NDLI: A 10-year time-series analysis of respiratory and cardiovascular morbidity in Nicosia, Cyprus: the effect of short-term changes in air pollution and dust storms

Content Provider	Springer Nature : BioMed Central
Author	Middleton, Nicos Yiallouros, Panayiotis Kleanthous, Savvas Kolokotroni, Ourania Schwartz, Joel Dockery, Douglas W Demokritou, Phil Koutrakis, Petros
Abstract	Background To date, a substantial body of research has shown adverse health effects of short-term changes in levels of air pollution. Such associations have not been investigated in smaller size cities in the Eastern Mediterranean. A particular feature in the region is dust blown from the Sahara a few times a year resulting in extreme PM10 concentrations. It is not entirely clear whether such natural phenomena pose the same risks. Methods The effect of changes in daily levels of particulate matter (PM10) and ozone (O3) on hospitalization for all, cardiovascular and respiratory causes in the two hospitals in Nicosia during 1 January 1995 and 30 December 2004 was investigated using generalized additive Poisson models after controlling for long- and short-term patterns as well as for the effect of weather. Meteorological records were reviewed to identify dust-storm days and analyses were repeated to quantify their effect on cardio-respiratory morbidity. Results For every 10 μg/m3 increase in daily average PM10 concentrations, there was a 0.9% (95%CI: 0.6%, 1.2%) increase in all-cause and 1.2% (95%CI: -0.0%, 2.4%) increase in cardiovascular admissions. With respect to respiratory causes, an effect was observed only in the warm months. No lagged effects with levels of PM10 were observed. In contrast, positive associations with levels of ozone were only observed the two days prior to admission. These appeared stronger for cardiovascular causes and independent of the effect of PM. All-cause and cardiovascular admissions were 4.8% (95%CI: 0.7%, 9.0%) and 10.4% (95%CI: -4.7%, 27.9%) higher on dust storm days respectively. In both cases the magnitude of effect was comparable to that seen on the quartile of non-storm days with the highest levels of PM10. Conclusion We observed an increased risk of hospitalization at elevated levels of particulate matter and ozone generally consistent with the magnitude seen across several European cities. We also observed an increased risk of hospitalization on dust storm days, particularly for cardiovascular causes. While inference from these associations is limited due to the small number of dust storm days in the study period, it would appear imperative to issue health warnings for these natural events, particularly directed towards vulnerable population groups.
Related Links	https://ehjournal.biomedcentral.com/counter/pdf/10.1186/1476-069X-7-39.pdf
Ending Page	16
Page Count	16
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/1476-069X-7-39
Journal	Environmental Health
Issue Number	1
Volume Number	7
Language	English
Publisher	BioMed Central
Publisher Date	2008-07-22
Access Restriction	Open
Subject Keyword	Occupational Medicine Industrial Medicine Public Health Environmental Health Ozone Dust Storm PM10 Concentration Rural Station Dust Storm Event Occupational Medicine/Industrial Medicine
Content Type	Text
Resource Type	Article
Subject	Health, Toxicology and Mutagenesis Public Health, Environmental and Occupational Health
Journal Impact Factor	5.4/2023
5-Year Journal Impact Factor	6.7/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Global Health Impacts of Dust Storms: A Systematic Review

Desert dust outbreaks and respiratory morbidity in Athens, Greece

Short-term air pollution exposure decreases lung function: a repeated measures study in healthy adults

Current and future climate- and air pollution-mediated impacts on human health

Association between acute exacerbation of chronic obstructive pulmonary disease and short-term exposure to ambient air pollutants in France

Associations between ozone and morbidity using the Spatial Synoptic Classification system

Association between long-term exposure to ambient air pollution and prevalence of diabetes mellitus among Malaysian adults

Assessing short-term impact of PM10 on mortality using a semiparametric generalized propensity score approach

Short term exposure to air pollution and mortality in the US: a double negative control analysis

A 10-year time-series analysis of respiratory and cardiovascular morbidity in Nicosia, Cyprus: the effect of short-term changes in air pollution and dust storms

Similar Documents

Global Health Impacts of Dust Storms: A Systematic Review

Desert dust outbreaks and respiratory morbidity in Athens, Greece

Short-term air pollution exposure decreases lung function: a repeated measures study in healthy adults

Current and future climate- and air pollution-mediated impacts on human health

Association between acute exacerbation of chronic obstructive pulmonary disease and short-term exposure to ambient air pollutants in France

Associations between ozone and morbidity using the Spatial Synoptic Classification system

Association between long-term exposure to ambient air pollution and prevalence of diabetes mellitus among Malaysian adults

Assessing short-term impact of PM10 on mortality using a semiparametric generalized propensity score approach

Short term exposure to air pollution and mortality in the US: a double negative control analysis

A 10-year time-series analysis of respiratory and cardiovascular morbidity in Nicosia, Cyprus: the effect of short-term changes in air pollution and dust storms