Environment and Public Health: the French Bible

2023-07-05 17:29:40

Tribune written by Philippe Leduc, doctor and health journalist, initially published on the Les Echos-Le Parisien website.

20 years following the first edition appears a completely revised version of Environment and Public Health. The result of a collaboration between France and Quebec, this manual of more than 1,000 pages, to which some one hundred experts have contributed, is rightly presented as “bold, unique and innovative”. It is also exciting and useful as the role of the environment is major in health.

Dr Philippe Leduc, doctor, health journalist and author of the Think Tank Health Economics blog, Les Echos group.

It is both a conceptual and practical work that combines the presentation of the latest scientific data and the concrete conclusions that must be drawn from it for all those interested in the health of citizens, the health professional health to the local elected official.

High-flying, this book is also educational. “Each chapter begins with objectives, ends with key concepts and includes boxes to highlight specific issues and realities, important definitions or case studies”underline the five directors of the work.

It is divided into four parts:

foundations and principles (one planet, one health, climate change, exosome, vulnerability and health, etc.); methods and practices (from toxicology to citizen participation through the assessment of health risks, etc.); environmental contamination, population exposure and health risks (air, water, soil, food, waste, noise, odors, radiation, etc.); the effects of environmental factors on health (medical practice, zoonoses, cancers, nervous, reproductive, immune systems, etc.).

As we can see, all these words and notions are today in the widest public domain and very evocative of the challenges we all face.

For example, ” taking into account the concept of exposome in the field of environmental health, is it explained, constitutes a real paradigm shift because it requires a holistic approach”. The origin of the concept is detailed, as well as the evolution of definitions, the way of studying it and also the questions and criticisms regarding the sometimes simplistic aspect of the approaches deployed. To conclude with the place of the exposome for better health promotion. We move here as elsewhere from the bubbling of ideas to a concrete approach.

Medical practice is not excluded even if the problem goes far beyond it: questioning the patient regarding his environment, accompanying him towards informed choices with regard to housing, food and his living environment, etc. And also in particular taking into account the identification of chemical risk factors that can interfere with reproduction.

The subject covers a very wide field of knowledge and interventions, which makes this rather surprising set a reference document.

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