Synergistic effects of gaseous pollutants on hospital admissions for cardiovascular disease in Liuzhou,China

Previous studies demonstrated that short-term exposure to gaseous pollutants (nitrogen dioxide (NO₂), sulfur dioxide (SO₂), and ozone (O₃)) had a greater adverse effect on cardiovascular disease. However, little evidence exists regarding the synergy between gaseous pollutants and cardiovascular disease (CVD). Therefore, we aimed to estimate the effect of individual gaseous pollutants on hospital admissions for CVD and to explore the possible synergistic effects between gaseous pollutants. Daily hospitalization counts for CVD were collected from January 1, 2014, to December 31, 2015. We also collected daily time series on gaseous pollutants from the Environment of the People’s Republic of China, including NO₂, SO₂, and O₃. We used distributed lag nonlinear models (DLNMs) to assess the association of individual gaseous pollutants on CVD hospitalization, after controlling for seasonality, day of the week, public holidays, and weather variables. Then, we explored the variability across age and sex groups. In addition, we analyzed the synergistic effects between gaseous pollutants on CVD. Extremely low NO₂ and SO₂ increase the risk of CVD in all subgroup at lag 7 days. The greatest effect of high concentration of SO₂ was observed in male and the elderly (≥ 65 years) at lag 3 days. Greater effects of high concentration of O₃ were more pronounced in the young (< 65 years) and female at lag 3 days, while the effect of low concentration of O₃ was greater in male and the young (< 65 years) at lag 0 day. We found a synergistic effect between NO₂ and SO₂ for CVD, as well as between SO₂ and O₃. The synergistic effects of NO₂ and SO₂ on CVD were stronger in the elderly (≥ 65) and female. The female was sensitive to synergistic effects of SO₂-O₃ and NO₂-O₃. Interestingly, we found that there was a risk of CVD in the susceptible population even for gaseous pollutant concentrations below the National Environmental Quality Standard. The synergy between NO₂ and SO₂ was significantly associated with cardiovascular disease hospitalization in the elderly (≥ 65). This study provides evidence for the synergistic effect of gaseous pollutants on hospital admissions for cardiovascular disease.

     

Effects of air pollution on emergency admissions for chronic obstructive pulmonary diseases in Oporto, Portugal

The present paper is based on results collected from the air quality network, which was assembled for covering the Oporto metropolitan area, in Portugal. Among the SO₂ and PM₁₀ levels obtained for the last two decades, a particular unpolluted year was chosen to evaluate the health effects of concentrations lower than those that usually cause acute episodes. It was observed that even low levels of SO₂ could be related with the increase of obstructive chronic pulmonary diseases morbidity daily rates recorded in Oporto during the same year. When the relationship between levels of atmospheric pollution and human health is considered, climatic factors have a synergetic effect. The observation of respiratory symptoms for concentrations below the current ambient standards, in agreement with previous studies carried out in the same area and other countries, suggests that it is urgent the process of updating and revision of those values in order to protect in effect the health of populations. As particles have shown an important role on health impact, its characterisation was done, considering their respirable fractions. It was concluded that most of the total suspended particles are breathable. Moreover, more than 78% and 87% of the organic composition and of the carcinogenic agent benzo(a)pyrene content, respectively, are detected in particles liable to attain the respiratory tract.     

Association between short-term exposure to ambient air pollution and hospital admissions for transient ischemic attacks in Beijing,China

Environmental Science and Pollution Research - Numerous studies have examined the associations between air pollution and stroke. However, little is known about the associations between air...     

Time series analysis of ambient air pollution effects on daily mortality

Although the growths of ambient pollutants have been attracting public concern, the characteristic of the associations between air pollutants and mortality remains elusive. Time series analysis with a generalized additive model was performed to estimate the associations between ambient air pollutants and mortality outcomes in Shenzhen City for the period of 2012–2014. The results showed that nitrogen dioxide (NO₂)-induced excess risks (ER) of total non-accidental mortality and cardiovascular mortality were significantly increased (6.05% (95% CI 3.38%, 8.78%); 6.88% (95% CI 2.98%, 10.93%), respectively) in interquartile range (IQR) increase analysis. Also, these associations were strengthened after adjusting for other pollutants. Moreover, similar associations were estimated for sulfur dioxide (SO₂), particulate matter with an aerodynamic diameter of <10 μm (PM₁₀), and total non-accidental mortality. There were significant higher ERs of associations between PM₁₀ and mortality for men than women; while there were significant higher ERs of associations between PM₁₀/NO₂ and mortality for elders (65 or elder) than youngers (64 or younger). Season analyses showed that associations between NO₂ and total non-accidental mortality were more pronounced in hot seasons than in warm seasons. Taken together, NO₂ was positively associated with total non-accidental mortality and cardiovascular mortality in Shenzhen even when the concentrations were below the ambient air quality standard. Policy measures should aim at reducing residents’ exposure to anthropogenic NO₂ emissions.     

Short-term effects and economic burden assessment of ambient air pollution on hospitalizations for schizophrenia

Environmental Science and Pollution Research - The evidence&nbsp;on the health and economic impacts of air pollution with schizophrenia is scarce, especially in developing countries. In this...     

Impact of haze and air pollution-related hazards on hospital admissions in Guangzhou,China

Guangzhou is a metropolitan in south China with unique pollutants and geographic location. Unlike those in western countries and the rest of China, the appearance of haze in Guangzhou is often (about 278 days per year on average of 4 years). Little is known about the influence of these hazes on health. In this study, we investigated whether short-term exposures to haze and air pollution are associated with hospital admissions in Guangzhou. The relationships between haze, air pollution, and daily hospital admissions during 2008–2011 were assessed using generalized additive model. Studies were categorized by gender, age, season, lag, and disease category. In haze episodes, an increase in air pollutant emissions corresponded to 3.46 (95 % CI, 1.67, 5.27) increase in excessive risk (ER) of total hospital admissions at lag 1, 11.42 (95 % CI, 4.32, 18.99) and 11.57 (95 % CI, 4.38, 19.26) increases in ERs of cardiovascular illnesses at lags 2 and 4 days, respectively. As to total hospital admissions, an increase in NO₂ was associated with a 0.73 (95 % CI, 0.11, 1.35) and a 0.28 (95 % CI, 0.11, 0.46) increases in ERs at lag 5 and lag 05, respectively. For respiratory illnesses, increases in NO₂ was associated with a 1.94 (95 % CI, 0.50, 3.40) increase in ER at lag 0, especially among chronic obstructive pulmonary disease. Haze (at lag1) and air pollution (for NO₂ at lag 5 and for SO₂ at lag3) both presented more drastic effects on the 19 to 64 years old and in the females. Together, we demonstrated that haze pollution was associated with total and cardiovascular illnesses. NO₂ was the sole pollutant with the largest risk of hospital admissions for total and respiratory diseases in both single- and multi-pollutant models.     

Impact of ambient temperature on hospital admissions for respiratory diseases in suburban rural villages in northwest China

Environmental Science and Pollution Research - Extreme temperature is strongly associated with human health, but few studies are available for the effects of extreme temperatures on respiratory...     

Air pollution and hospital admissions for diseases of the circulatory system in three U.S. metropolitan areas

Generalized additive models were used to analyze the time series of daily hospital admissions for cardiovascular and cerebrovascular diseases over the period of 1987-1995 in three major metropolitan areas--Cook County, IL; Los Angeles County, CA; and Maricopa County, AZ--in the United States. In Cook and Maricopa Counties, admissions information was only available for the elderly (ages 65 and over), while in Los Angeles County, admissions information was available for all ages. In Cook County, daily monitoring information was available on PM10, CO, SO2, NO2, and O3. In Los Angeles and Maricopa Counties, monitoring information was available daily on the gases, and information on PM10 was available every sixth day. In Los Angeles County, information on PM2.5 was also available every sixth day. In Cook and Los Angeles Counties, associations were found between each pollutant, with the exception of O3, and admissions for cardiovascular disease, with the gases showing the strongest associations. In two-pollutant models with PM and one of the gases, the effect of the gases remained stable, while the effect of PM became unstable and insignificant. In Maricopa County, the gases, with the exception of O3, were weakly associated with hospital admissions for cardiovascular disease, while PM was not. In two-pollutant models with two of CO, SO2, and NO2, the pattern of results is heterogeneous in the three counties. In all three counties, only weak evidence of any association between air pollution and cerebrovascular admissions was found.     

多种神经网络在华北西部区域城市空气质量预测中的应用

据华北西部区域4个主要城市2003—2012年API日报数据和相应时段的地面气象要素数据,利用4种(BP、Elman、T-S模糊、小波)神经网络构建预测模型并预测相应城市大气环境质量.研究结果显示,4种模型在可靠性、预测精度方面均可满足应用要求可用于实际预测;具有动态反馈能力的Elman神经网络的预测精度以及泛用性要优于具静态馈能力的其他3种网络模型,说明动态神经网络更适用于城市大气环境质量预测.4种神经网络的决策权重大小及其排序虽各不相同,但体现出相似规律性,日最低气温、日均气压、前日API对输出数据的影响较大,说明逆温现象引发的持续性、区域性污染是该地区主要环境问题.     

Association between particulate matter air pollution and cardiovascular disease mortality in Lanzhou,China

Ambient particulate matter (PM) pollution has been linked to elevated mortality, especially from cardiovascular diseases. However, evidence on the effects of particulate matter pollution on cardiovascular mortality is still limited in Lanzhou, China. This research aimed to examine the associations of daily mean concentrations of ambient air pollutants (PM_2.5, PM_C, and PM₁₀) and cardiovascular mortality due to overall and cause-specific diseases in Lanzhou. Data representing daily cardiovascular mortality rates, meteorological factors (daily average temperature, daily average humidity, and atmospheric pressure), and air pollutants (PM_2.5, PM₁₀, SO₂, NO₂) were collected from January 1, 2014, to December 31, 2017, in Lanzhou. A quasi-Poisson regression model combined with a distributed lag non-linear model (DLNM) was used to estimate the associations. Stratified analyses were also performed by different cause-specific diseases, including cerebrovascular disease (CD), ischemic heart disease (IHD), heart rhythm disturbances (HRD), and heart failure (HF). The results showed that elevated concentration of PM_2.5, PM_C, and PM₁₀ had different effects on mortality of different cardiovascular diseases. Only cerebrovascular disease showed a significant positive association with elevated PM_2.5. Positive associations were identified between PM_C and daily mortality rates from total cardiovascular diseases, cerebrovascular diseases, and ischemic heart diseases. Besides, increased concentration of PM₁₀ was correlated with increased death of cerebrovascular diseases and ischemic heart diseases. For cerebrovascular disease, each 10 μg/m³ increase in PM_2.5 at lag4 was associated with increments of 1.22% (95% CI 0.11–2.35%). The largest significant effects for PM_C on cardiovascular diseases and ischemic heart diseases were both observed at lag0, and a 10 μg/m³ increment in concentration of PM_C was associated with 0.47% (95% CI 0.06–0.88%) and 0.85% (95% CI 0.18–1.52%) increases in cardiovascular mortality and ischemic heart diseases. In addition, it exhibited a lag effect on cerebrovascular mortality as well, which was most significant at lag6d, and an increase of 10 μg/m³ in PM_C was associated with a 0.76% (95% CI 0.16–1.37%) increase in cerebrovascular mortality. The estimates of percentage change in daily mortality rates per 10 μg/m³ increase in PM₁₀ were 0.52% (95% CI 0.05–1.02%) for cerebrovascular disease at lag6 and 0.53% (95% CI 0.01–1.05%) for ischemic heart disease at lag0, respectively. Our study suggests that elevated concentration of atmospheric PM (PM_2.5, PM_C, and PM₁₀) in Lanzhou is associated with increased mortality of cardiovascular diseases and that the health effect of elevated concentration of PM_2.5 is more significant than that of PM_C and PM₁₀.

     

Dust events as a risk factor for daily hospitalization for respiratory and cardiovascular diseases in Minqin,China

Dust events are common air pollution events in parts of the world with arid, semi-arid, or desert areas. There is little research on the association between respiratory and cardiovascular health and dust events in places which are close to the deserts. The aim of this study is to evaluate the health effects of dust events in a location where traffic and industry are underdeveloped and dust events are most frequent in China. The setting allows the opportunity to reduce confounding by anthropogenically derived particulate matter and to confirm the health effects of dust events. The present study was done using daily counts of hospitalizations in Minqin (1994–2003) for respiratory and cardiovascular diseases (International Classification of Diseases, Tenth revision) for males and females. Using a semi-parametric generalized additive model and controlling for long-term temporal trends, day of the week, meteorological factors, and seasonal influence, counts of hospitalization were analyzed for dust events in a Poisson regression.Relative risks (RRs) were used to estimate the risk of dust events for respiratory and cardiovascular hospitalizations. In the year-round model, dust events with a lag of 3 days were significantly associated with total respiratory hospitalization for males and females, with RRs of 1.14 (95% confidence interval (CI) 1.01–1.29) and 1.18 (95% CI 1.00–1.41); dust events with a lag of 4 days were significantly associated with upper respiratory tract infection (URTI) in males (RR 1.28, 95% CI 1.04–1.59), and dust events with a lag of 6 days were significantly associated with pneumonia in males, with an RR of 1.17 (95% CI 1.00–1.38). A significant association between dust events with a lag of 3 days and hypertension in males was also found (RR 1.30, 95% CI 1.03,1.64). In the seasonal analysis model, the associations between the dust events and respiratory and cardiovascular hospitalizations were stronger in spring and in winter, respectively.The results show the health effects of dust events on respiratory and cardiovascular hospitalizations, and the characteristic seasonal distribution of the health effects. In addition, the health effects of dust events are consistent with recent animal and human data showing the respiratory and cardiovascular effects of particulate matter.     

Human health effects of air pollution

Hazardous chemicals escape to the environment by a number of natural and/or anthropogenic activities and may cause adverse effects on human health and the environment. Increased combustion of fossil fuels in the last century is responsible for the progressive change in the atmospheric composition. Air pollutants, such as carbon monoxide (CO), sulfur dioxide (SO(2)), nitrogen oxides (NOx), volatile organic compounds (VOCs), ozone (O(3)), heavy metals, and respirable particulate matter (PM2.5 and PM10), differ in their chemical composition, reaction properties, emission, time of disintegration and ability to diffuse in long or short distances. Air pollution has both acute and chronic effects on human health, affecting a number of different systems and organs. It ranges from minor upper respiratory irritation to chronic respiratory and heart disease, lung cancer, acute respiratory infections in children and chronic bronchitis in adults, aggravating pre-existing heart and lung disease, or asthmatic attacks. In addition, short- and long-term exposures have also been linked with premature mortality and reduced life expectancy. These effects of air pollutants on human health and their mechanism of action are briefly discussed.     

Extended effects of air pollution on cardiopulmonary mortality in Vienna

BackgroundCurrent standards for fine particulates and nitrogen dioxide are under revision. Patients with cardiovascular disease have been identified as the largest group which need to be protected from effects of urban air pollution.MethodsWe sought to estimate associations between indicators of urban air pollution and daily mortality using time series of daily TSP, PM₁₀, PM_2.5, NO₂, SO₂, O₃ and nontrauma deaths in Vienna (Austria) 2000–2004. We used polynomial distributed lag analysis adjusted for seasonality, daily temperature, relative humidity, atmospheric pressure and incidence of influenza as registered by sentinels.ResultsAll three particulate measures and NO₂ were associated with mortality from all causes and from ischemic heart disease and COPD at all ages and in the elderly. The magnitude of the effect was largest for PM_2.5 and NO₂. Best predictor of mortality increase lagged 0–7 days was PM_2.5 (for ischemic heart disease and COPD) and NO₂ (for other heart disease and all causes). Total mortality increase, lagged 0–14 days, per 10 μg m⁻³ was 2.6% for PM_2.5 and 2.9% for NO₂, mainly due to cardiopulmonary and cerebrovascular causes.ConclusionAcute and subacute lethal effects of urban air pollution are predicted by PM_2.5 and NO₂ increase even at relatively low levels of these pollutants. This is consistent with results on hospital admissions and the lack of a threshold. While harvesting (reduction of mortality after short increase due to premature deaths of most sensitive persons) seems to be of minor importance, deaths accumulate during 14 days after an increase of air pollutants. The limit values for PM_2.5 and NO₂ proposed for 2010 in the European Union are unable to prevent serious health effects.     

Adaptive neuro-fuzzy based modelling for prediction of air pollution daily levels in city of Zonguldak

Air pollution is a growing problem arising from domestic heating, high density of vehicle traffic, electricity production, and expanding commercial and industrial activities, all increasing in parallel with urban population. Monitoring and forecasting of air quality parameters in the urban area are important due to health impact. Artificial intelligent techniques are successfully used in modelling of highly complex and non-linear phenomena. In this study, adaptive neuro-fuzzy logic method has been proposed to estimate the impact of meteorological factors on SO2 and total suspended particular matter (TSP) pollution levels over an urban area. The model forecasts satisfactorily the trends in SO2 and TSP concentration levels, with performance between 75-90% and 69-80 %, respectively.     

Inflammatory effects of particulate matter air pollution

Environmental Science and Pollution Research - Air pollution is an important cause of non-communicable diseases globally with particulate matter (PM) as one of the main air pollutants. PM is...     

A mechanistic view on the neurotoxic effects of air pollution on central nervous system: risk for autism and neurodegenerative diseases

Environmental Science and Pollution Research - Many reports have shown a strong association between exposure to neurotoxic air pollutants like heavy metal and particulate matter (PM) as an active...     

Hospital admissions in Iran for cardiovascular and respiratory diseases attributed to the Middle Eastern Dust storms

Environmental Science and Pollution Research - The main objective of this study was to assess the possible effects of airborne particulate matter less than 10&nbsp;μm in diameter (PM10)...