Abstract
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.
Highlights
Cardiovascular and respiratory diseases, such as chronic obstructive pulmonary diseases (COPDs), are one of the leading causes of mortality and disease burden (e.g., disability-adjusted life years (DALYs)), globally [1,2]
The maximum number of excess hospitalizations due to cardiovascular and respiratory diseases is related to relative risk (RR) of World Health Organization (WHO) & baseline incidence (BI) of part I; and RR & BI of WHO, respectively
According to the results of this table, the maximum numbers of hospitalizations due to respiratory diseases are in elderly group and hospitalizations due to COPDs because of short-term exposure to Sulfur dioxide (SO2) in 2008
Summary
Cardiovascular and respiratory diseases, such as chronic obstructive pulmonary diseases (COPDs), are one of the leading causes of mortality and disease burden (e.g., disability-adjusted life years (DALYs)), globally [1,2]. They are increasingly worldwide most prevalent health problems and albeit variety of risk factors have been recognized and introduced as the most common causes of commence or exacerbation, the role of air pollution is irrefutable [3,4,5]. The authors aimed to assess the health impacts of short-term exposure to air pollutants in Shiraz city in a two-part study from 2008 to 2010
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