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

VIEWS - 3337 (Abstract)

Download PDF

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


References

1. Zhang ZQ, Wang SH, Wu ZL, et al. Effects of air pollutants on outpatient and emergency number of respiratory diseases in Yanqing District of Beijing. Chin J Dis Control Prev. 2019; 23(7): 822-827,834.

2. Zhang YY, Liu ZW, Li WL, et al. Air pollution influence on symptoms and respiratory system diseases in pupils in Weifang city. J Environ Hyg. 2017; 7(4): 274-278,290.

3. Qin H, Sun J, Wang Q, et al. Study on ambient air pollution and respiratory diseases in children. China maternal and child health care. 2010; 25(34): 5048-5049

4. Zhu Y, Yang XN, Li YB. Relationship between air pollution and children respiratory diseases in a certain area in Shenyang. J Environ Health. 2008; 25(7): 575-578.

5. Zhang JY, Meng HY, Zhang GB, et al. Relationship between air pollution and daily respiratory system disease mortality in Chaoyang district, beijing: a time-series analysis. J Environ Health. 2011; 28(9): 788-791.

6. Greenberg N, Carel RS, Derazne E, et al. Different effects of People’s Republic of China, Standardization Administration of China. Ambient air quality standard: GB 3095 2012. Beijing: China Environment Science Press; 2016.

7. General Administration of Quality Supervision, Inspection and Quarantine of the People’s Republic of China, Standardization Administration of China. Ambient air quality standard: GB 3095-2012. Beijing: China Environment Science Press; 2016.

8. Lu F, Li Y, Li C, et al. Application of time series analysis in the field of air pollution and health and its R software implementation. China health statistics. 2018; 35(4): 622-625.

9. Franck U, Leitte AM, Suppan P. Multifactorial airborne exposures and respiratory hospital admissions—The example of Santiago de Chile. Science of The Total Environment. 2015; 502: 114-121. doi: 10.1016/j.scitotenv.2014.08.093

10. Liu F, Zhao Y, Liu YQ, et al. Asthma and asthma related symptoms in 23,326 Chinese children in relation to indoor and outdoor environmental factors: The Seven Northeastern Cities (SNEC) Study. Science of The Total Environment. 2014; 497-498: 10-17. doi: 10.1016/j.scitotenv.2014.07.096

11. Zhu YD, Wei JR, Huang L, et al. Comparison of respiratory diseases and symptoms among school-age children in areas with different levels of air pollution. J Peking Univ (Health Sci). 2015; 47(3): 395-399.

12. Xiong YX, Zou YF, Zheng J, et al. Effects of haze on children’s respiratory symptoms in Guangzhou. J Environ Health. 2016; 33(1): 48-51.

13. Wu YZ, Zhang JL, Zhao XG, et al. Relationship between ambient air pollution and children’s respiratory health in China. J Environ Health. 2009; 26(6): 471-477.

14. Qin M, Gao Y, Gu PQ, et al. Acute effects of air pollutants on respiratory diseases in Fengxian District, Shanghai. J Environ Occup Med. 2018; 35(6): 521-525.

15. Zhang W, Zhen G, Chen D, et al. Influence of air pollutants on outpatient volume of respiratory diseases in Shunyi District of Beijing. China health statistics. 2017; 34(2): 275-279.

16. Wang Y, Yang S, Zhang J, et al. Correlation between air pollution in Zhengzhou and daily outpatient volume of respiratory system in children’s Hospital. Journal of environmental hygiene. 2019; 9(6): 583-588.

17. Liu XB, Yang L, Hong QQ, et al. Time-series analysis on association between air pollutants and hospital outpatients for respiratoty diseases in a district, Harbin in 2015. J Environ Hyg. 2017; 7(4): 279-283.

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Chuangwei Weng, Li Chen, Jue Zeng, Jiaming Lu

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


This site is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).