Salimi, F and Henderson, SB and Morgan, GG and Jalaludin, B and Johnston, F, Ambient particulate matter, landscape fire smoke, and emergency ambulance dispatches in Sydney, Australia, Environment International, 99 pp. 208-212. ISSN 0160-4120 (2017) [Refereed Article]
© 2016 Elsevier
Methods: EAD codes are assigned at the time of the call to emergency services using standard computer assisted algorithms. We assessed EADs coded as: breathing problems, chest pain, stroke or cerebrovascular accident (stroke), cardiac or respiratory arrest and death (arrest), and heart or defibrillator problems (other heart problems). Using a daily times series study design with a generalized linear Poisson regression model we quantified the association between EAD and daily PM2.5 from all sources (PM2.5,all) and PM2.5 primarily due to LFS (PM2.5,LFS).
Results: Increases of 10μg·m-3 in PM2.5,all were positively associated with same day EAD for breathing problems (RR=1.03, 95% CI 1.02 to 1.04), arrest (RR=1.03, 95% CI 1.00 to 1.06), and chest pain (RR=1.01 CI 1.00 to 1.02) but not with other outcomes. Increases of 10μg·m-3 PM2.5,LFS were also positively associated with breathing problems on the same day (RR=1.04, 95% CI 1.02 to 1.05) and other heart problems at lag of two days (RR=1.05, 95% CI 1.01 to 1.09).
Conclusions: Emergency dispatches for breathing problems are associated with PM2.5,all and PM2.5,LFS and provide a sensitive end point for continued research and surveillance activities investigating the impacts of daily fluctuations in ambient PM2.5.
|Item Type:||Refereed Article|
|Keywords:||Emergency ambulance dispatches, landscape fire smoke, particulate matter|
|Research Division:||Environmental Sciences|
|Research Group:||Environmental Science and Management|
|Research Field:||Environmental Monitoring|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Environmental Health|
|Author:||Salimi, F (Dr Farhad Salimi)|
|Author:||Johnston, F (Associate Professor Fay Johnston)|
|Deposited By:||Menzies Institute for Medical Research|
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