Temporal analysis of atmospheric nitrogen dioxide pollution and pediatric outpatient visits for respiratory illnesses in Yuexiu District, Guangzhou, China

Chuangwei Weng, Li Chen, Jue Zeng, Jiaming Lu

Article ID: 1981
Vol 1, Issue 1, 2020
DOI: https://doi.org/10.54517/ps.v1i1.1981
Received: 05 February 2020; Accepted: 28 February 2020; Available online: 14 March 2020;
Issue release: 31 December 2020

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Abstract

Objective: The study aims to investigate the impact of atmospheric nitrogen dioxide (NO2) levels on pediatric outpatient consultations for respiratory illnesses in the Yuexiu District of Guangzhou, China. Methods: Data on atmospheric NO2levels, weather conditions, and outpatient visits for respiratory diseases were gathered from a children's hospital in Guangzhou's Yuexiu District over the period of 2014 to 2016. Spearman rank correlation analysis and time-series analysis employing a generalized additive model were utilized to examine the association and lagged effects between NO2concentrations and concurrent pediatric respiratory outpatient visits. Results: The annual mean NO2concentrations in Yuexiu District during 2014, 2015, and 2016 were 6130, 6046, and 6081 μg/m3, respectively, and the number of days exceeding national standard values was 70, 64, and 62, respectively. The time-series analysis revealed a significant impact of NO2on respiratory outpatient visits from day 0 to day 7, with the most pronounced effect observed on lag day 0 (lag0). An excess risk (ER) of 145% (95% CI: 93%–198%) was observed on lag day 0 (lag0). The highest cumulative lag effect and ER of 307% (95% CI: 204%–410%) were found on lag days 0 to 6(lag06 d). Conclusion: The rise in NO2levels in Guangzhou's Yuexiu District between 2014 and 2016 was associated with an increase in pediatric respiratory disease outpatient visits.


Keywords

Nitrogen dioxide; Time series analysis; Respiratory diseases


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