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Temporal Cross-Correlations between Ambient Air Pollutants and Seasonality of Tuberculosis: A Time-Series Analysis

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  • Hua Wang

    (Department of Infectious Disease Control, Kunshan Centers for Disease Control and Prevention, Kunshan 215300, China)

  • Changwei Tian

    (Department of Infectious Disease Control, Kunshan Centers for Disease Control and Prevention, Kunshan 215300, China)

  • Wenming Wang

    (Department of Infectious Disease Control, Kunshan Centers for Disease Control and Prevention, Kunshan 215300, China)

  • Xiaoming Luo

    (Department of Infectious Disease Control, Kunshan Centers for Disease Control and Prevention, Kunshan 215300, China
    Department of Public Health, Soochow University, Kunshan 215300, China)

Abstract

The associations between ambient air pollutants and tuberculosis seasonality are unclear. We assessed the temporal cross-correlations between ambient air pollutants and tuberculosis seasonality. Monthly tuberculosis incidence data and ambient air pollutants (PM 2.5 , PM 10 , carbon monoxide (CO), nitrogen dioxide (NO 2 ), ozone (O 3 ), sulfur dioxide (SO 2 )) and air quality index (AQI) from 2013 to 2017 in Shanghai were included. A cross-correlogram and generalized additive model were used. A 4-month delayed effect of PM 2.5 (0.55), PM 10 (0.52), SO 2 (0.47), NO 2 (0.40), CO (0.39), and AQI (0.45), and a 6-month delayed effect of O 3 (−0.38) on the incidence of tuberculosis were found. The number of tuberculosis cases increased by 8%, 4%, 18%, and 14% for a 10 μg/m 3 increment in PM 2.5 , PM 10 , SO 2 , and NO 2 ; 4% for a 10 unit increment in AQI; 8% for a 0.1 mg/m 3 increment in CO; and decreased by 4% for a 10 μg/m 3 increment in O 3 . PM 2.5 concentrations above 50 μg/m 3 , 70 μg/m 3 for PM 10 , 16 μg/m 3 for SO 2 , 47 μg/m 3 for NO 2 , 0.85 mg/m 3 for CO, and 85 for AQI, and O 3 concentrations lower than 95 μg/m 3 were positively associated with the incidence of tuberculosis. Ambient air pollutants were correlated with tuberculosis seasonality. However, this sort of study cannot prove causality.

Suggested Citation

  • Hua Wang & Changwei Tian & Wenming Wang & Xiaoming Luo, 2019. "Temporal Cross-Correlations between Ambient Air Pollutants and Seasonality of Tuberculosis: A Time-Series Analysis," IJERPH, MDPI, vol. 16(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1585-:d:228661
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    References listed on IDEAS

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    1. Anyang Xu & Zhe Mu & Bo Jiang & Wei Wang & Han Yu & Lijuan Zhang & Jue Li, 2017. "Acute Effects of Particulate Air Pollution on Ischemic Heart Disease Hospitalizations in Shanghai, China," IJERPH, MDPI, vol. 14(2), pages 1-11, February.
    2. Dongsheng Zhan & Mei-Po Kwan & Wenzhong Zhang & Shaojian Wang & Jianhui Yu, 2017. "Spatiotemporal Variations and Driving Factors of Air Pollution in China," IJERPH, MDPI, vol. 14(12), pages 1-18, December.
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    1. Qingbin Wei & Lianjun Zhang & Wenbiao Duan & Zhen Zhen, 2019. "Global and Geographically and Temporally Weighted Regression Models for Modeling PM 2.5 in Heilongjiang, China from 2015 to 2018," IJERPH, MDPI, vol. 16(24), pages 1-20, December.
    2. Ying Xiong & Meixia Yang & Zhengzhong Wang & Honglin Jiang & Ning Xu & Yixin Tong & Jiangfan Yin & Yue Chen & Qingwu Jiang & Yibiao Zhou, 2022. "Association of Daily Exposure to Air Pollutants with the Risk of Tuberculosis in Xuhui District of Shanghai, China," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    3. Junnan Xiong & Chongchong Ye & Tiancai Zhou & Weiming Cheng, 2019. "Health Risk and Resilience Assessment with Respect to the Main Air Pollutants in Sichuan," IJERPH, MDPI, vol. 16(15), pages 1-19, August.

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