Short-term effects of particulate matter on mortality during forest fires in Southern Europe: results of the MED-PARTICLES Project

An association between occurrence of wildfires and mortality in the exposed population has been observed in several studies with controversial results for cause-specific mortality. In the Mediterranean area, forest fires usually occur during spring-summer, they overlap with Saharan outbreaks, are as...

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Detalles Bibliográficos
Autores: Faustini, Annunziata, Alessandrini, Ester R., Pey, Jorge, Perez Lozano, Noemi, Samoli, Evangelia, Querol, Xavier, Cadum, Ennio, Perrino, Cinzia, Ostro, Bart, Ranzi, Andrea, Sunyer, Jordi, Stafoggia, Massimo, Forastiere, Francesco, study group, MED-PARTICLES, Agis Cherta, David|||0000-0002-7283-6902
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/175116
Acceso en línea:https://hdl.handle.net/2117/175116
https://dx.doi.org/10.1136/oemed-2014-102459
Access Level:acceso abierto
Palabra clave:Air -- Pollution
Cardiovascular system -- Diseases
Environmental impact analysis
Aire -- Contaminació
Sistema cardiovascular -- Malalties
Cor -- Malalties
Medi ambient -- Anàlisi d'impacte
Àrees temàtiques de la UPC::Ciències de la salut::Impacte ambiental
Àrees temàtiques de la UPC::Matemàtiques i estadística
Descripción
Sumario:An association between occurrence of wildfires and mortality in the exposed population has been observed in several studies with controversial results for cause-specific mortality. In the Mediterranean area, forest fires usually occur during spring-summer, they overlap with Saharan outbreaks, are associated with increased temperature and their health effects are probably due to an increase in particulate matter. We analysed the effects of wildfires and particulate matter (PM10) on mortality in 10 southern European cities in Spain, France, Italy and Greece (2003-2010), using satellite data for exposure assessment and Poisson regression models, simulating a case-crossover approach. We found that smoky days were associated with increased cardiovascular mortality (lag 0-5, 6.29%, 95% CIs 1.00 to 11.85). When the effect of PM10 (per 10 µg/m(3)) was evaluated, there was an increase in natural mortality (0.49%), cardiovascular mortality (0.65%) and respiratory mortality (2.13%) on smoke-free days, but PM10-related mortality was higher on smoky days (natural mortality up to 1.10% and respiratory mortality up to 3.90%) with a suggestion of effect modification for cardiovascular mortality (3.42%, p value for effect modification 0.055), controlling for Saharan dust advections. Smoke is associated with increased cardiovascular mortality in urban residents, and PM10 on smoky days has a larger effect on cardiovascular and respiratory mortality than on other days.