Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru
Abstract Background Lima is one of the more polluted cities in Latin America. High levels of PM2.5 have been shown to increase health center outpatient visits of respiratory diseases. Methods Health center outpatient visits for children < 5 years for childhood respiratory disease (acute lower res...
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | Environmental Health |
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| Online Access: | https://doi.org/10.1186/s12940-020-0564-5 |
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| author | Jennifer Estefanía Davila Cordova Vilma Tapia Aguirre Vanessa Vasquez Apestegui Luis Ordoñez Ibarguen Bryan N. Vu Kyle Steenland Gustavo F. Gonzales |
| author_facet | Jennifer Estefanía Davila Cordova Vilma Tapia Aguirre Vanessa Vasquez Apestegui Luis Ordoñez Ibarguen Bryan N. Vu Kyle Steenland Gustavo F. Gonzales |
| author_sort | Jennifer Estefanía Davila Cordova |
| collection | DOAJ |
| description | Abstract Background Lima is one of the more polluted cities in Latin America. High levels of PM2.5 have been shown to increase health center outpatient visits of respiratory diseases. Methods Health center outpatient visits for children < 5 years for childhood respiratory disease (acute lower respiratory infections (ALRI), pneumonia and acute bronchiolitis/asthma) from 498 public clinics in Lima were available on a weekly basis from 2011 to 2015 from Peru’s Ministry of Health (MINSA). The association between the average weekly concentrations of PM2.5 was evaluated in relation to the number of weekly health center outpatient visits for children. Weekly PM2.5 values were estimated using a recently developed model that combined data observed from ground monitors, with data from space satellite and meteorology. Ground monitoring data came from 10 fixed stations of the Peruvian National Service of Meteorology and Hydrology (SENAMHI) and from 6 mobile stations located in San Juan de Miraflores by Johns Hopkins University. We conducted a time-series analysis using a negative binomial model. Results We found a significant association between exposure to PM2.5 and all three types of respiratory diseases, across all age groups. For an interquartile increase in PM2.5, we found an increase of 6% for acute lower respiratory infections, an increase of 16–19% for pneumonia, and an increase of 10% for acute bronchiolitis / asthma. Conclusions Higher emissions of environmental pollutants such as PM2,5 could be a trigger for the increase of health center outpatients visits for respiratory diseases (ALRI, pneumonia and asthma), which are themselves risk factors for mortality for children in Lima province, Peru. |
| first_indexed | 2024-12-14T05:37:54Z |
| format | Article |
| id | doaj.art-de62aad3dc1b40e3875bab30ba3ee8f6 |
| institution | Directory Open Access Journal |
| issn | 1476-069X |
| language | English |
| last_indexed | 2024-12-14T05:37:54Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Environmental Health |
| spelling | doaj.art-de62aad3dc1b40e3875bab30ba3ee8f62022-12-21T23:15:07ZengBMCEnvironmental Health1476-069X2020-01-011911610.1186/s12940-020-0564-5Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, PeruJennifer Estefanía Davila Cordova0Vilma Tapia Aguirre1Vanessa Vasquez Apestegui2Luis Ordoñez Ibarguen3Bryan N. Vu4Kyle Steenland5Gustavo F. Gonzales6Faculty 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 HerediaFaculty of Sciences and Philosophy, and Laboratory of Investigation and Development, Universidad Peruana Cayetano HerediaNational Center for Epidemiology, Prevention and Control of DiseasesDepartment of Environmental Health, Rollins School of Public Health, Emory UniversityDepartment of Environmental Health, Rollins School of Public Health, Emory UniversityFaculty of Sciences and Philosophy, and Laboratory of Investigation and Development, Universidad Peruana Cayetano HerediaAbstract Background Lima is one of the more polluted cities in Latin America. High levels of PM2.5 have been shown to increase health center outpatient visits of respiratory diseases. Methods Health center outpatient visits for children < 5 years for childhood respiratory disease (acute lower respiratory infections (ALRI), pneumonia and acute bronchiolitis/asthma) from 498 public clinics in Lima were available on a weekly basis from 2011 to 2015 from Peru’s Ministry of Health (MINSA). The association between the average weekly concentrations of PM2.5 was evaluated in relation to the number of weekly health center outpatient visits for children. Weekly PM2.5 values were estimated using a recently developed model that combined data observed from ground monitors, with data from space satellite and meteorology. Ground monitoring data came from 10 fixed stations of the Peruvian National Service of Meteorology and Hydrology (SENAMHI) and from 6 mobile stations located in San Juan de Miraflores by Johns Hopkins University. We conducted a time-series analysis using a negative binomial model. Results We found a significant association between exposure to PM2.5 and all three types of respiratory diseases, across all age groups. For an interquartile increase in PM2.5, we found an increase of 6% for acute lower respiratory infections, an increase of 16–19% for pneumonia, and an increase of 10% for acute bronchiolitis / asthma. Conclusions Higher emissions of environmental pollutants such as PM2,5 could be a trigger for the increase of health center outpatients visits for respiratory diseases (ALRI, pneumonia and asthma), which are themselves risk factors for mortality for children in Lima province, Peru.https://doi.org/10.1186/s12940-020-0564-5Health center outpatient visitsPM2.5Respiratory diseasesAir pollutionChildren |
| spellingShingle | Jennifer Estefanía Davila Cordova Vilma Tapia Aguirre Vanessa Vasquez Apestegui Luis Ordoñez Ibarguen Bryan N. Vu Kyle Steenland Gustavo F. Gonzales Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru Environmental Health Health center outpatient visits PM2.5 Respiratory diseases Air pollution Children |
| title | Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru |
| title_full | Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru |
| title_fullStr | Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru |
| title_full_unstemmed | Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru |
| title_short | Association of PM2.5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru |
| title_sort | association of pm2 5 concentration with health center outpatient visits for respiratory diseases of children under 5 years old in lima peru |
| topic | Health center outpatient visits PM2.5 Respiratory diseases Air pollution Children |
| url | https://doi.org/10.1186/s12940-020-0564-5 |
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