Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018
Poland has one of the worst air qualities in the European Union, particularly regarding concentrations of particulate matter (PM). This study aimed to evaluate the short-term effects of air pollution and weather conditions on all-cause mortality and pneumonia-related hospitalizations in three Polish...
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MDPI AG
2022-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/11/3084 |
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| author | Piotr Dąbrowiecki Artur Badyda Andrzej Chciałowski Piotr Oskar Czechowski August Wrotek |
| author_facet | Piotr Dąbrowiecki Artur Badyda Andrzej Chciałowski Piotr Oskar Czechowski August Wrotek |
| author_sort | Piotr Dąbrowiecki |
| collection | DOAJ |
| description | Poland has one of the worst air qualities in the European Union, particularly regarding concentrations of particulate matter (PM). This study aimed to evaluate the short-term effects of air pollution and weather conditions on all-cause mortality and pneumonia-related hospitalizations in three Polish agglomerations. We investigated data from 2011 to 2018 on a number of health outcomes, concentrations of PM<sub>2.5</sub>, PM<sub>10</sub>, nitrogen dioxide (NO<sub>2</sub>), ozone (O<sub>3</sub>), and selected meteorological parameters. To examine the impact of air pollutants and weather conditions on mortality and pneumonia burden, we identified optimal general regression models for each agglomeration. The final models explained <24% of the variability in all-cause mortality. In the models with interactions, O<sub>3</sub> concentration in Warsaw, NO<sub>2</sub>, O<sub>3</sub>, and PM<sub>2.5</sub> concentrations in Cracow and PM<sub>10</sub> and O<sub>3</sub> concentrations in the Tricity explained >10% of the variability in the number of deaths. Up to 46% of daily variability in the number of pneumonia-related hospitalizations was explained by the combination of both factors, i.e., air quality and meteorological parameters. The impact of NO<sub>2</sub> levels on pneumonia burden was pronounced in all agglomerations. We showed that the air pollution profile and its interactions with weather conditions exert a short-term effect on all-cause mortality and pneumonia-related hospitalizations. Our findings may be relevant for prioritizing strategies to improve air quality. |
| first_indexed | 2024-03-10T01:11:14Z |
| format | Article |
| id | doaj.art-5abf796624ec41f6a7eaa3d5eb1aa5ea |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:11:14Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5abf796624ec41f6a7eaa3d5eb1aa5ea2023-11-23T14:16:34ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-011111308410.3390/jcm11113084Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018Piotr Dąbrowiecki0Artur Badyda1Andrzej Chciałowski2Piotr Oskar Czechowski3August Wrotek4Department of Allergology and Infectious Diseases, Military Institute of Medicine, 04-141 Warsaw, PolandPolish Federation of Asthma, Allergy and COPD Patients Associations, 01-604 Warsaw, PolandDepartment of Allergology and Infectious Diseases, Military Institute of Medicine, 04-141 Warsaw, PolandDepartment of Quantitative Methods and Environmental Management, Faculty of Management and Quality Science, Gdynia Maritime University, 81-225 Gdynia, PolandDepartment of Pediatrics, The Centre of Postgraduate Medical Education, 01-813 Warsaw, PolandPoland has one of the worst air qualities in the European Union, particularly regarding concentrations of particulate matter (PM). This study aimed to evaluate the short-term effects of air pollution and weather conditions on all-cause mortality and pneumonia-related hospitalizations in three Polish agglomerations. We investigated data from 2011 to 2018 on a number of health outcomes, concentrations of PM<sub>2.5</sub>, PM<sub>10</sub>, nitrogen dioxide (NO<sub>2</sub>), ozone (O<sub>3</sub>), and selected meteorological parameters. To examine the impact of air pollutants and weather conditions on mortality and pneumonia burden, we identified optimal general regression models for each agglomeration. The final models explained <24% of the variability in all-cause mortality. In the models with interactions, O<sub>3</sub> concentration in Warsaw, NO<sub>2</sub>, O<sub>3</sub>, and PM<sub>2.5</sub> concentrations in Cracow and PM<sub>10</sub> and O<sub>3</sub> concentrations in the Tricity explained >10% of the variability in the number of deaths. Up to 46% of daily variability in the number of pneumonia-related hospitalizations was explained by the combination of both factors, i.e., air quality and meteorological parameters. The impact of NO<sub>2</sub> levels on pneumonia burden was pronounced in all agglomerations. We showed that the air pollution profile and its interactions with weather conditions exert a short-term effect on all-cause mortality and pneumonia-related hospitalizations. Our findings may be relevant for prioritizing strategies to improve air quality.https://www.mdpi.com/2077-0383/11/11/3084air pollutionambient particulate matternitrogen dioxideozoneweathermodeling |
| spellingShingle | Piotr Dąbrowiecki Artur Badyda Andrzej Chciałowski Piotr Oskar Czechowski August Wrotek Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018 Journal of Clinical Medicine air pollution ambient particulate matter nitrogen dioxide ozone weather modeling |
| title | Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018 |
| title_full | Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018 |
| title_fullStr | Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018 |
| title_full_unstemmed | Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018 |
| title_short | Influence of Selected Air Pollutants on Mortality and Pneumonia Burden in Three Polish Cities over the Years 2011–2018 |
| title_sort | influence of selected air pollutants on mortality and pneumonia burden in three polish cities over the years 2011 2018 |
| topic | air pollution ambient particulate matter nitrogen dioxide ozone weather modeling |
| url | https://www.mdpi.com/2077-0383/11/11/3084 |
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