PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016

Abstract Background There have been no studies of air pollution and mortality in Lima, Peru. We evaluate whether daily environmental PM2.5 exposure is associated to respiratory and cardiovascular mortality in Lima during 2010 to 2016. Methods We analyzed 86,970 deaths from respiratory and cardiovasc...

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Main Authors: Vilma Tapia, Kyle Steenland, Bryan Vu, Yang Liu, Vanessa Vásquez, Gustavo F. Gonzales
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Environmental Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12940-020-00618-6
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author Vilma Tapia
Kyle Steenland
Bryan Vu
Yang Liu
Vanessa Vásquez
Gustavo F. Gonzales
author_facet Vilma Tapia
Kyle Steenland
Bryan Vu
Yang Liu
Vanessa Vásquez
Gustavo F. Gonzales
author_sort Vilma Tapia
collection DOAJ
description Abstract Background There have been no studies of air pollution and mortality in Lima, Peru. We evaluate whether daily environmental PM2.5 exposure is associated to respiratory and cardiovascular mortality in Lima during 2010 to 2016. Methods We analyzed 86,970 deaths from respiratory and cardiovascular diseases in Lima from 2010 to 2016. Estimated daily PM2.5 was assigned based on district of residence. Poisson regression was used to estimate associations between daily district-level PM2.5 exposures and daily counts of deaths. Results An increase in 10 μg/m3 PM2.5 on the day before was significantly associated with daily cardiorespiratory mortality (RR 1.029; 95% CI: 1.01–1.05) across all ages and in the age group over 65 (RR 1.04; 95% CI: 1.005–1.09) which included 74% of all deaths. We also observed associations with circulatory deaths for all age groups (RR 1.06; 95% CI: 1.01–1.11), and those over 65 (RR 1.06; 95% CI 1.00–1.12). A borderline significant trend was seen (RR 1.05; 95% CI 0.99–1.06; p = 0.10) for respiratory deaths in persons aged over 65. Trends were driven by the highest quintile of exposure. Conclusions PM2.5 exposure is associated with daily cardiorespiratory mortality in Lima, especially for older people. Our data suggest that the existing limits on air pollution exposure are too high.
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spelling doaj.art-802a58d83d404785854a663e51641ea62022-12-21T18:51:50ZengBMCEnvironmental Health1476-069X2020-06-011911710.1186/s12940-020-00618-6PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016Vilma Tapia0Kyle Steenland1Bryan Vu2Yang Liu3Vanessa Vásquez4Gustavo F. Gonzales5Faculty of Sciences and Philosophy, and Laboratory of Investigation and Development, Universidad Peruana Cayetano HerediaDepartment of Environmental Health, Rollins School of Public Health, Emory UDepartment of Environmental Health, Rollins School of Public Health, Emory UDepartment of Environmental Health, Rollins School of Public Health, Emory UFaculty of Sciences and Philosophy, and Laboratory of Investigation and Development, Universidad Peruana Cayetano HerediaFaculty of Sciences and Philosophy, and Laboratory of Investigation and Development, Universidad Peruana Cayetano HerediaAbstract Background There have been no studies of air pollution and mortality in Lima, Peru. We evaluate whether daily environmental PM2.5 exposure is associated to respiratory and cardiovascular mortality in Lima during 2010 to 2016. Methods We analyzed 86,970 deaths from respiratory and cardiovascular diseases in Lima from 2010 to 2016. Estimated daily PM2.5 was assigned based on district of residence. Poisson regression was used to estimate associations between daily district-level PM2.5 exposures and daily counts of deaths. Results An increase in 10 μg/m3 PM2.5 on the day before was significantly associated with daily cardiorespiratory mortality (RR 1.029; 95% CI: 1.01–1.05) across all ages and in the age group over 65 (RR 1.04; 95% CI: 1.005–1.09) which included 74% of all deaths. We also observed associations with circulatory deaths for all age groups (RR 1.06; 95% CI: 1.01–1.11), and those over 65 (RR 1.06; 95% CI 1.00–1.12). A borderline significant trend was seen (RR 1.05; 95% CI 0.99–1.06; p = 0.10) for respiratory deaths in persons aged over 65. Trends were driven by the highest quintile of exposure. Conclusions PM2.5 exposure is associated with daily cardiorespiratory mortality in Lima, especially for older people. Our data suggest that the existing limits on air pollution exposure are too high.http://link.springer.com/article/10.1186/s12940-020-00618-6Air pollutionParticulate matter (PM2.5)MortalityLima
spellingShingle Vilma Tapia
Kyle Steenland
Bryan Vu
Yang Liu
Vanessa Vásquez
Gustavo F. Gonzales
PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016
Environmental Health
Air pollution
Particulate matter (PM2.5)
Mortality
Lima
title PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016
title_full PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016
title_fullStr PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016
title_full_unstemmed PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016
title_short PM2.5 exposure on daily cardio-respiratory mortality in Lima, Peru, from 2010 to 2016
title_sort pm2 5 exposure on daily cardio respiratory mortality in lima peru from 2010 to 2016
topic Air pollution
Particulate matter (PM2.5)
Mortality
Lima
url http://link.springer.com/article/10.1186/s12940-020-00618-6
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