Thanks to the numerous studies published from January 2020 to date on the COVID-19 topic, the scientific community has had the opportunity to make enormous progress in understanding the pathophysiology of SARS-CoV-2. The insights into the epidemiological characteristics of the virus in recent months have led to the elaboration of some hypotheses of relationship between mortality from COVID-19 and various risk factors of various kinds, both exogenous (e.g. exposure to environmental pollutants) and endogenous (comorbidities) . The primary objective of this thesis is to define the impact of some social, anthropogenic and environmental factors on mortality attributable to COVID-19, through two ecological studies, one at a national level and a second at a regional level (region Emilia Romagna). The ecological study on the Emilia-Romagna Region will constitute a pilot study for the subsequent examination and processing of the data recorded for all Italian municipalities during the pandemic, and may therefore represent, for the departments of Public Health and Prevention, a useful tool for identifying actions and measures that can be undertaken and implemented to monitor COVID-19 mortality and prevent its spread. In order to respond to the objectives of this thesis work, reference was made to public databases such as those ISTAT (National Institute of Statistics), ISPRA (Higher Institute for Environmental Protection and Research), EEA (European Environment Agency)
Grazie ai numerosi studi pubblicati da Gennaio 2020 ad oggi sul tema COVID-19 la comunità scientifica ha avuto modo di fare enormi passi avanti nella comprensione della fisiopatologia da SARS-CoV-2. Gli approfondimenti inerenti le caratteristiche epidemiologiche del virus di questi mesi hanno portato all’elaborazione di alcune ipotesi di relazione tra la mortalità per COVID-19 e diversi fattori di rischio di varia natura sia esogeni (esempio esposizione a inquinanti ambientali) che endogeni (comorbidità). L’obiettivo primario del presente lavoro di tesi è quello di definire l’impatto di alcuni fattori sociali, antropici e ambientali sulla mortalità attribuibile al COVID-19, mediante due studi ecologici l’uno a livello nazionale e un secondo a livello regionale (regione Emilia-Romagna). Lo studio ecologico sulla Regione Emilia-Romagna costituirà un pilot study per la successiva disamina ed elaborazione dei dati registrati per tutti i comuni italiani durante la pandemia, e potrà quindi rappresentare, per i dipartimenti di Salute Pubblica e Prevenzione, uno strumento utile ad individuare azioni ed accorgimenti che possono essere intrapresi ed attuati per monitorare la mortalità da COVID-19 e prevenirne la diffusione. Per poter rispondere agli obiettivi del presente lavoro di tesi si è fatto riferimento alle banche dati pubbliche quali quelle ISTAT (Istituto Nazionale di Statistica), ISPRA (Istituto Superiore per la Protezione e la Ricerca Ambientale), EEA (Agenzia europea dell’Ambiente o European Environment Agency).
Mortalità per COVID-19 nel 2020 e inquinamento ambientale: evidenze da uno studio ecologico a livello nazionale e regionale.
VEGEZZI, LUCA
2019/2020
Abstract
Thanks to the numerous studies published from January 2020 to date on the COVID-19 topic, the scientific community has had the opportunity to make enormous progress in understanding the pathophysiology of SARS-CoV-2. The insights into the epidemiological characteristics of the virus in recent months have led to the elaboration of some hypotheses of relationship between mortality from COVID-19 and various risk factors of various kinds, both exogenous (e.g. exposure to environmental pollutants) and endogenous (comorbidities) . The primary objective of this thesis is to define the impact of some social, anthropogenic and environmental factors on mortality attributable to COVID-19, through two ecological studies, one at a national level and a second at a regional level (region Emilia Romagna). The ecological study on the Emilia-Romagna Region will constitute a pilot study for the subsequent examination and processing of the data recorded for all Italian municipalities during the pandemic, and may therefore represent, for the departments of Public Health and Prevention, a useful tool for identifying actions and measures that can be undertaken and implemented to monitor COVID-19 mortality and prevent its spread. In order to respond to the objectives of this thesis work, reference was made to public databases such as those ISTAT (National Institute of Statistics), ISPRA (Higher Institute for Environmental Protection and Research), EEA (European Environment Agency)È consentito all'utente scaricare e condividere i documenti disponibili a testo pieno in UNITESI UNIPV nel rispetto della licenza Creative Commons del tipo CC BY NC ND.
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https://hdl.handle.net/20.500.14239/12413