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Ex - post evaluation of a program to reduce critical episodes due to air pollution in southern Chile
Institution:1. Department of Pulmonary and Critical Care, University of California, San Francisco, San Francisco, CA;2. Department of Medicine, University of California, San Francisco, San Francisco, CA;3. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway;4. Department of Public Health and Policy, University of Liverpool, Liverpool, England;5. School of Public Health, Environmental Sciences, University of California, Berkeley, Berkeley, CA, Norway;6. Research Unit for General Practice, Uni Research Health, Bergen, Norway;1. School of Economics and Management, Yancheng Institute of Technology, Renhe Building, Hope Avenue Middle Road 1, Tinghu District, Yancheng 224051, China;2. School of Government Audit, Nanjing Audit University, Minxing Building, 86 West Yushan Road, Pukou District, Nanjing 211815, China;1. Escuela de Graduados, Facultad de Ciencias Forestales y Recursos Naturales, Universidad Austral de Chile, Box 567, Valdivia, Chile;2. Instituto de Investigaciones en Biodiversidad y Medio Ambiente, CCT Patagonia Norte, CONICET y Universidad Nacional del Comahue, Bariloche, Argentina;1. Programa Doctorado en Salud Pública, Instituto de Salud Poblacional, Facultad de Medicina, Universidad de Chile, Independencia 939, Independencia, Santiago, Chile;2. Departamento de Salud Pública, Facultad de Ciencias de la Salud, Universidad de Talca, Talca, 3460000, Chile;3. Department of Environmental Health Sciences, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA;4. Department of Engineering Sciences, Universidad Andres Bello, Quillota 980, Viña del Mar, 2531015, Chile;5. Departamento de Ingeniería en Obras Civiles, Instituto del Medio Ambiente, Universidad de La Frontera, Avenida Francisco Salazar 01145, Casilla 54-D, Temuco, Chile;6. Departamento de Salud Pública y Centro de Excelencia CIGES, Universidad de la Frontera, Caro Solar 115, Temuco, Chile;7. Division of Environmental Health and Risk Management, School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, B152TT, UK;8. ISGlobal Barcelona Institute for Global Health, Barcelona Biomedical Research Park, Doctor Aiguader 88, 08003, Barcelona, Spain;9. Pompeu Fabra University, Plaça de la Mercè 10, 08002, Barcelona, Spain;10. Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Avenida Monforte de Lemos 5, E-28029, Madrid, Spain;11. Department of Environmental Sciences / Center of Excellence in Environmental Studies, King Abdulaziz University, PO Box 80203, Jeddah, 21589, Saudi Arabia;12. Programa de Salud Ambiental, Instituto de Salud Poblacional, Facultad de Medicina, Universidad de Chile, Independencia 939, Independencia, Santiago, Chile
Abstract:There is enough scientific evidence that associates air pollution by particulate matter (PM) with negative impacts on health. However, one-third of the world's population uses highly polluting fuels for cooking, heating, or lighting, especially in low- and middle-income countries. Due to the above, the environmental authorities of most of the countries have established different short-, medium-, and long-term regulations to reduce this pollution. It should be noted that it is challenging to identify the real effectiveness of this type of regulation since it is necessary to determine whether the pollution was reduced exclusively by the implementation of that regulation or due to other confusing factors. To address this issue, the present study performs an ex - post evaluation of the Critical Episodes Management program that imposes restrictions on the use of firewood heaters during pre-emergency and emergency episodes to reduce air pollution in the short-term in the city of Temuco, Chile (one of the most polluted cities in Latin America). Specifically, a fixed-effects panel data regression is applied to hourly concentrations of particulate matter data, controlling by meteorological and seasonal factors. The results show that restrictions on the use of firewood heaters generate a significant reduction in PM10 and PM2.5 concentrations during pre-emergency episodes (9.2% and 17.5%) and emergency episodes (5.9% and 16.3%). Thus, it can be concluded that this program is useful, but it must be complemented by others medium- and long-term environmental programs.
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