Progetto VIS - Valutazione di Impatto Sanitario

PROJECTS

The Health Impact Assessment (HIA)

Pareri - FSRU
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Pareri - FSRU descrizione
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Criticità 1
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Citicità
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Regulations
07/10/2022 D.Lgs 104/2017  D.Lgs 152/2006    Directive 2014/52/CE 

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FAQs
07/10/2022

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What is the spatial area of interest for the HIA study?
07/10/2022 It is the area where it is estimated that health impacts associated with the project may occur during both the construction and the operation of the industrial plant. It is generally identified by applying dispersion/diffusion models of contaminants of health concern that allow to identify the extend of the contamination.

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Does the environmental impact study (EIS) support the HIA?
07/02/2023 The EIS study is one of the documents that the proponent must prepare in order to submit the project to the EIA procedure; it is very supportive. However, since it is prepared to assess environmental aspects, from which health aspects also follow, it must be verified that the EIS has taken into account all aspects that may also be of concern for health, and that the environmental characterization has taken into account recommendations to protect ...

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What are the environmental limits of contaminants that protect health?
07/02/2023 The reference values that identify health-protective environmental levels are the so-called "health-based" concentrations, i.e., below which no significant health effects are expected in the exposed population. These values are identified by national and international agencies and institutions through a risk assessment process.

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What emission scenarios of the facility undergoing HIA must be evaluated?
07/02/2023 The emission scenarios to be evaluated, in the case of a modification of an existing plant, are those related to the actual ante operam operation (i.e., existing before the implementation of the design modification subjected to an EIA) and the predicted post operam operation. Sometimes the scenario referring to the IPPC (Integrated Pollution Prevention and Control) permit emission values is considered as ante operam configuration, which, however,...

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Which is the role of the ecotoxicological assessment in the HIA?
07/02/2023 The ecotoxicological assessment supports the HIA integrating the state of the art for the knowledge of the environmental state affected by the enterprise, with the aim to protect human health.This assessment is relevant to detect potential negative impacts that are not foreseen and can derive from exposure to mixtures and emerging contaminants not included in the legislation, to prevent negative trends, to adopt rapidly the measures and to verify...

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When is it important to verify impacts on the soil media?
07/02/2023 It is important to verify impacts on soils first by studying the spatial setting of the affected area, checking for the presence of areas of agricultural or livestock use. The fallout of pollutants, particularly atmospheric particulate matter produced by the proposed plant, can contaminate soils and transfer contamination to the food chain. It is also important to check whether the pollutants emitted by the plant include substances that are likel...

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When is it important to verify impacts on the water media?
07/02/2023 In considering the impact of the plant on water resources, it's important to obtain detailed information on the area interested in terms of presence of surface water, basins or groundwater intended for human consumption. The fallout of contaminants, such as the particulate matter emitted by the plant can result in contamination of surface water for human consumption, whilst the contamination of the groundwater may be caused by leakage of contamin...

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What is meant by background/background values of pollution in an area?
07/02/2023 Background values are the environmental concentrations of pollutants produced/emitted by the plant in the area before it is built. They represent the background concentrations to which will be added those determined by the emissions of the planned plant. The assessment of heal impacts must be performed taking into account the pollution contribution of the new plant and the background values.

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When a toxicological risk assessment associate to aggregate and/or combined exposure should be carried out?
07/02/2023 It is important to carry out a toxicological risk assessment associated to aggregate exposure when several routes of exposure to the same pollutant are involved. The most frequent ones are the inhalation and the ingestion (through water and diet). This depends on the characteristics of the area, the type of emission and plant and the toxicological profile of the contaminant(s) emitted by the plant under evaluation. It is important to carry out a ...

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What are the meanings of the general and specific components of the health profile of the population within the health i...
07/02/2023 The population health profile concerns at least the outcomes of mortality and hospitalisation and can be distinguished into a general and a specific component. The general component relates to large groups of diseases which are the same for different territories and populations. The mortality outcome refers to the general mortality (mortality for al diseases) and the groups of all tumours, diseases of the circulatory system, respiratory system, d...

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What is the role of knowledge on the socioeconomic profile and the evaluation of conditions regarding environmental just...
07/02/2023 The description of the socioeconomic profile of populations affected by the ‘work’ (industrial project) under evaluation allows the assessment of their eventual socioeconomic fragilities.    The assessment of environmental justice conditions concerns the definition of advantages (positive effects) and disadvantages (negative effects) in socioeconomic terms and for other environmental justice dimensions at the local level regarding the ‘...

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What are the impact indicators used in the health impact assessment procedure?
07/02/2023 The health impact assessment procedure’s main indicator of health impact is based on Attributable Cases. Attributable Cases are computed considering the expected variation in exposure due to the ‘work’ (industrial project) under evaluation for contaminants for which epidemiological dose-response functions are available. Other indicators that can be potentially usable (also for the health impact assessment of different diseases) are: The Years ...

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Guidelines
07/10/2022 Rapporto Istisan 22/35  Rapporto Istisan 19/9 TOOL per la valutazione delle condizioni di giustizia ambientale associate all’opera Fac-simile lettera ASL Fac-simile lettera Enti

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About us
07/10/2022 At the Department of Environment and Health of the Istituto Superiore di Sanità (ISS), the Working Group (WG) for Health Impact Assessment (HIA) is organized by decree of the Director of the Department of Environment and Health (DAMSA) Prot.557/DAMSA dated 5/11/2019. The 2019 CCM project titled “Health Impact Assessment: training of health personnel belonging to regional control bodies and in-depth study of ISS Guidelines” is funded by the Minis...

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