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Air Pollution and Child Respiratory Health: a Case-Crossover Study in Australia and New Zealand
Journal article   Peer reviewed

Air Pollution and Child Respiratory Health: a Case-Crossover Study in Australia and New Zealand

A G Barnett, Gail M Williams, J Schwartz, Anne H Neller, Trudi Best, Anna Petroeschevsky and Rodney W Simpson
American Journal of Respiratory and Critical Care Medicine, Vol.171(11), pp.1272-1278
2005
url
https://doi.org/10.1164/rccm.200411-1586OCView
Published Version

Abstract

air pollutants meta-analysis respiration disorders
The strength of the association between outdoor air pollution and hospital admissions in children has not yet been well defined. The study used data on respiratory hospital admissions in children (three age groups: less than 1, 1-4, and 5-14 years) for five cities in Australia and two in New Zealand. Time series of daily numbers of hospital admissions were analyzed using the case-crossover method; the results from cities were combined using a random-effects meta-analysis. Significant increases across the cities were observed for hospital admissions in children for pneumonia and acute bronchitis (0, 1-4 years), respiratory disease (0, 1-4, 5-14 years), and asthma (5-14 years). These increases were found for particulate matter with a diameter less than 2.5 µm (PM2.5) and less than 10 µm (PM10), nephelometry, NO2, and SO2. The largest association found was a 6.0% increase in asthma admissions (5-14 years) in relation to a 5.1-ppb increase in 24-hour NO2. This study found strong and consistent associations between outdoor air pollution and short-term increases in childhood hospital admissions. A number of different pollutants showed significant associations, and these were distinct from any temperature (warm or cool) effects.

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Critical Care Medicine
Respiratory System

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