Single and combined effects of air pollutants on circulatory and respiratory system-related mortality in Belgrade, Serbia

The aim of this study was to investigate the association between short- and long-term exposure to particulate matter (PM 10 ), nitrogen dioxide (NO 2 ), sulfur dioxide (SO 2 ), and soot and mortality attributed to circulatory and respiratory diseases in Belgrade area (Serbia). The analyzed data set...

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Bibliographic Details
Published in:Journal of Toxicology and Environmental Health, Part A Part A, 2016-01, Vol.79 (1), p.17-27
Main Authors: Stojic, Svetlana Stanisic, Stanisic, Nemanja, Stojic, Andreja, S, ostaric, Andrej
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Air Pollutants - adverse effects
Air Pollution - adverse effects
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - mortality
Circulation
Circulatory system
Environmental Monitoring
Exposure
Female
Health risk assessment
Humans
Male
Middle Aged
Mortality
Nitrogen dioxide
Nitrogen Dioxide - toxicity
Particulate Matter - toxicity
Pollutants
Respiratory Tract Diseases - epidemiology
Respiratory Tract Diseases - mortality
Risk
Seasons
Serbia - epidemiology
Sex Factors
Soot
Sulfur dioxide
Sulfur Dioxide - toxicity
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Summary:The aim of this study was to investigate the association between short- and long-term exposure to particulate matter (PM 10 ), nitrogen dioxide (NO 2 ), sulfur dioxide (SO 2 ), and soot and mortality attributed to circulatory and respiratory diseases in Belgrade area (Serbia). The analyzed data set comprised results of regular pollutant monitoring and corresponding administrative records on frequency of daily mortality in the period 2009-2014. Nonlinear exposure-response dependencies and delayed effects of temperature were examined by means of distributed lag nonlinear models. The air pollutant loadings and circulatory system-related death rates in Belgrade area are among the highest in Europe. Data demonstrated that excess risk of death with short-term exposure to elevated concentrations of PM 10 , SO 2 , and soot was not significant, whereas marked effect size estimates for exposure over 90 d preceding mortality were found. The influence of chronic exposure was shown to be greater for respiratory than circulatory system-related mortality. When stratified by age and gender, higher risk was noted for male individuals below the age of 65 years.
ISSN:1528-7394
1087-2620
2381-3504
DOI:10.1080/15287394.2015.1101407