Public-health impact of outdoor and traffic-related air pollution: a European assessment
P. Filliger
(1)
,
M. Herry
(2)
,
F. Horak
(3)
,
V. Puybonnieux-Texier
(4)
,
P. Quenel
,
J. Schneider
,
R.K. Seethaler
,
J.C. Vernaud
,
H. Sommer
(5)
,
N. Künzli
(6)
,
R. Kaiser
(7)
,
S. Medina
(7)
,
M. Studnicka
(8)
,
Olivier Chanel
(9)
1
Swiss Agency for the Environment
2 Consultancy Dr Max Herry
3 University Children's Hospital Vienna
4 UPD7 - Université Paris Diderot - Paris 7
5 ECOPLAN
6 Institute for Social and Preventive Medecine
7 INVS - Département Santé Travail
8 Center for Pulmonary Disease
9 GREQAM - Groupement de Recherche en Économie Quantitative d'Aix-Marseille
2 Consultancy Dr Max Herry
3 University Children's Hospital Vienna
4 UPD7 - Université Paris Diderot - Paris 7
5 ECOPLAN
6 Institute for Social and Preventive Medecine
7 INVS - Département Santé Travail
8 Center for Pulmonary Disease
9 GREQAM - Groupement de Recherche en Économie Quantitative d'Aix-Marseille
P. Quenel
- Fonction : Auteur
- PersonId : 16874
- IdHAL : philippe-quenel
- ORCID : 0000-0003-3361-3623
- IdRef : 035776854
J. Schneider
- Fonction : Auteur
R.K. Seethaler
- Fonction : Auteur
J.C. Vernaud
- Fonction : Auteur
R. Kaiser
- Fonction : Auteur
- PersonId : 171036
- IdHAL : robin-kaiser
- ORCID : 0000-0001-5194-3680
- IdRef : 066972140
Olivier Chanel
- Fonction : Auteur
- PersonId : 742185
- IdHAL : olivier-chanel
- ORCID : 0000-0002-8221-7558
- IdRef : 070332347
Résumé
Background: Air pollution contributes to mortality and morbidity. We estimated the impact of outdoor (total) and traffic-related air pollution on public health in Austria, France, and Switzerland. Attributable cases of morbidity and mortality were estimated. Methods: Epidemiology-based exposure-response functions for a 10 μg/m3 increase in particulate matter (PM10) were used to quantify the effects of air pollution. Cases attributable to air pollution were estimated for mortality (adults \textgreater30 years), respiratory and cardiovascular hospital admissions (all ages), incidence of chronic bronchitis (adults \textgreater25 years), bronchitis episodes in children (\textless15 years), restricted activity days (adults \textgreater20 years), and asthma attacks in adults and children. Population exposure (PM10) was modelled for each km2. The traffic-related fraction was estimated based on PM10 emission inventories. Findings: Air pollution caused 6% of total mortality or more than 40 000 attributable cases per year. About half of all mortality caused by air pollution was attributed to motorised traffic, accounting also for: more than 25 000 new cases of chronic bronchitis (adults); more than 290 000 episodes of bronchitis (children); more than 0·5 million asthma attacks; and more than 16 million person-days of restricted activities. Interpretation: This assessment estimates the public-health impacts of current patterns of air pollution. Although individual health risks of air pollution are relatively small, the public-health consequences are considerable. Traffic-related air pollution remains a key target for public-health action in Europe. Our results, which have also been used for economic valuation, should guide decisions on the assessment of environmental health-policy options.
Format du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Public-health impact of outdoor and traffic-related air pollution: a European assessment
|
Résumé |
en
Background: Air pollution contributes to mortality and morbidity. We estimated the impact of outdoor (total) and traffic-related air pollution on public health in Austria, France, and Switzerland. Attributable cases of morbidity and mortality were estimated. Methods: Epidemiology-based exposure-response functions for a 10 μg/m3 increase in particulate matter (PM10) were used to quantify the effects of air pollution. Cases attributable to air pollution were estimated for mortality (adults \textgreater30 years), respiratory and cardiovascular hospital admissions (all ages), incidence of chronic bronchitis (adults \textgreater25 years), bronchitis episodes in children (\textless15 years), restricted activity days (adults \textgreater20 years), and asthma attacks in adults and children. Population exposure (PM10) was modelled for each km2. The traffic-related fraction was estimated based on PM10 emission inventories. Findings: Air pollution caused 6% of total mortality or more than 40 000 attributable cases per year. About half of all mortality caused by air pollution was attributed to motorised traffic, accounting also for: more than 25 000 new cases of chronic bronchitis (adults); more than 290 000 episodes of bronchitis (children); more than 0·5 million asthma attacks; and more than 16 million person-days of restricted activities. Interpretation: This assessment estimates the public-health impacts of current patterns of air pollution. Although individual health risks of air pollution are relatively small, the public-health consequences are considerable. Traffic-related air pollution remains a key target for public-health action in Europe. Our results, which have also been used for economic valuation, should guide decisions on the assessment of environmental health-policy options.
|
Auteur(s) |
P. Filliger
1
, M. Herry
2
, F. Horak
3
, V. Puybonnieux-Texier
4
, P. Quenel
, J. Schneider
, R.K. Seethaler
, J.C. Vernaud
, H. Sommer
5
, N. Künzli
6
, R. Kaiser
7
, S. Medina
7
, M. Studnicka
8
, Olivier Chanel
9
1
Swiss Agency for the Environment
( 36584 )
- Suisse
2
Consultancy Dr Max Herry
( 36585 )
- Autriche
3
University Children's Hospital Vienna
( 36586 )
- Autriche
4
UPD7 -
Université Paris Diderot - Paris 7
( 300301 )
- 5 rue Thomas-Mann - 75205 Paris cedex 13
- France
5
ECOPLAN
( 36591 )
- Suisse
6
Institute for Social and Preventive Medecine
( 36581 )
- Suisse
7
INVS -
Département Santé Travail
( 22645 )
- Saint-Maurice
- France
8
Center for Pulmonary Disease
( 36583 )
- Autriche
9
GREQAM -
Groupement de Recherche en Économie Quantitative d'Aix-Marseille
( 199934 )
- Centre de la Vieille Charité, 2 rue de la Charité, 13236 Marseille cedex 02
- France
|
Langue du document |
Anglais
|
Nom de la revue |
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Date de publication |
2000
|
Volume |
356
|
Numéro |
9232
|
Page/Identifiant |
795--801
|
Commentaire |
AD
|
Domaine(s) |
|
Voir aussi |
|
Mots-clés |
en
Economie quantitative
|
DOI | 10.1016/S0140-6736(00)02653-2Shareonmendeley |
Loading...