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Acute and Subacute Effects of Urban Air Pollution on Cardiopulmonary Emergencies and Mortality: Time Series Studies in Austrian Cities

Author

Listed:
  • Manfred Neuberger

    (Institute of Environmental Health, Medical University of Vienna, A-1090 Kinderspitalgasse 15, Austria)

  • Hanns Moshammer

    (Institute of Environmental Health, Medical University of Vienna, A-1090 Kinderspitalgasse 15, Austria)

  • Daniel Rabczenko

    (National Institute of Public Health – National Institute of Hygiene, PL-00-791 Warsaw, ul. Chocimska 24, Poland)

Abstract

Daily pollution data (collected in Graz over 16 years and in the Linz over 18 years) were used for time series studies (GAM and case-crossover) on the relationship with daily mortality (overall and specific causes of death). Diagnoses of patients who had been transported to hospitals in Linz were also available on a daily basis from eight years for time series analyses of cardiopulmonary emergencies. Increases in air pollutant levels over several days were followed by increases in mortality and the observed effects increased with the length of the exposure window considered, up to a maximum of 15 days. These mortality changes in Graz and Linz showed similar patterns like the ones found before in Vienna. A significant association of mortality could be demonstrated with NO 2 , PM 2.5 and PM 10 even in summer, when concentrations are lower and mainly related to motor traffic. Cardiorespiratory ambulance transports increased with NO 2 /PM 2.5 /PM 10 by 2.0/6.1/1.7% per 10 µg/m³ on the same day. Monitoring of NO 2 (related to motor traffic) and fine particulates at urban background stations predicts acute effects on cardiopulmonary emergencies and extended effects on cardiopulmonary mortality. Both components of urban air pollution are indicators of acute cardiopulmonary health risks, which need to be monitored and reduced, even below current standards.

Suggested Citation

  • Manfred Neuberger & Hanns Moshammer & Daniel Rabczenko, 2013. "Acute and Subacute Effects of Urban Air Pollution on Cardiopulmonary Emergencies and Mortality: Time Series Studies in Austrian Cities," IJERPH, MDPI, vol. 10(10), pages 1-24, October.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:10:p:4728-4751:d:29282
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    References listed on IDEAS

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    1. Shan Zheng & Minzhen Wang & Shigong Wang & Yan Tao & Kezheng Shang, 2013. "Short-Term Effects of Gaseous Pollutants and Particulate Matter on Daily Hospital Admissions for Cardio-Cerebrovascular Disease in Lanzhou: Evidence from a Heavily Polluted City in China," IJERPH, MDPI, vol. 10(2), pages 1-16, January.
    2. Fengying Zhang & Liping Li & Thomas Krafft & Jinmei Lv & Wuyi Wang & Desheng Pei, 2011. "Study on the Association between Ambient Air Pollution and Daily Cardiovascular and Respiratory Mortality in an Urban District of Beijing," IJERPH, MDPI, vol. 8(6), pages 1-15, June.
    3. Baccini, Michela & Biggeri, Annibale & Lagazio, Corrado & Lertxundi, Aitana & Saez, Marc, 2007. "Parametric and semi-parametric approaches in the analysis of short-term effects of air pollution on health," Computational Statistics & Data Analysis, Elsevier, vol. 51(9), pages 4324-4336, May.
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    Cited by:

    1. Lisbeth Weitensfelder & Hanns Moshammer, 2019. "Evidence of Adaptation to Increasing Temperatures," IJERPH, MDPI, vol. 17(1), pages 1-9, December.
    2. Hanns Moshammer & Michael Poteser & Michael Kundi & Kathrin Lemmerer & Lisbeth Weitensfelder & Peter Wallner & Hans-Peter Hutter, 2020. "Nitrogen-Dioxide Remains a Valid Air Quality Indicator," IJERPH, MDPI, vol. 17(10), pages 1-11, May.
    3. Ssu-Ting Liu & Chu-Yung Liao & Cheng-Yu Kuo & Hsien-Wen Kuo, 2017. "The Effects of PM 2.5 from Asian Dust Storms on Emergency Room Visits for Cardiovascular and Respiratory Diseases," IJERPH, MDPI, vol. 14(4), pages 1-10, April.
    4. Ling Zhang & Changjin Ou & Dhammika Magana-Arachchi & Meththika Vithanage & Kanth Swaroop Vanka & Thava Palanisami & Kanaji Masakorala & Hasintha Wijesekara & Yubo Yan & Nanthi Bolan & M. B. Kirkham, 2021. "Indoor Particulate Matter in Urban Households: Sources, Pathways, Characteristics, Health Effects, and Exposure Mitigation," IJERPH, MDPI, vol. 18(21), pages 1-33, October.
    5. Vidmantas Vaičiulis & Jonė Venclovienė & Auksė Miškinytė & Rūta Ustinavičienė & Audrius Dėdelė & Gintarė Kalinienė & Dalia Lukšienė & Abdonas Tamošiūnas & Laura Seiduanova & Ričardas Radišauskas, 2023. "Association between Outdoor Air Pollution and Fatal Acute Myocardial Infarction in Lithuania between 2006 and 2015: A Time Series Design," IJERPH, MDPI, vol. 20(5), pages 1-14, March.
    6. Zana Shabani Isenaj & Merita Berisha & Dragan Gjorgjev & Mirjana Dimovska & Hanns Moshammer & Antigona Ukëhaxhaj, 2022. "Air Pollution in Kosovo: Short Term Effects on Hospital Visits of Children Due to Respiratory Health Diagnoses," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
    7. Hanns Moshammer & Julian Panholzer & Lisa Ulbing & Emanuel Udvarhelyi & Barbara Ebenbauer & Stefanie Peter, 2019. "Acute Effects of Air Pollution and Noise from Road Traffic in a Panel of Young Healthy Adults," IJERPH, MDPI, vol. 16(5), pages 1-16, March.
    8. Zana Shabani Isenaj & Merita Berisha & Antigona Ukëhaxhaj & Hanns Moshammer, 2022. "Particulate Air Pollution and Primary Care Visits in Kosovo: A Time-Series Approach," IJERPH, MDPI, vol. 19(24), pages 1-7, December.

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