2024-03-28T16:22:01Zhttp://uvadoc.uva.es/oai/requestoai:uvadoc.uva.es:10324/83922021-06-23T09:46:40Zcom_10324_1131com_10324_931com_10324_894col_10324_1201
UVaDOC
author
Cárdaba Arranz, Mario
author
Muñoz Moreno, María Fe
author
Armentia Medina, Alicia
author
Alonso Capitán, Margarita
author
Carreras Vaquer, Fernando
author
Almaraz Gómez, Ana
2015-02-18T10:14:58Z
2015-02-18T10:14:58Z
2014
BMJ Open 2014, vol.4, n.10. p.3-12
2044-6055
http://uvadoc.uva.es/handle/10324/8392
10.1136/bmjopen-2014-005999
3
10
12
BMJ Open
47
To estimate the attributable and targeted
avoidable deaths (ADs; TADs) of outdoor air pollution by
ambient particulate matter (PM10), PM2.5 and O3
according to specific WHO methodology.
Design: Health impact assessment.
Setting: City of Valladolid, Spain (around 300 000
residents).
Data sources: Demographics; mortality; pollutant
concentrations collected 1999–2008.
Main outcome measures: Attributable fractions; ADs
and TADs per year for 1999–2008.
Results: Higher TADs estimates (shown here) were
obtained when assuming as ‘target’ concentrations WHO
Air Quality Guidelines instead of Directive 2008/50/EC.
ADs are considered relative to pollutant background
levels. All-cause mortality associated to PM10 (all ages):
52 ADs (95%CI 39 to 64); 31 TADs (95%CI 24 to 39).
All-cause mortality associated to PM10 (<5 years): 0 ADs
(95% CI 0 to 1); 0 TADs (95% CI 0 to 1). All-cause
mortality associated to PM2.5 (>30 years): 326 ADs
(95% CI 217 to 422); 231 TADs (95% CI 153 to 301).
Cardiopulmonary and lung cancer mortality associated to
PM2.5 (>30 years):
▸ Cardiopulmonary: 186 ADs (95% CI 74 to 280);
94 TADs (95% CI 36 to 148).
▸ Lung cancer : 51 ADs (95% CI 21 to 73); 27 TADs
(95% CI 10 to 41).All-cause, respiratory and
cardiovascular mortality associated to O3 (all ages):
▸ All-cause: 52ADs (95% CI 25 to 77) ; 31 TADs (95%
CI 15 to 45).
▸ Respiratory: 5ADs (95% CI −2 to 13) ; 3 TADs (95%
CI −1 to 8).
▸ Cardiovascular: 30 ADs (95% CI 8 to 51) ; 17 TADs
(95% CI 5 to 30).
Negative estimates which should be read as zero were
obtained when pollutant concentrations were below
counterfactuals or assumed risk coefficients were below
one.
Conclusions: Our estimates suggest a not negligible
negative impact on mortality of outdoor air pollution. The
implementation of WHO methodology provides critical
information to distinguish an improvement range in air
pollution control.
INTRODUCTION
Numerous epidemiological studies conducted
eng
Attribution-NonCommercial-NoDerivatives 4.0 International
Higiene ambiental
Health impact assessment of air pollution in Valladolid, Spain
info:eu-repo/semantics/article
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