scholarly journals Influence of air pollution on hospital admissions for cardiovascular and respiratory diseases in Nis, Serbia

2010 ◽  
Vol 67 (6) ◽  
pp. 473-479 ◽  
Author(s):  
Zoran Milosevic ◽  
Dragan Bogdanovic ◽  
Sladjana Jovic ◽  
Aleksandra Stankovic ◽  
Suzana Milutinovic ◽  
...  

Background/Aim. In studies that investigate the health effects of short-term air pollution exposure, population-wide changes in acute outcomes such as mortality, hospital admissions and healthcare visits are linked to short-term variations in ambient pollutant concentrations. The aim of this study was to estimate the association between daily outdoor black smoke and sulphur dioxide levels and hospital admissions for cardiovascular and respiratory diseases in Nis, within a period 2001-2005. Methods. A time series analysis was performed using separated regression models for each pollutant and disease group, by age groups and population as a whole. The effects of copollutant, meteorological factors and cyclic oscillations in hospitalization numbers were controlled. Results. A significant increase in hospital admissions was associated with a 10 ?g/m3 increase in the concentration of black smoke, for cardiovascular diseases: 3.14% (< 0.01) in children and youth under 19 years of age, 1.85% (< 0.001) in 19-64 age group, and 0.84% (< 0.05) in all ages, and for respiratory diseases: 1.77% (< 0.05) in 19-64 age group, and 0.91% (< 0.05) in all ages. The effects on hospitalizations for respiratory diseases in children and youth under 19 years of age, and for cardiovascular and respiratory diseases in the elderly were not statistically significant. The increase of sulphur dioxide level was associated with the increased number of hospitalizations, for both cardiovascular and respiratory diseases in all age groups, but the influence was not statistically significant. Conclusion. Outdoor pollutants concentrations in urban area of Nis were below regulated limit values during most of the investigated period days but it is shown that even such a level of pollution has a significant effect on hospital admissions for cardiovascular and respiratory diseases.

2008 ◽  
Vol 65 (11) ◽  
pp. 814-819 ◽  
Author(s):  
Dragana Nikic ◽  
Dragan Bogdanovic ◽  
Aleksandra Stankovic ◽  
Maja Nikolic ◽  
Zoran Milosevic

Background/Aim. Numerous epidemiological studies have reported effects of air pollution on the prevalence of respiratory diseases in children. Association between air pollution and hospital admissions for respiratory diseases among children has not been investigated in our country yet. The purpose of this study was to examine impact of ordinary air pollutants (sulfur dioxide and black smoke) in concentrations regularly reported during monitoring on hospital admissions for respiratory diseases among children. Methods. We compared daily data of sulphur dioxide and black smoke concentrations in air with data of daily hospital admissions for respiratory diseases in children 0-14 years of age in two periods (1992-1995 and 2002-2005) in Nis, Serbia. Results. There were totally 4 283 and 3 842 hospital admissions for respiratory diseases in children in the first (1992-1995), and the second (2002-2005) period observed, respectively. The highest number of hospital admissions was registered in children aged 0-4 years, and the lowest one in children aged 10-14 years. Statistically significant influence of pollutants on the number of hospital admissions for respiratory diseases was observed in the period 1992-1995 in children aged 0-4 years. Overall, a 10 ?g/m3 increase in black smoke concentration was associated with a 3.95% (95% CI 1.29-6.67%) increase in the rate of hospital admission for respiratory diseases after three days, 4.50% (1.77-7.30%) after four days and 7.15% (1.21-13.44%) after seven days. A 10 ?g/m3 increase in sulphur dioxide concentration was associated with a 1.29% (0.03-2.56%) increases in the rate of hospital admission for respiratory illness after three days. Influence of air pollution on the number of hospital admissions in older groups of children, as well as in the period 2002-2005 was not statistically significant. Conclusion. Our study suggested that air pollution concentration measured during regular monitoring, out of episodes of pollution, appear to be risk for hospital admissions for respiratory diseases in children age 0-4 years.


2020 ◽  
Author(s):  
Zhan Ren ◽  
Xingyuan Liu ◽  
Tianyu Liu ◽  
Dieyi Chen ◽  
Kuizhuang Jiao ◽  
...  

Abstract Background: The positive associations between ambient PM2.5 and cardiorespiratory disease have been well demonstrated during the past decade. However, few studies have examined the adverse effects of PM2.5 based on an entire population of megalopolis. In addition, due to the lack of accurate methods of assessing individual PM2.5 exposure, further studies are still necessary to be launched in China.Methods: The study was conducted in Wuhan, a megacity in central China with about 10.8929 million population. Daily hospital admission records, from October 2016 to December 2018, were obtained from Wuhan Information center of Health and Family Planning, which administrates all the hospitals in Wuhan. The daily air pollution concentration and weather variable in Wuhan during the study period were collected. We developed Land use regression model (LUR) to assess individual PM2.5 exposure. Time-stratified case-crossover design and conditional logistic regression models were adopted to estimate cardiorespiratory hospitalization risks associated with short-term exposures to PM2.5. We also conducted stratification analyses by age, sex and season.Results: A total of 2,806,115 hospital admissions records were collected during the study period, from which we identified 332,090 for total cardiovascular diseases and 159,365 for total respiratory diseases. We found short-term PM2.5 exposure was associated with increased risk of cardiorespiratory hospital admission in Wuhan. Per 10 μg/m3 increase of PM2.5 at lag0~2 days was associated with 1.23% (95%CI: 1.01–1.45%) and 1.95% (95%CI: 1.63–2.27%) elevated risk of admission from cardiovascular and respiratory diseases respectively. The elderly were at higher PM-induced risks. The associations appeared to be more evident in the cold season than in the warm season.Conclusions: This study contributed evidence to support the short-term effects of PM2.5 on cardiorespiratory hospital admission, which may be helpful for air pollution control and disease prevention in Wuhan.


2020 ◽  
Vol 10 (22) ◽  
pp. 7997
Author(s):  
Pedro Franco ◽  
Cristina Gordo ◽  
Eduarda Marques da Costa ◽  
António Lopes

The relevance of air pollution in the public health agenda has recently been reinforced—it is known that exposure to it has negative effects in the health of individuals, especially in big cities and metropolitan areas. In this article we observed the evolution of air pollutants (CO, NO, NO2, O3, PM10) emissions and we confront them with health vulnerabilities related to respiratory and circulatory diseases (all circulatory diseases, cardiac diseases, cerebrovascular disease, ischemic heart disease, all respiratory diseases, chronic lower respiratory diseases, acute upper respiratory infections). The study is supported in two databases, one of air pollutants and the other of emergency hospital admissions, in the 2005–2015 period, applied to the Lisbon Metropolitan Area. The analysis was conducted through Ordinary Least Squares (OLS) regression, while also using semi-elasticity to quantify associations. Results showed positive associations between air pollutants and admissions, tendentially higher in respiratory diseases, with CO and O3 having the highest number of associations, and the senior age group being the most impacted. We concluded that O3 is a good predictor for the under-15 age group and PM10 for the over-64 age group; also, there seems to exist a distinction between the urban city core and its suburban areas in air pollution and its relation to emergency hospital admissions.


Author(s):  
Mostafa Hadei ◽  
Philip K. Hopke ◽  
Abbas Shahsavani ◽  
Nader Jahanmehr ◽  
Masoumeh Rahmatinia ◽  
...  

Introduction: Attributable health impacts of air pollution result in economic costs to societies. In this study, the WHO AirQ+ model was used to estimate the health impacts and health-related economic costs of PM2.5 and O3 in Karaj, the fourth largest city in Iran, from March 2015 to March 2016. Materials and methods: For PM2.5, long-term mortality due to ischemic heart disease (IHD), lung cancer, chronic obstructive pulmonary disease (COPD), and morbidity such as acute lower respiratory infection (ALRI), and short-term cardiovascular and respiratory hospitalizations were calculated. For ozone, short-term mortality and hospitalizations due to cardiovascular and respiratory diseases were estimated. The human capital method (HCM) was used to monetize the mortality impact attributed to selected air pollutants. Direct and indirect costs of morbidity were estimated using available local data on the costs related to cardiovascular and respiratory diseases. Results: The total number of IHD, COPD, LC and ALRI deaths attributed to PM2.5 in selected age groups was 576. The total number of cardiovascular and respiratory deaths attributed to O3 was 46 cases. For hospitalization, the aggregate cardiovascular and respiratory hospital admissions for both pollut- ants were 552. The total economic loss due to mortality and morbidity from selected health endpoints was approximately 44 million USD. Conclusion: Despite the limitations, such methodologies can be useful for policy-makers. Therefore, there is a compelling need to conduct cost of ill- ness’s studies in other areas.


Atmosphere ◽  
2021 ◽  
Vol 12 (8) ◽  
pp. 1060
Author(s):  
Karyn Morrissey ◽  
Ivy Chung ◽  
Andrew Morse ◽  
Suhanya Parthasarath ◽  
Margaret M. Roebuck ◽  
...  

This study assesses the impact of a decrease in air quality and the risk of hospital admissions to a public hospital for chronic respiratory diseases for residents of Petaling Jaya, a city in the Greater Kuala Lumpur area in Malaysia. Data on hospital admissions for asthma, bronchitis, emphysema and other chronic obstructive pulmonary disease, weather conditions and the Malaysian Air Pollution Index, a composite indicator of air quality, were collated. An unconstrained distributed lag model to obtain risk of hospitalization for a 10 μg/m3 increase in the API. The lag cumulative effect for a 10 μg/m3 increase in the API was calculated to test for harvesting in the short term. Findings indicate that after an initial decrease in admissions (days 3 and 4), admissions increased again at day 7 and 8 and this relationship was significant. We therefore conclude that a 10 μg/m3 increase has a greater effect on admissions for respiratory health in the short term than a harvesting effect alone would suggest. These results suggest that while air quality is improving in the Greater Kuala Lumpur area, no level of air pollution can be deemed safe.


Author(s):  
Iván Area ◽  
Henrique Lorenzo ◽  
Pedro J. Marcos ◽  
Juan J. Nieto

In this work we look at the past in order to analyze four key variables after one year of the COVID-19 pandemic in Galicia (NW Spain): new infected, hospital admissions, intensive care unit admissions and deceased. The analysis is presented by age group, comparing at each stage the percentage of the corresponding group with its representation in the society. The time period analyzed covers 1 March 2020 to 1 April 2021, and includes the influence of the B.1.1.7 lineage of COVID-19 which in April 2021 was behind 90% of new cases in Galicia. It is numerically shown how the pandemic affects the age groups 80+, 70+ and 60+, and therefore we give information about how the vaccination process could be scheduled and hints at why the pandemic had different effects in different territories.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Zhan Ren ◽  
Xingyuan Liu ◽  
Tianyu Liu ◽  
Dieyi Chen ◽  
Kuizhuang Jiao ◽  
...  

Abstract Background Positive associations between ambient PM2.5 and cardiorespiratory disease have been well demonstrated during the past decade. However, few studies have examined the adverse effects of PM2.5 based on an entire population of a megalopolis. In addition, most studies in China have used averaged data, which results in variations between monitoring and personal exposure values, creating an inherent and unavoidable type of measurement error. Methods This study was conducted in Wuhan, a megacity in central China with about 10.9 million people. Daily hospital admission records, from October 2016 to December 2018, were obtained from the Wuhan Information center of Health and Family Planning, which administrates all hospitals in Wuhan. Daily air pollution concentrations and weather variables in Wuhan during the study period were collected. We developed a land use regression model (LUR) to assess individual PM2.5 exposure. Time-stratified case-crossover design and conditional logistic regression models were adopted to estimate cardiorespiratory hospitalization risks associated with short-term exposure to PM2.5. We also conducted stratification analyses by age, sex, and season. Results A total of 2,806,115 hospital admissions records were collected during the study period, from which we identified 332,090 cardiovascular disease admissions and 159,365 respiratory disease admissions. Short-term exposure to PM2.5 was associated with an increased risk of a cardiorespiratory hospital admission. A 10 μg/m3 increase in PM2.5 (lag0–2 days) was associated with an increase in hospital admissions of 1.23% (95% CI 1.01–1.45%) and 1.95% (95% CI 1.63–2.27%) for cardiovascular and respiratory diseases, respectively. The elderly were at higher PM-induced risk. The associations appeared to be more evident in the cold season than in the warm season. Conclusions This study contributes evidence of short-term effects of PM2.5 on cardiorespiratory hospital admissions, which may be helpful for air pollution control and disease prevention in Wuhan.


2007 ◽  
Vol 23 (suppl 4) ◽  
pp. S529-S536 ◽  
Author(s):  
Izabel Marcilio ◽  
Nelson Gouveia

This study aimed to quantify air pollution impact on morbidity and mortality in the Brazilian urban population using locally generated impact factors. Concentration-response coefficients were used to estimate the number of hospitalizations and deaths attributable to air pollution in seven Brazilian cities. Poisson regression coefficients (beta) were obtained from time-series studies conducted in Brazil. The study included individuals 65 years old and over and children under five. More than 600 deaths a year from respiratory causes in the elderly and 47 in children were attributable to mean air pollution levels, corresponding to 4.9% and 5.5% of all deaths from respiratory causes in these age groups. More than 4,000 hospital admissions for respiratory conditions were also attributable to air pollution. These results quantitatively demonstrate the currently observed contribution of air pollution to mortality and hospitalizations in Brazilian cities. Such assessment is thought to help support the planning of surveillance and control activities for air pollution in these and similar areas.


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