RT info:eu-repo/semantics/article
T1 Health impact assessment of air pollution in Valladolid, Spain
A1 Cárdaba Arranz, Mario
A1 Muñoz Moreno, María Fe
A1 Armentia Medina, Alicia
A1 Alonso Capitán, Margarita
A1 Carreras Vaquer, Fernando
A1 Almaraz Gómez, Ana
K1 Higiene ambiental
AB To estimate the attributable and targetedavoidable deaths (ADs; TADs) of outdoor air pollution byambient particulate matter (PM10), PM2.5 and O3according to specific WHO methodology.Design: Health impact assessment.Setting: City of Valladolid, Spain (around 300 000residents).Data sources: Demographics; mortality; pollutantconcentrations collected 1999–2008.Main outcome measures: Attributable fractions; ADsand TADs per year for 1999–2008.Results: Higher TADs estimates (shown here) wereobtained when assuming as ‘target’ concentrations WHOAir Quality Guidelines instead of Directive 2008/50/EC.ADs are considered relative to pollutant backgroundlevels. 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-causemortality 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 toPM2.5 (>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 andcardiovascular 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 wereobtained when pollutant concentrations were belowcounterfactuals or assumed risk coefficients were belowone.Conclusions: Our estimates suggest a not negligiblenegative impact on mortality of outdoor air pollution. Theimplementation of WHO methodology provides criticalinformation to distinguish an improvement range in airpollution control.INTRODUCTIONNumerous epidemiological studies conducted
PB BMJ Publishing Group
SN 2044-6055
YR 2014
FD 2014
LK http://uvadoc.uva.es/handle/10324/8392
UL http://uvadoc.uva.es/handle/10324/8392
LA eng
NO BMJ Open 2014, vol.4, n.10. p.3-12
NO Producción Científica
DS UVaDOC
RD 22-nov-2024