Background Although particulate matter, with diameters 〈 2.5 μm （PM2.5） and 〈 10 μm （PM10）, and other pollutants have been associated with cardiovascular morbidity and mortality, the effect of pollutants on ac...Background Although particulate matter, with diameters 〈 2.5 μm （PM2.5） and 〈 10 μm （PM10）, and other pollutants have been associated with cardiovascular morbidity and mortality, the effect of pollutants on acute myocardial infarctions （AMIs） has rarely been investigated in Asia, especially in Shanghai, China. Methods Between 1 November 2013 and 27 April 2014, 972 patients from the Pudong District, Shanghai City, were assessed by the Emergency Medical Service. A case-crossover design was used to analyze exposure to air pollution and the AMI risk. Exposures to PM2.5, PM10, nitrogen dioxide （NO2）, sulphurdioxide （SO2）, and carbon monoxide （CO） were based on the mean urban background levels. The associations among AMI admissions, the included pollutants, temperature, and relative humidity were analyzed using correlation and logistic regression. Results The urban background levels of PM2.5, PM10 and CO were associated with an increased risk of AMI, unlike NO2 and SO2 levels. The OR （95% CI） for AMI were 1.16 （1.03-1.29）, 1.05 （1.01-1.16）, 0.82 （0.75-1.02）, 0.87 （0.63-1.95）, and 1.08 （1.02-1.21） for PM2.5, PM10, NO2, SO2, and CO, respectively. Increases in the air quality index （AQI） were associated with more AMI occurrences. There was no correlation between fluctuations in temperature and relative humidity with AMI hospital admissions. Conclusions Short-term exposure to moderate-serious pollution levels is associated with increased risk of AMI. Increased PM2.5, PM10 and CO levels are related to increased AMI admissions.展开更多
This paper deals with a mortality-weighted synthetic evaluation （MWSE） method for evaluating urban air risk. Sulphur dioxide （SO2）, nitrogen oxide （NOx）, and particulate matter （PMl0） were used as pollution in...This paper deals with a mortality-weighted synthetic evaluation （MWSE） method for evaluating urban air risk. Sulphur dioxide （SO2）, nitrogen oxide （NOx）, and particulate matter （PMl0） were used as pollution indices. The urban area of Hangzhou, China is divided into 756 grid cells, with a resolution of 1 km× 1 km, and is evaluated using the MWSE and the air quality index （AQI）, a widely-used method to evaluate ambient air quality and air risk. In an evaluation of one day in April 2004, the surface areas categorized as levels Ⅰ and Ⅲ, as defined by the integrated air risk evaluation, were 27.3% and 3.3% lower, respectively, than grades Ⅰ and Ⅲ defined by the AQI evaluation. Meanwhile, the areas classified as level Ⅱ or above level Ⅲ by the integrated air risk evaluation were 55.1% and 101. 1% higher, respectively, than grade Ⅱ or above grade Ⅲ when using the AQI evaluation. From this comparison, we find that the MWSE method is more sensitive than the AQI method. The AQI method uses a single index to assess integrated air quality and is therefore unable to evaluate integrated air risks due to multiple pollutants. The MWSE method overcomes this problem, providing improved accuracy in air risk assessment.展开更多
文摘Background Although particulate matter, with diameters 〈 2.5 μm （PM2.5） and 〈 10 μm （PM10）, and other pollutants have been associated with cardiovascular morbidity and mortality, the effect of pollutants on acute myocardial infarctions （AMIs） has rarely been investigated in Asia, especially in Shanghai, China. Methods Between 1 November 2013 and 27 April 2014, 972 patients from the Pudong District, Shanghai City, were assessed by the Emergency Medical Service. A case-crossover design was used to analyze exposure to air pollution and the AMI risk. Exposures to PM2.5, PM10, nitrogen dioxide （NO2）, sulphurdioxide （SO2）, and carbon monoxide （CO） were based on the mean urban background levels. The associations among AMI admissions, the included pollutants, temperature, and relative humidity were analyzed using correlation and logistic regression. Results The urban background levels of PM2.5, PM10 and CO were associated with an increased risk of AMI, unlike NO2 and SO2 levels. The OR （95% CI） for AMI were 1.16 （1.03-1.29）, 1.05 （1.01-1.16）, 0.82 （0.75-1.02）, 0.87 （0.63-1.95）, and 1.08 （1.02-1.21） for PM2.5, PM10, NO2, SO2, and CO, respectively. Increases in the air quality index （AQI） were associated with more AMI occurrences. There was no correlation between fluctuations in temperature and relative humidity with AMI hospital admissions. Conclusions Short-term exposure to moderate-serious pollution levels is associated with increased risk of AMI. Increased PM2.5, PM10 and CO levels are related to increased AMI admissions.
基金Project(No. 200809103) supported by the State Environmental Protection Commonweal Trade Scientific Research, Ministry of Environmental Protection of China
文摘This paper deals with a mortality-weighted synthetic evaluation （MWSE） method for evaluating urban air risk. Sulphur dioxide （SO2）, nitrogen oxide （NOx）, and particulate matter （PMl0） were used as pollution indices. The urban area of Hangzhou, China is divided into 756 grid cells, with a resolution of 1 km× 1 km, and is evaluated using the MWSE and the air quality index （AQI）, a widely-used method to evaluate ambient air quality and air risk. In an evaluation of one day in April 2004, the surface areas categorized as levels Ⅰ and Ⅲ, as defined by the integrated air risk evaluation, were 27.3% and 3.3% lower, respectively, than grades Ⅰ and Ⅲ defined by the AQI evaluation. Meanwhile, the areas classified as level Ⅱ or above level Ⅲ by the integrated air risk evaluation were 55.1% and 101. 1% higher, respectively, than grade Ⅱ or above grade Ⅲ when using the AQI evaluation. From this comparison, we find that the MWSE method is more sensitive than the AQI method. The AQI method uses a single index to assess integrated air quality and is therefore unable to evaluate integrated air risks due to multiple pollutants. The MWSE method overcomes this problem, providing improved accuracy in air risk assessment.
