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National and Kapodistrian University of Athens Medical School

HALF-YEAR REPORT 2006 AWARENESS STRATEGIES FOR POLLUTION FROM INDUSTRIES ASPIS PROJECT

ATHENS 2006


Contents

Contents........................................................................................................................2 .......................................................................................................................................2 PROJECT INFORMATION.......................................................................................3 Summary of the project.................................................................................................4 Activity background....................................................................................................10 Evaluation of the passed 6 months.............................................................................12 Lunch at the old spring “Pigi”.............................................................................13 Coffee Break.........................................................................................................14 Financial report..........................................................................................................14 Planning for the next six months...............................................................................15 Epilogue.......................................................................................................................15

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PROJECT INFORMATION

Name of project:

Awareness Strategies for Pollution from IndustrieS (Acronym ASPIS)

Responsible National Member Organization: Hellenic Medical Students’ International Committee (HelMSIC – Office of Athens)

Scientific Project Coordinator: Dr. P. Nicolopoulou-Stamati Ass. Prof. of Pathology University of Athens, Medical School 28th October Str. No. 21 GR-152 37 Athens GREECE Office Tel +301-748-8235 Fax +301-684-0488 Email: aspis@ath.forthnet.gr

IFMSA Project Coordinator: Irini Zoga Project Coordinator for the MM2006 Achileos Charis National Project Coordinator for HelMSIC HelMSIC Office of Athens Office address: PO Box 14045 11510 Athens, Greece tel-fax: +302107462033 e-mail : eb@helmsic.gr

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Summary of the project

Awareness Strategies for Pollution from IndustrieS (ASPIS-ΑΣΠΙΣ = Ancient Greek world for “shield”) has started as a European Project and it has realized a cluster of actions (ASPIS I and ASPIS II) with the aim to inform and raise awareness of decision makers on environmental issues (civil servants, engineers, medical doctors, lawyers and journalists). ASPIS has developed to a ‘tool of decision making’. It is based at the TRans European Environmental Educational Health Network (TREEE Health Net) that was launched in 1994 following an initiative of the University of Athens collaborating at first with the University of Liverpool and since 1996 with the Free University of Brussels. With the participation of medical students of different countries in all the stages of the project, ASPIS has aimed to: a) Inform the young health professionals about current health-related environmental issues. b) Bring up fruitful and productive thinking through seminars, round tables and discussions about the future of the implication of human activity on health c) Activate medical students not only towards the prevention of environmental induced disease, but also towards environmental pollution itself. Through IFMSA, TREEE Health Net is available to medical students globally, giving them the opportunity of further learning and discussion.

The scope of the TREEE Health Net is the following  Collection, evaluation and dissemination of all the information that are related to the impact of the environment on health  Dissemination and interpretation of information to decision makers  Educating people at the health sector who are in the public realm of issues that are dealing with environmental decision making  Offering advice via direct communication, exchange of ideas and information among people who are involved in environmental issues that have impact on health

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 Development of continuing education and life long learning  Development of distance learning

AREHNA Awareness Raising about Environment and Health of Non expert Advisors

AREHNA – the new phase of ASPIS project The scopes of the new cluster of activities are:

To improve management of the pollution - related diseases: by setting up of data base of cases documenting the relationship between environmental exposure and disease on selected cases under the subjects:  Mobility related diseases  Fertility problems related to the environment  Congenital diseases in different EU countries, validating data using tools as health impact assessment including hazard mapping

by bringing together the different intervening stake holders (policy makers, health civil servants, NGOs, medical experts, journalists, lawyers, medical doctors) together in 3 workshops on the above environmental health impacts to enhance the flow of information, identify bottlenecks and make recommendations by developing strategies and communication tools for the dissemination of information based on new technology There is a growing concern on the rising incidence of pollution - related diseases. Existing data need to be linked and organized in order to

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provide documentation for the correlation of environmental impact on human health. EU, recognizing the complexity of the economic and social consequences evolving with environmental factors, has made tremendous efforts to address the rising cost of this subject. Despite the increasingly need for sources of reliable information on environmental health issues, the association between environmental exposure and health effects, information on risk factors related to epidemiology, test methods in use and identification of hot spots, pollution - related effects and critical development windows, are not fully documented. This project is proposing to fill gaps by enhancing the flow of relevant information training

decision

-

makers

on

environmental

health

impact

simultaneously aiming at developing a level of understanding ensuring sustainable development and multidisciplinary cooperation

Participants:

i.

National and Kapodistrian University of Athens Medical School - Project Coordinator Ass. Prof. Dr. Polyxeni Nicolopoulou - Stamati 37 Agias Filotheis Ave., 15237 Athens, Greece Tel: +30-210-7462163 Fax: +30-210-6840488 e-mail: aspis@ath.forthnet.gr Dept. of Informatics and Telecommunications IT Infrastracture and Technical Support Prof. Sergios Theodoridis, Dr. Aggelos Pikrakis Panepistimioupolis, TYPA Buildings, Ilisia 15784, Athens, Greece Tel: +30-210-7275340 FAX: +30-210-7275214 e-mail: {stheodor, pikrakis}@di.uoa.gr

ii.

Vrije Universiteit Brussels Prof. Dr. Luc Hens Laarbeeklaan 103, B-1090 Brussels, BELGIUM Tel: +32-2-4774281 Fax: +32-2-4774964 e-mail: gronsee@meko.vub.ac.be

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iii.

University of Liverpool Dr. C. Vyvyan Howard Senior Lecturer Ashton Street, Liverpool L69 3GE Tel: +44-151-7947833 Fax: +44-151-7945517 e-mail: c.v.howard@liv.ac.uk

iv.

International Center for Pesticide Safety Dr. Claudio Colosio Via Magenta 25, I - 20020 Busto Garolfo, Milano, ITALY Tel: +390-331-406615/11 Fax: +390-331-568023 e-mail: cclosio@icps.it

v.

Unit of Epidemiology International Agency for Research on Cancer Dr. Annie Sasco, MD,PHD, Chief of Unit 150 Cours Albert Thomas, 69372 Lyon Cedex 08, FRANCE Tel: +33-472-73-8412 Fax: +33-472-73-8342 e-mail: sasco@iarc.fr

vi.

University of Granada Lab. Medical Investigations Prof. Dr. Nicolas Olea 18071 Granada, SPAIN Tel: +34-958-242864 Fax: +34-958-249953 e-mail: nolea@ugr.es

vii.

Certificado International Ecologia Humana Prof. Dr. Manuel J. Nazareth Travessa Estavao Pinto Campolide 1070-124, Lisboa PORTUGAL Tel:+351-266-704476 Fax: +351-21-7977759 e-mail: info@isegi.unl.pt

viii.

Aarhus University Prof. Herman Autrup bldg 260, Vennelyst bld 6, 8000 Aarhus C, DENMARK Tel: +4589426000 Fax: +4589426199 e-mail: IMA@mil.au.dk

ix.

Natl. Inst. Publ. Hlth. Prof. Dr. Max Vojtisek Srobarova 48, 10042 Prague 10, CZECH REPUBLIC Tel: +42-02-67311467 Fax: +42-02-673-112-36 e-mail: maxvojt@szu.cz ASPIS Project- Half-year report 2006, March Meeting, Pucon, Chile

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x.

Universitatii nr. 16 Prof. Dr. Carol Stanciu 6600 IASI, ROMANIA Tel-Fax: +4032211820 e-mail: rectorat@umfiasi.ro

xi.

University of Sofia Prof. Stoyan Stoyanov bld KL. Ohridski 8, Sophia 1756, BULGARIA Tel: +3592681021 Fax: +3592681480 e-mail: stoyanov@uctm.edu

Task description

1. Setting up and monitoring database 2. Organizing 3 multidisciplinary workshops where database information will be used and addressed through consideration of exposure routes, relation of exposure - effect, mechanisms of toxicity, human health evidence, risk analysis, health impact assessment, hazard mapping, public health impacts and policies. 3. Production of 3 peer reviewed books with extended proceedings containing scientific documentation 4. Creation of interactive website All project activities will be scheduled and supervised by a core scientific group representing respectively the participating countries. Overall evaluation will be made by a scientific committee , external audit and total quality assurance.

EXPECTED RESULTS Create a database linking existing research data to environmental exposure, case studies of which might work as early warning system for environmental health problems.

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Produce recommendations and tools, thus built capacity for handling and managing pollution - related diseases raising awareness of decision makers and public. Enhance availability and dissemination of existing information to all intervening parties using IT. Produce 3 books on the relevant topics for non-experts decision makers. Develop a wed site to promulgate information with interactive facilities ASSESSMENT AND FOLLOW-UP Assessment will be implemented by: A. internal assessment instruments: evaluation of workshop by participants, scientific committee and interactive website B. external assessment: audit for each year and C. assessment by EU Furthermore this proposal seeks to capitalize on ASPIS (Awareness Strategies for Pollution from Industries) experience that has sustainably been functioning since 1996. Further funding may be accomplished through developed communication tools.

UTILISATION AND DISSEMINATION Dissemination of results to non expert advisors and public at large, by means of: Production of 3 books with proceedings published by a worldwide publisher Development of interactive web site promulgate info, ensuring facilities of broad participation Utilisation of acquired information through journalists for the beneficial of general public. The Existing network (NGOs, IFMSA).

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METHODS Methods employed will be multidisciplinary cooperation of interactive groups, discussion and evaluation of data, publication of results, web pages and web site with interactive capacity. Experts and non expert target groups will exchange information and experience, thus contributing to a process of training of trainers via workshops and interactive web pages. Generated information will be documented in a way to enhance the understanding on pollution related diseases, by serving not only the target groups but also the public at large through journalists. Overall evaluation will be by scientific communication, external audit and total quality assurance. Individual events will be evaluated by questionnaires, peer reviews and editorial publisher reviews

Activity background  Delphi 24-28/10/1994

European Symposium “Environment and Health”

Greece  Delphi, 31/8-5/9/1996,

Mother-to-child pollution

Greece

Pesticides as bulk chemical pollutants Education awareness strategy Waste disposal and the ‘precautionary principle’ under European law

 Brussels 11/1/1997,

“Water pollution”

Belgium  Liverpool 24-

“Pollutant mixtures”

25/3/1997, United Kingdom  Auditorium of the

“The Press and the management of the scientific

Association of Greek

information that concerns the influence of the

Journalists based in

environment on health”

Athens 17/4/1997

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Greece  Old University of

Seminar on “Environment and Health” Medical

Athens, Plaka

students’ presentations on environmental issues

15/6/1998, Greece  Kos Island 1214/11/1998 Greece  Kos Island 16-

European Seminar on “Health impacts of waste management policies” Weekly seminar “Environment and Health”

23/5/1999,

organized for Swiss learning the Greek language

Greece

deriving mostly from pharmaceutical industry of

 Kos Island, 2-4/9/1999, Greece

Basel, Switzerland European Seminar with the participation of experts from the USA on “Endocrine Disruptors and their implications on human health”

 Kos island 7-9/9/2000

Seminar with international participation under the title:

 Athens 14/6/2002

“Is cancer a predominantly environmental disease?” “Health impacts of waste management,

 Lesbos Island 10/8/2002

Gastrointestinal tract and respiratory system” “Information on environmental issues”

 Kos island

Mobility and health

3-5/5/2003  Kos island

Environmental impact on Fertility

7-9/5/2004

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Evaluation of the passed 6 months •

An article about the latest news of the project was published in the University Press.

A master degree entitled ‘Environment and Health’ was approved by the medical school scientific council and will start soon

During this course the medical students are working on specific subjects on Environmental Health that will be announced on a meeting on September and will be published in the university’s press.

AREHNA Workshop, 9-11 June 2005 PILI Cultural Center Kos Island Aegean Sea PROGRAMM

Thursday 9 June 2005

Problem formulation. Overview of the problem of Environmental Impact on Health. Morning Session Coordinators: L. Hens, C. Sekeris 09:10 09:15 10:00 10:45

Welcome address by project coordinator

P.Nicolopoulou – Stamati

Key note address: Sets the scene Coffee Break

John Peterson Myers

11:15

Discussion

12:00

Official Opening by the Mayor and Kos authorities

12:30

Lunch break

Afternoon Session: Session Coordinators: C.V. Howard, A. Mantovani 13:30 13:45

Male Dysgenesis Syndrome Endocrine disrupters, inflammation and

Jorma Toppari Olle Soder

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14.30 15.00 15:30

steroidogenesis Maternal exposure and cryptorchism Endocrine disrupter exposure and risk of male congenital malformations Discussion

Patrick Thonneau Nicolas Olea Serrano

17:00 Departure by bus to hotel and then to Zia mountain for ouzo and dinner.

Friday 10 June 2005 Morning Session Coordinators: C. Evangelides, C.V. Howard 09:00

10:30 11:00

Congenital Diseases related to environmental exposure to dioxins Endpoints for prenatal exposures in toxicological studies Association of intra uterus exposure with drugs. Thalidomide effect Coffee Break EUROCAT: surveillance of environmental impact

11:30

Do we have evidence from the wild life

12.30 13.30

Lunch at the old spring “Pigi� Departure for Asclepieion by bus (optional) * Guided visit to Asclepieion

09:35 10.00

Janna Koppe Alberto Mantovani Maurizio Clemente Helen Dolk Martine Vrijheid Gwynne Lyons

Afternoon Session: European Environmental Agency Multicausuality Round Table Discussion Session coordinators: David Gee, Vyvyan Howard 14:30

Brain storming on Multicausality Reporteur: Nicholas Lelos

John Peterson Myers

15:00 15.30 16:00 16.30 17.30

Coffee Break Discussion Departure by bus to Hotel and then to the Ancient Roman Odeon of Kos

20.00-21.00 Harp and Flute concert at the Roman Odeon, in the city of Kos

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21.50

Dinner

* If you wish to visit the ancient Asclepieion, please contact Ms Alexandra Katsivelaki at the computer room, Thursday 9th June until 2.00 pm.

Saturday 11 June 2005 Morning Session Coordinators: C.V. Howard, Nicolas Olea 09:00 09.15

Raising awareness on impact to EU policies of Information Society RTD and deployment projects results Country report on Congenital diseases in Greece

09.30

Country report on Congenital diseases in Bulgaria

Vassilios Laopodis Emmanuel Agapitos Manolis Brillakis Evaggelos Fousteris Stoyan StoyanovEkaterina

09.50 10.30

Environmental risk and new born sex ratio Coffee Break

11.00

Pesticides exposure in relation to congenital diseases The point of view on congenital diseases of NGO’s concerning environmental exposure Congenital Diseases in China Lunch Conclusions-Closing Raporteur: Nguyen Thi Thuc

11.30 12.00 12.30 13.30

Terlemesian Miroslav Peterka Catherine Wattiez Genon Jensen Marie Christine Dewolf Yongtang Jin Luc Hens

15.00

Departure by bus to Hotel and then to Airport or Hot Springs Free afternoon

18.30-21.00

Dinner at the sea shore, Greek Dancing Evening

The summaries of the meeting are available at www.arehna.di.uoa.gr

Financial report

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ASPIC is a multidisciplinary project, as far as it concerns funds for the whole scientific project; they are assured and controlled by European Commission (QLAM00030-2000) and the University of Athens. Helmsic provides the information concerning the field of Pollution and pollutants generally to the students, such as to the decision-makers who are involved. Pr. Dr. Nikolopoulou –Stamati, covered our expences according to the financial support by the European Commission. Helmsic also covered some small amounts. Arehna is going to be fundraised by the European Union. Fundraising will start in September.

Planning for the next six months •

ASPIS greatest event for the next months will be the first AREHNA seminar that will be held on Kos Island from 7-9 of May. The title of the seminar is Congenital Diseases. Information about the agenda will appear later

Expenses Posters for the AM in Serbia Photocopies and brochures Certificates for Kos meeting Tickets and hotels for Kos meeting Slides for Kos meeting Total

drachmas 20000 5000 25000 500000 20000 570000

euros 60 15 75 1475 59 1684

Budget for the next 6 months Our expenses will be limited because all required money will be covered by the EU funds that support the project. An amount of 400 euros is estimated for the March Meeting (poster, slides, brochures etc)

Epilogue

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ASPIS will continue to take an active part in raising awareness of decision-makers and generally people that are related to the environment. We think that our most important aim as medical students is to emphasise the major importance of the thousand pollutants that surround us nowadays for our health and to set off the environmental health as an inseparable part of our medical curricula.

Of course, it is very difficult or impossible to predict the effects of substances that are used today. Furthermore, it is extremely hard to prove that suspect chemicals are guilty for some damaging effects because millions of experiments are required. The reason is that due to a research these organic pollutants may have additive or synergistic effect. “There is no evidence” can and does often mean we didn’t look” or “we didn’t measure the right things”. The luck of proves cannot be an excuse for doing nothing. Future generations will not thank us for failing to take a precautionary approach during our temporary stewardship of the environment, which they will have to inherit.

Irini Zoga / Charis Achilleos IFMSA ASPIS Project Coordinator 2005-6

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ASPIS Half Year Report 2006  

Half-year report of Awareness Strategies for Pollution from IndustrieS - A.S.P.IS. project of the Hellenic Medical Students' International C...

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