期刊论文详细信息
Journal of Environmental Health Science Engineering
Health impact assessment of air pollution in Shiraz, Iran: a two-part study
Masud Yunesian6  Mansour Shamsipour4  Ali Asghar Akhlaghi1  Ramin Nabizadeh2  Hassan Amini3  Amir Hossein Mahvi5  Ehsan Gharehchahi2 
[1] Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute, ACECR, Tehran, Iran;Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;Kurdistan Environmental Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran;Occupational Sleep Research Center, Tehran University of Medical Sciences, Tehran, Iran;Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran;Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran
关键词: Shiraz;    Respiratory;    Particulate Matter;    Iran;    Health Impact Assessment;    Excess Hospitalizations;    COPD;    Cardiovascular Diseases;    AirQ;    Air Pollution;   
Others  :  820666
DOI  :  10.1186/2052-336X-11-11
 received in 2012-11-28, accepted in 2013-06-03,  发布年份 2013
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【 摘 要 】

We aimed to assess health-impacts of short-term exposure to the air pollutants including PM10, SO2, and NO2 in Shiraz, Iran in a two-part study from 2008 to 2010. In part I, local relative risks (RRs) and baseline incidences (BIs) were calculate using generalized additive models. In part II, we estimated the number of excess hospitalizations (NEHs) due to cardiovascular diseases (CDs), respiratory diseases (RDs), respiratory diseases in elderly group (RDsE—people older than 65 years old), and chronic obstructive pulmonary diseases (COPDs) as a result of exposure to air pollutants using AirQ model, which is proposed approach for air pollution health impact assessment by World Health Organization. In part I, exposure to increase in daily mean concentration of PM10 was associated with hospitalizations due to RDs with a RR of 1.0049 [95% confidence interval (CI), 1.0004 to 1.0110]. In addition, exposure to increase in daily mean concentration of SO2 and NO2 were associated with hospitalizations due to RDsE and COPDs with RRs of 1.0540 [95% CI, 1.0050 to 1.1200], 1.0950 [95% CI, 1.0700 to 1.1100], 1.0280 [95% CI, 1.0110 to 1.0450] and 1.0360 [95% CI, 1.0210 to 1.0510] per 10 μg/m3 rise of these pollutants, respectively. In part II, the maximum NEHs due to CDs because of exposure to PM10 were in 2009—1489 excess cases (ECs). The maximum NEHs due to RDs because of exposure to PM10 were in 2009—1163 ECs. Meanwhile, the maximum NEHs due to RDsE and COPDs because of exposure to SO2 were in 2008, which are 520 and 900 ECs, respectively. In conclusion, elevated morbidity risks were found from acute exposure to air pollutants.

【 授权许可】

   
2013 Gharehchahi et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Murray CJL, Lopez AD: Alternative projections of mortality and disability by cause 1990–2020: global burden of disease study. Lancet 1997, 349:1498-1504.
  • [2]Cohen AJ, Anderson HR, Ostro B, Pandey KD, Krzyzanowski M, Künzli N, Gutschmidt K, Pope A, Romieu I, Samet JM: The global burden of disease due to outdoor air pollution. J Toxicol Environ Health A 2005, 68:1301-1307.
  • [3]Brook RD, Rajagopalan S, Pope CA III, Brook JR, Bhatnagar A, Diez-Roux AV, Holguin F, Hong Y, Luepker RV, Mittleman MA: Particulate matter air pollution and cardiovascular disease. Circulation 2010, 121:2331-2378.
  • [4]Schwartz J: Air pollution and daily mortality: a review and meta analysis. Environ Res 1994, 64:36-52.
  • [5]Naddafi K, Hassanvand MS, Yunesian M, Momeniha F, Nabizadeh R, Faridi S, Gholampour A: Health impact assessment of air pollution in megacity of Tehran, Iran. Iran J Environ Health Sci & Eng 2012, 9:1-7. BioMed Central Full Text
  • [6]Qorbani M, Yunesian M, Fotouhi A, Zeraati H, Sadeghian S: Effect of air pollution on onset of acute coronary syndrome in susceptible subgroups. East Mediterr Health J 2012, 18:550-555.
  • [7]Dominici F, Peng RD, Bell ML, Pham L, McDermott A, Zeger SL, Samet JM: Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. JAMA 2006, 295:1127-1134.
  • [8]Hosseinpoor AR, Forouzanfar MH, Yunesian M, Asghari F, Naieni KH, Farhood D: Air pollution and hospitalization due to angina pectoris in Tehran, Iran: a time-series study. Environ Res 2005, 99:126-131.
  • [9]Hoek G, Brunekreef B, Fischer P, van Wijnen J: The association between air pollution and heart failure, arrhythmia, embolism, thrombosis, and other cardiovascular causes of death in a time series study. Epidemiology 2001, 12:355.
  • [10]Garcia-Aymerich J, Tobias A, Anto JM, Sunyer J: Air pollution and mortality in a cohort of patients with chronic obstructive pulmonary disease: a time series analysis. J Epidemiol Community Health 2000, 54:73-74.
  • [11]Katsouyanni K, Touloumi G, Spix C, Schwartz J, Balducci F, Medina S, Rossi G, Wojtyniak B, Sunyer J, Bacharova L: Short term effects of ambient sulphur dioxide and particulate matter on mortality in 12 European cities: results from time series data from the APHEA project. Br Med J 1997, 314:1658.
  • [12]Schwartz J: Air pollution and hospital admissions for heart disease in eight U.S. counties. Epidemiology 1999, 10:17-22.
  • [13]Schwartz J: Short term fluctuations in air pollution and hospital admissions of the elderly for respiratory disease. Thorax 1995, 50:531-538.
  • [14]Schwartz J: Air pollution and hospital admissions for cardiovascular disease in Tucson. Epidemiology 1997, 8:371-377.
  • [15]Pope CA, Thun MJ, Namboodiri MM, Dockery DW, Evans JS, Speizer FE, Heath CW Jr: Particulate air pollution as a predictor of mortality in a prospective study of US adults. Am J Respir Crit Care Med 1995, 151:669-674.
  • [16]Dockery DW, Pope CA, Xu X, Spengler JD, Ware JH, Fay ME, Ferris BG Jr, Speizer FE: An association between air pollution and mortality in six US cities. N Engl J Med 1993, 329:1753-1759.
  • [17]WHO European Centre for Environment and Health - Bilthoven Division: The air quality health impact assessment software AirQ 2.2.3.
  • [18]Estimated population of country cities for 2011. 2011. Available via: http://www.amar.org.ir webcite
  • [19]World Health Organization: International classification of diseases (ICD). Geneva, Switzerland: ; 2012. Available via: http://apps.who.int/classifications/icd10/browse/2010/en webcite
  • [20]Wood SN: Fast stable restricted maximum likelihood and marginal likelihood estimation of semi parametric generalized linear models. J R Stat Soc Series B Stat Methodol 2011, 73:3-36.
  • [21]Venables W, Smith D: The R development core team (2004), an introduction to R. The R Development Core Team 2010, 2:1-90.
  • [22]Krzyzanowski M: Methods for assessing the extent of exposure and effects of air pollution. Occup Environ Med 1997, 54:145-151.
  • [23]Fattore E, Paiano V, Borgini A, Tittarelli A, Bertoldi M, Crosignani P, Fanelli R: Human health risk in relation to air quality in two municipalities in an industrialized area of Northern Italy. Environ Res 2011, 111:1321-1327.
  • [24]Hassanvand M, Amini H, Yunesian M: Comments on: the evaluation of PM10, PM2.5, And PM1 concentrations during the middle eastern dust (MED) events in Ahvaz, Iran, from April through September 2010 (http://dx.doi.org/10.1016/j.Jaridenv.2011.09.007 webcite). Journal of Arid Environments 2013, 97:1-2. http://dx.doi.org/10.1016/j.jaridenv.2013.05.001 webcite
  • [25]Colls J: Air Pollution. 2nd edition. London and New York: Spon Press; 2002.
  • [26]Tehrani SM, Karbassi AR: Application of E-commerce in local home shopping and its consequences on energy consumption and air pollution reduction. Iran J Environ Health Sci & Eng 2005, 2:247-250.
  • [27]Schikowski T, Ranft U, Sugiri D, Vierkotter A, Bruning T, Harth V, Kramer U: Decline in air pollution and change in prevalence in respiratory symptoms and chronic obstructive pulmonary disease in elderly women. Respir Res 2010, 11:113. BioMed Central Full Text
  • [28]Viegi G, Maio S, Pistelli F, Baldacci S, Carrozzi L: Epidemiology of chronic obstructive pulmonary disease: health effects of air pollution. Respirology 2006, 11:523-532.
  • [29]Arbex MA, de Souza Conceicao GM, Cendon SP, Arbex FF, Lopes AC, Moyses EP, Santiago SL, Saldiva PH, Pereira LA, Braga AL: Urban air pollution and chronic obstructive pulmonary disease-related emergency department visits. J Epidemiol Community Health 2009, 63:777-783.
  • [30]Naddafi K, Nabizadeh R, Soltanianzadeh Z, Ehrampoosh M: Evaluation of dust fall in the Air of Yazd. Iran J Environ Health Sci & Eng 2006, 3:161-168.
  • [31]Brauer M, Ebelt ST, Fisher TV, Brumm J, Petkau AJ, Vedal S: Exposure of chronic obstructive pulmonary disease patients to particles: respiratory and cardiovascular health effects. J Expo Anal Environ Epidemiol 2001, 11:490.
  • [32]Brauer M, Hoek G, Smit H, De Jongste J, Gerritsen J, Postma DS, Kerkhof M, Brunekreef B: Air pollution and development of asthma, allergy and infections in a birth cohort. Eur Respir J 2007, 29:879-888.
  • [33]Brauer M, Hoek G, Van Vliet P, Meliefste K, Fischer PH, Wijga A, Koopman LP, Neijens HJ, Gerritsen J, Kerkhof M: Air pollution from traffic and the development of respiratory infections and asthmatic and allergic symptoms in children. Am J Respir Crit Care Med 2002, 166:1092-1098.
  • [34]Qorbani M, Yunesian M: Solid fuel smoke exposure and risk of obstructive airways disease. Iran J Environ Health Sci & Eng 2012, 9:8. BioMed Central Full Text
  • [35]Shakour A, El-Shahat M, El-Taieb N, Hassanein M, Mohamed A: Health impacts of particulate matter in greater Cairo, Egypt. J Am Sci 2011, 7:840-848.
  • [36]Tominz R, Mazzoleni B, Daris F: Estimate of potential health benefits of the reduction of air pollution with PM10 in Trieste, Italy. Epidemiol Prev 2005, 29:149-155.
  • [37]Boldo E, Medina S, LeTertre A, Hurley F, Mucke HG, Ballester F, Aguilera I, Eilstein D: Apheis: health impact assessment of long-term exposure to PM2.5 in 23 European cities. Eur J Epidemiol 2006, 21:449-458.
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