[The contaminated sites in the SENTIERI Project: an update of legislative, contamination, and sources of environmental exposure aspects in Italy]. / I siti contaminati del Progetto SENTIERI: aggiornamenti legislativi, caratteristiche della contaminazione e fonti di esposizione ambientale.

In Italy, the problem of contaminated sites was introduced for the first time at a regulatory level with the 'Ronchi Decree' No. 22 of 1997. Subsequently, the regulations that defined most of the contaminated Sites of National Interest (SINs) were Law No. 426 of 09.12.1998 and Law no. 179 of 31.07.2002. Today, the reference directive is the Legislative Decree 152/2006 'Consolidated Environmental Act', which in Part IV, Title V 'Remediation of contaminated sites', dictates the administrative and technical procedures for the remediation of contaminated sites. Over time, there have been numerous regulatory updates that have changed the selection criteria for the SINs, leading some of these to be downgraded to Sites of Regional Interest (SIRs). The SINs in their entirety are managed by the Italian Ministry of the Environment, today called 'of the Ecological Transition', while the pass to the competence of the territorially concerned Regions SIRs regarding the verification and eventual remediation operations. Currently, in Italy there are 42 SINs and 17 SIRs. All the information derived from the various environmental regulations and that found in the context of the remediation procedures made it possible to define the exposure of the population residing in the areas adjacent to the SINs and SIRs as well as the elaboration of sheets containing all the site-specific information.

[From the selection of priority pollutants to the analysis of health data in the SENTIERI Project]. / Dalla selezione degli inquinanti prioritari alla lettura dei dati sanitari nel Progetto SENTIERI.

OBJECTIVES: evaluation of mortality and hospitalization of residents in five Italian National Priority Contaminated Sites, studied in the SENTIERI Project, for those pathologies which, on the basis of the assessments of international agencies and bodies, are known to have an aetiological connection with exposure to specific environmental pollutants. DESIGN: ecological study. SETTING AND PARTICIOANTS: resident population in the sites of Trieste and Piombino (steel plants), and Falconara, Livorno, and the industrial area of Milazzo (petrochemical plants and/or refineries). Data extracted from the Sixth SENTIERI Report. MAIN OUTCOME MEASURES: mortality (2013-2017) and hospitalization (2014-2018) for associated causes by exposure to specific pollutants detected in the soil and water matrices. RESULTS: the results obtained do not show common patterns between the excesses found in Trieste and Piombino Sites (steel plants) nor among Livorno, Falconara, and Milazzo (petrochemicals and/or refineries). Livorno and Trieste sites, having a larger population, show the greatest number of excesses. CONCLUSIONS: the proposed approach can be a useful tool, in addition to others, for the study of the health profile of residents in contaminated sites, being also the basis for aetiological epidemiological studies.

Atmospheric particulate matter effects on SARS-CoV-2 infection and spreading dynamics: A spatio-temporal point process model.

Particulate matter (PM) may play a role in differential distribution and transmission rates of SARS-CoV-2. For public health surveillance, identification of factors affecting the transmission dynamics concerning the endemic (persistent sporadic) and epidemic (rapidly clustered) component of infection can help to implement intervention strategies to reduce the disease burden. The aim of this study is to assess the effect of long-term residential exposure to outdoor PM ≤ 10 µm (PM10) concentrations on SARS-CoV-2 incidence and on its spreading dynamics in Marche region (Central Italy) during the first wave of the COVID-19 pandemic (February to May 2020), using the endemic-epidemic spatio-temporal regression model for individual-level data. Environmental and climatic factors were estimated at 10 km2 grid cells. 10-years average exposure to PM10 was associated with an increased risk of new endemic (Rate Ratio for 10 µg/m3 increase 1.14, 95%CI 1.04-1.24) and epidemic (Rate Ratio 1.15, 95%CI 1.08-1.22) infection. Male gender, older age, living in Nursing Homes and Long-Term Care Facilities residence and socio-economic deprivation index increased Rate Ratio (RR) in epidemic component. Lockdown increased the risk of becoming positive to SARS-CoV-2 as concerning endemic component while it reduced virus spreading in epidemic one. Increased temperature was associated with a reduction of endemic and epidemic infection. Results showed an increment of RR for exposure to increased levels of PM10 both in endemic and epidemic components. Targeted interventions are necessary to improve air quality in most polluted areas, where deprived populations are more likely to live, to minimize the burden of endemic and epidemic COVID-19 disease and to reduce unequal distribution of health risk.

[European community guidelines and standards in indoor air quality: what proposals for Italy]. / Orientamenti normativi comunitari sulla qualità dell'aria indoor: quali proposte per l'Italia.

Indoor air quality is an issue on which to focus because of the increasing number of exposed population and in view of the strong public feeling on this issue. This paper reports the rules of EU and several European countries about indoor air quality, focusing on the initiatives performed in Italy to respond to WHO recommendations. Several EU countries have introduced in their legislation rules relating to indoor air quality. At the moment, in Italy, a reference rule has not been issued. For this reason, up to date main informations concerning some guidelines or reference values in indoor air, to be used for a first comparison, are those obtained by the scientific literature, or by the guidelines issued by other European countries or, for analogy, by other standard values such as limit or reference values regarding outdoor air. Even the EU, while reaffirming the priority of energy efficiency measures, recommends healthier indoor environments and the development of a specific European strategy on the issue of indoor air quality. The National Study Group on indoor pollution of the Italian National Health Institute (ISS), is working for the development of shared technical and scientific documents, in order to provide greater uniformity of actions at national level, waiting for a legal framework for indoor air quality, in the light of the indication already produced by the WHO.

State-of-art of the legislation on odour emissions with a focus on the Italian studies.

This review would like to point out the state-of-art of the European legislation for the odour pollution determination and management. Odour is generated by a mixture of more or less volatile and persistent compounds that surround us in daily life. European directives impose the use of corresponding technical standards for the application of the limits imposed. The different approaches (chemicals and/or olfactometries) and integrated evaluation methods for measuring and characterizing odour, even if in a very different way in the European territories, will be reviewed and commented. Specifically, the authors will describe and comment the main procedures for odour concentration determination (e.g., multigas sensors, electronic sensors for odour monitoring). It is important to note that the definition of odour does not take into account if an odour is "good" or "bad", but only if it exists. The limit value must guarantee a total equivalent level of environmental protection and does not involve a greater polluting load in the environment. Further, a deep revision of the Italian situation in terms of legislation and studies, will complete the paper.

Atmospheric bulk depositions: state-of-the-art and European legislative framework with focus on Italy.

The determination of total atmospheric deposition (bulk) is an essential tool to assess the state of environmental contamination and the consequent exposure of the population to persistent organic pollutants (POPs) through the intake of contaminated food. Over the past 20 years, international authorities and the European Union through various pieces of legislation have emphasised the importance of conducting monitoring and studies on depositions to better understand their impact on the environment and human health without setting reference values. Despite the absence of such values, several European countries, through national laws, have adopted limit values and/or guideline values for the deposition fluxes of some organic (dioxins, furans, polychlorinated biphenyls and polycyclic aromatic hydrocarbons) and inorganic persistent pollutants (metals). The aim of this review is both to summarise the present European legislation on depositions both to discuss the different legislations adopted by the various member states. Furthermore, a focus of this paper will be dedicated to the Italian legislation, where there is currently no specific guideline values for POPs in atmospheric deposition. In any case, some national authorities in Italy, such as the National Institute of Health (ISS) and the Regional Environmental Protection Agencies (ARPA), have conducted numerous monitoring activities on depositions, providing the scientific community and policymakers with numerous data on which to establish national reference values.

COVID-19 in meat plants: a survey framed within a Target Prevention Plan, in Italy.

BACKGROUND: During the COVID-19 pandemic, several outbreaks have been recorded worldwide in industrial slaughterhouses and meat-processing plants. Competent Italian health authorities at regional and provincial levels agreed on a risk-oriented control plan. METHODS: Advocacy actions were activated, targeting meat plant managers and related food business operators. A questionnaire focused on the inventoried risk factors from literature was developed and administered voluntarily to interested stakeholders. In addition, an outbreak questionnaire was proposed to the prevention department of local health units. RESULTS: From 2021 to 2022, 333 advocacy and 24 outbreak questionnaires on 4,765 inventoried plants were collected. The lack of awareness in updating the Risk Assessment Document for COVID-19, non-instrumental body temperature checks at the entrance, working force from different subcontractors, poor hygiene in shared places, and insufficient ventilation were the main critical points recorded. CONCLUSIONS: Results provide a post hoc review with an eye toward future zoonotic pandemics.

Transcriptional modulation of a human monocytic cell line exposed to PM(10) from an urban area.

Insight into the mechanisms by which ambient air particulate matter mediates adverse health effects is needed to provide biological plausibility to epidemiological studies demonstrating an association between PM(10) exposure and increased morbidity and mortality. In vitro studies of the effects of air pollution on human cells help to establish conditions for the analysis of cause-effect relationships. One of the major challenges is to test native atmosphere in its complexity, rather than the various components individually. We have developed an in vitro system in which human monocyte-macrophage U937 cells are directly exposed to filters containing different amounts of PM(10) collected in the city of Rome. Transcriptional profiling obtained after short exposure (1h) of cells to a filter containing 1666µg PM(10) (77.6µg/cm(2)) using a macroarray panel of 1176 genes reveals a significant change in the mRNA level (>2 fold) for 87 genes relative to cells exposed to a control filter. Overall, 9 out of 87 modulated genes were annotated as "lung cancer". qRT-PCR confirmed the induction of relevant genes involved in DNA repair and apoptosis, specifically: ERCC1, TDG, DAD1 and MCL1. In cells exposed for 10min, 1h and 3h to different amounts of PM(10), transcription of TNFα and TRAP1, which code for a key pro-inflammatory cytokine and a mitochondrial protein involved in cell protection from oxidative stress, respectively, was shown to be modulated in a time-dependent, but not a dose-dependent manner. Taken together, these data indicate that it is possible to analyze the effects of untreated particulate matter on human cells by the direct-exposure approach we have developed, possibly providing new clues to traffic-related health hazard.

How Can Design Features and Other Factors Affect the Indoor Air Quality in Inpatient Rooms? Check-Lists for the Design Phase, Daily Procedures and Maintenance Activities for Reducing the Air Concentrations of Chemical Pollution.

Indoor Air Quality (IAQ) is one of main topics of Public Health on which international institutions and countries are taking action. With regards to healing architectures, several studies have reported data analysis and case studies to improve users' health (patients, and medical and administrative staffs), but there are not enough regarding volatile organic compounds (VOCs). Regarding chemical pollution of indoor air, the Scientific Community has highlighted that there are several factors that affect the IAQ, in particular the design and management, and energetic efficiency, of inpatient wards. Several stakeholders, from the designers to the managers, are responsible for the indoor air in healing environments. Supported by analysis of the State of the Art and the main factors that influence the heterogeneous scenario of inpatient wards, the paper presents three check-lists, designed for supporting the stakeholders during the design phase, or for the daily procedures and maintenance activities, for pre-assessment of factors that affect chemical pollution, and for the definition of strategies to be applied. In fact, in such environments IAQ assumes a particular meaning and importance, both for the vulnerability of the patients and for the long time spent by the sanitary staff. The multidisciplinary approach emphasizes the continuous need for interdisciplinary knowledge and skills aimed at finding solutions able to protect users' health status (including patients, workers and visitors), especially in the field of the indoor air issue.

Indoor Air Quality Levels in Schools: Role of Student Activities and No Activities.

This work describes a methodology for the definition of indoor air quality monitoring plans in schools and above all to improve the knowledge and evaluation of the indoor concentration levels of some chemical pollutants. The aim is to guide interventions to improve the health of students and exposed staff connected with the activities carried out there. The proposed methodology is based on the simultaneous study of chemical (indoor/outdoor PM2.5, NO2, CO2) and physical (temperature, humidity) parameters by means of automatic analyzers coupled with gaseous compounds (benzene, toluene, ethylbenzene, xylenes, formaldehyde and NO2) sampled by denuders. The important novelty is that all the data were collected daily in two different situations, i.e., during school activities and no-school activities, allowing us to evaluate the exposure of each student or person. The different behaviors of all the measured pollutants during the two different situations are reported and commented on. Finally, a statistical approach will show how the investigated compounds are distributed around the two components of combustion processes and photochemical reactions.

COVID-19 and Living space challenge. Well-being and Public Health recommendations for a healthy, safe, and sustainable housing.

BACKGROUND AND AIM OF THE WORK: The ongoing pandemic of COVID-19 is a strong reminder that the lockdown period has changed the way that people and communities live, work, and interact, and it's necessary to make resilient the built environment, both outdoor and mainly the indoor spaces: housing, workplaces, public buildings, and entertainment facilities. How can we re-design the concept of Well-being and Public Health in relation to the living places of the future? METHODS: According to the previous statements and scenario, this paper aims to integrate the building hygiene and well-being, focusing the possible responses, both existing and for the new buildings, taking home a strong message from this "period" of physical distancing. RESULTS: The Well-being and Public Health recommendations for a healthy, safe, and sustainable housing are framed into the following key points: 1. Visible and accessible green elements and spaces; 2. Flexibility, adaptability, sharing, and crowding of living spaces, and compliant functions located into the buildings; 3. Re-appropriation of the basic principles and archetypes of sustainable architecture, thermal comfort and Indoor Air Quality (IAQ); 4. Water consumption and Wastewater Management; 5. Urban Solid Waste Management; 6. Housing automation and electromagnetic fields; 7. Indoor building and finishing materials. CONCLUSIONS: The Well-being and Public Health recommendations for a healthy, safe and sustainable housing may provide a useful basis for Designers, Policy Makers (fostering tax incentives for building renewal), Public Health experts and Local Health Agencies, in promoting actions and policies aimed to transform living places in healthier and Salutogenic spaces.

Indoor Air Quality in Inpatient Environments: A Systematic Review on Factors that Influence Chemical Pollution in Inpatient Wards.

Introduction: Indoor air quality is one the main issues in which governments are focusing. In healing spaces, several research studies are reporting a growing number of data analysis and research works in order to guarantee and prevent health of users and workers. Currently the main investigations are about biological and physical risks; otherwise chemical ones are less investigated. Several countries are carrying out indoor air quality monitoring in those professional workplaces in which chemicals are used but also in some typically indoor (generic) spaces for the building hygiene assessment. The indoor air is affected by several factors that currently are analyzed punctually, without a whole scenario of all the variable performances. The authors have done a systematic review on the current state of the art and knowledge related to chemical pollution in healing spaces and the emerging strategies, supported by scientific literature, for healthy inpatient rooms and their indoor air. Methodology: The systematic review has been done through the analysis of papers from SCOPUS, DOAJ, and PubMed databases. The survey sample considered 483 scientific articles, between 1989 and 2017, and starting the systematic reading and analysis of the abstracts, only 187 scientific papers were selected, and only 96 were accessible. Discussion: Since scientific literature reports very different outputs and results, the resulting work from the survey is divided into specific fields of interest related to construction and finishing materials, installations, components, ventilation systems, processes, etc. Starting from the systematic reading, the paper classifies the factors of indoor air in four macroareas: outdoor air and microclimatic factors (temperature, relative humidity, air velocity, air change, etc.); management activities (management and maintenance activities, ventilation systems, HVAC, cleaning and disinfectant activities, etc.); design factors (room dimensions, furniture, finishing materials, etc.); and human presence and medical activities (users' presence, their health status, and medical activities carried out in inpatient rooms). Conclusion: The systematic review gives rise to a broad scenario on the existing knowledge regarding the indoor air pollution, design, and management strategies for healthy spaces and several emerging topics. Although the aim of the investigation is strictly related to chemical pollution, several considerations from the biological point of view have been listed. The systematic review, supported by the existing scientific literature, becomes a starting point for considering the importance of the topic and to stimulate the knowledge around this field of interest for improving studies, analysis, and simulations.

Chemical Pollution in Healing Spaces: The Decalogue of the Best Practices for Adequate Indoor Air Quality in Inpatient Rooms.

Indoor air quality (IAQ) is one of the main topics in which governments are focusing. In healthcare facilities, several studies have reported data analysis and case studies to improve users' health. Nowadays, although many studies have been conducted related to the biological and physical risks, the chemical risks have been less investigated and only in some specific functional areas of the hospitals. Starting from some systematic reviews and research works, this paper aims to list the best healthy practices for an adequate IAQ in inpatient wards. In particular, the decalogue lists the strategies related to chemical pollution, starting from design and management, with a focus on (a) localization of hospitals and inpatient rooms, (b) hospital room, (c) microclimatic parameters, (d) ventilation systems, (e) materials and finishing, (f) furniture and equipment, (g) cleaning products and activities, (h) maintenance and (i) management activities, and (l) users and workers. The multidisciplinary approach emphasizes the need for interdisciplinary knowledge and skills aimed to find solutions able to protect users' health status. The design and management decision-making, ranging from the adequate choices of construction site and hospital exposure, finishing materials, cleaning and maintenance activities, etc., which can affect the IAQ must be carried out based on scientific research and data analysis.

Two-years of fine and ultrafine particles measurements in Rome, Italy.

Long-term aerosol measurements have been conducted at two sites in Rome, Italy, April 2001 through March 2003, in a traffic-oriented site, and at an urban background site, close to the city center. The main objective was to establish validated and consistent data sets of particle number concentrations (PNC) in Rome to be used for epidemiological analyses of cardiovascular health effects. Particle number concentrations were measured by a condensation particle counter (CPC 3022A, TSI). Other pollutants (PM10, PM2.5, CO, NO2, NO, NOx, O3) were simultaneously measured at the traffic-oriented site. During the study period, the mean (standard deviation) 24-h PNC values were 4.69 x 10(4) (1.99 x 10(4)) cm(-3) and 2.46 x 10(4) (1.10 x 10(4)) cm(-3), respectively, at the traffic-oriented site and at the urban background site. Mean (standard deviation) 24-h mass concentration of PM2.5 was 23.1 (11.9) microg m(-3), while for PM10 it was 41.3 (17.9) microg m(-3). Higher values for all the pollutants, except ozone, were recorded during the winter period in comparison with the summer period, and a higher variability of the results was also observed during cold months. The comparison between the daily PNC measured at the two sites showed a good correlation (r = .74). CO (r = .77), NO (r = .82), and NOx (r = .83) were all highly correlated with PNC (simultaneous obs. number 576). The diurnal and seasonal pattern of PNC can be attributed to the combined effect of motor vehicle emissions and meteorological conditions.

Mercury emission from crematoria.

The purpose of this study, undertaken at a cremator representing an example of current equipment and cremation practices in use in Italy, is to assess the possible mercury emitted during cremation and substantiate the current data available. This paper reports some preliminary results concerning mercury and total particulate matter emissions during three cremation processes. The obtained results gave a mercury concentration ranging from 0.005 to 0.300 mg/m3 and a mercury emission factor ranging from 0.036 to 2.140 g/corpse cremated. The total particulate matter concentration range was 1.0 to 2.4 mg/m3.

Social sustainability in healthcare facilities: a rating tool for analysing and improving social aspects in environments of care.

INTRODUCTION: Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. METHODOLOGY: The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. RESULTS AND DISCUSSION: The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. CONCLUSION: Starting from its application, it is evident that the instrument enables the improvement of healthcare facilities through several design and organisational suggestions for achieving healing and sustainable architectures.

[Air quality assessment in an urban-industrial area: the Taranto case study]. / La valutazione della qualità dell'aria in una zona urbana-industriale: il caso Taranto.

OBJECT: The chemical-physical characterization of suspended particulate matter and particulate deposition, heavy metals and benzo[a]pyrene, found in the town of Taranto and the nearby industrial area (steelworks, cement production, refinery). DESIGN: Atmospheric deposition Bulks, air of High Volume (HV) samplers equipped with PM10 probe and total suspended particulate matter samplers were used. SETTING: 4 sites of monitoring in different urban areas: two of them close to the cokery, one near the school, and the last one in the town of Statte (Taranto). MAIN OUTCOME MEASURES: Determination of suspended and deposition particulate matter concentration, further determination of heavy metal concentration in the suspended and deposition particulate matter, and determination of BaP concentration. RESULTS: Data evidenced that in the site of Tamburi Cemetery (near the cokery) suspended particulate matter PM10 concentrations vary with the different seasons (warm period: 67 microg/m3, cold period: 39 microg/m3). Lead concentrations are lower than the national limit (0,5 microg/m3); for those heavy metals not yet regulated by law, values are comparable with other industrial areas. Deposition particulate matter concentrations found nearby the steelworks (warm period: 699 mg/m2d, cold period 575 mg/m2d), vary in each different monitoring site. In the town of Statte (Taranto) the concentrations found are: 236 mg/m2d in the warm period, and 154 mg/m2d in the cold period. BaP concentrations for PM10 found in the area of Tamburi near the cookery are the following: 1,9 ng/m3 in the warm period, and 2,6 ng/m3 in the cold period. CONCLUSION: A very compromised situation is found in the area under study as regard air quality, especially the particulate matter in its different fractions and its content of organic and inorganic pollutants.

Atmospheric depositions of persistent pollutants: methodological aspects and values from case studies.

Deposition monitoring, already in use by government control organizations of various countries, contributes to an important increase in experimental knowledge on pollutant deposition fluxes, on their environmental fate and on the possible effects on human health.At the European level, the necessity to consider with extreme attention the environmental contamination due to deposition, has brought to adopt a series of legislative measures and recommendations; this has contributed to set up environmental surveillance systems and monitoring campaigns for a series of pollutants which may accumulate in the environment as persistent organic pollutants (POPs) and for metals.More recently, with DL.vo 155/2010, the necessity to consider, in the development of monitoring stations, the possibility to detect also data on deposition rates which represent a non-direct exposure of the population through the food chain. For sampling the Decree considers only two types of depositions: for total deposition (bulk and Bergerhoff) and wet only deposition.

Incense, sparklers and cigarettes are significant contributors to indoor benzene and particle levels.

INTRODUCTION: The increased use of incense, magic candles and other flameless products often produces indoor pollutants that may represent a health risk for humans. Today, in fact, incense and air fresheners are used inside homes as well as in public places including stores, shopping malls and places of worship. As a source of indoor contamination, the impact of smoke, incense and sparklers on human health cannot be ignored. AIM: In the present work, we report the results of an emission study regarding particles (PM10 and particle number concentration, PNC) and benzene, produced by various incense sticks and sparklers. RESULTS AND DISCUSSION: The results obtained for benzene, PM10 and PNC, showed a strong negative influence on air quality when these products were used indoors. Various incense sticks gave completely different benzene results: from a small increase of the benzene concentration in the air, just slightly above the background levels of ambient air, to very high concentrations, of more than 200 µg/m of benzene in the test room after the incense sticks had been tested.