National Health Plan 2

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National Health Plan 2




by recyclinage » 23/07/09, 11:14

The National Environmental Health Plan II is published
Responsible for taking over from the National Environmental Health Plan I for the period 2009-2013, the PNSE II sets out twelve flagship measures which characterize and prioritize the actions to be carried out in terms of environmental impact on health. Details.
WK-HSQE - The National Environmental Health Plan II is published © beltsazar - Fotolia.com

Developed in collaboration with all stakeholders * and in line with the National Environmental Health Plan PNSE I (2004-2008) provided for by the Public Health Law of August 9, 2004, the second National Environmental Health Plan (PNSE II), officially published on July 9 by the Minister of Health, declines the commitments of the Grenelle Environment Forum in terms of environmental health. Presented, during the first Council of Ministers of the revamped Government, by the Minister of Health and Sports, Roselyne Bachelot-Narquin, and the Secretary of State for Ecology, Chantal Jouanno, on June 24, it defines a set of actions, both at national and local level. "Its ambition is to give a global view of the main challenges and to characterize and prioritize the actions to be carried out for the period 2009-2013", explains the ministry in charge of health.

Articulated around two priority axes - reducing the exposures responsible for pathologies with strong impact on health and environmental inequalities -, this plan will mobilize 490 million euros over 5 years (380 million euros for the implementation and 110 million devoted to research in this field) and includes 63 measures including twelve "flagship" measures. They are for the most part issued from the report submitted to the Government on April 16 by Professor Marc Gentilini, honorary president of the Academy of Medicine.



Reducing polluting emissions in air and water

The first measure aims to reduce air and water emissions of six toxic substances by 30% by 2013: mercury, arsenic, polycyclic aromatic hydrocarbons (PAHs), benzene, perchlorethylene and PCB / dioxins, but also PM2,5 concentrations (particles with a diameter of less than 2,5 microns) by 2015. This measure is the subject of a national action plan, the “particle plan”, which will find its local application in regional climate, air and energy diagrams created by the Grenelle 2 bill on a national commitment to the environment.

In 2010, the concentrations in air of particles with an average diameter of 2,5 µm (PM 2,5) should tend to a level of 15 µg / m3 (target value), this value becoming mandatory in 2015, which represents a 30% reduction from the current level. To achieve these objectives, the "particle plan" includes, in particular, strengthening the criteria of the "Green Flame" label for heating with domestic wood, tightening the emission standards for combustion plants classified as ICPE, the generalization of particle filters on captive vehicle fleets and the introduction of an eco-kilometer charge for heavy goods vehicles, taking into account particulate emissions.

The PNSE 2 also reinforces actions aimed at limiting exposures inside buildings with the implementation of sanitary labeling of construction and decoration products as well as the products that emit the most substances in the indoor air of buildings and the obligation to use the least emitting products and materials in schools and nurseries.



Control and reduce exposure to substances of concern

Concerning the professional environment, the plan targets carcinogenic, mutagenic or reprotoxic substances (CMR) in the continuity of the PNSE I and will test in four regions a traceability system of professional exposures.

In addition to the general population, the second National Environmental Health Plan provides for specific measures for fragile people such as children, pregnant women or people who are vulnerable because of their state of health. The control of substances, preparations and articles placed on the market in France, particularly on products intended for children, will be strengthened. Reducing exposure to substances of concern in homes and children's homes is high on the priority list. To do this, an air quality monitoring experiment in 300 nurseries and schools will be launched in September 2009 and a program to identify and treat nurseries and schools built on polluted soils will also be launched, agreement with the local authorities concerned.

In terms of water, the plan aims to protect the supply areas of the 500 most threatened water abstractions and reduce the risks linked to the release of drugs into the environment. A monitoring and steering committee for this plan on this subject should be set up in July so as to draw up a national action plan.

A population health biomonitoring program (commitment 139 from Grenelle) will be implemented in 2010.



Clean up the living environment

Other measures include the continuation of the program to combat substandard housing, with a target of 20 housing units treated per year, the promotion of alternative modes of transport and the management of "environmental black spots", which are areas susceptible to present an overexposure to toxic substances, in particular by implementing actions to identify these areas.

Finally, the last action aims to inform the population of the risks. In this sense, the plan confirms the development of the profession of habitat-health advisers. These counselors will be able to go home to offer targeted measures to improve the environment for people suffering from various pathologies, notably asthma or allergies.

In order to monitor these actions, a national steering committee called "Environmental Health Group" (GSE) will bring together the five colleges of Grenelle ** to which would be added qualified and professional personalities from the health system, health insurance organizations and representatives of consumers, patients and victims, said the document. In addition to monitoring, this committee will be able to constitute a space for consultation on emerging risks (nanotechnologies, electromagnetic waves, endocrine disruptors, etc.), and propose a new list of substances whose releases into the environment must be reduced as a priority.

The plan will also be rolled out at regional level in regional environmental health plans (PRSE II). "The coherence between the regional and national level will be ensured by a group of regional PRSE correspondents who will meet regularly at the national level", underlines the plan.



C. Seghier



* Environmental protection associations, patient and victim associations, social partners; many ministries (ecology, health, work, agriculture, economy) and many agencies and research teams

** State, local authorities, associations including representatives of associations approved under the Health Code and the Environment Code, trade union organizations and employers' representatives







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