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An observational study of PM10 and hospital admissions for acute exacerbations of chronic respiratory disease in Tasmania, Australia 19922002

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Meszaros, D and Markos, J and FitzGerald, DG and Walters, EH and Wood-Baker, R, An observational study of PM10 and hospital admissions for acute exacerbations of chronic respiratory disease in Tasmania, Australia 1992-2002, BMJ Open Respiratory Research, 2, (1) pp. 1-8. ISSN 2052-4439 (2015) [Refereed Article]


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Licensed under Creative Commons Attribution-NonCommercial 3.0 Unported (CC BY-NC 3.0) http://creativecommons.org/licenses/by-nc/3.0/

DOI: doi:10.1136/bmjresp-2014-000063

Abstract

Objective: Particulate matter with a diameter below 10  (PM10) has been a major concern in the Tamar Valley, Launceston, where wood heaters are extensively used. We examined the relationship between PM10 levels, meteorological variables, respiratory medications and hospital admissions for respiratory disease over the decade 1992-2002.

Methods: PM10 levels were provided by the Department of Primary Industry Water, Parks and Environment, and meteorological variables from the Bureau of Meteorology. We obtained hospital discharge codes for the Launceston General Hospital. Poisson regression was used for statistical analyses.

Results: Mean daily PM10 levels declined from 50.7 to 16.5 μg/m3. Hospitalisations for asthma decreased from 29 to 21 per month, whereas chronic obstructive pulmonary disease (COPD) increased and bronchitis/bronchiolitis remained unchanged. We found a 10 μg/m3 increase in PM10 to be associated with a 4% increase in admissions for acute bronchitis/bronchiolitis (p<0.05), but no association with asthma or COPD was found. All respiratory diseases showed seasonal patterns of hospitalisation.

Conclusions: This is the first long-term study in Australia to demonstrate an association between PM10 levels and respiratory diseases. Reducing exposure to PM10 may decrease hospital admissions for respiratory diseases.

Implication: Better preventive measures, including sustained public health initiatives to combat air pollution, are required to reduce respiratory morbidity.

Item Details

Item Type:Refereed Article
Keywords:chronic obstructive pulmonary disease, PM10, hospital admissions
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Respiratory Diseases
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Respiratory System and Diseases (incl. Asthma)
Author:Meszaros, D (Dr Desiree Meszaros)
Author:FitzGerald, DG (Dr Des FitzGerald)
Author:Walters, EH (Professor Haydn Walters)
Author:Wood-Baker, R (Professor Richard Wood-Baker)
ID Code:104977
Year Published:2015
Funding Support:National Health and Medical Research Council (1020515)
Web of Science® Times Cited:5
Deposited By:Medicine (Discipline)
Deposited On:2015-12-01
Last Modified:2016-05-25
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