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Khaniabadi YO, Fanelli R, De Marco A, Daryanoosh SM, Kloog I, Hopke PK, Conti GO, Ferrante M, Mohammadi MJ, Babaei AA, Basiri H, Goudarzi G. Hospital admissions in Iran for cardiovascular and respiratory diseases attributed to the Middle Eastern Dust storms. Environ Sci Pollut Res Int 2017; 24:16860-16868. [PMID: 28573562 DOI: 10.1007/s11356-017-9298-5] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [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: 10/18/2016] [Accepted: 05/17/2017] [Indexed: 06/07/2023]
Abstract
The main objective of this study was to assess the possible effects of airborne particulate matter less than 10 μm in diameter (PM10) from the Middle Eastern Dust (MED) events on human health in Khorramabad (Iran) in terms of estimated hospital admissions (morbidity) for cardiovascular diseases (HACD) and for respiratory diseases (HARD) during the period of 2015 to 2016. The AirQ program developed by the World Health Organization (WHO) was used to estimate the potential health impacts to daily PM10 exposures. The numbers of excess cases for cardiovascular/respiratory morbidity were 20/51, 72/185, and 20/53 on normal, dusty, and MED event days, respectively. The highest number of hospital admissions was estimated for PM10 concentrations in the range of 40 to 49 μg/m3, i.e, lower than the daily (50 μg/m3) limit value established by WHO. The results also showed that 4.7% (95% CI 3.2-6.7%) and 4.2% (95% CI 2.6-5.8%) of HARD and HACD, respectively, were attributed to PM10 concentrations above 10 μg/m3. The study demonstrates a significant impact of air pollution on people, which is manifested primarily as respiratory and cardiovascular problems. To reduce these effects, several immediate actions should be taken by the local authorities to control the impacts of dust storms on residents' health, e.g., developing a green beltway along the Iran-Iraq border and management of water such as irrigation of dry areas that would be effective as mitigation strategies.
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Affiliation(s)
- Yuef Omidi Khaniabadi
- Health Care System of Karoon, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Roberto Fanelli
- Department of Environmental Health Sciences, IRCCS, Istituto di Ricerche Farmacologiche, Mario Negri, Milan, Italy
| | - Alessandra De Marco
- Department of Territorial and Production Systems Sustainability, ENEA, Rome, Italy.
| | | | - Itai Kloog
- Department of Environmental Health, Harvard University, 665 Huntington Avenue, Landmark Center Room 415, Boston, MA, 02115, USA
| | - Philip K Hopke
- Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642, USA
- Center for Air Resources Engineering and Science, Clarkson University, Potsdam, NY, 13699, USA
| | - Gea Oliveri Conti
- Environmental and Food Hygiene Laboratories (LIAA) of Department of Medical Sciences, Surgical and Advanced Technologies "G.F. Ingrassia", Hygiene and Public Health, University of Catania, Catania, Italy
| | - Margherita Ferrante
- Environmental and Food Hygiene Laboratories (LIAA) of Department of Medical Sciences, Surgical and Advanced Technologies "G.F. Ingrassia", Hygiene and Public Health, University of Catania, Catania, Italy
| | | | - Ali Akbar Babaei
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Hassan Basiri
- Department of Environmental Health Engineering, School of Health, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Gholamreza Goudarzi
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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