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

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Abstract

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.

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Acknowledgements

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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Authors and Affiliations

  1. Department of Environmental Health, Health Care System of Karoon, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Yusef Omidi Khaniabadi

  2. Department of Environmental Health, Health Center of Hendijan, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Mohammad Daryanoosh

  3. ACRI-HE, Sophia-Antipolis, France

    Pierre Sicard

  4. Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Afshin Takdastan

  5. Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Afshin Takdastan & Shirin Esmaeili

  6. Center for Air Resources Engineering and Science, Clarkson University, Potsdam, NY, 13699, USA

    Philip K. Hopke

  7. Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14619, USA

    Philip K. Hopke

  8. Department of Territorial and Production Systems Sustainability, ENEA, Rome, Italy

    Alessandra De Marco

  9. Nutrition Health Research Center, Department of Occupational Health Engineering, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran

    Rajab Rashidi

Authors
  1. Yusef Omidi Khaniabadi
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  2. Mohammad Daryanoosh
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  3. Pierre Sicard
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  4. Afshin Takdastan
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  5. Philip K. Hopke
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  6. Shirin Esmaeili
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  7. Alessandra De Marco
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  8. Rajab Rashidi
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Correspondence to Rajab Rashidi.

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Responsible editor: Philippe Garrigues

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Khaniabadi, Y.O., Daryanoosh, M., Sicard, P. et al. Chronic obstructive pulmonary diseases related to outdoor PM10, O3, SO2, and NO2 in a heavily polluted megacity of Iran. Environ Sci Pollut Res 25, 17726–17734 (2018). https://doi.org/10.1007/s11356-018-1902-9

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  • DOI: https://doi.org/10.1007/s11356-018-1902-9

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