Colao Annamaria, Muscogiuri Giovanna, Piscitelli Prisco
Department of Clinical Medicine and Surgery, University Federico II School of Medicine, Via Pansini 5, Naples 80131, Italy.
Southern Italy Hospital Institute (IOS), Medicina Futura Research, Naples 80143, Italy.
Int J Environ Res Public Health. 2016 Jul 19;13(7):724. doi: 10.3390/ijerph13070724.
The Hippocratic tradition emphasized environmental causes of diseases and the need for harmony between the individual and the natural environment as the right philosophy to maintain a good health status. Public awareness and scientific attention concerning environmental pollution is usually focused on the consequent increased risk of developing cancer. Air pollution has been recognized by the World Health Organization (WHO) to cause cardiovascular and respiratroy diseases, as well as lung cancer, after acute/chronic exposure to fine particulates (PM2.5 and PM10) even at concentrations which are 50% lower than those accepted as legal limits in many developed countries. An increase of 10 µg/m³ of PM2.5 produces a +4%-6% of overall mortality, a +10% of cardiovascular disease prevalence (arithmyas, acute myocardial infarctions, and heart failure) and a +22% of lung cancer prevalence. In addition to these chronic effects, acute hospitalizations are also affected, especially among susceptible populations such as children and diabetic patients. Water and soil contamination also have an additional detrimental effect on people's health. Other issues concerning environment contamination and human health include male/female fertility, metabolic and thyroid conditions, but also professional exposures resulting in occupational diseases. Moreover, in the perspective of "gender medicine", different acute or chronic effects of environmental pollution should be specifically assessed both in men and in women. This special issue on "Environmental Diseases" is aimed at providing a global overview about different threats to human health possibily originating from environmental contamination.
希波克拉底传统强调疾病的环境成因,以及个人与自然环境之间保持和谐是维持良好健康状况的正确理念。公众对环境污染的认知和科学关注通常集中在随之而来的患癌风险增加上。世界卫生组织(WHO)已认识到,即使在许多发达国家低于法定限值50%的浓度下,急性/慢性接触细颗粒物(PM2.5和PM10)后,空气污染也会导致心血管和呼吸系统疾病以及肺癌。PM2.5每增加10微克/立方米,总死亡率就会增加4%-6%,心血管疾病患病率(心律失常、急性心肌梗死和心力衰竭)增加10%,肺癌患病率增加22%。除了这些慢性影响外,急性住院率也会受到影响,尤其是在儿童和糖尿病患者等易感人群中。水和土壤污染也会对人们的健康产生额外的有害影响。其他与环境污染和人类健康有关的问题包括男性/女性生育能力、代谢和甲状腺疾病,以及导致职业病的职业暴露。此外,从“性别医学”的角度来看,应该分别具体评估环境污染对男性和女性的不同急性或慢性影响。本期关于“环境疾病”的特刊旨在全面概述可能源于环境污染的对人类健康的不同威胁。