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56th IFMSA General Assembly – August Meeting 2007 Canterbury, United Kingdom

A.S.P.IS Project Awareness Strategies for Pollution from IndustrieS 

An official IFMSA project since 1997

KOSTAS RODITIS ASPIS Project Coordinator 2005-7

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ASPIS Project (1993-2007) Short info:  A European Union Project, funded by SANCO (European Commision)  ASPIS has evolved into a decision-taking subject based on TRans European Environmental Educational Health Network (TREEE Health Net) initiated by National and Kapodistrian University of Athens Medical School - Project Coordinator  2001: AREHNA (Awareness Raising about Environment and Health of Non expert Advisors).  3 AREHNA multidisciplinary Workshops in Kos Island, Greece (between 2003-05) 2

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


AREHNA 2002-2006 Awareness Raising about Environment and Health of Non-Expert Advisors Project Coordinator: P. Nicolopoulou Stamati

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


AREHNA 2002-2006 Awareness Raising about Environment and Health of Non-Expert Advisors

Mobility – Transport

Fertility

Congenital Diseases

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Environmental Health Impacts of Transport and Mobility        

Air pollution Asthma Cancer Noise Annoyance Endocrine Problems Accidents … 5

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Environmental Impact on Fertility      

Endocrine Disrupters Lower Sperm Count Polycystic ovaries Endometriosis Cancer Oocyte impairment

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Congenital Diseases 

What is really happening?

Do and How external factors influence intrauterus life?

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


The role and timing of intrauterus exposure

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Chemicals Radiation Nutrition … Windows of Exposure

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


The Problem 

What do we really know?

How are we dealing with multicausality?

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Pollution Related Diseases Endocrine Disrupters Waste

Cancer

Environmental Impact on Health Fertility

Congenital

Mobility

Diseases 10

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


ASPIS Awareness Strategies for Pollution from IndustrieS 

“Health Impacts of Waste Management Policies” (2000). KLUWER ACADEMIC PUBLISHERS: Environmental Science and Technology Library, Volume 16. Editors: P. Nicolopoulou-Stamati, L.Hens, C.V.Howard. ISBN 0-7923-6362-0

“Endocrine Disrupters” (2001). KLUWER ACADEMIC PUBLISHERS: Environmental Science and Technology Library, Volume 18. Editors: P. Nicolopoulou-Stamati, L. Hens, C.V. Howard. ISBN 0-7923-7056-2

“Cancer as an Environmental Disease” (2004). KLUWER ACADEMIC PUBLISHERS: Environmental Science and Technology Library, Volume 20. Editors: P. Nicolopoulou-Stamati, L. Hens, C.V. Howard, N.Van Larebeke. ISBN 1-4020-2019-8 and e-book 11

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


AREHNA Awareness Raising about Environment and Health of Non-expert Advisors 

“Environmental Health Impacts of Transport and Mobility” (2005). SPRINGER: Environmental Science and Technology Library, Volume 21. Editors: P. Nicolopoulou-Stamati, L. Hens, C.V. Howard ISBN: 1-4020-4304-X

“Reproductive Health and the Environment” (2006). SPRINGER: Environmental Science and Technology Library, Volume 22. Editors: P. Nicolopoulou-Stamati, L. Hens, C.V. Howard ISBN: 1-4020-4828-9

“Congenital Diseases and the Environment” (2006). SPRINGER: Environmental Science and Technology Library, Volume 23. Editors: P. Nicolopoulou-Stamati, L. Hens, C.V. Howard ISBN: 1-4020-4830-0 12

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Conclusions AREHNA project has accomplished successfully to organize, disseminate and implement knowledge on Pollution Related Diseases focusing on Mobility, Fertility and Congenital Diseases.

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Conclusions 

The conclusions reached by the end of this project (published in the 3 books) entail certain main issues relating to the current state of research on Pollution Related Diseases, reflecting the difficulties they represent. Moreover, results assemble various complex features of the problems under consideration, and suggests ways in which communication can be improved and refined. Current recent concepts, such as ‘critical windows’ of development, when applied to reproductive health and congenital abnormalities, or noise in relation to Mobility, help to address the existing problems globally including “Multicausality” in the approach. 14

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Conclusions ď Ź

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The main consideration is that the range of answers that can be obtained from research, as well as the quality of knowledge derived, depends entirely on the relevance of the question asked. In that respect, the better the problem formulation, the more valuable the data obtained. The main problem in the field of Environmental Impact on Health currently is that methods are rarely standardized, and that not everyone is using unified approaches. This can be applied to epidemiology but also to general toxicology, developmental toxicology, and clinical evidence-based medicine. As a result, it is more difficult to appreciate and compare the data, which may cause confusion to experts, non-experts, policy-makers and the public. The evidence obtained from wildlife can prove to be a useful tool for assessing risk factors, and to further improve methodology.

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56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Conclusions

Furthermore, the most important issue, involving communication of information in educating decision makers, non-expert advisors and the public, has been addressed throughout the project. This aspect has been ignored by the scientific society, with potential serious consequences. None of the research and scientific evidence will make any difference unless it is actively disseminated to the correct channels, a fact which should have been self-evident in Europe’s knowledge-based society. The dissemination of information has acquired a primary role throughout all other aspects of life, which unfortunately does not seem to extend to scientific knowledge and research. We strongly recommend that communication of scientific information should actively involve the public, the non-expert professionals, NGOs, and policy-makers. An efficient interplay of communication between all levels is needed, targeting at raising awareness on the environmental impact of diseases. 16

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Information Knowledge Concern Awareness Decision Making 17

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


Information, Knowledge, Concern, Awareness, Decision Making

www.arehna.di.uoa.gr http://www.helmsic.gr/en/projects/aspis.php 18

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


2007: The next step…  

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ASPIS project continues in 2007… This time, a Summer School is taking place on September 17-21, in Kolymbari, Chania-Crete. Its theme is “Understanding endocrine disruption” Organized by Ass.Prof. P. Nicolopoulou-Stamati (Dpt. of Pathology, Medical School of Athens University, Greece) in cooperation with Karolinska University, Sweden & VOB Brussels University, Belgium. HelMSIC encourages medical students of the 6th year and post-graduate students to take part. 19

56th IFMSA General Assembly – August Meeting 2007, Canterbury, United Kingdom


ASPIS Powerpoint Presentation & Poster AM2007