165 doctors all mad? 
the President of the Province of Pisa and the Mayor
with this letter is to ask you all a warm appeal for further, appropriate reflection on the problem of the treatment plants around the world, presented with the name of molecular dissociation or DM-Energy, which wants to build on the outskirts of the city of Pontedera in loc. Gello.
Given the postponement of the project for another year, you'll have more time to evaluate what might be the health impact of incineration and set a plan for waste management che comprenda alternative che non mettano a rischio la salute dei vostri cittadini.
Pur non essendo competenti in campo impiantistico, sappiamo infatti che, sulla base della legislazione vigente, impianti di questo tipo sono da considerare impianti di incenerimento a tutti gli effetti. D'altra parte, in linea del tutto generale, si tratta di impianti caratterizzati dallo stesso tipo di materiali in ingresso - i rifiuti – e dallo stesso tipo di prodotti in uscita al termine del trattamento: scorie, ceneri pesanti, ceneri volatili, residui del trattamento dei fumi ed emissioni in atmosfera di materiale particolato e di gas.
Pertanto, in assenza di prova contraria, che d'altra parte non può esistere trattandosi di impianti sostanzialmente experimental, we must assume that the effects on the health of the population are similar to those known for incinerators proper.
We can assure you that there is a copious literature both nationally and internationally on health damage caused by these systems (cancer, disormonali diseases, immunity disorders, lung disease, cardiovascular etc.).
is then that a doctor, not merely ideological, but in the name of the oath, it becomes imperative to interpret not only the professional role of doctor, but even before that of interpreter to prevent as far as possible (art. 5 of the new Code of Conduct; "the doctor is required to consider the environment in which man lives and works as a fundamental determinant of health. The doctor supports and participates in efforts of prevention and health protection in the workplace and promote individual and collective health ")
With the incineration of waste are released into the air and, consequently, on the ground a series of dangerous chemicals pollutants. should be reminded that any pollutant - once produced - will inevitably end up, albeit in different ways and times, the food chain and that the apex of the same infants are breastfed.
In these circumstances all plants currently in use are considered modern incinerators: Well, there is no evidence that they are harmless, and accumulate signals anything but reassuring. They run a number of troubling news on the outcome of the analysis carried out on dioxins and PCBs found in chicken, eggs, fish and other animals near the incinerator Montale Pistoia. Incineration plants under investigation by the judiciary or other problems are rife in our country: from Massafra in Terni, from Pietrasanta to Montale, by Colleferro in Modugno, to the "famous" incinerator of Brescia - often led by politicians such as - which has seen numerous farms located in proximity to the milk out of the norm for the values \u200b\u200bof dioxins and PCBs.
The mayor of nearby Versilia are now in a position contrary to yours, have to request a proposal of its own investigation to determine whether the increase in cancer and obstetric adverse events that occurred on their territory in recent years can be put in relation to exposure to emissions of their incinerator.
Incineration plants are among the industries unhealthy class I in accordance with Article 216 of the Consolidated Health Laws (OJ No 220, 20.9.1994, 129).
The formation of pollutants depends not only on the material burned, the completely random mixture of substances in the furnace, the combustion temperatures by changes in temperature and especially those taking place in different sectors, as has also been described recently, and this also applies to the installation that you would like to build in this area.
Among the pollutants emitted by incinerators can distinguish the following broad categories:
Inhalable Particulate (PM10), particulate matter (PM2.5) and Nanoparticolato (less than a tenth of a micron). The nanoparticolato, not being retained by the filters or plants (for the nanoparticles are not effective collection systems), nor those of the respiratory tract, acts as a sponge for pollutants, and once inhaled, the vehicle directly in blood resulting in chronic inflammatory reactions against a variety of systems such as cardiovascular and neurological systems.
Metalli pesanti, e i temibili VOC. Quand'anche nella fase pirolitica del trattamento queste ultime molecole venissero degradate a composti più semplici, esse si possono riformare nelle fasi successive, a seguito di reazioni secondarie, come è stato dimostrato per altri impianti. I VOC sono in gran parte estremamente tossici (agiscono legandosi ai recettori nucleari e alterando la trascrizione genetica determinano patologie endocrine, riproduttive, immunitarie ed oncologiche) e molti liposolubili (per questo più tossici per le donne e di conseguenza per feti e neonati). Fra questi ve ne è un gruppo denominato Persistent Organic Pollution (POP), cui fanno parte furani, diossine e PCB, tipicamente emessi da inceneritori, che sono extremely persistent and bioaccumulative (with the Stockholm Convention of 2001, our country has pledged to pursue the goal of eliminating or at least reduce the dispersion in the environment). The consequences
explicit to each of them can be different and more serious in relation to individual susceptibility and the different stages of life and are especially dangerous for growing bodies.
Equally worrying is the presence of heavy metals in emissions from these plants. The recent study "Patos" in the region Tuscany was collated and typed the atmospheric particles of different units located throughout - assigns the greater variability of heavy metals found Montale, rural area, just the presence of an incineration plant for various types of waste. Arsenic, Beryllium, Cadmium, Chromium, Nickel, some are carcinogenic (IARC 1) for lung, bladder, kidney, colon, prostate, mercury and lead are classified by IARC with less evidence (level 2B) and exert damage to the neurological level and above brain causing learning disabilities, reduced intelligence quotient (IQ), hyperactivity in children.
The system provided not only makes no exception, but rather constitutes a heavy metal emission sources in particular the presence, among the treated waste, car-fluff. In this regard, the heat treatment work the plant could make it more bioavailable and therefore more dangerous to the health of heavy metals present in materials input.
The enormous size of this incinerator neutralizes any improvements to reducing air and therefore the mass of toxic airborne probably exceed by far the most anachronistic incinerators but smaller.
consider incineration as a virtuous practice to dispose of the waste means mystify reality and ignore alarming studies on the high incidence of cancer in areas close to incinerators, which affect not only Italy but also France and England ('Etude d 'incidence des cancers à proximité des usines d’incinération d’ordures ménagères» 2008 Secrétariat du Département santé environnement, Institut de veille sanitaire 12 rue du Val d’Osnes 94415 Saint -Maurice Cedex; “The Health Effects of Waste Incinerators” 4th Report of the British Society for Ecological Medicine Second Edition June 2008). A questo proposito si segnala l'ennesimo recentissimo studio condotto nell'area di ricaduta dell'inceneritore di Besançon dove si osserva una correlazione statisticamente significativa fra concentrazioni seriche di sostanze diossino-simili e PCB ed insorgenza di linfoma Non-Hodgkin. Studi di cui sarete sicuramente a conoscenza e per i quali rimaniamo a disposizione per fornivi il materiale se vi necessita.
Inoltre Vi invitiamo per il noto "principio di precauzione" ad un uso prudente ed il più possibile informato del vostro potere decisionale (il testo della Costituzione Europea all'art. 111-233 puntualizza "tutte le situazioni in cui si identifichi un rischio ma non vi siano prove scientifiche sufficienti a dimostrarne la presenza o l'assenza, o a determinare adeguati livelli di protezione").
E' qui necessario ribadire che il "principio di precauzione" non si basa sulla disponibilità di dati che provino la presenza di un rischio, bensì sulla mancanza di dati che garantiscano l'assenza di tale rischio (tale principio vale ancor di più se le evidenze epidemiologiche esistono e sono numerose come nel nostro caso).
a good opportunity to do primary prevention and, in our opinion, to choose alternative methods of waste incineration, not building plants that emit hazardous pollutants.
Very recently this concept of simple and immediate sense was forcibly taken over by Prof. David Kriebel of the School of Health Environment Mussachussets that the journal Occup. Environ. Med commenting on a survey conducted by researchers at the University of Lyon, in an area where 21 are active incinerators (survey which showed statistically significant risk of severe urogenital malformations to almost six times the expected in relation to exposure dioxins emitted by plants) literally said:
"Cordier The study raises serious concerns about the health risks caused by emissions from municipal waste incineration plants. This fact, combined with evidence of other adverse effects of this technology, would in itself be decisive in the choice of waste management. In fact, besides being dangerous to health, these facilities:
1) cause the production of toxic ash and slag, however, disposed of,
2) contribute to global warming;
3), but they impede the reduction of waste and recycling because once these plants were built expensive, operators want to have guaranteed a continuous source of waste to feed them. "
We, as physicians, we can confine ourselves to try to contain the damage, cutting the branches of diseases mediated by pollutants, in many cases unsuccessfully, you should act on its roots, preventing these diseases arise.
And we are here to remind you that only by acting on the roots, we hope to curb the diseases that ravage the lives of all of us and our loved ones.
In this respect it is morally unacceptable to create the conditions for the population exposed to avoidable risks.
We will not dwell further on to describe the alternatives to incineration-based waste treatment processes Cold and processes that avoid landfilling, which we believe will be the only way to be pursued immediately.
may commit a serious error "administrative" with incalculable consequences for health in the coming decades, threatening an area, ours, with large areas devoted to agriculture and livestock. This would require a source of additional health risks for both the local population and for the public away, which made use of local products.
Fighting for environmental ethics - now more than ever - is to safeguard their own and others' lives, seek new and more important ideals of solidarity and sustainable development and especially comply with future generations.
The ethics of responsibility that drives us to write this letter should be the same one that guides you toward a defense of the essential interests of the health of the community, without yielding to undue financial logic.
Turning to the SV, as the Directors and Auditors, "primarily responsible for the health of the citizens' but also as fathers and mothers of families residing in the Era, we wanted to clarify the ethical and scientific reasons that have led to the signing of this letter.
TO THE PRESIDENT OF THE PROVINCE
Andrea Pieroni
STATUTORY AUDITORS OF THE VALDERA
Corrado Guidi Mayor Bientina
Roberto Serafini Mayor Thomas D'Addona Mayor Buti
Crespina
Francesca Mancini Chianni
City Mayor George Vannozzi Casciana
Lucia Ciampi Mayor Philip Calcinaia
Fatticcioni Mayor Ivan Capannoli
Mencacci Mayor of Lari
Fabio Tedeschi Mayor Lajatico Alberto Falchi
Mayor of Palaia
Silvano Crecchi Mayor Peccioli
Alessandro Ceccarelli Mayor Simone Ponsacco
Millozzi Mayor of Pontedera
Marie Antoinette Faison Mayor David Turini Terricciola
Mayor of Santa Maria a Monte
Umberto Marvogli Mayor of Castelfranco
for knowledge:
THE PRESIDENT OF THE REGION
Enrico Rossi
THE GOVERNOR OF THE PROVINCE OF PISA
Antonio De Bonis
THE MAYORS OF THE MUNICIPALITIES OF THOSE NEIGHBORS VALDERA
Moreno Franceschini Mayor of Cascina Marco
Filippeschi Mayor of Pisa
Carlo Carli Fauglia
Mayor Lorenzo Bacci Mayor Collesalvetti
Bruno Possenti Mayor Kicks
Osvaldo Ciaponi Mayor of Santa Croce
Alessandra Vivaldi Mayor Juri Montopoli
Taglioli Mayor Paul Vicopisano
Panattoni Sindaco di San Giuliano Terme
Elenco dei 165 medici firmatari della lettera appello contro l’inceneritore (in ordine alfabetico)
1 ARAGOSA ANTONIO Medico di famiglia Pontedera
2 ARMILLOTTA NICOLA Radiologo Pontedera
3 AZZARELLI ANDREA Cardiologo Gello
4 BALDACCI CHIARA Medico presso Clinica Ostetrica Pisa
5 BALDACCI MASSIMO Medico Generico Ponsacco
6 BALDI PATRIZIA Anestesista AUOP
7 BARTOLOTTO ALESSANDRA Diabetologa Pisa
8 BASSI AGOSTINO Medico di famiglia Castelfranco
9 BATTINI LORELLA Ginecologo Fornacette
10 BERNARDI FRANCESCA Ginecologo e Medico prenatale Pontedera
11 BIGLIAZZI GUIDO Medico oculista Treggiaia
12 CHILDREN SAURO Family Doctor Castelfranco
13 BIVER PASCAL neonatologist Pisa
14 BOCCI SERGIO Medical DEU
USL 5 Pisa 15 BOLDRINI ANTONIO Director Neonatology
16 Bonuccelli Gynaecologist S. ALEXANDER Lucia
17 BUTTON PETER, Gynaecologist AOP
18 BULLERI ALESSANDRA Radiologist Fallen 19 Pisa
Josaphat Family Doctor Castelfranco
20 Calderazzo ANDREA Associate Professor of Radiology, Pisa
21 CAPS NICOLA Associate Professor of Gynecology and Obstetrics, Pisa Pontedera
22 CAPRAI SILVIA Pediatric
23 CANDY DAVID Director Radiology Pisa
24 CARMIGNANI ARIANNA Gynaecologist AOP
25 CARUSO ALESSIA Dentist Ponsacco
26 FILIPPO CARUSO Odontoiatra Ponsacco
27 CASTELLANI CECILIA Ginecologo S. Lucia
28 CECCHETTI RICCARDO Reumatologo Gello
29 CECCHI MARTINA Medico presso Clinica Ostetrica Pisa
30 CELA VITO Ginecologo AOUP
31 CETANI FILOMENA Endocrinologa Pisa
32 CHATZIANAGNOSTOU KYRIAZOULA Diabetologo CNR Pisa
33 CHIARADIA PAOLO Specialista in Medicina Interna USL 5 - S.Lucia
34 CIARDELLI MASSIMILIANO Neonatologo presso AOUP
35 COMITE CLAUDIO Anestesista Pisa
36 COSIO STEFANIA Ginecologo oncologo Pisa
37 CUBEDDU ALESSANDRA Medico presso Clinica Ostetrica Pisa
38 CUTTANO ANTONIO Pediatra presso Neonatologia di Pisa
39 D'ACUNTO ANTONIO Ginecologo Pisa
40 DANI LUCIA Nefrologa 41 DE PASQUALE
Pontedera Pisa LUCIANA Neuropsychiatrist
42 RUGGERO ALESSANDRO DE Gynaecologist AOUP
43 TAILOR OF GIULIANA Family Doctor Castelfranco
44 OF NOTCH MARIO Director Pharmacology University of Pisa
45 DERI FABIO general practitioner Pontedera
46 BERNARDINO OF OLGA Physician at Obstetrics Pisa
47 FACCHINI VIRGILIO Former Director of Division II Obstetrics Pisa
48 Falaschi MANOLO Family doctor Collesalvetti
49 Letizia Fornari Gynaecologist AOP
50 FRESH LETIZIA Pisa
51 Fruzzetti FRANCA Gynecologist Gynecologist Gynecologist AOUP
52 Fulceri ANSELMO AOP Fornacette
53 FUSTAINO LOREDANA Surgical Oncology Breast Pisa
54 Gadducci ANGELO Director of Gynecologic Oncology OUP
55 Gafforio LUCA Gynaecologist Ponsacco
56 GALEOTTI ELSA Anaesthetist Pontedera
57 Gambacciani BRANDS Gynaecologist AOUP
58 Gareau GIAN LUCA Family doctor - ISDE
59 Gargini ANTONIO Gynaecologist Calci
60 GARIBALDI SILVIA Doctor in Obstetrics Pisa
61 GENNAZZANI ANDREA Clinical Director of the tavern, Pisa
62 GERBI NICOLA general medical and specialist in occupational medicine - 63 Main
GHIADONI LORENZO Internist at Medical Clinic of Pisa
64 Ghilli Mat Pediatric Neonatology Pisa Pisa
65 GHIO ALESSANDRA Diabetologia 66
GHIRRI PAUL neonatologist Pisa 67
GIACONI CLAUDIA Radiologist House
68 GIANNINI ANDREA Medico presso Clinica Ostetrica Pisa
69 GIUNTINI ARIANNA Ginecologo Capannoli
70 GIUSEPPE RUGGERO Medico di Medicina generale Ponsacco
71 GIUSTARINI SANDRA Medico di Medicina generale Pontedera
72 GIUSTI GIULIANO Professore Associato Ginecologia Università Pisa
73 GRANA MARIA Direttore Anestesia e Rianimazione AOP
74 GRANCHI MARCO Pediatra convenzionato Gello
75 GRENCI ROBERTO Medico di medicina generale Ponsacco
76 GUAZZELLI GIORGIO Direttore Ginecologia e Ostetricia Pontedera
77 GUERRINI LAURA Pediatra neonatologo AOUP
78 GUIDI ALESSANDRA Nefrologa San Miniato
79 LACARIA EMILIA Diabetologa Pisa
80 LAMBARDI ALESSIO Medico DEU Ponsacco The radiologist MICHELE 81
LAZZERESCH Pontedera
82 EAST SALVATORE Gynaecologist Gynaecologist Pisa Pontedera
83 LUTE MARTINA
84 Loprieno GREGORY Toxicology and Spec. Hygiene and preventive medicine
85 LORENZETTI FULVIO Plastic surgeon UOP
86 Luti LAURA Pediatric Oncology AOUP Pontedera
87 Macelloni ROBERTO Geriatrician Gello
88 MAGGIORE GIUSEPPE Director of Pediatrics II Pisa
89 MAGNANI AMERIGO Dentist S. Lucia
90 MAGNANI ROBERTO S. Dentist Lucia
91 MARK PUGLIESE 92 MASI FRANCESCA
Affiliated Pediatric Psychologist Ponsacco
93 Masseo PETER practitioner - Rheumatologist Ponsacco
94 MASULLO MARIAGRAZIA Radiologist Pisa
95 MAURIZIO ROMANI Medico omeopata Firenze
96 MAZZANTIN GIUSEPPE Guardia medica Ponsacco
97 MENICHINI ELISABETTA Odontoiatra Ponsacco
98 MENICHINI GIOVANNI Dermatologo Cenaia
99 MERLINI SARA Medico Peccioli
100 MONICELLI ANTONIO Odontoiatra Vicopisano
101 MORETTO CARLO Chirurgo Addominale Cisanello Pisa
102 MORGANTINI GIOVANNA Medico psicoterapeuta Gello
103 MORINI PAOLO Ginecologo AOP
104 NACCARATO GIUSEPPE Professore associato di Anatomia Patologica Pisa
105 NARDINI VINCENZO Direttore Anatomia Patologica III AOP
106 NINNI ELENA Odontoiatra Ponsacco
107 NINNI FILIPPO Ginecologo AOP
108 ONETTO FEDERICA Geriatra Livorno
109 ORSINI STEFANO general practitioner Ponsacco
110 PAGANO CALOGERO Doctor Ponsacco
111 Palatresi RICCARDO general practitioner Vinci
112 Paolicchi ALESSANDRO Radiologist Pontedera
113 PARAGLIOLA TERESA DEU Geriatrician Physician Pisa
114 Pardell ISABELLA Anaesthetist AOP
115 PARDOSSI ROMANO Medical family Pardossi Calcinaia
116 PAZZAGLIA MICHELA Geriatrician Latignano
117 PECENCO SILVIA Dermatologist House
118 PILGRIMS TTI GRAZIELLA Neonatology Pisa
119 PEN GIUSEPPE Diabetes Pisa
120 PERRINI VITO Physician at anesthetics AOP
121 PERUTELLI ALESSANDRA Gynaecologist AOP Pisa
122 Piaggesi LAURA Gynaecologist Hospital Pontedera - S. Lucia
123 PICCINI FRANCESCA Anestesista AOP
124 PISANESCHI SILVIA Medico presso Clinica Ostetrica
125 PISTOLESI SONIA Medico di famiglia Pontedera
126 POLITI SAVINA Diabetologa Pisa
127 RAGONI EDO Medico di Medicina generale Fornacette
128 RAVAGLI SUSANNA Specialista in Psichiatria c/o Sert Pontedera - Cascina
129 RICCERI WALTER Medico di distretto
130 ROCCHI VALERIA Reumatologa Pisa
131 RONCELLA MANUELA Direttore Chirurgia oncologica mammella Pisa
132 ROSSETTI ELENA Chirurgo oncologia della mammella Pisa
133 ROSSI ANNA MARIA Cardiologa Gello
134 RUGGERO GIUSEPPE Medico di Medicina generale Ponsacco
135 SALERNO MARIA GIOVANNA Direttore Unit Obstetrics and Gynecology II Pisa
136 SALVADORI TIZIANA Medical Cenaia
137 SAMPSON ENZA Gynaecologist AOP
138 SARDI MANUELA General Practitioner Cenaia
139 CHESS FABIO practitioner immunohaematologists Gello
140 Scarpellino I PETER Psychiatrist Cenaia
141 Scavello ANGELA Anaesthetist AOUP
142 Sigal EMILIO UMBERTO UO Pisa
Neonatology 143 SIMI John Medici at Pisa Obstetrics
144 SIMONA VESTRI Basic Medical House
145 SIMONCINI THOMAS Associate Professor of Gynecology, University of Pisa Livorno
146 SPINETTE ADRIANA Gynecologist
SPIRIT NICOLETTA 147 148 Spisni LAURA
Pisa Medical Director DEU Hospital Lotti Pontedera
149 SQUARCINI GIULIANO Cardiologo Pontedera
150 STELLA CINI Pneumologo Lari
151 TAPONECO FABIO Ginecologo AOP
152 TAVELLA NICOLA Medico convenzionato SSN specializzando in Ginecologia Pontedera
153 TEDESCHI ANNA UO diabetologia e malattie metaboliche Cisanello
154 TERRANOVA GIUSEPPINA UO Governo clinico e UO Medicina legale USL5
155 TESI MASSIMO Medico di famiglia Montopoli
156 TOGNARELLI PAOLO Anestesista Gello
157 URBANI CLAUDIO Endocrinologo Cisanello - Castelfranco
158 URBANI PAOLO Medico di Medicina generale e del Lavoro Castelfranco
159 VALENTINO VALERIA Ginecologo Pisa
160 VANNI GLORIA Medico di Medicina generale Pontedera
161 VIGOTTI MARIA ANGELA Ricercatrice CNR ISDE Pisa
162 VIRDIS AGOSTINO Cardiologo presso Clinica Medica Pisa
163 VOLPE LAURA Diabetologa Pisa
164 VUERICH MARCO Neonatologo AOUP
165 ZANCA GIULIA Medico presso Clinica Ostetrica Pisa
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immagine tratta da www.edizionicreativa.it
