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Effects of air pollutant emission on the prevalence of respiratory and circulatory system diseases in Linyi, China

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Abstract

As a typical industrial city, Linyi has suffered severe atmospheric pollution in recent years. Meanwhile, a high incidence of respiratory and circulatory diseases has been observed in Linyi. The relationship between air pollutants and the prevalence of respiratory and circulatory system diseases in Linyi is still unclear, and therefore, there is an urgent need to assess the human health risks associated with air pollutants. In this study, the number of outpatient visits and spatial distribution of respiratory and circulatory diseases were first investigated. To clarify the correlation between diseases and air pollutant emissions, the residential intake fraction (IF) of air pollutants was calculated. The results showed that circulatory and respiratory diseases accounted for 62.32% of the total causes of death in 2015. The incidence of respiratory diseases was high in the winter, and outpatient visits were observed for more males (60.9%) than females (39.1%). The spatial distribution suggested that outpatient visits for respiratory and circulatory diseases were concentrated in the main urban area of Linyi, including the Hedong District, Lanshan District, and Luozhuang District, and especially at the junction of these three areas. After calculating the IF combined with the characteristics of pollution sources, meteorological conditions, and population data, a high IF value was concentrated in urban and suburban areas, which was consistent with the high incidence of diseases. Moreover, high R values and a significant correlation (R > 0.6, p < 0.05) between outpatient visits and residential IF of air pollutants imply similar spatial distributions of outpatient visits and IF value of residents. The spatial similarity of air pollution and outpatient visits suggested that future air pollution control policies should better reflect the health risks of spatial hotspots. This study can provide a potentially important reference for environmental management and air pollution-related health interventions.

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Data availability

Data available on request from the authors. The data that support the findings of this study are available from the corresponding author, minwei@sdnu.edu.cn and boxin@acee.org.cn, upon reasonable request.

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Acknowledgements

This study was supported by Special Fund of State Key Joint Laboratory of Environment Simulation and Pollution Control (16K01ESPCT), the National Research Program for Key Issues in Air Pollution Control (No. DQGG0209-07 and DQGG0304-07), and the National Natural Science Foundation of China (42075183).

Funding

Air pollutant emission inventory and meteorological data collection, and CALPUFF model analysis, were funded by the Special Fund of State Key Joint Laboratory of Environment Simulation and Pollution Control (16K01ESPCT), the National Research Program for Key Issues in Air Pollution Control (Nos. DQGG0209-07 and DQGG0304-07), outpatient data collection and analysis were supported by the National Natural Science Foundation of China (42075183).

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XW, DL and JY involved in outpatient visits data collection and manuscript writing; MF and HL involved in data analysis, illustration preparation and manuscript revision; Technical support was done by HL; Air pollutants emission inventory establishment was done by PW; CALPUFF model application: was done by XL; MW and XB involved in funding acquisition and conceived and designed the experiments.

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Correspondence to Min Wei or Xin Bo.

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Wu, X., Li, D., Feng, M. et al. Effects of air pollutant emission on the prevalence of respiratory and circulatory system diseases in Linyi, China. Environ Geochem Health 43, 4475–4491 (2021). https://doi.org/10.1007/s10653-021-00931-0

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