Keywords
attributable mortality in Spain
PM10
NO2
O3
How to Cite
Abstract
There are no up-to-date papers in Spain about the impact of air pollution on daily mortality at the provincial level. Three papers on the effect of PM10, NO2 and O3 levels on daily mortality in the capitals of the 52 Spanish provinces have been recently published but there is no synthesis focusing on the joint effect of these three pollutants.
Therefore, the purpose of this paper is to explain the joint methodology that has been followed in these studies, the main results obtained therein and the limitations of this type of paper and its implications for public health. The main conclusion is that the mortality rate that is ascribable to chemical air pollution in Spain stands at 9500 deaths per year. This figure represents one fifth the mortality associated with smoking and is 8 times greater than the number of road traffic deaths In other words, 3% of the mortality rate in Spain would be related to the short-term effects of chemical air pollution. Thus, it is essential to formulate structural action plans to lower the levels of chemical air pollution in Spanish large cities. In the particular case of ozone, the calculation of a threshold value at the provincial level could be useful in devising prevention plans similar to those already in place for preventing heat strokes.
References
WHO, 2018. http://www.who.int/es/news-room/fact-sheets/ detail/ambient-(outdoor)-air-quality-and-health.
Cohen AJ, Brauer M, Burnett R, et ál. Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study 2015. Lancet 2017; 389(10082):1907-18.
Samoli E, Stafoggia M, Rodopoulou S, et ál. Which specific causes of death are associated with short term exposure to fine and coarse particles in Southern Europe? Results from the MED- PARTICLES Project. Environ Int. 2014; 67:54-61.
Katsouyanni K, Touloumi G, Samoli E, et ál. Confounding and effect modification in the short-term effects of ambient particles on total mortality: results from 29 European cities within the APHEA2 project. Epidemiology 2001; 12(5):521-31.
Atkinson RW, Anderson HR, Sunyer J, et ál. Acute effects of particulate air pollution on respiratory admissions: results from APHEA 2 project. Air Pollution and Health: a European Approach, Am. J. Respir. Crit. Care Med. 2001; 164(10 Pt 1):1860-6.
Boldo E, Medina S, LeTertre A, et ál. Apheis: Health impact assessment of long-term exposure to PM2,5 in 23 European cities. Eur. J. Epidemiol. 2006; 21(6):449-58.
Ballester F, Medina S, Boldo E, et ál. Reducing ambient levels of fine particulates could substantially improve health: a mortality impact assessment for 26 European cities. J. Epidemiol. Community Health 2008; 62(2):98-105.
Samoli E, Stafoggia M, Rodopoulou S, et ál. Associations between fine and coarse particles and mortality in Mediterranean cities: results from the MED-PARTICLES project. Environ Health Perspect. 2013; 121(8):932-8.
Samoli E, Stafoggia M, Rodopoulou S, et ál. Which specific causes of death are associated with short term exposure to fine and coarse particles in Southern Europe? Results from the MED- PARTICLES Project. Environ Int. 2014; 67:54-61.
Basagaña X, Jacquemin B, Karanasiou A, et ál. Short-term Effects of Particulate Matter Constituents on Daily Hospitalizations and Mortality in Five Mediterranean Cities: Results from the MED- PARTICLES Project. Environmental Int. 2015; 75:151-8.
WHO, 2013. Review of evidence on health aspects of air pollution- REVIHAAP Project, Copenhagen: WHO Regional Office for Europe. 2013.
Katsouyanni K, Zmirou D, Spix C, et ál. Short term effects of air pollution on health: a European approach using epidemiologic timeseries data. The Aphea project: background, objectives, design. Eur. Respir. J. 1995; 8:1030-8.
Stafoggia M, Samoli E, Alessandrini E, et ál. Short-term associations between fine and coarse particulate matter and hospitalizations in southern Europe: results from the MED-PARTICLES project. Environ. Health Perspect. 2013; 121 (9):1026-33.
Katsouyanni K, Samet JM, Anderson HR, et ál. Air pollution and health: a European and North American approach (APHENA). Res . Rep. Health. Eff. Inst. 2009 Oct;(142):5-90.
Turner MC, Jerrett M, Pope CA, et ál. Long-Term Ozone Exposure and Mortality in a Large Prospective Study. Am J. Respir. Crit. Care Med. 2016; 193(10):1134-42.
Ballester F, Iñíguez C, Sáez M, et ál. Short-term relationship between air pollution and mortality in 13 Spanish cities. Med. Clin. (Barc). 2003; 121(18):684-9.
Sáez M, Ballester F, Barceló MA, et ál. A combined analysis of the short-term effects of photochemical air pollutants on mortality within the EMECAM project. Environ. Health Perspect. 2002; 110(3):221-8.
Díaz J, García R, Ribera P, et ál. Modeling of Air Pollution and its Relationship with mortality and morbidity in Madrid (Spain). Int. Archiv. Occup. Environ Health. 1999; 72: 366-76.
Maté T, Guaita R, Pichiule M, et ál. Short-term effect of fine particulate matter PM2,5 on daily mortality due to diseases of the circulatory system in Madrid (Spain). Sci. Tot. Environ. 2010; 408:5750-7.
Guaita R, Pichule M, Maté T, et ál. Short-term impact of particulate matter PM2,5 on respiratory mortality in Madrid. Int. J. Environ Health Res. 2011; 21:260-74.
Ortiz C, Linares C, Carmona R, Díaz J. Evaluation of short-term mortality attributable to particulate matter pollution in Spain. Environ. Pol. 2017; 224:541-51.
Linares C, Falcón I, Ortiz C, Díaz J. An approach estimating the short-term effect of NO2 on daily mortality in Spanish cities. Environment International 2018; 116:18-28.
Díaz J, Ortiz C, Falcón I, Linares C. Short-term effect of tropospheric ozone on daily mortality in Spain. Atmospheric Environment 2018; 187:107-16.
O’Neill MS, Zanobetti A, Schwartz J. Modifiers of the temperature and mortality association in seven US cities. Am. J. Epidemiol. 2003; 157(12):1074-82.
Stafoggia M, Schwartz J, Forastiere F, Perucci CA. Does temperature modify the association between air pollution and mortality? A multicity case-crossover analysis in Italy. Am. J. Epidemiol. 2008;167(12):1476-85.
Madrigano J, Jack D, Anderson GB, et ál. Temperature, ozone, and mortality in urban and non-urban counties in the northeastern United States. Environ. Health. 2015; 14:3.
Millán M. El Ozono Troposférico en el Sur de Europa: Aspectos dinámicos documentados en proyectos europeos, Fundación CEAM. 2009. https://docplayer,es/16388792- El-ozono-troposferico-en-el-sur-de-europa-aspectos- dinamicos-documentados-en-proyectos-europeos-version- actualizada-2009.html.
Díaz J, Carmona R, Mirón IJ, et ál. Geographical variation in relative risks associated with heat: update of Spain’s Heat Wave Prevention Plan. Environ. Int. 2015; 85:273-83.
Alberdi JC, Díaz J, Montero JC, Mirón IJ. Daily mortality in Madrid Community (Spain) 1986-1991: Relationship with atmospheric variables. Eur. J Epidemiol. 1998; 14:571-8.
Malley CS, Henze DK, Kuylenstierna JCI, et ál. Updated Global Estimates of Respiratory Mortality in Adults ≥30Years of Age Attributable to Long-Term Ozone Exposure. Environ. Health Perspect. 2017; 125(8):087021.
Bae S, Lim YH, Kashima S, et ál. Non-Linear Concentration- Response Relationships between Ambient Ozone and Daily Mortality. PLoS One 2015; 10(6):e0129423.
Sterne JAC (Ed). Meta-analysis in Stata: an Updated Collection from the Stata Journal. College Station, Tx: Stata Press 2009 (ISBN-
: 978-1-59718-049-8).
Coste J, Spira A. Le proportion de cas attributable en Sante Publique: definition(s), estimation(s) et interpretation. Rev. Epidemiol. Santé Publique. 1991; 51:399-411.
Querol X, Viana M, Moreno T, Alastuey A (eds). Bases científico- técnicas para un Plan Nacional de Mejora de la Calidad del Aire. Barcelona CSIC, 2012.
Díaz J, Madrid, Linares C, et ál. Saharan dust intrusions in Spain: Health impacts and associated synoptic conditions. Environmental Research 2017; 156:455-67.
Dominici F, Peng RD, Zeger SL, et ál. Particulate air pollution and mortality in the United States: did the risks change from 1987 to 2000? Am. J. Epidemiol. 2007; 166(8):880-8.
Samoli E, Analitis A, Touloumi G, et ál. Estimating the exposure- response relationships between particulate matter and mortality within the APHEA multicity project. Environ. Health Perspect. 2005 Jan; 113(1):88-95.
Pope CA, Ezzati M, Dockery DW. Fine-particulate air pollution and life expectancy in the United States. N Engl. J. Med. 2009; 360(4):376-86.
Burnett RT, Stieb D, Brook JR, et ál. Associations between short- term changes in nitrogen dioxide and mortality in Canadian cities. Arch. Environ. Health 2004; 59 (5): 228-36.
Shin HH, Stieb D, Burnett R, et ál. Tracking national and regional spatial-temporal mortality risk associated with NO2 concentrations in Canada: a Bayesian hierarchical two-level model. Risk Anal. Off. Publ. Soc. Risk Anal. 2012; 32(3): 513-30.
Brunekreef B, Holgate ST. Air pollution and health. Lancet 2002; 360(9341):1233-42.
Atkinson RW, Yu D, Armstrong BG, et ál. Concentration-response function for ozone and daily mortality: results from five urban and five rural U,K, populations. Environ. Health Perspect. 2012;
(10):1411-7.
Filleul L, Cassadou S, Médina S, et ál. The relation between temperature, ozone, and mortality in nine French cities during the heat wave of 2003. Environ. Health Perspect. 2006; 114(9):1344-7.
Bell ML, Peng RD, Dominici. The exposure-response curve for ozone and risk of mortality and the adequacy of current ozone regulations. Environ. Health Perspect. 2006; 114(4):532-6.
Samoli E, Zanobetti A, Schwartz J, et ál. The temporal pattern of mortality responses to ambient ozone in the APHEA project. J. Epidemiol Community Health 2009; 63(12):960-6.
Madrigano J, Jack D, Anderson GB, et ál. Temperature, ozone, and mortality in urban and non-urban counties in the northeastern United States. Environ Health. 2015; 14:3.
Pascal L. Short-term health effects of air pollution on mortality. Rev. Mal. Respir. 2009; 26(2):207-19.
Amiot N, Tillon J, Viacroze C, et ál. Consequences of atmospheric pollution fluctuations in patients with COP. Rev. Mal. Respir. 2010; 27(8):907-12.
Schwartz J. The year of ozone. Am. J. Respir. Crit. Care Med. 2016; 193(10):1077-9.
WHO, 2016. Ambient air pollution: A global assessment of exposure and burden disease. Geneva: World Health Organization. 2016.
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