Assessment of the Possible Association of Air Pollutants PM10, O3, NO2 With an Increase in Cardiovascular, Respiratory, and Diabetes Mortality in Panama City
Open Access
- 1 January 2016
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Medicine
- Vol. 95 (2), e2464
- https://doi.org/10.1097/md.0000000000002464
Abstract
In recent years, Panama has experienced a marked economic growth, and this, in turn, has been associated with rapid urban development and degradation of air quality. This study is the first evaluation done in Panama on the association between air pollution and mortality. Our objective was to assess the possible association between monthly levels of PM10, O3, and NO2, and cardiovascular, respiratory, and diabetes mortality, as well as the seasonal variation of mortality in Panama City, Panama. The study was conducted in Panama City, using air pollution data from January 2003 to December 2013. We utilized a Poisson regression model based on generalized linear models, to evaluate the association between PM10, NO2, and O3 exposure and mortality from diabetes, cardiovascular, and respiratory diseases. The sample size for PM10, NO2, and O2 was 132, 132, and 108 monthly averages, respectively. We found that levels of PM10, O3, and NO2 were associated with increases in cardiovascular, respiratory, and diabetes mortality. For PM10 levels ≥ 40 μg/m3, we found an increase in cardiovascular mortality of 9.7% (CI 5.8–13.6%), and an increase of 12.6% (CI 0.2–24.2%) in respiratory mortality. For O3 levels ≥ 20 μg/m3 we found an increase of 32.4% (IC 14.6–52.9) in respiratory mortality, after a 2-month lag period following exposure in the 65 to <74 year-old age group. For NO2 levels ≥20 μg/m3 we found an increase in respiratory mortality of 11.2% (IC 1.9–21.3), after a 2-month lag period following exposure among those aged between 65 and <74 years. There could be an association between the air pollution in Panama City and an increase in cardiovascular, respiratory, and diabetes mortality. This study confirms the urgent need to improve the measurement frequency of air pollutants in Panama.Keywords
This publication has 51 references indexed in Scilit:
- Excess Winter Mortality and Cold Temperatures in a Subtropical City, Guangzhou, ChinaPLOS ONE, 2013
- Acute and Subacute Effects of Urban Air Pollution on Cardiopulmonary Emergencies and Mortality: Time Series Studies in Austrian CitiesInternational Journal of Environmental Research and Public Health, 2013
- Seasonal variation in the acute effects of ozone on premature mortality among elderly JapaneseEnvironmental Monitoring and Assessment, 2013
- Global Air Quality and Health Co-benefits of Mitigating Near-Term Climate Change through Methane and Black Carbon Emission ControlsEnvironmental Health Perspectives, 2012
- Air Pollution–Related Prothrombotic Changes in Persons with DiabetesEnvironmental Health Perspectives, 2010
- First approaches to the monetary impact of environmental health disturbances in GermanyHealth Policy, 2010
- Seasonal effect of PM10 concentrations on mortality and morbidity in Seoul, Korea: A temperature-matched case-crossover analysisEnvironmental Research, 2010
- Effects of Ambient Air Pollution on Hemostasis and InflammationEnvironmental Health Perspectives, 2009
- Long-Term Ozone Exposure and MortalityNew England Journal of Medicine, 2009
- Alveolar macrophage cytokine response to air pollution particles: Oxidant mechanismsToxicology and Applied Pharmacology, 2006