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PM 2.5 Pollution Strongly Predicted COVID-19 Incidence in Four High-Polluted Urbanized Italian Cities during the Pre-Lockdown and Lockdown Periods

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  • Ourania S. Kotsiou

    (Faculty of Nursing, University of Thessaly, GAIOPOLIS, 41110 Larissa, Thessaly, Greece
    Respiratory Medicine Department, Faculty of Medicine, University of Thessaly, BIOPOLIS, 41110 Larissa, Thessaly, Greece
    Department of Physiology, Faculty of Medicine, University of Thessaly, BIOPOLIS, 41500 Larissa, Thessaly, Greece)

  • Vaios S. Kotsios

    (Metsovion Interdisciplinary Research Center, National Technical University of Athens, 44200 Attica, Athens, Greece)

  • Ioannis Lampropoulos

    (Respiratory Medicine Department, Faculty of Medicine, University of Thessaly, BIOPOLIS, 41110 Larissa, Thessaly, Greece
    Department of Business Administration, University of Patras, 26504 Patras, Peloponnesus, Greece)

  • Thomas Zidros

    (Department of Automation Engineering, Alexander Technological Educational Institute of Thessaloniki, 57400 Thessaloniki, Athens, Greece)

  • Sotirios G. Zarogiannis

    (Department of Physiology, Faculty of Medicine, University of Thessaly, BIOPOLIS, 41500 Larissa, Thessaly, Greece)

  • Konstantinos I. Gourgoulianis

    (Respiratory Medicine Department, Faculty of Medicine, University of Thessaly, BIOPOLIS, 41110 Larissa, Thessaly, Greece)

Abstract

Background: The coronavirus disease in 2019 (COVID-19) heavily hit Italy, one of Europe’s most polluted countries. The extent to which PM pollution contributed to COVID-19 diffusion is needing further clarification. We aimed to investigate the particular matter (PM) pollution and its correlation with COVID-19 incidence across four Italian cities: Milan, Rome, Naples, and Salerno, during the pre-lockdown and lockdown periods. Methods: We performed a comparative analysis followed by correlation and regression analyses of the daily average PM 10 , PM 2.5 concentrations, and COVID-19 incidence across four cities from 1 January 2020 to 8 April 2020, adjusting for several factors, taking a two-week time lag into account. Results: Milan had significantly higher average daily PM 10 and PM 2.5 levels than Rome, Naples, and Salerno. Rome, Naples, and Salerno maintained safe PM 10 levels. The daily PM 2.5 levels exceeded the legislative standards in all cities during the entire period. PM 2.5 pollution was related to COVID-19 incidence. The PM 2.5 levels and sampling rate were strong predictors of COVID-19 incidence during the pre-lockdown period. The PM 2.5 levels, population’s age, and density strongly predicted COVID-19 incidence during lockdown. Conclusions: Italy serves as a noteworthy paradigm illustrating that PM 2.5 pollution impacts COVID-19 spread. Even in lockdown, PM 2.5 levels negatively impacted COVID-19 incidence.

Suggested Citation

  • Ourania S. Kotsiou & Vaios S. Kotsios & Ioannis Lampropoulos & Thomas Zidros & Sotirios G. Zarogiannis & Konstantinos I. Gourgoulianis, 2021. "PM 2.5 Pollution Strongly Predicted COVID-19 Incidence in Four High-Polluted Urbanized Italian Cities during the Pre-Lockdown and Lockdown Periods," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5088-:d:552467
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    Cited by:

    1. Ourania S. Kotsiou & Georgios K. D. Saharidis & Georgios Kalantzis & Evangelos C. Fradelos & Konstantinos I. Gourgoulianis, 2021. "The Impact of the Lockdown Caused by the COVID-19 Pandemic on the Fine Particulate Matter (PM 2.5 ) Air Pollution: The Greek Paradigm," IJERPH, MDPI, vol. 18(13), pages 1-11, June.

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