(56):35-8. (In Czech.)
  40. Rössner P, Švecová V, Šrám RJ. The impact of air pollution on the levels of markers of oxidative stress. Ochr Ovzduší. 2010;22(5-6):38-43. (In Czech.)
  41. Rössnerová A, Špátová M, Rössner P, Nováková Z, Solanský I, Šrám RJ. Factors affecting the frequency of micronuclei in asthmatic children from Ostrava. Ochr Ovzduší. 2010;22(5-6):44-9. (In Czech.) Go to original source...
  42. Velická H, Puklová V, Keder J, Brabec M, Malý M, Bobák M, et al. Asthma exacerbations and symptom variability in cildren due to shortterm ambient air pollution changes in Ostrava. Cent Eur J Public Health. 2015;23(4):292-8. Go to original source... Go to PubMed...
  43. Central European Study on Air pollution and Respiratory health: study results. Brussels: European Commission; 1997.