scholarly journals Avoidable Mortality Attributable to Anthropogenic Fine Particulate Matter (PM2.5) in Australia

Author(s):  
Ivan C. Hanigan ◽  
Richard A. Broome ◽  
Timothy B. Chaston ◽  
Martin Cope ◽  
Martine Dennekamp ◽  
...  

Ambient fine particulate matter <2.5 µm (PM2.5) air pollution increases premature mortality globally. Some PM2.5 is natural, but anthropogenic PM2.5 is comparatively avoidable. We determined the impact of long-term exposures to the anthropogenic PM component on mortality in Australia. PM2.5-attributable deaths were calculated for all Australian Statistical Area 2 (SA2; n = 2310) regions. All-cause death rates from Australian mortality and population databases were combined with annual anthropogenic PM2.5 exposures for the years 2006–2016. Relative risk estimates were derived from the literature. Population-weighted average PM2.5 concentrations were estimated in each SA2 using a satellite and land use regression model for Australia. PM2.5-attributable mortality was calculated using a health-impact assessment methodology with life tables and all-cause death rates. The changes in life expectancy (LE) from birth, years of life lost (YLL), and economic cost of lost life years were calculated using the 2019 value of a statistical life. Nationally, long-term population-weighted average total and anthropogenic PM2.5 concentrations were 6.5 µg/m3 (min 1.2–max 14.2) and 3.2 µg/m3 (min 0–max 9.5), respectively. Annually, anthropogenic PM2.5-pollution is associated with 2616 (95% confidence intervals 1712, 3455) deaths, corresponding to a 0.2-year (95% CI 0.14, 0.28) reduction in LE for children aged 0–4 years, 38,962 (95%CI 25,391, 51,669) YLL and an average annual economic burden of $6.2 billion (95%CI $4.0 billion, $8.1 billion). We conclude that the anthropogenic PM2.5-related costs of mortality in Australia are higher than community standards should allow, and reductions in emissions are recommended to achieve avoidable mortality.

Author(s):  
Jiyoung Shin ◽  
Jongmin Oh ◽  
In Sook Kang ◽  
Eunhee Ha ◽  
Wook Bum Pyun

Background/Aim: Previous studies have suggested that the short-term ambient air pollution and temperature are associated with myocardial infarction. In this study, we aimed to conduct a time-series analysis to assess the impact of fine particulate matter (PM2.5) and temperature on acute myocardial infarction (AMI) among adults over 20 years of age in Korea by using the data from the Korean National Health Information Database (KNHID). Methods: The daily data of 192,567 AMI cases in Seoul were collected from the nationwide, population-based KNHID from 2005 to 2014. The monitoring data of ambient PM2.5 from the Seoul Research Institute of Public Health and Environment were also collected. A generalized additive model (GAM) that allowed for a quasi-Poisson distribution was used to analyze the effects of PM2.5 and temperature on the incidence of AMI. Results: The models with PM2.5 lag structures of lag 0 and 2-day averages of lag 0 and 1 (lag 01) showed significant associations with AMI (Relative risk [RR]: 1.011, CI: 1.003–1.020 for lag 0, RR: 1.010, CI: 1.000–1.020 for lag 01) after adjusting the covariates. Stratification analysis conducted in the cold season (October–April) and the warm season (May–September) showed a significant lag 0 effect for AMI cases in the cold season only. Conclusions: In conclusion, acute exposure to PM2.5 was significantly associated with AMI morbidity at lag 0 in Seoul, Korea. This increased risk was also observed at low temperatures.


2019 ◽  
Vol 247 ◽  
pp. 874-882 ◽  
Author(s):  
Yang Yang ◽  
Zengliang Ruan ◽  
Xiaojie Wang ◽  
Yin Yang ◽  
Tonya G. Mason ◽  
...  

Author(s):  
Cavin K. Ward‐Caviness, ◽  
Mahdieh Danesh Yazdi, ◽  
Joshua Moyer, ◽  
Anne M. Weaver, ◽  
Wayne E. Cascio, ◽  
...  

Background Long‐term air pollution exposure is a significant risk factor for inpatient hospital admissions in the general population. However, we lack information on whether long‐term air pollution exposure is a risk factor for hospital readmissions, particularly in individuals with elevated readmission rates. Methods and Results We determined the number of readmissions and total hospital visits (outpatient visits+emergency room visits+inpatient admissions) for 20 920 individuals with heart failure. We used quasi‐Poisson regression models to associate annual average fine particulate matter at the date of heart failure diagnosis with the number of hospital visits and 30‐day readmissions. We used inverse probability weights to balance the distribution of confounders and adjust for the competing risk of death. Models were adjusted for age, race, sex, smoking status, urbanicity, year of diagnosis, short‐term fine particulate matter exposure, comorbid disease, and socioeconomic status. A 1‐µg/m 3 increase in fine particulate matter was associated with a 9.31% increase (95% CI, 7.85%–10.8%) in total hospital visits, a 4.35% increase (95% CI, 1.12%–7.68%) in inpatient admissions, and a 14.2% increase (95% CI, 8.41%–20.2%) in 30‐day readmissions. Associations were robust to different modeling approaches. Conclusions These results highlight the potential for air pollution to play a role in hospital use, particularly hospital visits and readmissions. Given the elevated frequency of hospitalizations and readmissions among patients with heart failure, these results also represent an important insight into modifiable environmental risk factors that may improve outcomes and reduce hospital use among patients with heart failure.


2021 ◽  
Author(s):  
Yovitza Romero ◽  
Priyanka deSouza ◽  
Fabio Duarte ◽  
Patrick Kinney ◽  
Carlo Ratti ◽  
...  

Abstract Lima has been ranked among the top most polluted cities in the Americas. Vehicular emissions are the dominant source of pollution in the city. In order to reduce congestion and pollution levels during the XVIII Pan- and Parapan-American Games, Lima government officials enacted the pico y placa policy to restrict the number of vehicles on certain heavily trafficked roads in the city at rush hours between Monday to Thursday based on the last digit of their license plates. This policy was retained after the Games. In this paper we evaluate the impact of this policy on fine particulate matter concentration levels (PM2.5) at a background site in the city using a difference-in-difference approach. We find that the policy resulted in increases on PM2.5 levels on Monday-Thursday compared to Friday-Sunday levels after the policy was enacted, compared to previous years. However, such an increase was not significant. These results suggest the need for additional policies to reduce pollution due to traffic in Lima. It also suggests the need to track the response to this policy over time to evaluate its efficacy.


2019 ◽  
Vol 126 ◽  
pp. 568-575 ◽  
Author(s):  
Fengchao Liang ◽  
Xueli Yang ◽  
Fangchao Liu ◽  
Jianxin Li ◽  
Qingyang Xiao ◽  
...  

2020 ◽  
Vol 12 (7) ◽  
pp. 2910
Author(s):  
Yu Sang Chang ◽  
Byong-Jin You ◽  
Hann Earl Kim

Despite the fact that fine particulate matter (PM2.5) causes serious health issues, few studies have investigated the level and annual rate of PM2.5 change across a large number of countries. For a better understanding of the global trend of PM2.5, this study classified 190 countries into groups showing different trends of PM2.5 change during the 2000–2014 period by estimating the progress ratio (PR) from the experience curve (EC), with PM2.5 exposure (PME)–the population-weighted average annual concentration of PM2.5 to which a person is exposed—as the dependent variable and the cumulative energy consumption as the independent variable. The results showed a wide variation of PRs across countries: While the average PR for 190 countries was 96.5%, indicating only a moderate decreasing PME trend of 3.5% for each doubling of the cumulative energy consumption, a majority of 118 countries experienced a decreasing trend of PME with an average PR of 88.1%, and the remaining 72 countries displayed an increasing trend with an average PR of 110.4%. When two different types of EC, classical and kinked, were applied, the chances of possible improvement in the future PME could be suggested in the descending order as follows: (1) the 60 countries with an increasing classical slope; (2) the 12 countries with an increasing kinked slope; (3) the 75 countries with a decreasing classical slope; and (4) the 43 countries with a decreasing kinked slope. The reason is that both increasing classical and kinked slopes are more likely to be replaced by decreasing kinked slopes, while decreasing classical and kinked slopes are less likely to change in the future. Population size seems to play a role: A majority of 52%, or 38 out of the 72 countries with an increasing slope, had a population size of bigger than 10 million inhabitants. Many of these countries came from SSA, EAP, and LAC regions. By identifying different patterns of past trends based on the analysis of PME for individual countries, this study suggests a possible change of the future slope for different groups of countries.


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