Comparison of child morbidity in regions of Ostrava, Czech Republic, with different degrees of pollution: a retrospective cohort study

Abstract

BackgroundTo confirm or refute the hypothesis that the morbidity of children (since birth to age 5) born and living in the heavily polluted (PM10, benzo[a]pyrene) eastern part of Ostrava, Czech Republic, was higher than the morbidity of children living in other parts of the city.MethodsTen pediatricians in 5 districts of Ostrava abstracted the medical records of 1878 children born in 2001–2004 to list all illnesses of each child in ICD-10 codes. The children were divided into four groups according to their residence at birth and thereafter. Most of the children in the eastern area were living in the city district Radvanice and Bartovice.ResultsWe report on the incidence of acute illnesses in 1535 children of Czech ethnicity in the first 5 years of life. The most frequent acute illnesses (over 45% of all diagnoses) were upper respiratory infections (URI: J00-J02, J06). In the first year of life, the incidence of URI in 183 children in the eastern area – 372 illnesses/100 children/year – was more than twice as high as in the other 3 areas with a total number of 1352 children. From birth to the age of 5 years, the incidences of pneumonia, tonsillitis, viral infections (ICD-10 code B34) and intestinal infectious diseases were also several times higher in children living in the eastern part of Ostrava. The lowest morbidity was found in children living in the less polluted western part of the city.ConclusionsThe children born and living in the eastern part of the city of Ostrava had from birth through 5 years significantly higher incidence rates of acute illnesses than children in other parts of Ostrava. They also had a higher prevalence of wheezing, atopic dermatitis and allergic rhinitis.

Ambient Air Quality in the Czech Republic: Past and Present

“…The association between particle number and PM2.5 concentrations and daily hospital admissions due to cardiovascular and respiratory diseases was reported for Prague [165]. A long-term study of the health impacts of air pollution on children in heavily polluted parts of the CR revealed that air pollution significantly affected children's health and resulted in increased respiratory morbidity [166,167]. Due to long-term monitoring results, the Moravian-Silesian region/Ostrava region is recognised not only as a Czech hotspot for PM and BaP, but also truly as a European hotspot [22,106].…”

Influences the Aeromath in the Way of Ending Births

“…Comparing the detailed age-specific morbidity of 1655 children born and living in the district of Ostrava Radvanice-Bartovice (R&B) vs. children in other parts of Ostrava, a significantly higher incidence of acute illness was observed. Children from R&B experienced a higher incidence of acute respiratory disease in the first year of life ( Figure 2) and a higher prevalence of asthma bronchiale (37.1%, N = 170) compared to other parts of Ostrava (10.2-13.2%, N = 1287) [27]. From birth until the age of 5 years, the incidences of pneumonia, tonsillitis, viral infections, and intestinal infectious diseases were also several times higher in children living in the district of Ostrava Radvanice-Bartovice.…”

“…The morbidity in the city of Ostrava was studied in 10 pediatric districts in children born from 2001 to 2004 up to 5 years of age (N = 1888) [27]. The pediatricians abstracted medical records in ICD-10 codes.…”

Linking childhood allergic asthma phenotypes with endotype through integrated systems biology: current evidence and research needs

“…Other risk factors of allergic asthma include family histories of atopic diseases and cigarette smoke exposures. Children with early-onset wheezing symptoms have greater susceptibility to frequent infections and eczema compared with those children with later onset asthma (4,16). Among the sensitized infants/toddler, respiratory viral infections (e.g.…”