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Environmental exposure and health effects in a highly polluted area of Northern Italy: a narrative review

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Abstract

Human health and well-being are strongly linked to the state of the environment. The high industrial pressure present in the Province of Brescia, located in Northern Italy, produced strong environmental and health concerns. This narrative review of the literature aims at identifying the studies focused on the association between exposure to environmental pollutants and health effects in the population living in this area. Thirteen papers fitted the inclusion criteria: five were focused on the connection among pollutants present in air matrix and health effects, seven on both air and soil, and one on soil. No study investigated the relationship with water pollution. The great variability in the analyzed end-points made it difficult to draw precise conclusions, but the fact that, in almost all the studies, the investigated health effects have a positive association with the exposure to different kinds of pollutants, allows us to hypothesize that the considered population is living in an area where the “environmental pressure” could produce significant health effects in the future.

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Abbreviations

ACS:

Acute coronary syndrome

AF:

Atrial fibrillation

AHF:

Acute hear failure

AST/ALT:

Aspartate transaminase/alanine transaminase

Asth:

Asthma

BG:

Bergamo city

BS:

Brescia city

BOLD:

Blood-oxygen-level dependent

CFB:

Cognitive function and behavior

CMM:

Cutaneous malignant melanoma

CVD:

Cardiovascular disease

df:

Degree of freedom

DVT:

Deep vein thrombosis

fMRI:

Functional magnetic resonance imaging

IPD:

Idiopathic Parkinson disease

IQ:

Intelligent quotient

MN:

Micronuclei

MVA:

Malignant ventricular arrhythmia

NBF:

Neurobehavioral function

NHL:

Non-Hodgkin’s lymphoma

OF:

Olfactory function

OR:

Odds ratio

PCBs:

Polychlorinated biphenyls

PD:

Parkinsonian disorders

RD:

Respiratory disease

RR:

Relative risk

SD:

Standard deviation

SMR:

standardized morbidity ratio

Thy:

Thyroid hormones

UPDRS:

Unified Parkinson’s disease rating scale

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Acknowledgments

This work was supported by the “Health and Wealth Strategic Programme” of the University of Brescia.

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Correspondence to Carlotta Alias.

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Responsible editor: Philippe Garrigues

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Alias, C., Benassi, L., Bertazzi, L. et al. Environmental exposure and health effects in a highly polluted area of Northern Italy: a narrative review. Environ Sci Pollut Res 26, 4555–4569 (2019). https://doi.org/10.1007/s11356-018-4040-5

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  • DOI: https://doi.org/10.1007/s11356-018-4040-5

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