Skip to main content
Environmental Health Perspectives logoLink to Environmental Health Perspectives
. 1995 Sep;103(9):852–856. doi: 10.1289/ehp.95103852

Risk assessment of environmentally influenced airway diseases based on time-series analysis.

O Herbarth 1
PMCID: PMC1519212  PMID: 7498098

Abstract

Threshold values are of prime importance in providing a sound basis for public health decisions. A key issue is determining threshold or maximum exposure values for pollutants and assessing their potential health risks. Environmental epidemiology could be instrumental in assessing these levels, especially since the assessment of ambient exposures involves relatively low concentrations of pollutants. This paper presents a statistical method that allows the determination of threshold values as well as the assessment of the associated risk using a retrospective, longitudinal study design with a prospective follow-up. Morbidity data were analyzed using the Fourier method, a time-series analysis that is based on the assumption of a high temporal resolution of the data. This method eliminates time-dependent responses like temporal inhomogeneity and pseudocorrelation. The frequency of calls for respiratory distress conditions to the regional Mobile Medical Emergency Service (MMES) in the city of Leipzig were investigated. The entire population of Leipzig served as a pool for data collection. In addition to the collection of morbidity data, air pollution measurements were taken every 30 min for the entire study period using sulfur dioxide as the regional indicator variable. This approach allowed the calculation of a dose-response curve for respiratory diseases and air pollution indices in children and adults. Significantly higher morbidities were observed above a 24-hr mean value of 0.6 mg SO2/m3 air for children and 0.8 mg SO2/m3 for adults.(ABSTRACT TRUNCATED AT 250 WORDS)

Full text

PDF
852

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abbey D. E., Euler G. L., Moore J. K., Petersen F., Hodgkin J. E., Magie A. R. Applications of a method for setting air quality standards based on epidemiological data. JAPCA. 1989 Apr;39(4):437–445. doi: 10.1080/08940630.1989.10466542. [DOI] [PubMed] [Google Scholar]
  2. 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]
  3. Bredel H., Herbarth O. Methodische Untersuchungen zur optimalen Beschreibung der Raum-Zeit-Struktur des Immissionsfeldes kommunaler Ballungsgebiete--Ermittlung der räumlichen Immissionsverteilung. Z Gesamte Hyg. 1987 Aug;33(8):370–372. [PubMed] [Google Scholar]
  4. Brunekreef B., Kinney P. L., Ware J. H., Dockery D., Speizer F. E., Spengler J. D., Ferris B. G., Jr Sensitive subgroups and normal variation in pulmonary function response to air pollution episodes. Environ Health Perspect. 1991 Jan;90:189–193. doi: 10.1289/ehp.90-1519500. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Brunekreef B., Lumens M., Hoek G., Hofschreuder P., Fischer P., Biersteker K. Pulmonary function changes associated with an air pollution episode in January 1987. JAPCA. 1989 Nov;39(11):1444–1447. doi: 10.1080/08940630.1989.10466638. [DOI] [PubMed] [Google Scholar]
  6. Dassen W., Brunekreef B., Hoek G., Hofschreuder P., Staatsen B., de Groot H., Schouten E., Biersteker K. Decline in children's pulmonary function during an air pollution episode. J Air Pollut Control Assoc. 1986 Nov;36(11):1223–1227. doi: 10.1080/00022470.1986.10466168. [DOI] [PubMed] [Google Scholar]
  7. Dockery D. W. Epidemiologic study design for investigating respiratory health effects of complex air pollution mixtures. Environ Health Perspect. 1993 Dec;101 (Suppl 4):187–191. doi: 10.1289/ehp.93101s4187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Dockery D. W., Speizer F. E., Stram D. O., Ware J. H., Spengler J. D., Ferris B. G., Jr Effects of inhalable particles on respiratory health of children. Am Rev Respir Dis. 1989 Mar;139(3):587–594. doi: 10.1164/ajrccm/139.3.587. [DOI] [PubMed] [Google Scholar]
  9. Dodge R., Solomon P., Moyers J., Hayes C. A longitudinal study of children exposed to sulfur oxides. Am J Epidemiol. 1985 May;121(5):720–736. doi: 10.1093/aje/121.5.720. [DOI] [PubMed] [Google Scholar]
  10. Freudenthal P. C., Roth H. D., Hammerstrom T., Lichtenstein C., Wyzga R. E. Health risks of short-term SO2 exposure to exercising asthmatics. JAPCA. 1989 Jun;39(6):831–835. doi: 10.1080/08940630.1989.10466569. [DOI] [PubMed] [Google Scholar]
  11. Herbarth O., Bredel H. Methodische Aspekte der Ermittlung von lufthygienischen Schwellenwerten auf der Grundlage epidemiologischer Untersuchungen. Zentralbl Hyg Umweltmed. 1990 Oct;190(4):335–343. [PubMed] [Google Scholar]
  12. Ostro B. A search for a threshold in the relationship of air pollution to mortality: a reanalysis of data on London winters. Environ Health Perspect. 1984 Dec;58:397–399. doi: 10.1289/ehp.8458397. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Pope C. A., 3rd, Dockery D. W. Acute health effects of PM10 pollution on symptomatic and asymptomatic children. Am Rev Respir Dis. 1992 May;145(5):1123–1128. doi: 10.1164/ajrccm/145.5.1123. [DOI] [PubMed] [Google Scholar]
  14. 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]
  15. 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]
  16. Sunyer J., Antó J. M., Murillo C., Saez M. Effects of urban air pollution on emergency room admissions for chronic obstructive pulmonary disease. Am J Epidemiol. 1991 Aug 1;134(3):277–289. doi: 10.1093/oxfordjournals.aje.a116081. [DOI] [PubMed] [Google Scholar]

Articles from Environmental Health Perspectives are provided here courtesy of National Institute of Environmental Health Sciences

RESOURCES