The Influence of Air Pollutants and Meteorological Conditions on the Hospitalization for Respiratory Diseases in Shenzhen City, China. 2021

Shi Liang, and Chong Sun, and Chanfang Liu, and Lili Jiang, and Yingjia Xie, and Shaohong Yan, and Zhenyu Jiang, and Qingwen Qi, and An Zhang
National Key Clinical Specialty of Occupational Diseases, Shenzhen Occupational Diseases Prevention and Treatment Center, Shenzhen 518020, China.

Air pollutants have significant direct and indirect adverse effects on public health. To explore the relationship between air pollutants and meteorological conditions on the hospitalization for respiratory diseases, we collected a whole year of daily major air pollutants' concentrations from Shenzhen city in 2013, including Particulate Matter (PM10, PM2.5), Nitrogen dioxide (NO2), Ozone (O3), Sulphur dioxide (SO2), and Carbon monoxide (CO). Meanwhile, we also gained meteorological data. This study collected 109,927 patients cases with diseases of the respiratory system from 98 hospitals. We investigated the influence of meteorological factors on air pollution by Spearman correlation analysis. Then, we tested the short-term correlation between significant air pollutants and respiratory diseases' hospitalization by Distributed Lag Non-linear Model (DLNM). There was a significant negative correlation between the north wind and NO2 and a significant negative correlation between the south wind and six pollutants. Except for CO, other air pollutants were significantly correlated with the number of hospitalized patients during the lag period. Most of the pollutants reached maximum Relative Risk (RR) with a lag of five days. When the time lag was five days, the annual average of PM10, PM2.5, SO2, NO2, and O3 increased by 10%, and the risk of hospitalization for the respiratory system increased by 0.29%, 0.23%, 0.22%, 0.25%, and 0.22%, respectively. All the pollutants except CO impact the respiratory system's hospitalization in a short period, and PM10 has the most significant impact. The results are helpful for pollution control from a public health perspective.

UI MeSH Term Description Entries
D009585 Nitrogen Dioxide Nitrogen oxide (NO2). A highly poisonous gas. Exposure produces inflammation of lungs that may only cause slight pain or pass unnoticed, but resulting edema several days later may cause death. (From Merck, 11th ed) It is a major atmospheric pollutant that is able to absorb UV light that does not reach the earth's surface. Nitrogen Peroxide,Dioxide, Nitrogen,Peroxide, Nitrogen
D002681 China A country spanning from central Asia to the Pacific Ocean. Inner Mongolia,Manchuria,People's Republic of China,Sinkiang,Mainland China
D002947 Cities A large or important municipality of a country, usually a major metropolitan center. Municipalities,Towns
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000393 Air Pollutants Any substance in the air which could, if present in high enough concentration, harm humans, animals, vegetation or materials. Substances include GASES; PARTICULATE MATTER; and volatile ORGANIC CHEMICALS. Air Pollutant,Air Pollutants, Environmental,Environmental Air Pollutants,Environmental Pollutants, Air,Air Environmental Pollutants,Pollutant, Air,Pollutants, Air,Pollutants, Air Environmental,Pollutants, Environmental Air
D000397 Air Pollution The presence of contaminants or pollutant substances in the air (AIR POLLUTANTS) that interfere with human health or welfare, or produce other harmful environmental effects. The substances may include GASES; PARTICULATE MATTER; or volatile ORGANIC CHEMICALS. Air Quality,Air Pollutions,Pollution, Air
D052638 Particulate Matter Particles of any solid substance, generally under 30 microns in size, often noted as PM30. There is special concern with PM1 which can get down to PULMONARY ALVEOLI and induce MACROPHAGE ACTIVATION and PHAGOCYTOSIS leading to FOREIGN BODY REACTION and LUNG DISEASES. Ultrafine Fiber,Ultrafine Fibers,Ultrafine Particle,Ultrafine Particles,Ultrafine Particulate Matter,Air Pollutants, Particulate,Airborne Particulate Matter,Ambient Particulate Matter,Fiber, Ultrafine,Particle, Ultrafine,Particles, Ultrafine,Particulate Air Pollutants,Particulate Matter, Airborne,Particulate Matter, Ambient,Particulate Matter, Ultrafine

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