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The Relationship between Daily Concentration of Fine Particulate Matter in Ambient Air and Exacerbation of Respiratory Diseases in Silesian Agglomeration, Poland

Author

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  • Małgorzata Kowalska

    (Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, 40-055 Katowice, Poland)

  • Michał Skrzypek

    (Department of Biostatistics, School of Public Health in Bytom, Medical University of Silesia, 40-055 Katowice, Poland)

  • Michał Kowalski

    (Environmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, Germany)

  • Josef Cyrys

    (Environmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, Germany)

  • Niewiadomska Ewa

    (Department of Biostatistics, School of Public Health in Bytom, Medical University of Silesia, 40-055 Katowice, Poland)

  • Elżbieta Czech

    (Department of Biostatistics, School of Public Health in Bytom, Medical University of Silesia, 40-055 Katowice, Poland)

Abstract

The relationship between the worsening of air quality during the colder season of the year and respiratory health problems among the exposed population in many countries located in cold climates has been well documented in numerous studies. Silesian Voivodeship, a region located in southern Poland, is one of the most polluted regions in Europe. The aim of this study was to assess the relationship between daily concentration of particulate matter (PM: PM 2.5 and PM 10 ) in ambient air and exacerbations of respiratory diseases during the period from 1 January 2016 to 31 August 2017 in the central agglomeration area of Silesian Voivodeship. The study results confirmed a significant increase of daily fine particulate matter concentration in ambient air during the cold season in Silesian Voivodeship with a simultaneous increase of the number of outpatient visits and hospitalizations due to respiratory diseases. The moving average concentration was better suited for the modelling of biological response as a result of PM 2.5 or PM 10 exposure than the temporal lag of health effects. Each increase of dose expressed in the form of moving average concentration over a longer time leads to an increase in the daily number of respiratory effects. The highest risk of hospitalization due to respiratory diseases was related to longer exposure of PM expressed by two to four weeks of exposure; outpatient visits was related to a shorter exposure duration of 3 days.

Suggested Citation

  • Małgorzata Kowalska & Michał Skrzypek & Michał Kowalski & Josef Cyrys & Niewiadomska Ewa & Elżbieta Czech, 2019. "The Relationship between Daily Concentration of Fine Particulate Matter in Ambient Air and Exacerbation of Respiratory Diseases in Silesian Agglomeration, Poland," IJERPH, MDPI, vol. 16(7), pages 1-10, March.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1131-:d:218141
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    References listed on IDEAS

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    1. Fengchao Liang & Lin Tian & Qun Guo & Dane Westerdahl & Yang Liu & Xiaobin Jin & Guoxing Li & Xiaochuan Pan, 2017. "Associations of PM 2.5 and Black Carbon with Hospital Emergency Room Visits during Heavy Haze Events: A Case Study in Beijing, China," IJERPH, MDPI, vol. 14(7), pages 1-13, July.
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    Cited by:

    1. Dorota Kaleta & Barbara Kozielska, 2022. "Spatial and Temporal Volatility of PM2.5, PM10 and PM10-Bound B[a]P Concentrations and Assessment of the Exposure of the Population of Silesia in 2018–2021," IJERPH, MDPI, vol. 20(1), pages 1-17, December.
    2. Małgorzata Kowalska & Michał Skrzypek & Michał Kowalski & Josef Cyrys, 2020. "Effect of NO x and NO 2 Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland," IJERPH, MDPI, vol. 17(3), pages 1-9, January.

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