1999, Number 3
<< Back Next >>
Alerg Asma Inmunol Pediatr 1999; 8 (3)
Analysis of the influence of climatic changes and atmospheric pollutants on respiratory diseases in children in an emergency setting
Abrantes PAL, Berenstein M, Ferreira CJF
Language: Spanish
References: 18
Page: 78-84
PDF size: 355.13 Kb.
ABSTRACT
Background: In pediatric practice, the influence of external factors (pollutants and/or climate) in the triggering or worsening of respiratory disease is a frequent point of debate.
Objective: To evaluate the importance of and correlation between climatic factors (temperature and relative air humidity) and atmospheric pollutants (particulate matter, sulfur dioxide and carbon monoxide) on the incidence of respiratory diseases, classified by the ICD from 460 to 519, in children evaluated at the Emergency Department of the Hospital Professor Edmundo Vasconcelos betwen January and June 1998.
Results: A total of 4,315 children (up to five years of age) were attended. Their distribution was compared on a daily basis with data provided by the Companhia de Tecnologia de Saneamento Ambiental (CETESB) (Environment Sanitation Technology Company), using simple and multiple linear regression methods.
Conclutions: A slight but significant influence of minimum temperature (inverse correlation) and particulate matter concentration (explaining 32% of occurrences in conjunction with minimum temperature) was detected on the incidence of respiratory diseases in the children evaluated at the Emergency Department during this period.
REFERENCES
Companhia de Tecnologia de Saneamento Ambiental do Estado de São Paulo: Relatório de qualidade do ar no Estado de São Paulo, 1998 (São Paulo, CETESB 1998) - Série Relatórios/ CETESB (ISSN 0103 - 4103), 1996, 1-83p.
Barnes PJ. Air pollution and asthma. Postgr Med J 1994; 70: 319-25.
Committee on Environmental Health. Ambient air pollution: Respiratory hazards to children. Pediatrics 1993; 91: 1210-13.
Schwartz J, Spix C, Wichmann HE, Malin E. Air pollution and acute respiratory illness in five German communities. Environ Res 1991; 1: 1-13.
Vidal S, Schenker MB, Muñoz A, Samet JM, Batterman S, Speizer FE. Daily air pollution effects on children’s respiratory symptoms and peak expiratory flow. Am J Public Health 1987; 77: 694-98.
Saldiva PHN, Lichtensfeld AJFC, Paiva PSO, Barone IA, Martins MA, Massad E. Association between air pollution and mortality due to respiratory diseases in children in São Paulo, Brazil: a preliminary report. Environ Res 1994; 65:218-25.
Solé D, Salto Jr JJ, Camilo Nunes IC, Nudelman V, Naspitz CK. Mortalidade por doenças do aparelho respiratório e por asma «versus» poluição atmosférica, na cidade de São Paulo - 1984 a 1994. Rev Bras Alergia Imunopat 1998; 21: 9-20.
Carvalho Jr. FF, Nudelman V. Relationship of asthma an atmospheric variables and upper respiratory tract infection: An analysis of data from 1989, São Paulo downtown. Arch Arg Allerg Immunol Clin 1995; 26(4).
Whitemore AS, Korn EL. Asthma and air pollution in the Los Angeles Area. Am J Public Health 1980; 70: 687-96.
Perry GB , Chai H, Dickey DW, Jones RH, Kinsman RA, Morril CG, Spector SL, Weiser PC. Effects of particulate air pollution on asthmatics. Am J of Public Health 1983; 73: 50-4.
Dockery DW, Ware JH, Ferris BG, Speizer FE, Cook NR, Herman SM. Change in pulmonary function in children associated with air pollution episodes. J Air Pollution Control Association 1982; 32: 937-42.
Pierson WE, Koenig JQ. Respiratory effects of air pollution on allergic disease. J Allergy Clin Immunol 1992; 90: 557-66.
Pope III CA, Dockery DW, Spengler JD, Raizenne ME. Respiratory health and PM pollution - A daily time series analysis 1990: 668-74.
Yamamoto LG, Iwamoto LM, Yamamoto KS, Wothley RG. Effect of environmental conditions on emergency department use by wheezing children. Ann Em Med 1993; 22: 523-9.
US Environmental Protection Agency (USEPA). Asthma and other respiratory effects. The EPA Children’s Environmental Health Yearbook, 1994. USEPA. Publication Nº 523-217/ 81322, 1994.
Burr ML. Pollution: does it cause asthma? Arch Dis Child 1995; 72: 377-79.
Bascom R, Bromberg PA, Costa DA, Devlin R, Dockery DW, Frampton MW. Health effects of outdoor air pollution Part 1. Am J Respir Crit Care Med 1996; 153: 3-50.
Bascom R, Bromberg PA, Costa DA, Devlin R, Dockery DW, Frampton MW. Health effects of outdoor air pollution Part 2. Am J Respir Crit Care Med 1996; 153: 477-98.