Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews
ABSTRACT Objective To identify interventions that 1) facilitate sustainable development by preventing toxic exposure to chemicals, including pesticides, and 2) have a positive impact on health. Methods This overview utilized systematic review methods to synthesize evidence from multiple systematic r...
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ftdoajarticles:oai:doaj.org/article:ad4d69e953664e4c9fef3a4afd891be1 2023-05-15T15:13:18+02:00 Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews Michelle M. Haby Agnes Soares Evelina Chapman Rachel Clark Marcelo Korc Luiz A. C. Galvão https://doaj.org/article/ad4d69e953664e4c9fef3a4afd891be1 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016000600378&lng=en&tlng=en https://doaj.org/toc/1680-5348 1680-5348 https://doaj.org/article/ad4d69e953664e4c9fef3a4afd891be1 Revista Panamericana de Salud Pública, Vol 39, Iss 6, Pp 378-386 Desarrollo sostenible exposición a riesgos ambientales compuestos químicos plaguicidas salud revisión Américas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article ftdoajarticles 2022-12-31T15:22:12Z ABSTRACT Objective To identify interventions that 1) facilitate sustainable development by preventing toxic exposure to chemicals, including pesticides, and 2) have a positive impact on health. Methods This overview utilized systematic review methods to synthesize evidence from multiple systematic reviews and economic evaluations. A comprehensive search was conducted based on a predefined protocol, including clear inclusion criteria. To be classified as “sustainable” interventions needed to aim (explicitly or implicitly) to 1) have a positive impact on at least two key dimensions of the United Nations integrated framework for sustainable development and 2) include measures of health impact. Results Thirteen systematic reviews and two economic evaluations met the inclusion criteria. The interventions that were most likely to have a positive impact on health included 1) legislation to ban Endosulfan pesticide to prevent fatal poisonings; 2) testing of drinking water for contamination with arsenic, and dissemination of the results to households; and 3) implementation of organic farming / diet to reduce exposure to pesticides. However, the cost-effectiveness of these three interventions and their impact(s) on health inequalities is not known. Strict enforcement of interventions to reduce lead in houses with children was cost-beneficial. Education and dust control interventions performed by cleaning professionals to reduce blood lead levels in children were ineffective. Conclusions What is needed now is careful implementation of the interventions whose impacts are likely to be positive. Ineffective interventions need to be replaced with more effective and cost-effective interventions. Finally, more and better-quality research on the prevention of toxic exposure to chemicals is needed to better support policy development. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Desarrollo sostenible exposición a riesgos ambientales compuestos químicos plaguicidas salud revisión Américas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Desarrollo sostenible exposición a riesgos ambientales compuestos químicos plaguicidas salud revisión Américas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Michelle M. Haby Agnes Soares Evelina Chapman Rachel Clark Marcelo Korc Luiz A. C. Galvão Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
topic_facet |
Desarrollo sostenible exposición a riesgos ambientales compuestos químicos plaguicidas salud revisión Américas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
ABSTRACT Objective To identify interventions that 1) facilitate sustainable development by preventing toxic exposure to chemicals, including pesticides, and 2) have a positive impact on health. Methods This overview utilized systematic review methods to synthesize evidence from multiple systematic reviews and economic evaluations. A comprehensive search was conducted based on a predefined protocol, including clear inclusion criteria. To be classified as “sustainable” interventions needed to aim (explicitly or implicitly) to 1) have a positive impact on at least two key dimensions of the United Nations integrated framework for sustainable development and 2) include measures of health impact. Results Thirteen systematic reviews and two economic evaluations met the inclusion criteria. The interventions that were most likely to have a positive impact on health included 1) legislation to ban Endosulfan pesticide to prevent fatal poisonings; 2) testing of drinking water for contamination with arsenic, and dissemination of the results to households; and 3) implementation of organic farming / diet to reduce exposure to pesticides. However, the cost-effectiveness of these three interventions and their impact(s) on health inequalities is not known. Strict enforcement of interventions to reduce lead in houses with children was cost-beneficial. Education and dust control interventions performed by cleaning professionals to reduce blood lead levels in children were ineffective. Conclusions What is needed now is careful implementation of the interventions whose impacts are likely to be positive. Ineffective interventions need to be replaced with more effective and cost-effective interventions. Finally, more and better-quality research on the prevention of toxic exposure to chemicals is needed to better support policy development. |
format |
Article in Journal/Newspaper |
author |
Michelle M. Haby Agnes Soares Evelina Chapman Rachel Clark Marcelo Korc Luiz A. C. Galvão |
author_facet |
Michelle M. Haby Agnes Soares Evelina Chapman Rachel Clark Marcelo Korc Luiz A. C. Galvão |
author_sort |
Michelle M. Haby |
title |
Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
title_short |
Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
title_full |
Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
title_fullStr |
Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
title_full_unstemmed |
Interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
title_sort |
interventions that facilitate sustainable development by preventing toxic exposure to chemicals: an overview of systematic reviews |
publisher |
Pan American Health Organization |
url |
https://doaj.org/article/ad4d69e953664e4c9fef3a4afd891be1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 39, Iss 6, Pp 378-386 |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016000600378&lng=en&tlng=en https://doaj.org/toc/1680-5348 1680-5348 https://doaj.org/article/ad4d69e953664e4c9fef3a4afd891be1 |
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