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Bergmann ML, Andersen ZJ, Massling A, Kindler PA, Loft S, Amini H, Cole-Hunter T, Guo Y, Maric M, Nordstrøm C, Taghavi M, Tuffier S, So R, Zhang J, Lim YH. Short-term exposure to ultrafine particles and mortality and hospital admissions due to respiratory and cardiovascular diseases in Copenhagen, Denmark. Environ Pollut 2023; 336:122396. [PMID: 37595732 DOI: 10.1016/j.envpol.2023.122396] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 08/14/2023] [Accepted: 08/15/2023] [Indexed: 08/20/2023]
Abstract
Ultrafine particles (UFP; particulate matter <0.1 μm in diameter) may be more harmful to human health than larger particles, but epidemiological evidence on their health effects is still limited. In this study, we examined the association between short-term exposure to UFP and mortality and hospital admissions in Copenhagen, Denmark. Daily concentrations of UFP (measured as particle number concentration in a size range 11-700 nm) and meteorological variables were monitored at an urban background station in central Copenhagen during 2002-2018. Daily counts of deaths from all non-accidental causes, as well as deaths and hospital admissions from cardiovascular and respiratory diseases were obtained from Danish registers. Mortality and hospital admissions associated with an interquartile range (IQR) increase in UFP exposure on a concurrent day and up to six preceding days prior to the death or admission were examined in a case-crossover study design. Odds ratios (OR) with 95% confidence intervals (CI) per one IQR increase in UFP were estimated after adjusting for temperature and relative humidity. We observed 140,079 deaths in total, 236,003 respiratory and 342,074 cardiovascular hospital admissions between 2002 and 2018. Hospital admissions due to respiratory and cardiovascular diseases were significantly positively associated with one IQR increase in UFP (OR: 1.04 [95% CI: 1.01, 1.07], lag 0-4, and 1.02 [1.00, 1.04], lag 0-1, respectively). Among the specific causes, the strongest associations were found for chronic obstructive pulmonary disease (COPD) mortality and asthma hospital admissions and two-day means (lag 0-1) of UFP (OR: 1.13 [1.01, 1.26] and 1.08 [1.00, 1.16], respectively, per one IQR increase in UFP). Based on 17 years of UFP monitoring data, we present novel findings showing that short-term exposure to UFP can trigger respiratory and cardiovascular diseases mortality and morbidity in Copenhagen, Denmark. The strongest associations with UFP were observed with COPD mortality and asthma hospital admissions.
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Affiliation(s)
- Marie L Bergmann
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Zorana J Andersen
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Andreas Massling
- Department of Environmental Science, IClimate, Aarhus University, Denmark
| | | | - Steffen Loft
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Heresh Amini
- Department of Environmental Medicine and Public Health, and Institute for Exposomic Research, Icahn School of Medicine at Mount Sinai, New York, United States
| | - Thomas Cole-Hunter
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Yuming Guo
- Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Matija Maric
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Claus Nordstrøm
- Department of Environmental Science, IClimate, Aarhus University, Denmark
| | - Mahmood Taghavi
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Stéphane Tuffier
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Rina So
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Jiawei Zhang
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Youn-Hee Lim
- Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
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Morawska L, Zhu T, Liu N, Amouei Torkmahalleh M, de Fatima Andrade M, Barratt B, Broomandi P, Buonanno G, Carlos Belalcazar Ceron L, Chen J, Cheng Y, Evans G, Gavidia M, Guo H, Hanigan I, Hu M, Jeong CH, Kelly F, Gallardo L, Kumar P, Lyu X, Mullins BJ, Nordstrøm C, Pereira G, Querol X, Yezid Rojas Roa N, Russell A, Thompson H, Wang H, Wang L, Wang T, Wierzbicka A, Xue T, Ye C. The state of science on severe air pollution episodes: Quantitative and qualitative analysis. Environ Int 2021; 156:106732. [PMID: 34197974 DOI: 10.1016/j.envint.2021.106732] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 05/27/2021] [Accepted: 06/21/2021] [Indexed: 05/16/2023]
Abstract
Severe episodic air pollution blankets entire cities and regions and have a profound impact on humans and their activities. We compiled daily fine particle (PM2.5) data from 100 cities in five continents, investigated the trends of number, frequency, and duration of pollution episodes, and compared these with the baseline trend in air pollution. We showed that the factors contributing to these events are complex; however, long-term measures to abate emissions from all anthropogenic sources at all times is also the most efficient way to reduce the occurrence of severe air pollution events. In the short term, accurate forecasting systems of such events based on the meteorological conditions favouring their occurrence, together with effective emergency mitigation of anthropogenic sources, may lessen their magnitude and/or duration. However, there is no clear way of preventing events caused by natural sources affected by climate change, such as wildfires and desert dust outbreaks.
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Affiliation(s)
- Lidia Morawska
- International Laboratory for Air Quality and Health, School of Earth and Atmospheric Sciences, Faculty of Science, Queensland University Technology, 2 George Street, Brisbane, Queensland 4001, Australia; Global Centre for Clean Air Research, Department of Civil and Environmental Engineering, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford, Surrey, United Kingdom.
| | - Tong Zhu
- College of Environmental Sciences and Engineering, Peking University, Beijing, China.
| | - Nairui Liu
- International Laboratory for Air Quality and Health, School of Earth and Atmospheric Sciences, Faculty of Science, Queensland University Technology, 2 George Street, Brisbane, Queensland 4001, Australia
| | - Mehdi Amouei Torkmahalleh
- Chemical and Aerosol Research Team, School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan 010000, Kazakhstan; The Environment and Resource Efficiency Cluster, Nazarbayev University, Nur-Sultan 010000, Kazakhstan
| | - Maria de Fatima Andrade
- Department of Atmospheric Sciences, Institute of Astronomy, Geophysics and Atmospheric Sciences (IAG), University of Sao Paulo (USP), Brazil
| | - Benjamin Barratt
- Department of Environmental Health, King's College London, United Kingdom
| | - Parya Broomandi
- Chemical and Aerosol Research Team, School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan 010000, Kazakhstan; School of Engineering, Islamic Azad University, Masjed Soleiman Branch, Iran
| | - Giorgio Buonanno
- International Laboratory for Air Quality and Health, School of Earth and Atmospheric Sciences, Faculty of Science, Queensland University Technology, 2 George Street, Brisbane, Queensland 4001, Australia; University of Cassino and Southern Lazio, Cassino, Italy
| | | | - Jianmin Chen
- Environmental Science & Engineering, Fudan University, Shanghai, China
| | - Yan Cheng
- School of Human Settlements and Civil Engineering, Xi'an Jiaotong University, China
| | - Greg Evans
- Department of Chemical Engineering and Applied Chemistry, University of Toronto, Canada
| | - Mario Gavidia
- Department of Atmospheric Sciences, Institute of Astronomy, Geophysics and Atmospheric Sciences (IAG), University of Sao Paulo (USP), Brazil
| | - Hai Guo
- Department of Civil and Environmental Engineering, Hong Kong Polytechnic University, Hong Kong, China
| | - Ivan Hanigan
- The University of Sydney, University Centre for Rural Health, School of Public Health, New South Wales, Australia
| | - Min Hu
- State Key Joint Laboratory of Environmental Simulation and Pollution Control, Peking University, Beijing, China
| | - Cheol H Jeong
- Department of Chemical Engineering and Applied Chemistry, University of Toronto, Canada
| | - Frank Kelly
- Department of Environmental Health, King's College London, United Kingdom
| | - Laura Gallardo
- Center for Climate and Resilience Research (CR2) and Departamento de Geofísica, Facultad de Ciencias Físicas y Matemáticas, Universidad de Chile, Chile
| | - Prashant Kumar
- Global Centre for Clean Air Research, Department of Civil and Environmental Engineering, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford, Surrey, United Kingdom
| | - Xiaopu Lyu
- Department of Civil and Environmental Engineering, Hong Kong Polytechnic University, Hong Kong, China
| | - Benjamin J Mullins
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Claus Nordstrøm
- Department of Environmental Science, Aarhus University, Denmark
| | - Gavin Pereira
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Xavier Querol
- Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain
| | - Nestor Yezid Rojas Roa
- Department of Chemical and Environmental Engineering, Universidad Nacional de Colombia, Colombia
| | - Armistead Russell
- School of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA, USA
| | - Helen Thompson
- School of Mathematical Sciences, Queensland University of Technology, Brisbane, Australia
| | - Hao Wang
- Institute for Environmental and Climate Research, Jinan University, Guangzhou, China
| | - Lina Wang
- Environmental Science & Engineering, Fudan University, Shanghai, China
| | - Tao Wang
- Department of Civil and Environmental Engineering, Hong Kong Polytechnic University, Hong Kong, China
| | - Aneta Wierzbicka
- Division of Ergonomics and Aerosol Technology, Lund University, Lund, Sweden
| | - Tao Xue
- College of Environmental Sciences and Engineering, Peking University, Beijing, China
| | - Celine Ye
- State Key Joint Laboratory of Environmental Simulation and Pollution Control, Peking University, Beijing, China
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