Ambient air pollution is one of the most important global risk factors for morbidity, disability and mortality. Because this risk affects a huge number of urban areas in high income as well as in low income countries, the healthcare dimensions of its consequences are huge, as one realizes considering that there are at least 7 million premature deaths due to air pollution, according to WHO and the Global Burden of Disease epidemiological study.

Living in one of the most polluted area of the world (the Po River Plain), together with the distinguished epidemiologists of the Regione Lazio (led by Francesco Forastiere) and a former staff member of WHO (Michal Krzyzanowski), we first chose in 2015 to organize an independent international seminar called RespiraMi, with the goal to gather the most distinguished global experts and ask them to present their recent and mostly unpublished data on the progress of science towards tackling the global problem of outdoor and indoor air pollution, in the frame of a two days seminar. The third 2019 edition of the Seminar (RespiraMi 3) enlists a distinguish team of expert speakers from the 4 world continents, who will put special emphasis on the effects of air pollution on the weakest groups of citizens: the child, the pregnant woman, older people, to poorest people as well as on the growing evidence that air pollution is one of the causes of most common, growing and devastating neurodegenerative disease (dementia, Alzheimer). The Seminar will newly deal also on the arrays of measures that are being enforced in highly polluted countries such as China, Poland and also Italy to mitigate the deleterious effects of outdoor and indoor air pollutants. Finally, special emphasis will be given to recent data that convincingly show that living, working and going to school in areas richer in greenness decrease overall mortality (particularly from cancer and cardiopulmonary diseases) but also allows school children to achieve better learning performances than those who live and go to school in areas deprived of greenness.

P.M. Mannucci     S. Harari     F. Forastiere     M. Krzyzanowski



Thursday, 24 January 2019
14:00-14:30 Opening

New evidence on health effects of air pollution

Chairs: F. Forastiere, S. Harari

14:30-15:00 Exposure to air pollution and cancer risk. Zorana Andersen, Copenhagen
15:00-15:30 Updates on the cardiovascular effects of air pollution. Francesco Forastiere, Rome
15:30-16:00 Updates on the respiratory effects of air pollution. Sergio Harari, Milan

16:00-16:30 Break

Chairs: A. Peters, M. C. Facchini

16:30-17:00 Early life air pollution exposure, neuropsychological development, and neuroimaging in children. Monica Guxens, Barcelona
17:00-17:30 Environmental exposure and disease: role of the epigenome. Annette Peters, Munich
17:30-18:00 Mechanisms of particulate matter (PM) toxicity. Frank Kelly, London

18:00-18:30 Discussion

Friday, 25 January 2019

Understanding impact of PM components and sources

Chairs: B. Hoffmann, X. Querol

9:00-9:30 Systematic review of health effects of PM components. Jason Sacks, Durham NC 
9:30-10:00 Ultrafine particles and health effects. Barbara Hoffmann, Dusseldorf
10:00-10:30 Non-exhaust emissions: sources and health effects. Fulvio Amato, Barcelona
10:30-11:00 AIRUSE-LIFE PMx source apportionment and measures to abate urban air pollution in Southern Europe. Xavier Querol, Barcelona

11:00-11:30 Break


Health effects of very low and very high PM levels

Chairs: G. Hoek, H. Kan

11:30-12:00 Combining evidence from studies on the effects of air pollution at low level. Gerard Hoek, Utrecht
12:00-12:30 Evidence on the health risks from highly polluted regions. Haidong Kan, Shanghai
12:30-13:00 Causal approaches to study the effects of air pollution. Michela Baccini, Florence

13:00-14:00 Break


Research on air pollution and health in Italy

Chairs: M. Stafoggia, G. Cesaroni

14:00-14:20 The Beep project. Giovanni Viegi, Palermo
14:20-14:40 Fine resolved daily PM maps in Italy using satellite data. Massimo Stafoggia, Rome
14:40-15:00 New evidence from the Rome Longitudinal Study. Giulia Cesaroni, Rome
15:00-15:20 Air pollution and health effects in children: the Piccolipiù project. Franca Rusconi, Florence
15:20-15:40 Noise and air pollution: mapping and incidence of diseases. Carla Ancona, Rome
15:40-16:00 Particulate matter components, sources, and health effects. Andrea Ranzi, Modena

16:00-16:30 Break

Chairs: A. Miani, P. Michelozzi

16:30-16:50 Industrial pollution and health: experience from the Apulia Region. Lucia Bisceglia, Bari
16:50-17:10 Studying the health effects of air pollution in Lombardy? Sara Conti, Milan
17:10-17:30 The Italian Surveillance system on temperature and air pollution. Paola Michelozzi, Rome
17:30-18:00 Open discussion: What is missing in research on the health effects of air pollution in Italy?


Saturday, 26 January 2019

Using evidence to support policies addressing health risks of air pollution

Chairs: S. Gumy, M. Krzyzanowski

8:30-9:00 Greenness to mitigate the health effects of air pollution. Pier Mannuccio Mannucci, Milan
9:00-9:30 Approaches and challenges in estimating the health impact of air pollution. Michal Krzyzanowski, Warsaw
9:30-10:00 The WHO worldwide impact estimates for 2016. Sophie Gumy, Geneva
10:00-10:30 Challenges in sector-specific emission reductions in Europe: short- and long-time perspectives. Markus Amann, Laxenburg

10:30-11:00 Break

11:00-11:30 Policy issues: progress made and remaining challenges in neighboring countries. Richard Ballaman, Bern

11:30-12:00 The EU Directive: Time for “fitness check?”. Vicente Franco, Brussels


Involving people in air pollution risk reduction (Round Table Discussion)

Chairs: P.M. Mannucci, S. Harari 

12:00-15:00 The legal European initiatives. Ugo Taddei, Brussels
                   Control of traffic and diesel vehicles to reduce NO2 concentrations in Italy. Anna Gerometta, Milan
                   Household combustion of solid fuels regulations to reduce PM concentrations in Poland. Andrzej Gula, Krakow
                   WHO Urban Health Initiative: creating demand for action against air pollution through health knowledge and leadership. Thiago Herick De Sa, Geneva
                   Communicating the risk to patients and doctors. Pier Mannuccio Mannucci, Sergio Harari, Milan


Closing of Seminar