Exposure to ultrafine particles and respiratory hospitalisations in five European cities

Evangelia Samoli; Zorana Jovanovic Andersen; Klea Katsouyanni; Frauke Hennig; Thomas A J Kuhlbusch; Tom Bellander; Giorgio Cattani; Josef Cyrys; Francesco Forastiere; Bénédicte Jacquemin; Markku Kulmala; Timo Lanki; Steffen Loft; Andreas Massling; Aurelio Tobias; Massimo Stafoggia; UF&HEALTH Study group

doi:10.1183/13993003.02108-2015

Exposure to ultrafine particles and respiratory hospitalisations in five European cities

Evangelia Samoli, Zorana Jovanovic Andersen, Klea Katsouyanni, Frauke Hennig, Thomas A J Kuhlbusch, Tom Bellander, Giorgio Cattani, Josef Cyrys, Francesco Forastiere, Bénédicte Jacquemin, Markku Kulmala, Timo Lanki, Steffen Loft, Andreas Massling, Aurelio Tobias, Massimo Stafoggia, UF&HEALTH Study group

19 Citations (Scopus)

Abstract

Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm(3) was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.

Original language	English
Journal	European Respiratory Journal
Volume	48
Issue number	3
Pages (from-to)	674-682
Number of pages	9
ISSN	0903-1936
DOIs	https://doi.org/10.1183/13993003.02108-2015
Publication status	Published - 1 Sept 2016

Keywords

Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Samoli, E., Andersen, Z. J., Katsouyanni, K., Hennig, F., Kuhlbusch, T. A. J., Bellander, T., Cattani, G., Cyrys, J., Forastiere, F., Jacquemin, B., Kulmala, M., Lanki, T., Loft, S., Massling, A., Tobias, A., Stafoggia, M., & UF&HEALTH Study group (2016). Exposure to ultrafine particles and respiratory hospitalisations in five European cities. European Respiratory Journal, 48(3), 674-682. https://doi.org/10.1183/13993003.02108-2015

Samoli, E, Andersen, ZJ, Katsouyanni, K, Hennig, F, Kuhlbusch, TAJ, Bellander, T, Cattani, G, Cyrys, J, Forastiere, F, Jacquemin, B, Kulmala, M, Lanki, T, Loft, S, Massling, A, Tobias, A, Stafoggia, M & UF&HEALTH Study group 2016, 'Exposure to ultrafine particles and respiratory hospitalisations in five European cities', European Respiratory Journal, vol. 48, no. 3, pp. 674-682. https://doi.org/10.1183/13993003.02108-2015

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AU - Andersen, Zorana Jovanovic

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AU - Kuhlbusch, Thomas A J

AU - Bellander, Tom

AU - Cattani, Giorgio

AU - Cyrys, Josef

AU - Forastiere, Francesco

AU - Jacquemin, Bénédicte

AU - Kulmala, Markku

AU - Lanki, Timo

AU - Loft, Steffen

AU - Massling, Andreas

AU - Tobias, Aurelio

AU - Stafoggia, Massimo

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N2 - Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm(3) was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.

AB - Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm(3) was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.

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Exposure to ultrafine particles and respiratory hospitalisations in five European cities

Abstract

Keywords

UN SDGs

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