Effects of Exposure to Particles and Ozone on Hospital Admissions for Cardiorespiratory Diseases in SetúBal, Portugal

In recent years, the adverse health effects attributed to air pollution have been a focus of intense study. Exposure to pollutants such as airborne particulate matter (PM) and ozone (O3) has been associated with increases in morbidity and mortality due to respiratory and cardiovascular diseases. The aim of this study was to determine a correlation between particles (PM10, PM2.5) and O3 with hospital admissions in Setúbal, a densely populated Portuguese urban region that coexists with a heavy industrial area. A database with daily air quality and hospital admission data over 5 years (2005–2009) was assembled and associations were investigated by ordinary least squares linear regression. Results showed positive significant associations between PM10 and respiratory diseases for ages below 14 yr and above 64 yr, and between PM2.5 and respiratory diseases for ages above 64 yr.

[1]  Sílvia M. Garcia,et al.  Impact of Road Traffic Emissions on Ambient Air Quality in an Industrialized Area , 2013, Journal of toxicology and environmental health. Part A.

[2]  S. Almeida,et al.  Impact of Maritime Air Mass Trajectories on the Western European Coast Urban Aerosol , 2013, Journal of toxicology and environmental health. Part A.

[3]  Michael Jerrett,et al.  The Association Between Chronic Exposure to Traffic-Related Air Pollution and Ischemic Heart Disease , 2012, Journal of toxicology and environmental health. Part A.

[4]  M. Carraway,et al.  Composition of Air Pollution Particles and Oxidative Stress in Cells, Tissues, and Living Systems , 2012, Journal of toxicology and environmental health. Part B, Critical reviews.

[5]  Use of INAA and PIXE for multipollutant air quality assessment and management , 2012, Journal of Radioanalytical and Nuclear Chemistry.

[6]  C. A. Ramos,et al.  INAA and PIXE characterization of heavy metals and rare earth elements emissions from phosphorite handling in harbours , 2012, Journal of Radioanalytical and Nuclear Chemistry.

[7]  Jens Borken-Kleefeld,et al.  Cost-effective control of air quality and greenhouse gases in Europe: Modeling and policy applications , 2011, Environ. Model. Softw..

[8]  P. Garrett,et al.  Short-term effect of fine particulate matter (PM2.5) and ozone on daily mortality in Lisbon, Portugal , 2011, Environmental science and pollution research international.

[9]  S. Sarmento,et al.  Robustness of different regression modelling strategies in epidemiology: a time‐series analysis of hospital admissions and air pollutants in Lisbon (1999–2004) , 2011 .

[10]  C. A. Ramos,et al.  Characterization of dust material emitted during harbour activities by k0-INAA and PIXE , 2011, Journal of Radioanalytical and Nuclear Chemistry.

[11]  Chun-Yuh Yang,et al.  Air Pollution and Hospital Admissions for Myocardial Infarction in a Subtropical City: Taipei, Taiwan , 2010, Journal of toxicology and environmental health. Part A.

[12]  Harald Flentje,et al.  A European aerosol phenomenology 3: Physical and chemical characteristics of particulate matter from 60 rural, urban, and kerbside sites across Europe , 2010 .

[13]  M. Freitas,et al.  Air pollution and emergency admissions for cardiorespiratory diseases in Lisbon (Portugal) , 2010 .

[14]  Antonella Zanobetti,et al.  Fine particulate air pollution and its components in association with cause-specific emergency admissions , 2009, Environmental health : a global access science source.

[15]  D. Beasley,et al.  Association between monthly-reported rhinitis by children from basic schools and monthly-averaged air pollutants, at Lisbon (Portugal) , 2009 .

[16]  Influence of meteorological conditions on PM2.5 and PM2.5–10 elemental concentrations on Sado estuary area, Portugal , 2009 .

[17]  Characterizing air particulate matter composition and sources in Lisbon, Portugal , 2009 .

[18]  S. Almeida,et al.  Characterisation of the seasonal exposure to air pollutants for a respiratory epidemiological study , 2009 .

[19]  Evaluating children exposure to air pollutants for an epidemiological study , 2009 .

[20]  Chun-Yuh Yang.  Air Pollution and Hospital Admissions for Congestive Heart Failure in a Subtropical City: Taipei, Taiwan , 2008, Journal of toxicology and environmental health. Part A.

[21]  S. Almeida,et al.  Measuring air particulate matter in large urban areas for health effect assessment , 2007 .

[22]  Daniel Krewski,et al.  Health Effects Associated With Exposure to Ambient Air Pollution , 2007, Journal of toxicology and environmental health. Part A.

[23]  G. Rossi,et al.  Urban Air Pollution and Emergency Visits for Respiratory Complaints in Pisa, Italy , 2007, Journal of toxicology and environmental health. Part A.

[24]  F Dominici,et al.  A case-crossover study of fine particulate matter air pollution and onset of congestive heart failure symptom exacerbation leading to hospitalization. , 2006, American journal of epidemiology.

[25]  Antonella Zanobetti,et al.  The effect of ozone and PM10 on hospital admissions for pneumonia and chronic obstructive pulmonary disease: a national multicity study. , 2006, American journal of epidemiology.

[26]  F. Dominici,et al.  Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. , 2006, JAMA.

[27]  WHO Air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide , 2006 .

[28]  Francesca Dominici,et al.  Revised Analyses of the National Morbidity, Mortality, and Air Pollution Study: Mortality Among Residents Of 90 Cities , 2005, Journal of toxicology and environmental health. Part A.

[29]  Antonella Zanobetti,et al.  The Effect of Particulate Air Pollution on Emergency Admissions for Myocardial Infarction: A Multicity Case-Crossover Analysis , 2005, Environmental health perspectives.

[30]  Antonella Zanobetti,et al.  Diabetes Enhances Vulnerability to Particulate Air Pollution–Associated Impairment in Vascular Reactivity and Endothelial Function , 2004, Circulation.

[31]  Chun-Yuh Yang,et al.  Relationship Between Ambient Air Pollution and Hospital Admissions for Cardiovascular Diseases in Kaohsiung, Taiwan , 2004, Journal of toxicology and environmental health. Part A.

[32]  S. Almeida,et al.  Air quality control monitoring at an urban and industrialized area , 2004 .

[33]  Monitoring of environmental contaminants: 10 years of application of k0-I INAA , 2003 .

[34]  Fred Lurmann,et al.  Air pollution and hospital admissions for ischemic heart disease in persons with congestive heart failure or arrhythmia. , 2002, Environmental health perspectives.

[35]  B. Brunekreef,et al.  Air pollution and health , 2002, The Lancet.

[36]  J. Schwartz,et al.  Acute effects of particulate air pollution on respiratory admissions: results from APHEA 2 project. Air Pollution and Health: a European Approach. , 2001, American journal of respiratory and critical care medicine.

[37]  W. MacNee,et al.  Ultrafine particles , 2001, Occupational and environmental medicine.

[38]  Jeremy Colls,et al.  Monitoring Ambient Air Quality for Health Impact Assessment. WHO Regional Publications, European Series: No 85 xvii + 196 pp., 24.0 × 16.0 × 1.2 cm, ISBN 92 890 1351 6 paperback, GB £30.00, Copenhagen, Denmark: WHO 1999 , 2001, Environmental Conservation.

[39]  J. Schwartz,et al.  Harvesting and long term exposure effects in the relation between air pollution and mortality. , 2000, American journal of epidemiology.

[40]  Michal Krzyzanowski,et al.  URBAN AIR POLLUTION , 1999 .

[41]  F. Lipfert.  Air Pollution and Human Health: Perspectives for the ‘90s and Beyond , 1997, Risk analysis : an official publication of the Society for Risk Analysis.

[42]  J. Schwartz.  HEALTH EFFECTS OF AIR POLLUTION FROM TRAFFIC: OZONE AND PARTICULATE MATTER , 1997 .

[43]  U. Epa.  Air Quality Criteria for Particulate Matter , 1996 .

[44]  M. Green.  Air pollution and health , 1995 .

[45]  Bang Quoc Ho,et al.  Urban Air Pollution , 1994 .

[46]  F. Lipfert.  A critical review of studies of the association between demands for hospital services and air pollution. , 1993, Environmental health perspectives.