Dataset Information

Health impact assessment of air pollution in Valladolid, Spain.

ABSTRACT: OBJECTIVE:To estimate the attributable and targeted avoidable deaths (ADs; TADs) of outdoor air pollution by ambient particulate matter (PM10), PM2.5 and O3 according to specific WHO methodology. DESIGN:Health impact assessment. SETTING:City of Valladolid, Spain (around 300?000 residents). DATA SOURCES:Demographics; mortality; pollutant concentrations collected 1999-2008. MAIN OUTCOME MEASURES:Attributable fractions; ADs and TADs per year for 1999-2008. RESULTS:Higher TADs estimates (shown here) were obtained when assuming as 'target' concentrations WHO Air Quality Guidelines instead of Directive 2008/50/EC. ADs are considered relative to pollutant background levels. All-cause mortality associated to PM10 (all ages): 52 ADs (95% CI 39 to 64); 31 TADs (95% CI 24 to 39).All-cause mortality associated to PM10 (<5?years): 0 ADs (95% CI 0 to 1); 0 TADs (95% CI 0 to 1). All-cause mortality associated to PM2.5 (>30?years): 326 ADs (95% CI 217 to 422); 231 TADs (95% CI 153 to 301). Cardiopulmonary and lung cancer mortality associated to PM2.5 (>30?years): Cardiopulmonary: 186 ADs (95% CI 74 to 280); 94 TADs (95% CI 36 to 148). Lung cancer : 51 ADs (95% CI 21 to 73); 27 TADs (95% CI 10 to 41).All-cause, respiratory and cardiovascular mortality associated to O3 (all ages): All-cause: 52ADs (95% CI 25 to 77) ; 31 TADs (95% CI 15 to 45). Respiratory: 5ADs (95% CI -2 to 13) ; 3 TADs (95% CI -1 to 8). Cardiovascular: 30 ADs (95% CI 8 to 51) ; 17 TADs (95% CI 5 to 30). Negative estimates which should be read as zero were obtained when pollutant concentrations were below counterfactuals or assumed risk coefficients were below one. CONCLUSIONS:Our estimates suggest a not negligible negative impact on mortality of outdoor air pollution. The implementation of WHO methodology provides critical information to distinguish an improvement range in air pollution control.

SUBMITTER: Cardaba Arranz M

PROVIDER: S-EPMC4202014 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature

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Health impact assessment of air pollution in Valladolid, Spain.

Cárdaba Arranz Mario M Muñoz Moreno María Fe MF Armentia Medina Alicia A Alonso Capitán Margarita M Carreras Vaquer Fernando F Almaraz Gómez Ana A

BMJ open 20141017 10

<h4>Objective</h4>To estimate the attributable and targeted avoidable deaths (ADs; TADs) of outdoor air pollution by ambient particulate matter (PM10), PM2.5 and O3 according to specific WHO methodology.<h4>Design</h4>Health impact assessment.<h4>Setting</h4>City of Valladolid, Spain (around 300 000 residents).<h4>Data sources</h4>Demographics; mortality; pollutant concentrations collected 1999-2008.<h4>Main outcome measures</h4>Attributable fractions; ADs and TADs per year for 1999-2008.<h4>Res ...[more]

PMID: 25326212

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Health impact assessment of air pollution in Valladolid, Spain.

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Health impact assessment of air pollution in Valladolid, Spain.

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