engleski

Public health in Croatia active emergency management stakeholder and risk communicator

Introduction: Public health sector in the City of Zagreb, Croatia, represents one of the first line emergency respond representives Identified brownfield locations, along with the non declared and declared orphan sites, still represent significant burden for the sustainable governing and transparent risk communication in case of the disasters or accidents on the ICSs E nvironmental monitoring of the ICS locations is implemented partially, although it is envisaged according to the National Legislative Framework of the Health Care Act. Methods: Evaluation of the institutional LIMS system, the public relations data base and the institutional projects data base was reviewed National and EU legislative framework and a literature search was conducted in PubMed following a structured approach to identify aspects relevant to the comprehensive emergency management of the ICSs. Results: In the period 2014 to 2018 several accidents took place on the possible or confirmed ICS, orphan site locations in Zagreb, Croatia. Planning, on site assessment and measurements of the possible contaminants in various environmetal samples according to the capacities were conducted. Risk communication was based on the limited meteorological environmental and health indicators. Discussion: First line respond is key step in case of the disaster or accident on ICS But, emergency sanation only without available previous site burden information significantely reduces the likelihood of proper exposure and risk asessment and the recommendation of appropriate corrective and preventive measures. According to the disaster management cycle all those elements are integrative and continuous processes of the effective emergancy mangement. New tools provide better visualisation of the multiple measurements allow better undestanding of the big data” in spatio temporal mode, promote use of environmental montioring results in the exposure assessment process and allow development of the various softwares for the correlation of environmental and health indicators. Conclusions: Pilot project Zagreb city Ecological Map (https://ekokartazagreb.stampar.hr/)established in in 2018 represents useful GIS based assement tool intended for further development. It represents the basic ground for the collection and dissemination of information regarding the urban hotspots. Since challenges for the healthy urban living are continuously emerging public health and response systems will have to embrace use of technology and evaluate the benefits of citizen participation or other sources like crowdsourcing data bases. This increase of the formal and informal education in the public’s understanding of complex environment and health issues is in line with the Declaration of the Sixth Ministerial Conference on Environment and Health. Although IT tools represent significant help during the risk communication, other factors such as the nature and duration of accident, availability of the environmental monitoring results media attention or legal and economic facts affect the risk communication outcome.

Environmental health, environmental montioring, health risk assessment

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