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. 1996 Apr;50(Suppl 1):s42–s46. doi: 10.1136/jech.50.suppl_1.s42

Short term respiratory health effects of ambient air pollution: results of the APHEA project in Paris.

W Dab 1, S Medina 1, P Quénel 1, Y Le Moullec 1, A Le Tertre 1, B Thelot 1, C Monteil 1, P Lameloise 1, P Pirard 1, I Momas 1, R Ferry 1, B Festy 1
PMCID: PMC1060887  PMID: 8758223

Abstract

STUDY OBJECTIVE: To quantify the short term respiratory health effects of ambient air pollution in the Paris area. DESIGN: Time series analysis of daily pollution levels using Poisson regression. SETTING: Paris, 1987-92. MEASUREMENTS AND MAIN RESULTS: Air pollution was monitored by measurement of black smoke (BS) (15 monitoring stations), sulphur dioxide (SO2), nitrogen dioxide (NO2), particulate matter less than 13 microns in diameter (PM13), and ozone (O3) (4 stations). Daily mortality and general admissions to public hospitals due to respiratory causes were considered. The statistical analysis was based on a time series procedure using linear regression modelling followed by a Poisson regression. Meterological variables, epidemics of influenza A and B, and strikes of medical staff were included in the models. The mean daily concentration of PM13 and daily 1 hour maximum of SO2 significantly affected daily mortality from respiratory causes. An increase in the concentration of PM13 of 100 micrograms/m3 above its 5th centile value increased the risk of respiratory death by 17%. PM13 and BS were also associated with hospital admissions due to all respiratory diseases (4.1% increased risk when the BS level exceeded its 5th centile value by 100 micrograms/m3). SO2 levels consistently influenced hospital admissions for all respiratory diseases, chronic obstructive pulmonary disease, and asthma. Asthma was also correlated with NO2 levels. CONCLUSIONS: These results indicate that even though the relative risk is weak in areas with low levels of pollution, ambient air pollution, and especially particulate matter and SO2, nonetheless require attention because of the number of people exposed and the existence of high risk groups.

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Selected References

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  1. Bates D. V., Baker-Anderson M., Sizto R. Asthma attack periodicity: a study of hospital emergency visits in Vancouver. Environ Res. 1990 Feb;51(1):51–70. doi: 10.1016/s0013-9351(05)80182-3. [DOI] [PubMed] [Google Scholar]
  2. Bates D. V. Health indices of the adverse effects of air pollution: the question of coherence. Environ Res. 1992 Dec;59(2):336–349. doi: 10.1016/s0013-9351(05)80040-4. [DOI] [PubMed] [Google Scholar]
  3. Cody R. P., Weisel C. P., Birnbaum G., Lioy P. J. The effect of ozone associated with summertime photochemical smog on the frequency of asthma visits to hospital emergency departments. Environ Res. 1992 Aug;58(2):184–194. doi: 10.1016/s0013-9351(05)80214-2. [DOI] [PubMed] [Google Scholar]
  4. Dab W., Quenel P., Cohen J. M., Hannoun C. A new influenza surveillance system in France: the Ile-de-France "GROG". 2. Validity of indicators (1984-1989). Eur J Epidemiol. 1991 Nov;7(6):579–587. doi: 10.1007/BF00218667. [DOI] [PubMed] [Google Scholar]
  5. Derriennic F., Richardson S., Mollie A., Lellouch J. Short-term effects of sulphur dioxide pollution on mortality in two French cities. Int J Epidemiol. 1989 Mar;18(1):186–197. doi: 10.1093/ije/18.1.186. [DOI] [PubMed] [Google Scholar]
  6. Dockery D. W., Pope C. A., 3rd Acute respiratory effects of particulate air pollution. Annu Rev Public Health. 1994;15:107–132. doi: 10.1146/annurev.pu.15.050194.000543. [DOI] [PubMed] [Google Scholar]
  7. Dockery D. W., Pope C. A., 3rd, Xu X., Spengler J. D., Ware J. H., Fay M. E., Ferris B. G., Jr, Speizer F. E. An association between air pollution and mortality in six U.S. cities. N Engl J Med. 1993 Dec 9;329(24):1753–1759. doi: 10.1056/NEJM199312093292401. [DOI] [PubMed] [Google Scholar]
  8. Dockery D. W., Schwartz J., Spengler J. D. Air pollution and daily mortality: associations with particulates and acid aerosols. Environ Res. 1992 Dec;59(2):362–373. doi: 10.1016/s0013-9351(05)80042-8. [DOI] [PubMed] [Google Scholar]
  9. Hannoun C., Dab W., Cohen J. M. A new influenza surveillance system in France: the Ile-de-France "GROG". 1. Principles and methodology. Eur J Epidemiol. 1989 Sep;5(3):285–293. doi: 10.1007/BF00144828. [DOI] [PubMed] [Google Scholar]
  10. Katsouyanni K., Zmirou D., Spix C., Sunyer J., Schouten J. P., Pönkä A., Anderson H. R., Le Moullec Y., Wojtyniak B., Vigotti M. A. Short-term effects of air pollution on health: a European approach using epidemiological time-series data. The APHEA project: background, objectives, design. Eur Respir J. 1995 Jun;8(6):1030–1038. [PubMed] [Google Scholar]
  11. Momas I., Pirard P., Quenel P., Medina S., Le Moullec Y., Ferry R., Dab W., Festy B. Pollution atmosphérique urbaine et mortalité: une synthèse des études épidémiologiques publiées entre 1980 et 1991. Rev Epidemiol Sante Publique. 1993;41(1):30–43. [PubMed] [Google Scholar]
  12. Ostro B. The association of air pollution and mortality: examining the case for inference. Arch Environ Health. 1993 Sep-Oct;48(5):336–342. doi: 10.1080/00039896.1993.9936722. [DOI] [PubMed] [Google Scholar]
  13. Pönkä A. Asthma and low level air pollution in Helsinki. Arch Environ Health. 1991 Sep-Oct;46(5):262–270. doi: 10.1080/00039896.1991.9934386. [DOI] [PubMed] [Google Scholar]
  14. Quenel P., Dab W., Hannoun C., Cohen J. M. Sensitivity, specificity and predictive values of health service based indicators for the surveillance of influenza A epidemics. Int J Epidemiol. 1994 Aug;23(4):849–855. doi: 10.1093/ije/23.4.849. [DOI] [PubMed] [Google Scholar]
  15. Schwartz J. Air pollution and daily mortality: a review and meta analysis. Environ Res. 1994 Jan;64(1):36–52. doi: 10.1006/enrs.1994.1005. [DOI] [PubMed] [Google Scholar]
  16. Schwartz J., Slater D., Larson T. V., Pierson W. E., Koenig J. Q. Particulate air pollution and hospital emergency room visits for asthma in Seattle. Am Rev Respir Dis. 1993 Apr;147(4):826–831. doi: 10.1164/ajrccm/147.4.826. [DOI] [PubMed] [Google Scholar]
  17. Walters S., Griffiths R. K., Ayres J. G. Temporal association between hospital admissions for asthma in Birmingham and ambient levels of sulphur dioxide and smoke. Thorax. 1994 Feb;49(2):133–140. doi: 10.1136/thx.49.2.133. [DOI] [PMC free article] [PubMed] [Google Scholar]

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