To the colleagues of the medical sector in Alto Lazio

 

Dear Colleagues,

We are writing to you as we are deeply concerned about the choice to implement in the City of Viterbo a mega-airport for low cost flights by enormously increasing the existing military airport: A choice which generates a strong apprehension and preoccupation for people’s health and for the environment.

 

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The environmental and sanitary risk

 

It is known that a very many polluting agents when inserted in the atmosphere, in the air and in the soil go through respiration and alimentary chain in touch with the human organism after having caused irreversible damages and alterations also to the environment and to the biodiversity of the ecosystems.

If the airport were to be constructed, the continuous  take-off, landing and flying of the aircrafts would bring to a strong increase of the strongly polluting emissions.

The air traffic, moreover, contributes for 10% ca. to the accretion of carbon dioxide and therefore to the climatic overheating of the entire planet phasing directly in carbon dioxide, gas and powders in the higher strata of the troposphere  and in the lower ones of the stratosphere thus altering de facto the atmosphere composition.

The situation in the Tuscia  as far as the quantity of carbon dioxide is concerned already is amongst the most serious in Italy as it is highlighted in the study of Eco-Way, a company in Milan, published last October.

The air traffic foreseen would determine and augment the presence of damaging gases such as: Carbon Monoxide (CO), Sulphur Oxides (SOx), Nitrogen Oxides (NOx) and Hydrocarbons (HC) (as it contains benzene, a known carcinogen), and the pollution from thin and ultrathin dusts (particulate matter of dimensions smaller than 5 and 2.5 microns of diameter). These dusts, through the lungs, take directly into the blood and into the brain the heavy metals (lead in primis) freed by the combustion of the kerosene (a carburant less refined than oil) and the erosion  and abrasions of the braking systems and of the vehicles’ tyres on the runaways.

 

The thin and ultrathin dusts’ pathologies: “nanopathologies

 

The scientifical researches and the international scientifical community show and affirm without any doubts that an always greater number of illnesses are caused by the interaction between environmental polluting matters and the human genetic.

By now, it is well documented that the ultrathin particulate matter (dusts originated by the combustion processes) passes through the filtering systems, remains in the atmosphere for a long time, and can be transported for tens and hundreds kilometres, penetrates through all organic barriers and membranes  - including the skull nerves, the haemato-cerebral barrier, the placenta, the endothelia, the plasmatic membranes – reaching the cellular nuclei with its own load of heavy metals and other carcinogen factors, thus interfering with the Dan repair systems and the mechanisms of the genii expression.

There are evidences more and more consistent to how numerous polluters introduced in the human body create inflammatory chronic processes which determine a progressive cellular stress affecting all organs and textures and opening the way to serious pathologies such as atherosclerosis and cancer. But the problem that more alarms a large number of colleagues, epidemiologists and paediatricians all over the world, regards the possibility that the genetic damage hit the germinal cells of the parents (causing a possible transmission to the subsequent generations of lesions and pathologies, even serious) or directly the foetus at the most delicate moment of its development.

Scientific studies show the evident correlation between the exposition to thin and ultrathin dusts and the increase in hospitalisations, mortality, breathing illnesses, chronic – degenerative illnesses (Alzheimer, Lateral Amyotrophic Sclerosis, Multiple Sclerosis), of the endocrine illnesses, of the neoplastic and cardiovascular  system illnesses.

The inhalation of thin and ultrathin dusts originates a reduction of the pulmonary functionality in children, a reduction in the life expectancy, increase in the neoplastic illnesses and low weight at birth because of exposures during and before pregnancy.

 

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The acoustical and electromagnetic pollution

 

 

Furthermore, one must also consider that the area around the airport, and whole quarters in Viterbo, exposed to the landings and take-offs, are affected by a serious acoustical impact, and people living there are at risk of cardiovascular pathologies, insomnia, irritability, asthenia, and hearing problems.

The radar systems of the control tower and those on board of aircrafts together with  radio transmission aerials and electromagnetic systems used for security checks produce, in addition, electromagnetic pollution.

 

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The experience of cities already hosting airports’ structures

 

It has been ascertained that the area around an airport with a low/moderate air traffic which is more exposed to pollution, has a radius of 20 km ca., with a greater impact in those areas situated along the prevailing winds’ direction and along the lines of take-off and landing. Just one 747 aircraft while landing and taking off produces a quantity of smog similar to that caused by a car driven in excess of 9,000 km, and a quantity of  nitrogen oxides equal to that produced by a car which has travelled for more than 42,000 km. In addition to the pollution caused by aircrafts there is the one which would be produced by the heavy traffic of cars and vehicles assisting the airport’s activities.

As far as this aspect is concerned, the situation for Viterbo and its province is already strongly problematic because it lacks of an adequate and efficient railway network, since always.

The above data are the result of an objective documentation and of the daily modus vivendi of the populations of Ciampino, Malpensa, linate, Orio al Serio, and of many other cities who host airports in Italy as well as in Europe and America.

 

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The territory of Viterbo and its Province

 

Dear Colleagues,

As we well know the Viterbo territory has already suffered and continues to suffer from environmental aggressions: to the natural radioactivity caused by radon, they are to be added the presence of illegal trash dumps not yet rendered secure, the presence of heavy metals in the waters and particularly of arsenic, the processes of eutrophication  of lakes, the presence of the largest energetic pole in Europe (the stations of Civitavecchia and Montalto di Castro, accompanied by the project of re-conversion of the Torvaldaliga Nord station in Civitavecchia and the attached additional, enormous damages to the environment and health).

Specifically, areas of particular beauty, fascination and history such as that of the Bullicame, of the botanical garden and of the thermae would be upset for ever because of the cement-phication, and their ecosystem and biodiversity deeply damaged by the polluters generated and diffused by the air traffic.

The choice to realise an airport in Viterbo would therefore add a further and very serious polluting factor and hence of risk for the environment and the health, in particular for that of children.

If, and justly, we are worried for the damages to the health produced by the pollution of the car traffic, all the more reason, we must be worried for the possible damages caused by the air traffic and an airport which would arise contiguously to the city. We are convinced that mobility on tyres and that on air must be decreased in favour of a mobility on railways.

In France and Germany, governments have resolved to block the construction of new airports among the measures to fight the environmental pollution and the emissions of carbon dioxide.

 

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The responsibility of the medical doctors

 

Article 5 of our New Code of Deontology affirms: “Medical doctors must consider the environment where man lives and works as a determining and fundamental element for the health of the citizens”.

As doctors we are therefore vested with a greater responsibility which becomes even stronger when we are administrators and are called to decide on works, plants and infrastructures which can bring a damage to health and to the environment.

It is no longer possible to continue repeating the error to expose people and whole communities to risks for the health, and afterwards, years later, and unfortunately after a number of deaths and sick people, recognise what the scientifical evidence had proved.

We deem it is important, in every decisional phase, the acquisition of the necessary scientifical documentation, the adoption of the precaution principle and of the sanitary impact evaluation (VIS) as recommended by recent directives of the European Union, together with the environmental impact (VIA) and the  strategic environmental (VAS) evaluations. Evaluations that are totally missing in the Viterbo’s airport project. A project which preannounces only a new bondage for that territory upsetting and distorting for ever the natural vocations and features of a province that would have developments possibilities also from the point of view of labour if it really were the willingness and capability to enhance what already exists.

 

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Dear Colleagues,

We all know how important it is to be continuously informed, formed and updated both for the dignity of our profession and for the full protection of our patients.

We ask you all and particularly those among you that have institutional responsibilities to pledge yourselves to a reconsideration of the decision that singles out in Viterbo a site for a new airport, conscious as we all are that before all we must protect the health of our patients, of the young and future generations and of the healthiness of the environment.

 

Cordially,

 

Dr. Gianni Ghirga

Dr. Antonella Litta

Dr. Mauro Mocci

 

for the coordination in Alto Lazio of Isde

(International Society of Doctors for the Environment - Italia)

 

Viterbo, 18 March 2008.

 

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Post Scriptum

 

This preoccupation of ours is shared by a very great number of citizens living in Viterbo and in the Alto Lazio and also by scientists, environmentalists, Italian and European MPs, writers, university professors, intellectuals, essayists; among so many illustrious names: professors Angelo Baracca, Virginio Bettini, Marcello Cini, Giorgio Cortellessa, Giuseppe Nascetti, Giorgio Nebbia, Gianni Tamino; the Vice President of the European Parliament Luisa Morgantini; the magistrate Ferdinando Imposimato. Our appeal has been adhered to and subscribed also by a great number of social operators, both religious and layman, persons involved in the human rights, personalities in the civil life and moral reflection, among which Father Alex Zanotelli and numerous associations and movements in the field of biosphere, communal wealth, peace defence. Numerous interrogations have been presented to Parliament and to the Lazio Regional Authorities.

 

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A bibliography and websitegraphy to be thoroughly acquainted

 

a) Some articles and volumes

- Aydin Y.,Kaltenbach M., Noise perception, heart rate and blood pressure in relation to aircraft noise in the vicinity of the Frankfurt airport.  Clin Res Cardiol. 2007 Jun; 96(6): 347-58. Epub 2007 Apr 10.

- APAT,(Agenzia per la protezione dell’ambiente e per i servizi tecnici). 8 mila decessi l’anno in 13 città italiane per gli effetti a lungo termine dell’inquinamento atmosferico da particolato. Comunicato stampa 15 giugno 2006, Roma.

- Bharathi,Ravid R.,Rao K.S., Role of metals in neuronal apoptosis: challenges   associated with neurodegeneration. Curr Alzheimer Res. 2006 Sep; 3(4): 311-26.

- Cohen B.S.,Bronzaft A.L., Heikkinen M., Goodman  J., Nádas A., Airport-related air pollution and noise. J Occup Environ Hyg. 2008 Feb;5(2): 119-29. 

- Marinella Correggia. La rivoluzione dei dettagli. Feltrinelli, Milano, 2007.

- Eriksson C., Rosenlund M.,Pershagen G.,Hilding A.,Ostenson CG., Bluhm G., Aircraft noise and incidence of hypertension Epidemiology 2007 Nov; 18(6): 716-21.

- Fang G.C.,Wu Y.S.,Lee W.J.,Chou T.Y., Lin I.C.,Study of ambient air   particulates pollutants near Taichung airport sampling site in central Taiwan. J Hazard Mater 2007 Jun 1; 144(1-2): 492-8. Epub 2006 Oct 27.

- Frati L., Caprasecca E.,Santoni S.,Gaggi C.,Guttova A.,Gaudino S.,Pati A., Rosamilia S.,Pirintsos S.A.,Loppi S., Effects of NO2 and NH3 from road traffic on epiphytic lichens. Environ Pollut. 2006 Jul; 142(1): 58-64. Epub 2005 Nov 28.

- Hertz-Picciotto I., Park H.Y., Dostal M., Kocan A.,Trnovec T., Sram R., Prenatal exposures to persistent and non-persistent organic compounds and effects on immune system development. Basic Clin Pharmacol Toxicol. 2008 Feb; 102(2): 146-54.

-Iavicoli I

., Chiarotti M., Bergamaschi A., Marsili R., Carelli G., Determination of airborne polycyclic aromatic hydrocarbons at an airport by gas chromatography-mass spectrometry and evaluation of occupational exposure.

J. Chromatogr A. 2007 May 25; 1150(1-2): 226-35. Epub 2006 Aug 30.

- Jaana Kettunen, Timo Lanki, Pekka Tiittamen, Pasi P. Aalt, Tarja Koskentalo,Markku Kulmala, Veikko Salomaa,Juha Pekkamen, Associations of fine and ultrafine particulate air pollution with stoke mortality in a area of low air pollution levels. Stroke 2007; 38; 918-922.

- Jarup L.,Dudley M.L.,Babisch W.,Houthuijs D.,Swart W.,Pershagen G.,Bluhm G., Katsouyanni K.,Velonakis M.,Cadum E.,Vigna-Taglianti F., Hyena Consortium. Hypertension and Exposure to Noise near Airports: study design and noise exposure assessment. Environ Health Perspect. 2005 Nov; 113(11): 1473-8.

- K.A.Kugele, F.JelineK, R.Gaffal. Aircraft Particulate Matter Emission Estimation through all Phases of Flight. Eurocontrol  Experimental Centre, 2005.

- Legambiente Piemonte rapporto ”Aeroporto di Malpensa e vivibilità”, Torino, 24 febbraio 2003.

- Legambiente Lazio e  Comitato aeroporto Ciampino “Smog dai cieli: rilevazione livello polveri sottili”. Roma,luglio 2006.

- Oberdörster G., Oberdörster E., Oberdörster J., Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect. 2005 Jul; 113(7): 823-39.

- Pal'tsev IuP., Rubtsova N.B., Pokhodzei L.V., Tikhonova G.I., Hygienic regulation of electromagnetic fields for the preservation of workers' health. Med Tr Prom Ekol. 2003; (5): 13-7.

- Passchier W., Knottnerus A., Albering H., Walda I.,Public health impact of large airports. Rev Environ Health. 2000 Jan-Jun; 15(1-2): 83-96.

- Pisani S., Bonarrigo D., Gambino M., Macchi L., Banfi F., Verri A.M., Degli Stefani C., Cislaghi C., Bossi A., Cortinovis I.,Epidemiologic study Salus domestica: evaluation of health damage in a sample of women living near the Malpensa 2000 airport. Epidemiol Prev. 2003 Jul-Aug; 27(4): 234-41.

- Pokhodzei L.V., Kur'erov N.N., Rubtsova N.B., Pal'tsev IuP., Lazarenko N.V., Samusenko T.G., Subbotin V.V., Hygienic evaluation of electromagnetic situation and vibroacoustic factors at workplaces for radio-technological staff of civil airports. Med Tr Prom Ekol. 2004; (1): 31-5.

-Royal Commission on Environmental Pollution, The Environmental Effects of Civil Aircraft in Flight. Report(www.rcep.org.uk), 22 March, 2007.

- Sharon Ruth Skolnick, Exposing Airports'Poison Circles. Earth Island Journal Winter 2000-2001. Vol. 15, No.4.

- Società Eco Way Milano. Rapporto sulle emissioni di anidride carbonica prodotte dalle aziende della Regione Lazio nel 2006. Milano, 4 ottobre 2007.

- Stansfeld S.A., Berglund B., Clark C., Lopez-Barrio I., Fischer P., Ohrström E., Haines M.M., Head J., Hygge S., Van Kamp I., Berry B.F.,Aircraft and road traffic noise and children's cognition and health: a cross-national study. Lancet. 2005 Jun 4-10; 365(9475): 1942-9.

- Stenzel Jennifer and Jonathan Trutt. Flying Off Course:Environmental Impacts of America’s Airports. New York-Natural Resources Defense Council, October 1996 (www.nrdc.org).

- Stuber N., Forster P., Rädel G., Shine K., The importance of the diurnal and annual cycle of air traffic for contrail radiative forcing.Nature.2006 Jun 15; 441(7095): 864-7.

- The Royal Society and The Royal Academy of engineer, UK(2004). Nanoscience and nanotechnologies. Recommendation 10 p. 95. Available at www.royalsoc.ac.uk

- Touitou Y.,Evaluation of the effects of electric and magnetic fields in humans. Ann Pharm Fr. 2004 Jul; 62(4): 219-32.

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b) Some websites 

 

- www.airportwatch.org.uk

- www.caap.org/Airport_Noise_Pollution_Research.html

- www.chooseclimate.org

- www.coipiediperterra.org

- www.comitatoaeroportociampino.it

- www.eco-way.it

- www.ewg.org/reports/generations

- www.isde.it

- www.ipcc.ch

- http://ospiti.comune.siena.it/filoerba/aeroporto/index02.html 

- www.noaereibz.it

- www.planestupid.com

- www.royalsoc.ac.uk