Short-term effects of ambient air pollution and cause-specific emergency department visits in Guangzhou

HE Wei-yun; WU Yan; GUO Pi; LV Jia-yun; CHEN Yu-liang; ZHENG Mu-rui; LIU Peng-da; BU Li; FENG Wen-ru

doi:10.16462/j.cnki.zhjbkz.2019.07.017

Volume 23 Issue 7

Jul. 2019

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2019 > 23(7): 828-834

HE Wei-yun, WU Yan, GUO Pi, LV Jia-yun, CHEN Yu-liang, ZHENG Mu-rui, LIU Peng-da, BU Li, FENG Wen-ru. Short-term effects of ambient air pollution and cause-specific emergency department visits in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 828-834. doi: 10.16462/j.cnki.zhjbkz.2019.07.017

Citation:

HE Wei-yun, WU Yan, GUO Pi, LV Jia-yun, CHEN Yu-liang, ZHENG Mu-rui, LIU Peng-da, BU Li, FENG Wen-ru. Short-term effects of ambient air pollution and cause-specific emergency department visits in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 828-834. doi: 10.16462/j.cnki.zhjbkz.2019.07.017

Citation:

HE Wei-yun, WU Yan, GUO Pi, LV Jia-yun, CHEN Yu-liang, ZHENG Mu-rui, LIU Peng-da, BU Li, FENG Wen-ru. Short-term effects of ambient air pollution and cause-specific emergency department visits in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 828-834. doi: 10.16462/j.cnki.zhjbkz.2019.07.017

PDF( 1402 KB)

Short-term effects of ambient air pollution and cause-specific emergency department visits in Guangzhou

doi: 10.16462/j.cnki.zhjbkz.2019.07.017

1.
Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
2.
Shantou University Medical College, Shantou 515041, China

Funds:

Natural Science Foundation of Guangdong Province 2018A030313928

Science and Technology Project of Guangzhou 2014J4100070

More Information

Corresponding author: FENG Wen-ru, E-mail: gzcdchwk@163.com
Received Date: 2019-01-10
Rev Recd Date: 2019-04-28
Publish Date: 2019-07-10

Abstract

Abstract

Objective To understand the relationship between the concentration of air pollutants and daily emergency department visits for different diseases (circulatory system disease, digestive system disease, nervous system disease and respiratory system disease) in Guangzhou, Guangdong Province. Methods The daily average concentrations of sulfur dioxide (SO₂), nitrogen dioxide (NO₂, carbon monoxide (CO) and PM_2.5 and the daily maximum 8-hour concentrations of O₃, the daily average temperature, the relative humidity and cause -specific emergency department visits of the four major diseases from 2015 to 2017 were collected in Guangzhou. Semi-parametric generalized additive model was used to analyze the relationship between the concentration of pollutants and daily cause-specific emergency department visits. Results The daily average concentrations of SO₂, NO₂, CO, O₃ and PM_2.5 during the study period were 13.24 μg/m³, 45.96 μg/m³, 0.97 mg/m³, 123.77 μg/m³ and 36.22 μg/m³, respectively. For circulatory system disease, the independently significant associations of SO₂ with emergency department visits in single-pollutant models (2.91%, 95% CI: 1.00%-4.85%), and multipollutant models (4.39%, 95% CI: 1.22%-7.67%) were observed. Conclusion The ambient SO₂ increases the risk of emergency department visits due to circulatory diseases in Guangzhou. Comprehensive prevention and control measures should be taken to reduce the emission of SO₂.
- Air pollution,
- Sulfur dioxide,
- Emergency ambulance dispatches,
- Generalized additive model

FullText(HTML)

References(20)

References

[1]	Chen R, Yin P, Meng X, et al. Fine particulate air pollution and daily mortality: a nationwide analysis in 272 Chinese cities[J]. Am J Respir Crit Care Med, 2017, 196(1): 73-81. DOI: 10.1164/rccm.201609-1862OC.
[2]	Yorifuji T, Kashima S, DoiH. Fine-particulate air pollution from diesel emission control and mortality rates in Tokyo: a quasi-experimental study[J]. Epidemiology, 2016, 27(6): 769-778. DOI: 10.1097/EDE.0000000000000546.
[3]	陈浪, 赵川, 关茗洋, 等. 石家庄市大气颗粒污染物浓度与居民死亡率的时间序列分析[J]. 中华疾病控制杂志, 2018, 22(3): 272-277. DOI: 10.16462/j.cnki.zhjbkz.2018.03.014. Chen L, Zhao C, Guan MY, et al. Time-series analysis of the relationship between particulate matter and mortality in Shijiazhuang[J]. Chin J Dis Control Prev, 2018, 22(3): 272-277. DOI: 10.16462/j.cnki.zhjbkz.2018.03.014.
[4]	Kim H, Kim J, Kim S, et al. Cardiovascular effects of long-term exposure to air pollution: a population-based study with 900845 person-years of follow-up[J]. J Am Heart Assoc, 2017, 6(11): e007170. DOI: 10.1161/JAHA.117.007170.
[5]	Fiordelisi A, Piscitelli P, Trimarco B, et al. The mechanisms of air pollution and particulate matter in cardiovascular diseases[J]. Heart Fail Rev, 2017, 22(3): 337-347. DOI: 10.1007/s10741-017-9606-7.
[6]	丁亚萍, 虞明星, 郝海燕, 等. 石家庄市空气PM_2.5浓度与儿童呼吸系统疾病门诊量的关系[J]. 中华疾病控制杂志, 2018, 22(7): 672-676. DOI: 10.16462/j.cnki.zhjbkz.2018.07.005. Ding YP, Yu MX, Hao HY, et al. The relationship between fine particulate matter and hospital outpatients with pediatric respiratory diseases in Shijiazhuang City[J]. Chin J Dis Control Prev, 2018, 22(7): 672-676. DOI: 10.16462/j.cnki.zhjbkz.2018.07.005.
[7]	Macintyre H, Heaviside C, Neal L, et al. Mortality and emergency hospitalizations associated with atmospheric particulate matter episodes across the UK in spring 2014[J]. Environ Int, 2016, 97: 108-116. DOI: 10.1016/j.envint.2016.07.018.
[8]	Neuberger M, Moshammer H, Rabczenko D. Acute and subacute effects of urban air pollution on cardiopulmonary emergencies and mortality: time series studies in Austrian cities[J]. Int J Environ Res Public Health, 2013, 10(10): 4728-4751. DOI: 10.3390/ijerph10104728.
[9]	Pun VC, Yu IT, Qiu H, et al. Short-term associations of cause-specific emergency hospitalizations and particulate matter chemical components in Hong Kong[J]. Am J Epidemiol, 2014, 179(9): 1086-1095. DOI: 10.1093/aje/kwu026.
[10]	Song Q, Christiani D, Wang XR, et al. The global contribution of outdoor air pollution to the incidence, prevalence, mortality and hospital admission for chronic obstructive pulmonary disease: a systematic review and meta-analysis[J]. Int J Environ Res Public Health, 2014, 11(11): 11822-11832. DOI: 10.3390/ijerph111111822.
[11]	Huang F, Luo Y, Guo Y, et al. Particulate matter and hospital admissions for stroke in Beijing, China: modification effects by ambient temperature[J]. J Am Heart Assoc, 2016, 5(7). DOI: 10.1161/JAHA.116.003437.
[12]	Vodonos A, Novack V, Zlotnik Y, et al. Ambient air pollution, weather and daily emergency department visits for headache[J]. Cephalalgia, 2015, 35(12): 1085-1091. DOI: 10.1177/0333102415570300.
[13]	Alimohammadi H, Fakhri S, Derakhshanfar H, et al. The effects of air pollution on ischemic stroke admission rate[J]. Chonnam Med J, 2016, 52(1): 53-58. DOI: 10.4068/cmj.2016.52.1.53.
[14]	Brook R, Kousha T. Air pollution and emergency department visits for hypertension in Edmonton and Calgary, Canada: a case-crossover study[J]. Am J Hypertens, 2015, 28(9): 1121-1126. DOI: 10.1093/ajh/hpu302.
[15]	Guo Y, Tong S, Li S, et al. Gaseous air pollution and emergency hospital visits for hypertension in Beijing, China: a time-stratified case-crossover study[J]. Environ Health, 2010, 9: 57. DOI: 10.1186/1476-069X-9-57.
[16]	Guo Y, Jia Y, Pan X, et al. The association between fine particulate air pollution and hospital emergency room visits for cardiovascular diseases in Beijing, China[J]. Sci Total Environ, 2009, 407(17): 4826-4830. DOI: 10.1016/j.scitotenv.2009.05.022.
[17]	Meng Z, Qin G, Zhang B, et al. Oxidative damage of sulfur dioxide inhalation on lungs and hearts of mice[J]. Environ Res, 2003, 93(3): 285-292. http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=11319227&site=ehost-live
[18]	Zheng X, Ding H, Jiang L, et al. Association between air pollutants and asthma emergency room visits and hospital admissions in time series studies: a systematic review and meta-analysis[J]. PLoS One, 2015, 10(9): e138146. DOI: 10.1371/journal.pone.0138146.
[19]	Phung D, Hien TT, Linh HN, et al. Air pollution and risk of respiratory and cardiovascular hospitalizations in the most populous city in Vietnam[J]. Sci Total Environ, 2016, 557-558: 322-330. DOI: 10.1016/j.scitotenv.2016.03.070.
[20]	Winterton DL, Kaufman J, Keener CV, et al. Genetic polymorphisms as biomarkers of sensitivity to inhaled sulfur dioxide in subjects with asthma[J]. Ann Allergy Asthma Immunol, 2001, 86(2): 232-238. DOI: 10.1016/S1081-1206(10)62697-X.