Suchergebnisse

Landfilling should be the last option in an integrated Municipal Solid Waste (MSW) management approach. In the European Union (EU), the policy framework to protect the environment and the public health against the impact of health hazards related to urban solid waste management has been consistently implemented in recent decades. A growing interest in the negative impact of fires in waste landfills on the environment and people's health was reported in some European countries. In Italy, an increasing occurrence of arsons in MSW and landfills has been reported in recent years. During the summer of 2012, a multi-site arson occurred in the Palermo Municipal solid waste landfill of Bellolampo (western Sicily), giving rise to an environmental emergency of public health concern. Local health authorities reacted by creating an inter-institutional multidisciplinary task force with the aim to implement measures to prevent and control the risk of exposure by delimiting a protection area to be taken under strict monitoring. Environmental and epidemiological investigations were put in place by air, soil, and farm product sampling. A syndromic surveillance of the exposed population was conducted as well. The air monitoring stations system in place detected an increase in the concentrations of dioxins and dioxin-like substances with the PM10 highest emission pick documented within the first 24 h and estimated at about 60 µg/m3. Levels of heavy metals above the limits permitted by law were detected in the top-and sub-soil samples collected within the two landfill sampling sites and also in other nearby sites. Non-conforming concentration values of dioxins and dioxin-like substances were detected in samples taken from farms, milk, and water. The health syndromic surveillance did not document any daily increase in the notification of emergency admissions related to acute respiratory diseases or any other health effect potentially related to the waste arson, but these findings were limited by the non-systematic collection of data. The experience reported in the present case report, as declined within the European Union policy framework and in the view of environmental justice, documented the need to structure a permanent collaboration between the different institutional actors involved in environmental and public health protection activities in order to develop specific protocols to manage events related to the occurrence of waste-related environmental emergencies or disasters.

INTRODUZIONE Le istituzioni europee e la comunità scientifica hanno, recentemente, definito un nuovo modello di sorveglianza attiva della potenziale diffusione delle droghe nella collettività, la Wastewater Based Epidemiology (WBE), attraverso la ricerca analitica delle molecole e dei loro metaboliti nelle acque reflue cittadine. Lo scopo di questo lavoro è stato la valutazione di una preliminare applicazione di METODIca WBE nella città di Palermo, poco studiata in precedenti analisi a livello nazionale e internazionale. METODI Sono stati prelevati 28 campioni (2 litri cad) di refluo medio delle 24 ore in ingresso ai due depuratori di Palermo (WP1=45.000 ab. eq.; WP2=330.000 ab. eq.) in un periodo compreso tra giugno e novembre 2015. I campioni sono stati prefiltrati, concentrati ed infine analizzati (200 mml) mediante tecnica di spettrometria di massa LC-MS/MS. Gli analiti ricercati sono stati Cocaina, Benzoilecgonina (BEG), THC-COOH e Amfetamine (MDA, MDE, MDMA, Metamfetamine). È stato effettuato, inoltre, il calcolo della quantità di sostanza stupefacente consumata nella popolazione (gr/die/1.000 abitanti e dosi/die/1.000 abitanti). RISULTATI I RISULTATI ottenuti sono illustrati nella tabella 1. I consumi di sostanze stupefacenti registrati nella città di Palermo (gr/die/1000 ab) sono RISULTATI i seguenti = Cocaina=0,145 (1,45 dosi/1000 ab); THC=4,37 (35,00 dosi/1000 ab), Amfetamine=Non quantificabili. CONCLUSIONI L'applicazione della metodologia WBE può essere considerata uno strumento aggiuntivo ai classici indicatori indiretti del consumo di droghe nella collettività a disposizione delle istituzioni per comprendere meglio il fenomeno delle tossicodipendenze e per attuare azioni di contrasto e politiche di educazione sanitaria più efficaci finalizzate alla prevenzione.

We report the physico-chemical and bacteriological characteristics of three Sicilian reservoirs. The aim of this study was the evaluation of the reservoirs' sanitary conditions, given tha the water is also used for human consumption. 114 samples (4 locations at each lake) were collected in the period from July 1995 to June 1996. We analysed temperature, pH, oxygen saturation, colour and parameters of water mineralization and pollution of natural or human origin.Pathogenic bacteria (Salòmonellae) and opportunistic patjogens such as Pseudomonas aeruginosa and Aeromonas spp. were also investigated. At present, results are not showing particular levels of pollution, and it seems there is no risk for these lacustrine environments. Authors point out a higher exposure of Poma reservoir to polluting elements and a certain deterioration of its water quality compared with previous investigations. Water samples from each of the reservoirs are within the limits of Italian legislation regarding surface waters intended for human use.

Introduction: The responsibility of the Department for Prevention and Safety at the workplace of the Palermo Health Authority (ASP) is to monitor and coordinate the activity of occupational physicians operating in Palermo and its province. One of its obligations is to examine appeals "against the judgment of occupational physicians", ".and, after carrying out further investigation, confirm, modify or reverse the ruling itself " (art. 41, par. 6, legislative Decree 81/08). Objectives: The purpose of this study was to analyze the appeals lodged against a "judgment of fitness for work" submitted to the "Health Prevention and Occupational Epidemiology Operative Unit" of the Department of Prevention and Safety at the Workplace of the ASP Palermo, from 2008 to 2010. Methods: The total number of appeals lodged during the three-year period was 211, 174 of which were finalized. Results: The most frequent job category among the appellants was that of blue-collar workers, in various sectors, covering 44.5% of the subjects under study (93 cases). In 64.2% of the processed appeals (131 cases), the judgment of the physician was modified, while in the remaining 36.8% (73 cases) it was confirmed.The work fitness judgment with restrictions was the category against which most appeals were lodged, and the diseases in question mostly concerned the osteoarticular and cardiovascular systems. Conclusion: In a context of continuous change in the labour field and the related risks to the health and safety of workers, the occupational physician must approach the worker in a comprehensive manner,through an assessment of the possible health problems and the working environment in which he/she operates.