Short term respiratory health effects of ambient air pollution: results of the APHEA project in Paris.

Dab, William; Médina, Sylvia; Quénel, Philippe; Moullec, Yvon Le; Tertre, Alain Le; Thélot, B.; Monteil, C; Lameloise, Philippe; Pirard, Philippe; Momas, Isabelle; Ferry, R.; Festy, B.

doi:10.1136/jech.50.suppl_1.s42

Cited by 128 publications

(55 citation statements)

References 16 publications

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“…A lack of associations between NO 2 and hospital admissions in Paris for respiratory diseases was also observed by Dab et al. 72 In contrast, Wong et al 73 reported significant associations between NO 2 and respiratory admissions for 0-4, 5-64 and ≥65 year age groups in Hong Kong. Luginaah et al 74 found a significant association between levels of NO 2 lagged 2-days and respiratory admissions for females 0-14 years of age, but not for any of the other female or male groups.…”

Section: Resultsmentioning

confidence: 58%

Air pollution and emergency admissions for cardiorespiratory diseases in Lisbon (Portugal)

Alves¹,

Scotto²,

Freitas³

2010

Quím. Nova

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Recebido em 6/3/09; aceito em 30/7/09; publicado na web em 11/1/10 AIR POLLUTION AND EMERGENCY ADMISSIONS FOR CARDIORESPIRATORY DISEASES IN LISBON (PORTUGAL).Daily records of hospital admissions due to cardiorespiratory diseases and levels of PM 10 , SO 2 , CO, NO, NO 2 , and O 3 were collected from 1999-2004 to evaluate the relationship between air pollution and morbidity in Lisbon. Generalised additive Poisson regression models were adopted, controlling for temperature, humidity, and both short and long-term seasonality. Significant positive associations, lagged by 1 or 2 days, were found between markers of traffic-related pollution (CO and NO 2 ) and cardiocirculatory diseases in all age groups. Increased childhood emergency admissions for respiratory illness were significantly correlated with the 1-day lagged SO 2 levels coming from industrial activities.

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Section: Resultsmentioning

confidence: 58%

Air pollution and emergency admissions for cardiorespiratory diseases in Lisbon (Portugal)

Alves¹,

Scotto²,

Freitas³

2010

Quím. Nova

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“…32,33,[36][37][38][40][41][42]55 This contrast with the U.S. studies may have important implications either with respect to population susceptibility, pollutant mix, or study methodology (see Line Two [Geography] section).…”

Section: Longitudinal Time Series Datamentioning

confidence: 84%

“…The recent time series studies of hospitalizations are summarized in Table 2. 33,40,50,[56][57][58][59][60][61][62][63][64][65][66][67] Many of the observations and arguments made above regarding the mortality time series studies can also be made for the hospitalization time series studies. The U.S. and Canadian studies are reasonably consistent in showing statistically significant associations between short-term increases in particle concentrations and increases in daily hospitalizations for respiratory illnesses.…”

Section: Longitudinal Time Series Datamentioning

confidence: 99%

Ambient Particles and Health: Lines that Divide

Vedal

1997

Journal of the Air & Waste Management Association

392

229

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“…The results of APHEA were firstly reported in a series of articles describing the individual contributions to the collaborative effort: Bratislava, Slovak Republic [4]; Amsterdam and Rotterdam, the Netherlands [5]; Lyon, France [6]; Cracow, Lodz, Poznan, and Wroclaw, Poland [7]; Paris, France [8]; Athens, Greece [9]; Koln, Germany [10]; Helsinki, Finland [11]; Milan, Italy [12].…”

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confidence: 99%

Short-term effects of ambient particles on mortality in the elderly: results from 28 cities in the APHEA2 project

Aga¹,

Samoli²,

Touloumi³

et al. 2003

European Respiratory Journal

112

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Within the framework of the APHEA2 (Air Pollution on Health: a European Approach) project, the effects of ambient particles on mortality among persons o65 yrs were investigated.Daily measurements for particles with a 50% cut-off aerodynamic diameter of 10 mm (PM10) and black smoke (BS), as well as the daily number of deaths among persons o65 yrs of age, from 29 European cities, have been collected. Data on other pollutants and meteorological variables, to adjust for confounding effects and data on city characteristics, to investigate potential effect modification, were also recorded. For individual city analysis, generalised additive models extending Poisson regression, using a locally weighted regression (LOESS) smoother to control for seasonal effects, were applied. To combine individual city results and explore effect modification, second stage regression models were applied.The per cent increase (95% confidence intervals), associated with a 10 mg?m -3 increase in PM10, in the elderly daily number of deaths was 0.8% (0.7-0.9%) and the corresponding number for BS was 0.6% (0.5-0.8%). The effect size was modified by the long-term average levels of nitrogen dioxide (higher levels were associated with larger effects), temperature (larger effects were observed in warmer countries), and by the proportion of the elderly in each city (a larger proportion was associated with higher effects). These results indicate that ambient particles have effects on mortality among the elderly, with relative risks comparable or slightly higher than those observed for total mortality and similar effect modification patterns. The effects among the older persons are of particular importance, since the attributable number of events will be much larger, compared to the number of deaths among the younger population. The APHEA (Air Pollution on Health: a European Approach) project [1-3] started as an attempt to provide quantitative estimates of the short-term health effects of air pollution, using an extensive database from 10 different European countries (15 cities with w25 million people), through time series data and meta-analysis.Daily measurements of black smoke (BS), sulphur dioxide (SO 2 ), suspended particles (as total or particles with an aerodynamic diameter smaller than a certain cut off), nitrogen dioxide (NO 2 ) and ozone (O 3 ) were derived from existing monitoring networks. The outcome data were daily counts of total and cause-specific deaths and hospital emergency admissions. Data on potential confounders (e.g. seasonal and long term patterns, meteorological factors, day of the week, holidays, influenza epidemics, unusual events such as strikes of medical staff) were also used.Poisson regression allowing for autocorrelation and overdispersion was used in the analysis, controlling for all potential confounding factors, choosing the "best" air pollution models, and applying diagnostic tools to check the adequacy of the models.The results of APHEA were firstly reported in a series of articles describing the individu...

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Short term respiratory health effects of ambient air pollution: results of the APHEA project in Paris.

Cited by 128 publications

References 16 publications

Air pollution and emergency admissions for cardiorespiratory diseases in Lisbon (Portugal)

Air pollution and emergency admissions for cardiorespiratory diseases in Lisbon (Portugal)

Ambient Particles and Health: Lines that Divide

Short-term effects of ambient particles on mortality in the elderly: results from 28 cities in the APHEA2 project

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