A new multipollutant, no-threshold air quality health index based on short-term associations observed in daily time-series analyses

Stieb, DM; Burnett, RT; Smith-Doiron, M; Brion, O; Shin, HH; Economou, V

HERO ID

620207

Reference Type

Journal Article

Year

2008

Language

English

PMID

18376646

HERO ID 620207
In Press No
Year 2008
Title A new multipollutant, no-threshold air quality health index based on short-term associations observed in daily time-series analyses
Authors Stieb, DM; Burnett, RT; Smith-Doiron, M; Brion, O; Shin, HH; Economou, V
Journal Journal of the Air and Waste Management Association (1990-1992)
Volume 58
Issue 3
Page Numbers 435-450
Abstract Air quality indices currently in use have been criticized because they do not capture additive effects of multiple pollutants, or reflect the apparent no-threshold concentration-response relationship between air pollution and health. We propose a new air quality health index (AQHI), constructed as the sum of excess mortality risk associated with individual pollutants from a time-series analysis of air pollution and mortality in Canadian cities, adjusted to a 0-10 scale, and calculated hourly on the basis of trailing 3-hr average pollutant concentrations. Extensive sensitivity analyses were conducted using alternative combinations of pollutants from single and multipollutant models. All formulations considered produced frequency distributions of the daily maximum AQHI that were right-skewed, with modal values of 3 or 4, and less than 10% of values at 7 or above on the 10-point scale. In the absence of a gold standard and given the uncertainty in how to best reflect the mix of pollutants, we recommend a formulation based on associations of nitrogen dioxide, ozone, and particulate matter of median aerodynamic diameter less than 2.5 μm with mortality from single-pollutant models. Further sensitivity analyses revealed good agreement of this formulation with others based on alternative sources of coefficients drawn from published studies of mortality and morbidity. These analyses provide evidence that the AQHI represents a valid approach to formulating an index with the objective of allowing people to judge the relative probability of experiencing adverse health effects from day to day. Together with health messages and a graphic display, the AQHI scale appears promising as an air quality risk communication tool. [ABSTRACT FROM AUTHOR] Copyright of Journal of the Air & Waste Management Association (1995) is the property of Air & Waste Management Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts)
Doi 10.3155/1047-3289.58.3.435
Pmid 18376646
Wosid WOS:000253876100009
Url http://www.tandfonline.com/doi/abs/10.3155/1047-3289.58.3.435
Is Certified Translation No
Dupe Override No
Comments Source: Web of Science WOS:000253876100009
Is Public Yes
Language Text English
Keyword POLLUTANTS; AIR quality; HEALTH status indicators; TIME-series analysis; AIR -- Pollution; NITROGEN dioxide; ENVIRONMENTAL aspects; OZONE; PARTICULATE matter; AERODYNAMICS
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