Impact of urban air pollutants and noise levels over daily hospital admissions in children in Madrid: a time series analysis

Objective: The aim of this paper was to analyse the effects of the urban air pollutants and noise levels on daily emergency hospital admissions of children less than 10 years of age in Madrid. Material and methods: Poisson Regression Models were used to quantify the associations. Meteorological variables, influenza epidemics, pollen concentrations and trends and periodicities were used as controlling variables. Results: The main results obtained were the detected relationship (p<0.05) between emergency hospital admissions due to organic diseases and noise levels (AR=2.4%) and for PM10 concentrations (AR=2.1%). For respiratory diseases statistically significant associations were detected for noise levels (AR=4.7%) and cold temperatures (AR=3.8%). The main association detected for causes of admissions due to bronchitis was for O3 (AR=36.8%) and for pneumonia was for noise levels (AR=7.7%). Conclusion: The results obtained suggest that noise level particularly is a risk factor for daily emergency hospital admissions for organic and respiratory diseases in children less than 10 years old in Madrid.

[1]  A. Tobías,et al.  Noise Levels In Madrid: Association With Emergency Hospital Admissions , 2001 .

[2]  A. Hodgson,et al.  Traffic-related air pollution near busy roads: the East Bay Children's Respiratory Health Study. , 2004, American journal of respiratory and critical care medicine.

[3]  P. Ribera,et al.  Modeling of air pollution and its relationship with mortality and morbidity in Madrid, Spain , 1999, International archives of occupational and environmental health.

[4]  M. Shima,et al.  Effect of outdoor and indoor nitrogen dioxide on respiratory symptoms in schoolchildren. , 2000, International journal of epidemiology.

[5]  T. Wong,et al.  Air pollution and hospital admissions for respiratory and cardiovascular diseases in Hong Kong. , 1999, Occupational and environmental medicine.

[6]  S. Hajat,et al.  Associations of cold temperatures with GP consultations for respiratory and cardiovascular disease amongst the elderly in London. , 2002, International journal of epidemiology.

[7]  J. Schwartz Air pollution and children's health. , 2004, Pediatrics.

[8]  J. Banegas,et al.  Short term effects of airborne pollen concentrations on asthma epidemic , 2003, Thorax.

[9]  H Ising,et al.  Traffic noise and cardiovascular risk. The Caerphilly study, first phase. Outdoor noise levels and risk factors. , 1988, Archives of environmental health.

[10]  J Schwartz,et al.  Confounding and Effect Modification in the Short-Term Effects of Ambient Particles on Total Mortality: Results from 29 European Cities within the APHEA2 Project , 2001, Epidemiology.

[11]  P. Landrigan,et al.  Chemical wastes, children's health, and the Superfund Basic Research Program. , 1999, Environmental health perspectives.

[12]  H. Ising,et al.  Exposure to Traffic-Related Air Pollution and Noise and the Development of Respiratory Diseases in Children , 2005 .

[13]  Steven C. Wheelwright,et al.  Forecasting methods and applications. , 1979 .

[14]  J. Schwartz,et al.  Patients with chronic obstructive pulmonary disease are at increased risk of death associated with urban particle air pollution: a case-crossover analysis. , 2000, American journal of epidemiology.

[15]  S J London,et al.  Air pollution and bronchitic symptoms in Southern California children with asthma. , 1999, Environmental health perspectives.

[16]  K. Berhane,et al.  Asthma in exercising children exposed to ozone: a cohort study , 2002, The Lancet.

[17]  J. Díaz,et al.  Relationship between atmospheric pressure and mortality in the Madrid Autonomous Region: a time-series study , 2001, International journal of biometeorology.

[18]  S. Johnston,et al.  Air pollution and infection in respiratory illness. , 2003, British medical bulletin.

[19]  A. Tobías,et al.  Mortality impact of extreme winter temperatures , 2005, International journal of biometeorology.

[20]  J. Dallinga,et al.  Volatile N-nitrosamine formation after intake of nitrate at the ADI level in combination with an amine-rich diet. , 1998, Environmental health perspectives.

[21]  R. Garcia-Herrera,et al.  Relationship between emergency hospital admissions and air pollution (PM10) in children under ten years old , 2004 .

[22]  A. Tobías,et al.  Causality and temporality in the study of short-term effects of air pollution on health. , 2000, International journal of epidemiology.

[23]  Francesca Valent,et al.  Burden of disease attributable to selected environmental factors and injury among children and adolescents in Europe , 2004, The Lancet.

[24]  J. Alberdi,et al.  Daily mortality in Madrid community 1986–1992: Relationship with meteorological variables , 1998, European Journal of Epidemiology.

[25]  Dietrich Schwela,et al.  Urban Traffic Pollution , 1998 .

[26]  J. Coste,et al.  [Proportion of cases attributable to public health: definition(s), estimation(s) and interpretation]. , 1991, Revue d'epidemiologie et de sante publique.

[27]  H. Akaike A new look at the statistical model identification , 1974 .

[28]  A. Tobías,et al.  Use of Poisson regression and Box–Jenkins models to evaluate the short-term effects of environmental noise levels on daily emergency admissions in Madrid, Spain , 2004, European Journal of Epidemiology.

[29]  J. Díaz,et al.  A model for forecasting emergency hospital admissions: effect of environmental variables. , 2001, Journal of environmental health.

[30]  Gwilym M. Jenkins,et al.  Time series analysis, forecasting and control , 1972 .

[31]  R. Yancik,et al.  Impact of changes in transportation and commuting behaviors during the 1996 Summer Olympic Games in Atlanta on air quality and childhood asthma. , 2001, JAMA.

[32]  H. Wichmann,et al.  Decline of ambient air pollution and respiratory symptoms in children. , 2000, American journal of respiratory and critical care medicine.

[33]  Nigel Bruce,et al.  Outdoor Air Pollution and Acute Respiratory Infections Among Children in Developing Countries , 2002, Journal of occupational and environmental medicine.

[34]  R. Trigo,et al.  Impact of Temperature and Air Pollution on the Mortality of Children in Madrid , 2004, Journal of occupational and environmental medicine.

[35]  T Bellander,et al.  Traffic-related air pollution and respiratory health during the first 2 yrs of life , 2002, European Respiratory Journal.

[36]  Gwilym M. Jenkins,et al.  Time series analysis, forecasting and control , 1971 .

[37]  W. Passchier,et al.  Environmental noise exposure. , 1998, Environmental health perspectives.

[38]  J. Banegas,et al.  Short-term effects of air pollution on daily asthma emergency room admissions , 2003, European Respiratory Journal.

[39]  Marie Louise Bistrup,et al.  Health effects of noise on children and perception of the risk of noise , 2001 .

[40]  J D Spengler,et al.  Effects of inhalable particles on respiratory health of children. , 1989, The American review of respiratory disease.