Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study

Abstract Objectives The association between concentrations of sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3), and emergency ambulance dispatches (EADs) for asthma was explored in the central Sichuan Basin of southwestern China for the first time. Methods EADs for asth...

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Main Authors: Jianyu Chen, Xianyan Jiang, Chunli Shi, Ruicong Liu, Rong Lu, Li Zhang
Format: Article
Language:English
Published: Komiyama Printing Co. Ltd 2019-03-01
Series:Environmental Health and Preventive Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12199-019-0773-0
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author Jianyu Chen
Xianyan Jiang
Chunli Shi
Ruicong Liu
Rong Lu
Li Zhang
author_facet Jianyu Chen
Xianyan Jiang
Chunli Shi
Ruicong Liu
Rong Lu
Li Zhang
author_sort Jianyu Chen
collection DOAJ
description Abstract Objectives The association between concentrations of sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3), and emergency ambulance dispatches (EADs) for asthma was explored in the central Sichuan Basin of southwestern China for the first time. Methods EADs for asthma were collected from the Chengdu First-Aid Command Center. Pollutant concentrations were collected from 24 municipal environmental monitoring centers and including SO2, NO2, CO, daily 8-h mean concentrations of O3 (O3-8 h), and particulate matter less than 2.5 μm in aerodynamic diameter (PM2.5). The climatic data were collected from the Chengdu Municipal Meteorological Bureau. All data were collected from years spanning 2013–2017. A time-stratified case-crossover design was used to analyze the data. Results After controlling for temperature, relative humidity, and atmospheric pressure, IQR increases in SO2 (13 μg/m3), NO2 (17 μg/m3), and CO (498 μg/m3) were associated with 18.8%, 11.5%, and 3.1% increases in EADs for asthma, respectively. The associations were strongest for EADs and SO2, NO2, and CO levels with 3-, 5-, and 1-day lags, respectively. Conclusions This study provides additional data to the limited body of literature for potential health risks arising from ambient gaseous pollutants. The results of the study suggest that increased concentrations of SO2, NO2, and CO were positively associated with emergency ambulance dispatches for asthma in Chengdu, China. Further studies are needed to investigate the effects of individual air pollutants on asthma.
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spelling doaj.art-9000a4abca9940308e619e5e6de1f1392022-12-22T00:53:08ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152019-03-0124111010.1186/s12199-019-0773-0Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover studyJianyu Chen0Xianyan Jiang1Chunli Shi2Ruicong Liu3Rong Lu4Li Zhang5Sichuan Provincial Center for Disease Control and PreventionSichuan Provincial Center for Disease Control and PreventionSichuan Provincial Center for Disease Control and PreventionSichuan Provincial Center for Disease Control and PreventionChengdu Center for Disease Control and PreventionSichuan Provincial Center for Disease Control and PreventionAbstract Objectives The association between concentrations of sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3), and emergency ambulance dispatches (EADs) for asthma was explored in the central Sichuan Basin of southwestern China for the first time. Methods EADs for asthma were collected from the Chengdu First-Aid Command Center. Pollutant concentrations were collected from 24 municipal environmental monitoring centers and including SO2, NO2, CO, daily 8-h mean concentrations of O3 (O3-8 h), and particulate matter less than 2.5 μm in aerodynamic diameter (PM2.5). The climatic data were collected from the Chengdu Municipal Meteorological Bureau. All data were collected from years spanning 2013–2017. A time-stratified case-crossover design was used to analyze the data. Results After controlling for temperature, relative humidity, and atmospheric pressure, IQR increases in SO2 (13 μg/m3), NO2 (17 μg/m3), and CO (498 μg/m3) were associated with 18.8%, 11.5%, and 3.1% increases in EADs for asthma, respectively. The associations were strongest for EADs and SO2, NO2, and CO levels with 3-, 5-, and 1-day lags, respectively. Conclusions This study provides additional data to the limited body of literature for potential health risks arising from ambient gaseous pollutants. The results of the study suggest that increased concentrations of SO2, NO2, and CO were positively associated with emergency ambulance dispatches for asthma in Chengdu, China. Further studies are needed to investigate the effects of individual air pollutants on asthma.http://link.springer.com/article/10.1186/s12199-019-0773-0Air pollutionBasinEmergency ambulance dispatchesAsthmaTime-stratified case-crossover
spellingShingle Jianyu Chen
Xianyan Jiang
Chunli Shi
Ruicong Liu
Rong Lu
Li Zhang
Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study
Environmental Health and Preventive Medicine
Air pollution
Basin
Emergency ambulance dispatches
Asthma
Time-stratified case-crossover
title Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study
title_full Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study
title_fullStr Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study
title_full_unstemmed Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study
title_short Association between gaseous pollutants and emergency ambulance dispatches for asthma in Chengdu, China: a time-stratified case-crossover study
title_sort association between gaseous pollutants and emergency ambulance dispatches for asthma in chengdu china a time stratified case crossover study
topic Air pollution
Basin
Emergency ambulance dispatches
Asthma
Time-stratified case-crossover
url http://link.springer.com/article/10.1186/s12199-019-0773-0
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