Environmental Health In Central And Eastern Europe

This book presents the latest research in quantifying complex mixtures in the environment and analyzing their potential impact on human health. Many of the manuscripts reported in these proceedings represent the most up-to-date measurements of population exposures in Central and Eastern Europe. These studies are of value to health and environmental professionals around the world as they develop strategies for assessing exposures, remediating contaminated environments, and improving public health.

This report draws on lessons learned in urban development lending to build a conceptual framework for improving the delivery of services. This framework looks beyond local governments alone as the cause of poor performance and points toward reforming the incentives they face. The report examines key issues in service delivery, such as the need to clarify the division of functional responsibilities between levels of government, to make revenue sources correspond to functional responsibilities, and to establish a governmental system that balances central regulation with local incentives for responding to constituents. The book seeks to begin a global dialog on ways of improving urban service delivery and to serve as a catalyst for further learning from the rich experience of reform underway in many developing countries. The issues addressed in the report especially pertain to countries undertaking decentralization. Also available: French (ISBN 0-8213-3314-3) Stock No. 13314; Spanish (ISBN 0-8213-3315) Stock No. 13315.

In this new edition, the progress made in the last decade to solve the environmental problems described in the first edition is assessed. The attempts to bring environmental legislation into line with West European norms is also described. Environmental Problems of East-Central Europe looks at air and water pollution, modern farming, water supplies, waste management and landscape protection. These topics are placed within economic, social and political profiles, as spending on a clean environment must be reconciled with welfare spending and the safeguarding of jobs, European Union assistance, civil society and the work of environmental NGOs are also discussed. All of these matters are considered within the context of the wider geographical area and then by each individual country, including the previously communist states lying to the west of the Soviet Union (now with the former federal states of Czechoslovakia and Yugoslavia broken up into seven different entities) and a review of the former Soviet Union with particular reference to the Baltic States. Environmental Problems in East-Central Europe provides a wealth of up-to-date reference material, with a vast amount of supporting literature on environmental conditions and the functioning of civil society and a map of each country. The environment is being taken seriously by them all, such is the influence of the Rio sustainability agenda in general and the EU environmental 'acquis' in particular. The book reveals that Eastern Europe is not a blighted area, but in some respects has a higher biodiversity than Western Europe. Although there is enormous waste and inefficiency in energy use, people actually consume relatively little and the East therefore has some lessons for the West in terms of managing on the bases of 'fair share' of the earth's resources.

Providing a comprehensive, descriptive analysis of a wide range of Central and East European countries, this updated paperback edition offers an invaluable study of pollution problems and effects on the quality of life. Revisions include: * new chapter on Slovakia, demonstrating the implementation of a number of practical measures which have made a considerable impact on environmental problems that arose under communism and have been tackled during the transition. * new concluding chapter which provides an important overview of recent developments in Eastern Europe and discusses topical issues such as health hazards and methods of charging polluters for environmental damage.

This volume presents the procedings of an "Advanced Research Workshop," held under the auspices of the NATO International Scientific Exchange Programme, on the Environmental and Non-environmental Determinants of the East-West Life Expectancy Gap in Europe. The workshop brought together individuals from Eastern and Western Europe and North America who had a common interest in understanding the evolution of the relative declines in life expectancy in Central and Eastern Europe, compared to the West, over the past 30 years. Between 1989 and 1993, I carried out a series of investigations into the effects of environmental pollution on human health in Central and Eastern Europe, at first, under the auspices of the World Bank, and later, under a broader multilateral, multi-agency arrangement known as the "Environment for Europe" Process. These investigations provided unparalleled access to environmental health data from the region, and offered a glimpse of what the contribution of pollution to health status was, and what it was not. At the same time, the Program in Population Health of the Canadian Institute for Advanced Research (CIAR) and the International Centre for Health and Society (ICHS) at University College, London, were embarking upon multi-disciplinary inquiries into the broad determinants of health in modern societies. The work of the CIAR provided a framework for conceptualizing the East-West life expectancy gap and its potential determinants; the work of the ICHS provided specific insights into the relative contributions of these determinants.

Public experience with risk communication differs greatly from country to country in Europe and there has been little opportunity for the transfer of experience and learning between countries. This is especially true for the many new European States, including the countries in transition from centralised to market economies. This book presents case studies on risk communication. One of its unifying concepts is the role of risk communication in the risk management process. Technical and philosophical introductions to risk communication and risk management and research in risk communication are given. The case studies themselves occupy the central portion of the book, each one covering a particular hazard, risk or situation seen from a particular point of view. The issue of the special circumstances for environmental and health risk communication in central and eastern Europe is also addressed through a separate presentation and discussion of an appropriate case study. A different approach to risk communication is taken by examining how it forms part of the risk management process at the local level. Research into risk perception, a field that forms an important foundation for many aspects of risk communication, is summarised and practical guidelines for risk communication are reviewed. These include discussions on how to carry out public information programmes and methods for increasing public involvement in risk management decisions.