Tobollik Myriam, Kabel Claudia, Mekel Odile, Hornberg Claudia, Plaß Dietrich
Fachgebiet Expositionsschätzung, gesundheitsbezogene Indikatoren, Umweltbundesamt, Corrensplatz 1, 14195, Berlin, Deutschland.
Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018 Jun;61(6):710-719. doi: 10.1007/s00103-018-2743-x.
Evidence-based political measures need reliable information about the health status of a population and the determinants affecting health. Here, environment and health indicators can provide helpful additional insights.
This article provides an overview of existing indicators in the field of environment and health.
There are single indicators and indicator sets describing solely the environment or health as well as some indicators integrating both aspects.
The indicator sets cover classical epidemiological indicators but also summary measures of population health, which combine mortality and morbidity as well as simple descriptions of the exposure towards environmental risks. The indicator sets mostly cover water and air quality related aspects. For some of the indicators their influence on health is also presented. Furthermore, environment related health indicators are part of sustainability indicator sets. There are indicators on the international, European, national, and municipal level.
All indicator sets aim to support policy-making by advising on measures and setting priorities in the area of environment and health protection. However not all indicators reflect the effect of the environment on health adequately. Therefore, further development of the existing indicators is necessary to reflect current progress (e. g. political needs) and to include new scientific evidence in the field of environment and health. A continuous provision, review, and interpretation of meaningful indicators is required to identify trends and to react to these in order to protect the environment and health. This is necessary to adequately pursue the precautionary principle.
