Ambient particulate matter burden of disease in the Kingdom of Saudi Arabia.


Journal

Environmental research
ISSN: 1096-0953
Titre abrégé: Environ Res
Pays: Netherlands
ID NLM: 0147621

Informations de publication

Date de publication:
06 2021
Historique:
received: 05 08 2020
revised: 09 02 2021
accepted: 12 03 2021
pubmed: 30 3 2021
medline: 1 7 2021
entrez: 29 3 2021
Statut: ppublish

Résumé

Air pollution is one of the top 10 global health risk factors and has been associated with premature mortality, cardiovascular, cerebrovascular, respiratory, and metabolic disease. Currently, there is a lack of health assessments on the public health impacts of air pollution in the Kingdom of Saudi Arabia. This study aims to assess the ambient particulate matter burden of disease in the Kingdom of Saudi Arabia. A comparative risk assessment (CRA) using the 2017 Global Burden of Disease was performed to estimate ambient particulate matter exposure, mortality, and lost years of a healthy life. Saudi Arabia population-weighted mean concentrations of particle mass with an aerodynamic diameter less than 2·5 μm (PM2.5), at an approximate 11 km × 11 km resolution was estimated using satellite-based estimates, chemical transport models, and ground-level measurements. The CRA for PM2.5 was based on relative risks originated from epidemiological studies using integrated exposure-response functions for ischemic heart disease, cerebrovascular disease, chronic obstructive pulmonary disease, lung cancer, lower respiratory infections, and type 2 diabetes. Mortality, years of life lost (YLL), years lived with disability (YLD) and disability-adjusted life years (DALYs) attributable to PM2.5 were estimated at the national level for all ages and both sexes from 1990 to 2017. In 2017, the annual exposure to ambient particulate matter in the population-weighted mean PM2.5 in Saudi Arabia was 87.9 μg/m Ambient particulate matter is the fifth health risk factor in Saudi Arabia, contributing 9% of total mortality. Over the past 27 years, estimated exposure levels of PM2.5 in Saudi Arabia have been above WHO's air quality guidelines. Although since 2011 mortality and DALY rates attributable to PM2.5 have decreased, air pollution concentrations continue to increase. National and local authorities in Saudi Arabia should consider policies to reduce industrial and traffic-related air pollution in combination with the strengthening of current investments and improvements in health care and prevention services.

Sections du résumé

BACKGROUND
Air pollution is one of the top 10 global health risk factors and has been associated with premature mortality, cardiovascular, cerebrovascular, respiratory, and metabolic disease. Currently, there is a lack of health assessments on the public health impacts of air pollution in the Kingdom of Saudi Arabia.
AIM
This study aims to assess the ambient particulate matter burden of disease in the Kingdom of Saudi Arabia.
METHODS
A comparative risk assessment (CRA) using the 2017 Global Burden of Disease was performed to estimate ambient particulate matter exposure, mortality, and lost years of a healthy life. Saudi Arabia population-weighted mean concentrations of particle mass with an aerodynamic diameter less than 2·5 μm (PM2.5), at an approximate 11 km × 11 km resolution was estimated using satellite-based estimates, chemical transport models, and ground-level measurements. The CRA for PM2.5 was based on relative risks originated from epidemiological studies using integrated exposure-response functions for ischemic heart disease, cerebrovascular disease, chronic obstructive pulmonary disease, lung cancer, lower respiratory infections, and type 2 diabetes. Mortality, years of life lost (YLL), years lived with disability (YLD) and disability-adjusted life years (DALYs) attributable to PM2.5 were estimated at the national level for all ages and both sexes from 1990 to 2017.
RESULTS
In 2017, the annual exposure to ambient particulate matter in the population-weighted mean PM2.5 in Saudi Arabia was 87.9 μg/m
CONCLUSION
Ambient particulate matter is the fifth health risk factor in Saudi Arabia, contributing 9% of total mortality. Over the past 27 years, estimated exposure levels of PM2.5 in Saudi Arabia have been above WHO's air quality guidelines. Although since 2011 mortality and DALY rates attributable to PM2.5 have decreased, air pollution concentrations continue to increase. National and local authorities in Saudi Arabia should consider policies to reduce industrial and traffic-related air pollution in combination with the strengthening of current investments and improvements in health care and prevention services.

Identifiants

pubmed: 33775683
pii: S0013-9351(21)00330-3
doi: 10.1016/j.envres.2021.111036
pii:
doi:

Substances chimiques

Air Pollutants 0
Particulate Matter 0

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

111036

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

D Rojas-Rueda (D)

Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA. Electronic address: David.Rojas@colostate.edu.

W Alsufyani (W)

Saudi Center for Disease Prevention and Control (SCDC), Riyadh, Saudi Arabia.

C Herbst (C)

Health, Nutrition and Population Global Practice, The World Bank, Riyadh Country Office, Saudi Arabia.

S AlBalawi (S)

Saudi Center for Disease Prevention and Control (SCDC), Riyadh, Saudi Arabia.

R Alsukait (R)

Health, Nutrition and Population Global Practice, The World Bank, Riyadh Country Office, Saudi Arabia; Community Health Department, King Saud University, Riyadh, Saudi Arabia.

M Alomran (M)

Saudi Center for Disease Prevention and Control (SCDC), Riyadh, Saudi Arabia.

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Classifications MeSH