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BACKGROUND In July 2006, a lasting and severe heat wave occurred in Western Europe. Since the 2003 heat wave, several preventive measures and an alert system aiming at reducing the risks related to high temperatures have been set up in France by the health authorities and institutions. In order to evaluate the effectiveness of those measures, the observed(More)
BACKGROUND Few studies have investigated the independent health effects of different size fractions of particulate matter (PM) in multiple locations, especially in Europe. OBJECTIVES We estimated the short-term effects of PM with aerodynamic diameter ≤ 10 μm (PM10), ≤ 2.5 μm (PM2.5), and between 2.5 and 10 μm (PM2.5-10) on all-cause, cardiovascular, and(More)
Short-term changes in ambient particulate matter with aerodynamic diameters < 10 micro m (PM10) have been associated with short-term fluctuations in mortality or morbidity in many studies. In this study, we tested whether those deaths are just advanced by a few days or weeks using a multicity hierarchical modeling approach for all-cause, respiratory, and(More)
BACKGROUND During August 2003, record high temperatures were observed across Europe, and France was the country most affected. During this period, elevated ozone concentrations were measured all over the country. Questions were raised concerning the contribution of O3 to the health impact of the summer 2003 heat wave. METHODS We used a time-series design(More)
To the Editor: A serious outbreak of chikungunya disease recently occurred on Reunion Island (popula-cases were reported in this French territory in the Indian Ocean. Most cases occurred after mid-December 2005, with a maximum of 45,000 cases during the week of January 29 to February 4, 2006 (2). Surveillance figures were confirmed by a serosur-vey that(More)
The decline in children's Blood Lead Levels (BLL) raises questions about the ability of current lead poisoning screening criteria to identify those children most exposed. The objectives of the study were to evaluate the performance of current screening criteria in identifying children with blood lead levels higher than 50 µg/L in France, and to propose new(More)
At a time when the Health Effects Institute, Centers for Disease Control, and Environmental Protection Agency are creating an Environmental Public Health Tracking Program on Air Pollution Effects in the USA, it seemed useful to share the experience acquired since 1999 by the Apheis project (Air Pollution and Health—A European Information System), which has(More)
BACKGROUND July 2006 was the first major heat wave in France after the creation of a heat prevention plan. Understanding its impacts on health will help improving the efficiency of this plan. We assessed the mortality impact of the heat wave, and investigated the influence of the heat prevention plan. METHODS The study focused on nine French cities. A(More)
Acknowledgments We would like to thank all the APHEIS participants for their interest and the quality of their work, as well as Reinhard Kaiser (National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta) for his contribution to the first steps of the project. Special thanks to Christel Guillaume (Institut de Veille(More)
The 80,000 inhabitants of the lower part of Le Havre obtain their water supply from two karstic springs, Radicatel and Saint-Laurent. Until 2000, the Radicatel water was settled when turbidity exceeded 3 NTU, then filtered and chlorinated, whereas the Saint-Laurent water was simply chlorinated. Our study aimed to characterize the link between water(More)
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