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. 2001 Apr;109(4):355–359. doi: 10.1289/ehp.01109355

Effects of temperature and air pollutants on cardiovascular and respiratory diseases for males and females older than 65 years of age in Tokyo, July and August 1980-1995.

F Ye 1, W T Piver 1, M Ando 1, C J Portier 1
PMCID: PMC1240275  PMID: 11335183

Abstract

We studied exposures to higher daily maximum temperatures and concentrations of air pollutants in Tokyo during the summer months of July and August from 1980 to 1995 and their effects on hospital emergency transports for cardiovascular and respiratory diseases for males and females > 65 years of age. Cardiovascular diseases were angina, cardiac insufficiency, hypertension, and myocardial infarction. Respiratory diseases were asthma, acute and chronic bronchitis, and pneumonia. Except for pneumonia, daily maximum temperatures were not associated with hospital emergency transports. Increasing daily maximum temperatures, however, were associated with decreased hospital emergency transports for hypertension. Concentrations of nitrogen dioxide or particulate matter < or = 10 microm, however, were associated with daily hospital emergency transports for angina, cardiac insufficiency, myocardial infarction, asthma, acute and chronic bronchitis, and pneumonia. For cardiac insufficiency, hypertension, myocardial infarction, asthma, chronic bronchitis, and pneumonia, the expected daily number of emergency transports per million were greater for males than for females. For angina and acute bronchitis, there were no differences for the expected daily numbers of emergency transports per million between males and females.

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Selected References

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  1. Abbey D. E., Colome S. D., Mills P. K., Burchette R., Beeson W. L., Tian Y. Chronic disease associated with long-term concentrations of nitrogen dioxide. J Expo Anal Environ Epidemiol. 1993 Apr-Jun;3(2):181–202. [PubMed] [Google Scholar]
  2. Ackermann-Liebrich U., Leuenberger P., Schwartz J., Schindler C., Monn C., Bolognini G., Bongard J. P., Brändli O., Domenighetti G., Elsasser S. Lung function and long term exposure to air pollutants in Switzerland. Study on Air Pollution and Lung Diseases in Adults (SAPALDIA) Team. Am J Respir Crit Care Med. 1997 Jan;155(1):122–129. doi: 10.1164/ajrccm.155.1.9001300. [DOI] [PubMed] [Google Scholar]
  3. 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]
  4. Bates D. V., Sizto R. Air pollution and hospital admissions in Southern Ontario: the acid summer haze effect. Environ Res. 1987 Aug;43(2):317–331. doi: 10.1016/s0013-9351(87)80032-4. [DOI] [PubMed] [Google Scholar]
  5. Burnett R. T., Brook J. R., Yung W. T., Dales R. E., Krewski D. Association between ozone and hospitalization for respiratory diseases in 16 Canadian cities. Environ Res. 1997 Jan;72(1):24–31. doi: 10.1006/enrs.1996.3685. [DOI] [PubMed] [Google Scholar]
  6. Burnett R. T., Cakmak S., Brook J. R., Krewski D. The role of particulate size and chemistry in the association between summertime ambient air pollution and hospitalization for cardiorespiratory diseases. Environ Health Perspect. 1997 Jun;105(6):614–620. doi: 10.1289/ehp.97105614. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Burnett R. T., Dales R. E., Brook J. R., Raizenne M. E., Krewski D. Association between ambient carbon monoxide levels and hospitalizations for congestive heart failure in the elderly in 10 Canadian cities. Epidemiology. 1997 Mar;8(2):162–167. doi: 10.1097/00001648-199703000-00007. [DOI] [PubMed] [Google Scholar]
  8. Burnett R. T., Dales R. E., Raizenne M. E., Krewski D., Summers P. W., Roberts G. R., Raad-Young M., Dann T., Brook J. Effects of low ambient levels of ozone and sulfates on the frequency of respiratory admissions to Ontario hospitals. Environ Res. 1994 May;65(2):172–194. doi: 10.1006/enrs.1994.1030. [DOI] [PubMed] [Google Scholar]
  9. Castellsague J., Sunyer J., Sáez M., Antó J. M. Short-term association between air pollution and emergency room visits for asthma in Barcelona. Thorax. 1995 Oct;50(10):1051–1056. doi: 10.1136/thx.50.10.1051. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Chauhan A. J., Krishna M. T., Frew A. J., Holgate S. T. Exposure to nitrogen dioxide (NO2) and respiratory disease risk. Rev Environ Health. 1998 Jan-Jun;13(1-2):73–90. [PubMed] [Google Scholar]
  11. 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]
  12. Health effects of outdoor air pollution. Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society. Am J Respir Crit Care Med. 1996 Jan;153(1):3–50. doi: 10.1164/ajrccm.153.1.8542133. [DOI] [PubMed] [Google Scholar]
  13. Kelsall J. E., Samet J. M., Zeger S. L., Xu J. Air pollution and mortality in Philadelphia, 1974-1988. Am J Epidemiol. 1997 Nov 1;146(9):750–762. doi: 10.1093/oxfordjournals.aje.a009351. [DOI] [PubMed] [Google Scholar]
  14. Kinney P. L., Ozkaynak H. Associations of daily mortality and air pollution in Los Angeles County. Environ Res. 1991 Apr;54(2):99–120. doi: 10.1016/s0013-9351(05)80094-5. [DOI] [PubMed] [Google Scholar]
  15. Koenig J. Q., Pierson W. E. Air pollutants and the respiratory system: toxicity and pharmacologic interventions. J Toxicol Clin Toxicol. 1991;29(3):401–411. doi: 10.3109/15563659109000366. [DOI] [PubMed] [Google Scholar]
  16. Lebowitz M. D. Air pollution and hospital admissions for cardiovascular disease. Epidemiology. 1998 Mar;9(2):220–221. doi: 10.1097/00001648-199803000-00028. [DOI] [PubMed] [Google Scholar]
  17. Lipsett M., Hurley S., Ostro B. Air pollution and emergency room visits for asthma in Santa Clara County, California. Environ Health Perspect. 1997 Feb;105(2):216–222. doi: 10.1289/ehp.97105216. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Lipsitz S. R., Fitzmaurice G. M., Orav E. J., Laird N. M. Performance of generalized estimating equations in practical situations. Biometrics. 1994 Mar;50(1):270–278. [PubMed] [Google Scholar]
  19. Morris R. D., Naumova E. N., Munasinghe R. L. Ambient air pollution and hospitalization for congestive heart failure among elderly people in seven large US cities. Am J Public Health. 1995 Oct;85(10):1361–1365. doi: 10.2105/ajph.85.10.1361. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Ostro B., Sanchez J. M., Aranda C., Eskeland G. S. Air pollution and mortality: results from a study of Santiago, Chile. J Expo Anal Environ Epidemiol. 1996 Jan-Mar;6(1):97–114. [PubMed] [Google Scholar]
  21. Peters A., Döring A., Wichmann H. E., Koenig W. Increased plasma viscosity during an air pollution episode: a link to mortality? Lancet. 1997 May 31;349(9065):1582–1587. doi: 10.1016/S0140-6736(97)01211-7. [DOI] [PubMed] [Google Scholar]
  22. Piver W. T., Ando M., Ye F., Portier C. J. Temperature and air pollution as risk factors for heat stroke in Tokyo, July and August 1980-1995. Environ Health Perspect. 1999 Nov;107(11):911–916. doi: 10.1289/ehp.99107911. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Poloniecki J. D., Atkinson R. W., de Leon A. P., Anderson H. R. Daily time series for cardiovascular hospital admissions and previous day's air pollution in London, UK. Occup Environ Med. 1997 Aug;54(8):535–540. doi: 10.1136/oem.54.8.535. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Prescott G. J., Cohen G. R., Elton R. A., Fowkes F. G., Agius R. M. Urban air pollution and cardiopulmonary ill health: a 14.5 year time series study. Occup Environ Med. 1998 Oct;55(10):697–704. doi: 10.1136/oem.55.10.697. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Pönkä A., Virtanen M. Chronic bronchitis, emphysema, and low-level air pollution in Helsinki, 1987-1989. Environ Res. 1994 May;65(2):207–217. doi: 10.1006/enrs.1994.1032. [DOI] [PubMed] [Google Scholar]
  26. Rusznak C., Devalia J. L., Wang J., Davies R. J. Pollution-induced airway disease and the putative underlying mechanisms. Clin Rev Allergy Immunol. 1997 Summer;15(2):205–217. doi: 10.1007/BF02826587. [DOI] [PubMed] [Google Scholar]
  27. Schwartz J. Air pollution and hospital admissions for cardiovascular disease in Tucson. Epidemiology. 1997 Jul;8(4):371–377. doi: 10.1097/00001648-199707000-00004. [DOI] [PubMed] [Google Scholar]
  28. Schwartz J. Air pollution and hospital admissions for heart disease in eight U.S. counties. Epidemiology. 1999 Jan;10(1):17–22. [PubMed] [Google Scholar]
  29. Schwartz J. Air pollution and hospital admissions for respiratory disease. Epidemiology. 1996 Jan;7(1):20–28. doi: 10.1097/00001648-199601000-00005. [DOI] [PubMed] [Google Scholar]
  30. Schwartz J. Air pollution and hospital admissions for the elderly in Birmingham, Alabama. Am J Epidemiol. 1994 Mar 15;139(6):589–598. doi: 10.1093/oxfordjournals.aje.a117048. [DOI] [PubMed] [Google Scholar]
  31. Schwartz J. Air pollution and hospital admissions for the elderly in Detroit, Michigan. Am J Respir Crit Care Med. 1994 Sep;150(3):648–655. doi: 10.1164/ajrccm.150.3.8087333. [DOI] [PubMed] [Google Scholar]
  32. Schwartz J., Dockery D. W. Increased mortality in Philadelphia associated with daily air pollution concentrations. Am Rev Respir Dis. 1992 Mar;145(3):600–604. doi: 10.1164/ajrccm/145.3.600. [DOI] [PubMed] [Google Scholar]
  33. Schwartz J., Morris R. Air pollution and hospital admissions for cardiovascular disease in Detroit, Michigan. Am J Epidemiol. 1995 Jul 1;142(1):23–35. doi: 10.1093/oxfordjournals.aje.a117541. [DOI] [PubMed] [Google Scholar]
  34. Schwartz J. PM10, ozone, and hospital admissions for the elderly in Minneapolis-St. Paul, Minnesota. Arch Environ Health. 1994 Sep-Oct;49(5):366–374. doi: 10.1080/00039896.1994.9954989. [DOI] [PubMed] [Google Scholar]
  35. Schwartz J. Short term fluctuations in air pollution and hospital admissions of the elderly for respiratory disease. Thorax. 1995 May;50(5):531–538. doi: 10.1136/thx.50.5.531. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Schwartz J. Total suspended particulate matter and daily mortality in Cincinnati, Ohio. Environ Health Perspect. 1994 Feb;102(2):186–189. doi: 10.1289/ehp.94102186. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Sherwin R. P. Air pollution: the pathobiologic issues. J Toxicol Clin Toxicol. 1991;29(3):385–400. doi: 10.3109/15563659109000365. [DOI] [PubMed] [Google Scholar]
  38. Shumway R. H., Azari A. S., Pawitan Y. Modeling mortality fluctuations in Los Angeles as functions of pollution and weather effects. Environ Res. 1988 Apr;45(2):224–241. doi: 10.1016/s0013-9351(88)80049-5. [DOI] [PubMed] [Google Scholar]
  39. Weisel C. P., Cody R. P., Lioy P. J. Relationship between summertime ambient ozone levels and emergency department visits for asthma in central New Jersey. Environ Health Perspect. 1995 Mar;103 (Suppl 2):97–102. doi: 10.1289/ehp.95103s297. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Wordley J., Walters S., Ayres J. G. Short term variations in hospital admissions and mortality and particulate air pollution. Occup Environ Med. 1997 Feb;54(2):108–116. doi: 10.1136/oem.54.2.108. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Yang W., Jennison B. L., Omaye S. T. Cardiovascular disease hospitalization and ambient levels of carbon monoxide. J Toxicol Environ Health A. 1998 Oct 9;55(3):185–196. doi: 10.1080/009841098158485. [DOI] [PubMed] [Google Scholar]

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