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DR. RONAN LYONS
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UWCM
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IMH
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Combination of procedures / methods to allow a judgement of the effects, positive or negative, of policies, programmes or other developments on the health of the population, including inequalities in health.
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Screening - preliminary assessment
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Scoping - factor and question identification
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Risk Assessment - quantification
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Decision making - transparency, mitigation
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Implementation / monitoring
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Integrated Pollution Prevention Control (E + W)
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Regulations 2000
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Health Authorities as Statutory Consultees
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Crymlyn Burrows - Household/municipal solid waste 250,000 tonnes per annum
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70% Recycled - 30% Composted
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30% Landfill
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Incinerate RDF pellets (Plastic)
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electricity
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126 Full time jobs
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Chemical incident in 1996
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Community fears over health
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Study in 2000 - 200 people
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Excess symptoms, anxiety, treated mental disorders, not physical conditions
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Population too small for other outcomes
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Pollution from industrial process under normal and extraordinary circumstances.
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Transport of materials/people and injury, noise, pollution.
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Health effects from public anxiety.
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Health benefits from employment.
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Usual and extraordinary circumstances
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Likelihood of a major incident
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List of chemicals released
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Exposure levels to workers
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Exposure level to general community
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Modelled or measured isopleths?
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Numbers of people exposed
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Health effects of specific chemicals [literature]
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Quantification of short and long term effects
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Uncertainties acknowledged
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PM
10
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COMEAP, Lancet 2000;356:795-801
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10
m
g/m
3
increase 4.3% total mortality
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Dioxins - EPA, 95% dietary
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Background 1:100 to 1:1000 cancers
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RTA -
Casualty 1:200 people, 1:100 vehicles
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Noise
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EPA review 1978, HEBW 1999
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Anxiety - ? Evidence
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Employment
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? Evidence
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Background
- Deaths : 11.7/1000/yr
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Cancer : 6/1000/yr
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Resp Adm : 11/1000/yr
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CVS Adm : 16/1000/yr
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PM
10
- 1 death 329 years (770)
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1 admission 463 years (2500)
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Dioxins - 1 Cancer 2,500 – 25,000 years
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Environment Agency +
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Environment Health Departments +
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FOE +
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People ++/-
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Politicians ++/-
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Quantified appraisal well received
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Importance of perceived independence
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Important to avoid adjectives
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Further work on reviews required
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- Employment
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- RTA
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- Noise
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Notes