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Time-Trends in Air Pollution Impact on Health in Italy, 1990-2019: An Analysis From the Global Burden of Disease Study 2019.
Conti, Sara; Fornari, Carla; Ferrara, Pietro; Antonazzo, Ippazio C; Madotto, Fabiana; Traini, Eugenio; Levi, Miriam; Cernigliaro, Achille; Armocida, Benedetta; Bragazzi, Nicola L; Cadum, Ennio; Carugno, Michele; Crotti, Giacomo; Deandrea, Silvia; Cortesi, Paolo A; Guido, Davide; Iavicoli, Ivo; Iavicoli, Sergio; La Vecchia, Carlo; Lauriola, Paolo; Michelozzi, Paola; Scondotto, Salvatore; Stafoggia, Massimo; Violante, Francesco S; Abbafati, Cristiana; Albano, Luciana; Barone-Adesi, Francesco; Biondi, Antonio; Bosetti, Cristina; Buonsenso, Danilo; Carreras, Giulia; Castelpietra, Giulio; Catapano, Alberico; Cattaruzza, Maria S; Corso, Barbara; Damiani, Giovanni; Esposito, Francesco; Gallus, Silvano; Golinelli, Davide; Hay, Simon I; Isola, Gaetano; Ledda, Caterina; Mondello, Stefania; Pedersini, Paolo; Pensato, Umberto; Perico, Norberto; Remuzzi, Giuseppe; Sanmarchi, Francesco; Santoro, Rocco; Simonetti, Biagio.
Afiliação
  • Conti S; Research Center on Public Health, University of Milan Bicocca, Monza, Italy.
  • Fornari C; Research Center on Public Health, University of Milan Bicocca, Monza, Italy.
  • Ferrara P; Research Center on Public Health, University of Milan Bicocca, Monza, Italy.
  • Antonazzo IC; Laboratory of Public Health, Auxologico Research Hospital-IRCCS, Milan, Italy.
  • Madotto F; Research Center on Public Health, University of Milan Bicocca, Monza, Italy.
  • Traini E; Dipartimento di Anestesia, Rianimazione ed Emergenza Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
  • Levi M; Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, Netherlands.
  • Cernigliaro A; Epidemiology Unit, Department of Prevention, Central Tuscany Local Health Authority, Florence, Italy.
  • Armocida B; Health Activities and Epidemiological Observatory Department, Health Authority Sicily Region, Parlemo, Italy.
  • Bragazzi NL; Clinical Pathology Complex Hospital Unit, Health Authority Trapani Province, Trapani, Italy.
  • Cadum E; Department of Cardiovascular, Endocrine-Metabolic Disease and Aging, National Institute of Health (ISS), Rome, Italy.
  • Carugno M; Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, Faculty of Science, York University, Toronto, ON, Canada.
  • Crotti G; Department of Hygiene and Health Prevention and Complex Operative Unit Environmental Health and Innovative Projects, Health Protection Agency, Pavia, Italy.
  • Deandrea S; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
  • Cortesi PA; Epidemiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Guido D; Servizio Epidemiologico Aziendale, Agenzia di Tutela della Salute di Bergamo, Bergamo, Italy.
  • Iavicoli I; Department of Hygiene and Health Prevention and Complex Operative Unit Environmental Health and Innovative Projects, Health Protection Agency, Pavia, Italy.
  • Iavicoli S; Research Center on Public Health, University of Milan Bicocca, Monza, Italy.
  • La Vecchia C; Neurology, Public Health and Disability Unit, Carlo Besta Neurological Institute, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
  • Lauriola P; Department of Public Health, University of Naples Federico II, Naples, Italy.
  • Michelozzi P; Department of Occupational and Environmental Medicine Epidemiology and Hygiene, Italian National Workers Compensation Authority (IIL), Monteporzio Catone, Italy.
  • Scondotto S; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
  • Stafoggia M; International Society Doctors for the Environment, Milan, Italy.
  • Violante FS; Department of Epidemiology, Lazio Region Health Authority (ASL RM1), Rome, Italy.
  • Abbafati C; Health Activities and Epidemiological Observatory Department, Health Authority Sicily Region, Parlemo, Italy.
  • Albano L; Department of Epidemiology, Lazio Region Health Authority (ASL RM1), Rome, Italy.
  • Barone-Adesi F; Occupational Health Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
  • Biondi A; Department of Juridical and Economic Studies, Faculty of Law, Sapienza University of Rome, Rome, Italy.
  • Bosetti C; Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Buonsenso D; Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
  • Carreras G; Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
  • Castelpietra G; Department of Oncology, Mario Negri Pharmacological Research Institute (IRCCS), Milano, Italy.
  • Catapano A; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS (Agostino Gemelli University Polyclinic IRCCS), Rome, Italy.
  • Cattaruzza MS; Global Health Research Institute, Università Cattolica del Sacro Cuore (Catholic University of Sacred Heart), Rome, Italy.
  • Corso B; Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
  • Damiani G; Department of Medicine, University of Udine, Udine, Italy.
  • Esposito F; Department of Mental Health, Healthcare Agency "Friuli Occidentale", Pordenone, Italy.
  • Gallus S; Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy.
  • Golinelli D; MultiMedica, IRCCS, Sesto San Giovanni, Italy.
  • Hay SI; Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
  • Isola G; Institute of Neuroscience, National Research Council (CNR), Pisa, Italy.
  • Ledda C; IRCCS Istituto Ortopedico Galeazzi (Galeazzi Orthopedic Institute IRCCS), University of Milan, Milan, Italy.
  • Mondello S; Department of Dermatology, Case Western Reserve University, Cleveland, OH, United States.
  • Pedersini P; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
  • Pensato U; Department of Environmental Health Sciences, Mario Negri Institute for Pharmacological Research, Milan, Italy.
  • Perico N; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
  • Remuzzi G; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
  • Sanmarchi F; Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States.
  • Santoro R; Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
  • Simonetti B; Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Int J Public Health ; 68: 1605959, 2023.
Article em En | MEDLINE | ID: mdl-37347013
ABSTRACT

Objectives:

We explored temporal variations in disease burden of ambient particulate matter 2.5 µm or less in diameter (PM2.5) and ozone in Italy using estimates from the Global Burden of Disease Study 2019.

Methods:

We compared temporal changes and percent variations (95% Uncertainty Intervals [95% UI]) in rates of disability adjusted life years (DALYs), years of life lost, years lived with disability and mortality from 1990 to 2019, and variations in pollutant-attributable burden with those in the overall burden of each PM2.5- and ozone-related disease.

Results:

In 2019, 467,000 DALYs (95% UI 371,000, 570,000) were attributable to PM2.5 and 39,600 (95% UI 18,300, 61,500) to ozone. The crude DALY rate attributable to PM2.5 decreased by 47.9% (95% UI 10.3, 65.4) from 1990 to 2019. For ozone, it declined by 37.0% (95% UI 28.9, 44.5) during 1990-2010, but it increased by 44.8% (95% UI 35.5, 56.3) during 2010-2019. Age-standardized rates declined more than crude ones.

Conclusion:

In Italy, the burden of ambient PM2.5 (but not of ozone) significantly decreased, even in concurrence with population ageing. Results suggest a positive impact of air quality regulations, fostering further regulatory efforts.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ozônio / Poluição do Ar Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Int J Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ozônio / Poluição do Ar Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Int J Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália