2. APHEIS Air Pollution and Health: A European Information System to Assess the Health Impact of Air Pollution Sylvia Medina, Antoni Placencia, Hans-Guido Mücke on behalf of the Apheis group WHO/EEA/JRC Workshop, 11/12 October 2004 in Berlin Federal Environmental Agency

3. Federal Environmental Agency APHEIS (1999 – 2003) co-funded project of EC DG Sanco ‚Pollution-Related Diseases Programme‘ project built on the experiences and findings of the EC DG Research projects APHEA (1991-1994) / APHEA2 (1995-1998)

4. Federal Environmental Agency APHEIS (1999 – 2003) project aimed to create an epidemiological surveillance system of effects of air pollution (SO 2, NO 2, O 3 and PM) on health due to money constraints reduced to: particulate matter (TSP, BS, PM 10 /PM 2.5 ) network of environment and public-health professionals (16 centres totalling 26 cities in 12 European countries)

5. Federal Environmental Agency APHEIS centres (1/2) University of Athens, Athens, Greece Institut Municipal de Salut Pública (Municipal Institute of Public Health), Barcelona, Spain Departamento de Sanidad, Gobierno Vasco, Vitoria-Gasteiz, Spain Institutul de Sanatate Publica (Institute of Public Health), Bucharest, Romania Jozsef Fodor National Center for Public Health, National Institute of Environmental Health, Budapest, Hungary National Institute of Hygiene, Warsaw, Poland Saint James Hospital, Dublin, Ireland Institut de Veille Sanitaire, Saint-Maurice, France Inštitut za Varovanje Zdravja RS, (Institute of Public Health), Ljubljana, Republic of Slovenia

6. Federal Environmental Agency APHEIS centres (2/2) Saint George’s Hospital Medical School, London, UK Dirección General de Salud Pública, Consejeria de Sanidad, Comunidad de Madrid (Department of Public Health, Regional Ministry of Health, Madrid Regional Government), Madrid, Spain ASL RM/E Local Health Authority Roma E, Rome, Italy Escuela Andaluza de Salud Pública (Andalusia School of Public Health), Granada, Spain Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden Tel Aviv University, Tel Aviv, Israel Escuela Valenciana de Estudios para la Salud (Valencia School of Health Studies), Valencia, Spain

7. Federal Environmental Agency APHEIS - Network

8. Federal Environmental Agency APHEIS-3 Health Impact Assessments – Use of PM data –  WHO/ECEH software AirQ 2.0 (2003) requires data over one calendar year: PM 10 /PM 2.5 data (24h mean values) and data of health effects

9. Federal Environmental Agency

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17. Federal Environmental Agency Annual mean levels, 5th and 95th percentiles of the distribution of PM 2.5, measured and converted from PM 10

18. Federal Environmental Agency APHEIS steering committee Ross Anderson, Saint George’s Hospital Medical School, London, UK Emile De Saeger, Joint Research Centre, Institute for Environment and Sustainability, Ispra, Italy Klea Katsouyanni, Department of Hygiene and Epidemiology, University of Athens, Athens, Greece Michal Krzyzanowski, WHO European Centre for Environment and Health, Bonn Office, Germany Hans-Guido Mücke, Umweltbundesamt - Federal Environmental Agency, WHO Collaborating Centre, Berlin, Germany Joel Schwartz, Harvard School of Public Health, Boston, USA Roel Van Aalst, European Environment Agency, Copenhagen, Denmark

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23. Federal Environmental Agency APHEIS vs. AirBase Summary HIA-relevant PM 10 stations used in APHEIS 84 - stations not included in AirBase (26%) 22 stations in AirBase 62 - stat. incl., but no PM 10 data available 14 stations with PM 10 data (general) 48 APHEIS stations with PM 10 data in AirBase 24 for the resp. calendar year 2000/01/02 (29%)

24. Federal Environmental Agency Conclusion APHEIS successfully built up an epidemiolog. surveillance network to assess health impacts of PM in 26 European cities (PM 10 : 21 cities) Because at the moment AirBase provides only ~30% of PM 10 data (24h mean values) of selected HIA-relevant APHEIS stations (n=84), epidemiol. projects, such APHEIS, still need to compile AP data directly from respective AQ networks for HIA calculations.

25. Federal Environmental Agency For further information please visit: www.apheis.net