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1.
Environ Monit Assess ; 196(5): 463, 2024 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-38642156

RESUMO

In this study, the levels of sulfur dioxide (SO2) and nitrogen dioxide (NO2) were measured indoors and outdoors using passive samplers in Tymar village (20 homes), an industrial area, and Haji Wsu (15 homes), a non-industrial region, in the summer and the winter seasons. In comparison to Haji Wsu village, the results showed that Tymar village had higher and more significant mean SO2 and NO2 concentrations indoors and outdoors throughout both the summer and winter seasons. The mean outdoor concentration of SO2 was the highest in summer, while the mean indoor NO2 concentration was the highest in winter in both areas. The ratio of NO2 indoors to outdoors was larger than one throughout the winter at both sites. Additionally, the performance of machine learning (ML) approaches: multiple linear regression (MLR), artificial neural network (ANN), and random forest (RF) were compared in predicting indoor SO2 concentrations in both the industrial and non-industrial areas. Factor analysis (FA) was conducted on different indoor and outdoor meteorological and air quality parameters, and the resulting factors were employed as inputs to train the models. Cross-validation was applied to ensure reliable and robust model evaluation. RF showed the best predictive ability in the prediction of indoor SO2 for the training set (RMSE = 2.108, MAE = 1.780, and R2 = 0.956) and for the unseen test set (RMSE = 4.469, MAE = 3.728, and R2 = 0.779) values compared to other studied models. As a result, it was observed that the RF model could successfully approach the nonlinear relationship between indoor SO2 and input parameters and provide valuable insights to reduce exposure to this harmful pollutant.


Assuntos
Poluentes Atmosféricos , Poluição do Ar em Ambientes Fechados , Poluição do Ar , Dióxido de Enxofre/análise , Dióxido de Nitrogênio/análise , Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Poluição do Ar/análise , Estações do Ano , Poluição do Ar em Ambientes Fechados/análise
2.
Sci Total Environ ; 921: 171119, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38382602

RESUMO

BACKGROUND: Long-term exposure to ambient air pollution is associated with cardiovascular disease (CVD) risk. Little is known about the impact of early-life exposure to air pollutants on CVD risk factors in late adolescence, which may track into adulthood. To clarify, we examined this question in a unique setting with high air pollution and a high level of economic development. METHODS: This study leveraged the "Children of 1997" Hong Kong birth cohort (N = 8327), including here 3350 participants. We estimated ambient air pollutant exposure including inhalable particulate matter (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2) and nitrogen monoxide (NO) by growth phase (in utero, infancy, childhood) and overall based on residential address. Generalized linear regression was used to assess the associations of air pollutants exposure by growth phase and sex with CVD risk factors (fasting blood glucose, glycosylated hemoglobin, lipid profile, blood pressure, and body mass index) at 17.6 years. We also assessed whether associations varied by sex. RESULTS: Early life exposed had little association with glucose metabolism, blood pressure or body mass index, but after considering multiple comparisons early exposure to PM10 was associated with low density lipoprotein (LDL) in boys, with ß and 95 % confidence intervals (95 % CI) of 0.184 (0.069 to 0.298) mmol/l, 0.151 (0.056 to 0.248) mmol/l, and 0.157 (0.063 to 0.252) mmol/l by per interquartile range (IQR) increment of PM10 for in utero, infancy, and overall, respectively. No such associations were evident for girls, differences by sex were evident. CONCLUSIONS: Our study suggested sex-specific associations of early-life PM10 exposure with elevated LDL in adolescence, especially exposure in utero and infancy.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Doenças Cardiovasculares , Masculino , Criança , Feminino , Humanos , Adolescente , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/induzido quimicamente , Hong Kong/epidemiologia , Coorte de Nascimento , Fatores de Risco , Poluição do Ar/análise , Poluentes Atmosféricos/análise , Material Particulado/análise , Dióxido de Nitrogênio/análise , Óxido Nítrico , Fatores de Risco de Doenças Cardíacas , Exposição Ambiental/análise
3.
Int J Equity Health ; 23(1): 22, 2024 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-38321458

RESUMO

BACKGROUND: Together with rapid urbanization, ambient nitrogen dioxide (NO2) exposure has become a growing health threat. However, little is known about the urban-rural disparities in the health implications of short-term NO2 exposure. This study aimed to compare the association between short-term NO2 exposure and hospitalization for cardiovascular disease (CVD) among urban and rural residents in Shandong Province, China. Then, this study further explored the urban-rural disparities in the economic burden attributed to NO2 and the explanation for the disparities. METHODS: Daily hospitalization data were obtained from an electronic medical records dataset covering a population of 5 million. In total, 303,217 hospital admissions for CVD were analyzed. A three-stage time-series analytic approach was used to estimate the county-level association and the attributed economic burden. RESULTS: For every 10-µg/m3 increase in NO2 concentrations, this study observed a significant percentage increase in hospital admissions on the day of exposure of 1.42% (95% CI 0.92 to 1.92%) for CVD. The effect size was slightly higher in urban areas, while the urban-rural difference was not significant. However, a more pronounced displacement phenomenon was found in rural areas, and the economic burden attributed to NO2 was significantly higher in urban areas. At an annual average NO2 concentration of 10 µg/m3, total hospital days and expenses in urban areas were reduced by 81,801 (44,831 to 118,191) days and 60,121 (33,002 to 86,729) thousand CNY, respectively, almost twice as much as in rural areas. Due to disadvantages in socioeconomic status and medical resources, despite similar air pollution levels in the urban and rural areas of our sample sites, the rural population tended to spend less on hospitalization services. CONCLUSIONS: Short-term exposure to ambient NO2 could lead to considerable health impacts in either urban or rural areas of Shandong Province, China. Moreover, urban-rural differences in socioeconomic status and medical resources contributed to the urban-rural disparities in the economic burden attributed to NO2 exposure. The health implications of NO2 exposure are a social problem in addition to an environmental problem. Thus, this study suggests a coordinated intervention system that targets environmental and social inequality factors simultaneously.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Doenças Cardiovasculares , Humanos , Poluentes Atmosféricos/análise , Dióxido de Nitrogênio/análise , População Rural , Estresse Financeiro , Poluição do Ar/análise , China/epidemiologia
4.
Environ Res ; 249: 118381, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38331142

RESUMO

Surface NO2 pollution can result in serious health consequences such as cardiovascular disease, asthma, and premature mortality. Due to the extensive spatial variation in surface NO2, the spatial resolution of a NO2 dataset has a significant impact on the exposure and health impact assessment. There is currently no long-term, high-resolution, and publicly available NO2 dataset for China. To fill this gap, this study generated a NO2 dataset named RBE-DS-NO2 for China during 2005-2020 at 1 km and daily resolution. We employed the robust back-extrapolation via a data augmentation approach (RBE-DA) to ensure the predictive accuracy in back-extrapolation before 2013, and utilized an improved spatial downscaling technique (DS) to refine the spatial resolution from 10 km to 1 km. Back-extrapolation validation based on 2005-2012 observations from sites in Taiwan province yielded an R2 of 0.72 and RMSE of 10.7 µg/m3, while cross-validation across China during 2013-2020 showed an R2 of 0.73 and RMSE of 9.6 µg/m3. RBE-DS-NO2 better captured spatiotemporal variation of surface NO2 in China compared to the existing publicly available datasets. Exposure assessment using RBE-DS-NO2 show that the population living in non-attainment areas (NO2 ≥ 30 µg/m3) grew from 376 million in 2005 to 612 million in 2012, then declined to 404 million by 2020. Unlike this national trend, exposure levels in several major cities (e.g., Shanghai and Chengdu) continued to increase during 2012-2020, driven by population growth and urban migration. Furthermore, this study revealed that low-resolution dataset (i.e., the 10 km intermediate dataset before the downscaling) overestimated NO2 levels, due to the limited specificity of the low-resolution model in simulating the relationship between NO2 and the predictor variables. Such limited specificity likely biased previous long-term NO2 exposure and health impact studies employing low-resolution datasets. The RBE-DS-NO2 dataset enables robust long-term assessments of NO2 exposure and health impacts in China.


Assuntos
Poluentes Atmosféricos , Monitoramento Ambiental , Dióxido de Nitrogênio , China , Dióxido de Nitrogênio/análise , Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Humanos , Exposição Ambiental/análise , Análise Espaço-Temporal , Poluição do Ar/análise
5.
Environ Monit Assess ; 196(2): 222, 2024 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-38291286

RESUMO

The study attempts to examine the impact of firework activities during Diwali Festival on ambient air quality of Jodhpur city. Air quality parameters particulate matter of diameter 10 µm (PM10), particulate matter of diameter 2.5 µm (PM2.5), sulfur dioxide (SO2), nitrogen dioxide (NO2) and heavy metals in PM2.5 like Pb, Ni, Ba, Al, As and Sr are monitored at two locations, for 15 days, starting from 7 days before the festival of Diwali, on the day of the festival (Diwali) and 7 days after Diwali. On the occasion of Diwali, it was discovered that the 24-h average levels of various pollutants were significantly elevated compared to regular days preceding the festival. Specifically, at the HBO site, the concentrations were notably increased, with sulfur dioxide (SO2) reaching 5.62 times higher, nitrogen dioxide (NO2) at 3 times higher, particulate matter of diameter 10 µm (PM10) at 2.35 times higher, and particulate matter of diameter 2.5 µm (PM2.5) at 1.01 times higher than the usual levels before Diwali. Similarly, at the PTMM site, there were substantial elevations in pollutant concentrations during Diwali compared to pre-festival days, with SO2 registering 2.53 times higher, NO2 at 2.37 times higher, PM2.5 at 1.9 times higher, and PM10 at 1.57 times higher levels than normal. Concentration of Al, Ba, Sr and Pb at HBO site and Al at PTMM site was highest on Diwali day. Air quality index which was in good category on normal days before Diwali, fell into poor category starting from the day before Diwali and remain in poor category on normal days after Diwali. The result indicates the worsening of ambient air quality during Diwali which can adversely impact the human health in terms of various respiratory complications.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Poluentes Ambientais , Humanos , Poluentes Atmosféricos/análise , Dióxido de Nitrogênio/análise , Dióxido de Enxofre/análise , Férias e Feriados , Chumbo , Monitoramento Ambiental , Poluição do Ar/análise , Material Particulado/análise , Índia
6.
Int Arch Occup Environ Health ; 97(2): 109-120, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38062177

RESUMO

OBJECTIVE: The aim of this study was to examine the impacts of short-term exposure to air pollutants on hospitalizations for mental disorders (MDs) in Qingdao, a Chinese coastal city, and to assess the corresponding hospitalization risk and economic cost. METHODS: Daily data on MD hospitalizations and environmental variables were collected from January 1, 2015, to December 31, 2019. An overdispersed generalized additive model was used to estimate the association between air pollution and MD hospitalizations. The cost of illness method was applied to calculate the corresponding economic burden. RESULTS: With each 10 µg/m3 increase in the concentration of fine particulate matter (PM2.5) at lag05, inhalable particulate matter (PM10) at lag0, sulfur dioxide (SO2) at lag06 and ozone (O3) at lag0, the corresponding relative risks (RRs) and 95% confidence intervals (CIs) were 1.0182 (1.0035-1.0332), 1.0063 (1.0001-1.0126), 1.0997 (1.0200-1.1885) and 1.0099 (1.0005-1.0194), respectively. However, no significant effects of nitrogen dioxide (NO2) or carbon monoxide (CO) were found. Stratified analysis showed that males were susceptible to SO2 and O3, while females were susceptible to PM2.5. Older individuals (≥ 45 years) were more vulnerable to air pollutants (PM2.5, PM10, SO2 and O3) than younger individuals (< 45 years). Taking the Global Air Quality Guidelines 2021 as a reference, 8.71% (2,168 cases) of MD hospitalizations were attributable to air pollutant exposure, with a total economic burden of 154.36 million RMB. CONCLUSION: Short-term exposure to air pollution was associated with an increased risk of hospitalization for MDs. The economic advantages of further reducing air pollution are enormous.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Transtornos Mentais , Masculino , Feminino , Humanos , Estresse Financeiro , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Material Particulado/análise , Hospitalização , China/epidemiologia , Transtornos Mentais/epidemiologia , Dióxido de Nitrogênio/análise , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise
7.
BJOG ; 131(5): 598-609, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37880925

RESUMO

OBJECTIVE: We examined whether the risk of stillbirth was related to ambient air pollution in a UK population. DESIGN: Prospective case-control study. SETTING: Forty-one maternity units in the UK. POPULATION: Women who had a stillbirth ≥28 weeks' gestation (n = 238) and women with an ongoing pregnancy at the time of interview (n = 597). METHODS: Secondary analysis of data from the Midlands and North of England Stillbirth case-control study only including participants domiciled within 20 km of fixed air pollution monitoring stations. Pollution exposure was calculated using pollution climate modelling data for NO2 , NOx and PM2.5 . The association between air pollution exposure and stillbirth risk was assessed using multivariable logistic regression adjusting for household income, maternal body mass index (BMI), maternal smoking, Index of Multiple Deprivation quintile and household smoking and parity. MAIN OUTCOME MEASURE: Stillbirth. RESULTS: There was no association with whole pregnancy ambient air pollution exposure and stillbirth risk, but there was an association with preconceptual NO2 exposure (adjusted odds ratio [aOR] 1.06, 95% CI 1.01-1.08 per microg/m3 ). Risk of stillbirth was associated with maternal smoking (aOR 2.54, 95% CI 1.38-4.71), nulliparity (aOR 2.16, 95% CI 1.55-3.00), maternal BMI (aOR 1.05, 95% CI 1.01-1.08) and placental abnormalities (aOR 4.07, 95% CI 2.57-6.43). CONCLUSIONS: Levels of ambient air pollution exposure during pregnancy in the UK, all of were beneath recommended thresholds, are not associated with an increased risk of stillbirth. Periconceptual exposure to NO2 may be associated with increased risk but further work is required to investigate this association.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Feminino , Gravidez , Humanos , Natimorto/epidemiologia , Estudos de Casos e Controles , Dióxido de Nitrogênio/efeitos adversos , Dióxido de Nitrogênio/análise , Placenta , Poluição do Ar/efeitos adversos , Inglaterra/epidemiologia , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise
8.
Lancet Planet Health ; 7(11): e900-e911, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37940210

RESUMO

BACKGROUND: High-level exposure to indoor air pollutants (IAPs) and their corresponding adverse health effects have become a public concern in China in the past 10 years. However, neither national nor provincial level burden of disease attributable to multiple IAPs has been reported for China. This is the first study to estimate and rank the annual burden of disease and the financial costs attributable to targeted residential IAPs at the national and provincial level in China from 2000 to 2017. METHODS: We first did a systematic review and meta-analysis of 117 articles from 37 231 articles identified in major databases, and obtained exposure-response relationships for the candidate IAPs. The exposure levels to these IAPs were then collected by another systematic review of 1864 articles selected from 52 351 articles. After the systematic review, ten IAPs with significant and robust exposure-response relationships and sufficient exposure data were finally targeted: PM2·5, nitrogen dioxide, sulphur dioxide, ozone, carbon monoxide, radon, formaldehyde, benzene, toluene, and p-dichlorobenzene. The annual exposure levels in residences were then evaluated in all 31 provinces in mainland China continuously from 2000 to 2017, using the spatiotemporal Gaussian process regression model to analyse indoor originating IAPs, and the infiltration factor method to analyse outdoor originating IAPs. The disability-adjusted life-years (DALYs) attributable to the targeted IAPs were estimated at both national and provincial levels in China, using the population attributable fraction method. Financial costs were estimated by an adapted human capital approach. FINDINGS: From 2000 to 2017, annual DALYs attributable to the ten IAPs in mainland China decreased from 4620 (95% CI 4070-5040) to 3700 (3210-4090) per 100 000. Nevertheless, in 2017, IAPs still ranked third among all risk factors, and their DALYs and financial costs accounted for 14·1% (95% CI 12·3-15·6) of total DALYs and 3·45% (3·01-3·82) of the gross domestic product. Specifically, the rank of ten targeted IAPs in order of their contribution to DALYs in 2017 was PM2·5, carbon monoxide, radon, benzene, nitrogen dioxide, ozone, sulphur dioxide, formaldehyde, toluene, and p-dichlorobenzene. The DALYs attributable to IAPs were 9·50% higher than those attributable to outdoor air pollution in 2017. For the leading IAP, PM2·5, the DALYs attributable to indoor origins are 18·3% higher than those of outdoor origins. INTERPRETATION: DALYs attributed to IAPs in China have decreased by 20·0% over the past two decades. Even so, they are still much higher than those in the USA and European countries. This study can provide a basis for determining which IAPs to target in various indoor air quality standards and for estimating the health and economic benefits of various indoor air quality control approaches, which will help to reduce the adverse health effects of IAPs in China. FUNDING: The National Key Research and Development Program of China and the National Natural Science Foundation of China.


Assuntos
Poluentes Atmosféricos , Ozônio , Radônio , Humanos , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Monóxido de Carbono/análise , Dióxido de Enxofre/análise , Benzeno/efeitos adversos , Benzeno/análise , Dióxido de Nitrogênio/efeitos adversos , Dióxido de Nitrogênio/análise , Formaldeído/análise , Efeitos Psicossociais da Doença , Material Particulado/análise , Radônio/análise , Ozônio/análise , Tolueno/análise
9.
Environ Int ; 182: 108347, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38016386

RESUMO

In this study, two different air quality impact assessment methodologies were adopted and combined with a sensitivity analysis to estimate the unit costs. Air pollution health impact (mortality) assessment was carried out using one methodology based on log-linear concentration response functions (CRF) and another relying on the integrated exposure response curve (IER) from the Global Burden of Disease. Morbidity impacts were estimated with the CRF approach only. To assess the inequalities between low and high income countries, an area of low-medium income countries with a critical air pollution situation, was selected. The health impact and related external costs attributable to air pollution in 2019 were assessed in 30 urban areas of the Western Balkans region, one of Europe's air pollution hot spots. The evaluation was based on PM2.5, O3 and NO2 concentrations in background sites from official monitoring networks. In 2019, the cost of mortality attributable to PM2.5 in 26 urban areas was 7.8 and 9.0 billion Euro according to IER and CRF methodologies, respectively. The cost of O3 associated with all-cause mortality estimated with the CRF methodology in 17 urban areas was 1.0 billion Euro while the one attributable to NO2 pollution in 28 urban areas was 1.5 billion Euro. The study results suggest that the economic burden of air pollution in the Western Balkans is higher in terms of GDP than the one observed in EU27 in the same time window. The study concludes that CRF and IER methodologies are coherent, because the discrepancy in the results are explained by the differences in the assessed health outcomes. The two approaches are complementary because the combination of them makes it possible to obtain a wider range of outcomes. In addition, despite the different causes of death considered, the comparison between them is useful for cross-validation.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Humanos , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Material Particulado/efeitos adversos , Material Particulado/análise , Dióxido de Nitrogênio/análise , Península Balcânica , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Poluição do Ar/efeitos adversos , Poluição do Ar/análise
10.
Environ Sci Technol ; 57(48): 19532-19544, 2023 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-37934506

RESUMO

In the United States (U.S.), studies on nitrogen dioxide (NO2) trends and pollution-attributable health effects have historically used measurements from in situ monitors, which have limited geographical coverage and leave 66% of urban areas unmonitored. Novel tools, including remotely sensed NO2 measurements and estimates of NO2 estimates from land-use regression and photochemical models, can aid in assessing NO2 exposure gradients, leveraging their complete spatial coverage. Using these data sets, we find that Black, Hispanic, Asian, and multiracial populations experience NO2 levels 15-50% higher than the national average in 2019, whereas the non-Hispanic White population is consistently exposed to levels that are 5-15% lower than the national average. By contrast, the in situ monitoring network indicates more moderate ethnoracial NO2 disparities and different rankings of the least- to most-exposed ethnoracial population subgroup. Validating these spatially complete data sets against in situ observations reveals similar performance, indicating that all these data sets can be used to understand spatial variations in NO2. Integrating in situ monitoring, satellite data, statistical models, and photochemical models can provide a semiobservational record, complete geospatial coverage, and increasingly high spatial resolution, enhancing future efforts to characterize, map, and track exposure and inequality for highly spatially heterogeneous pollutants like NO2.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Estados Unidos , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Dióxido de Nitrogênio/análise , Monitoramento Ambiental , Exposição Ambiental , Material Particulado/análise
11.
Environ Int ; 181: 108266, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37847981

RESUMO

BACKGROUND: Despite strong evidence of the association of fine particulate matter (PM2.5) exposure with an increased risk of lung cancer mortality, few studies had investigated associations of multiple pollutants simultaneously, or with incidence, or using causal methods. Disparities were also understudied. OBJECTIVES: We investigated long-term effects of PM2.5, nitrogen dioxide (NO2), warm-season ozone, and particle radioactivity (PR) exposures on lung cancer incidence in a nationwide cohort. METHODS: We conducted a cohort study with Medicare beneficiaries (aged ≥ 65 years) continuously enrolled in the fee-for-service program in the contiguous US from 2001 to 2016. Air pollution exposure was averaged across three years and assigned based on ZIP code of residence. We fitted Cox proportional hazards models to estimate the hazard ratio (HR) for lung cancer incidence, adjusted for individual- and neighborhood-level confounders. As a sensitivity analysis, we evaluated the causal relationships using inverse probability weights. We further assessed effect modifications by individual- and neighborhood-level covariates. RESULTS: We identified 166,860 lung cancer cases of 12,429,951 studied beneficiaries. In the multi-pollutant model, PM2.5 and NO2 exposures were statistically significantly associated with increased lung cancer incidence, while PR was marginally significantly associated. Specifically, the HR was 1.008 (95% confidence interval [CI]: 1.005, 1.011) per 1-µg/m3 increase in PM2.5, 1.013 (95% CI: 1.012, 1.013) per 1-ppb increase in NO2, and 1.005 (0.999, 1.012) per 1-mBq/m3 increase in PR. At low exposure levels, all pollutants were associated with increased lung cancer incidence. Men, older individuals, Blacks, and residents of low-income neighborhoods experienced larger effects of PM2.5 and PR. DISCUSSION: Long-term PM2.5, NO2, and PR exposures were independently associated with increased lung cancer incidence among the national elderly population. Low-exposure analysis indicated that current national standards for PM2.5 and NO2 were not restrictive enough to protect public health, underscoring the need for more stringent air quality regulations.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Poluentes Ambientais , Neoplasias Pulmonares , Masculino , Humanos , Idoso , Estados Unidos/epidemiologia , Medicare , Poluentes Atmosféricos/análise , Estudos de Coortes , Incidência , Neoplasias Pulmonares/etiologia , Neoplasias Pulmonares/induzido quimicamente , Dióxido de Nitrogênio/análise , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Material Particulado/análise , Poluentes Ambientais/análise
12.
J Glob Health ; 13: 04118, 2023 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-37830139

RESUMO

Background: There is limited evidence on association between air pollutants and hospital admissions, hospital cost and length of stay (LOS) among patients with diabetes mellitus (DM) and comorbid respiratory diseases (RD), especially in low- and middle-income countries (LMICs) with low levels of air pollution. Methods: Daily data on RD-DM patients were collected in Panzhihua from 2016 to 2020. A generalised additive model (GAM) was used to explore the effect of air pollutants on daily hospital admissions, LOS and hospital cost. Attributable risk was employed to estimate RD-DM's burden due to exceeding air pollution exposure, using both 0 microgrammes per cubic metre (µg/m3) and WHO's 2021 air quality guidelines as reference. Results: For each 10 ug/m3 increase of particles with an aerodynamic diameter <2.5 micron (µm) (PM2.5), particles with an aerodynamic diameter <10 µm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2) and ozone (O3), the admissions of RD-DM patients increased by 7.25% (95% CI = 4.26 to 10.33), 5.59% (95% CI = 3.79 to 7.42), 10.10% (95% CI = 7.29 to 12.98), 12.33% (95% CI = 8.82 to 15.95) and -2.99% (95% CI = -4.08 to -1.90); per 1 milligramme per cubic metre (mg/m3) increase of carbon monoxide (CO) corresponded to a 25.77% (95% CI = 17.88 to 34.19) increment for admissions of RD-DM patients. For LOS and hospital cost, the six air pollutants showed similar effect. Given 0 µg/m3 as the reference, NO2 showed the maximum attributable fraction of 32.68% (95% CI = 25.12 to 39.42%), corresponding to an avoidable burden of 5661 (95% CI = 3611 to 5860) patients with RD-DM. Conclusions: There is an association between PM2.5, PM10, SO2, NO2, and CO with increased hospital admissions, LOS and hospital cost in patients with RD-DM. Disease burden of RD-DM may be improved by formulating policies related to air pollutants exposure reduction, especially in LMICs with low levels of air pollution.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Diabetes Mellitus , Doenças Respiratórias , Humanos , Tempo de Internação , Dióxido de Nitrogênio/análise , Custos Hospitalares , Poluição do Ar/efeitos adversos , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Diabetes Mellitus/epidemiologia , China/epidemiologia , Material Particulado/efeitos adversos , Material Particulado/análise , Hospitais , Doenças Respiratórias/epidemiologia
13.
Soc Sci Med ; 338: 116301, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37879134

RESUMO

BACKGROUND: Although there's increasing research on the health effects of air pollution in China, its direct influence on health-related expenditures, particularly during less severe pollution episodes, is still not well-understood. This study aims to quantify impact of three air pollutants (sulfur dioxide, nitrogen dioxide, and particulate matter) on individual healthcare spending in a city with relatively clean air. METHODS: Using transaction-level medical social insurance data and temperature inversion as the instrumental variable, we estimate the current and cumulative effects of air pollutants on outpatient visits and medical expenses in an eastern city in China. RESULTS: We find a significantly positive effect on outpatient visits for 15-day moving average, and a significantly positive effect on outpatient expenditure for 25-day moving average. Therefore, the cumulative effect of pollutants on medical expenditure should not be ignored. The effects on total outpatient expenditure are larger for the elderly and men. The cumulative pollution exposure increases the visits to respiratory department but also increases the expenditure on non-respiratory diseases in the long term. CONCLUSION: Our findings provide empirical evidence that even for cities with good air quality, further improvements can improve patients' quality of life and lessen the expenditure burden on medical insurance.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Masculino , Humanos , Idoso , Gastos em Saúde , Cidades , Pacientes Ambulatoriais , Qualidade de Vida , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Poluentes Atmosféricos/efeitos adversos , Material Particulado/efeitos adversos , Material Particulado/análise , China/epidemiologia , Dióxido de Nitrogênio/análise
14.
Chemosphere ; 339: 139772, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37572713

RESUMO

Stormwater detention basins are used to minimize peak discharges and improve water quality mainly through sedimentation; however, limited studies have evaluated the water quality performance of detention basins located over karst aquifers. Karst aquifers are vital sources of drinking water for many regions of the world and their recharge areas are susceptible to contamination from surface water resources. In this study, an analysis of two stormwater detention basins (namely, Kyle and TPC) located in the recharge zone of one of the most prolific karst aquifers in the world (Edwards Aquifer, San Antonio, Texas), were conducted over a period of one year to quantify the water quality and hydrologic performance of the basins. Automated samples were collected during the storm events and analyzed for nitrate (NO3--N), nitrite (NO2--N), ammonia (NH3-N), total dissolved nitrogen (TDN), phosphorus (PO43-), total suspended solids (TSS), total dissolved solids (TDS), total carbon (TC), total organic carbon (TOC), and chemical oxygen demand (COD). Both basins reduced NH3-N, TSS and COD concentrations significantly while NO3--N and PO43- concentrations exhibited a net export. Furthermore, TPC showed greater reductions in NO2--N, TOC and TC concentrations compared to Kyle. Higher TSS removal was observed at TPC due to differences in retention time. A volume reduction of 44% and 64% was observed in TPC and Kyle, respectively. The results of this study demonstrate that stormwater detention basins located over the Edwards Aquifer effectively remove particulate pollutants while also being a potential source of dissolved pollutants such as nitrate. Overall, the results presented here have important implications for operation and maintenance of stormwater basins constructed over recharge zones of Edwards Aquifer.


Assuntos
Poluentes Ambientais , Água Subterrânea , Poluentes Químicos da Água , Qualidade da Água , Poluentes Químicos da Água/análise , Nitratos/análise , Dióxido de Nitrogênio/análise , Chuva , Poluentes Ambientais/análise , Carbono/análise , Monitoramento Ambiental/métodos
15.
Environ Sci Pollut Res Int ; 30(45): 100873-100891, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37642912

RESUMO

In the recent past, forest fires have increased due to the changing climate pattern. It is necessary to analyse and quantify various gaseous emissions so as to mitigate their harmful effects on air pollution. Satellite remote sensing data provides an opportunity to study the greenhouse gases in the atmosphere. The multispectral sensor of the Tropospheric Monitoring Instrument (Sentinel-5) is capable of recording the reflectance of wavelengths vital for measuring the atmospheric concentrations of methane, formaldehyde, aerosol, carbon monoxide, etc., at a spatial resolution of 0.01°. The present study utilized the Google Earth Engine (GEE) platform to study the emissions caused by forest fires in four districts of Uttarakhand State of India, which witnessed unprecedented fires in April-May 2021. All the datasets were ingested in GEE, which has the capability to analyse large datasets without the need to download them. The pre-fire period chosen was September 2020; the fire period was February-May 2021, and the post-fire period was June 2021. The variables chosen were aerosol absorbing index (AAI), carbon monoxide (CO) and nitrogen dioxide (NO2). The climate parameter temperature (Moderate Resolution Imaging Spectroradiometer Land Surface Temperature) and precipitation (from Climate Hazards Group InfraRed Precipitation (CHIRPS) Pentad) were also studied for the period mentioned. The results indicate a different trend for emissions in each district. For AAI, maximum emissions were noted in district Nainital followed by Almora, Tehri Garhwal and Garhwal. For CO emissions, the most affected district was Almora followed by Nainital, Garhwal and Tehri Garhwal. For NO2 emissions, the most affected district was Garhwal, followed by Nainital, Tehri Garhwal and Almora. Delta Normalized Burn Ratio was computed from Sentinel data (difference of pre-fire and post-fire images) to assess the burnt area severity. The Delta Normalized Burn Ratio values observed that the district with the most burnt area is Garhwal, followed by Nainital, Almora and Tehri Garhwal. The elevated temperatures and scanty rainfall patterns regulated the intensity and duration of forest fire. Monitoring the gaseous emissions as a consequence of forest fire in the GEE platform is much easier and more convenient at a regional level. Such data is much needed for mitigation measures to be implemented in time.


Assuntos
Monóxido de Carbono , Incêndios Florestais , Monóxido de Carbono/análise , Dióxido de Nitrogênio/análise , Ferramenta de Busca , Gases/análise , Aerossóis
16.
Environ Sci Pollut Res Int ; 30(38): 88272-88280, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37440140

RESUMO

Air pollution and global temperature change are expected to affect infectious diseases. Air pollution usually causes inflammatory response and disrupts immune defense system, while temperature mainly exacerbates the effect of vectors on humans. Yet to date overview of systematic reviews assessing the exposure risk of air pollutants and temperature on infectious diseases is unavailable. This article aims to fill this research gap. PubMed, Embase, the Cochrane Library, Web of Science, and the Cumulative Index to Nursing and Allied Health Literature were searched. Systematic reviews and meta-analyses investigated the exposure risk of pollutants or temperature on infectious diseases were included. Two investigators screened literature, extracted data and performed the risk of bias assessments independently. A total of 23 articles met the inclusion criteria, which 3 (13%) were "low" quality and 20 (87%) were "critically low" quality. COVID-19 morbidity was associated with long-term exposure PM2.5 (RR = 1.056 per 1 [Formula: see text], 95% CI: 1.039-1.072) and NO2 (RR = 1.042 per 1 [Formula: see text], 95% CI: 1.017-1.068). In addition, for each 1 °C increase in temperature, the morbidity risk of dengue increased 13% (RR = 1.130 per 1 °C, 95% CI: 1.120-1.150), infectious diarrhea increased 8% (RR = 1.080 per 1 °C, 95% CI: 1.050-1.200), and hand, foot and mouth disease (HFMD) increased 5% (RR = 1.050 per 1 °C, 95% CI: 1.020-1.080). In conclusion, PM2.5 and NO2 increased the risk of COVID-19 and temperatures were associated with dengue, infectious diarrhoea and HFMD morbidity. Moreover, the exposure risk of temperature on COVID-19 was recommended to be further explored.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , COVID-19 , Doenças Transmissíveis , Dengue , Humanos , Temperatura , Dióxido de Nitrogênio/análise , Biodiversidade , Exposição Ambiental/análise , COVID-19/epidemiologia , Revisões Sistemáticas como Assunto , Poluição do Ar/análise , Poluentes Atmosféricos/análise , Medição de Risco , Material Particulado/análise , Doenças Transmissíveis/epidemiologia
17.
Artigo em Inglês | MEDLINE | ID: mdl-37510559

RESUMO

Relatively few studies on the adverse health impacts of outdoor air pollution have been conducted in Latin American cities, whose pollutant mixtures and baseline health risks are distinct from North America, Europe, and Asia. This study evaluates respiratory morbidity risk associated with ambient air pollution in Quito, Ecuador, and specifically evaluates if the local air quality index accurately reflects population-level health risks. Poisson generalized linear models using air pollution, meteorological, and hospital admission data from 2014 to 2015 were run to quantify the associations of air pollutants and index values with respiratory outcomes in single- and multi-pollutant models. Significant associations were observed for increased respiratory hospital admissions and ambient concentrations of fine particulate matter (PM2.5), ozone (O3), nitrogen dioxide (NO2), and sulfur dioxide (SO2), although some of these associations were attenuated in two-pollutant models. Significant associations were also observed for index values, but these values were driven almost entirely by daily O3 concentrations. Modifications to index formulation to more fully incorporate the health risks of multiple pollutants, particularly for NO2, have the potential to greatly improve risk communication in Quito. This work also increases the equity of the existing global epidemiological literature by adding new air pollution health risk values from a highly understudied region of the world.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Ozônio , Humanos , Dióxido de Nitrogênio/análise , Equador/epidemiologia , Poluição do Ar/análise , Poluentes Atmosféricos/análise , Material Particulado/análise , Ozônio/análise , Comunicação
18.
Environ Res ; 236(Pt 1): 116704, 2023 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-37481053

RESUMO

Climate change and air pollution are closely interlinked since carbon dioxide and air pollutants are co-emitted from fossil fuel combustion. Net Zero (NZ) policies aiming to reduce carbon emissions will likely bring co-benefits in air quality and associated health. However, it is unknown whether regional NZ policies alone will be sufficient to reduce air pollutant levels to meet the latest 2021 World Health Organisation (WHO) guidelines. Here, we carried out high resolution air quality modelling for in the West Midlands region, a typical metropolitan area in the UK, to quantify the effects of different NZ policies on air quality. Results show that NZ policies will significantly improve air quality in the West Midlands, with up to 6 µg m-3 (21%) reduction in annual mean NO2 (mostly through the electrification of vehicle fleet, EV) and up to 1.4 µg m-3 (12%) reduction in annual mean PM2.5 projected for 2030 relative to levels under a "business as usual" (BAU) scenario. Under BAU, 2030 PM2.5 concentrations in most wards would be below 10 µg m-3 whilst under the Net Zero scenario, those in all wards would be below 10 µg m-3. This means that the ward averages in the West Midlands would meet the UK PM2.5 of 10 µg m-3target a decade early under the Net Zero scenario. However, no ward-level-averaged annual mean PM2.concentrations meet the 2021 WHO Air Quality guideline level of 5 µg m-3 under any scenario. Similarly for NO2 only 18 wards (8% of the region's population) are predicted to have NO2 concentrations below the 2021 WHO guideline level (10 µg m-3). Decarbonisation policies linked to Net Zero deliver substantial regional air quality benefits, but are not in isolation sufficient to deliver clean air with air pollutant levels low enough to meet the 2021 WHO guidelines.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Material Particulado/análise , Dióxido de Nitrogênio/análise , Poluição do Ar/prevenção & controle , Poluição do Ar/análise , Poluentes Atmosféricos/análise , Reino Unido , Monitoramento Ambiental/métodos
19.
Environ Pollut ; 334: 122212, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37454714

RESUMO

The high concentration of nitrogen dioxide (NO2) is to blame for West Java's poor Air Quality Index (AQI). So, this study aims to determine the influence of industrial activity as reflected by the value of its imports and exports, wind speed, and ozone (O3) on the high concentration of tropospheric NO2. The method used is the econometric Vector Error Correction Model (VECM) approach to capture the existence of a short-term and long-term relationship between tropospheric NO2 and its predictor variables. The data used in this study is in the form of monthly time series data for the 2018-2022 period sourced from satellite images (Sentinel-5P and ECMWF Climate Reanalysis) and publications of the Central Bureau of Statistics (BPS-Statistics Indonesia). The results explained that, in the short-term, tropospheric NO2 and O3 influence each other as they would in a photochemical reaction. In the long-term, exports from the industrial sector and wind speed have a significant effect on the concentration of tropospheric NO2. The short-term effect occurs directly in the first month after the shock, while the long-term effect occurs in the second month after the shock. Wind gusts originating from industrial areas cause air conditions to be even more alarming because tropospheric NO2 pollutants spread throughout the region in West Java. Based on the coefficient correlation result, the high number of pneumonia cases is one of the impacts caused by air pollution.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Ozônio , Dióxido de Nitrogênio/análise , Poluentes Atmosféricos/análise , Tecnologia de Sensoriamento Remoto , Poluição do Ar/análise , Ozônio/análise , Monitoramento Ambiental/métodos
20.
J Environ Sci (China) ; 132: 162-168, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37336606

RESUMO

The lockdown policy deals a severe blow to the economy and greatly reduces the nitrogen oxides (NOx) emission in China when the coronavirus 2019 spreads widely in early 2020. Here we use satellite observations from Tropospheric Monitoring Instrument to study the year-round variation of the nitrogen dioxide (NO2) tropospheric vertical column density (TVCD) in 2020. The NO2 TVCD reveals a sharp drop, followed by small fluctuations and then a strong rebound when compared to 2019. By the end of 2020, the annual average NO2 TVCD declines by only 3.4% in China mainland, much less than the reduction of 24.1% in the lockdown period. On the basis of quantitative analysis, we find the rebound of NO2 TVCD is mainly caused by the rapid recovery of economy especially in the fourth quarter, when contribution of industry and power plant on NO2 TVCD continues to rise. This revenge bounce of NO2 indicates the emission reduction of NOx in lockdown period is basically offset by the recovery of economy, revealing the fact that China's economic development and NOx emissions are still not decoupled. More efforts are still required to stimulate low-pollution development.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , COVID-19 , Humanos , Dióxido de Nitrogênio/análise , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Controle de Doenças Transmissíveis , Óxidos de Nitrogênio/análise , China/epidemiologia , Monitoramento Ambiental
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