Health effects of residential hazardous waste exposure, previously partially unrecognized, were highlighted. The association between 95 health outcomes (diseases and disorders) and residential exposure to hazardous waste sites was evaluated. Rate the confidence in the body of evidence for each outcome taking into account the reliability of each study, the strength of the association and concordance of results.įifty-seven papers of epidemiological investigations on the health status of populations living near hazardous waste sites were selected for the evidence evaluation. Assess the quality of selected studies, taking into account study design, exposure and outcome assessment, confounding control. Select studies for inclusion: original epidemiological studies, published between 19, on populations residentially exposed to hazardous waste. Carry out the literature search, in Medline and EMBASE. Population: people living near hazardous waste sites Exposure: exposure to hazardous waste Comparators: all comparators Outcomes: all diseases/health disorders. Specify the research question, in terms of “Population-Exposure-Comparators-Outcomes” (PECO). The following five steps, based on pre-defined systematic criteria, were applied. We performed a systematic review to evaluate the evidence of the health impact of hazardous waste exposure, applying transparent and a priori defined methods. Disposal and management of hazardous waste are worldwide challenges. Waste is part of the agenda of the European Environment and Health Process and included among the topics of the Sixth Ministerial Conference on Environment and Health.
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