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Synergistic Effects of Ambient Temperature and Air Pollution on Health in Europe: Results from the PHASE Project

Author

Listed:
  • Antonis Analitis

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece)

  • Francesca De’ Donato

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Matteo Scortichini

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Timo Lanki

    (Department of Health Security, National Institute for Health and Welfare (THL), 70210 Kuopio, Finland
    Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210 Kuopio, Finland)

  • Xavier Basagana

    (Barcelona Institute for Global Health (ISGlobal), 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), 08002 Barcelona, Spain
    Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain)

  • Ferran Ballester

    (Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
    FISABIO, Epidemiology and Environmental Health Joint Research Unit, Universitat Jaume I, Universitat de València, 46010 Valencia, Spain)

  • Christopher Astrom

    (Unit of Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, 90187 Umeå, Sweden)

  • Anna Paldy

    (National Public Health Institute, Directorate of Public Health, 1097 Budapest, Hungary)

  • Mathilde Pascal

    (Department of Environmental Health (DSE), Santé Publique France, 94415 Saint Maurice, France)

  • Antonio Gasparrini

    (Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK
    Centre for Statistical Methodology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Paola Michelozzi

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Klea Katsouyanni

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
    Department of Population Health Sciences and Department of Analytical, Environmental and Forensic Sciences, School of Population Health & Environmental Sciences, King’s College London, London SE1 9NH, UK)

Abstract

We studied the potential synergy between air pollution and meteorology and their impact on mortality in nine European cities with data from 2004 to 2010. We used daily series of Apparent Temperature (AT), measurements of particulate matter (PM 10 ), ozone (O 3 ), and nitrogen dioxide (NO 2 ) and total non-accidental, cardiovascular, and respiratory deaths. We applied Poisson regression for city-specific analysis and random effects meta-analysis to combine city-specific results, separately for the warm and cold seasons. In the warm season, the percentage increase in all deaths from natural causes per °C increase in AT tended to be greater during high ozone days, although this was only significant for all ages when all causes were considered. On low ozone days, the increase in the total daily number of deaths was 1.84% (95% CI 0.87, 2.82), whilst it was 2.20% (95% CI 1.28, 3.13) in the high ozone days per 1 °C increase in AT. Interaction with PM 10 was significant for cardiovascular (CVD) causes of death for all ages (2.24% on low PM 10 days (95% CI 1.01, 3.47) whilst it is 2.63% (95% CI 1.57, 3.71) on high PM 10 days) and for ages 75+. In days with heat waves, no consistent pattern of interaction was observed. For the cold period, no evidence for synergy was found. In conclusion, some evidence of interactive effects between hot temperature and the levels of ozone and PM 10 was found, but no consistent synergy could be identified during the cold season.

Suggested Citation

  • Antonis Analitis & Francesca De’ Donato & Matteo Scortichini & Timo Lanki & Xavier Basagana & Ferran Ballester & Christopher Astrom & Anna Paldy & Mathilde Pascal & Antonio Gasparrini & Paola Micheloz, 2018. "Synergistic Effects of Ambient Temperature and Air Pollution on Health in Europe: Results from the PHASE Project," IJERPH, MDPI, vol. 15(9), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1856-:d:166165
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    References listed on IDEAS

    as
    1. Francesca K. De’ Donato & Michela Leone & Matteo Scortichini & Manuela De Sario & Klea Katsouyanni & Timo Lanki & Xavier Basagaña & Ferran Ballester & Christofer Åström & Anna Paldy & Mathilde Pascal , 2015. "Changes in the Effect of Heat on Mortality in the Last 20 Years in Nine European Cities. Results from the PHASE Project," IJERPH, MDPI, vol. 12(12), pages 1-17, December.
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    Cited by:

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    2. Geraldine P. Y. Koo & Huili Zheng & Pin Pin Pek & Fintan Hughes & Shir Lynn Lim & Jun Wei Yeo & Marcus E. H. Ong & Andrew F. W. Ho, 2022. "Clustering of Environmental Parameters and the Risk of Acute Myocardial Infarction," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    3. Lawrence A. Palinkas & Jessenia De Leon & Kexin Yu & Erika Salinas & Cecilia Fernandez & Jill Johnston & Md Mostafijur Rahman & Sam J. Silva & Michael Hurlburt & Rob S. McConnell & Erika Garcia, 2023. "Adaptation Resources and Responses to Wildfire Smoke and Other Forms of Air Pollution in Low-Income Urban Settings: A Mixed-Methods Study," IJERPH, MDPI, vol. 20(7), pages 1-16, April.
    4. Pierre Masselot & Fateh Chebana & Éric Lavigne & Céline Campagna & Pierre Gosselin & Taha B.M.J. Ouarda, 2019. "Toward an Improved Air Pollution Warning System in Quebec," IJERPH, MDPI, vol. 16(12), pages 1-14, June.
    5. Agnieszka Jakubowska & Marcin Rabe, 2022. "Air Pollution and Limitations in Health: Identification of Inequalities in the Burdens of the Economies of the “Old” and “New” EU," Energies, MDPI, vol. 15(17), pages 1-16, August.
    6. Geraldine P. Y. Koo & Huili Zheng & Joel C. L. Aik & Benjamin Y. Q. Tan & Vijay K. Sharma & Ching Hui Sia & Marcus E. H. Ong & Andrew F. W. Ho, 2023. "Clustering of Environmental Parameters and the Risk of Acute Ischaemic Stroke," IJERPH, MDPI, vol. 20(6), pages 1-10, March.
    7. Tingru Yang & Wenling Liu, 2019. "Health Effects of Energy Intensive Sectors and the Potential Health Co-Benefits of a Low Carbon Industrial Transition in China," IJERPH, MDPI, vol. 16(17), pages 1-18, August.
    8. Brandy M. Byrwa-Hill & Arvind Venkat & Albert A. Presto & Judith R. Rager & Deborah Gentile & Evelyn Talbott, 2020. "Lagged Association of Ambient Outdoor Air Pollutants with Asthma-Related Emergency Department Visits within the Pittsburgh Region," IJERPH, MDPI, vol. 17(22), pages 1-10, November.
    9. Pierre Masselot & Fateh Chebana & Taha B. M. J. Ouarda & Diane Bélanger & Pierre Gosselin, 2022. "Data-Enhancement Strategies in Weather-Related Health Studies," IJERPH, MDPI, vol. 19(2), pages 1-13, January.

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