Background: Nitrogen dioxide (NO 2 ) is a corrosive, strong oxidant and a physiologic stimulant of lower respiratory tract. Every human being inhales an average of 10 m 3 air per day; therefore, assessment of the effect of inhaled air on health is a vital issue. The main source NO 2 in urban regions is intra-urban public transport system. The annual average of determined air quality for NO 2 is 40 μg/m 3 . Objectives: The present study aimed to estimate and compare epidemiologic indices attributed to the pollutant NO 2 in the urban air of southwest cities of Iran, namely, Ahvaz, Kermanshah, and Bushehr, in 2011.
Materials and Methods:In the present study, data relevant to the air-pollutant NO 2 in 2011 was obtained from the Iranian Department of Environment and meteorological organizations of the studied cities. Raw data processing by Excel software included instruction set correction of averaging, coding, and filtering. Then the meteorological parameters were converted as input file to the Air Q model. Finally, by using epidemiologic formulas, relative risk (RR) and attributed part to NO 2 in the three studied cites were estimated.
Results:The results showed that in summer, winter, and the whole year, Kermanshah and Bushehr had on average the maximum and minimum NO 2 concentration, respectively, in 2011. In addition, accumulative number of cases attributed to exposure with NO 2 in the studied cities was maximum in Kermanshah (21 cases) and minimum in Bushehr (one case). The results revealed that approximately, the maximum number of death cases attributed to NO 2 were observed in Kermanshah due to heart problems (1.06%), acute infarction (1.8%), and obstructive pulmonary disease (1.9%) with concentration > 20 μg/m 3 . Conclusions: Every 10 μg/m 3 increase in the concentration of the pollutant NO 2 in the studied cities led to increase in the RR of myocardial infarction, cardiovascular diseases, and obstructive pulmonary disease by 0.4%, 0.2%, and 0.4%, respectively, in 2011. Higher RR value can depict mismanagement in urban air quality. The lower level of RR value might be achieved if some control strategies for reducing NO 2 emission were used.