Suchergebnisse

OBJECTIVES: To review information on cardiovascular health and migration, to stress the attention of researchers that much needs to be done in the collection of sound data in Italy and to allow policy makers identifying this issue as an important public health concern. BACKGROUND: In Italy, the rate of immigrants in the total number of residents increased from 2.5% in 1990 to 7.4% in 2010, and currently exceeds 10% in regions such as Lombardia, Emilia Romagna and Toscana. METHODS: A consensus statement was developed by approaching relevant Italian national scientific societies involved in cardiovascular prevention. Task force members were identified by the president and/or the boards of each relevant scientific society or working group, as appropriate. To obtain a widespread consensus, drafts were merged and distributed to the scientific societies for local evaluation and revision by as many experts as possible. The ensuing final draft was finally approved by scientific societies. RESULTS: In several western European countries, the prevalence of hypertension, diabetes, chronic kidney disease, obesity and metabolic syndrome was found to be higher among immigrants than in the native population. Although migrants are often initially healthier than non-migrant populations in their host countries, genetic factors, and changing environments with lifestyle changes, social exclusion and insufficient medical control may expose them to health challenges. Cultural reasons may also hamper both the dissemination of prevention strategies and migrant communication with healthcare providers. However, great diversity exists across and within different groups of migrants, making generalizations very difficult and many countries do not collect registry or survey data for migrant's health. CONCLUSIONS: In the present economic context, the European Union is placing great attention to improve data collection for migrant health and to support the implementation of specific prevention policies aimed at limiting the future burden of cardiovascular and renal disease, and the consequent load for health systems. Wider initiatives on the topic are awaited in Italy.

Tsunamis are unpredictable and infrequent but potentially large impact natural disasters. To prepare, mitigate and prevent losses from tsunamis, probabilistic hazard and risk analysis methods have been developed and have proved useful. However, large gaps and uncertainties still exist and many steps in the assessment methods lack information, theoretical foundation, or commonly accepted methods. Moreover, applied methods have very different levels of maturity, from already advanced probabilistic tsunami hazard analysis for earthquake sources, to less mature probabilistic risk analysis. In this review we give an overview of the current state of probabilistic tsunami hazard and risk analysis. Identifying research gaps, we offer suggestions for future research directions. An extensive literature list allows for branching into diverse aspects of this scientific approach. © Copyright © 2021 Behrens, Løvholt, Jalayer, Lorito, Salgado-Gálvez, Sørensen, Abadie, Aguirre-Ayerbe, Aniel-Quiroga, Babeyko, Baiguera, Basili, Belliazzi, Grezio, Johnson, Murphy, Paris, Rafliana, De Risi, Rossetto, Selva, Taroni, Del Zoppo, Armigliato, Bureš, Cech, Cecioni, Christodoulides, Davies, Dias, Bayraktar, González, Gritsevich, Guillas, Harbitz, Kânoǧlu, Macías, Papadopoulos, Polet, Romano, Salamon, Scala, Stepinac, Tappin, Thio, Tonini, Triantafyllou, Ulrich, Varini, Volpe and Vyhmeister. ; This article is based upon work from COST Action CA18109 AGITHAR, supported by COST (European Cooperation in Science and Technology). VB and PC obtained support through the VES20 Inter-Cost LTC 20020 project. MS-G obtained support through the Severo Ochoa Centers of Excellence Program (Ref. CEX 2018–000797-S). TU acknowledges funding from the European Union's Horizon 2020 research and innovation program (ChEESE project, Grant Agreement No. 823844).