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Acute Effects of PM10 on Asthma Hospitalization Among Children and Benefit Analysis at Four Major Cities in Korea

PM10이 소아천식 입원에 미치는 급성 영향 및 건강편익 평가 -서울, 인천, 부산, 울산 4개 도시를 중심으로-

  • Published : 2009.02.28

Abstract

This study assessed the relationships between levels of $PM_{10}$ and hospitalization rates for asthma among children from 2003 to 2005 at four major cities in Korea. In addition, we estimated the reduced number of asthma hospitalization associated with an ambient $PM_{10}$ improvement to the acceptable levels as recommended by the World Health Organization (WHO). The Generalized Additive Model (GAM) was used to estimate the relative risks (RR) of asthma hospitalization associated with changes in $PM_{10}$ The RRs of children's asthma hospitalization for every $10{\mu}g/m^3$ increment in $PM_{10}$ were 1.009(95% CI = 1.004-1.014) in Seoul, 1.013(95% CI = 1.006-1.021) in Incheon, 1.009(95% CI = 1.002-1.016) in Busan, and 1.021(95% CI = 1.005-1.037) in Ulsan. We assessed $PM_{10}$ related health benefits from implementing the WHO's guidelines (24-hour average $50{\mu}g/m^3$) using the U.S. Environmental Protection Agency's Environmental Benefits Mapping and Analysis Program. The estimated benefits were 439(95% CI = 216-666) reduced asthma hospitalization in Seoul, 720(95% CI = 304-1,151) in Incheon, 260(95% CI = 66-459) in Busan, and 126(95% CI = 30-228) in Ulsan. It was concluded that improving $PM_{10}$ condition to the WHO guideline would make a significant contribution to the reduction in asthma hospitalization among children. Therefore, public health measures are still needed to improve air quality in Korea.

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References

  1. Katsouyanni, K., Touloumi, G., Spix, c., Schwarte, J., Balducci, F., Medina, S., Rossi, G., Wojtyniak, B., Sunyer, J., Bacharova, L., Schouten, J. P., Ponka, A. and Anderson, H. R : Short-tenn effects of ambient sulphur dioxide and particulate matter on mortality in 12 European cities: results from time series data from the APHEA project. British Medical Journal, 314(7095), 1658-1663, 1997 https://doi.org/10.1136/bmj.314.7095.1658
  2. Dominici, F., McDermott, A., Daniels, M., Zeger, S. L. and Samet, J. M. : Revised analyses of the National Morbidity, Mortality, and Air Pollution Study: mortality among residents of 90 cities. Journal of Toxicology and Environmental Health. Part A, 68(13-14), 1071-1092, 2005 https://doi.org/10.1080/15287390590935932
  3. Peng, R D., Dominici, F., Pastor-Barriuso, R, Zeger, S. L. and Samet, J. M. : Seasonal analyses of air pollution and mortality in 100 US cities. American Journal of Epidemiology, 161(6), 585-594, 2005 https://doi.org/10.1093/aje/kwi075
  4. Cho, Y. S., Lee, J. T., Son, J. Y. and Kim, Y. S. : A Meta-analysis of air pollution in relation to daily mortality in seven major cities of Korea, 1998-2001. Korean Journal of Environmental Health, 32(4), 304-315, 2006
  5. Schwartz, J. : Air pollution and hospital admissions for heart disease in eight U.S. counties. Epidemiology, 10(1), 17-22, 1999 https://doi.org/10.1097/00001648-199901000-00005
  6. Anderson, H. R., Ponce de Leon, A., Bland, J. M., Bower, J. S., Emberlin, J. and Strachan, D. P. : Air pollution, pollens, and daily admissions for asthma in London 1987-92. Thorax, 53(10), 842-848, 1998 https://doi.org/10.1136/thx.53.10.842
  7. Atkinson, R W., Anderson, H. R., Sunyer, J., Ayres, J., Baccini, M., Vonk, J. M., Boumghar, A., Forastiere, F., Forsberg, B., Touloumi, G., Schwartz, J. and Katsouyanni, K. : Acute effects of particulate air pollution on respiratory admissions: results from APHEA 2 project. Air Pollution and Health: a European Approach. American Journal of Respiratory and Critical Care Medicine, 164(10), 1860-1866, 2001 https://doi.org/10.1164/ajrccm.164.10.2010138
  8. Zanobetti, A., Schwartz, J. and Dockery, D. W. : Airborne particles are a risk factor for hospital admissions for heart and lung disease. Environmental Health Perspectives, 108(11), 1071-1077,2000 https://doi.org/10.2307/3434961
  9. Dominici, F., Peng, R D., Bell, M. L., Pham, L., McDermott, A., Zeger, S. L. and Samet, J. M. : Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. Journal of the American Medical Association, 295(10), 1127-1134, 2006 https://doi.org/10.1001/jama.295.10.1127
  10. Yu, S. D., Cha, J. H., Kim, D. S. and Lee, J. T. :Effects of fine particles on pulmonary function of elementary school children in Ulsan. Korean Journal of Environmental Health, 33(5), 365-371, 2007 https://doi.org/10.5668/JEHS.2007.33.5.365
  11. Wilson, A. M., Wake, C. P., Kelly, T. and Salloway, J. C. : Air pollution, weather, and respiratory emergency room visits in two northern New England cities: an ecological time-series study. Environmental Research, 97(3), 312-321, 2005 https://doi.org/10.1016/j.envres.2004.07.010
  12. Bell, M. L., Ebisu, K. and Belanger, K. : Ambient air pollution and low birth weight in Connecticut and Massachusetts. Environmental Health Perspectives, 115(7), 1118-1124, 2007 https://doi.org/10.1289/ehp.9759
  13. Cho, Y. S., Son, J. Y. and Lee, J. T. : Air pollution exposure and low birth weight of firstborn fetus: A birth cohort study in Seoul, 1999-2003. Korean Journal of Environmental Health, 33(4), 227-234, 2007 https://doi.org/10.5668/JEHS.2007.33.4.227
  14. Bobak, M. and Leon, D. A. : The effect of air pollution on infant mortality appears specific for respiratory causes in the postneonatal period. Epidemiology, 10(6), 666-670, 1999 https://doi.org/10.1097/00001648-199911000-00004
  15. Schwartz, J. : Air pollution and children's health. Pediatrics, 113(4 Suppl), 1037-1043, 2004
  16. Lin, M., Stieb, D. M. and Chen, Y. : Coarse particulate matter and hospitalization for respiratory infections in children younger than 15 years in Toronto: a case-crossover analysis. Pediatrics, 116(2), 235-240, 2005 https://doi.org/10.1542/peds.2004-2012
  17. Salvi, S. : Health effects of ambient air pollution in children. Paediatric Respiratory Reviews, 8(4), 275-280, 2007 https://doi.org/10.1016/j.prrv.2007.08.008
  18. National Health Insurance Corporation : Statistical analysis in health insurance, 2008
  19. World Health Organization : Preventing disease through healthy environments, 2006
  20. Lee, J. T., Kim, H., Song, H., Hong, Y. c., Cho, Y. S., Shin, S. Y., Hyun, Y. J. and Kim, Y. S. : Air pollution and asthma among children in Seoul, Korea. pidemiology, 13(4), 481-484, 2002 https://doi.org/10.1097/00001648-200207000-00018
  21. Lee, J. T. : Association between air pollution and asthma-related hospital admissions in children in Seoul, Korea: A Case-crossover study. Journal of Preventive Medicine and Public Health, 36(1), 47-53, 2003
  22. Kim, S. Y., Kim, H. and Kim, J. : Effects of air pollution on asthma in Seoul : Comparisons across subject characteristics. Journal of Preventive Medicine and Public Health, 39(4), 309-316, 2006
  23. Son, J. Y., Kim, H., Lee, J. T. and Kim, S. Y. : Relationship between the exposure to ozone in Seoul and the childhood asthma-related hospital admissions according to the socioeconomic status. Journal of Preventive Medicine and Public Health, 39(1), 81-86, 2006
  24. Hubbell, B. J., Hallberg, A., McCubbin, D. R. and Post, E. : Health-related benefits of attaining the 8-hrozone standard. Environmental Health Perspectives, 113(1), 73-82, 2005 https://doi.org/10.1289/ehp.7186
  25. Ostro, B. and Chestnut, L. : Assessing the health benefitsf reducing particulate matter air pollution in the United States. Environmental Research, 76(2), 94-106, 1998 https://doi.org/10.1006/enrs.1997.3799
  26. Bell, M. L., Davis, D. L., Gouveia, N., BOIja-Aburto, V. H. and Cifuentes, L. A. : The avoidable health effects of air pollution in three Latin American cities: Santiago, Sao Paulo, and Mexico City. Environmental Research, 100(3), 431-440, 2006 https://doi.org/10.1016/j.envres.2005.08.002
  27. World Health Organization: WHO air quality guidelines for particulate matter, ozone, nitrogen, dioxide and sulfur dioxide, 2005
  28. Dominici, F., McDermott, A., Zeger, S. L. and Samet, 1. M. : On the use of generalized additive models in time-series studies of air pollution and health. American Journal of Epidemiology, 156(3), 193-203, 2002 https://doi.org/10.1093/aje/kwf062
  29. Akaike, K. : Information theory and an extension of the maximum likelihood principle, 19
  30. Davidson, K., Hallberg, A., McCubbin, D. and Hubbell, B. : Analysis of PM2.5 using the Environmental Benefits Mapping and Analysis Program (BenMAP). Journal of Toxicology and Environmental Health. Part A, 70(3-4), 332-346, 2007 https://doi.org/10.1080/15287390600884982
  31. Park, J. I. and Bae, H. J. : Assessing the health benefits of the seoul air quality management plan using BenMAP. Korean Journal of Environmental Health, 32(6), 571-577, 2006
  32. Lin, M., Chen, Y., Burnett, R. T., Villeneuve, P. J. and Krewski, D. : The influence of ambient coarse particulate matter on asthma hospitalization in children:case-crossover and time-series analyses. Environmental Health Perspectives, 110(6), 575-581, 2002 https://doi.org/10.1289/ehp.02110575
  33. Bell, M. L., Davis, D., Cifuentes, L., Cohen, A., Gouveia, N., Grant, L., Green, C., Johnson, T., Rogat, J., Spengler, J. and Thurston, G. : International expert workshop on the analysis of the economic and public health impacts of air pollution: workshop summary. Environmental Health Perspectives, 110(11), 1163-1168, 2002 https://doi.org/10.1289/ehp.021101163
  34. Wong, E. Y., Gohlke, J., Griffith, W. C., Farrow, S. and Faustrnan, E. M. : Assessing the health benefits of air pollution reduction for children. Environmental Health Perspectives, 112(2), 226-232, 2004 https://doi.org/10.1289/ehp.6299
  35. Environmental Protection Agency: The Benefits and Costs of the Clean Air Act Amendments of 1990-2010, 1999
  36. Bae, H. J., Ha, J. S., Lee, A. K. and Park, J. I. : Age dependencies in air pollution-associated asthma hospitalization. Korean Journal of Environmental Health, 34(2), 124-130, 2008

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