Are the Short-term Effects of Air Pollution Restricted to Cardiorespiratory Diseases?

Larrieu, S; Lefranc, A; Gault, G; Chatignoux, E; Couvy, F; Jouves, B; Filleul, L

HERO ID

180294

Reference Type

Journal Article

Year

2009

Language

English

PMID

19342399

HERO ID 180294
In Press No
Year 2009
Title Are the Short-term Effects of Air Pollution Restricted to Cardiorespiratory Diseases?
Authors Larrieu, S; Lefranc, A; Gault, G; Chatignoux, E; Couvy, F; Jouves, B; Filleul, L
Journal American Journal of Epidemiology
Volume 169
Issue 10
Page Numbers 1-8
Abstract Short-term effects of air pollution on common morbidity are largely unknown. The authors explored links between daily levels of air pollution (nitrogen dioxide, ozone, and particulate matter less than 10 lm in diameter (PM10)) and medical home visits made for diverse reasons in Bordeaux, France, during 2000–2006. Daily numbers of visits were obtained from a network of general practitioners. The excess relative risk (ERR) of a visit for each indicator associated with increased pollutant levels was estimated by fitting a Poisson regression model, controlling for well known confounding factors and temporal trends. Positive and significant associations were found between air pollution and most health indicators. A 10-lg/m3 increase in PM10 levels was associated with increases in visits for upper and lower respiratory diseases (ERRs were 1.5% (95% confidence interval (CI): 0.3, 2.7) and 2.5% (95% CI: 0.5, 4.4), respectively), headache and asthenia (ERR = 3.5%, 95% CI: 1.3, 5.9), and skin rash and conjunctivitis (ERR= 3.2%, 95% CI: -0.2, 6.8). Significant associations were also found between nitrogen dioxide and ozone and several health indicators. Distributed-lag models showed no harvesting effect, and some effects persisted up to 15 days after exposure increased. These results suggest that considering only the most severe effects of air pollution leads to underestimation of its impact on public health.
Doi 10.1093/aje/kwp032
Pmid 19342399
Wosid WOS:000265739600005
Is Certified Translation No
Dupe Override No
Comments Source: Web of Science WOS:000265739600005
Is Public Yes
Language Text English
Keyword air pollution;asthenia;conjunctivitis;exanthema;headache;primary health care;respiratory tract diseases;EMERGENCY-DEPARTMENT VISITS;DOCTORS HOUSE CALLS;RESPIRATORY-DISEASES;ATOPIC-DERMATITIS;CASE-CROSSOVER;GREATER PARIS;ASSOCIATION;CHILDREN;HEALTH;CONSULTATIONS;PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Is Qa No