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Environmental Asthma Reduction Potential Estimates for Selected Mitigation Actions in Finland Using a Life Table Approach

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  • Isabell Katharina Rumrich

    (Department of Health Protection, National Institute for Health and Welfare (THL), Kuopio 70210 Finland)

  • Otto Hänninen

    (Department of Health Protection, National Institute for Health and Welfare (THL), Kuopio 70210 Finland)

Abstract

Aims: To quantify the reduction potential of asthma in Finland achievable by adjusting exposures to selected environmental factors. Methods: A life table model for the Finnish population for 1986–2040 was developed and Years Lived with Disability caused by asthma and attributable to the following selected exposures were estimated: tobacco smoke (smoking and second hand tobacco smoke), ambient fine particles, indoor dampness and mould, and pets. Results: At baseline (2011) about 25% of the total asthma burden was attributable to the selected exposures. Banning tobacco was the most efficient mitigation action, leading to 6% reduction of the asthma burden. A 50% reduction in exposure to dampness and mould as well as a doubling in exposure to pets lead each to a 2% reduction. Ban of urban small scale wood combustion, chosen as a mitigation action to reduce exposure to fine particles, leads to a reduction of less than 1% of the total asthma burden. Combination of the most efficient mitigation actions reduces the total asthma burden by 10%. A more feasible combination of mitigation actions leads to 6% reduction of the asthma burden. Conclusions: The adjustment of environmental exposures can reduce the asthma burden in Finland by up to 10%.

Suggested Citation

  • Isabell Katharina Rumrich & Otto Hänninen, 2015. "Environmental Asthma Reduction Potential Estimates for Selected Mitigation Actions in Finland Using a Life Table Approach," IJERPH, MDPI, vol. 12(6), pages 1-17, June.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:6:p:6506-6522:d:50863
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    References listed on IDEAS

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    1. Jaakkola, M.S. & Piipari, R. & Jaakkola, N. & Jaakkola, J.J.K., 2003. "Environmental Tobacco Smoke and Adult-Onset Asthma: A Population-Based Incident Case-Control Study," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2055-2060.
    2. Karin C Lødrup Carlsen & Stephanie Roll & Kai-Håkon Carlsen & Petter Mowinckel & Alet H Wijga & Bert Brunekreef & Maties Torrent & Graham Roberts & S Hasan Arshad & Inger Kull & Ursula Krämer & Andrea, 2012. "Does Pet Ownership in Infancy Lead to Asthma or Allergy at School Age? Pooled Analysis of Individual Participant Data from 11 European Birth Cohorts," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-12, August.
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