Environmental Science and Pollution Research

, Volume 22, Issue 4, pp 2817–2823 | Cite as

Effect of exposure to O3, NO2, and SO2 on chronic obstructive pulmonary disease hospitalizations in Tabriz, Iran

  • Mohammad Ghanbari Ghozikali
  • Mohammad Mosaferi
  • Gholam Hossein Safari
  • Jalil Jaafari
Research Article

Abstract

Air pollution in cities is a serious environmental problem especially in the developing countries. We examined the associations between gaseous pollutants and hospitalizations for chronic obstructive pulmonary diseases (COPD) among people living in Tabriz, a city in north western of Iran. We used the approach proposed by the World Health Organization (WHO) using the AirQ 2.2.3 software developed by the WHO European Center for Environment and Health, Bilthoven Division. To assess human exposure and health effect, data were used for ozone as a1h average; for nitrogen dioxide and sulfur dioxide as daily average concentrations. The association between air pollution and chronic obstructive pulmonary disease (COPD) was assessed using AirQ 2.2.3 model. The results of this study showed that 3 % (95 % CI 1.2–4.8 %) of HA COPD were attributed to O3 concentrations over 10 μg/m3. Also, 0.9 % (95 % CI 0.1–2.2 %) and 0.4 % (95 % CI 0–1.1 %) of HA COPD were attributed to NO2 and SO2 concentrations over 10 μg/m3, respectively. For every 10 μg/m3 increase in O3, NO2, and SO2 concentrations, the risk of HA COPD increase to about 0.58, 0.38, and 0.44 %, respectively. We found significant positive associations between the levels of all air pollution and hospital admissions COPD. Otherwise, O3, NO2, and SO2 have a significant impact on COPD hospitalization.

Keywords

Chronic obstructive pulmonary disease (COPD) Ozone (O3Nitrogen dioxide (NO2Sulfur dioxide (SO2Hospitalization 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Mohammad Ghanbari Ghozikali
    • 1
  • Mohammad Mosaferi
    • 2
  • Gholam Hossein Safari
    • 3
  • Jalil Jaafari
    • 3
  1. 1.Environmental Health Department of East Azerbaijan Province Health CenterTabriz University of Medical SciencesTabrizIran
  2. 2.Tabriz Health Services Management Research Center, Department of Environmental Health EngineeringTabriz University of Medical SciencesTabrizIran
  3. 3.Department of Environmental Health Engineering, School of Public HealthTehran University of Medical SciencesTehranIran

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