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    This document summarizes a study that conducted a systematic review and meta-analysis of published research on the health effects of particulate matter (PM) air pollution in China. The study searched databases for articles on the association between PM10, PM2.5 and health outcomes in 127 Chinese cities. It combined data from 59 studies to estimate the increased risks of mortality and hospital utilization from increased PM exposure. The results showed increased risks of total mortality, cardiovascular mortality and respiratory mortality associated with higher levels of PM10 and PM2.5. The study concludes that while short-term PM exposure is linked to higher mortality, more evidence is still needed on health effects from specific PM constituents, long-term exposure and non-fatal outcomes in China

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    This document summarizes a study that conducted a systematic review and meta-analysis of published research on the health effects of particulate matter (PM) air pollution in China. The study searched databases for articles on the association between PM10, PM2.5 and health outcomes in 127 Chinese cities. It combined data from 59 studies to estimate the increased risks of mortality and hospital utilization from increased PM exposure. The results showed increased risks of total mortality, cardiovascular mortality and respiratory mortality associated with higher levels of PM10 and PM2.5. The study concludes that while short-term PM exposure is linked to higher mortality, more evidence is still needed on health effects from specific PM constituents, long-term exposure and non-fatal outcomes in China

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    This document summarizes a study that conducted a systematic review and meta-analysis of published research on the health effects of particulate matter (PM) air pollution in China. The study searched databases for articles on the association between PM10, PM2.5 and health outcomes in 127 Chinese cities. It combined data from 59 studies to estimate the increased risks of mortality and hospital utilization from increased PM exposure. The results showed increased risks of total mortality, cardiovascular mortality and respiratory mortality associated with higher levels of PM10 and PM2.5. The study concludes that while short-term PM exposure is linked to higher mortality, more evidence is still needed on health effects from specific PM constituents, long-term exposure and non-fatal outcomes in China

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    16 views2 pages

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    Uploaded by

    Cintia Andrade Moó
    This document summarizes a study that conducted a systematic review and meta-analysis of published research on the health effects of particulate matter (PM) air pollution in China. The study searched databases for articles on the association between PM10, PM2.5 and health outcomes in 127 Chinese cities. It combined data from 59 studies to estimate the increased risks of mortality and hospital utilization from increased PM exposure. The results showed increased risks of total mortality, cardiovascular mortality and respiratory mortality associated with higher levels of PM10 and PM2.5. The study concludes that while short-term PM exposure is linked to higher mortality, more evidence is still needed on health effects from specific PM constituents, long-term exposure and non-fatal outcomes in China

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    RESUMEN

    Introduction: As the largest developing country, China has some of the worst air quality in
    the world. Heavy smog in January 2013 led to unprecedented public concern about the
    health impact of exposure to particulate matter. Conducting health impact assessments of
    particulate matter has thus become an urgent task for public health practitioners.
    Combined estimates of the health effects of exposure to particulate matter from
    quantitative reviews could provide vital information for epidemiology-based health impact
    assessments, but estimates for the Chinese population are limited.

    Methods: On December 31, 2013, we systematically searched the PubMed, Web of


    Science, and China National Knowledge Infrastructure databases using as keywords
    names of 127 major cities in Mainland China, Hong Kong, and Taiwan. From among the
    1464 articles identified, 59 studies were manually screened. Random-effects or fixedeffects models were used to combine their risk estimates, the funnel plots with Egger test
    were performed to evaluate the publication bias and Meta regression were run to explore
    the association between exposure to particulate matter with aerodynamic diameters less
    than 10 and 2.5 mm (PM10 and PM2.5) and the resulting health effects by the
    Comprehensive Meta Analysis.

    Results: In terms of short-term effects, the combined excess risks of total non-accidental
    mortality, mortality due to cardiovascular disease, and mortality due to respiratory disease
    were 0.36% (95% con-fidence interval [95%CI]: 0.26%, 0.46%), 0.36% (95%CI: 0.24%,
    0.49%), and 0.42% (95%CI: 0.28%, 0.55%), for each 10 g/m3 increase in PM10. A 10
    g/m3 increase in PM2.5 was associated with a 0.40% (95%CI: 0.22%, 0.59%) increase in
    total non-accidental mortality, a 0.63% (95%CI: 0.35%, 0.91%) increase in mortality due to
    cardiovascular disease, and a 0.75% (95%CI: 01.39%, 1.11%) increase in mortality due to
    respiratory disease. For constituent-specific mortality, increases of 0.403.11% were
    associated with an increase of 10 ng/m3 for nickel in PM. The summary estimate ranges of
    hospital utilization were 0.08% _0.72% and 0.58% _1.32% for a 10 g/m3 increase in
    PM10 and PM2.5. In terms of long-term effects, a 10 g/m3 increase of PM10 corresponded
    to 2367% increase in the risk of mortality.

    Conclusion: Short exposures to PM10 and PM2.5 are associated with increases in mortality,
    but evidence of constituent-associated health effects, long-term effects and morbidity in

    China is still inadequate.

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