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Environ Health Perspect. 2000 April; 108(4): 283–287.
PMCID: PMC1638020
Research Article

Associations between mortality and air pollution in central Europe.

Abstract

Increased mortality has been observed in association with elevated concentrations of air pollutants in European cities and in the United States. We reassessed the effects of particulate matter in Central Europe. Mortality and air pollution data were obtained for a highly polluted region of the Czech Republic and a rural region in Germany. Poisson regression analyses were conducted considering trend, season, meteorology, and influenza epidemics as confounders in both a parametric and a nonparametric approach. The Czech Republic had a 3.8% increase in mortality [95% confidence interval (CI), 0.8-6.9%] in association with 100 microg/m(3) total suspended particles (TSP) (lagged 2 days) for the time period 1982-1994. During the last 2 years of study, 68% of the TSP consisted of particulate matter [less than/equal to] 10 microm in aerodynamic diameter (PM(10)). An increase of 100 microg/m(3) TSP (lagged 1 day) was associated with a 9.5% increase in mortality (CI, 1.2-18.5%) and 100 microg/m(3) PM(10 )(lagged 1 day) showed a 9.8% increase in mortality (CI, 0.7-19.7%). We found no evidence for an association between mortality and particulate matter in the rural area in Germany at the Czech border. Data from the coal basin in the Czech Republic suggested an increase in mortality associated with the concentration of particulate matter in a highly polluted setting in Central Europe that is consistent with the associations observed in other western European cities and in the United States.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Dockery DW, Pope CA., 3rd Acute respiratory effects of particulate air pollution. Annu Rev Public Health. 1994;15:107–132. [PubMed]
  • Schwartz J. Air pollution and daily mortality: a review and meta analysis. Environ Res. 1994 Jan;64(1):36–52. [PubMed]
  • Health effects of outdoor air pollution. Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society. Am J Respir Crit Care Med. 1996 Jan;153(1):3–50. [PubMed]
  • Katsouyanni K, Zmirou D, Spix C, Sunyer J, Schouten JP, Pönkä A, Anderson HR, Le Moullec Y, Wojtyniak B, Vigotti MA, et al. Short-term effects of air pollution on health: a European approach using epidemiological time-series data. The APHEA project: background, objectives, design. Eur Respir J. 1995 Jun;8(6):1030–1038. [PubMed]
  • Katsouyanni K, Touloumi G, Spix C, Schwartz J, Balducci F, Medina S, Rossi G, Wojtyniak B, Sunyer J, Bacharova L, et al. Short-term effects of ambient sulphur dioxide and particulate matter on mortality in 12 European cities: results from time series data from the APHEA project. Air Pollution and Health: a European Approach. BMJ. 1997 Jun 7;314(7095):1658–1663. [PMC free article] [PubMed]
  • Schwartz J, Spix C, Touloumi G, Bachárová L, Barumamdzadeh T, le Tertre A, Piekarksi T, Ponce de Leon A, Pönkä A, Rossi G, et al. Methodological issues in studies of air pollution and daily counts of deaths or hospital admissions. J Epidemiol Community Health. 1996 Apr;50 (Suppl 1):S3–11. [PMC free article] [PubMed]
  • Schwartz J, Norris G, Larson T, Sheppard L, Claiborne C, Koenig J. Episodes of high coarse particle concentrations are not associated with increased mortality. Environ Health Perspect. 1999 May;107(5):339–342. [PMC free article] [PubMed]
  • Spix C, Heinrich J, Dockery D, Schwartz J, Völksch G, Schwinkowski K, Cöllen C, Wichmann HE. Air pollution and daily mortality in Erfurt, east Germany, 1980-1989. Environ Health Perspect. 1993 Nov;101(6):518–526. [PMC free article] [PubMed]
  • Bachárová L, Fandáková K, Bratinka J, Budinská M, Bachár J, Gud-aba M. The association between air pollution and the daily number of deaths: findings from the Slovak Republic contribution to the APHEA project. J Epidemiol Community Health. 1996 Apr;50 (Suppl 1):s19–s21. [PMC free article] [PubMed]
  • Wojtyniak B, Piekarski T. Short term effect of air pollution on mortality in Polish urban populations--what is different? J Epidemiol Community Health. 1996 Apr;50 (Suppl 1):S36–S41. [PMC free article] [PubMed]
  • Schwartz J, Dockery DW. Increased mortality in Philadelphia associated with daily air pollution concentrations. Am Rev Respir Dis. 1992 Mar;145(3):600–604. [PubMed]
  • Schwartz J, Dockery DW, Neas LM. Is daily mortality associated specifically with fine particles? J Air Waste Manag Assoc. 1996 Oct;46(10):927–939. [PubMed]
  • Schwartz J. Air pollution and hospital admissions for respiratory disease. Epidemiology. 1996 Jan;7(1):20–28. [PubMed]

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