Environmental Science and Pollution Research

, Volume 25, Issue 18, pp 17726–17734 | Cite as

Chronic obstructive pulmonary diseases related to outdoor PM10, O3, SO2, and NO2 in a heavily polluted megacity of Iran

  • Yusef Omidi Khaniabadi
  • Mohammad Daryanoosh
  • Pierre Sicard
  • Afshin Takdastan
  • Philip K. Hopke
  • Shirin Esmaeili
  • Alessandra De Marco
  • Rajab RashidiEmail author
Research Article


This study was conducted to quantify, by an approach proposed by the World Health Organization (WHO), the daily hospital admissions for chronic obstructive pulmonary disease (COPD) related to exposure to particulate matter (PM10) and oxidants such as ozone (O3), sulfur dioxide (SO2), and nitrogen dioxide (NO2) in a heavily polluted city in Iran. For the health impact assessment, in terms of COPD, the current published relative risk (RR) and baseline incidence (BI) values, suggested by the WHO, and the 1-h O3 concentrations and daily PM10, NO2, and SO2 concentrations were compiled. The results showed that 5.9, 4.1, 1.2, and 1.9% of the COPD daily hospitalizations in 2011 and 6.6, 1.9, 2.3, and 2.1% in 2012 were attributed to PM10, O3, SO2, and NO2 concentrations exceeding 10 μg/m3, respectively. This study indicates that air quality and the high air pollutant levels have an effect on COPD morbidity. Air pollution is associated with visits to emergency services and hospital admissions. A lower relative risk can be achieved if some stringent control strategies for reducing air pollutants or emission precursors are implemented.


COPD Particulate matter Gaseous pollutants Human health 



The authors wish to thank the Lorestan University of Medical Sciences (Grant no: 1143) and Kermanshah’s Environmental Protection Agency (KEPA) for supplying air pollution data.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Yusef Omidi Khaniabadi
    • 1
  • Mohammad Daryanoosh
    • 2
  • Pierre Sicard
    • 3
  • Afshin Takdastan
    • 4
    • 5
  • Philip K. Hopke
    • 6
    • 7
  • Shirin Esmaeili
    • 5
  • Alessandra De Marco
    • 8
  • Rajab Rashidi
    • 9
    Email author
  1. 1.Department of Environmental Health, Health Care System of KaroonAhvaz Jundishapur University of Medical SciencesAhvazIran
  2. 2.Department of Environmental Health, Health Center of HendijanAhvaz Jundishapur University of Medical SciencesAhvazIran
  3. 3.ACRI-HESophia-AntipolisFrance
  4. 4.Environmental Technologies Research Center (ETRC)Ahvaz Jundishapur University of Medical SciencesAhvazIran
  5. 5.Department of Environmental Health Engineering, School of Public HealthAhvaz Jundishapur University of Medical SciencesAhvazIran
  6. 6.Center for Air Resources Engineering and ScienceClarkson UniversityPotsdamUSA
  7. 7.Department of Public Health SciencesUniversity of Rochester School of Medicine and DentistryRochesterUSA
  8. 8.Department of Territorial and Production Systems SustainabilityENEARomeItaly
  9. 9.Nutrition Health Research Center, Department of Occupational Health Engineering, School of Health and NutritionLorestan University of Medical SciencesKhorramabadIran

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