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. 1995 Dec;103(12):1110–1115. doi: 10.1289/ehp.951031110

Use of outpatient clinics as a health indicator for communities around a coal-fired power plant.

A I Goren 1, S Hellmann 1, E D Glaser 1
PMCID: PMC1519254  PMID: 8747016

Abstract

The permit to operate the first coal fired power plant in Israel was issued with the condition that a comprehensive network to monitor its effects on the environment, health, and agriculture must be installed and operated around the plant. The health monitoring system consists of four studies, which started 1 year prior to the operation of the plant and were carried out for 10 years. In the framework of the health monitoring system, a study of requests for health services was carried out. In this survey, 8 clinics of the Sick Fund, served by 16 physicians, were followed up. The clinics were located as near as possible to air pollution monitoring stations and represent expected different levels of pollution. A health recorder summarized each day's visits to each physician and tabulated the total visits for each day and the visits due to respiratory tract complaints. Multivariate stepwise regressions on total as well as on respiratory complaints were carried out. The independent variables in the regressions were sulfur dioxide, meteorological parameters (such as temperature and humidity), and flu epidemics. Temperature was almost always significantly correlated with respiratory complaints, but less correlated with total visits among, adults and children. Sulfur dioxide, most meterological parameters and flu epidemics were not meaningful explanatory factor in the regressions. Ambient air pollution levels did not exceed the Israeli air quality or the more stringent local air quality standards, the monthly and annual average sulfur dioxide and nitrogen oxides values were very low.

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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., 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]
  3. Bates D. V., Sizto R. Relationship between air pollutant levels and hospital admissions in Southern Ontario. Can J Public Health. 1983 Mar-Apr;74(2):117–122. [PubMed] [Google Scholar]
  4. Fishelson G., Graves P. Air pollution and morbidity: SO2 damages. J Air Pollut Control Assoc. 1978 Aug;28(8):785–789. doi: 10.1080/00022470.1978.10470660. [DOI] [PubMed] [Google Scholar]
  5. Goldsmith J. R., Griffith H. L., Detels R., Beeser S., Neumann L. Emergency room admissions, meteorologic variables, and air pollutants: a path analysis. Am J Epidemiol. 1983 Nov;118(5):759–778. doi: 10.1093/oxfordjournals.aje.a113687. [DOI] [PubMed] [Google Scholar]
  6. Goldstein I. F., Block G. Asthma and air pollution in two inner city areas in New York City. J Air Pollut Control Assoc. 1974 Jul;24(7):665–670. doi: 10.1080/00022470.1974.10469954. [DOI] [PubMed] [Google Scholar]
  7. Kardaun J. W., van der Maas P. J., Habbema J. D., Leentvaar-Kuijpers A., Rijcken B. Incidence of diseases of the lower respiratory tract in family practice and low level air pollution. Fam Pract. 1989 Jun;6(2):86–91. doi: 10.1093/fampra/6.2.86. [DOI] [PubMed] [Google Scholar]
  8. Kucerová A., Lipková V., Liska J., Ursínyová M., Vanová R. Vplyv znecisteného ovzdusia na výskyt ochorení dýchacej sústavy u detí na Slovensku. Cesk Pediatr. 1990 Jun;45(6):335–338. [PubMed] [Google Scholar]
  9. Levy D., Gent M., Newhouse M. T. Relationship between acute respiratory illness and air pollution levels in an industrial city. Am Rev Respir Dis. 1977 Aug;116(2):167–173. doi: 10.1164/arrd.1977.116.2.167. [DOI] [PubMed] [Google Scholar]
  10. Marty H. Der Einfluss meteorologischer und lufthygienischer Faktoren auf akute Erkrankungen der Atemwege bei Kindern--am Beispiel der Region Biel. Soz Praventivmed. 1986;31(1):29–31. doi: 10.1007/BF02103743. [DOI] [PubMed] [Google Scholar]
  11. Rebmann H., Hub J., Huenges R., Neu A., Grunert D., Horn H., Döller G., Döller P. C., Gerth H. J., Wichmann H. E. Prospektive epidemiologische Einjahreslängsschnittstudie über Luftschadstoffe und Krupp-Häufigkeit. Monatsschr Kinderheilkd. 1988 Jul;136(7):372–377. [PubMed] [Google Scholar]
  12. Samet J. M., Bishop Y., Speizer F. E., Spengler J. D., Ferris B. G., Jr The relationship between air pollution and emergency room visits in an industrial community. J Air Pollut Control Assoc. 1981 Mar;31(3):236–240. doi: 10.1080/00022470.1981.10465214. [DOI] [PubMed] [Google Scholar]
  13. Toeplitz R., Goren A., Goldsmith J. R., Donagi A. Epidemiological monitoring in the vicinity of a coal-fired power plant. Sci Total Environ. 1984 Jan 27;32(3):233–246. doi: 10.1016/0048-9697(84)90150-5. [DOI] [PubMed] [Google Scholar]

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