{"id":53747,"date":"2025-11-03T06:02:00","date_gmt":"2025-11-03T05:02:00","guid":{"rendered":"https:\/\/trendsanita.it\/?p=53747"},"modified":"2026-04-14T16:47:18","modified_gmt":"2026-04-14T14:47:18","slug":"respiratory-health-in-europe-integrating-environment-prevention-and-access-to-care","status":"publish","type":"post","link":"https:\/\/trendsanita.it\/en\/respiratory-health-in-europe-integrating-environment-prevention-and-access-to-care\/","title":{"rendered":"Respiratory Health in Europe: Integrating Environment, Prevention and Access to Care"},"content":{"rendered":"\n

In Europe, respiratory health and social inequalities are closely intertwined: prevention, treatment, and environmental factors must work together to ensure equitable access to care. On October 3, 2025, the Workshop on European Policies and Advocacy in Respiratory Care<\/em> took place in Brussels, focusing on health policies and advocacy in the field of respiratory diseases. The event, organized by Cittadinanzattiva-Active Citizenship Network<\/a> within the project Advancing Respiratory Care at the EU Level<\/a><\/em>, brought together civic and patient associations, healthcare professionals, academics, and advocacy experts. The goal was to promote an approach to respiratory care that moves beyond emergency-driven responses toward long-term, integrated strategies embedded within broader health policies.<\/p>\n\n\n\n

Over the past twenty years, European policies have aimed to improve urban environments, air quality, and chronic respiratory health<\/p>\n\n\n\n

Following the event, TrendSanit\u00e0<\/em> interviewed Professor Guglielmo Trovato<\/strong>, clinician and expert in medicine and health policy, to gather his insights on the challenges and opportunities in this area.<\/p>\n\n\n\n

Environment and Social Determinants of Health<\/h2>\n\n\n\n

According to Professor Trovato, \u201cIn the past twenty years, European policies such as the Green Deal and the Zero Pollution Strategy have aimed to improve urban and housing environments, with direct effects on respiratory diseases<\/strong>.\u201d These initiatives have influenced not only air quality and mobility but also indirect aspects such as sleep and the management of chronic conditions, including sleep apnea syndrome and nasal polyposis.<\/p>\n\n\n

\n
\"\"
Guglielmo Trovato<\/figcaption><\/figure>\n<\/div>\n\n\n

Concrete examples illustrate this link. \u201cLondon today is far more liveable than many Italian cities, with positive impacts on citizens\u2019 respiratory health<\/strong>,\u201d says Trovato. \u201cAir pollution has an obvious effect, but other forms of pollution also play a significant role, though less immediately perceived. A concrete example is sleep disorders such as sleep apnea syndrome, which may be associated with conditions like gastroesophageal reflux or nasal polyposis \u2013 both strongly influenced by environmental factors such as pollen exposure and air quality.\u201d<\/p>\n\n\n\n

Urban design can also contribute to prevention<\/strong>. For instance, in contemporary architectural trends such as vertical forests<\/em>, choosing tree species that reduce the production of allergenic pollens represents an innovative approach to limiting respiratory allergies.<\/p>\n\n\n\n

Inequalities and Access to Care<\/h2>\n\n\n\n

Beyond environmental factors, economic and social disparities affect access to healthcare services. \u201cPoverty and low health literacy, compounded by misinformation, impact both prevention and the availability of treatments<\/strong> \u2013 especially for essential respiratory medications,\u201d notes Trovato. Access to inhaled corticosteroids or respiratory vaccines varies significantly across European countries, contributing to major health disparities.<\/p>\n\n\n\n

Economic and social inequalities affect access to healthcare services<\/p>\n\n\n\n

The European Union funds initiatives to strengthen social support and health literacy<\/strong>, but, as Trovato points out, \u201cThese projects are often perceived as bureaucratic solutions rather than being fully integrated into clinical practice.\u201d He stresses the importance of policies that produce tangible, locally effective outcomes.<\/p>\n\n\n\n

The Role of Healthcare Professionals<\/h2>\n\n\n\n

To address these inequalities, Trovato argues, it is crucial to develop cross-cutting skills among healthcare professionals. \u201cIt\u2019s not enough to talk with patients; clinicians must know how to examine them, perform basic tests such as lung ultrasound, and consider the environment they live in<\/strong>.\u201d Training should involve physicians, emerging community healthcare workers, and policymakers alike, fostering greater awareness of the social determinants of health.<\/p>\n\n\n\n

Prevention and Vaccination<\/h2>\n\n\n\n

Prevention remains a cornerstone of respiratory care<\/strong>. Influenza, pneumococcal, and other prophylactic vaccinations are key tools in reducing hospitalizations and complications. \u201cVaccines are necessary for children, adults, and the elderly alike \u2013 they must be easily accessible and well understood by the population,\u201d Trovato emphasizes.<\/p>\n\n\n\n

Toward an Integrated Approach<\/h2>\n\n\n\n

Prevention and treatment cannot be viewed as separate silos<\/strong>. Secondary prevention, community-based health recovery, and home management of respiratory conditions are integral parts of care. \u201cPrevention, therapy, and environment are not disconnected domains: they strongly overlap. This integrated vision must guide both policymaking and clinical practice,\u201d concludes Trovato.<\/p>\n\n\n\n

Prevention, therapy, and environment overlap, and this integration should guide policy and clinical practice<\/p>\n\n\n

\n
\"\"
Mariano Votta<\/figcaption><\/figure>\n<\/div>\n\n\n

Improving respiratory health in Europe requires tackling social inequalities, strengthening healthcare professionals\u2019 skills, and promoting effective environmental, urban, and preventive interventions. This means integrating policy, research, and innovation with well-focused and persuasive information strategies.<\/p>\n\n\n\n

\u201cAs part of this effort,\u201d adds Mariano Votta<\/strong>, Head of European Affairs at Active Citizenship Network, \u201cwe are working to promote a coordinated and structured action at the European level, encouraging the EU Institutions to commit to a comprehensive European Plan for Respiratory Health<\/strong>. We will discuss this initiative in February at the European Parliament with representatives from the Commission and Parliament, healthcare professionals, academics, and organizations dedicated to protecting citizens\u2019 and patients\u2019 rights.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Social and environmental inequalities weigh heavily on respiratory health across Europe. During the Workshop on European Policies and Advocacy in Respiratory Care held in Brussels, organized by Cittadinanzattiva-Active Citizenship Network, Professor Guglielmo Trovato emphasized the need for an integrated approach linking environmental policies, prevention, and healthcare professional training to ensure equity and quality of care<\/p>\n","protected":false},"author":91,"featured_media":53746,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[544],"tags":[699,549,696],"rubrica":[],"speciale":[],"class_list":{"0":"post-53747","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-across-europe-en","8":"tag-acn-2","9":"tag-europe-en","10":"tag-pollution"},"yoast_head":"\nRespiratory Health in Europe: Integrating Environment, Prevention and Access to Care<\/title>\n<meta name=\"description\" content=\"Social and environmental inequalities impact respiratory health in the EU. 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