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Evaluation of Chronic Obstructive Pulmonary Disease (Copd) Attributed to Atmospheric O3, No2, and So2 Using Air Q Model (2011-2012 Year) Publisher Pubmed



Ghanbari Ghozikali M1, 2 ; Heibati B3 ; Naddafi K2 ; Kloog I4 ; Oliveri Conti G5 ; Polosa R6 ; Ferrante M5
Authors
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Authors Affiliations
  1. 1. Tabriz Health Services Management Research Center, Department of Environmental Health Engineering, East Azerbaijan Province Health Center, Tabriz, University of Medical Sciences, Tabriz, Iran
  2. 2. Department of Environmental Health Engineering, School of Public Health and Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Occupational Health Engineering, Faculty of Health and Health Sciences Research Center, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
  4. 4. Department of Environmental Health, Harvard University, 665 Huntington Avenue, Landmark Center, Boston, 0211, MA, United States
  5. 5. Environmental and Food Hygiene Laboratories (LIAA), Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia, Hygiene and Public Health, University of Catania, Via S. Sofia 87, Catania, 95123, Italy
  6. 6. Department of Internal and Emergency Medicine, Teaching Hospital-Policlinico-V. Emanuele II, University of Catania, Catania, 95123, Italy

Source: Environmental Research Published:2016


Abstract

Chronic obstructive pulmonary disease (COPD) is an important disease worldwide characterized by chronically poor airflow. The economic burden of COPD on any society can be enormous if not managed. We applied the approach proposed by the World Health Organization (WHO) using the AirQ2.2.3 software developed by the WHO European Center for Environment and Health on air pollutants in Tabriz (Iran) (2011-2012 year). A 1h average of concentrations of ozone (O3), daily average concentrations of nitrogen dioxide (NO2) and sulfur dioxide (SO2) were used to assess human exposure and health effect in terms of attributable proportion of the health outcome and annual number of excess cases of Hospital Admissions for COPD (HA COPD). The results of this study showed that 2% (95% CI: 0.8-3.1%) of HA COPD were attributed to O3 concentrations over 10μg/m3. In addition, 0.7 % (95% CI: 0.1-1.8%) and 0.5% (95% CI: 0-1%) of HA COPD were attributed to NO2 and SO2 concentrations over 10μg/m3 respectively. In this study, we have shown that O3, NO2 and SO2 have a significant impact on COPD hospitalization. Given these results the policy decisions are needed in order to reduce the chronic pulmonary diseases caused by air pollution and furthermore better quantification studies are recommended. © 2015 Elsevier Inc.
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