Burden of disease from environmental noise: quantification of healthy life years lost in Europe
AbstractThe health impacts of environmental noise are a growing concern among both thegeneral public and policy-makers in Europe. This publication was prepared by expertsin working groups convened by the WHO Regional Office for Europe to providetechnical support to policy-makers and their advisers in the quantitative risk assessmentof environmental noise, using evidence and data available in Europe. Thechapters contain the summary of synthesized reviews of evidence on the relationshipbetween environmental noise and specific health effects, including cardiovasculardisease, cognitive impairment, sleep disturbance and tinnitus. A chapter on annoyanceis also included. For each outcome, the environmental burden of diseasemethodology, based on exposure–response relationship, exposure distribution,background prevalence of disease and disability weights of the outcome, is appliedto calculate the burden of disease in terms of disability-adjusted life-years (DALYs).With conservative assumptions applied to the calculation methods, it is estimatedthat DALYs lost from environmental noise are 61 000 years for ischaemic heart disease,45 000 years for cognitive impairment of children, 903 000 years for sleepdisturbance, 22 000 years for tinnitus and 587 000 years for annoyance in the EuropeanUnion Member States and other western European countries. These resultsindicate that at least one million healthy life years are lost every year from trafficrelatednoise in the western part of Europe. Sleep disturbance and annoyance, mostlyrelated to road traffic noise, comprise the main burden of environmental noise.Owing to a lack of exposure data in south-east Europe and the newly independentstates, it was not possible to estimate the disease burden in the whole of the WHOEuropean Region. The procedure of estimating burdens related to environmentalnoise exposure presented here can be used by international, national and local authoritiesas long as the assumptions, limitations and uncertainties reported in thispublication are carefully taken into account.
World Health Organization. Regional Office for Europe. (2011). Burden of disease from environmental noise: quantification of healthy life years lost in Europe. World Health Organization. Regional Office for Europe. https://iris.who.int/handle/10665/326424
Descriptionxvii, 106 p.
ContentsChapter 1: Introduction
Chapter 2: Environmental noise and cardiovascular disease
Chapter 3: Environmental noise and cognitive impairment in children
Chapter 4: Environmental noise and sleep disturbance
Chapter 5: Environmental noise and tinnitus
Chapter 6: Environmental noise and annoyance
Chapter 7: Conclusions