Abstract
Objective: The aim of this paper was to analyse the effects of the urban air pollutants and noise levels on daily emergency hospital admissions of children less than 10 years of age in Madrid. Material and methods: Poisson Regression Models were used to quantify the associations. Meteorological variables, influenza epidemics, pollen concentrations and trends and periodicities were used as controlling variables. Results: The main results obtained were the detected relationship (p<0.05) between emergency hospital admissions due to organic diseases and noise levels (AR=2.4%) and for PM10 concentrations (AR=2.1%). For respiratory diseases statistically significant associations were detected for noise levels (AR=4.7%) and cold temperatures (AR=3.8%). The main association detected for causes of admissions due to bronchitis was for O3 (AR=36.8%) and for pneumonia was for noise levels (AR=7.7%). Conclusion: The results obtained suggest that noise level particularly is a risk factor for daily emergency hospital admissions for organic and respiratory diseases in children less than 10 years old in Madrid.
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Agencia de Medio ambiente (1991) El ruido como problema ambiental. Madrid
Akaike H (1974) A new look at statistical model identification. IEEE T Automat Contr 9:716–722
Alberdi JC, Díaz J, Montero JC et al (1998) Daily mortality in Madrid Community 1986-1992: relationship with meteorological variables. Eur J Epidemiol 14:571–578
Babisch W, Ising H, Gallacher JEJ et al (1988) Traffic noise and cardiovascular risk. Outdoor noise levels and risk factors. Arch Environ Health 43:407–414
Box GEP, Jenkins GM, Reinsel C (1994) Time series analysis, forecasting and control. Prentice Hall, Englewood Cliffs
Campbell MJ, Tobías A (2000) Causality and temporality in the study of short-term effects of air pollution on health. Int J Epidemiol 29:271–273
Canadian Association of Physicians for the Environment (2000) Children’s Environmental Health Project. Respiratory health effects
Chauhan AJ, Johnston SL (2003) Air pollution and infection in respiratory illness. Br Med Bull 68:95–112
Commission on Professional and Hospital Activities (1978) The international classification of diseases (9th Rev.: Clinical modification). Author, Ann Arbor, MI
Coste J, Spira A (1991) Le proportion de cas atributable en Santé Publique: definition(s), estimation(s) et interprétation. Rev Epidemiol Santé Publique 51:399–411
Díaz J, García R, Ribera P et al (1999) Modelling of air pollution and its relationship with mortality and morbidity in Madrid, Spain. Int Arch Occup Environ Health 72:366–376
Díaz J, García R, Tobías A et al (2001a) Noise levels in Madrid: association with emergency hospital admissions. Environmental health risk. WIT Press, MA
Díaz J, Alberdi JC, Pajares MS et al (2001b) A Model for forecasting emergency hospital admissions effect of environmental variables. J Environ Health 64:9–15
Díaz J, Linares C, García-Herrera R et al (2004) Impact of temperature and air pollution on the mortality of children in Madrid. J Occup Environ Med 46:768–774
Díaz J, García R, López C et al (2005) Mortality impact of extreme winter temperatures. Int J Biometeorol 49:179–183
Dockery DW, Speizer FE, Stram DO et al (1989) Effects of inhaled particles on respiratory health of children. Am Rev Respir Dis 139:587–594
EPA (2003) Air Pollution and Children’s Health. A fact sheet by Cal/EPA’s Office of Environmental Health Hazard Assessment and The American Lung Association of California
European Commission (1996) Green Paper on future noise policy (http://europa.eu.int/en/record/green/gp9611/noise.htm). European Commission, Brussels [COM 96 (540), accessed 10 March 2001]
Friedman MS, Powell KE, Hutwagner L, Graham LM, Teague WG (2001) Impact of changes in transportation and commuting behaviors during the 1996 Summer Olympic Games in Atlanta on air quality and childhood asthma. JAMA 285:897–905
Galán I, Tobías A, Banegas JR et al (2003) Short-term effects of air pollution on daily asthma emergency room admissions. Eur Respir J 22:802–808
Gehring U, Cyrys J, Sedlmeir G et al (2002) Traffic-related air pollution and respiratory health during the first 2 years of life. Eur Respir J 19(4):690–698
González S, Díaz J, Pajares MS et al (2001) Relationship between atmospheric pressure and mortality in the Madrid Autonomous Region: a time-series study. Int J Biometeorol 45:34–40
Hajat S, Haines A (2002) Associations of cold temperatures with GP consultations for respiratory and cardiovascular diseases amongst the elderly in London. Int J Epidemiol 31:825–830
Heinrich J, Hoelscher B, Wichman HE (2000) Decline of ambient air pollution and respiratory symptoms in children. Am J Respir Crit Care Med 161:1930–1936
Ising H, Lange-Asschenfeldt H, Lieber GF et al (2003) Effects of long-term exposure to street traffic exhaust on the development of skin and respiratory tract diseases in children. Schriftenr Ver Wasser Boden Lufthyg 112:81–99
Ising H, Lange-Asschenfeldt H, Liebe RGF, Moriske HJ, Weinholdt H (2004) Exposure to traffic related air pollution and noise and the development of respiratory diseases in children. J Child Health 2:145–147
Katsouyanni K, Touloumi G, Samoli E et al (2001) Confounding and effect modification in the short-term effects of ambient particles on total mortality: results from 29 European cities within the APHEA2 project. Epidemiology 12:521–531
Kim J, Smorodinsky S, Lipsett M et al (2004) Traffic-related air pollution near busy roads. Am J Resp Crit Care 170:520–526
Kleinman MT (2003) Department of Community and Environmental Medicine University of California, Irvine South Coast Air Quality Management District. The Health Effects of Air Pollution on Children
Landrigan PJ, Suk W, Amler RW (1999) Chemical wastes, children’s health, and the Superfund basic research program. Environ Health Perspect 107:423–427
Linares C, Díaz J, López C et al (2004) Relationship between emergency hospital admissions and air pollution (PM10) in children under ten years old. Air Pollution 2004. Witt Press, Capítulo X, pp 729–739
Makridakis S, Wheelwright SC, McGee VE (1983) Forecasting methods and applications. Wiley, San Francisco
McConell R, Berhane K, Gilliand F et al (1999) Air pollution and bronchitis symptoms in Southern California children with asthma. Environ Health Perspect 107:757–760
McConnell R, Berhane K, Gilliland F et al (2002) Asthma in exercising children exposed to ozone: a cohort study. Lancet 359:386–391
National Institute of Public Health (2001) Dinamarca. In: Marie Louise Bistrup (ed) Health effects of noise and perception of the risk of noise
Niemann H, Maschke C (2004) Noise effects and morbidity. WHO: LARES Final Report. http://www.euro.who.int/Noise/Activities/20040512 1 (12 May 2004)
Passchier-Vermeer W, Paschier W (1998) Environ Health Perspect 106:A222–A223
Romieu I (1999) Epidemiological studies of the health effects arising from motor vehicle air pollution. In: Schwela D, Zali O (eds) Urban traffic pollution. WHO, New York, pp 10–69
Romieu I, Famet JM, Smith KR et al (2002) Outdoor air pollution and acute respiratory infections among children in developing countries. J Occup Environ Med 44:641–649
Schwartz J (2004) Air pollution and children’s health. Pediatrics 113:1037–1043
Shima M, Adachi M (2000) Effect of outdoor and indoor nitrogen dioxide on respiratory symptoms in schoolchildren. Int J Epidemiol 29:862–870
Sunyer J, Schwartz J, Tobías A, Macfarlane D, García J, Antó JM (2000) Patients with chronic obstructive pulmonary disease are a susceptible population of dying due to urban particles: a case-crossover analysis. Am J Epidemiol 151:50–56
Tobías A, Díaz J, Saez M et al (2001) Use of Poisson regression and Box-Jenkins models to evaluate the short-term effects of environmental noise levels on daily emergency admissions in Madrid, Spain. Eur J Epidemiol 17:765–771
Tobías A, Galán I, Banegas JR et al (2003) Short-term effects of airborne pollen concentrations on asthma epidemic. Thorax 58:708–710
Valent F, Little D, Bertollini R et al (2004) Burden of disease attributable to selected environmental factors and injury among children and adolescent in Europe. Lancet 363:2032–2039
WHO (2004) Fact sheet EURO/05/04. Study on environmental burden of disease in children: key findings. WHO Europe
Wong TW, Lau TS, Yu TS et al (1999) Air pollution and hospital admissions for respiratory and cardiovascular diseases in Hong Kong. Occup Environ Med 56:679–683
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The authors gratefully acknowledge the support of the ISCIII (Red de Centros C03/09) for this study.
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Linares, C., Díaz, J., Tobías, A. et al. Impact of urban air pollutants and noise levels over daily hospital admissions in children in Madrid: a time series analysis. Int Arch Occup Environ Health 79, 143–152 (2006). https://doi.org/10.1007/s00420-005-0032-0
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DOI: https://doi.org/10.1007/s00420-005-0032-0