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1、AnAggregatePublicHealthIndicatortoRepresenttheImpactofMultipleEnvironmentalExposuresAugustinusE.M.deHollander,JohanM.Melse,ErikLebret,andPieterG.N.KramersWepresentaframeworktoaggregatedivergenthealthimpactsWithconditionsassociatedwithenvironmentalexposures.Weassociatedwithdifferent
2、typesofenvironmentalexposures,suchcombinedinformationonpopulationexposuredistribution,asairpollution,residentialnoise,andlargetechnologicrisks.exposureresponserelations,incidence,andprevalenceratestoFromthepolicymaker'spointofview,thereareatleastthreeestimateannualnumbersofpeopleaf
3、fectedandthedurationofthegoodreasonsforthistypeofaggregation:comparativeriskcondition,includingprematuredeath.Usingdatafromthefourthevaluation(forexample,settingpriorities),evaluationoftheDutchNationalEnvironmentalOutlook,weestimatedthattheefficiencyofenvironmentalpoliciesintermsof
4、healthgain,andlongtermeffectsofparticulateairpollutionaccountforalmost60%ofcharacterizinghealthriskassociatedwithgeographicalthetotalenvironment-relatedhealthlossintheNetherlandsasaccumulationofmultipleenvironmentalexposures.Theproposedmodeledhere.Environmentalnoiseaccountsfor24%,i
5、ndoorairimpactmeasureintegratesthreeimportantdimensionsofpublicpollution(environmentaltobaccosmoke,radon,anddampness,ashealth:lifeexpectancy,qualityoflife,andnumberofpeopleaffected.wellasleadindrinkingwater)foraround6%,andfoodpoisoningTimeistheunitofmeasurement."Healthylifeyears"ar
6、eeither(orinfection)formorethan3%.Thecontributionofthissetoflostbyprematuredeathorbylossofqualityoflife,measuredasenvironmentalexposurestothetotalannualburdenofdiseaseindiscountedlifeyearswithinapopulation.Severityweights(0fortheNetherlandsislessthan5%.(Epidemiology1999;10:606-617)
7、perfecthealth,1fordeath)areassignedtodiscountthetimespentKeywords:healthimpactassessment,environmentalexposure,disability,adjustedlifeyear(DALY).Theimpactofhazardousenvironmentalexposuresonhuman9themostsuitablecriterionintherisk-managementprocess.healthcantakenumerousshapesofvariou
8、sseverityandclinicalHoweve
