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Acute Effects of Ambient PM 2.5 on All-Cause and Cause-Specific Emergency Ambulance Dispatches in Japan

Author

Listed:
  • Vera Ling Hui Phung

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Kayo Ueda

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Shunji Kasaoka

    (Emergency and General Medicine, Kumamoto University Hospital, Kumamoto 860-8556, Japan)

  • Xerxes Seposo

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Saira Tasmin

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Shinichi Yonemochi

    (Center for Environmental Science in Saitama, Kazo, Saitama 347-0115, Japan)

  • Arthit Phosri

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Akiko Honda

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Hirohisa Takano

    (Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto 615-8540, Japan)

  • Takehiro Michikawa

    (Center for Health and Environmental Risk Research, National Institute for Environmental Studies (NIES), Tsukuba, Ibaraki 305-8506, Japan)

  • Hiroshi Nitta

    (Center for Health and Environmental Risk Research, National Institute for Environmental Studies (NIES), Tsukuba, Ibaraki 305-8506, Japan)

Abstract

Short-term health effects of ambient PM 2.5 have been established with numerous studies, but evidence in Asian countries is limited. This study aimed to investigate the short-term effects of PM 2.5 on acute health outcomes, particularly all-cause, cardiovascular, respiratory, cerebrovascular and neuropsychological outcomes. We utilized daily emergency ambulance dispatches (EAD) data from eight Japanese cities (2007–2011). Statistical analyses included two stages: (1) City-level generalized linear model with Poisson distribution; (2) Random-effects meta-analysis in pooling city-specific effect estimates. Lag patterns were explored using (1) unconstrained-distributed lags (lag 0 to lag 7) and (2) average lags (lag: 0–1, 0–3, 0–5, 0–7). In all-cause EAD, significant increases were observed in both shorter lag (lag 0: 1.24% (95% CI: 0.92, 1.56)) and average lag 0–1 (0.64% (95% CI: 0.23, 1.06)). Increases of 1.88% and 1.48% in respiratory and neuropsychological EAD outcomes, respectively, were observed at lag 0 per 10 µg/m 3 increase in PM 2.5 . While respiratory outcomes demonstrated significant average effects, no significant effect was observed for cardiovascular outcomes. Meanwhile, an inverse association was observed in cerebrovascular outcomes. In this study, we observed that effects of PM 2.5 on all-cause, respiratory and neuropsychological EAD were acute, with average effects not exceeding 3 days prior to EAD onset.

Suggested Citation

  • Vera Ling Hui Phung & Kayo Ueda & Shunji Kasaoka & Xerxes Seposo & Saira Tasmin & Shinichi Yonemochi & Arthit Phosri & Akiko Honda & Hirohisa Takano & Takehiro Michikawa & Hiroshi Nitta, 2018. "Acute Effects of Ambient PM 2.5 on All-Cause and Cause-Specific Emergency Ambulance Dispatches in Japan," IJERPH, MDPI, vol. 15(2), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:307-:d:131180
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    References listed on IDEAS

    as
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    2. Chih-Cheng Chen & Shang-Shyue Tsai & Chun-Yuh Yang, 2015. "Association between Fine Particulate Air Pollution and Daily Clinic Visits for Migraine in a Subtropical City: Taipei, Taiwan," IJERPH, MDPI, vol. 12(5), pages 1-12, April.
    3. Francesca Dominici & Jonathan M. Samet & Scott L. Zeger, 2000. "Combining evidence on air pollution and daily mortality from the 20 largest US cities: a hierarchical modelling strategy," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 163(3), pages 263-302.
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    Cited by:

    1. Kohei Hasegawa & Hirokazu Toubou & Teruomi Tsukahara & Tetsuo Nomiyama, 2021. "Short-Term Associations of Ambient Fine Particulate Matter (PM 2.5 ) with All-Cause Hospital Admissions and Total Charges in 12 Japanese Cities," IJERPH, MDPI, vol. 18(8), pages 1-11, April.
    2. Daoru Liu & Qinli Deng & Zeng Zhou & Yaolin Lin & Junwei Tao, 2018. "Variation Trends of Fine Particulate Matter Concentration in Wuhan City from 2013 to 2017," IJERPH, MDPI, vol. 15(7), pages 1-18, July.
    3. Wen-Yuan Ho & Kuo-Hsin Tseng & Ming-Lone Liou & Chang-Chuan Chan & Chia-hung Wang, 2018. "Application of Positive Matrix Factorization in the Identification of the Sources of PM 2.5 in Taipei City," IJERPH, MDPI, vol. 15(7), pages 1-18, June.

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