Association between ambient air pollution and cause-specific mortality in Cape Town, Durban, and Johannesburg, South Africa: any susceptible groups? (original) (raw)

Estimating the burden of disease attributable to urban outdoor air pollution in South Africa in 2000

2007

To quantify the mortality burden attributed to urban outdoor air pollution in South Africa in 2000. The study followed comparative risk assessment (CRA) methodology developed by the World Heath Organization (WHO). In most urban areas, annual mean concentrations of particulate matter (PM) with diameters less than 10 microm (PM10) from monitoring network data and PM with diameters less than 2.5 microm (PM2.5) derived using a ratio method were weighted according to population size. PM(10) and PM(2.5) data from air-quality assessment studies in areas not covered by the network were also included. Population-attributable fractions calculated using risk coefficients presented in the WHO study were weighted by the proportion of the total population (33%) in urban environments, and applied to revised estimates of deaths and years of life lost (YLLs) for South Africa in 2000. South Africa. Children under 5 years and adults 30 years and older. Mortality and YLLs from lung cancer and cardiopul...

Changes in health risk associated with air pollution and policy response effectiveness, Richards Bay, South Africa

Clean Air Journal

Lung and bronchus cancer, asthma, acute lower respiratory infections (ALRI), ischemic heart diseases (IHD), cerebrovascular diseases (CEV) are disorders that have been widely associated with air pollution. More so, research shows that more than 5.5 million people die prematurely every year due to household and outdoor air pollution placing it as the fourth highest-ranking risk factor for death globally (Forouzanfar et al., 2015). Setting a minimum emission standard for industrial sources is a way to control air pollution and to minimize adverse impacts on people. With an aim to ascertain pollution policy intervention effectiveness, this study uses the case of Richards Bay to determine changes in health risk associated with air quality pollution exposure and the benefits of policy intervention. The study looks at trends of mortality in the last 20 years, the change in the ranking of 6 air-related mortality causes and Year of Life Lost (YLL) as a result of pollution. Results indicate ...

Apparent Temperature Modifies the Effects of Air Pollution on Cardiovascular Disease Mortality in Cape Town, South Africa

Climate

Cardiovascular disease (CVD) is the top cause of mortality and a main contributor to disability globally. The evidence so far is varied on whether cold or heat modifies the CVD effects of air pollution. Weather conditions and air pollution sources and levels are different in different countries. Studies in low-and middle-income countries are lacking. Mortality data were obtained from Statistics South Africa. Air pollution and meteorological data were obtained from the South African Weather Service. A time-stratified case–crossover epidemiological design was applied. The association between air pollutants (PM10, NO2 and SO2) and CVD mortality was investigated using conditional logistic regression models. Susceptibility by sex and age groups was investigated. In total, 54,356 CVD deaths were included in the 10-year study. The daily PM10, NO2 and SO2 levels exceeded the daily WHO guidelines on 463, 421 and 8 days of the 3652 days, respectively. Higher air pollution risks were observed ...

Temperature modifies the association between air pollution and respiratory disease hospital admissions in an industrial area of South Africa: The Vaal Triangle Air Pollution Priority Area

Clean Air Journal

Background: Epidemiological studies reported independent effects of air pollution and temperature on health, yet these twoexposures are often treated as separate risk factors. Few studies investigated temperature effect modification on the health effects ofair pollution in Africa and none examined the effects of black carbon on respiratory disease (RD) hospitalisations. The aim of this studywas to determine whether the association between RD hospitalisations and air pollution in the Vaal Triangle Air Pollution Priority Areawas modified by apparent temperature (Tapp) during January 2013 to February 2020. Methods: RD admission data (ICD10 J00-J99) were obtained from two hospitals located in Vanderbijlpark and Vereeniging. AmbientPM10, PM2.5, BC, NO2, SO2 and O3, temperature and relative humidity data were obtained from six monitoring stations. A case-crossover epidemiological study design was applied. Lag0-1 was investigated, i.e. the average air pollutant level on the day and the day...