Acute effects of air pollution on mortality: A 17-year analysis in Kuwait.


Journal

Environment international
ISSN: 1873-6750
Titre abrégé: Environ Int
Pays: Netherlands
ID NLM: 7807270

Informations de publication

Date de publication:
05 2019
Historique:
received: 11 10 2018
revised: 03 01 2019
accepted: 28 01 2019
pubmed: 8 3 2019
medline: 31 10 2019
entrez: 8 3 2019
Statut: ppublish

Résumé

The health burden from exposure to air pollution has been studied in many parts of the world. However, there is limited research on the health effects of air quality in arid areas where sand dust is the primary particulate pollution source. Study the risk of mortality from exposure to poor air quality days in Kuwait. We conducted a time-series analysis using daily visibility as a measure of particulate pollution and non-accidental total mortality from January 2000 through December 2016. A generalized additive Poisson model was used adjusting for time trends, day of week, and temperature. Low visibility (yes/no), defined as visibility lower than the 25th percentile, was used as an indicator of poor air quality days. Dust storm events were also examined. Finally, we examined these associations after stratifying by gender, age group, and nationality (Kuwaitis/non-Kuwaitis). There were 73,748 deaths from natural causes in Kuwait during the study period. The rate ratio comparing the mortality rate on low visibility days to high visibility days was 1.01 (95% CI: 0.99-1.03). Similar estimates were observed for dust storms (1.02, 95% CI: 1.00-1.04). Higher and statistically significant estimates were observed among non-Kuwaiti men and non-Kuwaiti adolescents and adults. We observed a higher risk of mortality during days with poor air quality in Kuwait from 2000 through 2016.

Sections du résumé

BACKGROUND
The health burden from exposure to air pollution has been studied in many parts of the world. However, there is limited research on the health effects of air quality in arid areas where sand dust is the primary particulate pollution source.
OBJECTIVE
Study the risk of mortality from exposure to poor air quality days in Kuwait.
METHODS
We conducted a time-series analysis using daily visibility as a measure of particulate pollution and non-accidental total mortality from January 2000 through December 2016. A generalized additive Poisson model was used adjusting for time trends, day of week, and temperature. Low visibility (yes/no), defined as visibility lower than the 25th percentile, was used as an indicator of poor air quality days. Dust storm events were also examined. Finally, we examined these associations after stratifying by gender, age group, and nationality (Kuwaitis/non-Kuwaitis).
RESULTS
There were 73,748 deaths from natural causes in Kuwait during the study period. The rate ratio comparing the mortality rate on low visibility days to high visibility days was 1.01 (95% CI: 0.99-1.03). Similar estimates were observed for dust storms (1.02, 95% CI: 1.00-1.04). Higher and statistically significant estimates were observed among non-Kuwaiti men and non-Kuwaiti adolescents and adults.
CONCLUSION
We observed a higher risk of mortality during days with poor air quality in Kuwait from 2000 through 2016.

Identifiants

pubmed: 30844583
pii: S0160-4120(18)32341-9
doi: 10.1016/j.envint.2019.01.072
pmc: PMC6511973
mid: NIHMS1025041
pii:
doi:

Substances chimiques

Air Pollutants 0
Dust 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

476-483

Subventions

Organisme : NIEHS NIH HHS
ID : K99 ES027511
Pays : United States
Organisme : NIEHS NIH HHS
ID : R00 ES027511
Pays : United States
Organisme : Intramural VA
ID : VA999999
Pays : United States
Organisme : VA
ID : VA999999
Pays : United States

Informations de copyright

Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.

Références

Environ Health Perspect. 2016 Nov;124(11):1735-1743
pubmed: 27128449
Environ Health. 2013 Apr 16;12:32
pubmed: 23587335
Environ Res. 2017 Jul;156:455-467
pubmed: 28412538
J Expo Sci Environ Epidemiol. 2013 May-Jun;23(3):275-80
pubmed: 23423218
Sci Total Environ. 2013 Sep 1;461-462:139-48
pubmed: 23722090
Environ Res. 1991 Dec;56(2):204-13
pubmed: 1769365
Int J Environ Health Res. 2012;22(6):518-30
pubmed: 22428926
Int J Environ Health Res. 2014;24(6):528-45
pubmed: 24382057
Lancet. 2017 May 13;389(10082):1907-1918
pubmed: 28408086
Environ Int. 2014 Feb;63:101-13
pubmed: 24275707
J Expo Sci Environ Epidemiol. 2013 Sep-Oct;23(5):481-6
pubmed: 23673462
Environ Res. 2002 Sep;90(1):1-5
pubmed: 12359184
Sci Total Environ. 2013 Mar 15;448:14-25
pubmed: 23270730
Environ Res. 2010 Aug;110(6):617-23
pubmed: 20627276
Environ Health Perspect. 2000 May;108(5):419-26
pubmed: 10811568
PLoS One. 2015 Sep 18;10(9):e0137714
pubmed: 26381397
Environ Pollut. 2014 Apr;187:116-23
pubmed: 24477104
Int J Biometeorol. 2014 Jan;58(1):69-77
pubmed: 23329278
Sci Total Environ. 2012 Sep 1;433:347-51
pubmed: 22819885
Sci Total Environ. 2011 Dec 1;410-411:47-52
pubmed: 21995878
Epidemiology. 2000 May;11(3):320-6
pubmed: 10784251
Environ Health. 2008 Jul 22;7:39
pubmed: 18647382
Indian J Public Health. 2010 Apr-Jun;54(2):98-103
pubmed: 21119243
J Air Waste Manag Assoc. 2017 Jan;67(1):75-85
pubmed: 27700621
J Air Waste Manag Assoc. 2011 Nov;61(11):1281-91
pubmed: 22168111
J Air Waste Manag Assoc. 2002 Jun;52(6):628-713
pubmed: 12074426
Rev Environ Health. 2016 Jun 1;31(2):259-80
pubmed: 27101544
J Air Waste Manag Assoc. 2008 Aug;58(8):994-1003
pubmed: 18720649
Environ Health Perspect. 2011 Oct;119(10):1409-14
pubmed: 21970945

Auteurs

Souzana Achilleos (S)

Cyprus International Institute for Environmental and Public Health, Cyprus University of Technology, Limassol, Cyprus; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA. Electronic address: souzana.achilleos@cut.ac.cy.

Ebaa Al-Ozairi (E)

Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait; Dasman Diabetes Institute, Kuwait City, Kuwait.

Barrak Alahmad (B)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.

Eric Garshick (E)

Pulmonary, Allergy, Sleep, and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

Andreas M Neophytou (AM)

Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA.

Walid Bouhamra (W)

Chemical Engineering Department, Kuwait University, Kuwait City, Kuwait.

Mohamed F Yassin (MF)

Environment and Life Sciences Center, Kuwait Institute for Scientific Research (KISR), Kuwait City, Kuwait.

Petros Koutrakis (P)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH