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51. OKkio alla SALUTE 2014: hours of sleep in Italian 8-9-year-old children [Okkio alla salute 2014: Hours of sleep in 8-9-year-old children in Italy]

Author

Lauria, L, Pizzi, E, Nardone, P, Buoncristiano, M, Bucciarelli, M, Galeone, D, Spinelli, A, Andreozzi, S, Pediconi, M, Timperi, F, Menzano, M, Vienna, A, Censi, L, Di Giacomo, M, Colleluori, C, Ranalli, E, Ammirati, G, Mininni, M, Sorrentino, G, Azzarito, C, Faillace, F, La Rocca, M, Mazzarella, G, Pizzuti, R, Angelini, P, Fridel, M, Carletti, C, Pani, P, Ronfani, L, Zanier, L, Amadei, P, Cairella, G, Pascali, F, Schiaffino, S, Cereda, D, Pirrone, L, De Introna, S, Giostra, G, Di Nucci, C, Manfredi Selvaggi, T, Valentini, O, Caputo, M, Ferrari, P, Balducci, M, Rosa, G, Stingi, G, Meloni, S, Senis, M, Tanchis, P, Cernigliaro, A, Ferro, M, Scondotto, S, Giacchi, M, Lazzeri, Giacomo, Simi, Rita, Cristofori, M, Giaimo, M, Prandini, S, Covarino, A, D'Alessandro, G, Galesso, R, Michieletto, F, Fanolla, A, Lucchin, L, Weiss, S, Migazzi, M, Grazia, M, Caroli, M, Cattaneo, C, De Mei, B, Perri, G, Silvestri, A, Spizzichino, L, Miletto, N, Faragli, G, Vignoli, M, and Piovani, G.

Published
2016

53. Sorveglianza molecolare delle gastroenteriti da rotavirus in Sicilia

Author

Giammanco, Giovanni M., SIMONA DE GRAZIA, Bonura, F., Rotolo, V., Saporito, Laura, Claudia Colomba, Di Bernardo, F., Dones, P., Antonio Cascio, Collura, A., Terranova, D., Zuccarello, R., Piombo, G., Riccobono, N., Di Gangi, M., Failla, M., Li Cavoli, M., Mossuto, F., Bonina, L., Leonardi, M., Toro, M., Salpietro, A., Gallizzi, R., Bombaci, S., Silipigni, L., Scondotto, S., Palermo, M., Giammanco, G, De Grazia, S, Bonura, F, Rotolo, V, Saporito, L, Colomba, C, Di Bernardo, F, Dones, P, Cascio, A, Collura, A, Terranova, DM, Zuccarello, R, Piombo, G, Riccobono, N, Di Gangi, M, Failla, MC, Li Cavoli, MG, Mossuto, F, Bonina, L, Leonardi, MS, Toro, ML, Salpietro, A, Gallizzi, R, Bombaci, S, Silipigni, L, Scondotto, S, and Palermo, M

Subjects
Settore MED/07 - Microbiologia E Microbiologia Clinica, Settore MED/17 - Malattie Infettive, Rotavirus, gastroenteriti, sorveglianza. Sicilia
Published
2013

54. Stili di vita e salute dei giovani in età scolare: rapporto sui dati della regione sicilia HBSC (Health behaviour in school-aged children - comportamenti collegati alla salute dei ragazzi di età scolare) 2009-2010

Author

MARSALA, Maria Grazia Laura, MORICI, Mariagrazia, SIDOTI, Enza, FIRENZE, Alberto, VITALE, Francesco, Scondotto, S, Cernigliaro, A, Dardanoni, G, Marsala, M, Morici, M, Scondotto, S, Sidoti, E, Cernigliaro, A, Dardanoni, G, Firenze, A, and Vitale, F

Subjects
HBSC, Stili di Vita, Giovani
Published
2012

55. UTILIZZO DI FONTI INFORMATIVE MULTIPLE E PUNTI DI CRITICITA’ PER INTERVENTI DI SANITA’ PUBBLICA IN TEMA DI MORTALITA’ INFANTILE. Un’esperienza condotta in SICILIA

Author

MAZZUCCO, Walter, CUSIMANO, Rosanna, CORSELLO, Giovanni, VITALE, Francesco, Macaluso, M., Fiumanò, G., Scondotto, S., Cernigliaro, A., Scola, C., Torre, G., Mazzucco, W., Macaluso, M., Cusimano, R., Fiumanò, G., Scondotto, S., Cernigliaro, A., Scola, C., Corsello, G., Torre, G., and Vitale, F.

Subjects
sanità pubblica, mortalità infantile, Fonti informative, Settore MED/42 - Igiene Generale E Applicata
Published
2009

56. The Italian National Rare Diseases Registry

Author

Taruscio, D, Kodra, Y, Ferrari, G, Vittozzi, L, Annicchiarico, G, Attolini, E, Antonelli, A, Barone, R, Bembi, B, Deroma, L, Bianchi, F, Berni, C, Borsellino, L, Scondotto, S, Benedicenti, F, Zuech, P, Casucci, P, Patisso, Mc, Di Lallo, D, Di Nunzio ML, Di Palma, A., Volta, M, Vizioli, M, Facchin, P, Mazzucato, M, Gabrielli, O, Della Casa, R, Scala, I, Baraldo, G, Daina, E, Palka, G, Roccatello, Dario, Modena, V, Rossi, M, Tripaldi, D, and Angione, A.

Subjects
Male, Italy, National Health Programs, Regional, National and European actions in the field of Rare Diseases, Epidemiological Monitoring, Humans, rare diseases, Female, Registries, Community Networks
Abstract

Rare disease registries are a priority at European level and specific actions are being implemented by the European Commission to support their development.In Italy, a National Registry of rare diseases has been established in 2001 as a network of regional registries. The latter have gradually been established and the full coverage of the Italian territory was attained during 2011.Here we describe the basic features of the National Registry of rare diseases; the activities carried out to promote consistent operations in the regional registries; and the overall quality and composition of the records collected.After a validation process, including removal of duplicate records, 110,841 records of patients with rare diseases, single and with group denominations, are stored in the National Registry of rare diseases. They correspond to the overall diagnoses communicated to national registry by regional registries up to 30 June 2012.The quality of the data collected by the the National Registry of rare diseases has been assessed with respect to completeness and consistency of procedures. Variables characterising case and diagnosis showed a very limited number of missing values. Records reported at least one case of 485 rare conditions.To date, the National Registry of rare diseases is a surveillance system with the main objective of producing epidemiologic evidence on rare diseases in Italy, and of supporting policy making and health services planning.Data quality still represents a limitation for any sound epidemiological estimate of rare diseases in Italy. However, improvements of the quality of collected data and the completeness of case notifications should be strengthened.

Published
2014

57. [SENTIERI KIDS: monitoring children's health in Italian polluted sites]

Author

Ivano Iavarone, Biggeri A, Cadum E, Carere M, Conti S, Crocetti E, Martuzzi M, Maule M, Michelozzi P, Pirastu R, Rondelli R, and Scondotto S

Subjects
environmental contamination, Adolescent, Incidence, Child Health, Infant, environmental pollution, SENTIERI KIDS, infant mortality, Environmental Exposure, Patient Discharge, Italy, Child, Preschool, Neoplasms, Population Surveillance, Small-Area Analysis, Infant Mortality, Humans, Environmental Pollutants, Public Health, Child, Environmental Pollution
Abstract

Protecting children's health from the effects of environmental contamination is a public health priority. In recent years, particular care has been devoted in Italy to the study of the relationship between environmental pollutants and health during infancy. The SENTIERI Project has called attention to increases in infant mortality in National Priority Contaminated Sites (NPCSs). SENTIERI KIDS provides a blueprint for the establishment of a task force charged with establishing multi and inter-disciplinary cooperation between central and regional institutions on the subject of children's health in contaminated sites. SENTIERI KIDS introduces a multiple outcome analytical model based on updated health outcomes (mortality, cancer incidence, hospital discharges) in order to establish a permanent observation system to monitor the state of health of infants residing in contaminated areas. This will pave the way for more in-depth epidemiological enquiries on an individual basis, and support the establishment and continued monitoring of primary prevention projects. Particular attention is devoted to issues of information and communication.

Published
2014

58. Sorveglianza della mortalità infantile nella provincia di Palermo. Dati prelminari

Author

Mazzucco, W., Cusimano, R., LA SCOLA, C., Sammarco, S., Casuccio, N., Pitarresi, A., Scondotto, S., Dardanoni, G., Cassata, N., Corsello, G., Vitale, F., MAZZUCCO W, CUSIMANO R, LA SCOLA C, SAMMARCO S, CASUCCIO N, PITARRESI A, SCONDOTTO S, DARDANONI G, CASSATA N, CORSELLO G, and VITALE F

Subjects
mortalità infantile, sorveglianza, cause di morte, Settore MED/42 - Igiene Generale E Applicata
Published
2007

59. Sorveglianza della mortalità infantile nella Provincia di Palermo

Author

Cusimano, R., Mazzucco, W., LA SCOLA, C., Sammarco, S., Casuccio, N., Pitarresi, A., Scondotto, S., Dardanoni, G., Cassata, N., Corsello, G., Vitale, F., CUSIMANO R, MAZZUCCO W, LA SCOLA C, SAMMARCO S, CASUCCIO N, PITARRESI A, SCONDOTTO S, DARDANONI G, CASSATA N, CORSELLO G, and VITALE F

Subjects
registri tumori, mortalità infantile, sorveglianza
Published
2006

61. [Epidemiologic surveillance of mesothelioma for the prevention of asbestos exposure also in non-traditional settings]

Author

Binazzi, A., Scarselli, A., Corfiati, M., Di Marzio, D., Branchi, C., Verardo, M., Mirabelli, D., Gennaro, V., Mensi, C., Schallenberg, G., Merler, E., De Zotti, R., Romanelli, A., Chellini, E., Pascucci, C., D'Alo, D., Forastiere, F., Trafficante, L., Menegozzo, S., Musti, M., Cauzillo, G., Leotta, A., Tumino, R., Melis, M., Marinaccio, A., Gruppo Di, Lavoro Renam Detragiache E., Merletti, F., Gangemi, M., Stura, A., Brentisci, C., Diglio, Cammarieri G., Macerata, V., Gilardetti, M., Benfatto, L., Bianchelli, M., Mazzucco, G., Sieno, C., Pesatori, A., Riboldi, L., Gioffre, F., Bressan, V., De Michieli, P., Chermaz, C., Negro, C., Mangone, L., Storchi, C., Silvestri, S., Badiali, A., Cacciarini, V., Giovannetti, L., Martini, A., Calisti, R., La Rosa, F., Stracci, F., Cavariani, F., Ascoli, Valeria, Romeo, E., Sangalli, M., Gatta, S., Izzo, F., Canfora, M., Santoro, M., Viscardi, F., Cavone, D., Massaro, T., Convertini, L., Giovanni, L., Nicita, C., Nieddu, V., Pergola, M., Stecchi, S., Dardanoni, G., and Scondotto, S.

Subjects
Male, Mesothelioma, Lung Neoplasms, asbestos, epidemiologic surveillance, prevention, mesothelioma, Pleural Neoplasms, Mesothelioma, Malignant, Asbestos, Middle Aged, Occupational Diseases, Italy, Occupational Exposure, Population Surveillance, Epidemiological Monitoring, Humans, Female, Registries
Abstract

To show how malignant mesothelioma (MM) surveillance not only identifies settings of exposure representing past industrial history, but it may also detect conditions of current exposure relevant for the prevention, if the wide spectrum of asbestos uses is considered.Active search of MM cases and exposure assessment at individual level through a questionnaire; identification of exposure circumstances relevant for prevention.Italy, all the Regions where a Regional Operating Centre (COR) is established to identify all MM cases diagnosed in the population and analyze their occupational, residential, household and environmental histories. Period of diagnosis: 1993-2008.Descriptive analysis of MM cases and of asbestos exposures.ReNaM includes 15,845 cases of MM diagnosed between 1993 and 2008.The male/female ratio is 2.5. Mean age at diagnosis is 69 years. Pleural MMs represent 93% of all cases. Exposures have been investigated in 12,065 cases (76%). The median latency time is 46 years. In addition to clusters of MM cases in activities well known to entail asbestos use, different current exposure circumstances requiring intervention have been evidenced.On the basis of this experience, epidemiological surveillance of all occupational cancers should be implemented to foster synergies with the compensation system and the Local Health Authorities' occupational safety and health services, as required by the Italian Legislative Decree N. 81/2008.

Published
2013

62. Environmental indicators in EpiAir2 project: Air quality data for epidemiological surveillance [Indicatori ambientali nello studio EpiAir2: I dati di qualità dell'aria per la sorveglianza epidemiologica]

Author

Gandini, M., Berti, G., Cattani, G., Faustini, A., Scarinzi, C., Donato, F., Accetta, G., Angiuli, L., Caldara, S., Carreras, G., Casale, P., Di Biagio, K., Giannini, S., Iuzzolino, C., Lanzani, G., Lauriola, P., Leuci, P., Mariuz, M., Marchesi, S., Nocioni, A., Pistollato, S., Pizzi, L., Ranzi, A., Serinelli, M., Stagnaro, E., Vianello, L., Vigotti, M., Zauli-Sajani, S., Cadum, E., Alessandrini, E. R., Angelini, P., Antonelli, A., Arena, P., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Biggeri, A., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Calzolari, R., Canossa, E., Canova, C., Caramia, G., Casale, G., Casella, C., Casetta, A., Cernigliaro, A., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Chiusolo, M., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Girolamo, G., Togni, A., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Forastiere, F., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Ganzi, A., Garrone, E., Gatti, G., Gherardi, B., Gianicolo, E. A. L., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., La Torretta, T., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Mariottini, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nuvolone, D., Onorati, R. N. G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Piovesan, C., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Randi, G., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scondotto, S., Selle, V., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Massimo Stafoggia, Starnino, G., Stivanello, E., Tominz, R., Troiano, F., Vercelli, M., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., and Zero, F.

Published
2013

63. Pleural malignant mesothelioma epidemic: incidence, modalities of asbestos exposure and occupations involved from the Italian National Register

Author

Marinaccio, A, Binazzi, A, Marzio, Dd, Scarselli, A, Verardo, M, Mirabelli, D, Gennaro, V, Mensi, C, Riboldi, L, Merler, E, Zotti, Rd, Romanelli, A, Chellini, E, Silvestri, S, Pascucci, C, Romeo, E, Menegozzo, S, Musti, M, Cavone, D, Cauzillo, G, Tumino, R, Nicita, C, Melis, M, Iavicoli, S, ReNaM Working Group, Massari, S, Branchi, C, Detragiache, E, Merletti, Franco, Gangemi, M, Stura, A, Brentisci, C, Cammarieri Diglio, G, Macerata, V, Gilardetti, M, Lazzarotto, A, Benfatto, L, Bianchelli, M, Mazzucco, G, Sieno, C, Pesatori, Ac, Gioffrè, F, Bressan, V, De Michieli, P, Mangone, L, Storchi, C, Seniori Costantini, A, Badiali, Am, Cacciarini, V, Giovannetti, L, Martini, A, Calisti, R, La Rosa, F, Stracci, F, D'Alò, D, Perucci, Ca, Forastiere, F, Cavariani, F, Ascoli, V, Sangalli, M, Trafficante, L, Gatta, S, Menegozzo, M, Izzo, F, Canfora, Ml, Santoro, M, Viscardi, F, Massaro, T, Convertini, L, Leotta, A, Lio, Sg, Dardanoni, G, Scondotto, S, Corrias, Ga, Angius, Mr, and Nieddu, V.

Subjects
Adult, Male, Mesothelioma, Cancer Research, medicine.medical_specialty, Pathology, Pleural Neoplasms, asbestos, italy, mesothelioma, national register, pleural, Developing country, medicine.disease_cause, Asbestos, Occupational safety and health, Environmental health, Occupational Exposure, Epidemiology, medicine, Humans, Epidemics, Pleural mesothelioma, Aged, business.industry, Incidence (epidemiology), Age Factors, Environmental exposure, Middle Aged, medicine.disease, Occupational Diseases, Oncology, Italy, Population Surveillance, Etiology, Female, business
Abstract

Due to the large scale use of asbestos (more than 3.5 million tons produced or imported until its definitive banning in 1992), a specific national surveillance system of mesothelioma incident cases is active in Italy, with direct and individual anamnestic etiological investigation. In the period between 1993 and 2004, a case-list of 8,868 pleural MM was recorded by the Italian National Register (ReNaM) and the modalities of exposure to asbestos fibres have been investigated for 6,603 of them. Standardized incidence rates are 3.49 (per 100,000 inhabitants) for men and 1.25 for women, with a wide regional variability. Occupational asbestos exposure was in 69.3% of interviewed subjects (N = 4,577 cases), while 4.4% was due to cohabitation with someone (generally, the husband) occupationally exposed, 4.7% by environmental exposure from living near a contamination source and 1.6% during a leisure activity. In the male group, 81.5% of interviewed subjects exhibit an occupational exposure. In the exposed workers, the median year of first exposure was 1957, and mean latency was 43.7 years. The analysis of exposures by industrial sector focuses on a decreasing trend for those traditionally signaled as "at risk" (asbestos-cement industry, shipbuilding and repair and railway carriages maintenance) and an increasing trend for the building construction sector. The systematic mesothelioma surveillance system is relevant for the prevention of the disease and for supporting an efficient compensation system. The existing experience on all-too-predictable asbestos effects should be transferred to developing countries where asbestos use is spreading.

Published
2011

64. Inquinamento atmosferico e salute: sorveglianza epidemiologica e interventi di prevenzione ovvero come orientarsi nella lettura e interpretazione di studi ambientali, tossicologici ed epidemiologici

Author

Baldacci, S, Maio, S, Viegi, G, Gruppo Collaborativo EpiAir: Forastiere, F, Bisanti, L, Randi, G, Rognoni, M, Simonato, L, Tessari, R, Berti, G, Cadum, E, Chiusolo, M, Grosa, Mm, Ivaldi, C, Pelosini, R, Poncino, S, Galassi, C, Pacelli, B, Pandolfi, P, Scarnato, C, Miglio, R, Caranci, N, Pace, G, Zanini, G, Grechi, D, Chellini, E, Mallone, S, Accetta, G, Barchielli, A, Nuvolone, D, Baccini, M, Biggeri, A, Vigotti, MARIA ANGELA, Colais, P, Faustini, A, Forastiere, F, Perucci, Ca, Stafoggia, M, Minerba, S, Serinelli, M, Dessì, Pm, Cernigliaro, A, and Scondotto, S.

Subjects
Atmospheric pollution, interpretation of studies, review, human health
Published
2009

65. Ricoveri per cause respiratorie e inquinamento atmosferico in 9 città italiane. i risultati del progetto EPIAIR

Author

Gruppo collaborativo EpiAir Accetta G, Serinelli M. e., Baccini, M, Baldacci, S., Barchielli, A, Berti, G, Biggeri, A., Bisanti, L, Cadum, E., Caranci, N, Cernigliaro, A, Chellini, E., Chiusolo, M, Colais, P, De’Donato, F, Dessì, P, Faustini, A, Forastiere, F, Galassi, C, Grechi, D, Grosa, M, Ivaldi, C, Mallone, S, Miglio, R., Nuvolone, D, Pace, G., Pacelli, B, Pandolfi, P, Pelosini, R, Perucci, Ca, Poncino, S, Primerano, R, Randi, G, Rognoni, M, Scarnato, C, Scondotto, S, Serinelli, M, Simonato, L, Stafoggia, M, Tessari, R, Viegi, G, Vigotti, MARIA ANGELA, and Zanini, G.

Subjects
short term effect, air pollution, respiratory admissions, EPIAIR
Published
2009

66. Inquinamento atmosferico e ricoveri ospedalieri urgenti per malattie cardiache in 9 città italiane – risultati del progetto EPIAIR

Author

il gruppo collaborativo EpiAir Accetta G, Colais P. e., Baccini, M, Baldacci, S., Barchielli, A, Berti, G, Biggeri, A., Bisanti, L, Cadum, E., Caranci, N, Cernigliaro, A, Chellini, E., Chiusolo, M, Colais, P, De’Donato, F, Dessì, P, Faustini, A, Forastiere, F, Galassi, C, Grechi, D, Grosa, M, Ivaldi, C, Mallone, S, Miglio, R., Nuvolone, D, Pace, G., Pacelli, B, Pandolfi, P, Pelosini, R, Perucci, Ca, Poncino, S, Primerano, R, Randi, G, Rognoni, M, Scarnato, C, Scondotto, S, Serinelli, M, Simonato, L, Stafoggia, M, Tessari, R, Viegi, G, Vigotti, MARIA ANGELA, and Zanini, G.

Subjects
hospital admissions, case crossover, air pollution, EPIAIR
Published
2009

67. Does temperature modify the association between air pollution and mortality? A multicity case-crossover analysis in Italy

Author

Stafoggia, M, Schwartz, J, Forastiere, F, Perucci, Ca, SISTI GROUP AGOSTINI, D, DE LISIO, S, Miglio, R, Pandolfi, P, Scarnato, C, Simonato, L, Tessari, R, Bisanti, L, Rognoni, M, Russo, A, Cernigliaro, A, Scondotto, S, Vigotti, MARIA ANGELA, Belleudi, V, De'Donato, F, Michelozzi, P, Picciotto, S, Primerano, R, Serinelli, M, Berti, G, Cadum, E, Caranci, N, Chiusolo, M, and Demaria, M.

Subjects
Adult, Male, Urban Population, Epidemiology, Air pollution, association, climate, effect modifiers (epidemiology), environmental exposure, mortality, particulate matter, seasons, temperature, environmental exposure, medicine.disease_cause, law.invention, Animal science, CASE CROSSOVER, Risk Factors, law, Air Pollution, Cause of Death, effect modifiers (epidemiology), medicine, Humans, climate, particulate matter, Cross-Over Studies, seasons, association, temperature, Environmental exposure, Particulates, Atmospheric temperature, mortality, Confidence interval, Italy, Ventilation (architecture), Environmental science, Female, Risk of death
Abstract

Adverse health effects of particulate matter

Published
2008

71. Nationwide epidemiological study for estimating the effect of extreme outdoor temperature on occupational injuries in Italy

Author

Alessandro Marinaccio, Matteo Scortichini, Claudio Gariazzo, Antonio Leva, Michela Bonafede, Francesca K. de' Donato, Massimo Stafoggia, Giovanni Viegi, Paola Michelozzi, Ancona Carla, Angelini Paola, Argentini Stefania, Baldacci Sandra, Bisceglia Lucia, Bonomo Sergio, Bonvicini Laura, Broccoli Serena, Brusasca Giuseppe, Bucci Simone, Calori Giuseppe, Carlino Giuseppe, Cernigliaro Achille, Chieti Antonio, Fasola Salvatore, Finardi Sandro, Forastiere Francesco, Galassi Claudia, Giorgi Rossi Paolo, La Grutta Stefania, Licitra Gaetano, Maio Sara, Migliore Enrica, Moro Antonino, Nanni Alessandro, Ottone Marta, Pepe Nicola, Radice Paola, Ranzi Andrea, Renzi Matteo, Scondotto Salvatore, Silibello Camillo, Sozzi Roberto, Tinarelli Gianni, and Uboldi Francesco

Subjects
Environmental sciences, GE1-350
Abstract

Background: Despite the relevance for occupational safety policies, the health effects of temperature on occupational injuries have been scarcely investigated. A nationwide epidemiological study was carried out to estimate the risk of injuries for workers exposed to extreme temperature and identify economic sectors and jobs most at risk. Materials and methods: The daily time series of work-related injuries in the industrial and services sector from the Italian national workers' compensation authority (INAIL) were collected for each of the 8090 Italian municipalities in the period 2006–2010. Daily air temperatures with a 1 × 1 km resolution derived from satellite land surface temperature data using mixed regression models were included. Distributed lag non-linear models (DLNM) were used to estimate the association between daily mean air temperature and injuries at municipal level. A meta-analysis was then carried out to retrieve national estimates. The relative risk (RR) and attributable cases of work-related injuries for an increase in mean temperature above the 75th percentile (heat) and for a decrease below the 25th percentile (cold) were estimated. Effect modification by gender, age, firm size, economic sector and job type were also assessed. Results: The study considered 2,277,432 occupational injuries occurred in Italy in the period 2006–2010. There were significant effects for both heat and cold temperatures. The overall relative risks (RR) of occupational injury for heat and cold were 1.17 (95% CI: 1.14–1.21) and 1.23 (95% CI: 1.17–1.30), respectively. The number of occupational injuries attributable to temperatures above and below the thresholds was estimated to be 5211 per year. A higher risk of injury on hot days was found among males and young (age 15–34) workers occupied in small-medium size firms, while the opposite was observed on cold days. Construction workers showed the highest risk of injuries on hot days while fishing, transport, electricity, gas and water distribution workers did it on cold days. Conclusions: Prevention of the occupational exposure to extreme temperatures is a concern for occupational health and safety policies, and will become a critical issue in future years considering climate change. Epidemiological studies may help identify vulnerable jobs, activities and workers in order to define prevention plans and training to reduce occupational exposure to extreme temperature and the risk of work-related injuries. Keywords: Climate change, Extreme outdoor air temperature, Occupational injuries, Heat impacts, Cold impacts, Case-crossover study

Published
2019
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74. Policies for the promotion of sustainable mobility and the reduction of traffic-related air pollution in the cities participating in the EpiAir2 project,Le politiche per la promozione della mobilità sostenibile e la riduzione dell'inquinamento atmosferico causato dal traffico veicolare nelle città partecipanti allo studio EpiAir2

Author

Di Lonardo, S., Nuvolone, D., Forastiere, F., Cadum, E., Barchielli, A., Accetta, G., Alessandrini, E. R., Angelini, P., Angiuli, L., Antonelli, A., Arena, P., Assennato, G., Baccini, M., FLAVIA BALDACCHINI, Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Biggeri, A., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Caldara, S., Calzolari, R., Canossa, E., Canova, C., Caramia, G., Carreras, G., Casale, G., Casale, P., Casella, C., Casetta, A., Cattani, G., Cernigliaro, A., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Chiusolo, M., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Togni, A., Di Biagio, K., Di Leo, A., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Faustini, A., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Gandini, M., Ganzi, A., Garrone, E., Gatti, G., Gherardi, B., Gianicolo, E. A. L., Giannini, S., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., Iuzzolino, C., La Torretta, T., Lanzani, G., Lauriola, P., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariottini, M., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nocioni, A., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Piovesan, C., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Randi, G., Ranzi, A., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scarinzi, C., Scondotto, S., Selle, V., Serinelli, M., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stafoggia, M., Stagnaro, E., Starnino, G., Stivanello, E., Tominz, R., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., Zauli-Sajani, S., and Zero, F.

76. Air pollution and urgent hospital admissions in 25 Italian cities: Results from the EpiAir2 project,Inquinamento atmosferico e ricoveri ospedalieri urgenti in 25 città Italiane: Risultati del progetto EpiAir2

Author

Scarinzi, C., Alessandrini, E. R., Chiusolo, M., Galassi, C., Baldini, M., Serinelli, M., Pandolfi, P., Bruni, A., Biggeri, A., Togni, A., Carreras, G., Casella, C., Canova, C., Randi, G., Andrea Ranzi, Morassuto, C., Cernigliaro, A., Giannini, S., Lauriola, P., Minichilli, F., Gherardi, B., Zauli-Sajani, S., Stafoggia, M., Casale, P., Gianicolo, E. A. L., Piovesan, C., Tominz, R., Porcaro, L., Cadum, E., Accetta, G., Angelini, P., Angiuli, L., Antonelli, A., Arena, P., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Caldara, S., Calzolari, R., Canossa, E., Caramia, G., Casale, G., Casetta, A., Cattani, G., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Di Biagio, K., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Faustini, A., Forastiere, F., Fruzzetti, R., Gallo, G., Gallo, L., Gandini, M., Ganzi, A., Garrone, E., Gatti, G., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., Iuzzolino, C., La Torretta, T., Lanzani, G., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariottini, M., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Mircea, M., Nocioni, A., Nuvolone, D., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Protti, M., Puppo, A., Raciti, M., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scondotto, S., Selle, V., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stagnaro, E., Starnino, G., Stivanello, E., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., and Zero, F.

79. Air pollution and urgent hospital admissions in 25 Italian cities: Results from the EpiAir2 project | Inquinamento atmosferico e ricoveri ospedalieri urgenti in 25 città Italiane: Risultati del progetto EpiAir2

Author

Scarinzi, C., Alessandrini, E. R., Chiusolo, M., Galassi, C., Baldini, M., Serinelli, M., Pandolfi, P., Bruni, A., Biggeri, A., Togni, A., Carreras, G., Casella, C., Canova, C., Randi, G., Ranzi, A., Morassuto, C., Cernigliaro, A., Giannini, S., Lauriola, P., Minichilli, F., Gherardi, B., Zauli-Sajani, S., Stafoggia, M., Casale, P., Gianicolo, E. A. L., Piovesan, C., Tominz, R., Porcaro, L., Cadum, E., Accetta, G., Angelini, P., Angiuli, L., Antonelli, A., Arena, P., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Fabio Barbone, Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Caldara, S., Calzolari, R., Canossa, E., Caramia, G., Casale, G., Casetta, A., Cattani, G., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Di Biagio, K., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Faustini, A., Forastiere, F., Fruzzetti, R., Gallo, G., Gallo, L., Gandini, M., Ganzi, A., Garrone, E., Gatti, G., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., Iuzzolino, C., La Torretta, T., Lanzani, G., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariottini, M., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Mircea, M., Nocioni, A., Nuvolone, D., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Protti, M., Puppo, A., Raciti, M., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scondotto, S., Selle, V., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stagnaro, E., Starnino, G., Stivanello, E., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., and Zero, F.

80. Environmental indicators in EpiAir2 project: Air quality data for epidemiological surveillance,Indicatori ambientali nello studio EpiAir2: I dati di qualità dell'aria per la sorveglianza epidemiologica

Author

Gandini, M., Berti, G., Cattani, G., Faustini, A., Scarinzi, C., Donato, F., Accetta, G., Angiuli, L., Caldara, S., Carreras, G., Casale, P., Di Biagio, K., Giannini, S., Iuzzolino, C., Lanzani, G., Lauriola, P., Leuci, P., Mariuz, M., Marchesi, S., Nocioni, A., Pistollato, S., Pizzi, L., Ranzi, A., Serinelli, M., Stagnaro, E., Vianello, L., Vigotti, M., Zauli-Sajani, S., Cadum, E., Alessandrini, E. R., Angelini, P., Antonelli, A., Arena, P., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Biggeri, A., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Calzolari, R., Canossa, E., Canova, C., Caramia, G., Casale, G., Casella, C., Casetta, A., Cernigliaro, A., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Chiusolo, M., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Girolamo, G., Togni, A., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Forastiere, F., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Ganzi, A., Garrone, E., Gatti, G., Gherardi, B., Gianicolo, E. A. L., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., La Torretta, T., Ferdinando Luberto, Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Mariottini, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nuvolone, D., Onorati, R. N. G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Piovesan, C., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Randi, G., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scondotto, S., Selle, V., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stafoggia, M., Starnino, G., Stivanello, E., Tominz, R., Troiano, F., Vercelli, M., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., and Zero, F.

82. Short-term impact of air pollution among Italian cities covered by the EpiAir2 project,Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2

Author

Baccini, M., Biggeri, A., Accetta, G., Alessandrini, E. R., Angelini, P., Angiuli, L., Antonelli, A., Arena, P., Assennato, G., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Cadum, E., Caldara, S., Calzolari, R., Canossa, E., Canova, C., Caramia, G., Carreras, G., Casale, G., Casale, P., Casella, C., Casetta, A., Cattani, G., Cernigliaro, A., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Chiusolo, M., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Francesca K. de'Donato, Girolamo, G., Togni, A., Di Biagio, K., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Faustini, A., Forastiere, F., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Gandini, M., Ganzi, A., Garrone, E., Gatti, G., Gherardi, B., Gianicolo, E. A. L., Giannini, S., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., Iuzzolino, C., La Torretta, T., Lanzani, G., Lauriola, P., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariottini, M., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nocioni, A., Nuvolone, D., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Piovesan, C., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Randi, G., Ranzi, A., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scarinzi, C., Scondotto, S., Selle, V., Serinelli, M., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stafoggia, M., Stagnaro, E., Starnino, G., Stivanello, E., Tominz, R., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., Zauli-Sajani, S., and Zero, F.

85. [Atmospheric pollution and human health.in the literature and interpretation of environmental. toxicological and epidemiologic studies].,Inquinamento atmosferico e salute umana. Ovvero come orientarsi nella lettura e interpretazione di studi ambientali, tossicologici ed epidemiologici

Author

Baldacci, S., Maio, S., Viegi, G., Gruppo Collaborativo EpiAir, Forastiere, F., Bisanti, L., Randi, G., Rognoni, M., Simonato, L., Tessari, R., Berti, G., Ennio Cadum, Chiusolo, M., Grosa, M. M., Ivaldi, C., Pelosini, R., Poncino, S., Galassi, C., Pacelli, B., Pandolfi, P., Scarnato, C., Miglio, R., Caranci, N., Pace, G., Zanini, G., Grechi, D., Chellini, E., Mallone, S., Accetta, G., Barchielli, A., Nuvolone, D., Baccini, M., Biggeri, A., Vigotti, M., Colais, P., Faustini, A., Perucci, C. A., Stafoggia, M., Minerba, S., Serinelli, M., Dessì, P. M., Cernigliaro, A., and Scondotto, S.

86. Short-term impact of air pollution among Italian cities covered by the EpiAir2 project | Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2

Author

Baccini, M., Biggeri, A., Accetta, G., Alessandrini, E. R., Angelini, P., Angiuli, L., Antonelli, A., Arena, P., Assennato, G., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Cadum, E., Caldara, S., Calzolari, R., Canossa, E., Canova, C., Caramia, G., Carreras, G., Casale, G., Casale, P., Casella, C., Casetta, A., Cattani, G., Cernigliaro, A., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Chiusolo, M., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Togni, A., Di Biagio, K., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Faustini, A., Forastiere, F., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Gandini, M., Ganzi, A., Garrone, E., Gatti, G., Gherardi, B., Gianicolo, E. A. L., Giannini, S., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., Iuzzolino, C., La Torretta, T., Lanzani, G., Lauriola, P., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariottini, M., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Fabrizio Minichilli, Mircea, M., Morassuto, C., Nocioni, A., Nuvolone, D., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Piovesan, C., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Randi, G., Ranzi, A., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scarinzi, C., Scondotto, S., Selle, V., Serinelli, M., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stafoggia, M., Stagnaro, E., Starnino, G., Stivanello, E., Tominz, R., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., Zauli-Sajani, S., and Zero, F.

88. [Atmospheric pollution and human health.in the literature and interpretation of environmental. toxicological and epidemiologic studies]. | Inquinamento atmosferico e salute umana. Ovvero come orientarsi nella lettura e interpretazione di studi ambientali, tossicologici ed epidemiologici

Author

Baldacci, S., Maio, S., Viegi, G., Gruppo Collaborativo EpiAir, Forastiere, F., Bisanti, L., Randi, G., Rognoni, M., Simonato, L., Tessari, R., Berti, G., Cadum, E., Chiusolo, M., Grosa, M. M., Ivaldi, C., Pelosini, R., Poncino, S., Galassi, C., Pacelli, B., Pandolfi, P., Scarnato, C., Miglio, R., Caranci, N., Pace, G., Zanini, G., Grechi, D., Chellini, E., Mallone, S., Gabriele Accetta, Barchielli, A., Nuvolone, D., Baccini, M., Biggeri, A., Vigotti, M., Colais, P., Faustini, A., Perucci, C. A., Stafoggia, M., Minerba, S., Serinelli, M., Dessì, P. M., Cernigliaro, A., and Scondotto, S.

90. Air pollution and mortality in twenty-five Italian cities: Results of the EpiAir2 Project,Inquinamento atmosferico e mortalità in venticinque città Italiane: Risultati del progetto EpiAir2

Author

Alessandrini, E. R., Faustini, A., Chiusolo, M., Stafoggia, M., Gandini, M., Demaria, M., Antonelli, A., Arena, P., Biggeri, A., Canova, C., Casale, G., Cernigliaro, A., Garrone, E., Gherardi, B., Gianicolo, E. A. L., Giannini, S., Iuzzolino, C., Lauriola, P., Mariottini, M., Pasetti, P., Randi, G., Andrea Ranzi, Santoro, M., Selle, V., Serinelli, M., Stivanello, E., Tominz, R., Vigotti, M., Zauli-Sajani, S., Forastiere, F., Cadum, E., Accetta, G., Angelini, P., Angiuli, L., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Caldara, S., Calzolari, R., Canossa, E., Caramia, G., Carreras, G., Casale, P., Casella, C., Casetta, A., Cattani, G., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Togni, A., Di Biagio, K., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Ganzi, A., Gatti, G., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., La Torretta, T., Lanzani, G., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nocioni, A., Nuvolone, D., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pensato, A., Piersanti, A., Piovesan, C., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Rosa, M., Rubini, G., Sacco, F., Sarno, G., Scala, D., Scarinzi, C., Scondotto, S., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stagnaro, E., Starnino, G., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., and Zero, F.

93. Policies for the promotion of sustainable mobility and the reduction of traffic-related air pollution in the cities participating in the EpiAir2 project | Le politiche per la promozione della mobilità sostenibile e la riduzione dell'inquinamento atmosferico causato dal traffico veicolare nelle città partecipanti allo studio EpiAir2

Author

Di Lonardo, S., Nuvolone, D., Forastiere, F., Cadum, E., Barchielli, A., Accetta, G., Alessandrini, E. R., Angelini, P., Angiuli, L., Antonelli, A., Arena, P., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Fabio Barbone, Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Biggeri, A., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Caldara, S., Calzolari, R., Canossa, E., Canova, C., Caramia, G., Carreras, G., Casale, G., Casale, P., Casella, C., Casetta, A., Cattani, G., Cernigliaro, A., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Chiusolo, M., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Togni, A., Di Biagio, K., Di Leo, A., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Faustini, A., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Gandini, M., Ganzi, A., Garrone, E., Gatti, G., Gherardi, B., Gianicolo, E. A. L., Giannini, S., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., Iuzzolino, C., La Torretta, T., Lanzani, G., Lauriola, P., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariottini, M., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nocioni, A., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pasetti, P., Pensato, A., Piersanti, A., Piovesan, C., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Randi, G., Ranzi, A., Rosa, M., Rubini, G., Sacco, F., Santoro, M., Sarno, G., Scala, D., Scarinzi, C., Scondotto, S., Selle, V., Serinelli, M., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stafoggia, M., Stagnaro, E., Starnino, G., Stivanello, E., Tominz, R., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., Zauli-Sajani, S., and Zero, F.

94. Epidemiologic surveillance for primary prevention of malignant mesothelioma: The Italian experience

Author

Nesti, M., Marinaccio, A., Gennaro, V., Giuseppe Gorini, Mirabelli, D., Mensi, C., Merler, E., Montanaro, F., Musti, M., Pannelli, F., Romanelli, A., Tumino, R., Scarselli, A., Tosi, S., Massari, S., Iavicoli, S., Magnani, C., Terracini, B., Stura, A., Chiappino, G., Pesatori, A. C., Cavone, D., Lazzarotto, A., Viarengo, P., Candela, S., Mangone, L., Pezzarossi, A. M., Storchi, C., Seniori-Costantini, A., Cacciarini, V., Chellini, E., Silvestri, S., Mosciatti, P., Pascucci, C., Scondotto, S., Nicita, C., Dardanoni, G., Di Giorgi, M., Mira, A., Gioffrè, F., Ballarin, N., Roberti, S., Crosignani, P., Barbieri, P. G., and Marras, T.

96. Air pollution and mortality in twenty-five Italian cities: Results of the EpiAir2 Project | Inquinamento atmosferico e mortalità in venticinque città Italiane: Risultati del progetto EpiAir2

Author

Alessandrini, E. R., Faustini, A., Chiusolo, M., Stafoggia, M., Gandini, M., Demaria, M., Antonelli, A., Arena, P., Biggeri, A., Canova, C., Casale, G., Cernigliaro, A., Garrone, E., Gherardi, B., Gianicolo, E. A. L., Giannini, S., Iuzzolino, C., Lauriola, P., Mariottini, M., Pasetti, P., Randi, G., Ranzi, A., Santoro, M., Selle, V., Serinelli, M., Stivanello, E., Tominz, R., Vigotti, M., Stefano Zauli Sajani, Forastiere, F., Cadum, E., Accetta, G., Angelini, P., Angiuli, L., Assennato, G., Baccini, M., Baldacchini, F., Baldacci, S., Baldini, M., Baldo, V., Ballarino, G., Balzi, D., Barban, I., Barbati, G., Barbone, F., Barchielli, A., Baroni, S., Barontini, R., Bartolacci, S., Bellodi, S., Berico, M., Berti, G., Bisanti, L., Bonfanti, M., Bonomolo, A., Bonvicini, L., Bovenzi, M., Brescianini, C., Broccoli, S., Bruni, A., Caldara, S., Calzolari, R., Canossa, E., Caramia, G., Carreras, G., Casale, P., Casella, C., Casetta, A., Cattani, G., Cerrai, S., Cervino, M., Cestari, L., Chellini, E., Ciaccia, G., Cibella, F., Cocchio, S., Crosetto, L., Cuccaro, F., Daris, F., Donato, F., Girolamo, G., Togni, A., Di Biagio, K., Di Leo, A., Di Lonardo, S., Dessì, M. P., Evangelista, A., Faccini, F., Fallani, G., Fruzzetti, R., Galassi, C., Gallo, G., Gallo, L., Ganzi, A., Gatti, G., Giua, R., Goldoni, C. A., Grechi, D., Grosa, M., Guerrini, N., Impallomeni, M., La Torretta, T., Lanzani, G., Leuci, P., Luberto, F., Lupi, A., Madonia, G., Maio, S., Malaguti, A., Mangia, C., Marchesi, S., Mariuz, M., Marotta, A., Martini, A., Menegotto, M., Merlo, F., Migliore, E., Minerba, S., Minichilli, F., Mircea, M., Morassuto, C., Nocioni, A., Nuvolone, D., Nuzzi, R., Onorati, G., Padolecchia, G., Palazzi, B., Pandolfi, P., Parodi, S., Pensato, A., Piersanti, A., Piovesan, C., Pistollato, S., Pizzi, L., Pizzuti, R., Addario, S. P., Porcaro, L., Protti, M., Puppo, A., Raciti, M., Rosa, M., Rubini, G., Sacco, F., Sarno, G., Scala, D., Scarinzi, C., Scondotto, S., Simeoni, R., Simonato, L., Simoni, M., Spagnolo, G., Stagnaro, E., Starnino, G., Troiano, F., Vercelli, M., Vianello, L., Viegi, G., Vigotti, M. A., Volta, C., Zanini, G., and Zero, F.

97. Mortality and morbidity study of petrochemical employees in a polluted site

Author

Pasetto Roberto, Zona Amerigo, Pirastu Roberta, Cernigliaro Achille, Dardanoni Gabriella, Addario Sebastiano, Scondotto Salvatore, and Comba Pietro

Subjects
Cohort study, Mortality, Morbidity, Petrochemical industry, Polluted site, Industrial medicine. Industrial hygiene, RC963-969, Public aspects of medicine, RA1-1270
Abstract

Abstract Background The area of Gela was included among the 57 Italian polluted sites of national interest for environmental remediation because of its widespread contamination from a petrochemical complex. The present study investigates mortality and morbidity of the cohort of Gela petrochemical workers with the aim of disentangling occupational from residential risk. Methods Mortality was assessed for 5,627 men hired from 1960, year of the plant start-up, to 1993; it was followed up for vital status in the period 1960–2002. Morbidity was analysed for 5,431 workers neither dead nor lost to follow-up from 1960 to 2001 and was based on Hospital Discharge Records in the period 2001–2006. The work experience was classified in terms of job categories such as blue collars, white collars, and both – workers who shifted from blue to white collar (95%) or vice versa. An ad hoc mobility model was applied to define qualitative categories of residence in Gela, as residents and commuters. Standardized Mortality Ratios (SMRs) and Mortality Rate Ratios (MRRs) were computed, the latter by using a Poisson regression model. Morbidity was analyzed in terms of Hospital Discharge Odds Ratios (HDORs) through a logistic regression model. While performing the internal comparisons, white collars was the reference category for the job analysis, and commuters was the reference category for the residential analysis. Results In the light of epidemiological evidence about health risk from petrochemical industries in both occupational and environmental settings, and/or on the basis of information about occupational and residential contamination and health risk in the area of Gela, noteworthy results are shown for lung cancer [MRR: 2.11 (CI 90%; 0.96-4.63) in blue collars; 1.71 (1.09-2.69) in residents], respiratory diseases [HDOR: 2.0 (1.0-3.0) in blue collars; 1.4 (0.96-2.06) in residents] and genitourinary diseases [HDOR: 1.34 (1.06-1.68) in blue collars; 1.23 (1.04-1.45) in residents]. Conclusions The results support a role of the exposures in the occupational and residential settings, the latter due to the local ascertained contamination, in affecting the workers’ health. These results underline the urgent need of water, soil, air and food-chain monitoring programs, to discover active sources of exposure and consequently define public health interventions.

Published
2012
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98. A retrospective follow up study on maternal age and infant mortality in two Sicilian districts

Author

Cernigliaro Achille, Scondotto Salvatore, Fiumanò Giovanna, La Scola Claudio, Macaluso Maurizio, Cusimano Rosanna, Mazzucco Walter, Corsello Giovanni, La Torre Giuseppe, and Vitale Francesco

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background Infant mortality rate (IMR) is a key public health indicator. Maternal age is a well-known determinant of pregnancy and delivery complications and of infant morbidity and mortality. In Italy the Infant Mortality Rate was 3.7/1000 during 2005, lower than the average IMR for the European Union (4.94/1000). Sicily is the Italian region with the highest IMR, 5/1000, and neonatal mortality rate (NMR), 3.8/1000, with substantial variation among its nine districts. The present study compared a high IMR/NMR district (Messina) with a low IMR/NMR district (Palermo) during the period 2004-2006 to evaluate potential determinants of the IMRs' differences between the two districts and specifically the impact of maternal age. Methods The Death Causes Registers identified all deaths during the first year of life recorded among infants born to residents of the two districts in 2004-2006. For every case, available hospital charts records were abstracted using a standardized form designed to capture information on potential determinants of infant death. For each district and for each year, IMRs and NMRs were computed. Chi-squared statistics tested the significance of differences between district-specific IMRs. A Poisson regression model was used to analyze the relationship between maternal age, district of residence and IMR. Results The 246 death registry-confirmed cases included 143 (58.1%) males and 103 (41.2%) females, with mean age at death of 33.3 days (SD: 64.5, median: 5.5). The average IMR for 2004-2006 was significantly higher for the Messina district than for the Palermo district (p = 0.0001). The IMR ratio was 1.6 (95%CI: 1.2 - 2.1). The IMRs declined from 2004 to 2006. A significant interaction (p = 0.04) between maternal age and district of residence was documented. Conclusion The association between advanced maternal age and infant deaths in the Messina district was due in part to the excess of newborns from advanced age mothers, but also to increased risk of death among such newborns. The significant interaction between district of residence and maternal age indicated that the IMR excess in the Messina district cannot be explained by disproportionately high live birth rates among older mothers and suggested the hypothesis that health care facilities in the Messina district could be less well prepared to provide assistance to the excess of high risk pregnancies and deliveries, as compared to Palermo district.

Published
2011
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99. Stratification of the risk of developing severe or lethal Covid-19 using a new score from a large Italian population: a population-based cohort study

Author

Marina Davoli, Giuseppe Mancia, Nello Martini, Massimo Galli, Federico Rea, Giovanni Corrao, Vito Lepore, Danilo Fusco, Adele Lallo, Flavia Carle, Paolo Francesconi, Antonio Lora, Olivia Leoni, Aldo Maggioni, Chiara Marinacci, Francesco Avossa, Rinaldo Zanini, Carlo Piccinni, Alessandra Allotta, Antonio D'Ettorre, Cinzia Tanzarella, Patrizia Vittori, Sabrina Abena, Marica Iommi, Liana Spazzafumo, Michele Ercolanoni, Roberto Blaco, Simona Carbone, Cristina Giordani, Dario Manfellotto, Donata Bellentani, Carla Ceccolini, Angela De Feo, Rosanna Mariniello, Modesta Visca, Natalia Magliocchetti, Giovanna Romano, Paola Pisanti, Edlira Skrami, Anna Cantarutti, Matteo Monzio Compagnoni, Pietro Pugni, Mirko Di Martino, Giuliana Vuillermin, Alfonso Bernardo, Anna Frusciante, Laura Belotti, Rossana De Palma, Andrea Di Lenarda, Marisa Prezza, Simone Pizzi, Lolita Gallo, Ettore Attolini, Giovanni De Luca, Carla Rizzuti, Silvia Vigna, Letizia Dondi, Antonella Pedrini, Mimma Cosentino, Maria Grazia Marvulli, Corrao G., Rea F., Carle F., Scondotto S., Allotta A., Lepore V., D'Ettorre A., Tanzarella C., Vittori P., Abena S., Iommi M., Spazzafumo L., Ercolanoni M., Blaco R., Carbone S., Giordani C., Manfellotto D., Galli M., Mancia G., Corrao, G, Rea, F, Carle, F, Scondotto, S, Allotta, A, Lepore, V, D'Ettorre, A, Tanzarella, C, Vittori, P, Abena, S, Iommi, M, Spazzafumo, L, Ercolanoni, M, Blaco, R, Carbone, S, Giordani, C, Manfellotto, D, Galli, M, and Mancia, G

Subjects
Adult, medicine.medical_specialty, Population, State Medicine, law.invention, Cohort Studies, Retrospective Studie, law, Health care, Medicine, Humans, education, Retrospective Studies, education.field_of_study, Receiver operating characteristic, business.industry, SARS-CoV-2, Incidence (epidemiology), Public health, COVID-19, Retrospective cohort study, health policy, General Medicine, Intensive care unit, Italy, Public Health, Cohort Studie, business, Human, Demography, Cohort study
Abstract

ObjectivesTo develop a population-based risk stratification model (COVID-19 Vulnerability Score) for predicting severe/fatal clinical manifestations of SARS-CoV-2 infection, using the multiple source information provided by the healthcare utilisation databases of the Italian National Health Service.DesignRetrospective observational cohort study.SettingPopulation-based study using the healthcare utilisation database from five Italian regions.ParticipantsBeneficiaries of the National Health Service, aged 18–79 years, who had the residentship in the five participating regions. Residents in a nursing home were not included. The model was built from the 7 655 502 residents of Lombardy region.Main outcome measureThe score included gender, age and 29 conditions/diseases selected from a list of 61 conditions which independently predicted the primary outcome, that is, severe (intensive care unit admission) or fatal manifestation of COVID-19 experienced during the first epidemic wave (until June 2020). The score performance was validated by applying the model to several validation sets, that is, Lombardy population (second epidemic wave), and the other four Italian regions (entire 2020) for a total of about 15.4 million individuals and 7031 outcomes. Predictive performance was assessed by discrimination (areas under the receiver operating characteristic curve) and calibration (plot of observed vs predicted outcomes).ResultsWe observed a clear positive trend towards increasing outcome incidence as the score increased. The areas under the receiver operating characteristic curve of the COVID-19 Vulnerability Score ranged from 0.85 to 0.88, which compared favourably with the areas of generic scores such as the Charlson Comorbidity Score (0.60). A remarkable performance of the score on the calibration of observed and predicted outcome probability was also observed.ConclusionsA score based on data used for public health management accurately predicted the occurrence of severe/fatal manifestations of COVID-19. Use of this score may help health decision-makers to more accurately identify high-risk citizens who need early preventive or treatment interventions.

Published
2021

100. Developing and validating a novel multisource comorbidity score from administrative data: a large population-based cohort study from Italy

Author

Danilo Fusco, Giovanni Corrao, Luca Merlino, Mauro Ferrante, Rossana De Palma, Mirko Di Martino, Sebastiano Pollina Addario, Laura Maria Beatrice Belotti, Salvatore Scondotto, Adele Lallo, Flavia Carle, Giuseppe Mancia, Federico Rea, Corrao, G., Rea, F., Di Martino, M., De Palma, R., Scondotto, S., Fusco, D., Lallo, A., Belotti, L., Ferrante, M., Pollina Addario, S., Merlino, L., Mancia, G., Carle, F., Corrao, G, Rea, F, Di Martino, M, De Palma, R, Scondotto, S, Fusco, D, Lallo, A, Belotti, L, Ferrante, M, Pollina Addario, S, Merlino, L, Mancia, G, and Carle, F

Subjects
Male, Databases, Factual, Kaplan-Meier Estimate, 030204 cardiovascular system & hematology, Settore MED/42 - Igiene Generale E Applicata, Severity of Illness Index, State Medicine, Cohort Studies, 0302 clinical medicine, Health care, Medicine, Hospital Mortality, Settore SECS-S/05 - Statistica Sociale, 030212 general & internal medicine, Medical diagnosis, Aged, 80 and over, education.field_of_study, Health Care Costs, General Medicine, Middle Aged, prognostic score, Hospitalization, comorbidity, Italy, administrative database, Regression Analysis, Female, Risk Adjustment, Public Health, Cohort study, Population, Drug Prescriptions, Settore MED/01 - Statistica Medica, 03 medical and health sciences, Humans, Medical prescription, education, Survival analysis, Aged, Receiver operating characteristic, business.industry, Research, medicine.disease, Comorbidity, ROC Curve, record linkage, business, Demography
Abstract

ObjectiveTo develop and validate a novel comorbidity score (multisource comorbidity score (MCS)) predictive of mortality, hospital admissions and healthcare costs using multiple source information from the administrative Italian National Health System (NHS) databases.MethodsAn index of 34 variables (measured from inpatient diagnoses and outpatient drug prescriptions within 2 years before baseline) independently predicting 1-year mortality in a sample of 500 000 individuals aged 50 years or older randomly selected from the NHS beneficiaries of the Italian region of Lombardy (training set) was developed. The corresponding weights were assigned from the regression coefficients of a Weibull survival model. MCS performance was evaluated by using an internal (ie, another sample of 500 000 NHS beneficiaries from Lombardy) and three external (each consisting of 500 000 NHS beneficiaries from Emilia-Romagna, Lazio and Sicily) validation sets. Discriminant power and net reclassification improvement were used to compare MCS performance with that of other comorbidity scores. MCS ability to predict secondary health outcomes (ie, hospital admissions and costs) was also investigated.ResultsPrimary and secondary outcomes progressively increased with increasing MCS value. MCS improved the net 1-year mortality reclassification from 27% (with respect to the Chronic Disease Score) to 69% (with respect to the Elixhauser Index). MCS discrimination performance was similar in the four regions of Italy we tested, the area under the receiver operating characteristic curves (95% CI) being 0.78 (0.77 to 0.79) in Lombardy, 0.78 (0.77 to 0.79) in Emilia-Romagna, 0.77 (0.76 to 0.78) in Lazio and 0.78 (0.77 to 0.79) in Sicily.ConclusionMCS seems better than conventional scores for predicting health outcomes, at least in the general population from Italy. This may offer an improved tool for risk adjustment, policy planning and identifying patients in need of a focused treatment approach in the everyday medical practice.

Published
2017

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