Daily mortality and air pollution in the Netherlands

Hoek, G; Brunekreef, B; Verhoeff, A; Van Wijnen, J; Fischer, P

HERO ID

10350

Reference Type

Journal Article

Year

2000

Language

English

PMID

11002600

HERO ID 10350
In Press No
Year 2000
Title Daily mortality and air pollution in the Netherlands
Authors Hoek, G; Brunekreef, B; Verhoeff, A; Van Wijnen, J; Fischer, P
Journal Journal of the Air and Waste Management Association
Volume 50
Issue 8
Page Numbers 1380-1389
Abstract We studied the association of daily mortality with shortterm variations in the ambient concentrations of major gaseous pollutants and PM in the Netherlands. The magnitude of the association in the four major urban areas was compared with that in the remainder of the country. Daily cause-specific mortality counts, air quality temperature, relative humidity and influenza data were obtained from 1986 to 1994. The relationship between daily mortality and air pollution was modeled using Poisson regression analysis. We adjusted for potential confounding due to long-term and seasonal trends, influenza epidemics, ambient temperature and relative humidity, day of the week, and holidays, using generalized additive models. Influenza episodes were associated with increased mortality up to 3 weeks later. Daily mortality was significantly associated with the concentration of all air pollutants. An increase in the 10concentration by 100 "mu"g/m3 was associated with a relative risk (RR) of 1.02 for total mortality. The largest RRs were found for pneumonia deaths. Ozone had the most consistent, independent association with mortality. Particulate air pollution (e.g., PM10, black smoke [BS]) was not more consistently associated with mortality than were the gaseous pollutants SO2 and NO2. Aerosol SO42- NO3- and BS were more consistently associated with total mortality than was PM10. The RRs for all pollutants were substantially larger in the summer months than in the winter months. The RR of total mortality for PM10 was 1.10 for the summer and 1.03 for the winter. There was no consistent difference between RRs in the four major urban areas and the more rural areas.
Doi 10.1080/10473289.2000.10464182
Pmid 11002600
Wosid WOS:000089085700010
Url http://www.tandfonline.com/doi/pdf/10.1080/10473289.2000.10464182
Is Certified Translation No
Dupe Override No
Comments ECRIB.J. Air Waste Manage. Assoc. 50: 1380-1389.
Is Public Yes
Language Text English
Is Qa No
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