The impact of refugees on the health status and health services of host communities: Compounding bad with worse?

Although there have been a number of recent developments in our understanding of refugee health problems that have influenced policies and action, the effects of refugees on the health status and services of host communities remain relatively neglected. This article sets out to explain why this is an important issue with implications for policy, planning surveillance and evaluation, training and research.
The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research.     

基于土壤重金属特征的绿色食品产地环境评价——以重庆(江津)现代农业园区为例

以重庆市江津区现代农业园区内4种农用地类型的653个表层土样为研究对象,测定土壤重金属元素含量.依据绿色食品产地环境相关标准,采用重金属污染指数法对标准中所涉及的Cu、Cr、Cd、Hg、As和Pb共6种重金属元素开展土壤环境质量评价和潜在生态风险评价,并结合用地类型确定绿色农产品生产的适宜性土壤分区.结果表明：除元素Cu、Cr和As外,其他元素的平均含量均高于重庆市土壤背景值;除元素As和Hg外,其他元素的平均含量均高于我国土壤背景值.土壤重金属元素Cu、Cr、Cd、Hg、As和Pb的平均浓度均达到《绿色食品产地环境质量》标准要求,但Cd污染已处于安全警戒线内,应高度警惕和严格监管园区内该元素的污染.水田、旱地和果园的土壤环境均以尚清洁为主,其他园地的土壤环境以轻度污染水平为主.部分水田存在一定程度的Pb污染（轻度）、Hg污染（中度）和Cd污染（中度）,旱地存在一定程度的Hg污染（中度）和Cd污染（中度）,果园和其他园地的土壤存在一定程度的Cd的轻、中度污染.全区符合《绿色食品产地环境质量》标准要求的土壤面积为12.47km²,占农用地总面积的63.64%,旱地、果园、水田和其他园地中符合该标准的面积分别占各自总面积的84.83%、68.07%、56.51%和42.09%.4种用地类型的土壤环境生态风险水平均以低等为主,共占研究区总面积的74.70%.Cd和Hg在园区表层土壤重金属生态风险评估中占有较大的贡献率,应列为优先控制污染元素并对其生态效应开展进一步研究.     

沈阳市郊区环境空气中醛酮类化合物的污染特征与来源分析

为探究沈阳市郊区环境空气中醛酮类化合物的污染特征,于2017年8月24日—9月2日采用2,4-二硝基苯肼固相吸附/高效液相色谱方法对沈阳市郊区醛酮类化合物进行观测分析,利用美国环境保护局推荐的人体健康风险评价方法对部分有毒有害醛酮类化合物的人体健康风险进行了评价,并利用比值法对醛酮类化合物的来源进行了初步分析.结果表明:醛酮类化合物质量浓度日均值范围为23.16~38.38 μg/m3;质量浓度最高的4种醛酮类化合物依次是丙酮、甲醛、正丁醛和乙醛,其质量浓度日均值的平均值分别为8.71、5.90、5.48和2.95 μg/m3.对·OH消耗速率(L_OH)贡献较大的醛酮类化合物物种是正丁醛、甲醛和乙醛,臭氧生成潜势贡献(OFP)较大的醛酮类化合物物种是甲醛、正丁醛和乙醛,在研究区影响醛酮类化合物光化学反应活性的物种主要是甲醛、乙醛和正丁醛.研究区观测期间,环境空气中甲醛和乙醛的致癌性风险值分别为1.18×10-5和5.91×10-6,对暴露人群存在潜在的致癌风险;乙醛的非致癌风险值为0.05,对暴露人群不存在非致癌风险.在研究区的一次臭氧轻度污染过程期间,环境空气中的甲醛和乙醛受天然源排放的挥发性有机物二次转化的影响减弱,甲醛、乙醛和丙酮受到炼焦工业和机动车等人为源排放的影响增强,而正丁醛主要受当地精细化工产业排放的影响.研究显示,沈阳市应加大对炼焦工业、精细化工和机动车来源排放醛酮类化合物的管制,以降低环境空气中活性醛酮类化合物及有毒有害醛酮类化合物的浓度.      

Can health feasibly be considered as part of the planning process in Scotland?

The planning system is significant because of its capacity to determine the quality of the built environment as well as the health, well-being and quality of life of the individuals and communities therein. Development planning is especially important because of the long-term impact of the decisions. This paper was developed in response to increasing recognition amongst HIA practitioners in Scotland of the importance of planning for health. It focuses on the relationship between the planning system in Scotland, specifically the Development Planning element of it, and population health and considers how the health impact assessment (HIA) approach can facilitate and support joint working with planners. In particular, consideration is given to the potential impact of the introduction of Strategic Environmental Assessment (SEA) on the linkages between health, HIA and planning.     

Equity-focused health impact assessment: A tool to assist policy makers in addressing health inequalities

In Australasia (Australia and New Zealand) the use of health impact assessment (HIA) as a tool for improved policy development is comparatively new. The public health workforce do not routinely assess the potential health and equity impacts of proposed policies or programs. The Australasian Collaboration for Health Equity Impact Assessment was funded to develop a strategic framework for equity-focused HIA (EFHIA) with the intent of strengthening the ways in which equity is addressed in each step of HIA. The collaboration developed a draft framework for EFHIA that mirrored, but modified the commonly accepted steps of HIA; tested the draft framework in six different health service delivery settings; analysed the feedback about application of the draft EFHIA framework and modified it accordingly. The strategic framework shows promise in providing a systematic process for identifying potential differential health impacts and assessing the extent to which these are avoidable and unfair. This paper presents the EFHIA framework and discusses some of the issues that arose in the case study sites undertaking equity-focused HIA.     

大气可吸入颗粒物研究进展

简述了国内外有关大气颗粒物中的可吸入颗粒物 (空气动力学直径小于或等于 10 μm)的研究进展 ,主要围绕可吸入颗粒物的基本特性、可吸入颗粒物与健康的关系、可吸入颗粒物的源解析 ,对其研究动向进行阐述。     

浅谈砷污染

金属冶炼，煤炭燃烧过程中向环境排出大量砷，严重危害人类健康．本文介绍了砷的污染来源，转移过程和对人体危害的机理，提醒人们注意砷的污染．     

环境污染对人群健康影响评价及其经济损失估算

为了定量地描述环境污染对人群健康的危害及其相应的经济损失，本文认为应对健康风险评价和人力资本法作进一步的研究，以便给出统一的规范化评价程序和计算方法。文中还对有关内容作了简要介绍。     

二噁英的毒性与防治

分析了二英的化学结构与毒性的关系，二英的来源，对人体健康的潜在危害以及可能造成的环境污染，提出了防治措施。     

酞酸酯对人与环境的危害

酞酸酯是一种增塑剂，随着时间的推移，可由塑料中转移到外环境，现已成为地球上最为广泛存在的环境污染物。该文较系统地介绍了酞酸酯的理化性质，毒性和致癌作用，以及其对环境的影响，环境行为，动物的吸收，分布、代谢和排泄等等，最后还对酞酸酯的有关毒性评价作了部分介绍。